hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|GA,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,
Hospital Authority of Colquitt County,1/1/2025,2.0.0,Colquitt Regional Medical Center,3131 S. Main St. Moultrie GA 31768,035296-GA,TRUE,,,,,,,,,,,,
description,code|1,code|1|type,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,payer_name,plan_name,modifiers,standard_charge|negotiated_dollar,standard_charge|negotiated_percentage,standard_charge|negotiated_algorithm,estimated_amount,standard_charge|min,standard_charge|max,standard_charge | methodology,additional_generic_notes
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,ALLIANT,ALLIANT,,68.51,,fee schedule,68.51,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,AMBETTER,AMBETTER,,53.98,,fee schedule,53.98,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,MEDICARE,MEDICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,TRICARE,TRICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,41.52,94,percent of total billed charges,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,41.52,94,percent of total billed charges,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,41.52,94,percent of total billed charges,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,ALLIANT,ALLIANT,,68.51,,fee schedule,68.51,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,AMBETTER,AMBETTER,,53.98,,fee schedule,53.98,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,MEDICARE,MEDICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,TRICARE,TRICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,41.52,94,percent of total billed charges,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,41.52,94,percent of total billed charges,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,41.52,94,percent of total billed charges,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,41.52,94,fee schedule,
ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,ALLIANT,ALLIANT,,68.51,,fee schedule,68.51,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,AMBETTER,AMBETTER,,53.98,,fee schedule,53.98,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,MEDICARE,MEDICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,TRICARE,TRICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,41.52,,fee schedule,41.52,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,41.52,94,percent of total billed charges,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,41.52,94,percent of total billed charges,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,41.52,94,percent of total billed charges,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,41.52,94,fee schedule,
MODERNA 1ST DOSE,0011A,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,41.52,94,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,AETNA,AETNA,,525458.12,87,percent of total billed charges,525458.12,525458.12,603974.85,percent of total billed charges,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525458.12,87,percent of total billed charges,525458.12,525458.12,603974.85,percent of total billed charges,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,UNITED HEALTHCARE,UNITED HEALTHCARE,,531497.87,88,percent of total billed charges,531497.87,525458.12,603974.85,percent of total billed charges,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,AETNA,AETNA,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,ALLIANT,ALLIANT,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,AMBETTER,AMBETTER,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,BEECH STREET,BEECH STREET,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,CARESOURCE,CARESOURCE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,MEDICAID,MEDICAID,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,MEDICARE,MEDICARE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,NOVA NET,NOVA NET,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,PEACHSTATE,PEACHSTATE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,SELFPAY,SELFPAY,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,TRICARE,TRICARE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.",3,DRG,inpatient,,,603974.85,603974.85,UHC MEDICARE,UHC MEDICARE,,603974.85,,fee schedule,603974.85,525458.12,603974.85,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,AETNA,AETNA,,274012.64,87,percent of total billed charges,274012.64,274012.64,314957.06,percent of total billed charges,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274012.64,87,percent of total billed charges,274012.64,274012.64,314957.06,percent of total billed charges,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,277162.21,88,percent of total billed charges,277162.21,274012.64,314957.06,percent of total billed charges,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,AETNA,AETNA,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,ALLIANT,ALLIANT,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,AMBETTER,AMBETTER,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,BEECH STREET,BEECH STREET,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,CARESOURCE,CARESOURCE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,MEDICAID,MEDICAID,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,MEDICARE,MEDICARE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,NOVA NET,NOVA NET,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,PEACHSTATE,PEACHSTATE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,SELFPAY,SELFPAY,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,TRICARE,TRICARE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.",4,DRG,inpatient,,,314957.06,314957.06,UHC MEDICARE,UHC MEDICARE,,314957.06,,fee schedule,314957.06,274012.64,314957.06,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,AETNA,AETNA,,36906.27,87,percent of total billed charges,36906.27,17177.6,42421,percent of total billed charges,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36906.27,87,percent of total billed charges,36906.27,17177.6,42421,percent of total billed charges,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,UNITED HEALTHCARE,UNITED HEALTHCARE,,37330.48,88,percent of total billed charges,37330.48,17177.6,42421,percent of total billed charges,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,AETNA,AETNA,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,BEECH STREET,BEECH STREET,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,CARESOURCE,CARESOURCE,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,MEDICAID,MEDICAID,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,NOVA NET,NOVA NET,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,PEACHSTATE,PEACHSTATE,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,SELFPAY,SELFPAY,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
ATHERECTOMY ILIAC ARTERY,0238T,CPT,both,,,42421,42421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42421,,fee schedule,42421,17177.6,42421,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,ALLIANT,ALLIANT,,235.34,,fee schedule,235.34,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,AMBETTER,AMBETTER,,185.42,,fee schedule,185.42,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,149.76,,fee schedule,149.76,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,152.61,,fee schedule,152.61,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,MEDICARE,MEDICARE,,142.63,,fee schedule,142.63,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,142.63,,fee schedule,142.63,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,TRICARE,TRICARE,,142.63,,fee schedule,142.63,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,142.63,,fee schedule,142.63,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,142.63,438,percent of total billed charges,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,142.63,438,percent of total billed charges,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,142.63,438,percent of total billed charges,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,142.63,438,fee schedule,
"INF DIS PATHOGEN RNA,4 TARGET",0241U,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,142.63,438,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,AETNA,AETNA,,24971.6,87,percent of total billed charges,24971.6,24971.6,28702.99,percent of total billed charges,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24971.6,87,percent of total billed charges,24971.6,24971.6,28702.99,percent of total billed charges,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,25258.63,88,percent of total billed charges,25258.63,24971.6,28702.99,percent of total billed charges,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,AETNA,AETNA,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,ALLIANT,ALLIANT,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,AMBETTER,AMBETTER,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,BEECH STREET,BEECH STREET,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,CARESOURCE,CARESOURCE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,MEDICAID,MEDICAID,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,MEDICARE,MEDICARE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,NOVA NET,NOVA NET,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,PEACHSTATE,PEACHSTATE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,SELFPAY,SELFPAY,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,TRICARE,TRICARE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
EXTRACRANIAL PROCEDURES W/O CC/MCC,39,DRG,inpatient,,,28702.99,28702.99,UHC MEDICARE,UHC MEDICARE,,28702.99,,fee schedule,28702.99,24971.6,28702.99,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,AETNA,AETNA,,52434.38,87,percent of total billed charges,52434.38,52434.38,60269.4,percent of total billed charges,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52434.38,87,percent of total billed charges,52434.38,52434.38,60269.4,percent of total billed charges,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,UNITED HEALTHCARE,UNITED HEALTHCARE,,53037.07,88,percent of total billed charges,53037.07,52434.38,60269.4,percent of total billed charges,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,AETNA,AETNA,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,ALLIANT,ALLIANT,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,AMBETTER,AMBETTER,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,BEECH STREET,BEECH STREET,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,CARESOURCE,CARESOURCE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,MEDICAID,MEDICAID,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,MEDICARE,MEDICARE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,NOVA NET,NOVA NET,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,PEACHSTATE,PEACHSTATE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,SELFPAY,SELFPAY,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,TRICARE,TRICARE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,41,DRG,inpatient,,,60269.4,60269.4,UHC MEDICARE,UHC MEDICARE,,60269.4,,fee schedule,60269.4,52434.38,60269.4,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,AETNA,AETNA,,38151.68,87,percent of total billed charges,38151.68,38151.68,43852.51,percent of total billed charges,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38151.68,87,percent of total billed charges,38151.68,38151.68,43852.51,percent of total billed charges,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,UNITED HEALTHCARE,UNITED HEALTHCARE,,38590.21,88,percent of total billed charges,38590.21,38151.68,43852.51,percent of total billed charges,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,AETNA,AETNA,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,ALLIANT,ALLIANT,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,AMBETTER,AMBETTER,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,BEECH STREET,BEECH STREET,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,CARESOURCE,CARESOURCE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,MEDICAID,MEDICAID,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,MEDICARE,MEDICARE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,NOVA NET,NOVA NET,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,PEACHSTATE,PEACHSTATE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,SELFPAY,SELFPAY,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,TRICARE,TRICARE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,42,DRG,inpatient,,,43852.51,43852.51,UHC MEDICARE,UHC MEDICARE,,43852.51,,fee schedule,43852.51,38151.68,43852.51,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,AETNA,AETNA,,40213.43,87,percent of total billed charges,40213.43,40213.43,46222.33,percent of total billed charges,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40213.43,87,percent of total billed charges,40213.43,40213.43,46222.33,percent of total billed charges,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,40675.65,88,percent of total billed charges,40675.65,40213.43,46222.33,percent of total billed charges,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,AETNA,AETNA,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,ALLIANT,ALLIANT,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,AMBETTER,AMBETTER,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,BEECH STREET,BEECH STREET,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,CARESOURCE,CARESOURCE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,MEDICAID,MEDICAID,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,MEDICARE,MEDICARE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,NOVA NET,NOVA NET,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,PEACHSTATE,PEACHSTATE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,SELFPAY,SELFPAY,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,TRICARE,TRICARE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W CC/MCC,52,DRG,inpatient,,,46222.33,46222.33,UHC MEDICARE,UHC MEDICARE,,46222.33,,fee schedule,46222.33,40213.43,46222.33,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,AETNA,AETNA,,13541.61,87,percent of total billed charges,13541.61,13541.61,15565.07,percent of total billed charges,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13541.61,87,percent of total billed charges,13541.61,13541.61,15565.07,percent of total billed charges,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,13697.26,88,percent of total billed charges,13697.26,13541.61,15565.07,percent of total billed charges,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,AETNA,AETNA,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,ALLIANT,ALLIANT,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,AMBETTER,AMBETTER,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,BEECH STREET,BEECH STREET,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,CARESOURCE,CARESOURCE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,MEDICAID,MEDICAID,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,MEDICARE,MEDICARE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,NOVA NET,NOVA NET,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,PEACHSTATE,PEACHSTATE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,SELFPAY,SELFPAY,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,TRICARE,TRICARE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
SPINAL DISORDERS & INJURIES W/O CC/MCC,53,DRG,inpatient,,,15565.07,15565.07,UHC MEDICARE,UHC MEDICARE,,15565.07,,fee schedule,15565.07,13541.61,15565.07,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,AETNA,AETNA,,15659.98,87,percent of total billed charges,15659.98,15659.98,17999.98,percent of total billed charges,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15659.98,87,percent of total billed charges,15659.98,15659.98,17999.98,percent of total billed charges,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,15839.98,88,percent of total billed charges,15839.98,15659.98,17999.98,percent of total billed charges,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,AETNA,AETNA,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,ALLIANT,ALLIANT,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,AMBETTER,AMBETTER,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,BEECH STREET,BEECH STREET,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,CARESOURCE,CARESOURCE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,MEDICAID,MEDICAID,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,MEDICARE,MEDICARE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,NOVA NET,NOVA NET,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,PEACHSTATE,PEACHSTATE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,SELFPAY,SELFPAY,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,TRICARE,TRICARE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W MCC,54,DRG,inpatient,,,17999.98,17999.98,UHC MEDICARE,UHC MEDICARE,,17999.98,,fee schedule,17999.98,15659.98,17999.98,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,AETNA,AETNA,,14020.18,87,percent of total billed charges,14020.18,14020.18,16115.15,percent of total billed charges,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14020.18,87,percent of total billed charges,14020.18,14020.18,16115.15,percent of total billed charges,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,UNITED HEALTHCARE,UNITED HEALTHCARE,,14181.33,88,percent of total billed charges,14181.33,14020.18,16115.15,percent of total billed charges,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,AETNA,AETNA,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,ALLIANT,ALLIANT,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,AMBETTER,AMBETTER,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,BEECH STREET,BEECH STREET,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,CARESOURCE,CARESOURCE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,MEDICAID,MEDICAID,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,MEDICARE,MEDICARE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,NOVA NET,NOVA NET,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,PEACHSTATE,PEACHSTATE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,SELFPAY,SELFPAY,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,TRICARE,TRICARE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
NERVOUS SYSTEM NEOPLASMS W/O MCC,55,DRG,inpatient,,,16115.15,16115.15,UHC MEDICARE,UHC MEDICARE,,16115.15,,fee schedule,16115.15,14020.18,16115.15,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,AETNA,AETNA,,16785.29,87,percent of total billed charges,16785.29,16785.29,19293.44,percent of total billed charges,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16785.29,87,percent of total billed charges,16785.29,16785.29,19293.44,percent of total billed charges,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,UNITED HEALTHCARE,UNITED HEALTHCARE,,16978.23,88,percent of total billed charges,16978.23,16785.29,19293.44,percent of total billed charges,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,AETNA,AETNA,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,ALLIANT,ALLIANT,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,AMBETTER,AMBETTER,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,BEECH STREET,BEECH STREET,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,CARESOURCE,CARESOURCE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,MEDICAID,MEDICAID,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,MEDICARE,MEDICARE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,NOVA NET,NOVA NET,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,PEACHSTATE,PEACHSTATE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,SELFPAY,SELFPAY,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,TRICARE,TRICARE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,56,DRG,inpatient,,,19293.44,19293.44,UHC MEDICARE,UHC MEDICARE,,19293.44,,fee schedule,19293.44,16785.29,19293.44,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,AETNA,AETNA,,22689.72,87,percent of total billed charges,22689.72,22689.72,26080.14,percent of total billed charges,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22689.72,87,percent of total billed charges,22689.72,22689.72,26080.14,percent of total billed charges,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,UNITED HEALTHCARE,UNITED HEALTHCARE,,22950.52,88,percent of total billed charges,22950.52,22689.72,26080.14,percent of total billed charges,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,AETNA,AETNA,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,ALLIANT,ALLIANT,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,AMBETTER,AMBETTER,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,BEECH STREET,BEECH STREET,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,CARESOURCE,CARESOURCE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,MEDICAID,MEDICAID,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,MEDICARE,MEDICARE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,NOVA NET,NOVA NET,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,PEACHSTATE,PEACHSTATE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,SELFPAY,SELFPAY,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,TRICARE,TRICARE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,57,DRG,inpatient,,,26080.14,26080.14,UHC MEDICARE,UHC MEDICARE,,26080.14,,fee schedule,26080.14,22689.72,26080.14,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,AETNA,AETNA,,18105.89,87,percent of total billed charges,18105.89,18105.89,20811.37,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18105.89,87,percent of total billed charges,18105.89,18105.89,20811.37,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,18314.01,88,percent of total billed charges,18314.01,18105.89,20811.37,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,AETNA,AETNA,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,ALLIANT,ALLIANT,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,AMBETTER,AMBETTER,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,BEECH STREET,BEECH STREET,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,CARESOURCE,CARESOURCE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,MEDICAID,MEDICAID,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,MEDICARE,MEDICARE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,NOVA NET,NOVA NET,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,PEACHSTATE,PEACHSTATE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,SELFPAY,SELFPAY,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,TRICARE,TRICARE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC,58,DRG,inpatient,,,20811.37,20811.37,UHC MEDICARE,UHC MEDICARE,,20811.37,,fee schedule,20811.37,18105.89,20811.37,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,AETNA,AETNA,,19751.55,87,percent of total billed charges,19751.55,19751.55,22702.93,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19751.55,87,percent of total billed charges,19751.55,19751.55,22702.93,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,UNITED HEALTHCARE,UNITED HEALTHCARE,,19978.58,88,percent of total billed charges,19978.58,19751.55,22702.93,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,AETNA,AETNA,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,ALLIANT,ALLIANT,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,AMBETTER,AMBETTER,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,BEECH STREET,BEECH STREET,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,CARESOURCE,CARESOURCE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,MEDICAID,MEDICAID,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,MEDICARE,MEDICARE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,NOVA NET,NOVA NET,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,PEACHSTATE,PEACHSTATE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,SELFPAY,SELFPAY,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,TRICARE,TRICARE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,59,DRG,inpatient,,,22702.93,22702.93,UHC MEDICARE,UHC MEDICARE,,22702.93,,fee schedule,22702.93,19751.55,22702.93,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,TRICARE,TRICARE,,280.06,,fee schedule,280.06,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,280.06,655,percent of total billed charges,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,280.06,655,percent of total billed charges,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,280.06,655,percent of total billed charges,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,280.06,655,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,TRICARE,TRICARE,,280.06,,fee schedule,280.06,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,274.92,462.1,percent of total billed charges,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,274.92,462.1,percent of total billed charges,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,274.92,462.1,percent of total billed charges,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,274.92,462.1,fee schedule,
"FLUORO IMAGE,1ST ANATOMIC SITE",0598T,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,274.92,462.1,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,AETNA,AETNA,,12479.05,87,percent of total billed charges,12479.05,12479.05,14343.74,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12479.05,87,percent of total billed charges,12479.05,12479.05,14343.74,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,12622.49,88,percent of total billed charges,12622.49,12479.05,14343.74,percent of total billed charges,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,AETNA,AETNA,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,ALLIANT,ALLIANT,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,AMBETTER,AMBETTER,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,BEECH STREET,BEECH STREET,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,CARESOURCE,CARESOURCE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,MEDICAID,MEDICAID,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,MEDICARE,MEDICARE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,NOVA NET,NOVA NET,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,PEACHSTATE,PEACHSTATE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,SELFPAY,SELFPAY,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,TRICARE,TRICARE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,60,DRG,inpatient,,,14343.74,14343.74,UHC MEDICARE,UHC MEDICARE,,14343.74,,fee schedule,14343.74,12479.05,14343.74,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,AETNA,AETNA,,60949.07,87,percent of total billed charges,60949.07,60949.07,70056.4,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60949.07,87,percent of total billed charges,60949.07,60949.07,70056.4,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,UNITED HEALTHCARE,UNITED HEALTHCARE,,61649.63,88,percent of total billed charges,61649.63,60949.07,70056.4,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,AETNA,AETNA,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,ALLIANT,ALLIANT,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,AMBETTER,AMBETTER,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,BEECH STREET,BEECH STREET,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,CARESOURCE,CARESOURCE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,MEDICAID,MEDICAID,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,MEDICARE,MEDICARE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,NOVA NET,NOVA NET,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,PEACHSTATE,PEACHSTATE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,SELFPAY,SELFPAY,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,TRICARE,TRICARE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC",61,DRG,inpatient,,,70056.4,70056.4,UHC MEDICARE,UHC MEDICARE,,70056.4,,fee schedule,70056.4,60949.07,70056.4,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,AETNA,AETNA,,44436.12,87,percent of total billed charges,44436.12,44436.12,51076,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44436.12,87,percent of total billed charges,44436.12,44436.12,51076,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,UNITED HEALTHCARE,UNITED HEALTHCARE,,44946.88,88,percent of total billed charges,44946.88,44436.12,51076,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,AETNA,AETNA,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,ALLIANT,ALLIANT,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,AMBETTER,AMBETTER,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,BEECH STREET,BEECH STREET,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,CARESOURCE,CARESOURCE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,MEDICAID,MEDICAID,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,MEDICARE,MEDICARE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,NOVA NET,NOVA NET,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,PEACHSTATE,PEACHSTATE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,SELFPAY,SELFPAY,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,TRICARE,TRICARE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC",62,DRG,inpatient,,,51076,51076,UHC MEDICARE,UHC MEDICARE,,51076,,fee schedule,51076,44436.12,51076,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,AETNA,AETNA,,41675.9,87,percent of total billed charges,41675.9,41675.9,47903.33,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41675.9,87,percent of total billed charges,41675.9,41675.9,47903.33,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,42154.93,88,percent of total billed charges,42154.93,41675.9,47903.33,percent of total billed charges,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,AETNA,AETNA,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,ALLIANT,ALLIANT,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,AMBETTER,AMBETTER,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,BEECH STREET,BEECH STREET,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,CARESOURCE,CARESOURCE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,MEDICAID,MEDICAID,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,MEDICARE,MEDICARE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,NOVA NET,NOVA NET,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,PEACHSTATE,PEACHSTATE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,SELFPAY,SELFPAY,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,TRICARE,TRICARE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC",63,DRG,inpatient,,,47903.33,47903.33,UHC MEDICARE,UHC MEDICARE,,47903.33,,fee schedule,47903.33,41675.9,47903.33,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,AETNA,AETNA,,46185.25,87,percent of total billed charges,46185.25,46185.25,53086.49,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46185.25,87,percent of total billed charges,46185.25,46185.25,53086.49,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,UNITED HEALTHCARE,UNITED HEALTHCARE,,46716.11,88,percent of total billed charges,46716.11,46185.25,53086.49,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,AETNA,AETNA,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,ALLIANT,ALLIANT,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,AMBETTER,AMBETTER,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,BEECH STREET,BEECH STREET,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,CARESOURCE,CARESOURCE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,MEDICAID,MEDICAID,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,MEDICARE,MEDICARE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,NOVA NET,NOVA NET,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,PEACHSTATE,PEACHSTATE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,SELFPAY,SELFPAY,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,TRICARE,TRICARE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,64,DRG,inpatient,,,53086.49,53086.49,UHC MEDICARE,UHC MEDICARE,,53086.49,,fee schedule,53086.49,46185.25,53086.49,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,AETNA,AETNA,,22967.16,87,percent of total billed charges,22967.16,22967.16,26399.04,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22967.16,87,percent of total billed charges,22967.16,22967.16,26399.04,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,UNITED HEALTHCARE,UNITED HEALTHCARE,,23231.16,88,percent of total billed charges,23231.16,22967.16,26399.04,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,AETNA,AETNA,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,ALLIANT,ALLIANT,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,AMBETTER,AMBETTER,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,BEECH STREET,BEECH STREET,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,CARESOURCE,CARESOURCE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,MEDICAID,MEDICAID,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,MEDICARE,MEDICARE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,NOVA NET,NOVA NET,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,PEACHSTATE,PEACHSTATE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,SELFPAY,SELFPAY,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,TRICARE,TRICARE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,65,DRG,inpatient,,,26399.04,26399.04,UHC MEDICARE,UHC MEDICARE,,26399.04,,fee schedule,26399.04,22967.16,26399.04,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,AETNA,AETNA,,16766.47,87,percent of total billed charges,16766.47,16766.47,19271.8,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16766.47,87,percent of total billed charges,16766.47,16766.47,19271.8,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,UNITED HEALTHCARE,UNITED HEALTHCARE,,16959.18,88,percent of total billed charges,16959.18,16766.47,19271.8,percent of total billed charges,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,AETNA,AETNA,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,ALLIANT,ALLIANT,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,AMBETTER,AMBETTER,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,BEECH STREET,BEECH STREET,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,CARESOURCE,CARESOURCE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,MEDICAID,MEDICAID,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,MEDICARE,MEDICARE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,NOVA NET,NOVA NET,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,PEACHSTATE,PEACHSTATE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,SELFPAY,SELFPAY,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,TRICARE,TRICARE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,66,DRG,inpatient,,,19271.8,19271.8,UHC MEDICARE,UHC MEDICARE,,19271.8,,fee schedule,19271.8,16766.47,19271.8,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,AETNA,AETNA,,41014.54,87,percent of total billed charges,41014.54,41014.54,47143.15,percent of total billed charges,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41014.54,87,percent of total billed charges,41014.54,41014.54,47143.15,percent of total billed charges,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,UNITED HEALTHCARE,UNITED HEALTHCARE,,41485.97,88,percent of total billed charges,41485.97,41014.54,47143.15,percent of total billed charges,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,AETNA,AETNA,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,ALLIANT,ALLIANT,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,AMBETTER,AMBETTER,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,BEECH STREET,BEECH STREET,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,CARESOURCE,CARESOURCE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,MEDICAID,MEDICAID,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,MEDICARE,MEDICARE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,NOVA NET,NOVA NET,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,PEACHSTATE,PEACHSTATE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,SELFPAY,SELFPAY,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,TRICARE,TRICARE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC,67,DRG,inpatient,,,47143.15,47143.15,UHC MEDICARE,UHC MEDICARE,,47143.15,,fee schedule,47143.15,41014.54,47143.15,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,AETNA,AETNA,,51882.54,87,percent of total billed charges,51882.54,51882.54,59635.1,percent of total billed charges,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51882.54,87,percent of total billed charges,51882.54,51882.54,59635.1,percent of total billed charges,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,UNITED HEALTHCARE,UNITED HEALTHCARE,,52478.89,88,percent of total billed charges,52478.89,51882.54,59635.1,percent of total billed charges,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,AETNA,AETNA,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,ALLIANT,ALLIANT,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,AMBETTER,AMBETTER,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,BEECH STREET,BEECH STREET,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,CARESOURCE,CARESOURCE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,MEDICAID,MEDICAID,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,MEDICARE,MEDICARE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,NOVA NET,NOVA NET,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,PEACHSTATE,PEACHSTATE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,SELFPAY,SELFPAY,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,TRICARE,TRICARE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC,68,DRG,inpatient,,,59635.1,59635.1,UHC MEDICARE,UHC MEDICARE,,59635.1,,fee schedule,59635.1,51882.54,59635.1,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,AETNA,AETNA,,17317.81,87,percent of total billed charges,17317.81,17317.81,19905.53,percent of total billed charges,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17317.81,87,percent of total billed charges,17317.81,17317.81,19905.53,percent of total billed charges,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,UNITED HEALTHCARE,UNITED HEALTHCARE,,17516.87,88,percent of total billed charges,17516.87,17317.81,19905.53,percent of total billed charges,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,AETNA,AETNA,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,ALLIANT,ALLIANT,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,AMBETTER,AMBETTER,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,BEECH STREET,BEECH STREET,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,CARESOURCE,CARESOURCE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,MEDICAID,MEDICAID,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,MEDICARE,MEDICARE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,NOVA NET,NOVA NET,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,PEACHSTATE,PEACHSTATE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,SELFPAY,SELFPAY,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,TRICARE,TRICARE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
TRANSIENT ISCHEMIA W/O THROMBOLYTIC,69,DRG,inpatient,,,19905.53,19905.53,UHC MEDICARE,UHC MEDICARE,,19905.53,,fee schedule,19905.53,17317.81,19905.53,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,AETNA,AETNA,,30265.25,87,percent of total billed charges,30265.25,30265.25,34787.64,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30265.25,87,percent of total billed charges,30265.25,30265.25,34787.64,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,30613.12,88,percent of total billed charges,30613.12,30265.25,34787.64,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,AETNA,AETNA,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,ALLIANT,ALLIANT,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,AMBETTER,AMBETTER,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,BEECH STREET,BEECH STREET,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,CARESOURCE,CARESOURCE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,MEDICAID,MEDICAID,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,MEDICARE,MEDICARE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,NOVA NET,NOVA NET,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,PEACHSTATE,PEACHSTATE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,SELFPAY,SELFPAY,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,TRICARE,TRICARE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,70,DRG,inpatient,,,34787.64,34787.64,UHC MEDICARE,UHC MEDICARE,,34787.64,,fee schedule,34787.64,30265.25,34787.64,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,AETNA,AETNA,,23472.43,87,percent of total billed charges,23472.43,23472.43,26979.8,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23472.43,87,percent of total billed charges,23472.43,23472.43,26979.8,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,UNITED HEALTHCARE,UNITED HEALTHCARE,,23742.22,88,percent of total billed charges,23742.22,23472.43,26979.8,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,AETNA,AETNA,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,ALLIANT,ALLIANT,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,AMBETTER,AMBETTER,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,BEECH STREET,BEECH STREET,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,CARESOURCE,CARESOURCE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,MEDICAID,MEDICAID,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,MEDICARE,MEDICARE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,NOVA NET,NOVA NET,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,PEACHSTATE,PEACHSTATE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,SELFPAY,SELFPAY,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,TRICARE,TRICARE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,71,DRG,inpatient,,,26979.8,26979.8,UHC MEDICARE,UHC MEDICARE,,26979.8,,fee schedule,26979.8,23472.43,26979.8,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,AETNA,AETNA,,14912.59,87,percent of total billed charges,14912.59,14912.59,17140.91,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14912.59,87,percent of total billed charges,14912.59,14912.59,17140.91,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,UNITED HEALTHCARE,UNITED HEALTHCARE,,15084,88,percent of total billed charges,15084,14912.59,17140.91,percent of total billed charges,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,AETNA,AETNA,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,ALLIANT,ALLIANT,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,AMBETTER,AMBETTER,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,BEECH STREET,BEECH STREET,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,CARESOURCE,CARESOURCE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,MEDICAID,MEDICAID,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,MEDICARE,MEDICARE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,NOVA NET,NOVA NET,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,PEACHSTATE,PEACHSTATE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,SELFPAY,SELFPAY,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,TRICARE,TRICARE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC,72,DRG,inpatient,,,17140.91,17140.91,UHC MEDICARE,UHC MEDICARE,,17140.91,,fee schedule,17140.91,14912.59,17140.91,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,AETNA,AETNA,,20604.57,87,percent of total billed charges,20604.57,20604.57,23683.41,percent of total billed charges,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20604.57,87,percent of total billed charges,20604.57,20604.57,23683.41,percent of total billed charges,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,20841.4,88,percent of total billed charges,20841.4,20604.57,23683.41,percent of total billed charges,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,AETNA,AETNA,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,ALLIANT,ALLIANT,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,AMBETTER,AMBETTER,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,BEECH STREET,BEECH STREET,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,CARESOURCE,CARESOURCE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,MEDICAID,MEDICAID,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,MEDICARE,MEDICARE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,NOVA NET,NOVA NET,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,PEACHSTATE,PEACHSTATE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,SELFPAY,SELFPAY,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,TRICARE,TRICARE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,73,DRG,inpatient,,,23683.41,23683.41,UHC MEDICARE,UHC MEDICARE,,23683.41,,fee schedule,23683.41,20604.57,23683.41,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,AETNA,AETNA,,13143.78,87,percent of total billed charges,13143.78,13143.78,15107.79,percent of total billed charges,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13143.78,87,percent of total billed charges,13143.78,13143.78,15107.79,percent of total billed charges,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,UNITED HEALTHCARE,UNITED HEALTHCARE,,13294.86,88,percent of total billed charges,13294.86,13143.78,15107.79,percent of total billed charges,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,AETNA,AETNA,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,ALLIANT,ALLIANT,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,AMBETTER,AMBETTER,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,BEECH STREET,BEECH STREET,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,CARESOURCE,CARESOURCE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,MEDICAID,MEDICAID,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,MEDICARE,MEDICARE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,NOVA NET,NOVA NET,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,PEACHSTATE,PEACHSTATE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,SELFPAY,SELFPAY,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,TRICARE,TRICARE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,74,DRG,inpatient,,,15107.79,15107.79,UHC MEDICARE,UHC MEDICARE,,15107.79,,fee schedule,15107.79,13143.78,15107.79,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,AETNA,AETNA,,43648.76,87,percent of total billed charges,43648.76,43648.76,50170.99,percent of total billed charges,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43648.76,87,percent of total billed charges,43648.76,43648.76,50170.99,percent of total billed charges,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,44150.47,88,percent of total billed charges,44150.47,43648.76,50170.99,percent of total billed charges,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,AETNA,AETNA,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,ALLIANT,ALLIANT,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,AMBETTER,AMBETTER,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,BEECH STREET,BEECH STREET,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,CARESOURCE,CARESOURCE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,MEDICAID,MEDICAID,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,MEDICARE,MEDICARE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,NOVA NET,NOVA NET,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,PEACHSTATE,PEACHSTATE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,SELFPAY,SELFPAY,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,TRICARE,TRICARE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W CC/MCC,75,DRG,inpatient,,,50170.99,50170.99,UHC MEDICARE,UHC MEDICARE,,50170.99,,fee schedule,50170.99,43648.76,50170.99,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,AETNA,AETNA,,10162.05,87,percent of total billed charges,10162.05,10162.05,11680.52,percent of total billed charges,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10162.05,87,percent of total billed charges,10162.05,10162.05,11680.52,percent of total billed charges,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,UNITED HEALTHCARE,UNITED HEALTHCARE,,10278.86,88,percent of total billed charges,10278.86,10162.05,11680.52,percent of total billed charges,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,AETNA,AETNA,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,ALLIANT,ALLIANT,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,AMBETTER,AMBETTER,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,BEECH STREET,BEECH STREET,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,CARESOURCE,CARESOURCE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,MEDICAID,MEDICAID,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,MEDICARE,MEDICARE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,NOVA NET,NOVA NET,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,PEACHSTATE,PEACHSTATE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,SELFPAY,SELFPAY,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,TRICARE,TRICARE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
VIRAL MENINGITIS W/O CC/MCC,76,DRG,inpatient,,,11680.52,11680.52,UHC MEDICARE,UHC MEDICARE,,11680.52,,fee schedule,11680.52,10162.05,11680.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,AETNA,AETNA,,13299.27,87,percent of total billed charges,13299.27,13299.27,15286.52,percent of total billed charges,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13299.27,87,percent of total billed charges,13299.27,13299.27,15286.52,percent of total billed charges,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,UNITED HEALTHCARE,UNITED HEALTHCARE,,13452.14,88,percent of total billed charges,13452.14,13299.27,15286.52,percent of total billed charges,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,AETNA,AETNA,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,ALLIANT,ALLIANT,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,AMBETTER,AMBETTER,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,BEECH STREET,BEECH STREET,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,CARESOURCE,CARESOURCE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,MEDICAID,MEDICAID,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,MEDICARE,MEDICARE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,NOVA NET,NOVA NET,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,PEACHSTATE,PEACHSTATE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,SELFPAY,SELFPAY,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,TRICARE,TRICARE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
NONTRAUMATIC STUPOR & COMA W/O MCC,81,DRG,inpatient,,,15286.52,15286.52,UHC MEDICARE,UHC MEDICARE,,15286.52,,fee schedule,15286.52,13299.27,15286.52,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,AETNA,AETNA,,17363.88,87,percent of total billed charges,17363.88,17363.88,19958.48,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17363.88,87,percent of total billed charges,17363.88,17363.88,19958.48,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,17563.46,88,percent of total billed charges,17563.46,17363.88,19958.48,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,AETNA,AETNA,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,ALLIANT,ALLIANT,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,AMBETTER,AMBETTER,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,BEECH STREET,BEECH STREET,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,CARESOURCE,CARESOURCE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,MEDICAID,MEDICAID,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,MEDICARE,MEDICARE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,NOVA NET,NOVA NET,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,PEACHSTATE,PEACHSTATE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,SELFPAY,SELFPAY,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,TRICARE,TRICARE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC",83,DRG,inpatient,,,19958.48,19958.48,UHC MEDICARE,UHC MEDICARE,,19958.48,,fee schedule,19958.48,17363.88,19958.48,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,AETNA,AETNA,,18537.65,87,percent of total billed charges,18537.65,18537.65,21307.64,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18537.65,87,percent of total billed charges,18537.65,18537.65,21307.64,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,18750.72,88,percent of total billed charges,18750.72,18537.65,21307.64,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,AETNA,AETNA,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,ALLIANT,ALLIANT,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,AMBETTER,AMBETTER,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,BEECH STREET,BEECH STREET,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,CARESOURCE,CARESOURCE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,MEDICAID,MEDICAID,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,MEDICARE,MEDICARE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,NOVA NET,NOVA NET,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,PEACHSTATE,PEACHSTATE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,SELFPAY,SELFPAY,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,TRICARE,TRICARE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC",84,DRG,inpatient,,,21307.64,21307.64,UHC MEDICARE,UHC MEDICARE,,21307.64,,fee schedule,21307.64,18537.65,21307.64,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,AETNA,AETNA,,22721.56,87,percent of total billed charges,22721.56,22721.56,26116.74,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22721.56,87,percent of total billed charges,22721.56,22721.56,26116.74,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,22982.73,88,percent of total billed charges,22982.73,22721.56,26116.74,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,AETNA,AETNA,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,ALLIANT,ALLIANT,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,AMBETTER,AMBETTER,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,BEECH STREET,BEECH STREET,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,CARESOURCE,CARESOURCE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,MEDICAID,MEDICAID,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,MEDICARE,MEDICARE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,NOVA NET,NOVA NET,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,PEACHSTATE,PEACHSTATE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,SELFPAY,SELFPAY,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,TRICARE,TRICARE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC",86,DRG,inpatient,,,26116.74,26116.74,UHC MEDICARE,UHC MEDICARE,,26116.74,,fee schedule,26116.74,22721.56,26116.74,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,AETNA,AETNA,,17822.5,87,percent of total billed charges,17822.5,17822.5,20485.63,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17822.5,87,percent of total billed charges,17822.5,17822.5,20485.63,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,18027.35,88,percent of total billed charges,18027.35,17822.5,20485.63,percent of total billed charges,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,AETNA,AETNA,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,ALLIANT,ALLIANT,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,AMBETTER,AMBETTER,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,BEECH STREET,BEECH STREET,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,CARESOURCE,CARESOURCE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,MEDICAID,MEDICAID,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,MEDICARE,MEDICARE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,NOVA NET,NOVA NET,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,PEACHSTATE,PEACHSTATE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,SELFPAY,SELFPAY,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,TRICARE,TRICARE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC",87,DRG,inpatient,,,20485.63,20485.63,UHC MEDICARE,UHC MEDICARE,,20485.63,,fee schedule,20485.63,17822.5,20485.63,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,AETNA,AETNA,,14177.54,87,percent of total billed charges,14177.54,14177.54,16296.02,percent of total billed charges,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14177.54,87,percent of total billed charges,14177.54,14177.54,16296.02,percent of total billed charges,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,14340.5,88,percent of total billed charges,14340.5,14177.54,16296.02,percent of total billed charges,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,AETNA,AETNA,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,ALLIANT,ALLIANT,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,AMBETTER,AMBETTER,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,BEECH STREET,BEECH STREET,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,CARESOURCE,CARESOURCE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,MEDICAID,MEDICAID,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,MEDICARE,MEDICARE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,NOVA NET,NOVA NET,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,PEACHSTATE,PEACHSTATE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,SELFPAY,SELFPAY,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,TRICARE,TRICARE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W MCC,88,DRG,inpatient,,,16296.02,16296.02,UHC MEDICARE,UHC MEDICARE,,16296.02,,fee schedule,16296.02,14177.54,16296.02,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,AETNA,AETNA,,26220.84,87,percent of total billed charges,26220.84,26220.84,30138.9,percent of total billed charges,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26220.84,87,percent of total billed charges,26220.84,26220.84,30138.9,percent of total billed charges,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,UNITED HEALTHCARE,UNITED HEALTHCARE,,26522.23,88,percent of total billed charges,26522.23,26220.84,30138.9,percent of total billed charges,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,AETNA,AETNA,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,ALLIANT,ALLIANT,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,AMBETTER,AMBETTER,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,BEECH STREET,BEECH STREET,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,CARESOURCE,CARESOURCE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,MEDICAID,MEDICAID,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,MEDICARE,MEDICARE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,NOVA NET,NOVA NET,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,PEACHSTATE,PEACHSTATE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,SELFPAY,SELFPAY,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,TRICARE,TRICARE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
CONCUSSION W/O CC/MCC,90,DRG,inpatient,,,30138.9,30138.9,UHC MEDICARE,UHC MEDICARE,,30138.9,,fee schedule,30138.9,26220.84,30138.9,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,AETNA,AETNA,,26980.39,87,percent of total billed charges,26980.39,26980.39,31011.94,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26980.39,87,percent of total billed charges,26980.39,26980.39,31011.94,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,UNITED HEALTHCARE,UNITED HEALTHCARE,,27290.51,88,percent of total billed charges,27290.51,26980.39,31011.94,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,AETNA,AETNA,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,ALLIANT,ALLIANT,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,AMBETTER,AMBETTER,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,BEECH STREET,BEECH STREET,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,CARESOURCE,CARESOURCE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,MEDICAID,MEDICAID,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,MEDICARE,MEDICARE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,NOVA NET,NOVA NET,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,PEACHSTATE,PEACHSTATE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,SELFPAY,SELFPAY,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,TRICARE,TRICARE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W MCC,91,DRG,inpatient,,,31011.94,31011.94,UHC MEDICARE,UHC MEDICARE,,31011.94,,fee schedule,31011.94,26980.39,31011.94,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,AETNA,AETNA,,18408.63,87,percent of total billed charges,18408.63,18408.63,21159.34,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18408.63,87,percent of total billed charges,18408.63,18408.63,21159.34,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,UNITED HEALTHCARE,UNITED HEALTHCARE,,18620.22,88,percent of total billed charges,18620.22,18408.63,21159.34,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,AETNA,AETNA,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,ALLIANT,ALLIANT,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,AMBETTER,AMBETTER,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,BEECH STREET,BEECH STREET,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,CARESOURCE,CARESOURCE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,MEDICAID,MEDICAID,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,MEDICARE,MEDICARE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,NOVA NET,NOVA NET,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,PEACHSTATE,PEACHSTATE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,SELFPAY,SELFPAY,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,TRICARE,TRICARE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W CC,92,DRG,inpatient,,,21159.34,21159.34,UHC MEDICARE,UHC MEDICARE,,21159.34,,fee schedule,21159.34,18408.63,21159.34,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,AETNA,AETNA,,17642.85,87,percent of total billed charges,17642.85,17642.85,20279.14,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17642.85,87,percent of total billed charges,17642.85,17642.85,20279.14,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,UNITED HEALTHCARE,UNITED HEALTHCARE,,17845.64,88,percent of total billed charges,17845.64,17642.85,20279.14,percent of total billed charges,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,AETNA,AETNA,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,ALLIANT,ALLIANT,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,AMBETTER,AMBETTER,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,BEECH STREET,BEECH STREET,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,CARESOURCE,CARESOURCE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,MEDICAID,MEDICAID,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,MEDICARE,MEDICARE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,NOVA NET,NOVA NET,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,PEACHSTATE,PEACHSTATE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,SELFPAY,SELFPAY,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,TRICARE,TRICARE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,93,DRG,inpatient,,,20279.14,20279.14,UHC MEDICARE,UHC MEDICARE,,20279.14,,fee schedule,20279.14,17642.85,20279.14,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,AETNA,AETNA,,66055.88,87,percent of total billed charges,66055.88,66055.88,75926.3,percent of total billed charges,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66055.88,87,percent of total billed charges,66055.88,66055.88,75926.3,percent of total billed charges,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,66815.14,88,percent of total billed charges,66815.14,66055.88,75926.3,percent of total billed charges,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,AETNA,AETNA,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,ALLIANT,ALLIANT,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,AMBETTER,AMBETTER,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,BEECH STREET,BEECH STREET,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,CARESOURCE,CARESOURCE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,MEDICAID,MEDICAID,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,MEDICARE,MEDICARE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,NOVA NET,NOVA NET,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,PEACHSTATE,PEACHSTATE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,SELFPAY,SELFPAY,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,TRICARE,TRICARE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC,95,DRG,inpatient,,,75926.3,75926.3,UHC MEDICARE,UHC MEDICARE,,75926.3,,fee schedule,75926.3,66055.88,75926.3,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,AETNA,AETNA,,28725.81,87,percent of total billed charges,28725.81,28725.81,33018.17,percent of total billed charges,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28725.81,87,percent of total billed charges,28725.81,28725.81,33018.17,percent of total billed charges,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,29055.99,88,percent of total billed charges,29055.99,28725.81,33018.17,percent of total billed charges,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,AETNA,AETNA,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,ALLIANT,ALLIANT,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,AMBETTER,AMBETTER,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,BEECH STREET,BEECH STREET,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,CARESOURCE,CARESOURCE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,MEDICAID,MEDICAID,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,MEDICARE,MEDICARE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,NOVA NET,NOVA NET,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,PEACHSTATE,PEACHSTATE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,SELFPAY,SELFPAY,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,TRICARE,TRICARE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,98,DRG,inpatient,,,33018.17,33018.17,UHC MEDICARE,UHC MEDICARE,,33018.17,,fee schedule,33018.17,28725.81,33018.17,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,AETNA,AETNA,,24595.42,87,percent of total billed charges,24595.42,24595.42,28270.6,percent of total billed charges,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24595.42,87,percent of total billed charges,24595.42,24595.42,28270.6,percent of total billed charges,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,UNITED HEALTHCARE,UNITED HEALTHCARE,,24878.13,88,percent of total billed charges,24878.13,24595.42,28270.6,percent of total billed charges,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,AETNA,AETNA,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,ALLIANT,ALLIANT,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,AMBETTER,AMBETTER,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,BEECH STREET,BEECH STREET,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,CARESOURCE,CARESOURCE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,MEDICAID,MEDICAID,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,MEDICARE,MEDICARE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,NOVA NET,NOVA NET,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,PEACHSTATE,PEACHSTATE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,SELFPAY,SELFPAY,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,TRICARE,TRICARE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
SEIZURES W MCC,100,DRG,inpatient,,,28270.6,28270.6,UHC MEDICARE,UHC MEDICARE,,28270.6,,fee schedule,28270.6,24595.42,28270.6,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,AMERIGROUP,AMERIGROUP,,115.22,,fee schedule,115.22,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,CARESOURCE,CARESOURCE,,117.41,,fee schedule,117.41,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,PEACHSTATE,PEACHSTATE,,109.73,,fee schedule,109.73,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,TRICARE,TRICARE,,648.97,,fee schedule,648.97,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,AETNA,AETNA,,1373.73,87,percent of total billed charges,1373.73,109.73,1579,percent of total billed charges,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1373.73,87,percent of total billed charges,1373.73,109.73,1579,percent of total billed charges,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,UNITED HEALTHCARE,UNITED HEALTHCARE,,1389.52,88,percent of total billed charges,1389.52,109.73,1579,percent of total billed charges,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,AETNA,AETNA,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,BEECH STREET,BEECH STREET,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,CARESOURCE,CARESOURCE,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,MEDICAID,MEDICAID,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,NOVA NET,NOVA NET,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,PEACHSTATE,PEACHSTATE,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,SELFPAY,SELFPAY,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FNA BX W/US GDN 1ST LES,10005,CPT,both,,,1579,1579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1579,,fee schedule,1579,109.73,1579,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,AMERIGROUP,AMERIGROUP,,87.63,,fee schedule,87.63,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,89.3,,fee schedule,89.3,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,83.46,,fee schedule,83.46,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,TRICARE,TRICARE,,373.07,,fee schedule,373.07,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,83.46,615.57,percent of total billed charges,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,83.46,615.57,percent of total billed charges,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,83.46,615.57,percent of total billed charges,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,83.46,615.57,fee schedule,
FINE NEEDLE ASPIRATION,10021,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,83.46,615.57,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,AMERIGROUP,AMERIGROUP,,708.29,,fee schedule,708.29,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,721.78,,fee schedule,721.78,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,674.56,,fee schedule,674.56,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,TRICARE,TRICARE,,648.97,,fee schedule,648.97,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,AETNA,AETNA,,1426.8,87,percent of total billed charges,1426.8,648.97,1640,percent of total billed charges,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426.8,87,percent of total billed charges,1426.8,648.97,1640,percent of total billed charges,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,UNITED HEALTHCARE,UNITED HEALTHCARE,,1443.2,88,percent of total billed charges,1443.2,648.97,1640,percent of total billed charges,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,AETNA,AETNA,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,BEECH STREET,BEECH STREET,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,MEDICAID,MEDICAID,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,NOVA NET,NOVA NET,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,SELFPAY,SELFPAY,,1640,,fee schedule,1640,648.97,1640,fee schedule,
GUIDE CATHET FLUID DRAINAGE,10030,CPT,both,,,1640,1640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1640,,fee schedule,1640,648.97,1640,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,AMERIGROUP,AMERIGROUP,,484.87,,fee schedule,484.87,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,CARESOURCE,CARESOURCE,,494.1,,fee schedule,494.1,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,PEACHSTATE,PEACHSTATE,,461.78,,fee schedule,461.78,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,TRICARE,TRICARE,,648.97,,fee schedule,648.97,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,AETNA,AETNA,,655.11,87,percent of total billed charges,655.11,461.78,1070.8,percent of total billed charges,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655.11,87,percent of total billed charges,655.11,461.78,1070.8,percent of total billed charges,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,UNITED HEALTHCARE,UNITED HEALTHCARE,,662.64,88,percent of total billed charges,662.64,461.78,1070.8,percent of total billed charges,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,AETNA,AETNA,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,BEECH STREET,BEECH STREET,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,CARESOURCE,CARESOURCE,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,MEDICAID,MEDICAID,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,NOVA NET,NOVA NET,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,PEACHSTATE,PEACHSTATE,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,SELFPAY,SELFPAY,,753,,fee schedule,753,461.78,1070.8,fee schedule,
NEEDLE PLACEMENT-SOFT TIS,10035,CPT,both,,,753,753,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,753,,fee schedule,753,461.78,1070.8,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,70.06,,fee schedule,70.06,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,71.39,,fee schedule,71.39,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,66.72,,fee schedule,66.72,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,TRICARE,TRICARE,,180.58,,fee schedule,180.58,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,66.72,408,percent of total billed charges,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,66.72,408,percent of total billed charges,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,66.72,408,percent of total billed charges,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,66.72,408,fee schedule,
I & D CYST/ABSCESS,10060,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,66.72,408,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,AMERIGROUP,AMERIGROUP,,70.06,,fee schedule,70.06,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,CARESOURCE,CARESOURCE,,71.39,,fee schedule,71.39,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,PEACHSTATE,PEACHSTATE,,66.72,,fee schedule,66.72,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,TRICARE,TRICARE,,180.58,,fee schedule,180.58,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,AETNA,AETNA,,319.29,87,percent of total billed charges,319.29,66.72,367,percent of total billed charges,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,319.29,87,percent of total billed charges,319.29,66.72,367,percent of total billed charges,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,UNITED HEALTHCARE,UNITED HEALTHCARE,,322.96,88,percent of total billed charges,322.96,66.72,367,percent of total billed charges,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,AETNA,AETNA,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,BEECH STREET,BEECH STREET,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,CARESOURCE,CARESOURCE,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,MEDICAID,MEDICAID,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,NOVA NET,NOVA NET,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,PEACHSTATE,PEACHSTATE,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,SELFPAY,SELFPAY,,367,,fee schedule,367,66.72,367,fee schedule,
I&D ABSC; SMPL OR SGL,10060,CPT,both,,,367,367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,367,,fee schedule,367,66.72,367,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,70.06,,fee schedule,70.06,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,71.39,,fee schedule,71.39,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,66.72,,fee schedule,66.72,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,TRICARE,TRICARE,,180.58,,fee schedule,180.58,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,66.72,408,percent of total billed charges,
I&D SIMPLE,10060,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,66.72,408,percent of total billed charges,
I&D SIMPLE,10060,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,66.72,408,percent of total billed charges,
I&D SIMPLE,10060,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,66.72,408,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,AMERIGROUP,AMERIGROUP,,70.06,,fee schedule,70.06,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,71.39,,fee schedule,71.39,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,66.72,,fee schedule,66.72,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,TRICARE,TRICARE,,180.58,,fee schedule,180.58,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,AETNA,AETNA,,243.6,87,percent of total billed charges,243.6,66.72,297.96,percent of total billed charges,
I&D SIMPLE,10060,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243.6,87,percent of total billed charges,243.6,66.72,297.96,percent of total billed charges,
I&D SIMPLE,10060,CPT,both,,,280,280,UNITED HEALTHCARE,UNITED HEALTHCARE,,246.4,88,percent of total billed charges,246.4,66.72,297.96,percent of total billed charges,
I&D SIMPLE,10060,CPT,both,,,280,280,AETNA,AETNA,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,BEECH STREET,BEECH STREET,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,MEDICAID,MEDICAID,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,NOVA NET,NOVA NET,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,SELFPAY,SELFPAY,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D SIMPLE,10060,CPT,both,,,280,280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,280,,fee schedule,280,66.72,297.96,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,AMERIGROUP,AMERIGROUP,,127.63,,fee schedule,127.63,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,CARESOURCE,CARESOURCE,,130.06,,fee schedule,130.06,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,PEACHSTATE,PEACHSTATE,,121.55,,fee schedule,121.55,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,TRICARE,TRICARE,,373.07,,fee schedule,373.07,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,AETNA,AETNA,,651.63,87,percent of total billed charges,651.63,121.55,749,percent of total billed charges,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,651.63,87,percent of total billed charges,651.63,121.55,749,percent of total billed charges,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,UNITED HEALTHCARE,UNITED HEALTHCARE,,659.12,88,percent of total billed charges,659.12,121.55,749,percent of total billed charges,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,AETNA,AETNA,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,BEECH STREET,BEECH STREET,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,CARESOURCE,CARESOURCE,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,MEDICAID,MEDICAID,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,NOVA NET,NOVA NET,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,PEACHSTATE,PEACHSTATE,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,SELFPAY,SELFPAY,,749,,fee schedule,749,121.55,749,fee schedule,
I&D ABSC; COMPL OR MULTI,10061,CPT,both,,,749,749,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,749,,fee schedule,749,121.55,749,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,AMERIGROUP,AMERIGROUP,,127.63,,fee schedule,127.63,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,130.06,,fee schedule,130.06,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,121.55,,fee schedule,121.55,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,TRICARE,TRICARE,,373.07,,fee schedule,373.07,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,AETNA,AETNA,,281.88,87,percent of total billed charges,281.88,121.55,615.57,percent of total billed charges,
I&D COMPLEX,10061,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.88,87,percent of total billed charges,281.88,121.55,615.57,percent of total billed charges,
I&D COMPLEX,10061,CPT,both,,,324,324,UNITED HEALTHCARE,UNITED HEALTHCARE,,285.12,88,percent of total billed charges,285.12,121.55,615.57,percent of total billed charges,
I&D COMPLEX,10061,CPT,both,,,324,324,AETNA,AETNA,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,BEECH STREET,BEECH STREET,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,MEDICAID,MEDICAID,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,NOVA NET,NOVA NET,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,SELFPAY,SELFPAY,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,324,324,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,324,,fee schedule,324,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,AMERIGROUP,AMERIGROUP,,127.63,,fee schedule,127.63,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,CARESOURCE,CARESOURCE,,130.06,,fee schedule,130.06,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,PEACHSTATE,PEACHSTATE,,121.55,,fee schedule,121.55,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,TRICARE,TRICARE,,373.07,,fee schedule,373.07,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,AETNA,AETNA,,450.66,87,percent of total billed charges,450.66,121.55,615.57,percent of total billed charges,
I&D COMPLEX,10061,CPT,both,,,518,518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450.66,87,percent of total billed charges,450.66,121.55,615.57,percent of total billed charges,
I&D COMPLEX,10061,CPT,both,,,518,518,UNITED HEALTHCARE,UNITED HEALTHCARE,,455.84,88,percent of total billed charges,455.84,121.55,615.57,percent of total billed charges,
I&D COMPLEX,10061,CPT,both,,,518,518,AETNA,AETNA,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,BEECH STREET,BEECH STREET,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,CARESOURCE,CARESOURCE,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,MEDICAID,MEDICAID,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,NOVA NET,NOVA NET,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,PEACHSTATE,PEACHSTATE,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,SELFPAY,SELFPAY,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D COMPLEX,10061,CPT,both,,,518,518,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,518,,fee schedule,518,121.55,615.57,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,AMERIGROUP,AMERIGROUP,,83.15,,fee schedule,83.15,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,CARESOURCE,CARESOURCE,,84.73,,fee schedule,84.73,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,PEACHSTATE,PEACHSTATE,,79.19,,fee schedule,79.19,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,TRICARE,TRICARE,,648.97,,fee schedule,648.97,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,AETNA,AETNA,,419.34,87,percent of total billed charges,419.34,79.19,1070.8,percent of total billed charges,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,419.34,87,percent of total billed charges,419.34,79.19,1070.8,percent of total billed charges,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,UNITED HEALTHCARE,UNITED HEALTHCARE,,424.16,88,percent of total billed charges,424.16,79.19,1070.8,percent of total billed charges,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,AETNA,AETNA,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,BEECH STREET,BEECH STREET,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,CARESOURCE,CARESOURCE,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,MEDICAID,MEDICAID,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,NOVA NET,NOVA NET,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,PEACHSTATE,PEACHSTATE,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,SELFPAY,SELFPAY,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS SMPL,10080,CPT,both,,,482,482,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,482,,fee schedule,482,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,AMERIGROUP,AMERIGROUP,,83.15,,fee schedule,83.15,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,CARESOURCE,CARESOURCE,,84.73,,fee schedule,84.73,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,PEACHSTATE,PEACHSTATE,,79.19,,fee schedule,79.19,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,TRICARE,TRICARE,,648.97,,fee schedule,648.97,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,AETNA,AETNA,,485.46,87,percent of total billed charges,485.46,79.19,1070.8,percent of total billed charges,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,485.46,87,percent of total billed charges,485.46,79.19,1070.8,percent of total billed charges,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,UNITED HEALTHCARE,UNITED HEALTHCARE,,491.04,88,percent of total billed charges,491.04,79.19,1070.8,percent of total billed charges,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,AETNA,AETNA,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,BEECH STREET,BEECH STREET,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,CARESOURCE,CARESOURCE,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,MEDICAID,MEDICAID,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,NOVA NET,NOVA NET,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,PEACHSTATE,PEACHSTATE,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,SELFPAY,SELFPAY,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYS; SMPL,10080,CPT,both,,,558,558,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,558,,fee schedule,558,79.19,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,AMERIGROUP,AMERIGROUP,,152.34,,fee schedule,152.34,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,CARESOURCE,CARESOURCE,,155.25,,fee schedule,155.25,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,PEACHSTATE,PEACHSTATE,,145.09,,fee schedule,145.09,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,TRICARE,TRICARE,,648.97,,fee schedule,648.97,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,AETNA,AETNA,,874.35,87,percent of total billed charges,874.35,145.09,1070.8,percent of total billed charges,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,874.35,87,percent of total billed charges,874.35,145.09,1070.8,percent of total billed charges,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,UNITED HEALTHCARE,UNITED HEALTHCARE,,884.4,88,percent of total billed charges,884.4,145.09,1070.8,percent of total billed charges,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,AETNA,AETNA,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,BEECH STREET,BEECH STREET,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,CARESOURCE,CARESOURCE,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,MEDICAID,MEDICAID,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,NOVA NET,NOVA NET,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,PEACHSTATE,PEACHSTATE,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,SELFPAY,SELFPAY,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
I&D PILONID CYST; CPLX,10081,CPT,both,,,1005,1005,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1005,,fee schedule,1005,145.09,1070.8,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,AETNA,AETNA,,16675.86,87,percent of total billed charges,16675.86,16675.86,19167.66,percent of total billed charges,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16675.86,87,percent of total billed charges,16675.86,16675.86,19167.66,percent of total billed charges,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,16867.54,88,percent of total billed charges,16867.54,16675.86,19167.66,percent of total billed charges,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,AETNA,AETNA,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,ALLIANT,ALLIANT,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,AMBETTER,AMBETTER,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,BEECH STREET,BEECH STREET,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,CARESOURCE,CARESOURCE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,MEDICAID,MEDICAID,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,MEDICARE,MEDICARE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,NOVA NET,NOVA NET,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,PEACHSTATE,PEACHSTATE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,SELFPAY,SELFPAY,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,TRICARE,TRICARE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
SEIZURES W/O MCC,101,DRG,inpatient,,,19167.66,19167.66,UHC MEDICARE,UHC MEDICARE,,19167.66,,fee schedule,19167.66,16675.86,19167.66,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,158.41,,fee schedule,158.41,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,161.43,,fee schedule,161.43,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,150.87,,fee schedule,150.87,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,150.87,2474.26,percent of total billed charges,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,150.87,2474.26,percent of total billed charges,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,150.87,2474.26,percent of total billed charges,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,150.87,2474.26,fee schedule,
INCISION & REMOVAL OF FB,10121,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,150.87,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,AMERIGROUP,AMERIGROUP,,84.45,,fee schedule,84.45,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,86.06,,fee schedule,86.06,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,80.43,,fee schedule,80.43,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,80.43,2474.26,percent of total billed charges,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,80.43,2474.26,percent of total billed charges,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,80.43,2474.26,percent of total billed charges,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,80.43,2474.26,fee schedule,
HEMTOMA ASPIRATION,10140,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,84.45,,fee schedule,84.45,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,86.06,,fee schedule,86.06,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,80.43,,fee schedule,80.43,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,80.43,2474.26,percent of total billed charges,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,80.43,2474.26,percent of total billed charges,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,80.43,2474.26,percent of total billed charges,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,80.43,2474.26,fee schedule,
I/D HEMATOMA SEROMA,10140,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,80.43,2474.26,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,73.7,,fee schedule,73.7,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,75.1,,fee schedule,75.1,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,70.19,,fee schedule,70.19,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,TRICARE,TRICARE,,373.07,,fee schedule,373.07,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,AETNA,AETNA,,489.81,87,percent of total billed charges,489.81,70.19,615.57,percent of total billed charges,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,489.81,87,percent of total billed charges,489.81,70.19,615.57,percent of total billed charges,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,UNITED HEALTHCARE,UNITED HEALTHCARE,,495.44,88,percent of total billed charges,495.44,70.19,615.57,percent of total billed charges,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,AETNA,AETNA,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,BEECH STREET,BEECH STREET,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,MEDICAID,MEDICAID,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,NOVA NET,NOVA NET,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,SELFPAY,SELFPAY,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCT ASP - ABSC HEMAT CYST,10160,CPT,both,,,563,563,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,563,,fee schedule,563,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,AMERIGROUP,AMERIGROUP,,73.7,,fee schedule,73.7,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,CARESOURCE,CARESOURCE,,75.1,,fee schedule,75.1,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,PEACHSTATE,PEACHSTATE,,70.19,,fee schedule,70.19,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,TRICARE,TRICARE,,373.07,,fee schedule,373.07,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,AETNA,AETNA,,345.39,87,percent of total billed charges,345.39,70.19,615.57,percent of total billed charges,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345.39,87,percent of total billed charges,345.39,70.19,615.57,percent of total billed charges,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,UNITED HEALTHCARE,UNITED HEALTHCARE,,349.36,88,percent of total billed charges,349.36,70.19,615.57,percent of total billed charges,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,AETNA,AETNA,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,BEECH STREET,BEECH STREET,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,CARESOURCE,CARESOURCE,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,MEDICAID,MEDICAID,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,NOVA NET,NOVA NET,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,PEACHSTATE,PEACHSTATE,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,SELFPAY,SELFPAY,,397,,fee schedule,397,70.19,615.57,fee schedule,
PUNCTURE ASPIRATION,10160,CPT,both,,,397,397,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,397,,fee schedule,397,70.19,615.57,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,AETNA,AETNA,,19836.95,87,percent of total billed charges,19836.95,19836.95,22801.09,percent of total billed charges,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19836.95,87,percent of total billed charges,19836.95,19836.95,22801.09,percent of total billed charges,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,UNITED HEALTHCARE,UNITED HEALTHCARE,,20064.96,88,percent of total billed charges,20064.96,19836.95,22801.09,percent of total billed charges,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,AETNA,AETNA,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,ALLIANT,ALLIANT,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,AMBETTER,AMBETTER,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,BEECH STREET,BEECH STREET,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,CARESOURCE,CARESOURCE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,MEDICAID,MEDICAID,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,MEDICARE,MEDICARE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,NOVA NET,NOVA NET,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,PEACHSTATE,PEACHSTATE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,SELFPAY,SELFPAY,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,TRICARE,TRICARE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
HEADACHES W/O MCC,103,DRG,inpatient,,,22801.09,22801.09,UHC MEDICARE,UHC MEDICARE,,22801.09,,fee schedule,22801.09,19836.95,22801.09,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,37.02,,fee schedule,37.02,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,37.73,,fee schedule,37.73,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,35.26,,fee schedule,35.26,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,TRICARE,TRICARE,,580.95,,fee schedule,580.95,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,35.26,958.57,percent of total billed charges,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,35.26,958.57,percent of total billed charges,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,35.26,958.57,percent of total billed charges,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,37.02,,fee schedule,37.02,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,37.73,,fee schedule,37.73,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,35.26,,fee schedule,35.26,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,TRICARE,TRICARE,,580.95,,fee schedule,580.95,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,35.26,958.57,percent of total billed charges,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,35.26,958.57,percent of total billed charges,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,35.26,958.57,percent of total billed charges,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN 10%,11000,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,35.26,958.57,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,20.2,,fee schedule,20.2,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,20.59,,fee schedule,20.59,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,19.24,,fee schedule,19.24,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,19.24,45,percent of total billed charges,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,19.24,45,percent of total billed charges,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,19.24,45,percent of total billed charges,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,19.24,45,fee schedule,
DEBRIDE INF SKIN EACH ADD,11001,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,19.24,45,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,AMERIGROUP,AMERIGROUP,,65.7,,fee schedule,65.7,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,66.95,,fee schedule,66.95,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,62.57,,fee schedule,62.57,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,TRICARE,TRICARE,,373.07,,fee schedule,373.07,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,62.57,615.57,percent of total billed charges,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,62.57,615.57,percent of total billed charges,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,62.57,615.57,percent of total billed charges,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEB SUBQ TISSUE 20 SQ CM/<,11042,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,62.57,615.57,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,65.7,,fee schedule,65.7,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,66.95,,fee schedule,66.95,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,62.57,,fee schedule,62.57,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,62.57,846,percent of total billed charges,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,62.57,846,percent of total billed charges,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,62.57,846,percent of total billed charges,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,62.57,846,fee schedule,
DEBRIDE SKIN & SQ,11042,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,62.57,846,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,AMERIGROUP,AMERIGROUP,,158.07,,fee schedule,158.07,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,CARESOURCE,CARESOURCE,,161.08,,fee schedule,161.08,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,PEACHSTATE,PEACHSTATE,,150.54,,fee schedule,150.54,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,TRICARE,TRICARE,,580.95,,fee schedule,580.95,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,AETNA,AETNA,,395.85,87,percent of total billed charges,395.85,150.54,958.57,percent of total billed charges,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,395.85,87,percent of total billed charges,395.85,150.54,958.57,percent of total billed charges,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,UNITED HEALTHCARE,UNITED HEALTHCARE,,400.4,88,percent of total billed charges,400.4,150.54,958.57,percent of total billed charges,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,AETNA,AETNA,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,BEECH STREET,BEECH STREET,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,CARESOURCE,CARESOURCE,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,MEDICAID,MEDICAID,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,NOVA NET,NOVA NET,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,PEACHSTATE,PEACHSTATE,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,SELFPAY,SELFPAY,,455,,fee schedule,455,150.54,958.57,fee schedule,
DEB MUSC/FASCIA 20 SQ CM/<,11043,CPT,both,,,455,455,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,455,,fee schedule,455,150.54,958.57,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,158.07,,fee schedule,158.07,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,161.08,,fee schedule,161.08,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,150.54,,fee schedule,150.54,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,150.54,1300,percent of total billed charges,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,150.54,1300,percent of total billed charges,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,150.54,1300,percent of total billed charges,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,150.54,1300,fee schedule,
"DEBRIDE SKIN, SQ, MUSCLE",11043,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,150.54,1300,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,AMERIGROUP,AMERIGROUP,,213.09,,fee schedule,213.09,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,CARESOURCE,CARESOURCE,,217.15,,fee schedule,217.15,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,PEACHSTATE,PEACHSTATE,,202.94,,fee schedule,202.94,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,AETNA,AETNA,,587.25,87,percent of total billed charges,587.25,202.94,2474.26,percent of total billed charges,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,587.25,87,percent of total billed charges,587.25,202.94,2474.26,percent of total billed charges,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,UNITED HEALTHCARE,UNITED HEALTHCARE,,594,88,percent of total billed charges,594,202.94,2474.26,percent of total billed charges,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,AETNA,AETNA,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,BEECH STREET,BEECH STREET,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,CARESOURCE,CARESOURCE,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,MEDICAID,MEDICAID,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,NOVA NET,NOVA NET,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,PEACHSTATE,PEACHSTATE,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,SELFPAY,SELFPAY,,675,,fee schedule,675,202.94,2474.26,fee schedule,
DEB BONE 20 SQ CM/<,11044,CPT,both,,,675,675,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,675,,fee schedule,675,202.94,2474.26,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,AMERIGROUP,AMERIGROUP,,213.09,,fee schedule,213.09,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,CARESOURCE,CARESOURCE,,217.15,,fee schedule,217.15,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,PEACHSTATE,PEACHSTATE,,202.94,,fee schedule,202.94,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,AETNA,AETNA,,3218.13,87,percent of total billed charges,3218.13,202.94,3699,percent of total billed charges,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3218.13,87,percent of total billed charges,3218.13,202.94,3699,percent of total billed charges,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,UNITED HEALTHCARE,UNITED HEALTHCARE,,3255.12,88,percent of total billed charges,3255.12,202.94,3699,percent of total billed charges,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,AETNA,AETNA,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,BEECH STREET,BEECH STREET,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,CARESOURCE,CARESOURCE,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,MEDICAID,MEDICAID,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,NOVA NET,NOVA NET,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,PEACHSTATE,PEACHSTATE,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,SELFPAY,SELFPAY,,3699,,fee schedule,3699,202.94,3699,fee schedule,
"DEBRIDE SKIN, SC MUSCLE &",11044,CPT,both,,,3699,3699,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3699,,fee schedule,3699,202.94,3699,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,27.41,,fee schedule,27.41,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,27.93,,fee schedule,27.93,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,26.1,,fee schedule,26.1,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,26.1,598,percent of total billed charges,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,26.1,598,percent of total billed charges,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,26.1,598,percent of total billed charges,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,ALLIANT,ALLIANT,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,AMBETTER,AMBETTER,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,MEDICARE,MEDICARE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,TRICARE,TRICARE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON <20 SQ,11045,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,598,,fee schedule,598,26.1,598,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,27.41,,fee schedule,27.41,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,27.93,,fee schedule,27.93,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,26.1,,fee schedule,26.1,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,26.1,81,percent of total billed charges,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,26.1,81,percent of total billed charges,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,26.1,81,percent of total billed charges,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB SUBQ TISSUE ADD-ON<20 SQ,11045,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,26.1,81,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,47.58,,fee schedule,47.58,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,48.48,,fee schedule,48.48,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,45.31,,fee schedule,45.31,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,45.31,598,percent of total billed charges,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,45.31,598,percent of total billed charges,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,45.31,598,percent of total billed charges,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,ALLIANT,ALLIANT,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,AMBETTER,AMBETTER,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,MEDICARE,MEDICARE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,TRICARE,TRICARE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON,11046,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,598,,fee schedule,598,45.31,598,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,AMERIGROUP,AMERIGROUP,,47.58,,fee schedule,47.58,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,48.48,,fee schedule,48.48,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,45.31,,fee schedule,45.31,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,45.31,167,percent of total billed charges,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,45.31,167,percent of total billed charges,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,45.31,167,percent of total billed charges,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,ALLIANT,ALLIANT,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,AMBETTER,AMBETTER,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,MEDICARE,MEDICARE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,TRICARE,TRICARE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB MUSC/FASCIA ADD-ON<20 SQ,11046,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,167,,fee schedule,167,45.31,167,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,78.21,,fee schedule,78.21,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,79.7,,fee schedule,79.7,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,74.49,,fee schedule,74.49,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,74.49,598,percent of total billed charges,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,74.49,598,percent of total billed charges,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,74.49,598,percent of total billed charges,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,ALLIANT,ALLIANT,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,AMBETTER,AMBETTER,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,MEDICARE,MEDICARE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,TRICARE,TRICARE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON,11047,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,598,,fee schedule,598,74.49,598,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,78.21,,fee schedule,78.21,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,79.7,,fee schedule,79.7,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,74.49,,fee schedule,74.49,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,74.49,296,percent of total billed charges,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,74.49,296,percent of total billed charges,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,74.49,296,percent of total billed charges,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,ALLIANT,ALLIANT,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,AMBETTER,AMBETTER,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,MEDICARE,MEDICARE,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,TRICARE,TRICARE,,296,,fee schedule,296,74.49,296,fee schedule,
DEB BONE ADD-ON <20 SQ CM,11047,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,296,,fee schedule,296,74.49,296,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,TRICARE,TRICARE,,180.58,,fee schedule,180.58,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,AETNA,AETNA,,394.98,87,percent of total billed charges,394.98,18.95,454,percent of total billed charges,
PARING BENIGN LESION,11055,CPT,both,,,454,454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,394.98,87,percent of total billed charges,394.98,18.95,454,percent of total billed charges,
PARING BENIGN LESION,11055,CPT,both,,,454,454,UNITED HEALTHCARE,UNITED HEALTHCARE,,399.52,88,percent of total billed charges,399.52,18.95,454,percent of total billed charges,
PARING BENIGN LESION,11055,CPT,both,,,454,454,AETNA,AETNA,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,BEECH STREET,BEECH STREET,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,CARESOURCE,CARESOURCE,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,MEDICAID,MEDICAID,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,NOVA NET,NOVA NET,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,PEACHSTATE,PEACHSTATE,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,SELFPAY,SELFPAY,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,454,454,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,454,,fee schedule,454,18.95,454,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,TRICARE,TRICARE,,180.58,,fee schedule,180.58,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,18.95,297.96,percent of total billed charges,
PARING BENIGN LESION,11055,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,18.95,297.96,percent of total billed charges,
PARING BENIGN LESION,11055,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,18.95,297.96,percent of total billed charges,
PARING BENIGN LESION,11055,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING BENIGN LESION,11055,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,18.95,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,AMERIGROUP,AMERIGROUP,,26.49,,fee schedule,26.49,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,CARESOURCE,CARESOURCE,,27,,fee schedule,27,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,PEACHSTATE,PEACHSTATE,,25.23,,fee schedule,25.23,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,TRICARE,TRICARE,,180.58,,fee schedule,180.58,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,AETNA,AETNA,,394.98,87,percent of total billed charges,394.98,25.23,454,percent of total billed charges,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,394.98,87,percent of total billed charges,394.98,25.23,454,percent of total billed charges,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,UNITED HEALTHCARE,UNITED HEALTHCARE,,399.52,88,percent of total billed charges,399.52,25.23,454,percent of total billed charges,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,AETNA,AETNA,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,BEECH STREET,BEECH STREET,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,CARESOURCE,CARESOURCE,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,MEDICAID,MEDICAID,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,NOVA NET,NOVA NET,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,PEACHSTATE,PEACHSTATE,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,SELFPAY,SELFPAY,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,454,454,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,454,,fee schedule,454,25.23,454,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,26.49,,fee schedule,26.49,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,27,,fee schedule,27,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,25.23,,fee schedule,25.23,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,TRICARE,TRICARE,,180.58,,fee schedule,180.58,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,25.23,297.96,percent of total billed charges,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,25.23,297.96,percent of total billed charges,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,25.23,297.96,percent of total billed charges,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING 2-4 LESIONS,11056,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,25.23,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,AMERIGROUP,AMERIGROUP,,29.41,,fee schedule,29.41,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,CARESOURCE,CARESOURCE,,29.97,,fee schedule,29.97,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,PEACHSTATE,PEACHSTATE,,28.01,,fee schedule,28.01,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,TRICARE,TRICARE,,180.58,,fee schedule,180.58,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,AETNA,AETNA,,394.98,87,percent of total billed charges,394.98,28.01,454,percent of total billed charges,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,394.98,87,percent of total billed charges,394.98,28.01,454,percent of total billed charges,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,UNITED HEALTHCARE,UNITED HEALTHCARE,,399.52,88,percent of total billed charges,399.52,28.01,454,percent of total billed charges,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,AETNA,AETNA,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,BEECH STREET,BEECH STREET,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,CARESOURCE,CARESOURCE,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,MEDICAID,MEDICAID,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,NOVA NET,NOVA NET,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,PEACHSTATE,PEACHSTATE,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,SELFPAY,SELFPAY,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,454,454,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,454,,fee schedule,454,28.01,454,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,AMERIGROUP,AMERIGROUP,,29.41,,fee schedule,29.41,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,29.97,,fee schedule,29.97,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,28.01,,fee schedule,28.01,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,TRICARE,TRICARE,,180.58,,fee schedule,180.58,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,28.01,297.96,percent of total billed charges,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,28.01,297.96,percent of total billed charges,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,28.01,297.96,percent of total billed charges,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,28.01,297.96,fee schedule,
PARING > 4 LESIONS,11057,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,28.01,297.96,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,AETNA,AETNA,,193.14,87,percent of total billed charges,193.14,193.14,222,percent of total billed charges,
EACH LESION,11101,CPT,both,,,222,222,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,193.14,87,percent of total billed charges,193.14,193.14,222,percent of total billed charges,
EACH LESION,11101,CPT,both,,,222,222,UNITED HEALTHCARE,UNITED HEALTHCARE,,195.36,88,percent of total billed charges,195.36,193.14,222,percent of total billed charges,
EACH LESION,11101,CPT,both,,,222,222,AETNA,AETNA,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,ALLIANT,ALLIANT,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,AMBETTER,AMBETTER,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,BEECH STREET,BEECH STREET,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,CARESOURCE,CARESOURCE,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,MEDICAID,MEDICAID,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,MEDICARE,MEDICARE,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,NOVA NET,NOVA NET,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,PEACHSTATE,PEACHSTATE,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,SELFPAY,SELFPAY,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,TRICARE,TRICARE,,222,,fee schedule,222,193.14,222,fee schedule,
EACH LESION,11101,CPT,both,,,222,222,UHC MEDICARE,UHC MEDICARE,,222,,fee schedule,222,193.14,222,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,AMERIGROUP,AMERIGROUP,,89.74,,fee schedule,89.74,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,91.45,,fee schedule,91.45,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,85.47,,fee schedule,85.47,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,TRICARE,TRICARE,,180.58,,fee schedule,180.58,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,AETNA,AETNA,,406.29,87,percent of total billed charges,406.29,85.47,467,percent of total billed charges,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,406.29,87,percent of total billed charges,406.29,85.47,467,percent of total billed charges,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,UNITED HEALTHCARE,UNITED HEALTHCARE,,410.96,88,percent of total billed charges,410.96,85.47,467,percent of total billed charges,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,AETNA,AETNA,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,BEECH STREET,BEECH STREET,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,MEDICAID,MEDICAID,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,NOVA NET,NOVA NET,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,SELFPAY,SELFPAY,,467,,fee schedule,467,85.47,467,fee schedule,
BX SQ OR MUC MEMBRANE,11102,CPT,both,,,467,467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,467,,fee schedule,467,85.47,467,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,89.74,,fee schedule,89.74,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,91.45,,fee schedule,91.45,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,85.47,,fee schedule,85.47,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,TRICARE,TRICARE,,180.58,,fee schedule,180.58,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,85.47,297.96,percent of total billed charges,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,85.47,297.96,percent of total billed charges,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,85.47,297.96,percent of total billed charges,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,85.47,297.96,fee schedule,
"BX, SQ OR MUC MEMBRANE",11102,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,85.47,297.96,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,AETNA,AETNA,,406.29,87,percent of total billed charges,406.29,46.1,467,percent of total billed charges,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,406.29,87,percent of total billed charges,406.29,46.1,467,percent of total billed charges,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,UNITED HEALTHCARE,UNITED HEALTHCARE,,410.96,88,percent of total billed charges,410.96,46.1,467,percent of total billed charges,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,AETNA,AETNA,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,ALLIANT,ALLIANT,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,AMBETTER,AMBETTER,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,BEECH STREET,BEECH STREET,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,MEDICAID,MEDICAID,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,MEDICARE,MEDICARE,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,NOVA NET,NOVA NET,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,SELFPAY,SELFPAY,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,TRICARE,TRICARE,,467,,fee schedule,467,46.1,467,fee schedule,
BIOPSY SKIN EACH ADD LESION,11103,CPT,both,,,467,467,UHC MEDICARE,UHC MEDICARE,,467,,fee schedule,467,46.1,467,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,46.1,68,percent of total billed charges,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,46.1,68,percent of total billed charges,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,46.1,68,percent of total billed charges,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,ALLIANT,ALLIANT,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,AMBETTER,AMBETTER,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,MEDICARE,MEDICARE,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,TRICARE,TRICARE,,68,,fee schedule,68,46.1,68,fee schedule,
"BIOPSY SKIN, EACH ADDIT LESION",11103,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,68,,fee schedule,68,46.1,68,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,AMERIGROUP,AMERIGROUP,,112.81,,fee schedule,112.81,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,114.96,,fee schedule,114.96,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,107.44,,fee schedule,107.44,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,TRICARE,TRICARE,,373.07,,fee schedule,373.07,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,AETNA,AETNA,,406.29,87,percent of total billed charges,406.29,107.44,615.57,percent of total billed charges,
PUNCH BIOPSY,11104,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,406.29,87,percent of total billed charges,406.29,107.44,615.57,percent of total billed charges,
PUNCH BIOPSY,11104,CPT,both,,,467,467,UNITED HEALTHCARE,UNITED HEALTHCARE,,410.96,88,percent of total billed charges,410.96,107.44,615.57,percent of total billed charges,
PUNCH BIOPSY,11104,CPT,both,,,467,467,AETNA,AETNA,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,BEECH STREET,BEECH STREET,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,MEDICAID,MEDICAID,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,NOVA NET,NOVA NET,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,SELFPAY,SELFPAY,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,467,467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,467,,fee schedule,467,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,112.81,,fee schedule,112.81,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,114.96,,fee schedule,114.96,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,107.44,,fee schedule,107.44,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,TRICARE,TRICARE,,373.07,,fee schedule,373.07,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,107.44,615.57,percent of total billed charges,
PUNCH BIOPSY,11104,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,107.44,615.57,percent of total billed charges,
PUNCH BIOPSY,11104,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,107.44,615.57,percent of total billed charges,
PUNCH BIOPSY,11104,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY,11104,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,107.44,615.57,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,AMERIGROUP,AMERIGROUP,,55.47,,fee schedule,55.47,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,56.53,,fee schedule,56.53,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,52.83,,fee schedule,52.83,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,AETNA,AETNA,,406.29,87,percent of total billed charges,406.29,52.83,467,percent of total billed charges,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,406.29,87,percent of total billed charges,406.29,52.83,467,percent of total billed charges,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,UNITED HEALTHCARE,UNITED HEALTHCARE,,410.96,88,percent of total billed charges,410.96,52.83,467,percent of total billed charges,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,AETNA,AETNA,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,ALLIANT,ALLIANT,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,AMBETTER,AMBETTER,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,BEECH STREET,BEECH STREET,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,CARESOURCE,CARESOURCE,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,MEDICAID,MEDICAID,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,MEDICARE,MEDICARE,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,NOVA NET,NOVA NET,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,PEACHSTATE,PEACHSTATE,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,SELFPAY,SELFPAY,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,TRICARE,TRICARE,,467,,fee schedule,467,52.83,467,fee schedule,
PUNCH BIOPSY EACH ADDITIONAL,11105,CPT,both,,,467,467,UHC MEDICARE,UHC MEDICARE,,467,,fee schedule,467,52.83,467,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,55.47,,fee schedule,55.47,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,56.53,,fee schedule,56.53,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,52.83,,fee schedule,52.83,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,52.83,82,percent of total billed charges,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,52.83,82,percent of total billed charges,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,52.83,82,percent of total billed charges,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,52.83,82,fee schedule,
"PUNCH BIOPSY, EACH ADDITIONAL",11105,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,52.83,82,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,AMERIGROUP,AMERIGROUP,,136.54,,fee schedule,136.54,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,CARESOURCE,CARESOURCE,,139.14,,fee schedule,139.14,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,PEACHSTATE,PEACHSTATE,,130.04,,fee schedule,130.04,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,TRICARE,TRICARE,,580.95,,fee schedule,580.95,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,AETNA,AETNA,,742.11,87,percent of total billed charges,742.11,130.04,958.57,percent of total billed charges,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742.11,87,percent of total billed charges,742.11,130.04,958.57,percent of total billed charges,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,UNITED HEALTHCARE,UNITED HEALTHCARE,,750.64,88,percent of total billed charges,750.64,130.04,958.57,percent of total billed charges,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,AETNA,AETNA,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,BEECH STREET,BEECH STREET,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,CARESOURCE,CARESOURCE,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,MEDICAID,MEDICAID,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,NOVA NET,NOVA NET,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,PEACHSTATE,PEACHSTATE,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,SELFPAY,SELFPAY,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,853,853,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,853,,fee schedule,853,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,136.54,,fee schedule,136.54,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,139.14,,fee schedule,139.14,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,130.04,,fee schedule,130.04,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,TRICARE,TRICARE,,580.95,,fee schedule,580.95,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,130.04,958.57,percent of total billed charges,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,130.04,958.57,percent of total billed charges,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,130.04,958.57,percent of total billed charges,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKIN SINGLE LES,11106,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,130.04,958.57,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,AMERIGROUP,AMERIGROUP,,65.4,,fee schedule,65.4,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,CARESOURCE,CARESOURCE,,66.65,,fee schedule,66.65,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,PEACHSTATE,PEACHSTATE,,62.29,,fee schedule,62.29,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,AETNA,AETNA,,742.11,87,percent of total billed charges,742.11,62.29,853,percent of total billed charges,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742.11,87,percent of total billed charges,742.11,62.29,853,percent of total billed charges,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,UNITED HEALTHCARE,UNITED HEALTHCARE,,750.64,88,percent of total billed charges,750.64,62.29,853,percent of total billed charges,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,AETNA,AETNA,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,ALLIANT,ALLIANT,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,AMBETTER,AMBETTER,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,BEECH STREET,BEECH STREET,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,CARESOURCE,CARESOURCE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,MEDICAID,MEDICAID,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,MEDICARE,MEDICARE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,NOVA NET,NOVA NET,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,PEACHSTATE,PEACHSTATE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,SELFPAY,SELFPAY,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,TRICARE,TRICARE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,853,853,UHC MEDICARE,UHC MEDICARE,,853,,fee schedule,853,62.29,853,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,AMERIGROUP,AMERIGROUP,,65.4,,fee schedule,65.4,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,66.65,,fee schedule,66.65,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,62.29,,fee schedule,62.29,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,AETNA,AETNA,,83.52,87,percent of total billed charges,83.52,62.29,96,percent of total billed charges,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83.52,87,percent of total billed charges,83.52,62.29,96,percent of total billed charges,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,UNITED HEALTHCARE,UNITED HEALTHCARE,,84.48,88,percent of total billed charges,84.48,62.29,96,percent of total billed charges,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,AETNA,AETNA,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,ALLIANT,ALLIANT,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,AMBETTER,AMBETTER,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,BEECH STREET,BEECH STREET,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,MEDICAID,MEDICAID,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,MEDICARE,MEDICARE,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,NOVA NET,NOVA NET,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,SELFPAY,SELFPAY,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,TRICARE,TRICARE,,96,,fee schedule,96,62.29,96,fee schedule,
INCAL BX SKN SGL LES EA SEP AD,11107,CPT,both,,,96,96,UHC MEDICARE,UHC MEDICARE,,96,,fee schedule,96,62.29,96,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,52.02,,fee schedule,52.02,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,53.01,,fee schedule,53.01,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,49.54,,fee schedule,49.54,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,TRICARE,TRICARE,,180.58,,fee schedule,180.58,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,49.54,473,percent of total billed charges,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,49.54,473,percent of total billed charges,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,49.54,473,percent of total billed charges,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,49.54,473,fee schedule,
REMOVAL OF SKIN TAGS,11200,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,49.54,473,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,19.25,237,percent of total billed charges,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,19.25,237,percent of total billed charges,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,19.25,237,percent of total billed charges,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,19.25,237,fee schedule,
"REMOVE SKIN TAGS, ADD-ON",11201,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,19.25,237,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,AETNA,AETNA,,11144.48,87,percent of total billed charges,11144.48,11144.48,12809.75,percent of total billed charges,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11144.48,87,percent of total billed charges,11144.48,11144.48,12809.75,percent of total billed charges,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,UNITED HEALTHCARE,UNITED HEALTHCARE,,11272.58,88,percent of total billed charges,11272.58,11144.48,12809.75,percent of total billed charges,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,AETNA,AETNA,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,ALLIANT,ALLIANT,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,AMBETTER,AMBETTER,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,BEECH STREET,BEECH STREET,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,CARESOURCE,CARESOURCE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,MEDICAID,MEDICAID,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,MEDICARE,MEDICARE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,NOVA NET,NOVA NET,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,PEACHSTATE,PEACHSTATE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,SELFPAY,SELFPAY,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,TRICARE,TRICARE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
ORBITAL PROCEDURES W CC/MCC,113,DRG,inpatient,,,12809.75,12809.75,UHC MEDICARE,UHC MEDICARE,,12809.75,,fee schedule,12809.75,11144.48,12809.75,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,AMERIGROUP,AMERIGROUP,,79.57,,fee schedule,79.57,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,81.08,,fee schedule,81.08,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,75.78,,fee schedule,75.78,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,AETNA,AETNA,,3098.07,87,percent of total billed charges,3098.07,75.78,3561,percent of total billed charges,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3098.07,87,percent of total billed charges,3098.07,75.78,3561,percent of total billed charges,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,UNITED HEALTHCARE,UNITED HEALTHCARE,,3133.68,88,percent of total billed charges,3133.68,75.78,3561,percent of total billed charges,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,AETNA,AETNA,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,BEECH STREET,BEECH STREET,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,MEDICAID,MEDICAID,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,NOVA NET,NOVA NET,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,SELFPAY,SELFPAY,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; <.5CM,11420,CPT,both,,,3561,3561,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3561,,fee schedule,3561,75.78,3561,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,79.57,,fee schedule,79.57,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,81.08,,fee schedule,81.08,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,75.78,,fee schedule,75.78,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,75.78,2474.26,percent of total billed charges,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,75.78,2474.26,percent of total billed charges,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,75.78,2474.26,percent of total billed charges,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; 3.1-4CM,11420,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,79.57,,fee schedule,79.57,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,81.08,,fee schedule,81.08,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,75.78,,fee schedule,75.78,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,75.78,2474.26,percent of total billed charges,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,75.78,2474.26,percent of total billed charges,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,75.78,2474.26,percent of total billed charges,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EX BEN LES; M.5CM,11420,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,75.78,2474.26,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,79.57,,fee schedule,79.57,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,81.08,,fee schedule,81.08,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,75.78,,fee schedule,75.78,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,75.78,3700,percent of total billed charges,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,75.78,3700,percent of total billed charges,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,75.78,3700,percent of total billed charges,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EXCISE BENIGN LESION <0.5CM,11420,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,75.78,3700,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,AMERIGROUP,AMERIGROUP,,104.98,,fee schedule,104.98,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,CARESOURCE,CARESOURCE,,106.98,,fee schedule,106.98,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,PEACHSTATE,PEACHSTATE,,99.98,,fee schedule,99.98,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,TRICARE,TRICARE,,648.97,,fee schedule,648.97,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,AETNA,AETNA,,1370.25,87,percent of total billed charges,1370.25,99.98,1575,percent of total billed charges,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1370.25,87,percent of total billed charges,1370.25,99.98,1575,percent of total billed charges,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,UNITED HEALTHCARE,UNITED HEALTHCARE,,1386,88,percent of total billed charges,1386,99.98,1575,percent of total billed charges,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,AETNA,AETNA,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,BEECH STREET,BEECH STREET,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,CARESOURCE,CARESOURCE,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,MEDICAID,MEDICAID,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,NOVA NET,NOVA NET,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,PEACHSTATE,PEACHSTATE,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,SELFPAY,SELFPAY,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,1575,1575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1575,,fee schedule,1575,99.98,1575,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,AMERIGROUP,AMERIGROUP,,104.98,,fee schedule,104.98,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,CARESOURCE,CARESOURCE,,106.98,,fee schedule,106.98,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,PEACHSTATE,PEACHSTATE,,99.98,,fee schedule,99.98,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,TRICARE,TRICARE,,648.97,,fee schedule,648.97,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,AETNA,AETNA,,239.25,87,percent of total billed charges,239.25,99.98,1070.8,percent of total billed charges,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239.25,87,percent of total billed charges,239.25,99.98,1070.8,percent of total billed charges,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,UNITED HEALTHCARE,UNITED HEALTHCARE,,242,88,percent of total billed charges,242,99.98,1070.8,percent of total billed charges,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,AETNA,AETNA,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,BEECH STREET,BEECH STREET,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,CARESOURCE,CARESOURCE,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,MEDICAID,MEDICAID,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,NOVA NET,NOVA NET,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,PEACHSTATE,PEACHSTATE,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,SELFPAY,SELFPAY,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EX BEN LES; .6-1CM,11421,CPT,both,,,275,275,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,275,,fee schedule,275,99.98,1070.8,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,AMERIGROUP,AMERIGROUP,,104.98,,fee schedule,104.98,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,CARESOURCE,CARESOURCE,,106.98,,fee schedule,106.98,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,PEACHSTATE,PEACHSTATE,,99.98,,fee schedule,99.98,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,TRICARE,TRICARE,,648.97,,fee schedule,648.97,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,AETNA,AETNA,,1424.19,87,percent of total billed charges,1424.19,99.98,1637,percent of total billed charges,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1424.19,87,percent of total billed charges,1424.19,99.98,1637,percent of total billed charges,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,UNITED HEALTHCARE,UNITED HEALTHCARE,,1440.56,88,percent of total billed charges,1440.56,99.98,1637,percent of total billed charges,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,AETNA,AETNA,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,BEECH STREET,BEECH STREET,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,CARESOURCE,CARESOURCE,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,MEDICAID,MEDICAID,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,NOVA NET,NOVA NET,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,PEACHSTATE,PEACHSTATE,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,SELFPAY,SELFPAY,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EXCISE BENIGN LESION 0.6-1CM,11421,CPT,both,,,1637,1637,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1637,,fee schedule,1637,99.98,1637,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,AMERIGROUP,AMERIGROUP,,119.88,,fee schedule,119.88,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,122.16,,fee schedule,122.16,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,114.17,,fee schedule,114.17,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,AETNA,AETNA,,3098.07,87,percent of total billed charges,3098.07,114.17,3561,percent of total billed charges,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3098.07,87,percent of total billed charges,3098.07,114.17,3561,percent of total billed charges,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,UNITED HEALTHCARE,UNITED HEALTHCARE,,3133.68,88,percent of total billed charges,3133.68,114.17,3561,percent of total billed charges,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,AETNA,AETNA,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,BEECH STREET,BEECH STREET,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,MEDICAID,MEDICAID,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,NOVA NET,NOVA NET,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,SELFPAY,SELFPAY,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,3561,3561,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3561,,fee schedule,3561,114.17,3561,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,AMERIGROUP,AMERIGROUP,,119.88,,fee schedule,119.88,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,CARESOURCE,CARESOURCE,,122.16,,fee schedule,122.16,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,PEACHSTATE,PEACHSTATE,,114.17,,fee schedule,114.17,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,AETNA,AETNA,,295.8,87,percent of total billed charges,295.8,114.17,2474.26,percent of total billed charges,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295.8,87,percent of total billed charges,295.8,114.17,2474.26,percent of total billed charges,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,UNITED HEALTHCARE,UNITED HEALTHCARE,,299.2,88,percent of total billed charges,299.2,114.17,2474.26,percent of total billed charges,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,AETNA,AETNA,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,BEECH STREET,BEECH STREET,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,CARESOURCE,CARESOURCE,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,MEDICAID,MEDICAID,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,NOVA NET,NOVA NET,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,PEACHSTATE,PEACHSTATE,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,SELFPAY,SELFPAY,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EX BEN LES; 1.1-2CM,11422,CPT,both,,,340,340,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,340,,fee schedule,340,114.17,2474.26,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,119.88,,fee schedule,119.88,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,122.16,,fee schedule,122.16,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,114.17,,fee schedule,114.17,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,114.17,3700,percent of total billed charges,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,114.17,3700,percent of total billed charges,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,114.17,3700,percent of total billed charges,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EXCISE BENIGN LESION 1.1-2CM,11422,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,114.17,3700,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,AMERIGROUP,AMERIGROUP,,146.61,,fee schedule,146.61,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,149.4,,fee schedule,149.4,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,139.63,,fee schedule,139.63,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,AETNA,AETNA,,3098.07,87,percent of total billed charges,3098.07,139.63,3561,percent of total billed charges,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3098.07,87,percent of total billed charges,3098.07,139.63,3561,percent of total billed charges,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,UNITED HEALTHCARE,UNITED HEALTHCARE,,3133.68,88,percent of total billed charges,3133.68,139.63,3561,percent of total billed charges,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,AETNA,AETNA,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,BEECH STREET,BEECH STREET,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,MEDICAID,MEDICAID,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,NOVA NET,NOVA NET,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,SELFPAY,SELFPAY,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,3561,3561,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3561,,fee schedule,3561,139.63,3561,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,AMERIGROUP,AMERIGROUP,,146.61,,fee schedule,146.61,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,CARESOURCE,CARESOURCE,,149.4,,fee schedule,149.4,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,PEACHSTATE,PEACHSTATE,,139.63,,fee schedule,139.63,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,AETNA,AETNA,,341.04,87,percent of total billed charges,341.04,139.63,2474.26,percent of total billed charges,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341.04,87,percent of total billed charges,341.04,139.63,2474.26,percent of total billed charges,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,UNITED HEALTHCARE,UNITED HEALTHCARE,,344.96,88,percent of total billed charges,344.96,139.63,2474.26,percent of total billed charges,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,AETNA,AETNA,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,BEECH STREET,BEECH STREET,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,CARESOURCE,CARESOURCE,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,MEDICAID,MEDICAID,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,NOVA NET,NOVA NET,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,PEACHSTATE,PEACHSTATE,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,SELFPAY,SELFPAY,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EX BEN LES; 2.1-3CM,11423,CPT,both,,,392,392,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,392,,fee schedule,392,139.63,2474.26,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,146.61,,fee schedule,146.61,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,149.4,,fee schedule,149.4,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,139.63,,fee schedule,139.63,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,139.63,3700,percent of total billed charges,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,139.63,3700,percent of total billed charges,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,139.63,3700,percent of total billed charges,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EXCISE BENIGN LESION 2.1-3CM,11423,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,139.63,3700,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,AMERIGROUP,AMERIGROUP,,166.32,,fee schedule,166.32,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,169.49,,fee schedule,169.49,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,158.4,,fee schedule,158.4,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,AETNA,AETNA,,3098.07,87,percent of total billed charges,3098.07,158.4,3561,percent of total billed charges,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3098.07,87,percent of total billed charges,3098.07,158.4,3561,percent of total billed charges,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,UNITED HEALTHCARE,UNITED HEALTHCARE,,3133.68,88,percent of total billed charges,3133.68,158.4,3561,percent of total billed charges,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,AETNA,AETNA,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,BEECH STREET,BEECH STREET,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,CARESOURCE,CARESOURCE,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,MEDICAID,MEDICAID,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,NOVA NET,NOVA NET,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,PEACHSTATE,PEACHSTATE,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,SELFPAY,SELFPAY,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EX BEN LES; 3.1-4CM,11424,CPT,both,,,3561,3561,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3561,,fee schedule,3561,158.4,3561,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,166.32,,fee schedule,166.32,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,169.49,,fee schedule,169.49,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,158.4,,fee schedule,158.4,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,158.4,3700,percent of total billed charges,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,158.4,3700,percent of total billed charges,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,158.4,3700,percent of total billed charges,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EXCISE BENIGN LESION 3.1-4CM,11424,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,158.4,3700,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,ALLIANT,ALLIANT,,4262.36,,fee schedule,4262.36,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,AMBETTER,AMBETTER,,3358.23,,fee schedule,3358.23,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,AMERIGROUP,AMERIGROUP,,227.19,,fee schedule,227.19,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,CARESOURCE,CARESOURCE,,231.52,,fee schedule,231.52,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,MEDICARE,MEDICARE,,2583.25,,fee schedule,2583.25,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,PEACHSTATE,PEACHSTATE,,216.37,,fee schedule,216.37,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,TRICARE,TRICARE,,2583.25,,fee schedule,2583.25,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,UHC MEDICARE,UHC MEDICARE,,2583.25,,fee schedule,2583.25,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,AETNA,AETNA,,5217.39,87,percent of total billed charges,5217.39,216.37,5997,percent of total billed charges,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5217.39,87,percent of total billed charges,5217.39,216.37,5997,percent of total billed charges,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,UNITED HEALTHCARE,UNITED HEALTHCARE,,5277.36,88,percent of total billed charges,5277.36,216.37,5997,percent of total billed charges,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,AETNA,AETNA,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,BEECH STREET,BEECH STREET,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,CARESOURCE,CARESOURCE,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,MEDICAID,MEDICAID,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,NOVA NET,NOVA NET,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,PEACHSTATE,PEACHSTATE,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,SELFPAY,SELFPAY,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,5997,5997,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5997,,fee schedule,5997,216.37,5997,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,ALLIANT,ALLIANT,,4262.36,,fee schedule,4262.36,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,AMBETTER,AMBETTER,,3358.23,,fee schedule,3358.23,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,AMERIGROUP,AMERIGROUP,,227.19,,fee schedule,227.19,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,CARESOURCE,CARESOURCE,,231.52,,fee schedule,231.52,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,MEDICARE,MEDICARE,,2583.25,,fee schedule,2583.25,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,PEACHSTATE,PEACHSTATE,,216.37,,fee schedule,216.37,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,TRICARE,TRICARE,,2583.25,,fee schedule,2583.25,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,UHC MEDICARE,UHC MEDICARE,,2583.25,,fee schedule,2583.25,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,AETNA,AETNA,,607.26,87,percent of total billed charges,607.26,216.37,4262.36,percent of total billed charges,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,607.26,87,percent of total billed charges,607.26,216.37,4262.36,percent of total billed charges,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,UNITED HEALTHCARE,UNITED HEALTHCARE,,614.24,88,percent of total billed charges,614.24,216.37,4262.36,percent of total billed charges,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,AETNA,AETNA,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,BEECH STREET,BEECH STREET,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,CARESOURCE,CARESOURCE,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,MEDICAID,MEDICAID,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,NOVA NET,NOVA NET,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,PEACHSTATE,PEACHSTATE,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,SELFPAY,SELFPAY,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EX BEN LES; >4CM,11426,CPT,both,,,698,698,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,698,,fee schedule,698,216.37,4262.36,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,ALLIANT,ALLIANT,,4262.36,,fee schedule,4262.36,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,AMBETTER,AMBETTER,,3358.23,,fee schedule,3358.23,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,AMERIGROUP,AMERIGROUP,,227.19,,fee schedule,227.19,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,CARESOURCE,CARESOURCE,,231.52,,fee schedule,231.52,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,MEDICARE,MEDICARE,,2583.25,,fee schedule,2583.25,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,PEACHSTATE,PEACHSTATE,,216.37,,fee schedule,216.37,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,TRICARE,TRICARE,,2583.25,,fee schedule,2583.25,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,UHC MEDICARE,UHC MEDICARE,,2583.25,,fee schedule,2583.25,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,AETNA,AETNA,,5425.32,87,percent of total billed charges,5425.32,216.37,6236,percent of total billed charges,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5425.32,87,percent of total billed charges,5425.32,216.37,6236,percent of total billed charges,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,UNITED HEALTHCARE,UNITED HEALTHCARE,,5487.68,88,percent of total billed charges,5487.68,216.37,6236,percent of total billed charges,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,AETNA,AETNA,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,BEECH STREET,BEECH STREET,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,CARESOURCE,CARESOURCE,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,MEDICAID,MEDICAID,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,NOVA NET,NOVA NET,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,PEACHSTATE,PEACHSTATE,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,SELFPAY,SELFPAY,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXCISE BENIGN LESION >4CM,11426,CPT,both,,,6236,6236,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6236,,fee schedule,6236,216.37,6236,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,AMERIGROUP,AMERIGROUP,,112.2,,fee schedule,112.2,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,114.34,,fee schedule,114.34,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,106.86,,fee schedule,106.86,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,TRICARE,TRICARE,,648.97,,fee schedule,648.97,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,AETNA,AETNA,,1356.33,87,percent of total billed charges,1356.33,106.86,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1356.33,87,percent of total billed charges,1356.33,106.86,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,UNITED HEALTHCARE,UNITED HEALTHCARE,,1371.92,88,percent of total billed charges,1371.92,106.86,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,AETNA,AETNA,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,BEECH STREET,BEECH STREET,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,MEDICAID,MEDICAID,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,NOVA NET,NOVA NET,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,SELFPAY,SELFPAY,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,1559,1559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1559,,fee schedule,1559,106.86,1559,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,112.2,,fee schedule,112.2,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,114.34,,fee schedule,114.34,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,106.86,,fee schedule,106.86,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,TRICARE,TRICARE,,648.97,,fee schedule,648.97,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,106.86,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,106.86,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,106.86,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.5 < CM,11600,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,106.86,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,AMERIGROUP,AMERIGROUP,,135.9,,fee schedule,135.9,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,138.49,,fee schedule,138.49,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,129.43,,fee schedule,129.43,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,TRICARE,TRICARE,,648.97,,fee schedule,648.97,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,AETNA,AETNA,,376.71,87,percent of total billed charges,376.71,129.43,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,376.71,87,percent of total billed charges,376.71,129.43,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.04,88,percent of total billed charges,381.04,129.43,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,AETNA,AETNA,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,BEECH STREET,BEECH STREET,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,MEDICAID,MEDICAID,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,NOVA NET,NOVA NET,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,SELFPAY,SELFPAY,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1 CM,11601,CPT,both,,,433,433,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,433,,fee schedule,433,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,AMERIGROUP,AMERIGROUP,,135.9,,fee schedule,135.9,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,CARESOURCE,CARESOURCE,,138.49,,fee schedule,138.49,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,PEACHSTATE,PEACHSTATE,,129.43,,fee schedule,129.43,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,TRICARE,TRICARE,,648.97,,fee schedule,648.97,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,AETNA,AETNA,,294.06,87,percent of total billed charges,294.06,129.43,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.06,87,percent of total billed charges,294.06,129.43,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,UNITED HEALTHCARE,UNITED HEALTHCARE,,297.44,88,percent of total billed charges,297.44,129.43,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,AETNA,AETNA,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,BEECH STREET,BEECH STREET,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,CARESOURCE,CARESOURCE,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,MEDICAID,MEDICAID,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,NOVA NET,NOVA NET,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,PEACHSTATE,PEACHSTATE,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,SELFPAY,SELFPAY,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 0.6-1CM,11601,CPT,both,,,338,338,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,338,,fee schedule,338,129.43,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,150.19,,fee schedule,150.19,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,153.05,,fee schedule,153.05,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,143.04,,fee schedule,143.04,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,143.04,846,percent of total billed charges,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,143.04,846,percent of total billed charges,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,143.04,846,percent of total billed charges,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,143.04,846,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,150.19,,fee schedule,150.19,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,153.05,,fee schedule,153.05,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,143.04,,fee schedule,143.04,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,TRICARE,TRICARE,,373.07,,fee schedule,373.07,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,143.04,615.57,percent of total billed charges,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,143.04,615.57,percent of total billed charges,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,143.04,615.57,percent of total billed charges,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 1.1-2 CM,11602,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,143.04,615.57,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,AMERIGROUP,AMERIGROUP,,170.08,,fee schedule,170.08,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,173.32,,fee schedule,173.32,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,161.98,,fee schedule,161.98,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,TRICARE,TRICARE,,648.97,,fee schedule,648.97,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,AETNA,AETNA,,1356.33,87,percent of total billed charges,1356.33,161.98,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1356.33,87,percent of total billed charges,1356.33,161.98,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,UNITED HEALTHCARE,UNITED HEALTHCARE,,1371.92,88,percent of total billed charges,1371.92,161.98,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,AETNA,AETNA,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,BEECH STREET,BEECH STREET,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,MEDICAID,MEDICAID,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,NOVA NET,NOVA NET,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,SELFPAY,SELFPAY,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1 - 3 CM,11603,CPT,both,,,1559,1559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1559,,fee schedule,1559,161.98,1559,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,AMERIGROUP,AMERIGROUP,,170.08,,fee schedule,170.08,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,CARESOURCE,CARESOURCE,,173.32,,fee schedule,173.32,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,PEACHSTATE,PEACHSTATE,,161.98,,fee schedule,161.98,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,TRICARE,TRICARE,,648.97,,fee schedule,648.97,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,AETNA,AETNA,,495.9,87,percent of total billed charges,495.9,161.98,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,495.9,87,percent of total billed charges,495.9,161.98,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,UNITED HEALTHCARE,UNITED HEALTHCARE,,501.6,88,percent of total billed charges,501.6,161.98,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,AETNA,AETNA,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,BEECH STREET,BEECH STREET,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,CARESOURCE,CARESOURCE,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,MEDICAID,MEDICAID,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,NOVA NET,NOVA NET,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,PEACHSTATE,PEACHSTATE,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,SELFPAY,SELFPAY,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 2.1-3 CM,11603,CPT,both,,,570,570,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,570,,fee schedule,570,161.98,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,AMERIGROUP,AMERIGROUP,,187.6,,fee schedule,187.6,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,191.18,,fee schedule,191.18,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,178.67,,fee schedule,178.67,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,TRICARE,TRICARE,,648.97,,fee schedule,648.97,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,AETNA,AETNA,,1356.33,87,percent of total billed charges,1356.33,178.67,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1356.33,87,percent of total billed charges,1356.33,178.67,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,UNITED HEALTHCARE,UNITED HEALTHCARE,,1371.92,88,percent of total billed charges,1371.92,178.67,1559,percent of total billed charges,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,AETNA,AETNA,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,BEECH STREET,BEECH STREET,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,MEDICAID,MEDICAID,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,NOVA NET,NOVA NET,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,SELFPAY,SELFPAY,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1 - 4 CM,11604,CPT,both,,,1559,1559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1559,,fee schedule,1559,178.67,1559,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,AMERIGROUP,AMERIGROUP,,187.6,,fee schedule,187.6,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,191.18,,fee schedule,191.18,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,178.67,,fee schedule,178.67,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,TRICARE,TRICARE,,648.97,,fee schedule,648.97,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,AETNA,AETNA,,544.62,87,percent of total billed charges,544.62,178.67,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544.62,87,percent of total billed charges,544.62,178.67,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,UNITED HEALTHCARE,UNITED HEALTHCARE,,550.88,88,percent of total billed charges,550.88,178.67,1070.8,percent of total billed charges,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,AETNA,AETNA,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,BEECH STREET,BEECH STREET,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,MEDICAID,MEDICAID,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,NOVA NET,NOVA NET,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,SELFPAY,SELFPAY,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXC TR-EXT MAL+MARG 3.1-4 CM,11604,CPT,both,,,626,626,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,626,,fee schedule,626,178.67,1070.8,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,112.93,,fee schedule,112.93,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,115.08,,fee schedule,115.08,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,107.55,,fee schedule,107.55,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,107.55,3700,percent of total billed charges,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,107.55,3700,percent of total billed charges,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,107.55,3700,percent of total billed charges,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION <0.5CM,11620,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,107.55,3700,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,AMERIGROUP,AMERIGROUP,,144.28,,fee schedule,144.28,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,CARESOURCE,CARESOURCE,,147.03,,fee schedule,147.03,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,PEACHSTATE,PEACHSTATE,,137.41,,fee schedule,137.41,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,TRICARE,TRICARE,,648.97,,fee schedule,648.97,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,AETNA,AETNA,,1424.19,87,percent of total billed charges,1424.19,137.41,1637,percent of total billed charges,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1424.19,87,percent of total billed charges,1424.19,137.41,1637,percent of total billed charges,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,UNITED HEALTHCARE,UNITED HEALTHCARE,,1440.56,88,percent of total billed charges,1440.56,137.41,1637,percent of total billed charges,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,AETNA,AETNA,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,BEECH STREET,BEECH STREET,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,CARESOURCE,CARESOURCE,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,MEDICAID,MEDICAID,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,NOVA NET,NOVA NET,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,PEACHSTATE,PEACHSTATE,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,SELFPAY,SELFPAY,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 0.6-1CM,11621,CPT,both,,,1637,1637,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1637,,fee schedule,1637,137.41,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,AMERIGROUP,AMERIGROUP,,168.08,,fee schedule,168.08,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,CARESOURCE,CARESOURCE,,171.29,,fee schedule,171.29,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,PEACHSTATE,PEACHSTATE,,160.08,,fee schedule,160.08,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,TRICARE,TRICARE,,648.97,,fee schedule,648.97,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,AETNA,AETNA,,1424.19,87,percent of total billed charges,1424.19,160.08,1637,percent of total billed charges,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1424.19,87,percent of total billed charges,1424.19,160.08,1637,percent of total billed charges,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,UNITED HEALTHCARE,UNITED HEALTHCARE,,1440.56,88,percent of total billed charges,1440.56,160.08,1637,percent of total billed charges,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,AETNA,AETNA,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,BEECH STREET,BEECH STREET,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,CARESOURCE,CARESOURCE,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,MEDICAID,MEDICAID,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,NOVA NET,NOVA NET,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,PEACHSTATE,PEACHSTATE,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,SELFPAY,SELFPAY,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 1.1-2CM,11622,CPT,both,,,1637,1637,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1637,,fee schedule,1637,160.08,1637,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,194.99,,fee schedule,194.99,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,198.7,,fee schedule,198.7,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,185.7,,fee schedule,185.7,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,185.7,3700,percent of total billed charges,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,185.7,3700,percent of total billed charges,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,185.7,3700,percent of total billed charges,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 2.1-3CM,11623,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,185.7,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,AMERIGROUP,AMERIGROUP,,229.37,,fee schedule,229.37,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,233.74,,fee schedule,233.74,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,218.45,,fee schedule,218.45,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,218.45,3700,percent of total billed charges,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,218.45,3700,percent of total billed charges,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,218.45,3700,percent of total billed charges,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION 3.1-4CM,11624,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,218.45,3700,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,ALLIANT,ALLIANT,,4262.36,,fee schedule,4262.36,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,AMBETTER,AMBETTER,,3358.23,,fee schedule,3358.23,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,AMERIGROUP,AMERIGROUP,,280.16,,fee schedule,280.16,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,CARESOURCE,CARESOURCE,,285.5,,fee schedule,285.5,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,MEDICARE,MEDICARE,,2583.25,,fee schedule,2583.25,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,PEACHSTATE,PEACHSTATE,,266.82,,fee schedule,266.82,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,TRICARE,TRICARE,,2583.25,,fee schedule,2583.25,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,UHC MEDICARE,UHC MEDICARE,,2583.25,,fee schedule,2583.25,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,AETNA,AETNA,,5425.32,87,percent of total billed charges,5425.32,266.82,6236,percent of total billed charges,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5425.32,87,percent of total billed charges,5425.32,266.82,6236,percent of total billed charges,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,UNITED HEALTHCARE,UNITED HEALTHCARE,,5487.68,88,percent of total billed charges,5487.68,266.82,6236,percent of total billed charges,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,AETNA,AETNA,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,BEECH STREET,BEECH STREET,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,CARESOURCE,CARESOURCE,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,MEDICAID,MEDICAID,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,NOVA NET,NOVA NET,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,PEACHSTATE,PEACHSTATE,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,SELFPAY,SELFPAY,,6236,,fee schedule,6236,266.82,6236,fee schedule,
EXCISE MALIGN LESION >4CM,11626,CPT,both,,,6236,6236,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6236,,fee schedule,6236,266.82,6236,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,59.34,,fee schedule,59.34,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,60.47,,fee schedule,60.47,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,56.51,,fee schedule,56.51,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,56.51,477,percent of total billed charges,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,56.51,477,percent of total billed charges,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,56.51,477,percent of total billed charges,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,56.51,477,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,AMERIGROUP,AMERIGROUP,,59.34,,fee schedule,59.34,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,CARESOURCE,CARESOURCE,,60.47,,fee schedule,60.47,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,PEACHSTATE,PEACHSTATE,,56.51,,fee schedule,56.51,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,TRICARE,TRICARE,,180.58,,fee schedule,180.58,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,AETNA,AETNA,,141.81,87,percent of total billed charges,141.81,56.51,297.96,percent of total billed charges,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,141.81,87,percent of total billed charges,141.81,56.51,297.96,percent of total billed charges,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,UNITED HEALTHCARE,UNITED HEALTHCARE,,143.44,88,percent of total billed charges,143.44,56.51,297.96,percent of total billed charges,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,AETNA,AETNA,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,BEECH STREET,BEECH STREET,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,CARESOURCE,CARESOURCE,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,MEDICAID,MEDICAID,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,NOVA NET,NOVA NET,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,PEACHSTATE,PEACHSTATE,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,SELFPAY,SELFPAY,,163,,fee schedule,163,56.51,297.96,fee schedule,
NAIL REMOVAL SIMPLE,11730,CPT,both,,,163,163,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,163,,fee schedule,163,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,59.34,,fee schedule,59.34,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,60.47,,fee schedule,60.47,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,56.51,,fee schedule,56.51,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,TRICARE,TRICARE,,180.58,,fee schedule,180.58,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,56.51,297.96,percent of total billed charges,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,56.51,297.96,percent of total billed charges,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,56.51,297.96,percent of total billed charges,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,56.51,297.96,fee schedule,
SPL AVULSE NP; SGL,11730,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,56.51,297.96,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,29.32,,fee schedule,29.32,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,29.87,,fee schedule,29.87,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,27.92,,fee schedule,27.92,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,27.92,175,percent of total billed charges,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,27.92,175,percent of total billed charges,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,27.92,175,percent of total billed charges,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,ALLIANT,ALLIANT,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,AMBETTER,AMBETTER,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,MEDICARE,MEDICARE,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,TRICARE,TRICARE,,175,,fee schedule,175,27.92,175,fee schedule,
NAIL AVULSION EA ADD'L NA,11732,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,175,,fee schedule,175,27.92,175,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,29.32,,fee schedule,29.32,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,29.87,,fee schedule,29.87,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,27.92,,fee schedule,27.92,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,27.92,55,percent of total billed charges,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,27.92,55,percent of total billed charges,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,27.92,55,percent of total billed charges,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,27.92,55,fee schedule,
SPL AVULSE NP; EA ADDTL,11732,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,27.92,55,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,30.88,,fee schedule,30.88,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,31.47,,fee schedule,31.47,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,29.41,,fee schedule,29.41,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,TRICARE,TRICARE,,116.11,,fee schedule,116.11,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,29.41,191.58,percent of total billed charges,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,29.41,191.58,percent of total billed charges,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,29.41,191.58,percent of total billed charges,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,29.41,191.58,fee schedule,
EVACUATION SUBUNGUAL HEMA,11740,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,29.41,191.58,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,AMERIGROUP,AMERIGROUP,,127.85,,fee schedule,127.85,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,CARESOURCE,CARESOURCE,,130.28,,fee schedule,130.28,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,PEACHSTATE,PEACHSTATE,,121.76,,fee schedule,121.76,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,TRICARE,TRICARE,,373.07,,fee schedule,373.07,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,AETNA,AETNA,,912.63,87,percent of total billed charges,912.63,121.76,1049,percent of total billed charges,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,912.63,87,percent of total billed charges,912.63,121.76,1049,percent of total billed charges,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,UNITED HEALTHCARE,UNITED HEALTHCARE,,923.12,88,percent of total billed charges,923.12,121.76,1049,percent of total billed charges,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,AETNA,AETNA,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,BEECH STREET,BEECH STREET,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,CARESOURCE,CARESOURCE,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,MEDICAID,MEDICAID,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,NOVA NET,NOVA NET,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,PEACHSTATE,PEACHSTATE,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,SELFPAY,SELFPAY,,1049,,fee schedule,1049,121.76,1049,fee schedule,
REPAIR OR REMOVE TOENAIL,11750,CPT,both,,,1049,1049,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1049,,fee schedule,1049,121.76,1049,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,AMERIGROUP,AMERIGROUP,,34.13,,fee schedule,34.13,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,CARESOURCE,CARESOURCE,,34.78,,fee schedule,34.78,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,PEACHSTATE,PEACHSTATE,,32.5,,fee schedule,32.5,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,TRICARE,TRICARE,,180.58,,fee schedule,180.58,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,AETNA,AETNA,,327.12,87,percent of total billed charges,327.12,32.5,376,percent of total billed charges,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,327.12,87,percent of total billed charges,327.12,32.5,376,percent of total billed charges,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,UNITED HEALTHCARE,UNITED HEALTHCARE,,330.88,88,percent of total billed charges,330.88,32.5,376,percent of total billed charges,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,AETNA,AETNA,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,BEECH STREET,BEECH STREET,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,CARESOURCE,CARESOURCE,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,MEDICAID,MEDICAID,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,NOVA NET,NOVA NET,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,PEACHSTATE,PEACHSTATE,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,SELFPAY,SELFPAY,,376,,fee schedule,376,32.5,376,fee schedule,
INJECTION INTO SKIN LESIO,11900,CPT,both,,,376,376,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,376,,fee schedule,376,32.5,376,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,ALLIANT,ALLIANT,,622.99,,fee schedule,622.99,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,AMBETTER,AMBETTER,,490.84,,fee schedule,490.84,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,AMERIGROUP,AMERIGROUP,,194.84,,fee schedule,194.84,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,CARESOURCE,CARESOURCE,,198.55,,fee schedule,198.55,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,MEDICARE,MEDICARE,,377.57,,fee schedule,377.57,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,PEACHSTATE,PEACHSTATE,,185.56,,fee schedule,185.56,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,TRICARE,TRICARE,,377.57,,fee schedule,377.57,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,UHC MEDICARE,UHC MEDICARE,,377.57,,fee schedule,377.57,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,AETNA,AETNA,,621.18,87,percent of total billed charges,621.18,185.56,714,percent of total billed charges,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,621.18,87,percent of total billed charges,621.18,185.56,714,percent of total billed charges,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,UNITED HEALTHCARE,UNITED HEALTHCARE,,628.32,88,percent of total billed charges,628.32,185.56,714,percent of total billed charges,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,AETNA,AETNA,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,BEECH STREET,BEECH STREET,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,CARESOURCE,CARESOURCE,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,MEDICAID,MEDICAID,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,NOVA NET,NOVA NET,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,PEACHSTATE,PEACHSTATE,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,SELFPAY,SELFPAY,,714,,fee schedule,714,185.56,714,fee schedule,
REMOVE/INSERT DRUG IMPLANT,11983,CPT,both,,,714,714,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,714,,fee schedule,714,185.56,714,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,109.07,,fee schedule,109.07,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,111.15,,fee schedule,111.15,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,103.88,,fee schedule,103.88,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,103.88,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,103.88,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,103.88,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,103.88,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,AMERIGROUP,AMERIGROUP,,109.07,,fee schedule,109.07,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,111.15,,fee schedule,111.15,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,103.88,,fee schedule,103.88,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,TRICARE,TRICARE,,180.58,,fee schedule,180.58,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,AETNA,AETNA,,114.84,87,percent of total billed charges,114.84,103.88,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114.84,87,percent of total billed charges,114.84,103.88,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,UNITED HEALTHCARE,UNITED HEALTHCARE,,116.16,88,percent of total billed charges,116.16,103.88,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,AETNA,AETNA,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,BEECH STREET,BEECH STREET,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,MEDICAID,MEDICAID,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,NOVA NET,NOVA NET,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,SELFPAY,SELFPAY,,132,,fee schedule,132,103.88,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12001,CPT,both,,,132,132,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,132,,fee schedule,132,103.88,297.96,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,AMERIGROUP,AMERIGROUP,,109.07,,fee schedule,109.07,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,111.15,,fee schedule,111.15,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,103.88,,fee schedule,103.88,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,TRICARE,TRICARE,,180.58,,fee schedule,180.58,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,AETNA,AETNA,,532.44,87,percent of total billed charges,532.44,103.88,612,percent of total billed charges,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,532.44,87,percent of total billed charges,532.44,103.88,612,percent of total billed charges,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,UNITED HEALTHCARE,UNITED HEALTHCARE,,538.56,88,percent of total billed charges,538.56,103.88,612,percent of total billed charges,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,AETNA,AETNA,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,BEECH STREET,BEECH STREET,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,MEDICAID,MEDICAID,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,NOVA NET,NOVA NET,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,SELFPAY,SELFPAY,,612,,fee schedule,612,103.88,612,fee schedule,
SREP S/N/A/G/TR/E; 2.5CM/,12001,CPT,both,,,612,612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,612,,fee schedule,612,103.88,612,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,120.02,,fee schedule,120.02,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,122.3,,fee schedule,122.3,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,114.3,,fee schedule,114.3,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,TRICARE,TRICARE,,180.58,,fee schedule,180.58,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,114.3,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,114.3,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,114.3,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,114.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12002,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,114.3,297.96,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,AMERIGROUP,AMERIGROUP,,120.02,,fee schedule,120.02,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,CARESOURCE,CARESOURCE,,122.3,,fee schedule,122.3,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,PEACHSTATE,PEACHSTATE,,114.3,,fee schedule,114.3,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,TRICARE,TRICARE,,180.58,,fee schedule,180.58,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,AETNA,AETNA,,621.18,87,percent of total billed charges,621.18,114.3,714,percent of total billed charges,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,621.18,87,percent of total billed charges,621.18,114.3,714,percent of total billed charges,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,UNITED HEALTHCARE,UNITED HEALTHCARE,,628.32,88,percent of total billed charges,628.32,114.3,714,percent of total billed charges,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,AETNA,AETNA,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,BEECH STREET,BEECH STREET,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,CARESOURCE,CARESOURCE,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,MEDICAID,MEDICAID,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,NOVA NET,NOVA NET,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,PEACHSTATE,PEACHSTATE,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,SELFPAY,SELFPAY,,714,,fee schedule,714,114.3,714,fee schedule,
SREPS/N/A/G/TR/E; 2.6-7.5,12002,CPT,both,,,714,714,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,714,,fee schedule,714,114.3,714,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,143.12,,fee schedule,143.12,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,145.84,,fee schedule,145.84,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,136.3,,fee schedule,136.3,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,136.3,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,136.3,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,136.3,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,136.3,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,AMERIGROUP,AMERIGROUP,,143.12,,fee schedule,143.12,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,145.84,,fee schedule,145.84,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,136.3,,fee schedule,136.3,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,TRICARE,TRICARE,,180.58,,fee schedule,180.58,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,AETNA,AETNA,,187.92,87,percent of total billed charges,187.92,136.3,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.92,87,percent of total billed charges,187.92,136.3,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.08,88,percent of total billed charges,190.08,136.3,297.96,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,AETNA,AETNA,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,BEECH STREET,BEECH STREET,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,MEDICAID,MEDICAID,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,NOVA NET,NOVA NET,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,SELFPAY,SELFPAY,,216,,fee schedule,216,136.3,297.96,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12004,CPT,both,,,216,216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,216,,fee schedule,216,136.3,297.96,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,AMERIGROUP,AMERIGROUP,,143.12,,fee schedule,143.12,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,CARESOURCE,CARESOURCE,,145.84,,fee schedule,145.84,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,PEACHSTATE,PEACHSTATE,,136.3,,fee schedule,136.3,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,TRICARE,TRICARE,,180.58,,fee schedule,180.58,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,AETNA,AETNA,,753.42,87,percent of total billed charges,753.42,136.3,866,percent of total billed charges,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,753.42,87,percent of total billed charges,753.42,136.3,866,percent of total billed charges,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,UNITED HEALTHCARE,UNITED HEALTHCARE,,762.08,88,percent of total billed charges,762.08,136.3,866,percent of total billed charges,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,AETNA,AETNA,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,BEECH STREET,BEECH STREET,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,CARESOURCE,CARESOURCE,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,MEDICAID,MEDICAID,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,NOVA NET,NOVA NET,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,PEACHSTATE,PEACHSTATE,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,SELFPAY,SELFPAY,,866,,fee schedule,866,136.3,866,fee schedule,
SREP S/N/A/G/TR/E; 7.6-12,12004,CPT,both,,,866,866,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,866,,fee schedule,866,136.3,866,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,177.71,,fee schedule,177.71,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,181.1,,fee schedule,181.1,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,169.25,,fee schedule,169.25,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,169.25,846,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,169.25,846,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,169.25,846,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,169.25,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,AMERIGROUP,AMERIGROUP,,177.71,,fee schedule,177.71,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,CARESOURCE,CARESOURCE,,181.1,,fee schedule,181.1,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,PEACHSTATE,PEACHSTATE,,169.25,,fee schedule,169.25,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,TRICARE,TRICARE,,373.07,,fee schedule,373.07,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,AETNA,AETNA,,244.47,87,percent of total billed charges,244.47,169.25,615.57,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,244.47,87,percent of total billed charges,244.47,169.25,615.57,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,UNITED HEALTHCARE,UNITED HEALTHCARE,,247.28,88,percent of total billed charges,247.28,169.25,615.57,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,AETNA,AETNA,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,BEECH STREET,BEECH STREET,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,CARESOURCE,CARESOURCE,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,MEDICAID,MEDICAID,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,NOVA NET,NOVA NET,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,PEACHSTATE,PEACHSTATE,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,SELFPAY,SELFPAY,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12005,CPT,both,,,281,281,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,281,,fee schedule,281,169.25,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,232.62,,fee schedule,232.62,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,237.05,,fee schedule,237.05,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,221.54,,fee schedule,221.54,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,221.54,846,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,221.54,846,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,221.54,846,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,221.54,846,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,AMERIGROUP,AMERIGROUP,,232.62,,fee schedule,232.62,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,CARESOURCE,CARESOURCE,,237.05,,fee schedule,237.05,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,PEACHSTATE,PEACHSTATE,,221.54,,fee schedule,221.54,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,TRICARE,TRICARE,,373.07,,fee schedule,373.07,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,AETNA,AETNA,,301.02,87,percent of total billed charges,301.02,221.54,615.57,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.02,87,percent of total billed charges,301.02,221.54,615.57,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,UNITED HEALTHCARE,UNITED HEALTHCARE,,304.48,88,percent of total billed charges,304.48,221.54,615.57,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,AETNA,AETNA,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,BEECH STREET,BEECH STREET,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,CARESOURCE,CARESOURCE,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,MEDICAID,MEDICAID,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,NOVA NET,NOVA NET,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,PEACHSTATE,PEACHSTATE,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,SELFPAY,SELFPAY,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12006,CPT,both,,,346,346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,346,,fee schedule,346,221.54,615.57,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,254.31,,fee schedule,254.31,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,259.15,,fee schedule,259.15,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,242.2,,fee schedule,242.2,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,AMERIGROUP,AMERIGROUP,,254.31,,fee schedule,254.31,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,CARESOURCE,CARESOURCE,,259.15,,fee schedule,259.15,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,PEACHSTATE,PEACHSTATE,,242.2,,fee schedule,242.2,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,TRICARE,TRICARE,,180.58,,fee schedule,180.58,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,AETNA,AETNA,,374.97,87,percent of total billed charges,374.97,180.58,431,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,374.97,87,percent of total billed charges,374.97,180.58,431,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,UNITED HEALTHCARE,UNITED HEALTHCARE,,379.28,88,percent of total billed charges,379.28,180.58,431,percent of total billed charges,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,AETNA,AETNA,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,BEECH STREET,BEECH STREET,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,CARESOURCE,CARESOURCE,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,MEDICAID,MEDICAID,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,NOVA NET,NOVA NET,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,PEACHSTATE,PEACHSTATE,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,SELFPAY,SELFPAY,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO SCALP NECK,12007,CPT,both,,,431,431,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,431,,fee schedule,431,180.58,431,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,116.07,,fee schedule,116.07,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,118.28,,fee schedule,118.28,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,110.54,,fee schedule,110.54,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,110.54,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,110.54,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,110.54,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,110.54,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,116.07,,fee schedule,116.07,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,118.28,,fee schedule,118.28,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,110.54,,fee schedule,110.54,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,TRICARE,TRICARE,,180.58,,fee schedule,180.58,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,110.54,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,110.54,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,110.54,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,110.54,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12011,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,110.54,297.96,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,AMERIGROUP,AMERIGROUP,,116.07,,fee schedule,116.07,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,118.28,,fee schedule,118.28,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,110.54,,fee schedule,110.54,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,TRICARE,TRICARE,,180.58,,fee schedule,180.58,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,110.54,697,percent of total billed charges,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,110.54,697,percent of total billed charges,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,110.54,697,percent of total billed charges,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,110.54,697,fee schedule,
SREP F/E/N/L/MM; 2.5CM/<,12011,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,110.54,697,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,131.62,,fee schedule,131.62,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,134.12,,fee schedule,134.12,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,125.35,,fee schedule,125.35,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,TRICARE,TRICARE,,180.58,,fee schedule,180.58,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,125.35,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,125.35,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,125.35,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12013,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,125.35,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,155.99,,fee schedule,155.99,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,158.96,,fee schedule,158.96,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,148.56,,fee schedule,148.56,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,148.56,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,148.56,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,148.56,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,148.56,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,AMERIGROUP,AMERIGROUP,,155.99,,fee schedule,155.99,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,158.96,,fee schedule,158.96,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,148.56,,fee schedule,148.56,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,TRICARE,TRICARE,,180.58,,fee schedule,180.58,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,AETNA,AETNA,,194.88,87,percent of total billed charges,194.88,148.56,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194.88,87,percent of total billed charges,194.88,148.56,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,UNITED HEALTHCARE,UNITED HEALTHCARE,,197.12,88,percent of total billed charges,197.12,148.56,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,AETNA,AETNA,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,BEECH STREET,BEECH STREET,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,MEDICAID,MEDICAID,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,NOVA NET,NOVA NET,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,SELFPAY,SELFPAY,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12014,CPT,both,,,224,224,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,224,,fee schedule,224,148.56,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,197.18,,fee schedule,197.18,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,200.94,,fee schedule,200.94,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,187.79,,fee schedule,187.79,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,AMERIGROUP,AMERIGROUP,,197.18,,fee schedule,197.18,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,200.94,,fee schedule,200.94,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,187.79,,fee schedule,187.79,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,TRICARE,TRICARE,,180.58,,fee schedule,180.58,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,AETNA,AETNA,,243.6,87,percent of total billed charges,243.6,180.58,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243.6,87,percent of total billed charges,243.6,180.58,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,UNITED HEALTHCARE,UNITED HEALTHCARE,,246.4,88,percent of total billed charges,246.4,180.58,297.96,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,AETNA,AETNA,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,BEECH STREET,BEECH STREET,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,MEDICAID,MEDICAID,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,NOVA NET,NOVA NET,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,SELFPAY,SELFPAY,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12015,CPT,both,,,280,280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,280,,fee schedule,280,180.58,297.96,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,239.04,,fee schedule,239.04,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,243.6,,fee schedule,243.6,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,227.66,,fee schedule,227.66,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,227.66,846,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,227.66,846,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,227.66,846,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,227.66,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,239.04,,fee schedule,239.04,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,243.6,,fee schedule,243.6,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,227.66,,fee schedule,227.66,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,TRICARE,TRICARE,,373.07,,fee schedule,373.07,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,227.66,615.57,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,227.66,615.57,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,227.66,615.57,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12016,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,227.66,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,316.87,,fee schedule,316.87,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,322.9,,fee schedule,322.9,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,301.78,,fee schedule,301.78,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,301.78,846,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,301.78,846,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,301.78,846,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,301.78,846,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,AMERIGROUP,AMERIGROUP,,316.87,,fee schedule,316.87,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,CARESOURCE,CARESOURCE,,322.9,,fee schedule,322.9,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,PEACHSTATE,PEACHSTATE,,301.78,,fee schedule,301.78,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,TRICARE,TRICARE,,373.07,,fee schedule,373.07,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,AETNA,AETNA,,392.37,87,percent of total billed charges,392.37,301.78,615.57,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,392.37,87,percent of total billed charges,392.37,301.78,615.57,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,UNITED HEALTHCARE,UNITED HEALTHCARE,,396.88,88,percent of total billed charges,396.88,301.78,615.57,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,AETNA,AETNA,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,BEECH STREET,BEECH STREET,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,CARESOURCE,CARESOURCE,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,MEDICAID,MEDICAID,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,NOVA NET,NOVA NET,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,PEACHSTATE,PEACHSTATE,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,SELFPAY,SELFPAY,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12017,CPT,both,,,451,451,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,451,,fee schedule,451,301.78,615.57,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,387.73,,fee schedule,387.73,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,395.12,,fee schedule,395.12,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,369.27,,fee schedule,369.27,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,180.58,477,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,180.58,477,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,AMERIGROUP,AMERIGROUP,,387.73,,fee schedule,387.73,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,CARESOURCE,CARESOURCE,,395.12,,fee schedule,395.12,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,PEACHSTATE,PEACHSTATE,,369.27,,fee schedule,369.27,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,TRICARE,TRICARE,,180.58,,fee schedule,180.58,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,AETNA,AETNA,,445.44,87,percent of total billed charges,445.44,180.58,512,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,445.44,87,percent of total billed charges,445.44,180.58,512,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,UNITED HEALTHCARE,UNITED HEALTHCARE,,450.56,88,percent of total billed charges,450.56,180.58,512,percent of total billed charges,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,AETNA,AETNA,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,BEECH STREET,BEECH STREET,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,CARESOURCE,CARESOURCE,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,MEDICAID,MEDICAID,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,NOVA NET,NOVA NET,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,PEACHSTATE,PEACHSTATE,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,SELFPAY,SELFPAY,,512,,fee schedule,512,180.58,512,fee schedule,
SIMPLE REPAIR TO FACE EARS,12018,CPT,both,,,512,512,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,512,,fee schedule,512,180.58,512,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,AMERIGROUP,AMERIGROUP,,109.97,,fee schedule,109.97,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,112.06,,fee schedule,112.06,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,104.73,,fee schedule,104.73,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,TRICARE,TRICARE,,373.07,,fee schedule,373.07,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,AETNA,AETNA,,790.83,87,percent of total billed charges,790.83,104.73,909,percent of total billed charges,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,790.83,87,percent of total billed charges,790.83,104.73,909,percent of total billed charges,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,UNITED HEALTHCARE,UNITED HEALTHCARE,,799.92,88,percent of total billed charges,799.92,104.73,909,percent of total billed charges,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,AETNA,AETNA,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,BEECH STREET,BEECH STREET,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,MEDICAID,MEDICAID,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,NOVA NET,NOVA NET,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,SELFPAY,SELFPAY,,909,,fee schedule,909,104.73,909,fee schedule,
CLOSURE OF SPLIT WOUND,12021,CPT,both,,,909,909,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,909,,fee schedule,909,104.73,909,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,132.92,,fee schedule,132.92,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,135.45,,fee schedule,135.45,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,126.59,,fee schedule,126.59,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,126.59,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,126.59,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,126.59,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,126.59,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,AMERIGROUP,AMERIGROUP,,132.92,,fee schedule,132.92,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,CARESOURCE,CARESOURCE,,135.45,,fee schedule,135.45,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,PEACHSTATE,PEACHSTATE,,126.59,,fee schedule,126.59,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,TRICARE,TRICARE,,373.07,,fee schedule,373.07,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,AETNA,AETNA,,384.54,87,percent of total billed charges,384.54,126.59,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,384.54,87,percent of total billed charges,384.54,126.59,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,UNITED HEALTHCARE,UNITED HEALTHCARE,,388.96,88,percent of total billed charges,388.96,126.59,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,AETNA,AETNA,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,BEECH STREET,BEECH STREET,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,CARESOURCE,CARESOURCE,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,MEDICAID,MEDICAID,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,NOVA NET,NOVA NET,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,PEACHSTATE,PEACHSTATE,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,SELFPAY,SELFPAY,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12031,CPT,both,,,442,442,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,442,,fee schedule,442,126.59,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,151.44,,fee schedule,151.44,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,154.33,,fee schedule,154.33,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,144.23,,fee schedule,144.23,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,144.23,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,144.23,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,144.23,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,144.23,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,AMERIGROUP,AMERIGROUP,,151.44,,fee schedule,151.44,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,CARESOURCE,CARESOURCE,,154.33,,fee schedule,154.33,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,PEACHSTATE,PEACHSTATE,,144.23,,fee schedule,144.23,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,TRICARE,TRICARE,,373.07,,fee schedule,373.07,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,AETNA,AETNA,,486.33,87,percent of total billed charges,486.33,144.23,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,486.33,87,percent of total billed charges,486.33,144.23,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,UNITED HEALTHCARE,UNITED HEALTHCARE,,491.92,88,percent of total billed charges,491.92,144.23,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,AETNA,AETNA,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,BEECH STREET,BEECH STREET,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,CARESOURCE,CARESOURCE,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,MEDICAID,MEDICAID,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,NOVA NET,NOVA NET,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,PEACHSTATE,PEACHSTATE,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,SELFPAY,SELFPAY,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12032,CPT,both,,,559,559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,559,,fee schedule,559,144.23,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,180.4,,fee schedule,180.4,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,183.84,,fee schedule,183.84,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,171.81,,fee schedule,171.81,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,171.81,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,171.81,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,171.81,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,171.81,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,AMERIGROUP,AMERIGROUP,,180.4,,fee schedule,180.4,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,CARESOURCE,CARESOURCE,,183.84,,fee schedule,183.84,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,PEACHSTATE,PEACHSTATE,,171.81,,fee schedule,171.81,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,TRICARE,TRICARE,,373.07,,fee schedule,373.07,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,AETNA,AETNA,,522,87,percent of total billed charges,522,171.81,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,87,percent of total billed charges,522,171.81,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,UNITED HEALTHCARE,UNITED HEALTHCARE,,528,88,percent of total billed charges,528,171.81,615.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,AETNA,AETNA,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,BEECH STREET,BEECH STREET,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,CARESOURCE,CARESOURCE,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,MEDICAID,MEDICAID,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,NOVA NET,NOVA NET,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,PEACHSTATE,PEACHSTATE,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,SELFPAY,SELFPAY,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12034,CPT,both,,,600,600,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,600,,fee schedule,600,171.81,615.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,207.66,,fee schedule,207.66,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,211.61,,fee schedule,211.61,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,197.77,,fee schedule,197.77,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,197.77,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,197.77,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,197.77,846,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,197.77,846,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,AMERIGROUP,AMERIGROUP,,207.66,,fee schedule,207.66,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,CARESOURCE,CARESOURCE,,211.61,,fee schedule,211.61,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,PEACHSTATE,PEACHSTATE,,197.77,,fee schedule,197.77,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,TRICARE,TRICARE,,373.07,,fee schedule,373.07,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,AETNA,AETNA,,607.26,87,percent of total billed charges,607.26,197.77,698,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,607.26,87,percent of total billed charges,607.26,197.77,698,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,UNITED HEALTHCARE,UNITED HEALTHCARE,,614.24,88,percent of total billed charges,614.24,197.77,698,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,AETNA,AETNA,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,BEECH STREET,BEECH STREET,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,CARESOURCE,CARESOURCE,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,MEDICAID,MEDICAID,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,NOVA NET,NOVA NET,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,PEACHSTATE,PEACHSTATE,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,SELFPAY,SELFPAY,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12035,CPT,both,,,698,698,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,698,,fee schedule,698,197.77,698,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,269.45,,fee schedule,269.45,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,274.58,,fee schedule,274.58,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,256.62,,fee schedule,256.62,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,256.62,1300,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,256.62,1300,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,256.62,1300,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,256.62,1300,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,AMERIGROUP,AMERIGROUP,,269.45,,fee schedule,269.45,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,CARESOURCE,CARESOURCE,,274.58,,fee schedule,274.58,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,PEACHSTATE,PEACHSTATE,,256.62,,fee schedule,256.62,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,TRICARE,TRICARE,,580.95,,fee schedule,580.95,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,AETNA,AETNA,,710.79,87,percent of total billed charges,710.79,256.62,958.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,710.79,87,percent of total billed charges,710.79,256.62,958.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,UNITED HEALTHCARE,UNITED HEALTHCARE,,718.96,88,percent of total billed charges,718.96,256.62,958.57,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,AETNA,AETNA,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,BEECH STREET,BEECH STREET,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,CARESOURCE,CARESOURCE,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,MEDICAID,MEDICAID,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,NOVA NET,NOVA NET,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,PEACHSTATE,PEACHSTATE,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,SELFPAY,SELFPAY,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12036,CPT,both,,,817,817,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,817,,fee schedule,817,256.62,958.57,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,AMERIGROUP,AMERIGROUP,,308.83,,fee schedule,308.83,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,314.71,,fee schedule,314.71,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,294.12,,fee schedule,294.12,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,AETNA,AETNA,,3622.68,87,percent of total billed charges,3622.68,294.12,4164,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3622.68,87,percent of total billed charges,3622.68,294.12,4164,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,UNITED HEALTHCARE,UNITED HEALTHCARE,,3664.32,88,percent of total billed charges,3664.32,294.12,4164,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,AETNA,AETNA,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,BEECH STREET,BEECH STREET,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,MEDICAID,MEDICAID,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,NOVA NET,NOVA NET,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,SELFPAY,SELFPAY,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,4164,4164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4164,,fee schedule,4164,294.12,4164,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,AMERIGROUP,AMERIGROUP,,308.83,,fee schedule,308.83,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,CARESOURCE,CARESOURCE,,314.71,,fee schedule,314.71,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,PEACHSTATE,PEACHSTATE,,294.12,,fee schedule,294.12,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,AETNA,AETNA,,832.59,87,percent of total billed charges,832.59,294.12,2847.67,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,832.59,87,percent of total billed charges,832.59,294.12,2847.67,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,UNITED HEALTHCARE,UNITED HEALTHCARE,,842.16,88,percent of total billed charges,842.16,294.12,2847.67,percent of total billed charges,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,AETNA,AETNA,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,BEECH STREET,BEECH STREET,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,CARESOURCE,CARESOURCE,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,MEDICAID,MEDICAID,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,NOVA NET,NOVA NET,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,PEACHSTATE,PEACHSTATE,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,SELFPAY,SELFPAY,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIRS TO SCALP,12037,CPT,both,,,957,957,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,957,,fee schedule,957,294.12,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,148.11,,fee schedule,148.11,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,150.93,,fee schedule,150.93,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,141.06,,fee schedule,141.06,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,141.06,846,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,141.06,846,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,141.06,846,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,141.06,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,AMERIGROUP,AMERIGROUP,,148.11,,fee schedule,148.11,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,150.93,,fee schedule,150.93,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,141.06,,fee schedule,141.06,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,TRICARE,TRICARE,,373.07,,fee schedule,373.07,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,AETNA,AETNA,,376.71,87,percent of total billed charges,376.71,141.06,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,376.71,87,percent of total billed charges,376.71,141.06,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.04,88,percent of total billed charges,381.04,141.06,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,AETNA,AETNA,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,BEECH STREET,BEECH STREET,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,MEDICAID,MEDICAID,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,NOVA NET,NOVA NET,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,SELFPAY,SELFPAY,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12041,CPT,both,,,433,433,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,433,,fee schedule,433,141.06,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,166.6,,fee schedule,166.6,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,169.78,,fee schedule,169.78,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,158.67,,fee schedule,158.67,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,158.67,846,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,158.67,846,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,158.67,846,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,158.67,846,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,AMERIGROUP,AMERIGROUP,,166.6,,fee schedule,166.6,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,169.78,,fee schedule,169.78,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,158.67,,fee schedule,158.67,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,TRICARE,TRICARE,,373.07,,fee schedule,373.07,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,AETNA,AETNA,,503.73,87,percent of total billed charges,503.73,158.67,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503.73,87,percent of total billed charges,503.73,158.67,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,UNITED HEALTHCARE,UNITED HEALTHCARE,,509.52,88,percent of total billed charges,509.52,158.67,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,AETNA,AETNA,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,BEECH STREET,BEECH STREET,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,MEDICAID,MEDICAID,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,NOVA NET,NOVA NET,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,SELFPAY,SELFPAY,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12042,CPT,both,,,579,579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,579,,fee schedule,579,158.67,615.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,191.25,,fee schedule,191.25,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,194.89,,fee schedule,194.89,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,182.14,,fee schedule,182.14,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,182.14,1300,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,182.14,1300,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,182.14,1300,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,182.14,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,AMERIGROUP,AMERIGROUP,,191.25,,fee schedule,191.25,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,CARESOURCE,CARESOURCE,,194.89,,fee schedule,194.89,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,PEACHSTATE,PEACHSTATE,,182.14,,fee schedule,182.14,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,TRICARE,TRICARE,,580.95,,fee schedule,580.95,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,AETNA,AETNA,,542.88,87,percent of total billed charges,542.88,182.14,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542.88,87,percent of total billed charges,542.88,182.14,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,UNITED HEALTHCARE,UNITED HEALTHCARE,,549.12,88,percent of total billed charges,549.12,182.14,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,AETNA,AETNA,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,BEECH STREET,BEECH STREET,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,CARESOURCE,CARESOURCE,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,MEDICAID,MEDICAID,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,NOVA NET,NOVA NET,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,PEACHSTATE,PEACHSTATE,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,SELFPAY,SELFPAY,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12044,CPT,both,,,624,624,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,624,,fee schedule,624,182.14,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,224.29,,fee schedule,224.29,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,228.56,,fee schedule,228.56,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,213.61,,fee schedule,213.61,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,213.61,1300,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,213.61,1300,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,213.61,1300,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,213.61,1300,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,AMERIGROUP,AMERIGROUP,,224.29,,fee schedule,224.29,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,CARESOURCE,CARESOURCE,,228.56,,fee schedule,228.56,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,PEACHSTATE,PEACHSTATE,,213.61,,fee schedule,213.61,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,TRICARE,TRICARE,,580.95,,fee schedule,580.95,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,AETNA,AETNA,,675.12,87,percent of total billed charges,675.12,213.61,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,675.12,87,percent of total billed charges,675.12,213.61,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,UNITED HEALTHCARE,UNITED HEALTHCARE,,682.88,88,percent of total billed charges,682.88,213.61,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,AETNA,AETNA,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,BEECH STREET,BEECH STREET,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,CARESOURCE,CARESOURCE,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,MEDICAID,MEDICAID,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,NOVA NET,NOVA NET,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,PEACHSTATE,PEACHSTATE,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,SELFPAY,SELFPAY,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12045,CPT,both,,,776,776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,776,,fee schedule,776,213.61,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,284.83,,fee schedule,284.83,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,290.26,,fee schedule,290.26,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,271.27,,fee schedule,271.27,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,TRICARE,TRICARE,,580.95,,fee schedule,580.95,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,271.27,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,271.27,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,271.27,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,AMERIGROUP,AMERIGROUP,,284.83,,fee schedule,284.83,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,290.26,,fee schedule,290.26,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,271.27,,fee schedule,271.27,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,TRICARE,TRICARE,,580.95,,fee schedule,580.95,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,AETNA,AETNA,,789.09,87,percent of total billed charges,789.09,271.27,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,789.09,87,percent of total billed charges,789.09,271.27,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,UNITED HEALTHCARE,UNITED HEALTHCARE,,798.16,88,percent of total billed charges,798.16,271.27,958.57,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,AETNA,AETNA,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,BEECH STREET,BEECH STREET,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,MEDICAID,MEDICAID,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,NOVA NET,NOVA NET,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,SELFPAY,SELFPAY,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12046,CPT,both,,,907,907,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,907,,fee schedule,907,271.27,958.57,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,AMERIGROUP,AMERIGROUP,,325,,fee schedule,325,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,331.19,,fee schedule,331.19,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,309.52,,fee schedule,309.52,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,AETNA,AETNA,,3622.68,87,percent of total billed charges,3622.68,309.52,4164,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3622.68,87,percent of total billed charges,3622.68,309.52,4164,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,UNITED HEALTHCARE,UNITED HEALTHCARE,,3664.32,88,percent of total billed charges,3664.32,309.52,4164,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,AETNA,AETNA,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,BEECH STREET,BEECH STREET,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,MEDICAID,MEDICAID,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,NOVA NET,NOVA NET,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,SELFPAY,SELFPAY,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,4164,4164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4164,,fee schedule,4164,309.52,4164,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,AMERIGROUP,AMERIGROUP,,325,,fee schedule,325,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,CARESOURCE,CARESOURCE,,331.19,,fee schedule,331.19,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,PEACHSTATE,PEACHSTATE,,309.52,,fee schedule,309.52,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,AETNA,AETNA,,880.44,87,percent of total billed charges,880.44,309.52,2847.67,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,880.44,87,percent of total billed charges,880.44,309.52,2847.67,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,UNITED HEALTHCARE,UNITED HEALTHCARE,,890.56,88,percent of total billed charges,890.56,309.52,2847.67,percent of total billed charges,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,AETNA,AETNA,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,BEECH STREET,BEECH STREET,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,CARESOURCE,CARESOURCE,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,MEDICAID,MEDICAID,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,NOVA NET,NOVA NET,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,PEACHSTATE,PEACHSTATE,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,SELFPAY,SELFPAY,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO NECK,12047,CPT,both,,,1012,1012,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1012,,fee schedule,1012,309.52,2847.67,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,153.42,,fee schedule,153.42,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,156.34,,fee schedule,156.34,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,146.11,,fee schedule,146.11,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,146.11,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,146.11,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,146.11,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,146.11,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,AMERIGROUP,AMERIGROUP,,153.42,,fee schedule,153.42,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,156.34,,fee schedule,156.34,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,146.11,,fee schedule,146.11,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,TRICARE,TRICARE,,373.07,,fee schedule,373.07,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,AETNA,AETNA,,429.78,87,percent of total billed charges,429.78,146.11,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,429.78,87,percent of total billed charges,429.78,146.11,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,UNITED HEALTHCARE,UNITED HEALTHCARE,,434.72,88,percent of total billed charges,434.72,146.11,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,AETNA,AETNA,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,BEECH STREET,BEECH STREET,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,MEDICAID,MEDICAID,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,NOVA NET,NOVA NET,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,SELFPAY,SELFPAY,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12051,CPT,both,,,494,494,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,494,,fee schedule,494,146.11,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,171.98,,fee schedule,171.98,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,175.26,,fee schedule,175.26,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,163.79,,fee schedule,163.79,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,163.79,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,163.79,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,163.79,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,163.79,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,AMERIGROUP,AMERIGROUP,,171.98,,fee schedule,171.98,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,175.26,,fee schedule,175.26,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,163.79,,fee schedule,163.79,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,TRICARE,TRICARE,,373.07,,fee schedule,373.07,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,AETNA,AETNA,,512.43,87,percent of total billed charges,512.43,163.79,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,512.43,87,percent of total billed charges,512.43,163.79,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,UNITED HEALTHCARE,UNITED HEALTHCARE,,518.32,88,percent of total billed charges,518.32,163.79,615.57,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,AETNA,AETNA,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,BEECH STREET,BEECH STREET,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,MEDICAID,MEDICAID,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,NOVA NET,NOVA NET,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,SELFPAY,SELFPAY,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12052,CPT,both,,,589,589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,589,,fee schedule,589,163.79,615.57,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,192.37,,fee schedule,192.37,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,196.03,,fee schedule,196.03,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,183.21,,fee schedule,183.21,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,183.21,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,183.21,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,183.21,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,183.21,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,AMERIGROUP,AMERIGROUP,,192.37,,fee schedule,192.37,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,CARESOURCE,CARESOURCE,,196.03,,fee schedule,196.03,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,PEACHSTATE,PEACHSTATE,,183.21,,fee schedule,183.21,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,TRICARE,TRICARE,,373.07,,fee schedule,373.07,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,AETNA,AETNA,,548.97,87,percent of total billed charges,548.97,183.21,631,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,548.97,87,percent of total billed charges,548.97,183.21,631,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,UNITED HEALTHCARE,UNITED HEALTHCARE,,555.28,88,percent of total billed charges,555.28,183.21,631,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,AETNA,AETNA,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,BEECH STREET,BEECH STREET,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,CARESOURCE,CARESOURCE,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,MEDICAID,MEDICAID,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,NOVA NET,NOVA NET,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,PEACHSTATE,PEACHSTATE,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,SELFPAY,SELFPAY,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12053,CPT,both,,,631,631,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,631,,fee schedule,631,183.21,631,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,225.89,,fee schedule,225.89,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,230.19,,fee schedule,230.19,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,215.13,,fee schedule,215.13,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,215.13,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,215.13,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,215.13,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,215.13,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,AMERIGROUP,AMERIGROUP,,225.89,,fee schedule,225.89,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,230.19,,fee schedule,230.19,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,215.13,,fee schedule,215.13,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,TRICARE,TRICARE,,373.07,,fee schedule,373.07,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,AETNA,AETNA,,562.89,87,percent of total billed charges,562.89,215.13,647,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562.89,87,percent of total billed charges,562.89,215.13,647,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,UNITED HEALTHCARE,UNITED HEALTHCARE,,569.36,88,percent of total billed charges,569.36,215.13,647,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,AETNA,AETNA,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,BEECH STREET,BEECH STREET,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,MEDICAID,MEDICAID,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,NOVA NET,NOVA NET,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,SELFPAY,SELFPAY,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12054,CPT,both,,,647,647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,647,,fee schedule,647,215.13,647,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,285.29,,fee schedule,285.29,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,290.72,,fee schedule,290.72,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,271.7,,fee schedule,271.7,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,271.7,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,271.7,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,271.7,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,271.7,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,285.29,,fee schedule,285.29,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,290.72,,fee schedule,290.72,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,271.7,,fee schedule,271.7,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,TRICARE,TRICARE,,373.07,,fee schedule,373.07,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,AETNA,AETNA,,762.99,87,percent of total billed charges,762.99,271.7,877,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,762.99,87,percent of total billed charges,762.99,271.7,877,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,UNITED HEALTHCARE,UNITED HEALTHCARE,,771.76,88,percent of total billed charges,771.76,271.7,877,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,AETNA,AETNA,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,BEECH STREET,BEECH STREET,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,MEDICAID,MEDICAID,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,NOVA NET,NOVA NET,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,SELFPAY,SELFPAY,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12055,CPT,both,,,877,877,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,877,,fee schedule,877,271.7,877,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,366.22,,fee schedule,366.22,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,373.19,,fee schedule,373.19,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,348.78,,fee schedule,348.78,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,348.78,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,348.78,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,348.78,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,348.78,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,AMERIGROUP,AMERIGROUP,,366.22,,fee schedule,366.22,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,CARESOURCE,CARESOURCE,,373.19,,fee schedule,373.19,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,PEACHSTATE,PEACHSTATE,,348.78,,fee schedule,348.78,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,TRICARE,TRICARE,,373.07,,fee schedule,373.07,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,AETNA,AETNA,,963.09,87,percent of total billed charges,963.09,348.78,1107,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,963.09,87,percent of total billed charges,963.09,348.78,1107,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,UNITED HEALTHCARE,UNITED HEALTHCARE,,974.16,88,percent of total billed charges,974.16,348.78,1107,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,AETNA,AETNA,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,BEECH STREET,BEECH STREET,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,CARESOURCE,CARESOURCE,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,MEDICAID,MEDICAID,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,NOVA NET,NOVA NET,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,PEACHSTATE,PEACHSTATE,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,SELFPAY,SELFPAY,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12056,CPT,both,,,1107,1107,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1107,,fee schedule,1107,348.78,1107,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,405.09,,fee schedule,405.09,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,412.81,,fee schedule,412.81,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,385.8,,fee schedule,385.8,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,373.07,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,373.07,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,373.07,846,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,373.07,846,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,AMERIGROUP,AMERIGROUP,,405.09,,fee schedule,405.09,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,412.81,,fee schedule,412.81,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,385.8,,fee schedule,385.8,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,TRICARE,TRICARE,,373.07,,fee schedule,373.07,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,AETNA,AETNA,,1068.36,87,percent of total billed charges,1068.36,373.07,1228,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1068.36,87,percent of total billed charges,1068.36,373.07,1228,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1080.64,88,percent of total billed charges,1080.64,373.07,1228,percent of total billed charges,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,AETNA,AETNA,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,BEECH STREET,BEECH STREET,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,MEDICAID,MEDICAID,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,NOVA NET,NOVA NET,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,SELFPAY,SELFPAY,,1228,,fee schedule,1228,373.07,1228,fee schedule,
INTERMEDIATE REPAIR TO FACE,12057,CPT,both,,,1228,1228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1228,,fee schedule,1228,373.07,1228,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,AETNA,AETNA,,9140.72,87,percent of total billed charges,9140.72,9140.72,10506.58,percent of total billed charges,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9140.72,87,percent of total billed charges,9140.72,9140.72,10506.58,percent of total billed charges,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,UNITED HEALTHCARE,UNITED HEALTHCARE,,9245.79,88,percent of total billed charges,9245.79,9140.72,10506.58,percent of total billed charges,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,AETNA,AETNA,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,ALLIANT,ALLIANT,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,AMBETTER,AMBETTER,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,BEECH STREET,BEECH STREET,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,CARESOURCE,CARESOURCE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,MEDICAID,MEDICAID,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,MEDICARE,MEDICARE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,NOVA NET,NOVA NET,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,PEACHSTATE,PEACHSTATE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,SELFPAY,SELFPAY,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,TRICARE,TRICARE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
OTHER DISORDERS OF THE EYE W/O MCC,125,DRG,inpatient,,,10506.58,10506.58,UHC MEDICARE,UHC MEDICARE,,10506.58,,fee schedule,10506.58,9140.72,10506.58,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,183.65,,fee schedule,183.65,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,187.14,,fee schedule,187.14,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,174.9,,fee schedule,174.9,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,174.9,1300,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,174.9,1300,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,174.9,1300,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,174.9,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,AMERIGROUP,AMERIGROUP,,183.65,,fee schedule,183.65,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,CARESOURCE,CARESOURCE,,187.14,,fee schedule,187.14,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,PEACHSTATE,PEACHSTATE,,174.9,,fee schedule,174.9,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,TRICARE,TRICARE,,580.95,,fee schedule,580.95,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,AETNA,AETNA,,517.65,87,percent of total billed charges,517.65,174.9,958.57,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,517.65,87,percent of total billed charges,517.65,174.9,958.57,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,UNITED HEALTHCARE,UNITED HEALTHCARE,,523.6,88,percent of total billed charges,523.6,174.9,958.57,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,AETNA,AETNA,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,BEECH STREET,BEECH STREET,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,CARESOURCE,CARESOURCE,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,MEDICAID,MEDICAID,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,NOVA NET,NOVA NET,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,PEACHSTATE,PEACHSTATE,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,SELFPAY,SELFPAY,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13100,CPT,both,,,595,595,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,595,,fee schedule,595,174.9,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,232.69,,fee schedule,232.69,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,237.12,,fee schedule,237.12,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,221.61,,fee schedule,221.61,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,221.61,1300,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,221.61,1300,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,221.61,1300,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,221.61,1300,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,AMERIGROUP,AMERIGROUP,,232.69,,fee schedule,232.69,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,CARESOURCE,CARESOURCE,,237.12,,fee schedule,237.12,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,PEACHSTATE,PEACHSTATE,,221.61,,fee schedule,221.61,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,TRICARE,TRICARE,,580.95,,fee schedule,580.95,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,AETNA,AETNA,,635.97,87,percent of total billed charges,635.97,221.61,958.57,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,635.97,87,percent of total billed charges,635.97,221.61,958.57,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,UNITED HEALTHCARE,UNITED HEALTHCARE,,643.28,88,percent of total billed charges,643.28,221.61,958.57,percent of total billed charges,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,AETNA,AETNA,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,BEECH STREET,BEECH STREET,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,CARESOURCE,CARESOURCE,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,MEDICAID,MEDICAID,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,NOVA NET,NOVA NET,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,PEACHSTATE,PEACHSTATE,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,SELFPAY,SELFPAY,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO THE TRUNK,13101,CPT,both,,,731,731,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,731,,fee schedule,731,221.61,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,196.53,,fee schedule,196.53,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,200.27,,fee schedule,200.27,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,187.17,,fee schedule,187.17,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,187.17,1300,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,187.17,1300,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,187.17,1300,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,187.17,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,AMERIGROUP,AMERIGROUP,,196.53,,fee schedule,196.53,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,200.27,,fee schedule,200.27,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,187.17,,fee schedule,187.17,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,TRICARE,TRICARE,,580.95,,fee schedule,580.95,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,AETNA,AETNA,,593.34,87,percent of total billed charges,593.34,187.17,958.57,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,593.34,87,percent of total billed charges,593.34,187.17,958.57,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,UNITED HEALTHCARE,UNITED HEALTHCARE,,600.16,88,percent of total billed charges,600.16,187.17,958.57,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,AETNA,AETNA,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,BEECH STREET,BEECH STREET,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,MEDICAID,MEDICAID,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,NOVA NET,NOVA NET,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,SELFPAY,SELFPAY,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13120,CPT,both,,,682,682,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,682,,fee schedule,682,187.17,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,261.82,,fee schedule,261.82,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,266.8,,fee schedule,266.8,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,249.35,,fee schedule,249.35,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,249.35,1300,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,249.35,1300,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,249.35,1300,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,249.35,1300,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,AMERIGROUP,AMERIGROUP,,261.82,,fee schedule,261.82,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,CARESOURCE,CARESOURCE,,266.8,,fee schedule,266.8,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,PEACHSTATE,PEACHSTATE,,249.35,,fee schedule,249.35,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,TRICARE,TRICARE,,580.95,,fee schedule,580.95,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,AETNA,AETNA,,674.25,87,percent of total billed charges,674.25,249.35,958.57,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,674.25,87,percent of total billed charges,674.25,249.35,958.57,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,UNITED HEALTHCARE,UNITED HEALTHCARE,,682,88,percent of total billed charges,682,249.35,958.57,percent of total billed charges,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,AETNA,AETNA,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,BEECH STREET,BEECH STREET,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,CARESOURCE,CARESOURCE,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,MEDICAID,MEDICAID,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,NOVA NET,NOVA NET,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,PEACHSTATE,PEACHSTATE,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,SELFPAY,SELFPAY,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO SCALP ARMS,13121,CPT,both,,,775,775,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,775,,fee schedule,775,249.35,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,228.69,,fee schedule,228.69,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,233.05,,fee schedule,233.05,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,217.8,,fee schedule,217.8,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,217.8,846,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,217.8,846,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,217.8,846,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,217.8,846,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,AMERIGROUP,AMERIGROUP,,228.69,,fee schedule,228.69,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,CARESOURCE,CARESOURCE,,233.05,,fee schedule,233.05,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,PEACHSTATE,PEACHSTATE,,217.8,,fee schedule,217.8,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,TRICARE,TRICARE,,373.07,,fee schedule,373.07,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,AETNA,AETNA,,630.75,87,percent of total billed charges,630.75,217.8,725,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,630.75,87,percent of total billed charges,630.75,217.8,725,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,UNITED HEALTHCARE,UNITED HEALTHCARE,,638,88,percent of total billed charges,638,217.8,725,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,AETNA,AETNA,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,BEECH STREET,BEECH STREET,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,CARESOURCE,CARESOURCE,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,MEDICAID,MEDICAID,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,NOVA NET,NOVA NET,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,PEACHSTATE,PEACHSTATE,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,SELFPAY,SELFPAY,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13131,CPT,both,,,725,725,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,725,,fee schedule,725,217.8,725,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,364.12,,fee schedule,364.12,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,371.05,,fee schedule,371.05,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,346.78,,fee schedule,346.78,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,346.78,1300,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,346.78,1300,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,346.78,1300,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,346.78,1300,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,AMERIGROUP,AMERIGROUP,,364.12,,fee schedule,364.12,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,371.05,,fee schedule,371.05,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,346.78,,fee schedule,346.78,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,TRICARE,TRICARE,,580.95,,fee schedule,580.95,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,AETNA,AETNA,,795.18,87,percent of total billed charges,795.18,346.78,958.57,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,795.18,87,percent of total billed charges,795.18,346.78,958.57,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,UNITED HEALTHCARE,UNITED HEALTHCARE,,804.32,88,percent of total billed charges,804.32,346.78,958.57,percent of total billed charges,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,AETNA,AETNA,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,BEECH STREET,BEECH STREET,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,MEDICAID,MEDICAID,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,NOVA NET,NOVA NET,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,SELFPAY,SELFPAY,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR TO FOREHEAD CH,13132,CPT,both,,,914,914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,914,,fee schedule,914,346.78,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,281.81,,fee schedule,281.81,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,287.18,,fee schedule,287.18,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,268.39,,fee schedule,268.39,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,268.39,1300,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,268.39,1300,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,268.39,1300,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,268.39,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,AMERIGROUP,AMERIGROUP,,281.81,,fee schedule,281.81,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,CARESOURCE,CARESOURCE,,287.18,,fee schedule,287.18,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,PEACHSTATE,PEACHSTATE,,268.39,,fee schedule,268.39,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,TRICARE,TRICARE,,580.95,,fee schedule,580.95,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,AETNA,AETNA,,711.66,87,percent of total billed charges,711.66,268.39,958.57,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711.66,87,percent of total billed charges,711.66,268.39,958.57,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,UNITED HEALTHCARE,UNITED HEALTHCARE,,719.84,88,percent of total billed charges,719.84,268.39,958.57,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,AETNA,AETNA,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,BEECH STREET,BEECH STREET,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,CARESOURCE,CARESOURCE,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,MEDICAID,MEDICAID,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,NOVA NET,NOVA NET,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,PEACHSTATE,PEACHSTATE,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,SELFPAY,SELFPAY,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13151,CPT,both,,,818,818,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,818,,fee schedule,818,268.39,958.57,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,407.69,,fee schedule,407.69,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,415.46,,fee schedule,415.46,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,388.28,,fee schedule,388.28,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,TRICARE,TRICARE,,580.95,,fee schedule,580.95,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,388.28,1300,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,388.28,1300,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,388.28,1300,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,388.28,1300,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,AMERIGROUP,AMERIGROUP,,407.69,,fee schedule,407.69,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,CARESOURCE,CARESOURCE,,415.46,,fee schedule,415.46,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,PEACHSTATE,PEACHSTATE,,388.28,,fee schedule,388.28,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,TRICARE,TRICARE,,580.95,,fee schedule,580.95,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,AETNA,AETNA,,878.7,87,percent of total billed charges,878.7,388.28,1010,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,878.7,87,percent of total billed charges,878.7,388.28,1010,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,UNITED HEALTHCARE,UNITED HEALTHCARE,,888.8,88,percent of total billed charges,888.8,388.28,1010,percent of total billed charges,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,AETNA,AETNA,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,BEECH STREET,BEECH STREET,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,CARESOURCE,CARESOURCE,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,MEDICAID,MEDICAID,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,NOVA NET,NOVA NET,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,PEACHSTATE,PEACHSTATE,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,SELFPAY,SELFPAY,,1010,,fee schedule,1010,388.28,1010,fee schedule,
COMPLEX REPAIR-EYELIDS NOSE,13152,CPT,both,,,1010,1010,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1010,,fee schedule,1010,388.28,1010,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,AETNA,AETNA,,9925.52,87,percent of total billed charges,9925.52,9925.52,11408.64,percent of total billed charges,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9925.52,87,percent of total billed charges,9925.52,9925.52,11408.64,percent of total billed charges,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,10039.6,88,percent of total billed charges,10039.6,9925.52,11408.64,percent of total billed charges,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,AETNA,AETNA,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,ALLIANT,ALLIANT,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,AMBETTER,AMBETTER,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,BEECH STREET,BEECH STREET,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,CARESOURCE,CARESOURCE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,MEDICAID,MEDICAID,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,MEDICARE,MEDICARE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,NOVA NET,NOVA NET,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,PEACHSTATE,PEACHSTATE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,SELFPAY,SELFPAY,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,TRICARE,TRICARE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
SINUS & MASTOID PROCEDURES W CC/MCC,135,DRG,inpatient,,,11408.64,11408.64,UHC MEDICARE,UHC MEDICARE,,11408.64,,fee schedule,11408.64,9925.52,11408.64,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,AETNA,AETNA,,12988.63,87,percent of total billed charges,12988.63,12988.63,14929.46,percent of total billed charges,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12988.63,87,percent of total billed charges,12988.63,12988.63,14929.46,percent of total billed charges,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,UNITED HEALTHCARE,UNITED HEALTHCARE,,13137.92,88,percent of total billed charges,13137.92,12988.63,14929.46,percent of total billed charges,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,AETNA,AETNA,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,ALLIANT,ALLIANT,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,AMBETTER,AMBETTER,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,BEECH STREET,BEECH STREET,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,CARESOURCE,CARESOURCE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,MEDICAID,MEDICAID,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,MEDICARE,MEDICARE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,NOVA NET,NOVA NET,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,PEACHSTATE,PEACHSTATE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,SELFPAY,SELFPAY,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,TRICARE,TRICARE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W CC/MCC,137,DRG,inpatient,,,14929.46,14929.46,UHC MEDICARE,UHC MEDICARE,,14929.46,,fee schedule,14929.46,12988.63,14929.46,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,AETNA,AETNA,,7519.57,87,percent of total billed charges,7519.57,7519.57,8643.18,percent of total billed charges,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7519.57,87,percent of total billed charges,7519.57,7519.57,8643.18,percent of total billed charges,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,UNITED HEALTHCARE,UNITED HEALTHCARE,,7606,88,percent of total billed charges,7606,7519.57,8643.18,percent of total billed charges,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,AETNA,AETNA,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,ALLIANT,ALLIANT,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,AMBETTER,AMBETTER,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,BEECH STREET,BEECH STREET,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,CARESOURCE,CARESOURCE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,MEDICAID,MEDICAID,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,MEDICARE,MEDICARE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,NOVA NET,NOVA NET,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,PEACHSTATE,PEACHSTATE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,SELFPAY,SELFPAY,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,TRICARE,TRICARE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
MOUTH PROCEDURES W/O CC/MCC,138,DRG,inpatient,,,8643.18,8643.18,UHC MEDICARE,UHC MEDICARE,,8643.18,,fee schedule,8643.18,7519.57,8643.18,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,AETNA,AETNA,,13771.65,87,percent of total billed charges,13771.65,13771.65,15829.48,percent of total billed charges,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13771.65,87,percent of total billed charges,13771.65,13771.65,15829.48,percent of total billed charges,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,13929.94,88,percent of total billed charges,13929.94,13771.65,15829.48,percent of total billed charges,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,AETNA,AETNA,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,ALLIANT,ALLIANT,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,AMBETTER,AMBETTER,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,BEECH STREET,BEECH STREET,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,CARESOURCE,CARESOURCE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,MEDICAID,MEDICAID,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,MEDICARE,MEDICARE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,NOVA NET,NOVA NET,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,PEACHSTATE,PEACHSTATE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,SELFPAY,SELFPAY,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,TRICARE,TRICARE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
SALIVARY GLAND PROCEDURES,139,DRG,inpatient,,,15829.48,15829.48,UHC MEDICARE,UHC MEDICARE,,15829.48,,fee schedule,15829.48,13771.65,15829.48,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,AETNA,AETNA,,14738.48,87,percent of total billed charges,14738.48,14738.48,16940.78,percent of total billed charges,
TBD,140,DRG,inpatient,,,16940.78,16940.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14738.48,87,percent of total billed charges,14738.48,14738.48,16940.78,percent of total billed charges,
TBD,140,DRG,inpatient,,,16940.78,16940.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,14907.89,88,percent of total billed charges,14907.89,14738.48,16940.78,percent of total billed charges,
TBD,140,DRG,inpatient,,,16940.78,16940.78,AETNA,AETNA,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,ALLIANT,ALLIANT,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,AMBETTER,AMBETTER,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,BEECH STREET,BEECH STREET,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,CARESOURCE,CARESOURCE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,MEDICAID,MEDICAID,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,MEDICARE,MEDICARE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,NOVA NET,NOVA NET,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,PEACHSTATE,PEACHSTATE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,SELFPAY,SELFPAY,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,TRICARE,TRICARE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,140,DRG,inpatient,,,16940.78,16940.78,UHC MEDICARE,UHC MEDICARE,,16940.78,,fee schedule,16940.78,14738.48,16940.78,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,AETNA,AETNA,,11748.08,87,percent of total billed charges,11748.08,11748.08,13503.54,percent of total billed charges,
TBD,145,DRG,inpatient,,,13503.54,13503.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11748.08,87,percent of total billed charges,11748.08,11748.08,13503.54,percent of total billed charges,
TBD,145,DRG,inpatient,,,13503.54,13503.54,UNITED HEALTHCARE,UNITED HEALTHCARE,,11883.12,88,percent of total billed charges,11883.12,11748.08,13503.54,percent of total billed charges,
TBD,145,DRG,inpatient,,,13503.54,13503.54,AETNA,AETNA,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,ALLIANT,ALLIANT,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,AMBETTER,AMBETTER,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,BEECH STREET,BEECH STREET,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,CARESOURCE,CARESOURCE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,MEDICAID,MEDICAID,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,MEDICARE,MEDICARE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,NOVA NET,NOVA NET,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,PEACHSTATE,PEACHSTATE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,SELFPAY,SELFPAY,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,TRICARE,TRICARE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
TBD,145,DRG,inpatient,,,13503.54,13503.54,UHC MEDICARE,UHC MEDICARE,,13503.54,,fee schedule,13503.54,11748.08,13503.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,AETNA,AETNA,,17944.22,87,percent of total billed charges,17944.22,17944.22,20625.54,percent of total billed charges,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17944.22,87,percent of total billed charges,17944.22,17944.22,20625.54,percent of total billed charges,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,UNITED HEALTHCARE,UNITED HEALTHCARE,,18150.48,88,percent of total billed charges,18150.48,17944.22,20625.54,percent of total billed charges,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,AETNA,AETNA,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,ALLIANT,ALLIANT,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,AMBETTER,AMBETTER,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,BEECH STREET,BEECH STREET,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,CARESOURCE,CARESOURCE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,MEDICAID,MEDICAID,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,MEDICARE,MEDICARE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,NOVA NET,NOVA NET,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,PEACHSTATE,PEACHSTATE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,SELFPAY,SELFPAY,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,TRICARE,TRICARE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC",146,DRG,inpatient,,,20625.54,20625.54,UHC MEDICARE,UHC MEDICARE,,20625.54,,fee schedule,20625.54,17944.22,20625.54,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,AETNA,AETNA,,34089.05,87,percent of total billed charges,34089.05,34089.05,39182.82,percent of total billed charges,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34089.05,87,percent of total billed charges,34089.05,34089.05,39182.82,percent of total billed charges,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,UNITED HEALTHCARE,UNITED HEALTHCARE,,34480.88,88,percent of total billed charges,34480.88,34089.05,39182.82,percent of total billed charges,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,AETNA,AETNA,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,ALLIANT,ALLIANT,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,AMBETTER,AMBETTER,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,BEECH STREET,BEECH STREET,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,CARESOURCE,CARESOURCE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,MEDICAID,MEDICAID,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,MEDICARE,MEDICARE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,NOVA NET,NOVA NET,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,PEACHSTATE,PEACHSTATE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,SELFPAY,SELFPAY,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,TRICARE,TRICARE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
"EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC",147,DRG,inpatient,,,39182.82,39182.82,UHC MEDICARE,UHC MEDICARE,,39182.82,,fee schedule,39182.82,34089.05,39182.82,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,AETNA,AETNA,,14581.31,87,percent of total billed charges,14581.31,14581.31,16760.13,percent of total billed charges,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14581.31,87,percent of total billed charges,14581.31,14581.31,16760.13,percent of total billed charges,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,UNITED HEALTHCARE,UNITED HEALTHCARE,,14748.91,88,percent of total billed charges,14748.91,14581.31,16760.13,percent of total billed charges,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,AETNA,AETNA,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,ALLIANT,ALLIANT,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,AMBETTER,AMBETTER,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,BEECH STREET,BEECH STREET,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,CARESOURCE,CARESOURCE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,MEDICAID,MEDICAID,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,MEDICARE,MEDICARE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,NOVA NET,NOVA NET,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,PEACHSTATE,PEACHSTATE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,SELFPAY,SELFPAY,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,TRICARE,TRICARE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
DYSEQUILIBRIUM,149,DRG,inpatient,,,16760.13,16760.13,UHC MEDICARE,UHC MEDICARE,,16760.13,,fee schedule,16760.13,14581.31,16760.13,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,AMERIGROUP,AMERIGROUP,,264.68,,fee schedule,264.68,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,CARESOURCE,CARESOURCE,,269.73,,fee schedule,269.73,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,PEACHSTATE,PEACHSTATE,,252.08,,fee schedule,252.08,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,AETNA,AETNA,,711.66,87,percent of total billed charges,711.66,252.08,2847.67,percent of total billed charges,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711.66,87,percent of total billed charges,711.66,252.08,2847.67,percent of total billed charges,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,UNITED HEALTHCARE,UNITED HEALTHCARE,,719.84,88,percent of total billed charges,719.84,252.08,2847.67,percent of total billed charges,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,AETNA,AETNA,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,BEECH STREET,BEECH STREET,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,CARESOURCE,CARESOURCE,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,MEDICAID,MEDICAID,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,NOVA NET,NOVA NET,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,PEACHSTATE,PEACHSTATE,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,SELFPAY,SELFPAY,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,818,818,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,818,,fee schedule,818,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,AMERIGROUP,AMERIGROUP,,264.68,,fee schedule,264.68,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,269.73,,fee schedule,269.73,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,252.08,,fee schedule,252.08,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,AETNA,AETNA,,574.2,87,percent of total billed charges,574.2,252.08,2847.67,percent of total billed charges,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,574.2,87,percent of total billed charges,574.2,252.08,2847.67,percent of total billed charges,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,UNITED HEALTHCARE,UNITED HEALTHCARE,,580.8,88,percent of total billed charges,580.8,252.08,2847.67,percent of total billed charges,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,AETNA,AETNA,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,BEECH STREET,BEECH STREET,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,MEDICAID,MEDICAID,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,NOVA NET,NOVA NET,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,SELFPAY,SELFPAY,,660,,fee schedule,660,252.08,2847.67,fee schedule,
SURG SITE PREP > 100CM,15002,CPT,both,,,660,660,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,660,,fee schedule,660,252.08,2847.67,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,958.57,,fee schedule,958.57,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,755.24,,fee schedule,755.24,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,AMERIGROUP,AMERIGROUP,,318.34,,fee schedule,318.34,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,324.4,,fee schedule,324.4,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,580.95,,fee schedule,580.95,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,303.18,,fee schedule,303.18,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,TRICARE,TRICARE,,580.95,,fee schedule,580.95,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,580.95,,fee schedule,580.95,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,303.18,1381,percent of total billed charges,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,303.18,1381,percent of total billed charges,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,303.18,1381,percent of total billed charges,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,303.18,1381,fee schedule,
WOUND PREP F/N/HF/G 100 S,15004,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,303.18,1381,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,AMERIGROUP,AMERIGROUP,,508.73,,fee schedule,508.73,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,CARESOURCE,CARESOURCE,,518.42,,fee schedule,518.42,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,PEACHSTATE,PEACHSTATE,,484.5,,fee schedule,484.5,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,AETNA,AETNA,,1799.16,87,percent of total billed charges,1799.16,484.5,2847.67,percent of total billed charges,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1799.16,87,percent of total billed charges,1799.16,484.5,2847.67,percent of total billed charges,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,UNITED HEALTHCARE,UNITED HEALTHCARE,,1819.84,88,percent of total billed charges,1819.84,484.5,2847.67,percent of total billed charges,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,AETNA,AETNA,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,BEECH STREET,BEECH STREET,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,CARESOURCE,CARESOURCE,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,MEDICAID,MEDICAID,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,NOVA NET,NOVA NET,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,PEACHSTATE,PEACHSTATE,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,SELFPAY,SELFPAY,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME>100SQCM/LEGARMTRUNK,15100,CPT,both,,,2068,2068,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2068,,fee schedule,2068,484.5,2847.67,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,AMERIGROUP,AMERIGROUP,,723.85,,fee schedule,723.85,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,CARESOURCE,CARESOURCE,,737.64,,fee schedule,737.64,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,PEACHSTATE,PEACHSTATE,,689.38,,fee schedule,689.38,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,AETNA,AETNA,,3842.79,87,percent of total billed charges,3842.79,689.38,4417,percent of total billed charges,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3842.79,87,percent of total billed charges,3842.79,689.38,4417,percent of total billed charges,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,UNITED HEALTHCARE,UNITED HEALTHCARE,,3886.96,88,percent of total billed charges,3886.96,689.38,4417,percent of total billed charges,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,AETNA,AETNA,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,BEECH STREET,BEECH STREET,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,CARESOURCE,CARESOURCE,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,MEDICAID,MEDICAID,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,NOVA NET,NOVA NET,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,PEACHSTATE,PEACHSTATE,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,SELFPAY,SELFPAY,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME<100SQCM/LEGARMTRUNK,15110,CPT,both,,,4417,4417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4417,,fee schedule,4417,689.38,4417,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,113.32,,fee schedule,113.32,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,115.47,,fee schedule,115.47,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,107.92,,fee schedule,107.92,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,115.47,percent of total billed charges,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,115.47,percent of total billed charges,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,115.47,percent of total billed charges,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,115.47,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,AMERIGROUP,AMERIGROUP,,113.32,,fee schedule,113.32,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,CARESOURCE,CARESOURCE,,115.47,,fee schedule,115.47,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,PEACHSTATE,PEACHSTATE,,107.92,,fee schedule,107.92,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,AETNA,AETNA,,270.57,87,percent of total billed charges,270.57,107.92,311,percent of total billed charges,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270.57,87,percent of total billed charges,270.57,107.92,311,percent of total billed charges,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,UNITED HEALTHCARE,UNITED HEALTHCARE,,273.68,88,percent of total billed charges,273.68,107.92,311,percent of total billed charges,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,AETNA,AETNA,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,ALLIANT,ALLIANT,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,AMBETTER,AMBETTER,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,BEECH STREET,BEECH STREET,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,CARESOURCE,CARESOURCE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,MEDICAID,MEDICAID,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,MEDICARE,MEDICARE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,NOVA NET,NOVA NET,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,PEACHSTATE,PEACHSTATE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,SELFPAY,SELFPAY,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,TRICARE,TRICARE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME ADD SQCM LEGARMTRUNK,15111,CPT,both,,,311,311,UHC MEDICARE,UHC MEDICARE,,311,,fee schedule,311,107.92,311,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,AMERIGROUP,AMERIGROUP,,678.17,,fee schedule,678.17,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,CARESOURCE,CARESOURCE,,691.09,,fee schedule,691.09,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,PEACHSTATE,PEACHSTATE,,645.88,,fee schedule,645.88,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,AETNA,AETNA,,3842.79,87,percent of total billed charges,3842.79,645.88,4417,percent of total billed charges,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3842.79,87,percent of total billed charges,3842.79,645.88,4417,percent of total billed charges,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,UNITED HEALTHCARE,UNITED HEALTHCARE,,3886.96,88,percent of total billed charges,3886.96,645.88,4417,percent of total billed charges,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,AETNA,AETNA,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,BEECH STREET,BEECH STREET,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,CARESOURCE,CARESOURCE,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,MEDICAID,MEDICAID,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,NOVA NET,NOVA NET,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,PEACHSTATE,PEACHSTATE,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,SELFPAY,SELFPAY,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME<100SQCMFEETFACESCALP,15115,CPT,both,,,4417,4417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4417,,fee schedule,4417,645.88,4417,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,AMERIGROUP,AMERIGROUP,,678.17,,fee schedule,678.17,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,CARESOURCE,CARESOURCE,,691.09,,fee schedule,691.09,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,PEACHSTATE,PEACHSTATE,,645.88,,fee schedule,645.88,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,AETNA,AETNA,,1735.65,87,percent of total billed charges,1735.65,645.88,2847.67,percent of total billed charges,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1735.65,87,percent of total billed charges,1735.65,645.88,2847.67,percent of total billed charges,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,UNITED HEALTHCARE,UNITED HEALTHCARE,,1755.6,88,percent of total billed charges,1755.6,645.88,2847.67,percent of total billed charges,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,AETNA,AETNA,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,BEECH STREET,BEECH STREET,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,CARESOURCE,CARESOURCE,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,MEDICAID,MEDICAID,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,NOVA NET,NOVA NET,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,PEACHSTATE,PEACHSTATE,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,SELFPAY,SELFPAY,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME>100SQCMFEETFACESCALP,15115,CPT,both,,,1995,1995,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1995,,fee schedule,1995,645.88,2847.67,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,146.76,,fee schedule,146.76,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,149.55,,fee schedule,149.55,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,139.77,,fee schedule,139.77,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,149.55,percent of total billed charges,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,149.55,percent of total billed charges,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,149.55,percent of total billed charges,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,149.55,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,AMERIGROUP,AMERIGROUP,,146.76,,fee schedule,146.76,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,CARESOURCE,CARESOURCE,,149.55,,fee schedule,149.55,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,PEACHSTATE,PEACHSTATE,,139.77,,fee schedule,139.77,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,AETNA,AETNA,,388.89,87,percent of total billed charges,388.89,139.77,447,percent of total billed charges,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,388.89,87,percent of total billed charges,388.89,139.77,447,percent of total billed charges,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,UNITED HEALTHCARE,UNITED HEALTHCARE,,393.36,88,percent of total billed charges,393.36,139.77,447,percent of total billed charges,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,AETNA,AETNA,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,ALLIANT,ALLIANT,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,AMBETTER,AMBETTER,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,BEECH STREET,BEECH STREET,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,CARESOURCE,CARESOURCE,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,MEDICAID,MEDICAID,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,MEDICARE,MEDICARE,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,NOVA NET,NOVA NET,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,PEACHSTATE,PEACHSTATE,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,SELFPAY,SELFPAY,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,TRICARE,TRICARE,,447,,fee schedule,447,139.77,447,fee schedule,
CELLUTOME ADDSQCMFEETFACESCALP,15116,CPT,both,,,447,447,UHC MEDICARE,UHC MEDICARE,,447,,fee schedule,447,139.77,447,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,AETNA,AETNA,,5918.9,87,percent of total billed charges,5918.9,5918.9,6803.33,percent of total billed charges,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5918.9,87,percent of total billed charges,5918.9,5918.9,6803.33,percent of total billed charges,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,5986.93,88,percent of total billed charges,5986.93,5918.9,6803.33,percent of total billed charges,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,AETNA,AETNA,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,ALLIANT,ALLIANT,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,AMBETTER,AMBETTER,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,BEECH STREET,BEECH STREET,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,CARESOURCE,CARESOURCE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,MEDICAID,MEDICAID,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,MEDICARE,MEDICARE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,NOVA NET,NOVA NET,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,PEACHSTATE,PEACHSTATE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,SELFPAY,SELFPAY,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,TRICARE,TRICARE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
OTITIS MEDIA & URI W MCC,152,DRG,inpatient,,,6803.33,6803.33,UHC MEDICARE,UHC MEDICARE,,6803.33,,fee schedule,6803.33,5918.9,6803.33,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,129.11,,fee schedule,129.11,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,131.57,,fee schedule,131.57,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,122.96,,fee schedule,122.96,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,122.96,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,122.96,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,122.96,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,122.96,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15271,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,122.96,2847.67,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,AMERIGROUP,AMERIGROUP,,129.11,,fee schedule,129.11,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,131.57,,fee schedule,131.57,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,122.96,,fee schedule,122.96,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,AETNA,AETNA,,3622.68,87,percent of total billed charges,3622.68,122.96,4164,percent of total billed charges,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3622.68,87,percent of total billed charges,3622.68,122.96,4164,percent of total billed charges,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,UNITED HEALTHCARE,UNITED HEALTHCARE,,3664.32,88,percent of total billed charges,3664.32,122.96,4164,percent of total billed charges,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,AETNA,AETNA,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,BEECH STREET,BEECH STREET,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,MEDICAID,MEDICAID,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,NOVA NET,NOVA NET,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,SELFPAY,SELFPAY,,4164,,fee schedule,4164,122.96,4164,fee schedule,
SKIN/SUB LEGS <100SQCM/1S,15271,CPT,both,,,4164,4164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4164,,fee schedule,4164,122.96,4164,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,AMERIGROUP,AMERIGROUP,,24.35,,fee schedule,24.35,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,24.81,,fee schedule,24.81,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,23.19,,fee schedule,23.19,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,AETNA,AETNA,,238.38,87,percent of total billed charges,238.38,23.19,274,percent of total billed charges,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238.38,87,percent of total billed charges,238.38,23.19,274,percent of total billed charges,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,UNITED HEALTHCARE,UNITED HEALTHCARE,,241.12,88,percent of total billed charges,241.12,23.19,274,percent of total billed charges,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,AETNA,AETNA,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,ALLIANT,ALLIANT,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,AMBETTER,AMBETTER,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,BEECH STREET,BEECH STREET,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,MEDICAID,MEDICAID,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,MEDICARE,MEDICARE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,NOVA NET,NOVA NET,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,SELFPAY,SELFPAY,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,TRICARE,TRICARE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,274,274,UHC MEDICARE,UHC MEDICARE,,274,,fee schedule,274,23.19,274,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,AMERIGROUP,AMERIGROUP,,24.35,,fee schedule,24.35,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,24.81,,fee schedule,24.81,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,23.19,,fee schedule,23.19,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,23.19,54,percent of total billed charges,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,23.19,54,percent of total billed charges,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,23.19,54,percent of total billed charges,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,23.19,54,fee schedule,
LEGS <100SQCM EA ADD 25 S,15272,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,23.19,54,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,ALLIANT,ALLIANT,,5367.52,,fee schedule,5367.52,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,AMBETTER,AMBETTER,,4228.95,,fee schedule,4228.95,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,264.83,,fee schedule,264.83,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,269.88,,fee schedule,269.88,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,MEDICARE,MEDICARE,,3253.04,,fee schedule,3253.04,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,252.22,,fee schedule,252.22,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,TRICARE,TRICARE,,3253.04,,fee schedule,3253.04,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,3253.04,,fee schedule,3253.04,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,252.22,5367.52,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,252.22,5367.52,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,252.22,5367.52,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,252.22,5367.52,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15273,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,252.22,5367.52,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,ALLIANT,ALLIANT,,5367.52,,fee schedule,5367.52,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,AMBETTER,AMBETTER,,4228.95,,fee schedule,4228.95,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,AMERIGROUP,AMERIGROUP,,264.83,,fee schedule,264.83,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,CARESOURCE,CARESOURCE,,269.88,,fee schedule,269.88,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,MEDICARE,MEDICARE,,3253.04,,fee schedule,3253.04,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,PEACHSTATE,PEACHSTATE,,252.22,,fee schedule,252.22,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,TRICARE,TRICARE,,3253.04,,fee schedule,3253.04,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,UHC MEDICARE,UHC MEDICARE,,3253.04,,fee schedule,3253.04,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,AETNA,AETNA,,6470.19,87,percent of total billed charges,6470.19,252.22,7437,percent of total billed charges,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6470.19,87,percent of total billed charges,6470.19,252.22,7437,percent of total billed charges,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,UNITED HEALTHCARE,UNITED HEALTHCARE,,6544.56,88,percent of total billed charges,6544.56,252.22,7437,percent of total billed charges,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,AETNA,AETNA,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,BEECH STREET,BEECH STREET,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,CARESOURCE,CARESOURCE,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,MEDICAID,MEDICAID,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,NOVA NET,NOVA NET,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,PEACHSTATE,PEACHSTATE,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,SELFPAY,SELFPAY,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100 SQCM ~ 1ST 100,15273,CPT,both,,,7437,7437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7437,,fee schedule,7437,252.22,7437,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,AMERIGROUP,AMERIGROUP,,62.43,,fee schedule,62.43,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,63.62,,fee schedule,63.62,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,59.46,,fee schedule,59.46,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,AETNA,AETNA,,644.67,87,percent of total billed charges,644.67,59.46,741,percent of total billed charges,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644.67,87,percent of total billed charges,644.67,59.46,741,percent of total billed charges,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.08,88,percent of total billed charges,652.08,59.46,741,percent of total billed charges,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,AETNA,AETNA,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,ALLIANT,ALLIANT,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,AMBETTER,AMBETTER,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,BEECH STREET,BEECH STREET,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,MEDICAID,MEDICAID,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,MEDICARE,MEDICARE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,NOVA NET,NOVA NET,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,SELFPAY,SELFPAY,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,TRICARE,TRICARE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,741,741,UHC MEDICARE,UHC MEDICARE,,741,,fee schedule,741,59.46,741,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,AMERIGROUP,AMERIGROUP,,62.43,,fee schedule,62.43,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,63.62,,fee schedule,63.62,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,59.46,,fee schedule,59.46,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,59.46,138,percent of total billed charges,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,59.46,138,percent of total billed charges,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,59.46,138,percent of total billed charges,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,ALLIANT,ALLIANT,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,AMBETTER,AMBETTER,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,MEDICARE,MEDICARE,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,TRICARE,TRICARE,,138,,fee schedule,138,59.46,138,fee schedule,
LEGS >100SQCM ~ EA ADD 25,15274,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,138,,fee schedule,138,59.46,138,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,AMERIGROUP,AMERIGROUP,,62.43,,fee schedule,62.43,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,63.62,,fee schedule,63.62,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,59.46,,fee schedule,59.46,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,AETNA,AETNA,,644.67,87,percent of total billed charges,644.67,59.46,741,percent of total billed charges,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644.67,87,percent of total billed charges,644.67,59.46,741,percent of total billed charges,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.08,88,percent of total billed charges,652.08,59.46,741,percent of total billed charges,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,AETNA,AETNA,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,ALLIANT,ALLIANT,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,AMBETTER,AMBETTER,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,BEECH STREET,BEECH STREET,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,MEDICAID,MEDICAID,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,MEDICARE,MEDICARE,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,NOVA NET,NOVA NET,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,SELFPAY,SELFPAY,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,TRICARE,TRICARE,,741,,fee schedule,741,59.46,741,fee schedule,
SKIN/SUB>100SQCM LEGS/ADD,15274,CPT,both,,,741,741,UHC MEDICARE,UHC MEDICARE,,741,,fee schedule,741,59.46,741,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,AMERIGROUP,AMERIGROUP,,138.37,,fee schedule,138.37,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,CARESOURCE,CARESOURCE,,141,,fee schedule,141,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,PEACHSTATE,PEACHSTATE,,131.78,,fee schedule,131.78,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,AETNA,AETNA,,244.47,87,percent of total billed charges,244.47,131.78,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,244.47,87,percent of total billed charges,244.47,131.78,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,UNITED HEALTHCARE,UNITED HEALTHCARE,,247.28,88,percent of total billed charges,247.28,131.78,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,AETNA,AETNA,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,BEECH STREET,BEECH STREET,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,CARESOURCE,CARESOURCE,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,MEDICAID,MEDICAID,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,NOVA NET,NOVA NET,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,PEACHSTATE,PEACHSTATE,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,SELFPAY,SELFPAY,,281,,fee schedule,281,131.78,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15275,CPT,both,,,281,281,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,281,,fee schedule,281,131.78,2847.67,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,AMERIGROUP,AMERIGROUP,,138.37,,fee schedule,138.37,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,CARESOURCE,CARESOURCE,,141,,fee schedule,141,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,PEACHSTATE,PEACHSTATE,,131.78,,fee schedule,131.78,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,AETNA,AETNA,,3621.81,87,percent of total billed charges,3621.81,131.78,4163,percent of total billed charges,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3621.81,87,percent of total billed charges,3621.81,131.78,4163,percent of total billed charges,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,UNITED HEALTHCARE,UNITED HEALTHCARE,,3663.44,88,percent of total billed charges,3663.44,131.78,4163,percent of total billed charges,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,AETNA,AETNA,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,BEECH STREET,BEECH STREET,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,CARESOURCE,CARESOURCE,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,MEDICAID,MEDICAID,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,NOVA NET,NOVA NET,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,PEACHSTATE,PEACHSTATE,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,SELFPAY,SELFPAY,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100SQCM FEET/1S,15275,CPT,both,,,4163,4163,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4163,,fee schedule,4163,131.78,4163,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,AMERIGROUP,AMERIGROUP,,30.08,,fee schedule,30.08,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,30.66,,fee schedule,30.66,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,28.65,,fee schedule,28.65,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,AETNA,AETNA,,238.38,87,percent of total billed charges,238.38,28.65,274,percent of total billed charges,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238.38,87,percent of total billed charges,238.38,28.65,274,percent of total billed charges,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,UNITED HEALTHCARE,UNITED HEALTHCARE,,241.12,88,percent of total billed charges,241.12,28.65,274,percent of total billed charges,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,AETNA,AETNA,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,ALLIANT,ALLIANT,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,AMBETTER,AMBETTER,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,BEECH STREET,BEECH STREET,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,MEDICAID,MEDICAID,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,MEDICARE,MEDICARE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,NOVA NET,NOVA NET,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,SELFPAY,SELFPAY,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,TRICARE,TRICARE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,274,274,UHC MEDICARE,UHC MEDICARE,,274,,fee schedule,274,28.65,274,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,30.08,,fee schedule,30.08,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,30.66,,fee schedule,30.66,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,28.65,,fee schedule,28.65,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,28.65,78,percent of total billed charges,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,28.65,78,percent of total billed charges,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,28.65,78,percent of total billed charges,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,ALLIANT,ALLIANT,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,AMBETTER,AMBETTER,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,MEDICARE,MEDICARE,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,TRICARE,TRICARE,,78,,fee schedule,78,28.65,78,fee schedule,
SKIN/SUB <100CM FEET /ADD,15276,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,78,,fee schedule,78,28.65,78,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,AMERIGROUP,AMERIGROUP,,266.23,,fee schedule,266.23,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,271.3,,fee schedule,271.3,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,253.55,,fee schedule,253.55,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,AETNA,AETNA,,588.99,87,percent of total billed charges,588.99,253.55,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.99,87,percent of total billed charges,588.99,253.55,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,UNITED HEALTHCARE,UNITED HEALTHCARE,,595.76,88,percent of total billed charges,595.76,253.55,2847.67,percent of total billed charges,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,AETNA,AETNA,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,BEECH STREET,BEECH STREET,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,MEDICAID,MEDICAID,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,NOVA NET,NOVA NET,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,SELFPAY,SELFPAY,,677,,fee schedule,677,253.55,2847.67,fee schedule,
APPLICATION OF SKIN SUBSTITUTE,15277,CPT,both,,,677,677,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,677,,fee schedule,677,253.55,2847.67,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,AMERIGROUP,AMERIGROUP,,266.23,,fee schedule,266.23,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,CARESOURCE,CARESOURCE,,271.3,,fee schedule,271.3,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,PEACHSTATE,PEACHSTATE,,253.55,,fee schedule,253.55,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,AETNA,AETNA,,3621.81,87,percent of total billed charges,3621.81,253.55,4163,percent of total billed charges,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3621.81,87,percent of total billed charges,3621.81,253.55,4163,percent of total billed charges,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,UNITED HEALTHCARE,UNITED HEALTHCARE,,3663.44,88,percent of total billed charges,3663.44,253.55,4163,percent of total billed charges,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,AETNA,AETNA,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,BEECH STREET,BEECH STREET,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,CARESOURCE,CARESOURCE,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,MEDICAID,MEDICAID,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,NOVA NET,NOVA NET,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,PEACHSTATE,PEACHSTATE,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,SELFPAY,SELFPAY,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN/SUB >100SQCM~FEET 1S,15277,CPT,both,,,4163,4163,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4163,,fee schedule,4163,253.55,4163,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,AMERIGROUP,AMERIGROUP,,76.02,,fee schedule,76.02,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,77.47,,fee schedule,77.47,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,72.4,,fee schedule,72.4,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,AETNA,AETNA,,644.67,87,percent of total billed charges,644.67,72.4,741,percent of total billed charges,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644.67,87,percent of total billed charges,644.67,72.4,741,percent of total billed charges,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.08,88,percent of total billed charges,652.08,72.4,741,percent of total billed charges,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,AETNA,AETNA,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,ALLIANT,ALLIANT,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,AMBETTER,AMBETTER,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,BEECH STREET,BEECH STREET,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,MEDICAID,MEDICAID,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,MEDICARE,MEDICARE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,NOVA NET,NOVA NET,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,SELFPAY,SELFPAY,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,TRICARE,TRICARE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,741,741,UHC MEDICARE,UHC MEDICARE,,741,,fee schedule,741,72.4,741,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,76.02,,fee schedule,76.02,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,77.47,,fee schedule,77.47,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,72.4,,fee schedule,72.4,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,72.4,172,percent of total billed charges,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,72.4,172,percent of total billed charges,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,72.4,172,percent of total billed charges,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,ALLIANT,ALLIANT,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,AMBETTER,AMBETTER,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,MEDICARE,MEDICARE,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,TRICARE,TRICARE,,172,,fee schedule,172,72.4,172,fee schedule,
SKIN SUB~>100SQCM/FEET~AD,15278,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,172,,fee schedule,172,72.4,172,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,AETNA,AETNA,,10674.15,87,percent of total billed charges,10674.15,10674.15,12269.14,percent of total billed charges,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10674.15,87,percent of total billed charges,10674.15,10674.15,12269.14,percent of total billed charges,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,UNITED HEALTHCARE,UNITED HEALTHCARE,,10796.84,88,percent of total billed charges,10796.84,10674.15,12269.14,percent of total billed charges,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,AETNA,AETNA,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,ALLIANT,ALLIANT,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,AMBETTER,AMBETTER,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,BEECH STREET,BEECH STREET,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,CARESOURCE,CARESOURCE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,MEDICAID,MEDICAID,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,MEDICARE,MEDICARE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,NOVA NET,NOVA NET,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,PEACHSTATE,PEACHSTATE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,SELFPAY,SELFPAY,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,TRICARE,TRICARE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
OTITIS MEDIA & URI W/O MCC,153,DRG,inpatient,,,12269.14,12269.14,UHC MEDICARE,UHC MEDICARE,,12269.14,,fee schedule,12269.14,10674.15,12269.14,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,AETNA,AETNA,,16007.96,87,percent of total billed charges,16007.96,16007.96,18399.95,percent of total billed charges,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16007.96,87,percent of total billed charges,16007.96,16007.96,18399.95,percent of total billed charges,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,UNITED HEALTHCARE,UNITED HEALTHCARE,,16191.96,88,percent of total billed charges,16191.96,16007.96,18399.95,percent of total billed charges,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,AETNA,AETNA,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,ALLIANT,ALLIANT,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,AMBETTER,AMBETTER,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,BEECH STREET,BEECH STREET,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,CARESOURCE,CARESOURCE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,MEDICAID,MEDICAID,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,MEDICARE,MEDICARE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,NOVA NET,NOVA NET,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,PEACHSTATE,PEACHSTATE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,SELFPAY,SELFPAY,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,TRICARE,TRICARE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC",155,DRG,inpatient,,,18399.95,18399.95,UHC MEDICARE,UHC MEDICARE,,18399.95,,fee schedule,18399.95,16007.96,18399.95,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,AETNA,AETNA,,18126.38,87,percent of total billed charges,18126.38,18126.38,20834.92,percent of total billed charges,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18126.38,87,percent of total billed charges,18126.38,18126.38,20834.92,percent of total billed charges,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,UNITED HEALTHCARE,UNITED HEALTHCARE,,18334.73,88,percent of total billed charges,18334.73,18126.38,20834.92,percent of total billed charges,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,AETNA,AETNA,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,ALLIANT,ALLIANT,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,AMBETTER,AMBETTER,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,BEECH STREET,BEECH STREET,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,CARESOURCE,CARESOURCE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,MEDICAID,MEDICAID,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,MEDICARE,MEDICARE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,NOVA NET,NOVA NET,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,PEACHSTATE,PEACHSTATE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,SELFPAY,SELFPAY,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,TRICARE,TRICARE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC",156,DRG,inpatient,,,20834.92,20834.92,UHC MEDICARE,UHC MEDICARE,,20834.92,,fee schedule,20834.92,18126.38,20834.92,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,AETNA,AETNA,,12057.41,87,percent of total billed charges,12057.41,12057.41,13859.09,percent of total billed charges,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12057.41,87,percent of total billed charges,12057.41,12057.41,13859.09,percent of total billed charges,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,UNITED HEALTHCARE,UNITED HEALTHCARE,,12196,88,percent of total billed charges,12196,12057.41,13859.09,percent of total billed charges,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,AETNA,AETNA,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,ALLIANT,ALLIANT,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,AMBETTER,AMBETTER,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,BEECH STREET,BEECH STREET,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,CARESOURCE,CARESOURCE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,MEDICAID,MEDICAID,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,MEDICARE,MEDICARE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,NOVA NET,NOVA NET,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,PEACHSTATE,PEACHSTATE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,SELFPAY,SELFPAY,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,TRICARE,TRICARE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W CC,158,DRG,inpatient,,,13859.09,13859.09,UHC MEDICARE,UHC MEDICARE,,13859.09,,fee schedule,13859.09,12057.41,13859.09,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,AETNA,AETNA,,17426.28,87,percent of total billed charges,17426.28,17426.28,20030.21,percent of total billed charges,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17426.28,87,percent of total billed charges,17426.28,17426.28,20030.21,percent of total billed charges,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,UNITED HEALTHCARE,UNITED HEALTHCARE,,17626.58,88,percent of total billed charges,17626.58,17426.28,20030.21,percent of total billed charges,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,AETNA,AETNA,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,ALLIANT,ALLIANT,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,AMBETTER,AMBETTER,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,BEECH STREET,BEECH STREET,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,CARESOURCE,CARESOURCE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,MEDICAID,MEDICAID,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,MEDICARE,MEDICARE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,NOVA NET,NOVA NET,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,PEACHSTATE,PEACHSTATE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,SELFPAY,SELFPAY,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,TRICARE,TRICARE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
DENTAL & ORAL DISEASES W/O CC/MCC,159,DRG,inpatient,,,20030.21,20030.21,UHC MEDICARE,UHC MEDICARE,,20030.21,,fee schedule,20030.21,17426.28,20030.21,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,AMERIGROUP,AMERIGROUP,,53.51,,fee schedule,53.51,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,CARESOURCE,CARESOURCE,,54.53,,fee schedule,54.53,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,PEACHSTATE,PEACHSTATE,,50.96,,fee schedule,50.96,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,TRICARE,TRICARE,,180.58,,fee schedule,180.58,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,AETNA,AETNA,,174.87,87,percent of total billed charges,174.87,50.96,297.96,percent of total billed charges,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174.87,87,percent of total billed charges,174.87,50.96,297.96,percent of total billed charges,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,UNITED HEALTHCARE,UNITED HEALTHCARE,,176.88,88,percent of total billed charges,176.88,50.96,297.96,percent of total billed charges,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,AETNA,AETNA,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,BEECH STREET,BEECH STREET,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,CARESOURCE,CARESOURCE,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,MEDICAID,MEDICAID,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,NOVA NET,NOVA NET,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,PEACHSTATE,PEACHSTATE,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,SELFPAY,SELFPAY,,201,,fee schedule,201,50.96,297.96,fee schedule,
INIT TX 1ST DEGR BURN,16000,CPT,both,,,201,201,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,201,,fee schedule,201,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,AMERIGROUP,AMERIGROUP,,53.51,,fee schedule,53.51,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,CARESOURCE,CARESOURCE,,54.53,,fee schedule,54.53,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,PEACHSTATE,PEACHSTATE,,50.96,,fee schedule,50.96,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,TRICARE,TRICARE,,180.58,,fee schedule,180.58,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,AETNA,AETNA,,214.02,87,percent of total billed charges,214.02,50.96,297.96,percent of total billed charges,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.02,87,percent of total billed charges,214.02,50.96,297.96,percent of total billed charges,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,UNITED HEALTHCARE,UNITED HEALTHCARE,,216.48,88,percent of total billed charges,216.48,50.96,297.96,percent of total billed charges,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,AETNA,AETNA,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,BEECH STREET,BEECH STREET,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,CARESOURCE,CARESOURCE,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,MEDICAID,MEDICAID,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,NOVA NET,NOVA NET,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,PEACHSTATE,PEACHSTATE,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,SELFPAY,SELFPAY,,246,,fee schedule,246,50.96,297.96,fee schedule,
INITIAL TX OF MINOR BURN,16000,CPT,both,,,246,246,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,246,,fee schedule,246,50.96,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,51.26,,fee schedule,51.26,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,52.24,,fee schedule,52.24,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,48.82,,fee schedule,48.82,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,TRICARE,TRICARE,,180.58,,fee schedule,180.58,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,AETNA,AETNA,,220.98,87,percent of total billed charges,220.98,48.82,297.96,percent of total billed charges,
BURN,16020,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.98,87,percent of total billed charges,220.98,48.82,297.96,percent of total billed charges,
BURN,16020,CPT,both,,,254,254,UNITED HEALTHCARE,UNITED HEALTHCARE,,223.52,88,percent of total billed charges,223.52,48.82,297.96,percent of total billed charges,
BURN,16020,CPT,both,,,254,254,AETNA,AETNA,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,BEECH STREET,BEECH STREET,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,MEDICAID,MEDICAID,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,NOVA NET,NOVA NET,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,SELFPAY,SELFPAY,,254,,fee schedule,254,48.82,297.96,fee schedule,
BURN,16020,CPT,both,,,254,254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,254,,fee schedule,254,48.82,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,AMERIGROUP,AMERIGROUP,,51.26,,fee schedule,51.26,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,CARESOURCE,CARESOURCE,,52.24,,fee schedule,52.24,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,PEACHSTATE,PEACHSTATE,,48.82,,fee schedule,48.82,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,TRICARE,TRICARE,,180.58,,fee schedule,180.58,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,AETNA,AETNA,,36.54,87,percent of total billed charges,36.54,36.54,297.96,percent of total billed charges,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36.54,87,percent of total billed charges,36.54,36.54,297.96,percent of total billed charges,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.96,88,percent of total billed charges,36.96,36.54,297.96,percent of total billed charges,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,AETNA,AETNA,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,BEECH STREET,BEECH STREET,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,CARESOURCE,CARESOURCE,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,MEDICAID,MEDICAID,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,NOVA NET,NOVA NET,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,PEACHSTATE,PEACHSTATE,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,SELFPAY,SELFPAY,,42,,fee schedule,42,36.54,297.96,fee schedule,
DRESS/DEBRID P-THICK BURN S,16020,CPT,both,,,42,42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42,,fee schedule,42,36.54,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,51.26,,fee schedule,51.26,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,52.24,,fee schedule,52.24,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,48.82,,fee schedule,48.82,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,TRICARE,TRICARE,,180.58,,fee schedule,180.58,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,AETNA,AETNA,,220.98,87,percent of total billed charges,220.98,48.82,297.96,percent of total billed charges,
SMALL BURN,16020,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.98,87,percent of total billed charges,220.98,48.82,297.96,percent of total billed charges,
SMALL BURN,16020,CPT,both,,,254,254,UNITED HEALTHCARE,UNITED HEALTHCARE,,223.52,88,percent of total billed charges,223.52,48.82,297.96,percent of total billed charges,
SMALL BURN,16020,CPT,both,,,254,254,AETNA,AETNA,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,BEECH STREET,BEECH STREET,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,MEDICAID,MEDICAID,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,NOVA NET,NOVA NET,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,SELFPAY,SELFPAY,,254,,fee schedule,254,48.82,297.96,fee schedule,
SMALL BURN,16020,CPT,both,,,254,254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,254,,fee schedule,254,48.82,297.96,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,100.51,,fee schedule,100.51,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,102.42,,fee schedule,102.42,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,95.72,,fee schedule,95.72,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,TRICARE,TRICARE,,180.58,,fee schedule,180.58,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,95.72,314,percent of total billed charges,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,95.72,314,percent of total billed charges,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,95.72,314,percent of total billed charges,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,95.72,314,fee schedule,
DRSG/DEBRIDEMENT MODERATE,16025,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,95.72,314,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,AMERIGROUP,AMERIGROUP,,100.51,,fee schedule,100.51,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,102.42,,fee schedule,102.42,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,95.72,,fee schedule,95.72,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,TRICARE,TRICARE,,180.58,,fee schedule,180.58,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,95.72,322,percent of total billed charges,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,95.72,322,percent of total billed charges,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,95.72,322,percent of total billed charges,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,95.72,322,fee schedule,
MED BURN FACE OR EXTREMI,16025,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,95.72,322,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,100.51,,fee schedule,100.51,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,102.42,,fee schedule,102.42,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,95.72,,fee schedule,95.72,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,TRICARE,TRICARE,,180.58,,fee schedule,180.58,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,95.72,314,percent of total billed charges,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,95.72,314,percent of total billed charges,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,95.72,314,percent of total billed charges,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,95.72,314,fee schedule,
"MED BURN, FACE OR EXTREMI",16025,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,95.72,314,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,AMERIGROUP,AMERIGROUP,,126.13,,fee schedule,126.13,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,CARESOURCE,CARESOURCE,,128.53,,fee schedule,128.53,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,PEACHSTATE,PEACHSTATE,,120.12,,fee schedule,120.12,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,TRICARE,TRICARE,,373.07,,fee schedule,373.07,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,AETNA,AETNA,,337.56,87,percent of total billed charges,337.56,120.12,615.57,percent of total billed charges,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,337.56,87,percent of total billed charges,337.56,120.12,615.57,percent of total billed charges,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,UNITED HEALTHCARE,UNITED HEALTHCARE,,341.44,88,percent of total billed charges,341.44,120.12,615.57,percent of total billed charges,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,AETNA,AETNA,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,BEECH STREET,BEECH STREET,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,CARESOURCE,CARESOURCE,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,MEDICAID,MEDICAID,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,NOVA NET,NOVA NET,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,PEACHSTATE,PEACHSTATE,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,SELFPAY,SELFPAY,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRESS/DEBRID P-THICK BURN L,16030,CPT,both,,,388,388,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,388,,fee schedule,388,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,AMERIGROUP,AMERIGROUP,,126.13,,fee schedule,126.13,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,128.53,,fee schedule,128.53,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,120.12,,fee schedule,120.12,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,TRICARE,TRICARE,,373.07,,fee schedule,373.07,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,AETNA,AETNA,,310.59,87,percent of total billed charges,310.59,120.12,615.57,percent of total billed charges,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310.59,87,percent of total billed charges,310.59,120.12,615.57,percent of total billed charges,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,UNITED HEALTHCARE,UNITED HEALTHCARE,,314.16,88,percent of total billed charges,314.16,120.12,615.57,percent of total billed charges,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,AETNA,AETNA,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,BEECH STREET,BEECH STREET,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,MEDICAID,MEDICAID,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,NOVA NET,NOVA NET,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,SELFPAY,SELFPAY,,357,,fee schedule,357,120.12,615.57,fee schedule,
DRSG/DEBRIDEMENT LARGE,16030,CPT,both,,,357,357,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,357,,fee schedule,357,120.12,615.57,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,AMERIGROUP,AMERIGROUP,,126.13,,fee schedule,126.13,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,128.53,,fee schedule,128.53,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,120.12,,fee schedule,120.12,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,TRICARE,TRICARE,,373.07,,fee schedule,373.07,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,AETNA,AETNA,,736.02,87,percent of total billed charges,736.02,120.12,846,percent of total billed charges,
LARGE BURN,16030,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,736.02,87,percent of total billed charges,736.02,120.12,846,percent of total billed charges,
LARGE BURN,16030,CPT,both,,,846,846,UNITED HEALTHCARE,UNITED HEALTHCARE,,744.48,88,percent of total billed charges,744.48,120.12,846,percent of total billed charges,
LARGE BURN,16030,CPT,both,,,846,846,AETNA,AETNA,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,BEECH STREET,BEECH STREET,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,CARESOURCE,CARESOURCE,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,MEDICAID,MEDICAID,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,NOVA NET,NOVA NET,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,PEACHSTATE,PEACHSTATE,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,SELFPAY,SELFPAY,,846,,fee schedule,846,120.12,846,fee schedule,
LARGE BURN,16030,CPT,both,,,846,846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,846,,fee schedule,846,120.12,846,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,AETNA,AETNA,,97301.1,87,percent of total billed charges,97301.1,97301.1,111840.35,percent of total billed charges,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97301.1,87,percent of total billed charges,97301.1,97301.1,111840.35,percent of total billed charges,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,UNITED HEALTHCARE,UNITED HEALTHCARE,,98419.51,88,percent of total billed charges,98419.51,97301.1,111840.35,percent of total billed charges,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,AETNA,AETNA,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,ALLIANT,ALLIANT,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,AMBETTER,AMBETTER,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,BEECH STREET,BEECH STREET,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,CARESOURCE,CARESOURCE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,MEDICAID,MEDICAID,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,MEDICARE,MEDICARE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,NOVA NET,NOVA NET,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,PEACHSTATE,PEACHSTATE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,SELFPAY,SELFPAY,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,TRICARE,TRICARE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W MCC,163,DRG,inpatient,,,111840.35,111840.35,UHC MEDICARE,UHC MEDICARE,,111840.35,,fee schedule,111840.35,97301.1,111840.35,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,AETNA,AETNA,,67862.78,87,percent of total billed charges,67862.78,67862.78,78003.19,percent of total billed charges,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67862.78,87,percent of total billed charges,67862.78,67862.78,78003.19,percent of total billed charges,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,UNITED HEALTHCARE,UNITED HEALTHCARE,,68642.81,88,percent of total billed charges,68642.81,67862.78,78003.19,percent of total billed charges,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,AETNA,AETNA,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,ALLIANT,ALLIANT,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,AMBETTER,AMBETTER,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,BEECH STREET,BEECH STREET,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,CARESOURCE,CARESOURCE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,MEDICAID,MEDICAID,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,MEDICARE,MEDICARE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,NOVA NET,NOVA NET,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,PEACHSTATE,PEACHSTATE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,SELFPAY,SELFPAY,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,TRICARE,TRICARE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W CC,164,DRG,inpatient,,,78003.19,78003.19,UHC MEDICARE,UHC MEDICARE,,78003.19,,fee schedule,78003.19,67862.78,78003.19,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,AETNA,AETNA,,30995.19,87,percent of total billed charges,30995.19,30995.19,35626.66,percent of total billed charges,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30995.19,87,percent of total billed charges,30995.19,30995.19,35626.66,percent of total billed charges,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,31351.46,88,percent of total billed charges,31351.46,30995.19,35626.66,percent of total billed charges,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,AETNA,AETNA,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,ALLIANT,ALLIANT,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,AMBETTER,AMBETTER,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,BEECH STREET,BEECH STREET,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,CARESOURCE,CARESOURCE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,MEDICAID,MEDICAID,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,MEDICARE,MEDICARE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,NOVA NET,NOVA NET,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,PEACHSTATE,PEACHSTATE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,SELFPAY,SELFPAY,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,TRICARE,TRICARE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
MAJOR CHEST PROCEDURES W/O CC/MCC,165,DRG,inpatient,,,35626.66,35626.66,UHC MEDICARE,UHC MEDICARE,,35626.66,,fee schedule,35626.66,30995.19,35626.66,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,AETNA,AETNA,,25126.18,87,percent of total billed charges,25126.18,25126.18,28880.67,percent of total billed charges,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25126.18,87,percent of total billed charges,25126.18,25126.18,28880.67,percent of total billed charges,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,25414.99,88,percent of total billed charges,25414.99,25126.18,28880.67,percent of total billed charges,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,AETNA,AETNA,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,ALLIANT,ALLIANT,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,AMBETTER,AMBETTER,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,BEECH STREET,BEECH STREET,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,CARESOURCE,CARESOURCE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,MEDICAID,MEDICAID,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,MEDICARE,MEDICARE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,NOVA NET,NOVA NET,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,PEACHSTATE,PEACHSTATE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,SELFPAY,SELFPAY,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,TRICARE,TRICARE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W MCC,166,DRG,inpatient,,,28880.67,28880.67,UHC MEDICARE,UHC MEDICARE,,28880.67,,fee schedule,28880.67,25126.18,28880.67,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,AETNA,AETNA,,13663.32,87,percent of total billed charges,13663.32,13663.32,15704.97,percent of total billed charges,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13663.32,87,percent of total billed charges,13663.32,13663.32,15704.97,percent of total billed charges,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,13820.37,88,percent of total billed charges,13820.37,13663.32,15704.97,percent of total billed charges,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,AETNA,AETNA,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,ALLIANT,ALLIANT,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,AMBETTER,AMBETTER,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,BEECH STREET,BEECH STREET,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,CARESOURCE,CARESOURCE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,MEDICAID,MEDICAID,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,MEDICARE,MEDICARE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,NOVA NET,NOVA NET,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,PEACHSTATE,PEACHSTATE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,SELFPAY,SELFPAY,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,TRICARE,TRICARE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
OTHER RESP SYSTEM O.R. PROCEDURES W CC,167,DRG,inpatient,,,15704.97,15704.97,UHC MEDICARE,UHC MEDICARE,,15704.97,,fee schedule,15704.97,13663.32,15704.97,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,46.07,,fee schedule,46.07,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,46.95,,fee schedule,46.95,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,43.88,,fee schedule,43.88,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,TRICARE,TRICARE,,180.58,,fee schedule,180.58,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,43.88,473,percent of total billed charges,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,43.88,473,percent of total billed charges,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,43.88,473,percent of total billed charges,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT B9 LESION, 1-14",17110,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,43.88,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,62.28,,fee schedule,62.28,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,63.46,,fee schedule,63.46,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,59.31,,fee schedule,59.31,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,TRICARE,TRICARE,,180.58,,fee schedule,180.58,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,59.31,473,percent of total billed charges,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,59.31,473,percent of total billed charges,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,59.31,473,percent of total billed charges,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,59.31,473,fee schedule,
"DESTRUCT LESION, />15",17111,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,59.31,473,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,34.78,,fee schedule,34.78,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,35.44,,fee schedule,35.44,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,33.12,,fee schedule,33.12,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,TRICARE,TRICARE,,180.58,,fee schedule,180.58,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,33.12,297.96,percent of total billed charges,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,33.12,297.96,percent of total billed charges,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,33.12,297.96,percent of total billed charges,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,33.12,297.96,fee schedule,
CHEMICAL CAUTERY,17250,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,34.78,,fee schedule,34.78,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,35.44,,fee schedule,35.44,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,33.12,,fee schedule,33.12,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,TRICARE,TRICARE,,180.58,,fee schedule,180.58,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,33.12,297.96,percent of total billed charges,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,33.12,297.96,percent of total billed charges,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,33.12,297.96,percent of total billed charges,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,33.12,297.96,fee schedule,
RN CHEMICAL CAUTERY,17250,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,33.12,297.96,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,93.86,,fee schedule,93.86,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,95.65,,fee schedule,95.65,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,89.39,,fee schedule,89.39,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,TRICARE,TRICARE,,180.58,,fee schedule,180.58,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,89.39,473,percent of total billed charges,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,89.39,473,percent of total billed charges,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,89.39,473,percent of total billed charges,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .5,17270,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,89.39,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,108.18,,fee schedule,108.18,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,110.24,,fee schedule,110.24,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,103.03,,fee schedule,103.03,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,TRICARE,TRICARE,,180.58,,fee schedule,180.58,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,103.03,473,percent of total billed charges,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,103.03,473,percent of total billed charges,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,103.03,473,percent of total billed charges,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC OF SKIN LESIONS .6-1,17271,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,103.03,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,128.08,,fee schedule,128.08,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,130.52,,fee schedule,130.52,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,121.98,,fee schedule,121.98,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,TRICARE,TRICARE,,180.58,,fee schedule,180.58,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,121.98,473,percent of total billed charges,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,121.98,473,percent of total billed charges,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,121.98,473,percent of total billed charges,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 1.1-2,17272,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,121.98,473,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,AMERIGROUP,AMERIGROUP,,146.98,,fee schedule,146.98,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,149.78,,fee schedule,149.78,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,139.98,,fee schedule,139.98,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,TRICARE,TRICARE,,373.07,,fee schedule,373.07,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,AETNA,AETNA,,790.83,87,percent of total billed charges,790.83,139.98,909,percent of total billed charges,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,790.83,87,percent of total billed charges,790.83,139.98,909,percent of total billed charges,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,UNITED HEALTHCARE,UNITED HEALTHCARE,,799.92,88,percent of total billed charges,799.92,139.98,909,percent of total billed charges,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,AETNA,AETNA,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,BEECH STREET,BEECH STREET,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,MEDICAID,MEDICAID,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,NOVA NET,NOVA NET,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,SELFPAY,SELFPAY,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 2.1-3,17273,CPT,both,,,909,909,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,909,,fee schedule,909,139.98,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,AMERIGROUP,AMERIGROUP,,181.07,,fee schedule,181.07,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,184.52,,fee schedule,184.52,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,172.45,,fee schedule,172.45,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,TRICARE,TRICARE,,373.07,,fee schedule,373.07,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,AETNA,AETNA,,790.83,87,percent of total billed charges,790.83,172.45,909,percent of total billed charges,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,790.83,87,percent of total billed charges,790.83,172.45,909,percent of total billed charges,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,UNITED HEALTHCARE,UNITED HEALTHCARE,,799.92,88,percent of total billed charges,799.92,172.45,909,percent of total billed charges,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,AETNA,AETNA,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,BEECH STREET,BEECH STREET,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,MEDICAID,MEDICAID,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,NOVA NET,NOVA NET,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,SELFPAY,SELFPAY,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS 3.1-4,17274,CPT,both,,,909,909,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,909,,fee schedule,909,172.45,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,AMERIGROUP,AMERIGROUP,,211.35,,fee schedule,211.35,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,215.38,,fee schedule,215.38,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,201.29,,fee schedule,201.29,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,TRICARE,TRICARE,,373.07,,fee schedule,373.07,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,AETNA,AETNA,,790.83,87,percent of total billed charges,790.83,201.29,909,percent of total billed charges,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,790.83,87,percent of total billed charges,790.83,201.29,909,percent of total billed charges,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,UNITED HEALTHCARE,UNITED HEALTHCARE,,799.92,88,percent of total billed charges,799.92,201.29,909,percent of total billed charges,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,AETNA,AETNA,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,BEECH STREET,BEECH STREET,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,MEDICAID,MEDICAID,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,NOVA NET,NOVA NET,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,SELFPAY,SELFPAY,,909,,fee schedule,909,201.29,909,fee schedule,
DESTRUC SKIN LESIONS >5,17276,CPT,both,,,909,909,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,909,,fee schedule,909,201.29,909,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,AETNA,AETNA,,31100.77,87,percent of total billed charges,31100.77,31100.77,35748.01,percent of total billed charges,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31100.77,87,percent of total billed charges,31100.77,31100.77,35748.01,percent of total billed charges,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,UNITED HEALTHCARE,UNITED HEALTHCARE,,31458.25,88,percent of total billed charges,31458.25,31100.77,35748.01,percent of total billed charges,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,AETNA,AETNA,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,ALLIANT,ALLIANT,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,AMBETTER,AMBETTER,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,BEECH STREET,BEECH STREET,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,CARESOURCE,CARESOURCE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,MEDICAID,MEDICAID,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,MEDICARE,MEDICARE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,NOVA NET,NOVA NET,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,PEACHSTATE,PEACHSTATE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,SELFPAY,SELFPAY,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,TRICARE,TRICARE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,175,DRG,inpatient,,,35748.01,35748.01,UHC MEDICARE,UHC MEDICARE,,35748.01,,fee schedule,35748.01,31100.77,35748.01,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,AETNA,AETNA,,17676.51,87,percent of total billed charges,17676.51,17676.51,20317.83,percent of total billed charges,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17676.51,87,percent of total billed charges,17676.51,17676.51,20317.83,percent of total billed charges,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,UNITED HEALTHCARE,UNITED HEALTHCARE,,17879.69,88,percent of total billed charges,17879.69,17676.51,20317.83,percent of total billed charges,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,AETNA,AETNA,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,ALLIANT,ALLIANT,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,AMBETTER,AMBETTER,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,BEECH STREET,BEECH STREET,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,CARESOURCE,CARESOURCE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,MEDICAID,MEDICAID,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,MEDICARE,MEDICARE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,NOVA NET,NOVA NET,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,PEACHSTATE,PEACHSTATE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,SELFPAY,SELFPAY,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,TRICARE,TRICARE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
PULMONARY EMBOLISM W/O MCC,176,DRG,inpatient,,,20317.83,20317.83,UHC MEDICARE,UHC MEDICARE,,20317.83,,fee schedule,20317.83,17676.51,20317.83,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,AETNA,AETNA,,25699.36,87,percent of total billed charges,25699.36,25699.36,29539.5,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25699.36,87,percent of total billed charges,25699.36,25699.36,29539.5,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,25994.76,88,percent of total billed charges,25994.76,25699.36,29539.5,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,AETNA,AETNA,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,ALLIANT,ALLIANT,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,AMBETTER,AMBETTER,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,BEECH STREET,BEECH STREET,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,CARESOURCE,CARESOURCE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,MEDICAID,MEDICAID,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,MEDICARE,MEDICARE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,NOVA NET,NOVA NET,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,PEACHSTATE,PEACHSTATE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,SELFPAY,SELFPAY,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,TRICARE,TRICARE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,177,DRG,inpatient,,,29539.5,29539.5,UHC MEDICARE,UHC MEDICARE,,29539.5,,fee schedule,29539.5,25699.36,29539.5,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,AETNA,AETNA,,17986.95,87,percent of total billed charges,17986.95,17986.95,20674.66,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17986.95,87,percent of total billed charges,17986.95,17986.95,20674.66,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,18193.7,88,percent of total billed charges,18193.7,17986.95,20674.66,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,AETNA,AETNA,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,ALLIANT,ALLIANT,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,AMBETTER,AMBETTER,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,BEECH STREET,BEECH STREET,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,CARESOURCE,CARESOURCE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,MEDICAID,MEDICAID,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,MEDICARE,MEDICARE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,NOVA NET,NOVA NET,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,PEACHSTATE,PEACHSTATE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,SELFPAY,SELFPAY,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,TRICARE,TRICARE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,178,DRG,inpatient,,,20674.66,20674.66,UHC MEDICARE,UHC MEDICARE,,20674.66,,fee schedule,20674.66,17986.95,20674.66,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,AETNA,AETNA,,19484.07,87,percent of total billed charges,19484.07,19484.07,22395.48,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19484.07,87,percent of total billed charges,19484.07,19484.07,22395.48,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,19708.02,88,percent of total billed charges,19708.02,19484.07,22395.48,percent of total billed charges,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,AETNA,AETNA,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,ALLIANT,ALLIANT,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,AMBETTER,AMBETTER,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,BEECH STREET,BEECH STREET,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,CARESOURCE,CARESOURCE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,MEDICAID,MEDICAID,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,MEDICARE,MEDICARE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,NOVA NET,NOVA NET,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,PEACHSTATE,PEACHSTATE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,SELFPAY,SELFPAY,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,TRICARE,TRICARE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,179,DRG,inpatient,,,22395.48,22395.48,UHC MEDICARE,UHC MEDICARE,,22395.48,,fee schedule,22395.48,19484.07,22395.48,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,AETNA,AETNA,,36514.73,87,percent of total billed charges,36514.73,36514.73,41970.95,percent of total billed charges,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36514.73,87,percent of total billed charges,36514.73,36514.73,41970.95,percent of total billed charges,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,UNITED HEALTHCARE,UNITED HEALTHCARE,,36934.44,88,percent of total billed charges,36934.44,36514.73,41970.95,percent of total billed charges,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,AETNA,AETNA,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,ALLIANT,ALLIANT,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,AMBETTER,AMBETTER,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,BEECH STREET,BEECH STREET,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,CARESOURCE,CARESOURCE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,MEDICAID,MEDICAID,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,MEDICARE,MEDICARE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,NOVA NET,NOVA NET,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,PEACHSTATE,PEACHSTATE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,SELFPAY,SELFPAY,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,TRICARE,TRICARE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W MCC,180,DRG,inpatient,,,41970.95,41970.95,UHC MEDICARE,UHC MEDICARE,,41970.95,,fee schedule,41970.95,36514.73,41970.95,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,AETNA,AETNA,,28507.98,87,percent of total billed charges,28507.98,28507.98,32767.79,percent of total billed charges,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28507.98,87,percent of total billed charges,28507.98,28507.98,32767.79,percent of total billed charges,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,UNITED HEALTHCARE,UNITED HEALTHCARE,,28835.66,88,percent of total billed charges,28835.66,28507.98,32767.79,percent of total billed charges,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,AETNA,AETNA,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,ALLIANT,ALLIANT,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,AMBETTER,AMBETTER,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,BEECH STREET,BEECH STREET,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,CARESOURCE,CARESOURCE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,MEDICAID,MEDICAID,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,MEDICARE,MEDICARE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,NOVA NET,NOVA NET,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,PEACHSTATE,PEACHSTATE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,SELFPAY,SELFPAY,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,TRICARE,TRICARE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
RESPIRATORY NEOPLASMS W CC,181,DRG,inpatient,,,32767.79,32767.79,UHC MEDICARE,UHC MEDICARE,,32767.79,,fee schedule,32767.79,28507.98,32767.79,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,AETNA,AETNA,,40405.72,87,percent of total billed charges,40405.72,40405.72,46443.36,percent of total billed charges,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40405.72,87,percent of total billed charges,40405.72,40405.72,46443.36,percent of total billed charges,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,UNITED HEALTHCARE,UNITED HEALTHCARE,,40870.16,88,percent of total billed charges,40870.16,40405.72,46443.36,percent of total billed charges,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,AETNA,AETNA,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,ALLIANT,ALLIANT,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,AMBETTER,AMBETTER,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,BEECH STREET,BEECH STREET,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,CARESOURCE,CARESOURCE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,MEDICAID,MEDICAID,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,MEDICARE,MEDICARE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,NOVA NET,NOVA NET,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,PEACHSTATE,PEACHSTATE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,SELFPAY,SELFPAY,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,TRICARE,TRICARE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W MCC,183,DRG,inpatient,,,46443.36,46443.36,UHC MEDICARE,UHC MEDICARE,,46443.36,,fee schedule,46443.36,40405.72,46443.36,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,AETNA,AETNA,,19962.6,87,percent of total billed charges,19962.6,19962.6,22945.52,percent of total billed charges,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19962.6,87,percent of total billed charges,19962.6,19962.6,22945.52,percent of total billed charges,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,UNITED HEALTHCARE,UNITED HEALTHCARE,,20192.06,88,percent of total billed charges,20192.06,19962.6,22945.52,percent of total billed charges,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,AETNA,AETNA,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,ALLIANT,ALLIANT,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,AMBETTER,AMBETTER,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,BEECH STREET,BEECH STREET,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,CARESOURCE,CARESOURCE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,MEDICAID,MEDICAID,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,MEDICARE,MEDICARE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,NOVA NET,NOVA NET,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,PEACHSTATE,PEACHSTATE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,SELFPAY,SELFPAY,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,TRICARE,TRICARE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
MAJOR CHEST TRAUMA W CC,184,DRG,inpatient,,,22945.52,22945.52,UHC MEDICARE,UHC MEDICARE,,22945.52,,fee schedule,22945.52,19962.6,22945.52,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,AETNA,AETNA,,26724.36,87,percent of total billed charges,26724.36,26724.36,30717.65,percent of total billed charges,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26724.36,87,percent of total billed charges,26724.36,26724.36,30717.65,percent of total billed charges,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,UNITED HEALTHCARE,UNITED HEALTHCARE,,27031.53,88,percent of total billed charges,27031.53,26724.36,30717.65,percent of total billed charges,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,AETNA,AETNA,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,ALLIANT,ALLIANT,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,AMBETTER,AMBETTER,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,BEECH STREET,BEECH STREET,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,CARESOURCE,CARESOURCE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,MEDICAID,MEDICAID,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,MEDICARE,MEDICARE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,NOVA NET,NOVA NET,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,PEACHSTATE,PEACHSTATE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,SELFPAY,SELFPAY,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,TRICARE,TRICARE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W MCC,186,DRG,inpatient,,,30717.65,30717.65,UHC MEDICARE,UHC MEDICARE,,30717.65,,fee schedule,30717.65,26724.36,30717.65,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,AETNA,AETNA,,15841.47,87,percent of total billed charges,15841.47,15841.47,18208.59,percent of total billed charges,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15841.47,87,percent of total billed charges,15841.47,15841.47,18208.59,percent of total billed charges,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,UNITED HEALTHCARE,UNITED HEALTHCARE,,16023.56,88,percent of total billed charges,16023.56,15841.47,18208.59,percent of total billed charges,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,AETNA,AETNA,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,ALLIANT,ALLIANT,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,AMBETTER,AMBETTER,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,BEECH STREET,BEECH STREET,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,CARESOURCE,CARESOURCE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,MEDICAID,MEDICAID,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,MEDICARE,MEDICARE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,NOVA NET,NOVA NET,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,PEACHSTATE,PEACHSTATE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,SELFPAY,SELFPAY,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,TRICARE,TRICARE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PLEURAL EFFUSION W CC,187,DRG,inpatient,,,18208.59,18208.59,UHC MEDICARE,UHC MEDICARE,,18208.59,,fee schedule,18208.59,15841.47,18208.59,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,AETNA,AETNA,,35825.04,87,percent of total billed charges,35825.04,35825.04,41178.21,percent of total billed charges,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35825.04,87,percent of total billed charges,35825.04,35825.04,41178.21,percent of total billed charges,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,UNITED HEALTHCARE,UNITED HEALTHCARE,,36236.82,88,percent of total billed charges,36236.82,35825.04,41178.21,percent of total billed charges,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,AETNA,AETNA,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,ALLIANT,ALLIANT,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,AMBETTER,AMBETTER,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,BEECH STREET,BEECH STREET,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,CARESOURCE,CARESOURCE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,MEDICAID,MEDICAID,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,MEDICARE,MEDICARE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,NOVA NET,NOVA NET,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,PEACHSTATE,PEACHSTATE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,SELFPAY,SELFPAY,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,TRICARE,TRICARE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
PULMONARY EDEMA & RESPIRATORY FAILURE,189,DRG,inpatient,,,41178.21,41178.21,UHC MEDICARE,UHC MEDICARE,,41178.21,,fee schedule,41178.21,35825.04,41178.21,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,AETNA,AETNA,,19321.16,87,percent of total billed charges,19321.16,19321.16,22208.23,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19321.16,87,percent of total billed charges,19321.16,19321.16,22208.23,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,UNITED HEALTHCARE,UNITED HEALTHCARE,,19543.24,88,percent of total billed charges,19543.24,19321.16,22208.23,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,AETNA,AETNA,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,ALLIANT,ALLIANT,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,AMBETTER,AMBETTER,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,BEECH STREET,BEECH STREET,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,CARESOURCE,CARESOURCE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,MEDICAID,MEDICAID,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,MEDICARE,MEDICARE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,NOVA NET,NOVA NET,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,PEACHSTATE,PEACHSTATE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,SELFPAY,SELFPAY,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,TRICARE,TRICARE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,190,DRG,inpatient,,,22208.23,22208.23,UHC MEDICARE,UHC MEDICARE,,22208.23,,fee schedule,22208.23,19321.16,22208.23,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,AMERIGROUP,AMERIGROUP,,55.91,,fee schedule,55.91,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,CARESOURCE,CARESOURCE,,56.98,,fee schedule,56.98,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,PEACHSTATE,PEACHSTATE,,53.25,,fee schedule,53.25,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,TRICARE,TRICARE,,648.97,,fee schedule,648.97,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,AETNA,AETNA,,511.56,87,percent of total billed charges,511.56,53.25,1070.8,percent of total billed charges,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,511.56,87,percent of total billed charges,511.56,53.25,1070.8,percent of total billed charges,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,UNITED HEALTHCARE,UNITED HEALTHCARE,,517.44,88,percent of total billed charges,517.44,53.25,1070.8,percent of total billed charges,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,AETNA,AETNA,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,BEECH STREET,BEECH STREET,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,CARESOURCE,CARESOURCE,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,MEDICAID,MEDICAID,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,NOVA NET,NOVA NET,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,PEACHSTATE,PEACHSTATE,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,SELFPAY,SELFPAY,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ BREAST ASP 1ST LESION,19000,CPT,both,,,588,588,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,588,,fee schedule,588,53.25,1070.8,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,32.17,,fee schedule,32.17,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,32.78,,fee schedule,32.78,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,30.64,,fee schedule,30.64,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,30.64,192,percent of total billed charges,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,30.64,192,percent of total billed charges,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,30.64,192,percent of total billed charges,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,ALLIANT,ALLIANT,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,AMBETTER,AMBETTER,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,MEDICARE,MEDICARE,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,TRICARE,TRICARE,,192,,fee schedule,192,30.64,192,fee schedule,
INJ EACH ADD LESION,19001,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,192,,fee schedule,192,30.64,192,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,AMERIGROUP,AMERIGROUP,,609.83,,fee schedule,609.83,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,CARESOURCE,CARESOURCE,,621.45,,fee schedule,621.45,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,PEACHSTATE,PEACHSTATE,,580.79,,fee schedule,580.79,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,AETNA,AETNA,,2632.62,87,percent of total billed charges,2632.62,580.79,3026,percent of total billed charges,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2632.62,87,percent of total billed charges,2632.62,580.79,3026,percent of total billed charges,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,UNITED HEALTHCARE,UNITED HEALTHCARE,,2662.88,88,percent of total billed charges,2662.88,580.79,3026,percent of total billed charges,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,AETNA,AETNA,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,BEECH STREET,BEECH STREET,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,CARESOURCE,CARESOURCE,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,MEDICAID,MEDICAID,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,NOVA NET,NOVA NET,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,PEACHSTATE,PEACHSTATE,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,SELFPAY,SELFPAY,,3026,,fee schedule,3026,580.79,3026,fee schedule,
STEREO BR BX PROCEDURE,19081,CPT,both,,,3026,3026,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3026,,fee schedule,3026,580.79,3026,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,AMERIGROUP,AMERIGROUP,,605.85,,fee schedule,605.85,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,CARESOURCE,CARESOURCE,,617.39,,fee schedule,617.39,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,PEACHSTATE,PEACHSTATE,,577,,fee schedule,577,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,AETNA,AETNA,,1385.91,87,percent of total billed charges,1385.91,577,2474.26,percent of total billed charges,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1385.91,87,percent of total billed charges,1385.91,577,2474.26,percent of total billed charges,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,UNITED HEALTHCARE,UNITED HEALTHCARE,,1401.84,88,percent of total billed charges,1401.84,577,2474.26,percent of total billed charges,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,AETNA,AETNA,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,BEECH STREET,BEECH STREET,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,CARESOURCE,CARESOURCE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,MEDICAID,MEDICAID,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,NOVA NET,NOVA NET,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,PEACHSTATE,PEACHSTATE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,SELFPAY,SELFPAY,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED LEFT BREAST BIO,19083,CPT,both,,,1593,1593,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,AMERIGROUP,AMERIGROUP,,605.85,,fee schedule,605.85,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,CARESOURCE,CARESOURCE,,617.39,,fee schedule,617.39,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,PEACHSTATE,PEACHSTATE,,577,,fee schedule,577,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,AETNA,AETNA,,1385.91,87,percent of total billed charges,1385.91,577,2474.26,percent of total billed charges,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1385.91,87,percent of total billed charges,1385.91,577,2474.26,percent of total billed charges,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,UNITED HEALTHCARE,UNITED HEALTHCARE,,1401.84,88,percent of total billed charges,1401.84,577,2474.26,percent of total billed charges,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,AETNA,AETNA,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,BEECH STREET,BEECH STREET,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,CARESOURCE,CARESOURCE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,MEDICAID,MEDICAID,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,NOVA NET,NOVA NET,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,PEACHSTATE,PEACHSTATE,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,SELFPAY,SELFPAY,,1593,,fee schedule,1593,577,2474.26,fee schedule,
US GUIDED RIGHT BREAST BI,19083,CPT,both,,,1593,1593,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1593,,fee schedule,1593,577,2474.26,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,AETNA,AETNA,,17961.79,87,percent of total billed charges,17961.79,17961.79,20645.73,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17961.79,87,percent of total billed charges,17961.79,17961.79,20645.73,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,UNITED HEALTHCARE,UNITED HEALTHCARE,,18168.24,88,percent of total billed charges,18168.24,17961.79,20645.73,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,AETNA,AETNA,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,ALLIANT,ALLIANT,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,AMBETTER,AMBETTER,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,BEECH STREET,BEECH STREET,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,CARESOURCE,CARESOURCE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,MEDICAID,MEDICAID,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,MEDICARE,MEDICARE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,NOVA NET,NOVA NET,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,PEACHSTATE,PEACHSTATE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,SELFPAY,SELFPAY,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,TRICARE,TRICARE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,191,DRG,inpatient,,,20645.73,20645.73,UHC MEDICARE,UHC MEDICARE,,20645.73,,fee schedule,20645.73,17961.79,20645.73,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,AETNA,AETNA,,15080.61,87,percent of total billed charges,15080.61,15080.61,17334.04,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15080.61,87,percent of total billed charges,15080.61,15080.61,17334.04,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,UNITED HEALTHCARE,UNITED HEALTHCARE,,15253.96,88,percent of total billed charges,15253.96,15080.61,17334.04,percent of total billed charges,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,AETNA,AETNA,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,ALLIANT,ALLIANT,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,AMBETTER,AMBETTER,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,BEECH STREET,BEECH STREET,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,CARESOURCE,CARESOURCE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,MEDICAID,MEDICAID,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,MEDICARE,MEDICARE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,NOVA NET,NOVA NET,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,PEACHSTATE,PEACHSTATE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,SELFPAY,SELFPAY,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,TRICARE,TRICARE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,192,DRG,inpatient,,,17334.04,17334.04,UHC MEDICARE,UHC MEDICARE,,17334.04,,fee schedule,17334.04,15080.61,17334.04,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,AMERIGROUP,AMERIGROUP,,219.63,,fee schedule,219.63,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,223.81,,fee schedule,223.81,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,209.17,,fee schedule,209.17,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,UNITED HEALTHCARE,UNITED HEALTHCARE,,1226.72,88,percent of total billed charges,1226.72,209.17,2474.26,percent of total billed charges,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,BEECH STREET,BEECH STREET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,MEDICAID,MEDICAID,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,NOVA NET,NOVA NET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,SELFPAY,SELFPAY,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
LEFT BREAST REFLECTOR PLACEMEN,19281,CPT,both,,,1394,1394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,AMERIGROUP,AMERIGROUP,,219.63,,fee schedule,219.63,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,223.81,,fee schedule,223.81,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,209.17,,fee schedule,209.17,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,UNITED HEALTHCARE,UNITED HEALTHCARE,,1226.72,88,percent of total billed charges,1226.72,209.17,2474.26,percent of total billed charges,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,BEECH STREET,BEECH STREET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,MEDICAID,MEDICAID,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,NOVA NET,NOVA NET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,SELFPAY,SELFPAY,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
MAMMOGRAPHY-BREAST LOCALI,19281,CPT,both,,,1394,1394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,AMERIGROUP,AMERIGROUP,,219.63,,fee schedule,219.63,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,223.81,,fee schedule,223.81,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,209.17,,fee schedule,209.17,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,UNITED HEALTHCARE,UNITED HEALTHCARE,,1226.72,88,percent of total billed charges,1226.72,209.17,2474.26,percent of total billed charges,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,BEECH STREET,BEECH STREET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,MEDICAID,MEDICAID,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,NOVA NET,NOVA NET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,SELFPAY,SELFPAY,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE LOC RIGHT,19281,CPT,both,,,1394,1394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,AMERIGROUP,AMERIGROUP,,219.63,,fee schedule,219.63,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,223.81,,fee schedule,223.81,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,209.17,,fee schedule,209.17,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212.78,87,percent of total billed charges,1212.78,209.17,2474.26,percent of total billed charges,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,UNITED HEALTHCARE,UNITED HEALTHCARE,,1226.72,88,percent of total billed charges,1226.72,209.17,2474.26,percent of total billed charges,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,AETNA,AETNA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,BEECH STREET,BEECH STREET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,MEDICAID,MEDICAID,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,NOVA NET,NOVA NET,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,SELFPAY,SELFPAY,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
RIGHT BREAST REFLECTOR PLACEMT,19281,CPT,both,,,1394,1394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1394,,fee schedule,1394,209.17,2474.26,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,AMERIGROUP,AMERIGROUP,,152.72,,fee schedule,152.72,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,CARESOURCE,CARESOURCE,,155.63,,fee schedule,155.63,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,PEACHSTATE,PEACHSTATE,,145.45,,fee schedule,145.45,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,AETNA,AETNA,,565.5,87,percent of total billed charges,565.5,145.45,650,percent of total billed charges,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,565.5,87,percent of total billed charges,565.5,145.45,650,percent of total billed charges,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,UNITED HEALTHCARE,UNITED HEALTHCARE,,572,88,percent of total billed charges,572,145.45,650,percent of total billed charges,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,AETNA,AETNA,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,ALLIANT,ALLIANT,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,AMBETTER,AMBETTER,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,BEECH STREET,BEECH STREET,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,CARESOURCE,CARESOURCE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,MEDICAID,MEDICAID,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,MEDICARE,MEDICARE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,NOVA NET,NOVA NET,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,PEACHSTATE,PEACHSTATE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,SELFPAY,SELFPAY,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,TRICARE,TRICARE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19282,CPT,both,,,650,650,UHC MEDICARE,UHC MEDICARE,,650,,fee schedule,650,145.45,650,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,AMERIGROUP,AMERIGROUP,,423.01,,fee schedule,423.01,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,CARESOURCE,CARESOURCE,,431.07,,fee schedule,431.07,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,PEACHSTATE,PEACHSTATE,,402.87,,fee schedule,402.87,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,TRICARE,TRICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,AETNA,AETNA,,1394.61,87,percent of total billed charges,1394.61,402.87,1603,percent of total billed charges,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394.61,87,percent of total billed charges,1394.61,402.87,1603,percent of total billed charges,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,UNITED HEALTHCARE,UNITED HEALTHCARE,,1410.64,88,percent of total billed charges,1410.64,402.87,1603,percent of total billed charges,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,AETNA,AETNA,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,BEECH STREET,BEECH STREET,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,CARESOURCE,CARESOURCE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,MEDICAID,MEDICAID,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,NOVA NET,NOVA NET,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,PEACHSTATE,PEACHSTATE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,SELFPAY,SELFPAY,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE 1ST LESION U,19285,CPT,both,,,1603,1603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,AMERIGROUP,AMERIGROUP,,423.01,,fee schedule,423.01,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,CARESOURCE,CARESOURCE,,431.07,,fee schedule,431.07,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,PEACHSTATE,PEACHSTATE,,402.87,,fee schedule,402.87,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,TRICARE,TRICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,AETNA,AETNA,,1394.61,87,percent of total billed charges,1394.61,402.87,1603,percent of total billed charges,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394.61,87,percent of total billed charges,1394.61,402.87,1603,percent of total billed charges,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,UNITED HEALTHCARE,UNITED HEALTHCARE,,1410.64,88,percent of total billed charges,1410.64,402.87,1603,percent of total billed charges,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,AETNA,AETNA,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,BEECH STREET,BEECH STREET,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,CARESOURCE,CARESOURCE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,MEDICAID,MEDICAID,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,NOVA NET,NOVA NET,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,PEACHSTATE,PEACHSTATE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,SELFPAY,SELFPAY,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT LT BREAST,19285,CPT,both,,,1603,1603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,AMERIGROUP,AMERIGROUP,,423.01,,fee schedule,423.01,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,CARESOURCE,CARESOURCE,,431.07,,fee schedule,431.07,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,PEACHSTATE,PEACHSTATE,,402.87,,fee schedule,402.87,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,TRICARE,TRICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,AETNA,AETNA,,1394.61,87,percent of total billed charges,1394.61,402.87,1603,percent of total billed charges,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394.61,87,percent of total billed charges,1394.61,402.87,1603,percent of total billed charges,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,UNITED HEALTHCARE,UNITED HEALTHCARE,,1410.64,88,percent of total billed charges,1410.64,402.87,1603,percent of total billed charges,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,AETNA,AETNA,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,BEECH STREET,BEECH STREET,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,CARESOURCE,CARESOURCE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,MEDICAID,MEDICAID,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,NOVA NET,NOVA NET,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,PEACHSTATE,PEACHSTATE,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,SELFPAY,SELFPAY,,1603,,fee schedule,1603,402.87,1603,fee schedule,
US PLACEMENT REFLECT RT BREAST,19285,CPT,both,,,1603,1603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1603,,fee schedule,1603,402.87,1603,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,AMERIGROUP,AMERIGROUP,,407.53,,fee schedule,407.53,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,CARESOURCE,CARESOURCE,,415.29,,fee schedule,415.29,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,PEACHSTATE,PEACHSTATE,,388.12,,fee schedule,388.12,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,AETNA,AETNA,,565.5,87,percent of total billed charges,565.5,388.12,650,percent of total billed charges,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,565.5,87,percent of total billed charges,565.5,388.12,650,percent of total billed charges,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,UNITED HEALTHCARE,UNITED HEALTHCARE,,572,88,percent of total billed charges,572,388.12,650,percent of total billed charges,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,AETNA,AETNA,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,ALLIANT,ALLIANT,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,AMBETTER,AMBETTER,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,BEECH STREET,BEECH STREET,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,CARESOURCE,CARESOURCE,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,MEDICAID,MEDICAID,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,MEDICARE,MEDICARE,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,NOVA NET,NOVA NET,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,PEACHSTATE,PEACHSTATE,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,SELFPAY,SELFPAY,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,TRICARE,TRICARE,,650,,fee schedule,650,388.12,650,fee schedule,
NEEDLE PLACE EA ADD LESIO,19286,CPT,both,,,650,650,UHC MEDICARE,UHC MEDICARE,,650,,fee schedule,650,388.12,650,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,AETNA,AETNA,,24793.88,87,percent of total billed charges,24793.88,24793.88,28498.71,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24793.88,87,percent of total billed charges,24793.88,24793.88,28498.71,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,UNITED HEALTHCARE,UNITED HEALTHCARE,,25078.86,88,percent of total billed charges,25078.86,24793.88,28498.71,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,AETNA,AETNA,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,ALLIANT,ALLIANT,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,AMBETTER,AMBETTER,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,BEECH STREET,BEECH STREET,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,CARESOURCE,CARESOURCE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,MEDICAID,MEDICAID,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,MEDICARE,MEDICARE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,NOVA NET,NOVA NET,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,PEACHSTATE,PEACHSTATE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,SELFPAY,SELFPAY,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,TRICARE,TRICARE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W MCC,193,DRG,inpatient,,,28498.71,28498.71,UHC MEDICARE,UHC MEDICARE,,28498.71,,fee schedule,28498.71,24793.88,28498.71,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,AETNA,AETNA,,15840.36,87,percent of total billed charges,15840.36,15840.36,18207.31,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15840.36,87,percent of total billed charges,15840.36,15840.36,18207.31,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,UNITED HEALTHCARE,UNITED HEALTHCARE,,16022.43,88,percent of total billed charges,16022.43,15840.36,18207.31,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,AETNA,AETNA,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,ALLIANT,ALLIANT,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,AMBETTER,AMBETTER,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,BEECH STREET,BEECH STREET,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,CARESOURCE,CARESOURCE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,MEDICAID,MEDICAID,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,MEDICARE,MEDICARE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,NOVA NET,NOVA NET,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,PEACHSTATE,PEACHSTATE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,SELFPAY,SELFPAY,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,TRICARE,TRICARE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W CC,194,DRG,inpatient,,,18207.31,18207.31,UHC MEDICARE,UHC MEDICARE,,18207.31,,fee schedule,18207.31,15840.36,18207.31,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,AETNA,AETNA,,11554.44,87,percent of total billed charges,11554.44,11554.44,13280.96,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11554.44,87,percent of total billed charges,11554.44,11554.44,13280.96,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,UNITED HEALTHCARE,UNITED HEALTHCARE,,11687.24,88,percent of total billed charges,11687.24,11554.44,13280.96,percent of total billed charges,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,AETNA,AETNA,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,ALLIANT,ALLIANT,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,AMBETTER,AMBETTER,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,BEECH STREET,BEECH STREET,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,CARESOURCE,CARESOURCE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,MEDICAID,MEDICAID,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,MEDICARE,MEDICARE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,NOVA NET,NOVA NET,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,PEACHSTATE,PEACHSTATE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,SELFPAY,SELFPAY,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,TRICARE,TRICARE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,195,DRG,inpatient,,,13280.96,13280.96,UHC MEDICARE,UHC MEDICARE,,13280.96,,fee schedule,13280.96,11554.44,13280.96,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,AETNA,AETNA,,24679.03,87,percent of total billed charges,24679.03,24679.03,28366.7,percent of total billed charges,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24679.03,87,percent of total billed charges,24679.03,24679.03,28366.7,percent of total billed charges,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,UNITED HEALTHCARE,UNITED HEALTHCARE,,24962.7,88,percent of total billed charges,24962.7,24679.03,28366.7,percent of total billed charges,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,AETNA,AETNA,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,ALLIANT,ALLIANT,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,AMBETTER,AMBETTER,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,BEECH STREET,BEECH STREET,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,CARESOURCE,CARESOURCE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,MEDICAID,MEDICAID,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,MEDICARE,MEDICARE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,NOVA NET,NOVA NET,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,PEACHSTATE,PEACHSTATE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,SELFPAY,SELFPAY,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,TRICARE,TRICARE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W MCC,196,DRG,inpatient,,,28366.7,28366.7,UHC MEDICARE,UHC MEDICARE,,28366.7,,fee schedule,28366.7,24679.03,28366.7,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,AETNA,AETNA,,14509.57,87,percent of total billed charges,14509.57,14509.57,16677.67,percent of total billed charges,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14509.57,87,percent of total billed charges,14509.57,14509.57,16677.67,percent of total billed charges,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,14676.35,88,percent of total billed charges,14676.35,14509.57,16677.67,percent of total billed charges,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,AETNA,AETNA,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,ALLIANT,ALLIANT,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,AMBETTER,AMBETTER,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,BEECH STREET,BEECH STREET,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,CARESOURCE,CARESOURCE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,MEDICAID,MEDICAID,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,MEDICARE,MEDICARE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,NOVA NET,NOVA NET,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,PEACHSTATE,PEACHSTATE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,SELFPAY,SELFPAY,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,TRICARE,TRICARE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
INTERSTITIAL LUNG DISEASE W CC,197,DRG,inpatient,,,16677.67,16677.67,UHC MEDICARE,UHC MEDICARE,,16677.67,,fee schedule,16677.67,14509.57,16677.67,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,AETNA,AETNA,,41782.96,87,percent of total billed charges,41782.96,41782.96,48026.39,percent of total billed charges,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41782.96,87,percent of total billed charges,41782.96,41782.96,48026.39,percent of total billed charges,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,UNITED HEALTHCARE,UNITED HEALTHCARE,,42263.22,88,percent of total billed charges,42263.22,41782.96,48026.39,percent of total billed charges,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,AETNA,AETNA,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,ALLIANT,ALLIANT,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,AMBETTER,AMBETTER,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,BEECH STREET,BEECH STREET,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,CARESOURCE,CARESOURCE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,MEDICAID,MEDICAID,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,MEDICARE,MEDICARE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,NOVA NET,NOVA NET,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,PEACHSTATE,PEACHSTATE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,SELFPAY,SELFPAY,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,TRICARE,TRICARE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W MCC,199,DRG,inpatient,,,48026.39,48026.39,UHC MEDICARE,UHC MEDICARE,,48026.39,,fee schedule,48026.39,41782.96,48026.39,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,AETNA,AETNA,,18111.69,87,percent of total billed charges,18111.69,18111.69,20818.03,percent of total billed charges,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18111.69,87,percent of total billed charges,18111.69,18111.69,20818.03,percent of total billed charges,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,UNITED HEALTHCARE,UNITED HEALTHCARE,,18319.87,88,percent of total billed charges,18319.87,18111.69,20818.03,percent of total billed charges,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,AETNA,AETNA,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,ALLIANT,ALLIANT,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,AMBETTER,AMBETTER,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,BEECH STREET,BEECH STREET,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,CARESOURCE,CARESOURCE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,MEDICAID,MEDICAID,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,MEDICARE,MEDICARE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,NOVA NET,NOVA NET,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,PEACHSTATE,PEACHSTATE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,SELFPAY,SELFPAY,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,TRICARE,TRICARE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W CC,200,DRG,inpatient,,,20818.03,20818.03,UHC MEDICARE,UHC MEDICARE,,20818.03,,fee schedule,20818.03,18111.69,20818.03,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,AETNA,AETNA,,11052.35,87,percent of total billed charges,11052.35,11052.35,12703.85,percent of total billed charges,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11052.35,87,percent of total billed charges,11052.35,11052.35,12703.85,percent of total billed charges,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,UNITED HEALTHCARE,UNITED HEALTHCARE,,11179.39,88,percent of total billed charges,11179.39,11052.35,12703.85,percent of total billed charges,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,AETNA,AETNA,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,ALLIANT,ALLIANT,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,AMBETTER,AMBETTER,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,BEECH STREET,BEECH STREET,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,CARESOURCE,CARESOURCE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,MEDICAID,MEDICAID,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,MEDICARE,MEDICARE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,NOVA NET,NOVA NET,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,PEACHSTATE,PEACHSTATE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,SELFPAY,SELFPAY,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,TRICARE,TRICARE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
PNEUMOTHORAX W/O CC/MCC,201,DRG,inpatient,,,12703.85,12703.85,UHC MEDICARE,UHC MEDICARE,,12703.85,,fee schedule,12703.85,11052.35,12703.85,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,AETNA,AETNA,,12691.27,87,percent of total billed charges,12691.27,12691.27,14587.67,percent of total billed charges,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12691.27,87,percent of total billed charges,12691.27,12691.27,14587.67,percent of total billed charges,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,12837.15,88,percent of total billed charges,12837.15,12691.27,14587.67,percent of total billed charges,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,AETNA,AETNA,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,ALLIANT,ALLIANT,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,AMBETTER,AMBETTER,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,BEECH STREET,BEECH STREET,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,CARESOURCE,CARESOURCE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,MEDICAID,MEDICAID,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,MEDICARE,MEDICARE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,NOVA NET,NOVA NET,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,PEACHSTATE,PEACHSTATE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,SELFPAY,SELFPAY,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,TRICARE,TRICARE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BRONCHITIS & ASTHMA W CC/MCC,202,DRG,inpatient,,,14587.67,14587.67,UHC MEDICARE,UHC MEDICARE,,14587.67,,fee schedule,14587.67,12691.27,14587.67,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,AMERIGROUP,AMERIGROUP,,118.82,,fee schedule,118.82,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,CARESOURCE,CARESOURCE,,121.08,,fee schedule,121.08,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,PEACHSTATE,PEACHSTATE,,113.16,,fee schedule,113.16,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,AETNA,AETNA,,3190.29,87,percent of total billed charges,3190.29,113.16,3667,percent of total billed charges,
BONE BIOPSY,20225,CPT,both,,,3667,3667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3190.29,87,percent of total billed charges,3190.29,113.16,3667,percent of total billed charges,
BONE BIOPSY,20225,CPT,both,,,3667,3667,UNITED HEALTHCARE,UNITED HEALTHCARE,,3226.96,88,percent of total billed charges,3226.96,113.16,3667,percent of total billed charges,
BONE BIOPSY,20225,CPT,both,,,3667,3667,AETNA,AETNA,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,BEECH STREET,BEECH STREET,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,CARESOURCE,CARESOURCE,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,MEDICAID,MEDICAID,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,NOVA NET,NOVA NET,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,PEACHSTATE,PEACHSTATE,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,SELFPAY,SELFPAY,,3667,,fee schedule,3667,113.16,3667,fee schedule,
BONE BIOPSY,20225,CPT,both,,,3667,3667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3667,,fee schedule,3667,113.16,3667,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,AMERIGROUP,AMERIGROUP,,118.82,,fee schedule,118.82,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,CARESOURCE,CARESOURCE,,121.08,,fee schedule,121.08,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,PEACHSTATE,PEACHSTATE,,113.16,,fee schedule,113.16,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,AETNA,AETNA,,609,87,percent of total billed charges,609,113.16,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,609,87,percent of total billed charges,609,113.16,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,UNITED HEALTHCARE,UNITED HEALTHCARE,,616,88,percent of total billed charges,616,113.16,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,AETNA,AETNA,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,BEECH STREET,BEECH STREET,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,CARESOURCE,CARESOURCE,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,MEDICAID,MEDICAID,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,NOVA NET,NOVA NET,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,PEACHSTATE,PEACHSTATE,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,SELFPAY,SELFPAY,,700,,fee schedule,700,113.16,2474.26,fee schedule,
NEEDLE BIOPSY OF SPINE,20225,CPT,both,,,700,700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,700,,fee schedule,700,113.16,2474.26,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,AETNA,AETNA,,10606.42,87,percent of total billed charges,10606.42,10606.42,12191.29,percent of total billed charges,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10606.42,87,percent of total billed charges,10606.42,10606.42,12191.29,percent of total billed charges,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,10728.34,88,percent of total billed charges,10728.34,10606.42,12191.29,percent of total billed charges,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,AETNA,AETNA,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,ALLIANT,ALLIANT,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,AMBETTER,AMBETTER,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,BEECH STREET,BEECH STREET,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,CARESOURCE,CARESOURCE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,MEDICAID,MEDICAID,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,MEDICARE,MEDICARE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,NOVA NET,NOVA NET,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,PEACHSTATE,PEACHSTATE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,SELFPAY,SELFPAY,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,TRICARE,TRICARE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
BRONCHITIS & ASTHMA W/O CC/MCC,203,DRG,inpatient,,,12191.29,12191.29,UHC MEDICARE,UHC MEDICARE,,12191.29,,fee schedule,12191.29,10606.42,12191.29,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,AETNA,AETNA,,8467.6,87,percent of total billed charges,8467.6,8467.6,9732.87,percent of total billed charges,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8467.6,87,percent of total billed charges,8467.6,8467.6,9732.87,percent of total billed charges,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,UNITED HEALTHCARE,UNITED HEALTHCARE,,8564.93,88,percent of total billed charges,8564.93,8467.6,9732.87,percent of total billed charges,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,AETNA,AETNA,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,ALLIANT,ALLIANT,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,AMBETTER,AMBETTER,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,BEECH STREET,BEECH STREET,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,CARESOURCE,CARESOURCE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,MEDICAID,MEDICAID,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,MEDICARE,MEDICARE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,NOVA NET,NOVA NET,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,PEACHSTATE,PEACHSTATE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,SELFPAY,SELFPAY,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,TRICARE,TRICARE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
RESPIRATORY SIGNS & SYMPTOMS,204,DRG,inpatient,,,9732.87,9732.87,UHC MEDICARE,UHC MEDICARE,,9732.87,,fee schedule,9732.87,8467.6,9732.87,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,AETNA,AETNA,,26604.33,87,percent of total billed charges,26604.33,26604.33,30579.69,percent of total billed charges,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26604.33,87,percent of total billed charges,26604.33,26604.33,30579.69,percent of total billed charges,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,UNITED HEALTHCARE,UNITED HEALTHCARE,,26910.13,88,percent of total billed charges,26910.13,26604.33,30579.69,percent of total billed charges,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,AETNA,AETNA,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,ALLIANT,ALLIANT,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,AMBETTER,AMBETTER,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,BEECH STREET,BEECH STREET,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,CARESOURCE,CARESOURCE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,MEDICAID,MEDICAID,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,MEDICARE,MEDICARE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,NOVA NET,NOVA NET,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,PEACHSTATE,PEACHSTATE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,SELFPAY,SELFPAY,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,TRICARE,TRICARE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,205,DRG,inpatient,,,30579.69,30579.69,UHC MEDICARE,UHC MEDICARE,,30579.69,,fee schedule,30579.69,26604.33,30579.69,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,AMERIGROUP,AMERIGROUP,,229.37,,fee schedule,229.37,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,CARESOURCE,CARESOURCE,,233.74,,fee schedule,233.74,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,PEACHSTATE,PEACHSTATE,,218.45,,fee schedule,218.45,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,AETNA,AETNA,,351.48,87,percent of total billed charges,351.48,218.45,404,percent of total billed charges,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,351.48,87,percent of total billed charges,351.48,218.45,404,percent of total billed charges,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,UNITED HEALTHCARE,UNITED HEALTHCARE,,355.52,88,percent of total billed charges,355.52,218.45,404,percent of total billed charges,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,AETNA,AETNA,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,ALLIANT,ALLIANT,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,AMBETTER,AMBETTER,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,BEECH STREET,BEECH STREET,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,CARESOURCE,CARESOURCE,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,MEDICAID,MEDICAID,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,MEDICARE,MEDICARE,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,NOVA NET,NOVA NET,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,PEACHSTATE,PEACHSTATE,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,SELFPAY,SELFPAY,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,TRICARE,TRICARE,,404,,fee schedule,404,218.45,404,fee schedule,
INJ DIAGNOSTIC SINOGRAM,20501,CPT,both,,,404,404,UHC MEDICARE,UHC MEDICARE,,404,,fee schedule,404,218.45,404,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,TRICARE,TRICARE,,271.89,,fee schedule,271.89,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,AETNA,AETNA,,644.67,87,percent of total billed charges,644.67,271.89,741,percent of total billed charges,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644.67,87,percent of total billed charges,644.67,271.89,741,percent of total billed charges,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.08,88,percent of total billed charges,652.08,271.89,741,percent of total billed charges,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,AETNA,AETNA,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,BEECH STREET,BEECH STREET,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,MEDICAID,MEDICAID,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,NOVA NET,NOVA NET,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,SELFPAY,SELFPAY,,741,,fee schedule,741,271.89,741,fee schedule,
CARPAL TUNNEL INJECTION,20526,CPT,both,,,741,741,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,741,,fee schedule,741,271.89,741,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,AMERIGROUP,AMERIGROUP,,66.01,,fee schedule,66.01,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,67.27,,fee schedule,67.27,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,62.87,,fee schedule,62.87,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,TRICARE,TRICARE,,271.89,,fee schedule,271.89,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,AETNA,AETNA,,544.62,87,percent of total billed charges,544.62,62.87,626,percent of total billed charges,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544.62,87,percent of total billed charges,544.62,62.87,626,percent of total billed charges,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,UNITED HEALTHCARE,UNITED HEALTHCARE,,550.88,88,percent of total billed charges,550.88,62.87,626,percent of total billed charges,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,AETNA,AETNA,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,BEECH STREET,BEECH STREET,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,MEDICAID,MEDICAID,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,NOVA NET,NOVA NET,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,SELFPAY,SELFPAY,,626,,fee schedule,626,62.87,626,fee schedule,
INJTENDONSHEATHLIGGAN,20550,CPT,both,,,626,626,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,AMERIGROUP,AMERIGROUP,,66.01,,fee schedule,66.01,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,67.27,,fee schedule,67.27,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,62.87,,fee schedule,62.87,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,TRICARE,TRICARE,,271.89,,fee schedule,271.89,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,AETNA,AETNA,,544.62,87,percent of total billed charges,544.62,62.87,626,percent of total billed charges,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544.62,87,percent of total billed charges,544.62,62.87,626,percent of total billed charges,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,UNITED HEALTHCARE,UNITED HEALTHCARE,,550.88,88,percent of total billed charges,550.88,62.87,626,percent of total billed charges,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,AETNA,AETNA,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,BEECH STREET,BEECH STREET,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,MEDICAID,MEDICAID,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,NOVA NET,NOVA NET,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,SELFPAY,SELFPAY,,626,,fee schedule,626,62.87,626,fee schedule,
TENDON/SHEATH INJECTION,20550,CPT,both,,,626,626,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,626,,fee schedule,626,62.87,626,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,AMERIGROUP,AMERIGROUP,,62.46,,fee schedule,62.46,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,CARESOURCE,CARESOURCE,,63.65,,fee schedule,63.65,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,PEACHSTATE,PEACHSTATE,,59.49,,fee schedule,59.49,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,TRICARE,TRICARE,,271.89,,fee schedule,271.89,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,AETNA,AETNA,,516.78,87,percent of total billed charges,516.78,59.49,594,percent of total billed charges,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,516.78,87,percent of total billed charges,516.78,59.49,594,percent of total billed charges,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,UNITED HEALTHCARE,UNITED HEALTHCARE,,522.72,88,percent of total billed charges,522.72,59.49,594,percent of total billed charges,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,AETNA,AETNA,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,BEECH STREET,BEECH STREET,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,CARESOURCE,CARESOURCE,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,MEDICAID,MEDICAID,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,NOVA NET,NOVA NET,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,PEACHSTATE,PEACHSTATE,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,SELFPAY,SELFPAY,,594,,fee schedule,594,59.49,594,fee schedule,
STYLOID PROCESS BLOCK,20551,CPT,both,,,594,594,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,594,,fee schedule,594,59.49,594,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,AMERIGROUP,AMERIGROUP,,62.46,,fee schedule,62.46,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,63.65,,fee schedule,63.65,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,59.49,,fee schedule,59.49,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,TRICARE,TRICARE,,271.89,,fee schedule,271.89,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,AETNA,AETNA,,544.62,87,percent of total billed charges,544.62,59.49,626,percent of total billed charges,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544.62,87,percent of total billed charges,544.62,59.49,626,percent of total billed charges,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,UNITED HEALTHCARE,UNITED HEALTHCARE,,550.88,88,percent of total billed charges,550.88,59.49,626,percent of total billed charges,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,AETNA,AETNA,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,BEECH STREET,BEECH STREET,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,CARESOURCE,CARESOURCE,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,MEDICAID,MEDICAID,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,NOVA NET,NOVA NET,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,PEACHSTATE,PEACHSTATE,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,SELFPAY,SELFPAY,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ-SINGLE/,20552,CPT,both,,,626,626,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,626,,fee schedule,626,59.49,626,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,AMERIGROUP,AMERIGROUP,,62.46,,fee schedule,62.46,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,CARESOURCE,CARESOURCE,,63.65,,fee schedule,63.65,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,PEACHSTATE,PEACHSTATE,,59.49,,fee schedule,59.49,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,TRICARE,TRICARE,,271.89,,fee schedule,271.89,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,AETNA,AETNA,,600.3,87,percent of total billed charges,600.3,59.49,690,percent of total billed charges,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,600.3,87,percent of total billed charges,600.3,59.49,690,percent of total billed charges,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,UNITED HEALTHCARE,UNITED HEALTHCARE,,607.2,88,percent of total billed charges,607.2,59.49,690,percent of total billed charges,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,AETNA,AETNA,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,BEECH STREET,BEECH STREET,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,CARESOURCE,CARESOURCE,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,MEDICAID,MEDICAID,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,NOVA NET,NOVA NET,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,PEACHSTATE,PEACHSTATE,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,SELFPAY,SELFPAY,,690,,fee schedule,690,59.49,690,fee schedule,
TRIGGER POINT INJ 3 OR MO,20553,CPT,both,,,690,690,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,690,,fee schedule,690,59.49,690,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,AETNA,AETNA,,13074.52,87,percent of total billed charges,13074.52,13074.52,15028.18,percent of total billed charges,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13074.52,87,percent of total billed charges,13074.52,13074.52,15028.18,percent of total billed charges,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,UNITED HEALTHCARE,UNITED HEALTHCARE,,13224.8,88,percent of total billed charges,13224.8,13074.52,15028.18,percent of total billed charges,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,AETNA,AETNA,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,ALLIANT,ALLIANT,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,AMBETTER,AMBETTER,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,BEECH STREET,BEECH STREET,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,CARESOURCE,CARESOURCE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,MEDICAID,MEDICAID,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,MEDICARE,MEDICARE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,NOVA NET,NOVA NET,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,PEACHSTATE,PEACHSTATE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,SELFPAY,SELFPAY,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,TRICARE,TRICARE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,206,DRG,inpatient,,,15028.18,15028.18,UHC MEDICARE,UHC MEDICARE,,15028.18,,fee schedule,15028.18,13074.52,15028.18,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,51.42,,fee schedule,51.42,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,52.4,,fee schedule,52.4,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,48.97,,fee schedule,48.97,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,TRICARE,TRICARE,,271.89,,fee schedule,271.89,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,48.97,556,percent of total billed charges,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,48.97,556,percent of total billed charges,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,48.97,556,percent of total billed charges,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESIS SMALL JOI,20600,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,51.42,,fee schedule,51.42,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,52.4,,fee schedule,52.4,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,48.97,,fee schedule,48.97,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,TRICARE,TRICARE,,271.89,,fee schedule,271.89,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,48.97,556,percent of total billed charges,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,48.97,556,percent of total billed charges,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,48.97,556,percent of total billed charges,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,48.97,556,fee schedule,
SMALL BURSA INJ FINGERS &,20600,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,48.97,556,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,AMERIGROUP,AMERIGROUP,,56.78,,fee schedule,56.78,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,57.87,,fee schedule,57.87,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,54.08,,fee schedule,54.08,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,TRICARE,TRICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,AETNA,AETNA,,1407.66,87,percent of total billed charges,1407.66,54.08,1618,percent of total billed charges,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1407.66,87,percent of total billed charges,1407.66,54.08,1618,percent of total billed charges,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,UNITED HEALTHCARE,UNITED HEALTHCARE,,1423.84,88,percent of total billed charges,1423.84,54.08,1618,percent of total billed charges,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,AETNA,AETNA,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,BEECH STREET,BEECH STREET,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,MEDICAID,MEDICAID,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,NOVA NET,NOVA NET,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,SELFPAY,SELFPAY,,1618,,fee schedule,1618,54.08,1618,fee schedule,
ARTHROCENTESISANKLEWRIS,20605,CPT,both,,,1618,1618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,AMERIGROUP,AMERIGROUP,,56.78,,fee schedule,56.78,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,57.87,,fee schedule,57.87,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,54.08,,fee schedule,54.08,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,TRICARE,TRICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,AETNA,AETNA,,1407.66,87,percent of total billed charges,1407.66,54.08,1618,percent of total billed charges,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1407.66,87,percent of total billed charges,1407.66,54.08,1618,percent of total billed charges,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,UNITED HEALTHCARE,UNITED HEALTHCARE,,1423.84,88,percent of total billed charges,1423.84,54.08,1618,percent of total billed charges,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,AETNA,AETNA,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,BEECH STREET,BEECH STREET,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,MEDICAID,MEDICAID,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,NOVA NET,NOVA NET,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,SELFPAY,SELFPAY,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INTERMEDIATE BURSA INJ WO GUID,20605,CPT,both,,,1618,1618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,AMERIGROUP,AMERIGROUP,,56.78,,fee schedule,56.78,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,57.87,,fee schedule,57.87,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,54.08,,fee schedule,54.08,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,TRICARE,TRICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,AETNA,AETNA,,1407.66,87,percent of total billed charges,1407.66,54.08,1618,percent of total billed charges,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1407.66,87,percent of total billed charges,1407.66,54.08,1618,percent of total billed charges,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,UNITED HEALTHCARE,UNITED HEALTHCARE,,1423.84,88,percent of total billed charges,1423.84,54.08,1618,percent of total billed charges,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,AETNA,AETNA,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,BEECH STREET,BEECH STREET,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,MEDICAID,MEDICAID,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,NOVA NET,NOVA NET,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,SELFPAY,SELFPAY,,1618,,fee schedule,1618,54.08,1618,fee schedule,
MEDIUM JOINT INJECTION,20605,CPT,both,,,1618,1618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1618,,fee schedule,1618,54.08,1618,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,AMERIGROUP,AMERIGROUP,,72.09,,fee schedule,72.09,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,CARESOURCE,CARESOURCE,,73.47,,fee schedule,73.47,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,PEACHSTATE,PEACHSTATE,,68.66,,fee schedule,68.66,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,TRICARE,TRICARE,,644.34,,fee schedule,644.34,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,AETNA,AETNA,,1438.98,87,percent of total billed charges,1438.98,68.66,1654,percent of total billed charges,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1438.98,87,percent of total billed charges,1438.98,68.66,1654,percent of total billed charges,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,UNITED HEALTHCARE,UNITED HEALTHCARE,,1455.52,88,percent of total billed charges,1455.52,68.66,1654,percent of total billed charges,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,AETNA,AETNA,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,BEECH STREET,BEECH STREET,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,CARESOURCE,CARESOURCE,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,MEDICAID,MEDICAID,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,NOVA NET,NOVA NET,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,PEACHSTATE,PEACHSTATE,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,SELFPAY,SELFPAY,,1654,,fee schedule,1654,68.66,1654,fee schedule,
INJ/ASP OF JOINT/BURSA W/US,20606,CPT,both,,,1654,1654,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1654,,fee schedule,1654,68.66,1654,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,AMERIGROUP,AMERIGROUP,,66.41,,fee schedule,66.41,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,67.68,,fee schedule,67.68,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,63.25,,fee schedule,63.25,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,TRICARE,TRICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,AETNA,AETNA,,668.16,87,percent of total billed charges,668.16,63.25,768,percent of total billed charges,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,668.16,87,percent of total billed charges,668.16,63.25,768,percent of total billed charges,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,UNITED HEALTHCARE,UNITED HEALTHCARE,,675.84,88,percent of total billed charges,675.84,63.25,768,percent of total billed charges,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,AETNA,AETNA,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,BEECH STREET,BEECH STREET,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,MEDICAID,MEDICAID,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,NOVA NET,NOVA NET,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,SELFPAY,SELFPAY,,768,,fee schedule,768,63.25,768,fee schedule,
ARTHROCENTESISMAJOR JOIN,20610,CPT,both,,,768,768,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,AMERIGROUP,AMERIGROUP,,66.41,,fee schedule,66.41,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,67.68,,fee schedule,67.68,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,63.25,,fee schedule,63.25,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,TRICARE,TRICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,AETNA,AETNA,,668.16,87,percent of total billed charges,668.16,63.25,768,percent of total billed charges,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,668.16,87,percent of total billed charges,668.16,63.25,768,percent of total billed charges,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,UNITED HEALTHCARE,UNITED HEALTHCARE,,675.84,88,percent of total billed charges,675.84,63.25,768,percent of total billed charges,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,AETNA,AETNA,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,BEECH STREET,BEECH STREET,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,MEDICAID,MEDICAID,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,NOVA NET,NOVA NET,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,SELFPAY,SELFPAY,,768,,fee schedule,768,63.25,768,fee schedule,
LARGE JOINT INJECTION,20610,CPT,both,,,768,768,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,AMERIGROUP,AMERIGROUP,,66.41,,fee schedule,66.41,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,67.68,,fee schedule,67.68,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,63.25,,fee schedule,63.25,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,TRICARE,TRICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,AETNA,AETNA,,668.16,87,percent of total billed charges,668.16,63.25,768,percent of total billed charges,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,668.16,87,percent of total billed charges,668.16,63.25,768,percent of total billed charges,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,UNITED HEALTHCARE,UNITED HEALTHCARE,,675.84,88,percent of total billed charges,675.84,63.25,768,percent of total billed charges,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,AETNA,AETNA,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,BEECH STREET,BEECH STREET,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,MEDICAID,MEDICAID,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,NOVA NET,NOVA NET,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,SELFPAY,SELFPAY,,768,,fee schedule,768,63.25,768,fee schedule,
MAJOR JOINT INJ,20610,CPT,both,,,768,768,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,768,,fee schedule,768,63.25,768,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,AMERIGROUP,AMERIGROUP,,83.16,,fee schedule,83.16,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,84.74,,fee schedule,84.74,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,79.2,,fee schedule,79.2,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,TRICARE,TRICARE,,271.89,,fee schedule,271.89,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,AETNA,AETNA,,593.34,87,percent of total billed charges,593.34,79.2,682,percent of total billed charges,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,593.34,87,percent of total billed charges,593.34,79.2,682,percent of total billed charges,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,UNITED HEALTHCARE,UNITED HEALTHCARE,,600.16,88,percent of total billed charges,600.16,79.2,682,percent of total billed charges,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,AETNA,AETNA,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,BEECH STREET,BEECH STREET,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,MEDICAID,MEDICAID,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,NOVA NET,NOVA NET,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,SELFPAY,SELFPAY,,682,,fee schedule,682,79.2,682,fee schedule,
DRAIN/INJ JOINT/BURSA W/US,20611,CPT,both,,,682,682,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,682,,fee schedule,682,79.2,682,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,AETNA,AETNA,,110843.59,87,percent of total billed charges,110843.59,110843.59,127406.43,percent of total billed charges,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110843.59,87,percent of total billed charges,110843.59,110843.59,127406.43,percent of total billed charges,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,UNITED HEALTHCARE,UNITED HEALTHCARE,,112117.66,88,percent of total billed charges,112117.66,110843.59,127406.43,percent of total billed charges,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,AETNA,AETNA,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,ALLIANT,ALLIANT,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,AMBETTER,AMBETTER,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,BEECH STREET,BEECH STREET,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,CARESOURCE,CARESOURCE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,MEDICAID,MEDICAID,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,MEDICARE,MEDICARE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,NOVA NET,NOVA NET,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,PEACHSTATE,PEACHSTATE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,SELFPAY,SELFPAY,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,TRICARE,TRICARE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,207,DRG,inpatient,,,127406.43,127406.43,UHC MEDICARE,UHC MEDICARE,,127406.43,,fee schedule,127406.43,110843.59,127406.43,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,AETNA,AETNA,,35977.93,87,percent of total billed charges,35977.93,35977.93,41353.94,percent of total billed charges,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35977.93,87,percent of total billed charges,35977.93,35977.93,41353.94,percent of total billed charges,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,UNITED HEALTHCARE,UNITED HEALTHCARE,,36391.47,88,percent of total billed charges,36391.47,35977.93,41353.94,percent of total billed charges,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,AETNA,AETNA,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,ALLIANT,ALLIANT,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,AMBETTER,AMBETTER,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,BEECH STREET,BEECH STREET,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,CARESOURCE,CARESOURCE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,MEDICAID,MEDICAID,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,MEDICARE,MEDICARE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,NOVA NET,NOVA NET,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,PEACHSTATE,PEACHSTATE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,SELFPAY,SELFPAY,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,TRICARE,TRICARE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,208,DRG,inpatient,,,41353.94,41353.94,UHC MEDICARE,UHC MEDICARE,,41353.94,,fee schedule,41353.94,35977.93,41353.94,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,AETNA,AETNA,,2326.38,87,percent of total billed charges,2326.38,2326.38,2674,percent of total billed charges,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2326.38,87,percent of total billed charges,2326.38,2326.38,2674,percent of total billed charges,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,UNITED HEALTHCARE,UNITED HEALTHCARE,,2353.12,88,percent of total billed charges,2353.12,2326.38,2674,percent of total billed charges,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,AETNA,AETNA,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,ALLIANT,ALLIANT,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,AMBETTER,AMBETTER,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,BEECH STREET,BEECH STREET,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,CARESOURCE,CARESOURCE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,MEDICAID,MEDICAID,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,MEDICARE,MEDICARE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,NOVA NET,NOVA NET,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,PEACHSTATE,PEACHSTATE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,SELFPAY,SELFPAY,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,TRICARE,TRICARE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
SYMPHONY GRAFT PROCESS &,20936,CPT,both,,,2674,2674,UHC MEDICARE,UHC MEDICARE,,2674,,fee schedule,2674,2326.38,2674,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,TRICARE,TRICARE,,207.01,,fee schedule,207.01,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,140.94,341.57,percent of total billed charges,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,140.94,341.57,percent of total billed charges,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,140.94,341.57,percent of total billed charges,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,140.94,341.57,fee schedule,
REDUCTION TM JOINT,21480,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,140.94,341.57,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,ALLIANT,ALLIANT,,4911.49,,fee schedule,4911.49,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,AMBETTER,AMBETTER,,3869.66,,fee schedule,3869.66,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,AMERIGROUP,AMERIGROUP,,1596.99,,fee schedule,1596.99,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,CARESOURCE,CARESOURCE,,1627.41,,fee schedule,1627.41,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,MEDICARE,MEDICARE,,2976.66,,fee schedule,2976.66,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,PEACHSTATE,PEACHSTATE,,1520.94,,fee schedule,1520.94,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,TRICARE,TRICARE,,2976.66,,fee schedule,2976.66,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,UHC MEDICARE,UHC MEDICARE,,2976.66,,fee schedule,2976.66,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,AETNA,AETNA,,1763.49,87,percent of total billed charges,1763.49,1520.94,4911.49,percent of total billed charges,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1763.49,87,percent of total billed charges,1763.49,1520.94,4911.49,percent of total billed charges,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,UNITED HEALTHCARE,UNITED HEALTHCARE,,1783.76,88,percent of total billed charges,1783.76,1520.94,4911.49,percent of total billed charges,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,AETNA,AETNA,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,BEECH STREET,BEECH STREET,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,CARESOURCE,CARESOURCE,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,MEDICAID,MEDICAID,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,NOVA NET,NOVA NET,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,PEACHSTATE,PEACHSTATE,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,SELFPAY,SELFPAY,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
THORACIC VERTEBRAL BODY1,22510,CPT,both,,,2027,2027,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2027,,fee schedule,2027,1520.94,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,ALLIANT,ALLIANT,,4911.49,,fee schedule,4911.49,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,AMBETTER,AMBETTER,,3869.66,,fee schedule,3869.66,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,AMERIGROUP,AMERIGROUP,,1582.49,,fee schedule,1582.49,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,CARESOURCE,CARESOURCE,,1612.63,,fee schedule,1612.63,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,MEDICARE,MEDICARE,,2976.66,,fee schedule,2976.66,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,PEACHSTATE,PEACHSTATE,,1507.13,,fee schedule,1507.13,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,TRICARE,TRICARE,,2976.66,,fee schedule,2976.66,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,UHC MEDICARE,UHC MEDICARE,,2976.66,,fee schedule,2976.66,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,AETNA,AETNA,,1763.49,87,percent of total billed charges,1763.49,1507.13,4911.49,percent of total billed charges,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1763.49,87,percent of total billed charges,1763.49,1507.13,4911.49,percent of total billed charges,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,UNITED HEALTHCARE,UNITED HEALTHCARE,,1783.76,88,percent of total billed charges,1783.76,1507.13,4911.49,percent of total billed charges,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,AETNA,AETNA,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,BEECH STREET,BEECH STREET,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,CARESOURCE,CARESOURCE,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,MEDICAID,MEDICAID,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,NOVA NET,NOVA NET,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,PEACHSTATE,PEACHSTATE,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,SELFPAY,SELFPAY,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
LUMBAR VERTEBRAL BODY 1S,22511,CPT,both,,,2027,2027,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2027,,fee schedule,2027,1507.13,4911.49,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,AMERIGROUP,AMERIGROUP,,888.23,,fee schedule,888.23,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,CARESOURCE,CARESOURCE,,905.15,,fee schedule,905.15,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,PEACHSTATE,PEACHSTATE,,845.93,,fee schedule,845.93,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,AETNA,AETNA,,1763.49,87,percent of total billed charges,1763.49,845.93,2027,percent of total billed charges,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1763.49,87,percent of total billed charges,1763.49,845.93,2027,percent of total billed charges,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,UNITED HEALTHCARE,UNITED HEALTHCARE,,1783.76,88,percent of total billed charges,1783.76,845.93,2027,percent of total billed charges,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,AETNA,AETNA,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,ALLIANT,ALLIANT,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,AMBETTER,AMBETTER,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,BEECH STREET,BEECH STREET,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,CARESOURCE,CARESOURCE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,MEDICAID,MEDICAID,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,MEDICARE,MEDICARE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,NOVA NET,NOVA NET,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,PEACHSTATE,PEACHSTATE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,SELFPAY,SELFPAY,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,TRICARE,TRICARE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
EA. ADD. T OR L VERTEBRAL,22512,CPT,both,,,2027,2027,UHC MEDICARE,UHC MEDICARE,,2027,,fee schedule,2027,845.93,2027,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,189.76,,fee schedule,189.76,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,193.37,,fee schedule,193.37,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,180.72,,fee schedule,180.72,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,180.72,276,percent of total billed charges,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,180.72,276,percent of total billed charges,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,180.72,276,percent of total billed charges,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,ALLIANT,ALLIANT,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,AMBETTER,AMBETTER,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,MEDICARE,MEDICARE,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,TRICARE,TRICARE,,276,,fee schedule,276,180.72,276,fee schedule,
INJECT SHOULDER ARTHRO,23350,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,276,,fee schedule,276,180.72,276,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,AMERIGROUP,AMERIGROUP,,158.04,,fee schedule,158.04,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,CARESOURCE,CARESOURCE,,161.05,,fee schedule,161.05,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,PEACHSTATE,PEACHSTATE,,150.51,,fee schedule,150.51,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,TRICARE,TRICARE,,207.01,,fee schedule,207.01,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,AETNA,AETNA,,1124.04,87,percent of total billed charges,1124.04,150.51,1292,percent of total billed charges,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1124.04,87,percent of total billed charges,1124.04,150.51,1292,percent of total billed charges,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,UNITED HEALTHCARE,UNITED HEALTHCARE,,1136.96,88,percent of total billed charges,1136.96,150.51,1292,percent of total billed charges,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,AETNA,AETNA,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,BEECH STREET,BEECH STREET,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,CARESOURCE,CARESOURCE,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,MEDICAID,MEDICAID,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,NOVA NET,NOVA NET,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,PEACHSTATE,PEACHSTATE,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,SELFPAY,SELFPAY,,1292,,fee schedule,1292,150.51,1292,fee schedule,
CL TX CLAVICULAR FX; WO M,23500,CPT,both,,,1292,1292,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1292,,fee schedule,1292,150.51,1292,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,AMERIGROUP,AMERIGROUP,,158.04,,fee schedule,158.04,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,161.05,,fee schedule,161.05,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,150.51,,fee schedule,150.51,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,TRICARE,TRICARE,,207.01,,fee schedule,207.01,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,150.51,341.57,percent of total billed charges,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,150.51,341.57,percent of total billed charges,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,150.51,341.57,percent of total billed charges,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,150.51,341.57,fee schedule,
REDUCTION CLAVICLE,23500,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,150.51,341.57,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,ALLIANT,ALLIANT,,2366.96,,fee schedule,2366.96,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,AMBETTER,AMBETTER,,1864.88,,fee schedule,1864.88,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,AMERIGROUP,AMERIGROUP,,385.17,,fee schedule,385.17,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,CARESOURCE,CARESOURCE,,392.51,,fee schedule,392.51,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,MEDICARE,MEDICARE,,1434.52,,fee schedule,1434.52,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,PEACHSTATE,PEACHSTATE,,366.83,,fee schedule,366.83,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,TRICARE,TRICARE,,1434.52,,fee schedule,1434.52,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,UHC MEDICARE,UHC MEDICARE,,1434.52,,fee schedule,1434.52,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,AETNA,AETNA,,1867.89,87,percent of total billed charges,1867.89,366.83,2366.96,percent of total billed charges,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1867.89,87,percent of total billed charges,1867.89,366.83,2366.96,percent of total billed charges,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,UNITED HEALTHCARE,UNITED HEALTHCARE,,1889.36,88,percent of total billed charges,1889.36,366.83,2366.96,percent of total billed charges,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,AETNA,AETNA,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,BEECH STREET,BEECH STREET,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,CARESOURCE,CARESOURCE,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,MEDICAID,MEDICAID,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,NOVA NET,NOVA NET,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,PEACHSTATE,PEACHSTATE,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,SELFPAY,SELFPAY,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
CLOSED TX PROXIMAL HUMERU,23605,CPT,both,,,2147,2147,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2147,,fee schedule,2147,366.83,2366.96,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,235.62,,fee schedule,235.62,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,240.11,,fee schedule,240.11,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,224.4,,fee schedule,224.4,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,TRICARE,TRICARE,,207.01,,fee schedule,207.01,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,207.01,341.57,percent of total billed charges,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,207.01,341.57,percent of total billed charges,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,207.01,341.57,percent of total billed charges,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,207.01,341.57,fee schedule,
REDUCTION DISLOCATION SHO,23650,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,207.01,341.57,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,AETNA,AETNA,,148018,87,percent of total billed charges,148018,148018,170135.63,percent of total billed charges,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148018,87,percent of total billed charges,148018,148018,170135.63,percent of total billed charges,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,149719.35,88,percent of total billed charges,149719.35,148018,170135.63,percent of total billed charges,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,AETNA,AETNA,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,ALLIANT,ALLIANT,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,AMBETTER,AMBETTER,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,BEECH STREET,BEECH STREET,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,CARESOURCE,CARESOURCE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,MEDICAID,MEDICAID,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,MEDICARE,MEDICARE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,NOVA NET,NOVA NET,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,PEACHSTATE,PEACHSTATE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,SELFPAY,SELFPAY,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,TRICARE,TRICARE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,239,DRG,inpatient,,,170135.63,170135.63,UHC MEDICARE,UHC MEDICARE,,170135.63,,fee schedule,170135.63,148018,170135.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,AETNA,AETNA,,82264.27,87,percent of total billed charges,82264.27,82264.27,94556.63,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82264.27,87,percent of total billed charges,82264.27,82264.27,94556.63,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,83209.83,88,percent of total billed charges,83209.83,82264.27,94556.63,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,AETNA,AETNA,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,ALLIANT,ALLIANT,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,AMBETTER,AMBETTER,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,BEECH STREET,BEECH STREET,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,CARESOURCE,CARESOURCE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,MEDICAID,MEDICAID,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,MEDICARE,MEDICARE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,NOVA NET,NOVA NET,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,PEACHSTATE,PEACHSTATE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,SELFPAY,SELFPAY,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,TRICARE,TRICARE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,242,DRG,inpatient,,,94556.63,94556.63,UHC MEDICARE,UHC MEDICARE,,94556.63,,fee schedule,94556.63,82264.27,94556.63,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,AETNA,AETNA,,71859.01,87,percent of total billed charges,71859.01,71859.01,82596.56,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71859.01,87,percent of total billed charges,71859.01,71859.01,82596.56,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,UNITED HEALTHCARE,UNITED HEALTHCARE,,72684.97,88,percent of total billed charges,72684.97,71859.01,82596.56,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,AETNA,AETNA,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,ALLIANT,ALLIANT,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,AMBETTER,AMBETTER,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,BEECH STREET,BEECH STREET,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,CARESOURCE,CARESOURCE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,MEDICAID,MEDICAID,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,MEDICARE,MEDICARE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,NOVA NET,NOVA NET,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,PEACHSTATE,PEACHSTATE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,SELFPAY,SELFPAY,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,TRICARE,TRICARE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W CC,243,DRG,inpatient,,,82596.56,82596.56,UHC MEDICARE,UHC MEDICARE,,82596.56,,fee schedule,82596.56,71859.01,82596.56,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,AETNA,AETNA,,35004.01,87,percent of total billed charges,35004.01,35004.01,40234.5,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35004.01,87,percent of total billed charges,35004.01,35004.01,40234.5,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,35406.36,88,percent of total billed charges,35406.36,35004.01,40234.5,percent of total billed charges,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,AETNA,AETNA,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,ALLIANT,ALLIANT,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,AMBETTER,AMBETTER,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,BEECH STREET,BEECH STREET,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,CARESOURCE,CARESOURCE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,MEDICAID,MEDICAID,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,MEDICARE,MEDICARE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,NOVA NET,NOVA NET,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,PEACHSTATE,PEACHSTATE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,SELFPAY,SELFPAY,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,TRICARE,TRICARE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,244,DRG,inpatient,,,40234.5,40234.5,UHC MEDICARE,UHC MEDICARE,,40234.5,,fee schedule,40234.5,35004.01,40234.5,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,AETNA,AETNA,,79005.89,87,percent of total billed charges,79005.89,79005.89,90811.37,percent of total billed charges,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79005.89,87,percent of total billed charges,79005.89,79005.89,90811.37,percent of total billed charges,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,79914.01,88,percent of total billed charges,79914.01,79005.89,90811.37,percent of total billed charges,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,AETNA,AETNA,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,ALLIANT,ALLIANT,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,AMBETTER,AMBETTER,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,BEECH STREET,BEECH STREET,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,CARESOURCE,CARESOURCE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,MEDICAID,MEDICAID,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,MEDICARE,MEDICARE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,NOVA NET,NOVA NET,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,PEACHSTATE,PEACHSTATE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,SELFPAY,SELFPAY,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,TRICARE,TRICARE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,246,DRG,inpatient,,,90811.37,90811.37,UHC MEDICARE,UHC MEDICARE,,90811.37,,fee schedule,90811.37,79005.89,90811.37,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,148.34,,fee schedule,148.34,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,151.17,,fee schedule,151.17,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,141.28,,fee schedule,141.28,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,TRICARE,TRICARE,,207.01,,fee schedule,207.01,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,141.28,341.57,percent of total billed charges,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,141.28,341.57,percent of total billed charges,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,141.28,341.57,percent of total billed charges,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,141.28,341.57,fee schedule,
REDUCTION NURSEMAID ELBOW,24640,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,141.28,341.57,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,AETNA,AETNA,,84184.6,87,percent of total billed charges,84184.6,84184.6,96763.91,percent of total billed charges,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84184.6,87,percent of total billed charges,84184.6,84184.6,96763.91,percent of total billed charges,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,UNITED HEALTHCARE,UNITED HEALTHCARE,,85152.24,88,percent of total billed charges,85152.24,84184.6,96763.91,percent of total billed charges,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,AETNA,AETNA,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,ALLIANT,ALLIANT,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,AMBETTER,AMBETTER,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,BEECH STREET,BEECH STREET,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,CARESOURCE,CARESOURCE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,MEDICAID,MEDICAID,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,MEDICARE,MEDICARE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,NOVA NET,NOVA NET,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,PEACHSTATE,PEACHSTATE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,SELFPAY,SELFPAY,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,TRICARE,TRICARE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,247,DRG,inpatient,,,96763.91,96763.91,UHC MEDICARE,UHC MEDICARE,,96763.91,,fee schedule,96763.91,84184.6,96763.91,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,AETNA,AETNA,,9247.79,87,percent of total billed charges,9247.79,9247.79,10629.64,percent of total billed charges,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9247.79,87,percent of total billed charges,9247.79,9247.79,10629.64,percent of total billed charges,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,9354.08,88,percent of total billed charges,9354.08,9247.79,10629.64,percent of total billed charges,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,AETNA,AETNA,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,ALLIANT,ALLIANT,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,AMBETTER,AMBETTER,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,BEECH STREET,BEECH STREET,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,CARESOURCE,CARESOURCE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,MEDICAID,MEDICAID,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,MEDICARE,MEDICARE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,NOVA NET,NOVA NET,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,PEACHSTATE,PEACHSTATE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,SELFPAY,SELFPAY,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,TRICARE,TRICARE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,249,DRG,inpatient,,,10629.64,10629.64,UHC MEDICARE,UHC MEDICARE,,10629.64,,fee schedule,10629.64,9247.79,10629.64,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,AETNA,AETNA,,74681.91,87,percent of total billed charges,74681.91,74681.91,85841.28,percent of total billed charges,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,74681.91,87,percent of total billed charges,74681.91,74681.91,85841.28,percent of total billed charges,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,75540.33,88,percent of total billed charges,75540.33,74681.91,85841.28,percent of total billed charges,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,AETNA,AETNA,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,ALLIANT,ALLIANT,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,AMBETTER,AMBETTER,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,BEECH STREET,BEECH STREET,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,CARESOURCE,CARESOURCE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,MEDICAID,MEDICAID,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,MEDICARE,MEDICARE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,NOVA NET,NOVA NET,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,PEACHSTATE,PEACHSTATE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,SELFPAY,SELFPAY,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,TRICARE,TRICARE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
OTHER VASCULAR PROCEDURES W MCC,252,DRG,inpatient,,,85841.28,85841.28,UHC MEDICARE,UHC MEDICARE,,85841.28,,fee schedule,85841.28,74681.91,85841.28,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,AMERIGROUP,AMERIGROUP,,206.8,,fee schedule,206.8,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,210.74,,fee schedule,210.74,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,196.95,,fee schedule,196.95,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,188.79,217,percent of total billed charges,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,ALLIANT,ALLIANT,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,AMBETTER,AMBETTER,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,MEDICARE,MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,TRICARE,TRICARE,,217,,fee schedule,217,188.79,217,fee schedule,
INJECT WRIST ARTHROGRAM,25246,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,AETNA,AETNA,,54339.42,87,percent of total billed charges,54339.42,54339.42,62459.1,percent of total billed charges,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54339.42,87,percent of total billed charges,54339.42,54339.42,62459.1,percent of total billed charges,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,UNITED HEALTHCARE,UNITED HEALTHCARE,,54964.01,88,percent of total billed charges,54964.01,54339.42,62459.1,percent of total billed charges,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,AETNA,AETNA,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,ALLIANT,ALLIANT,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,AMBETTER,AMBETTER,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,BEECH STREET,BEECH STREET,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,CARESOURCE,CARESOURCE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,MEDICAID,MEDICAID,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,MEDICARE,MEDICARE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,NOVA NET,NOVA NET,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,PEACHSTATE,PEACHSTATE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,SELFPAY,SELFPAY,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,TRICARE,TRICARE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W CC,253,DRG,inpatient,,,62459.1,62459.1,UHC MEDICARE,UHC MEDICARE,,62459.1,,fee schedule,62459.1,54339.42,62459.1,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,AETNA,AETNA,,7470.16,87,percent of total billed charges,7470.16,7470.16,8586.39,percent of total billed charges,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7470.16,87,percent of total billed charges,7470.16,7470.16,8586.39,percent of total billed charges,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,UNITED HEALTHCARE,UNITED HEALTHCARE,,7556.02,88,percent of total billed charges,7556.02,7470.16,8586.39,percent of total billed charges,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,AETNA,AETNA,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,ALLIANT,ALLIANT,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,AMBETTER,AMBETTER,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,BEECH STREET,BEECH STREET,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,CARESOURCE,CARESOURCE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,MEDICAID,MEDICAID,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,MEDICARE,MEDICARE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,NOVA NET,NOVA NET,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,PEACHSTATE,PEACHSTATE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,SELFPAY,SELFPAY,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,TRICARE,TRICARE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
OTHER VASCULAR PROCEDURES W/O CC/MCC,254,DRG,inpatient,,,8586.39,8586.39,UHC MEDICARE,UHC MEDICARE,,8586.39,,fee schedule,8586.39,7470.16,8586.39,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,AETNA,AETNA,,37727.12,87,percent of total billed charges,37727.12,37727.12,43364.51,percent of total billed charges,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37727.12,87,percent of total billed charges,37727.12,37727.12,43364.51,percent of total billed charges,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,UNITED HEALTHCARE,UNITED HEALTHCARE,,38160.77,88,percent of total billed charges,38160.77,37727.12,43364.51,percent of total billed charges,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,AETNA,AETNA,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,ALLIANT,ALLIANT,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,AMBETTER,AMBETTER,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,BEECH STREET,BEECH STREET,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,CARESOURCE,CARESOURCE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,MEDICAID,MEDICAID,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,MEDICARE,MEDICARE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,NOVA NET,NOVA NET,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,PEACHSTATE,PEACHSTATE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,SELFPAY,SELFPAY,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,TRICARE,TRICARE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC,255,DRG,inpatient,,,43364.51,43364.51,UHC MEDICARE,UHC MEDICARE,,43364.51,,fee schedule,43364.51,37727.12,43364.51,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,AETNA,AETNA,,27547.78,87,percent of total billed charges,27547.78,27547.78,31664.12,percent of total billed charges,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27547.78,87,percent of total billed charges,27547.78,27547.78,31664.12,percent of total billed charges,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,UNITED HEALTHCARE,UNITED HEALTHCARE,,27864.43,88,percent of total billed charges,27864.43,27547.78,31664.12,percent of total billed charges,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,AETNA,AETNA,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,ALLIANT,ALLIANT,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,AMBETTER,AMBETTER,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,BEECH STREET,BEECH STREET,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,CARESOURCE,CARESOURCE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,MEDICAID,MEDICAID,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,MEDICARE,MEDICARE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,NOVA NET,NOVA NET,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,PEACHSTATE,PEACHSTATE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,SELFPAY,SELFPAY,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,TRICARE,TRICARE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC,256,DRG,inpatient,,,31664.12,31664.12,UHC MEDICARE,UHC MEDICARE,,31664.12,,fee schedule,31664.12,27547.78,31664.12,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,AETNA,AETNA,,42381.33,87,percent of total billed charges,42381.33,42381.33,48714.17,percent of total billed charges,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42381.33,87,percent of total billed charges,42381.33,42381.33,48714.17,percent of total billed charges,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,42868.47,88,percent of total billed charges,42868.47,42381.33,48714.17,percent of total billed charges,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,AETNA,AETNA,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,ALLIANT,ALLIANT,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,AMBETTER,AMBETTER,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,BEECH STREET,BEECH STREET,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,CARESOURCE,CARESOURCE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,MEDICAID,MEDICAID,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,MEDICARE,MEDICARE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,NOVA NET,NOVA NET,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,PEACHSTATE,PEACHSTATE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,SELFPAY,SELFPAY,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,TRICARE,TRICARE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC,260,DRG,inpatient,,,48714.17,48714.17,UHC MEDICARE,UHC MEDICARE,,48714.17,,fee schedule,48714.17,42381.33,48714.17,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,AETNA,AETNA,,38011.41,87,percent of total billed charges,38011.41,38011.41,43691.28,percent of total billed charges,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38011.41,87,percent of total billed charges,38011.41,38011.41,43691.28,percent of total billed charges,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,38448.33,88,percent of total billed charges,38448.33,38011.41,43691.28,percent of total billed charges,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,AETNA,AETNA,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,ALLIANT,ALLIANT,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,AMBETTER,AMBETTER,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,BEECH STREET,BEECH STREET,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,CARESOURCE,CARESOURCE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,MEDICAID,MEDICAID,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,MEDICARE,MEDICARE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,NOVA NET,NOVA NET,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,PEACHSTATE,PEACHSTATE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,SELFPAY,SELFPAY,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,TRICARE,TRICARE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,261,DRG,inpatient,,,43691.28,43691.28,UHC MEDICARE,UHC MEDICARE,,43691.28,,fee schedule,43691.28,38011.41,43691.28,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,AETNA,AETNA,,45425.46,87,percent of total billed charges,45425.46,45425.46,52213.17,percent of total billed charges,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45425.46,87,percent of total billed charges,45425.46,45425.46,52213.17,percent of total billed charges,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,45947.59,88,percent of total billed charges,45947.59,45425.46,52213.17,percent of total billed charges,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,AETNA,AETNA,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,ALLIANT,ALLIANT,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,AMBETTER,AMBETTER,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,BEECH STREET,BEECH STREET,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,CARESOURCE,CARESOURCE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,MEDICAID,MEDICAID,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,MEDICARE,MEDICARE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,NOVA NET,NOVA NET,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,PEACHSTATE,PEACHSTATE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,SELFPAY,SELFPAY,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,TRICARE,TRICARE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
VEIN LIGATION & STRIPPING,263,DRG,inpatient,,,52213.17,52213.17,UHC MEDICARE,UHC MEDICARE,,52213.17,,fee schedule,52213.17,45425.46,52213.17,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,AETNA,AETNA,,48582.31,87,percent of total billed charges,48582.31,48582.31,55841.74,percent of total billed charges,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48582.31,87,percent of total billed charges,48582.31,48582.31,55841.74,percent of total billed charges,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,49140.73,88,percent of total billed charges,49140.73,48582.31,55841.74,percent of total billed charges,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,AETNA,AETNA,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,ALLIANT,ALLIANT,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,AMBETTER,AMBETTER,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,BEECH STREET,BEECH STREET,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,CARESOURCE,CARESOURCE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,MEDICAID,MEDICAID,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,MEDICARE,MEDICARE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,NOVA NET,NOVA NET,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,PEACHSTATE,PEACHSTATE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,SELFPAY,SELFPAY,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,TRICARE,TRICARE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,DRG,inpatient,,,55841.74,55841.74,UHC MEDICARE,UHC MEDICARE,,55841.74,,fee schedule,55841.74,48582.31,55841.74,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,189.61,,fee schedule,189.61,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,193.22,,fee schedule,193.22,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,180.58,,fee schedule,180.58,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,TRICARE,TRICARE,,207.01,,fee schedule,207.01,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,180.58,344,percent of total billed charges,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,180.58,344,percent of total billed charges,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,180.58,344,percent of total billed charges,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,180.58,344,fee schedule,
REDUCTION DISLOCATED FING,26770,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,180.58,344,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,AETNA,AETNA,,97065.39,87,percent of total billed charges,97065.39,97065.39,111569.41,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97065.39,87,percent of total billed charges,97065.39,97065.39,111569.41,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,98181.08,88,percent of total billed charges,98181.08,97065.39,111569.41,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,AETNA,AETNA,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,ALLIANT,ALLIANT,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,AMBETTER,AMBETTER,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,BEECH STREET,BEECH STREET,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,CARESOURCE,CARESOURCE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,MEDICAID,MEDICAID,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,MEDICARE,MEDICARE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,NOVA NET,NOVA NET,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,PEACHSTATE,PEACHSTATE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,SELFPAY,SELFPAY,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,TRICARE,TRICARE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,270,DRG,inpatient,,,111569.41,111569.41,UHC MEDICARE,UHC MEDICARE,,111569.41,,fee schedule,111569.41,97065.39,111569.41,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,AMERIGROUP,AMERIGROUP,,238.97,,fee schedule,238.97,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,243.52,,fee schedule,243.52,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,227.59,,fee schedule,227.59,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,AETNA,AETNA,,186.18,87,percent of total billed charges,186.18,186.18,243.52,percent of total billed charges,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,186.18,87,percent of total billed charges,186.18,186.18,243.52,percent of total billed charges,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,UNITED HEALTHCARE,UNITED HEALTHCARE,,188.32,88,percent of total billed charges,188.32,186.18,243.52,percent of total billed charges,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,AETNA,AETNA,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,ALLIANT,ALLIANT,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,AMBETTER,AMBETTER,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,BEECH STREET,BEECH STREET,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,MEDICAID,MEDICAID,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,MEDICARE,MEDICARE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,NOVA NET,NOVA NET,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,SELFPAY,SELFPAY,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,TRICARE,TRICARE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT HIP ATHROGRAM,27095,CPT,both,,,214,214,UHC MEDICARE,UHC MEDICARE,,214,,fee schedule,214,186.18,243.52,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,AMERIGROUP,AMERIGROUP,,373.94,,fee schedule,373.94,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,381.06,,fee schedule,381.06,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,356.13,,fee schedule,356.13,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,AETNA,AETNA,,1303.26,87,percent of total billed charges,1303.26,356.13,1498,percent of total billed charges,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1303.26,87,percent of total billed charges,1303.26,356.13,1498,percent of total billed charges,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,UNITED HEALTHCARE,UNITED HEALTHCARE,,1318.24,88,percent of total billed charges,1318.24,356.13,1498,percent of total billed charges,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,AETNA,AETNA,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,ALLIANT,ALLIANT,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,AMBETTER,AMBETTER,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,BEECH STREET,BEECH STREET,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,MEDICAID,MEDICAID,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,MEDICARE,MEDICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,NOVA NET,NOVA NET,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,SELFPAY,SELFPAY,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,TRICARE,TRICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
INJECT SACROILIAC JOINT,27096,CPT,both,,,1498,1498,UHC MEDICARE,UHC MEDICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,AMERIGROUP,AMERIGROUP,,373.94,,fee schedule,373.94,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,381.06,,fee schedule,381.06,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,356.13,,fee schedule,356.13,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,AETNA,AETNA,,1303.26,87,percent of total billed charges,1303.26,356.13,1498,percent of total billed charges,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1303.26,87,percent of total billed charges,1303.26,356.13,1498,percent of total billed charges,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,UNITED HEALTHCARE,UNITED HEALTHCARE,,1318.24,88,percent of total billed charges,1318.24,356.13,1498,percent of total billed charges,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,AETNA,AETNA,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,ALLIANT,ALLIANT,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,AMBETTER,AMBETTER,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,BEECH STREET,BEECH STREET,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,MEDICAID,MEDICAID,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,MEDICARE,MEDICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,NOVA NET,NOVA NET,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,SELFPAY,SELFPAY,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,TRICARE,TRICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,27096,CPT,both,,,1498,1498,UHC MEDICARE,UHC MEDICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,AMERIGROUP,AMERIGROUP,,373.94,,fee schedule,373.94,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,381.06,,fee schedule,381.06,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,356.13,,fee schedule,356.13,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,AETNA,AETNA,,1303.26,87,percent of total billed charges,1303.26,356.13,1498,percent of total billed charges,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1303.26,87,percent of total billed charges,1303.26,356.13,1498,percent of total billed charges,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,UNITED HEALTHCARE,UNITED HEALTHCARE,,1318.24,88,percent of total billed charges,1318.24,356.13,1498,percent of total billed charges,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,AETNA,AETNA,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,ALLIANT,ALLIANT,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,AMBETTER,AMBETTER,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,BEECH STREET,BEECH STREET,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,MEDICAID,MEDICAID,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,MEDICARE,MEDICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,NOVA NET,NOVA NET,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,SELFPAY,SELFPAY,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,TRICARE,TRICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
SI JOINT INJECTION,27096,CPT,both,,,1498,1498,UHC MEDICARE,UHC MEDICARE,,1498,,fee schedule,1498,356.13,1498,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,AETNA,AETNA,,58374.54,87,percent of total billed charges,58374.54,58374.54,67097.17,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58374.54,87,percent of total billed charges,58374.54,58374.54,67097.17,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,59045.51,88,percent of total billed charges,59045.51,58374.54,67097.17,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,AETNA,AETNA,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,ALLIANT,ALLIANT,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,AMBETTER,AMBETTER,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,BEECH STREET,BEECH STREET,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,CARESOURCE,CARESOURCE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,MEDICAID,MEDICAID,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,MEDICARE,MEDICARE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,NOVA NET,NOVA NET,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,PEACHSTATE,PEACHSTATE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,SELFPAY,SELFPAY,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,TRICARE,TRICARE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,271,DRG,inpatient,,,67097.17,67097.17,UHC MEDICARE,UHC MEDICARE,,67097.17,,fee schedule,67097.17,58374.54,67097.17,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,AETNA,AETNA,,58708.76,87,percent of total billed charges,58708.76,58708.76,67481.33,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58708.76,87,percent of total billed charges,58708.76,58708.76,67481.33,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,59383.57,88,percent of total billed charges,59383.57,58708.76,67481.33,percent of total billed charges,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,AETNA,AETNA,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,ALLIANT,ALLIANT,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,AMBETTER,AMBETTER,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,BEECH STREET,BEECH STREET,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,CARESOURCE,CARESOURCE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,MEDICAID,MEDICAID,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,MEDICARE,MEDICARE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,NOVA NET,NOVA NET,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,PEACHSTATE,PEACHSTATE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,SELFPAY,SELFPAY,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,TRICARE,TRICARE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,272,DRG,inpatient,,,67481.33,67481.33,UHC MEDICARE,UHC MEDICARE,,67481.33,,fee schedule,67481.33,58708.76,67481.33,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,AMERIGROUP,AMERIGROUP,,129.99,,fee schedule,129.99,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,132.47,,fee schedule,132.47,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,123.8,,fee schedule,123.8,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,AETNA,AETNA,,226.2,87,percent of total billed charges,226.2,123.8,260,percent of total billed charges,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226.2,87,percent of total billed charges,226.2,123.8,260,percent of total billed charges,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,UNITED HEALTHCARE,UNITED HEALTHCARE,,228.8,88,percent of total billed charges,228.8,123.8,260,percent of total billed charges,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,AETNA,AETNA,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,ALLIANT,ALLIANT,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,AMBETTER,AMBETTER,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,BEECH STREET,BEECH STREET,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,MEDICAID,MEDICAID,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,MEDICARE,MEDICARE,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,NOVA NET,NOVA NET,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,SELFPAY,SELFPAY,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,TRICARE,TRICARE,,260,,fee schedule,260,123.8,260,fee schedule,
INJECT KNEE ARTHROGRAM,27369,CPT,both,,,260,260,UHC MEDICARE,UHC MEDICARE,,260,,fee schedule,260,123.8,260,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,289.3,,fee schedule,289.3,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,294.81,,fee schedule,294.81,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,275.52,,fee schedule,275.52,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,TRICARE,TRICARE,,207.01,,fee schedule,207.01,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,AETNA,AETNA,,408.9,87,percent of total billed charges,408.9,207.01,470,percent of total billed charges,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408.9,87,percent of total billed charges,408.9,207.01,470,percent of total billed charges,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,UNITED HEALTHCARE,UNITED HEALTHCARE,,413.6,88,percent of total billed charges,413.6,207.01,470,percent of total billed charges,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,AETNA,AETNA,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,BEECH STREET,BEECH STREET,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,MEDICAID,MEDICAID,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,NOVA NET,NOVA NET,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,SELFPAY,SELFPAY,,470,,fee schedule,470,207.01,470,fee schedule,
CLOSED TX DISLOC PATELLA,27560,CPT,both,,,470,470,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,470,,fee schedule,470,207.01,470,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,AMERIGROUP,AMERIGROUP,,282.99,,fee schedule,282.99,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,288.38,,fee schedule,288.38,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,269.51,,fee schedule,269.51,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,TRICARE,TRICARE,,207.01,,fee schedule,207.01,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,207.01,504,percent of total billed charges,
REDUCTION ANKLE,27840,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,207.01,504,percent of total billed charges,
REDUCTION ANKLE,27840,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,207.01,504,percent of total billed charges,
REDUCTION ANKLE,27840,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,207.01,504,fee schedule,
REDUCTION ANKLE,27840,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,207.01,504,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,AETNA,AETNA,,29183.82,87,percent of total billed charges,29183.82,29183.82,33544.62,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29183.82,87,percent of total billed charges,29183.82,29183.82,33544.62,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,UNITED HEALTHCARE,UNITED HEALTHCARE,,29519.27,88,percent of total billed charges,29519.27,29183.82,33544.62,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,AETNA,AETNA,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,ALLIANT,ALLIANT,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,AMBETTER,AMBETTER,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,BEECH STREET,BEECH STREET,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,CARESOURCE,CARESOURCE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,MEDICAID,MEDICAID,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,MEDICARE,MEDICARE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,NOVA NET,NOVA NET,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,PEACHSTATE,PEACHSTATE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,SELFPAY,SELFPAY,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,TRICARE,TRICARE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC",280,DRG,inpatient,,,33544.62,33544.62,UHC MEDICARE,UHC MEDICARE,,33544.62,,fee schedule,33544.62,29183.82,33544.62,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,AETNA,AETNA,,26334.47,87,percent of total billed charges,26334.47,26334.47,30269.5,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26334.47,87,percent of total billed charges,26334.47,26334.47,30269.5,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,26637.16,88,percent of total billed charges,26637.16,26334.47,30269.5,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,AETNA,AETNA,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,ALLIANT,ALLIANT,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,AMBETTER,AMBETTER,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,BEECH STREET,BEECH STREET,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,CARESOURCE,CARESOURCE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,MEDICAID,MEDICAID,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,MEDICARE,MEDICARE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,NOVA NET,NOVA NET,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,PEACHSTATE,PEACHSTATE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,SELFPAY,SELFPAY,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,TRICARE,TRICARE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC",281,DRG,inpatient,,,30269.5,30269.5,UHC MEDICARE,UHC MEDICARE,,30269.5,,fee schedule,30269.5,26334.47,30269.5,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,AETNA,AETNA,,14952.65,87,percent of total billed charges,14952.65,14952.65,17186.95,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14952.65,87,percent of total billed charges,14952.65,14952.65,17186.95,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,UNITED HEALTHCARE,UNITED HEALTHCARE,,15124.52,88,percent of total billed charges,15124.52,14952.65,17186.95,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,AETNA,AETNA,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,ALLIANT,ALLIANT,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,AMBETTER,AMBETTER,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,BEECH STREET,BEECH STREET,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,CARESOURCE,CARESOURCE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,MEDICAID,MEDICAID,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,MEDICARE,MEDICARE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,NOVA NET,NOVA NET,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,PEACHSTATE,PEACHSTATE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,SELFPAY,SELFPAY,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,TRICARE,TRICARE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC",282,DRG,inpatient,,,17186.95,17186.95,UHC MEDICARE,UHC MEDICARE,,17186.95,,fee schedule,17186.95,14952.65,17186.95,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,AETNA,AETNA,,30280.41,87,percent of total billed charges,30280.41,30280.41,34805.07,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30280.41,87,percent of total billed charges,30280.41,30280.41,34805.07,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,30628.46,88,percent of total billed charges,30628.46,30280.41,34805.07,percent of total billed charges,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,AETNA,AETNA,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,ALLIANT,ALLIANT,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,AMBETTER,AMBETTER,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,BEECH STREET,BEECH STREET,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,CARESOURCE,CARESOURCE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,MEDICAID,MEDICAID,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,MEDICARE,MEDICARE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,NOVA NET,NOVA NET,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,PEACHSTATE,PEACHSTATE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,SELFPAY,SELFPAY,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,TRICARE,TRICARE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC",283,DRG,inpatient,,,34805.07,34805.07,UHC MEDICARE,UHC MEDICARE,,34805.07,,fee schedule,34805.07,30280.41,34805.07,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,245.26,,fee schedule,245.26,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,249.93,,fee schedule,249.93,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,233.58,,fee schedule,233.58,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,TRICARE,TRICARE,,207.01,,fee schedule,207.01,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,207.01,344,percent of total billed charges,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,207.01,344,percent of total billed charges,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,207.01,344,percent of total billed charges,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,207.01,344,fee schedule,
CLOSED TX OF METATARSEL F,28475,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,207.01,344,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,AETNA,AETNA,,37608.01,87,percent of total billed charges,37608.01,37608.01,43227.6,percent of total billed charges,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37608.01,87,percent of total billed charges,37608.01,37608.01,43227.6,percent of total billed charges,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,UNITED HEALTHCARE,UNITED HEALTHCARE,,38040.29,88,percent of total billed charges,38040.29,37608.01,43227.6,percent of total billed charges,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,AETNA,AETNA,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,ALLIANT,ALLIANT,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,AMBETTER,AMBETTER,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,BEECH STREET,BEECH STREET,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,CARESOURCE,CARESOURCE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,MEDICAID,MEDICAID,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,MEDICARE,MEDICARE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,NOVA NET,NOVA NET,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,PEACHSTATE,PEACHSTATE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,SELFPAY,SELFPAY,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,TRICARE,TRICARE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC",286,DRG,inpatient,,,43227.6,43227.6,UHC MEDICARE,UHC MEDICARE,,43227.6,,fee schedule,43227.6,37608.01,43227.6,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,AMERIGROUP,AMERIGROUP,,119.72,,fee schedule,119.72,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,122,,fee schedule,122,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,114.02,,fee schedule,114.02,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,TRICARE,TRICARE,,207.01,,fee schedule,207.01,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,AETNA,AETNA,,300.15,87,percent of total billed charges,300.15,114.02,345,percent of total billed charges,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300.15,87,percent of total billed charges,300.15,114.02,345,percent of total billed charges,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,UNITED HEALTHCARE,UNITED HEALTHCARE,,303.6,88,percent of total billed charges,303.6,114.02,345,percent of total billed charges,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,AETNA,AETNA,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,BEECH STREET,BEECH STREET,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,MEDICAID,MEDICAID,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,NOVA NET,NOVA NET,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,SELFPAY,SELFPAY,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,345,345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,345,,fee schedule,345,114.02,345,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,ALLIANT,ALLIANT,,341.57,,fee schedule,341.57,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,AMBETTER,AMBETTER,,269.11,,fee schedule,269.11,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,AMERIGROUP,AMERIGROUP,,119.72,,fee schedule,119.72,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,CARESOURCE,CARESOURCE,,122,,fee schedule,122,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,MEDICARE,MEDICARE,,207.01,,fee schedule,207.01,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,PEACHSTATE,PEACHSTATE,,114.02,,fee schedule,114.02,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,TRICARE,TRICARE,,207.01,,fee schedule,207.01,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,UHC MEDICARE,UHC MEDICARE,,207.01,,fee schedule,207.01,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,AETNA,AETNA,,542.88,87,percent of total billed charges,542.88,114.02,624,percent of total billed charges,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542.88,87,percent of total billed charges,542.88,114.02,624,percent of total billed charges,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,UNITED HEALTHCARE,UNITED HEALTHCARE,,549.12,88,percent of total billed charges,549.12,114.02,624,percent of total billed charges,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,AETNA,AETNA,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,BEECH STREET,BEECH STREET,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,CARESOURCE,CARESOURCE,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,MEDICAID,MEDICAID,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,NOVA NET,NOVA NET,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,PEACHSTATE,PEACHSTATE,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,SELFPAY,SELFPAY,,624,,fee schedule,624,114.02,624,fee schedule,
CL TX IP JOINT DISL; WO A,28660,CPT,both,,,624,624,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,624,,fee schedule,624,114.02,624,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,AETNA,AETNA,,29537.09,87,percent of total billed charges,29537.09,29537.09,33950.68,percent of total billed charges,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29537.09,87,percent of total billed charges,29537.09,29537.09,33950.68,percent of total billed charges,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,UNITED HEALTHCARE,UNITED HEALTHCARE,,29876.6,88,percent of total billed charges,29876.6,29537.09,33950.68,percent of total billed charges,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,AETNA,AETNA,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,ALLIANT,ALLIANT,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,AMBETTER,AMBETTER,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,BEECH STREET,BEECH STREET,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,CARESOURCE,CARESOURCE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,MEDICAID,MEDICAID,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,MEDICARE,MEDICARE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,NOVA NET,NOVA NET,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,PEACHSTATE,PEACHSTATE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,SELFPAY,SELFPAY,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,TRICARE,TRICARE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC",287,DRG,inpatient,,,33950.68,33950.68,UHC MEDICARE,UHC MEDICARE,,33950.68,,fee schedule,33950.68,29537.09,33950.68,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,AETNA,AETNA,,41187.57,87,percent of total billed charges,41187.57,41187.57,47342.04,percent of total billed charges,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41187.57,87,percent of total billed charges,41187.57,41187.57,47342.04,percent of total billed charges,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,UNITED HEALTHCARE,UNITED HEALTHCARE,,41661,88,percent of total billed charges,41661,41187.57,47342.04,percent of total billed charges,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,AETNA,AETNA,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,ALLIANT,ALLIANT,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,AMBETTER,AMBETTER,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,BEECH STREET,BEECH STREET,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,CARESOURCE,CARESOURCE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,MEDICAID,MEDICAID,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,MEDICARE,MEDICARE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,NOVA NET,NOVA NET,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,PEACHSTATE,PEACHSTATE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,SELFPAY,SELFPAY,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,TRICARE,TRICARE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W MCC,288,DRG,inpatient,,,47342.04,47342.04,UHC MEDICARE,UHC MEDICARE,,47342.04,,fee schedule,47342.04,41187.57,47342.04,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,AETNA,AETNA,,28259.57,87,percent of total billed charges,28259.57,28259.57,32482.27,percent of total billed charges,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28259.57,87,percent of total billed charges,28259.57,28259.57,32482.27,percent of total billed charges,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,UNITED HEALTHCARE,UNITED HEALTHCARE,,28584.4,88,percent of total billed charges,28584.4,28259.57,32482.27,percent of total billed charges,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,AETNA,AETNA,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,ALLIANT,ALLIANT,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,AMBETTER,AMBETTER,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,BEECH STREET,BEECH STREET,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,CARESOURCE,CARESOURCE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,MEDICAID,MEDICAID,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,MEDICARE,MEDICARE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,NOVA NET,NOVA NET,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,PEACHSTATE,PEACHSTATE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,SELFPAY,SELFPAY,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,TRICARE,TRICARE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC,290,DRG,inpatient,,,32482.27,32482.27,UHC MEDICARE,UHC MEDICARE,,32482.27,,fee schedule,32482.27,28259.57,32482.27,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,AETNA,AETNA,,22966.1,87,percent of total billed charges,22966.1,22966.1,26397.82,percent of total billed charges,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22966.1,87,percent of total billed charges,22966.1,22966.1,26397.82,percent of total billed charges,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,UNITED HEALTHCARE,UNITED HEALTHCARE,,23230.08,88,percent of total billed charges,23230.08,22966.1,26397.82,percent of total billed charges,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,AETNA,AETNA,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,ALLIANT,ALLIANT,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,AMBETTER,AMBETTER,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,BEECH STREET,BEECH STREET,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,CARESOURCE,CARESOURCE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,MEDICAID,MEDICAID,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,MEDICARE,MEDICARE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,NOVA NET,NOVA NET,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,PEACHSTATE,PEACHSTATE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,SELFPAY,SELFPAY,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,TRICARE,TRICARE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W MCC,291,DRG,inpatient,,,26397.82,26397.82,UHC MEDICARE,UHC MEDICARE,,26397.82,,fee schedule,26397.82,22966.1,26397.82,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,AETNA,AETNA,,14168.29,87,percent of total billed charges,14168.29,14168.29,16285.39,percent of total billed charges,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14168.29,87,percent of total billed charges,14168.29,14168.29,16285.39,percent of total billed charges,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,UNITED HEALTHCARE,UNITED HEALTHCARE,,14331.14,88,percent of total billed charges,14331.14,14168.29,16285.39,percent of total billed charges,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,AETNA,AETNA,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,ALLIANT,ALLIANT,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,AMBETTER,AMBETTER,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,BEECH STREET,BEECH STREET,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,CARESOURCE,CARESOURCE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,MEDICAID,MEDICAID,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,MEDICARE,MEDICARE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,NOVA NET,NOVA NET,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,PEACHSTATE,PEACHSTATE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,SELFPAY,SELFPAY,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,TRICARE,TRICARE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
HEART FAILURE & SHOCK W CC,292,DRG,inpatient,,,16285.39,16285.39,UHC MEDICARE,UHC MEDICARE,,16285.39,,fee schedule,16285.39,14168.29,16285.39,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,50.4,,fee schedule,50.4,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,51.36,,fee schedule,51.36,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,TRICARE,TRICARE,,145.76,,fee schedule,145.76,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,48,240.5,percent of total billed charges,
STRAPPING; THORAX,29200,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,48,240.5,percent of total billed charges,
STRAPPING; THORAX,29200,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,48,240.5,percent of total billed charges,
STRAPPING; THORAX,29200,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,48,240.5,fee schedule,
STRAPPING; THORAX,29200,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,48,240.5,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,52.33,,fee schedule,52.33,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,53.33,,fee schedule,53.33,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,49.84,,fee schedule,49.84,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,TRICARE,TRICARE,,116.11,,fee schedule,116.11,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,49.84,268,percent of total billed charges,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,49.84,268,percent of total billed charges,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,49.84,268,percent of total billed charges,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,49.84,268,fee schedule,
SPLINT/STRAP/CAST SHOULDE,29240,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,52.33,,fee schedule,52.33,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,53.33,,fee schedule,53.33,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,49.84,,fee schedule,49.84,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,TRICARE,TRICARE,,116.11,,fee schedule,116.11,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,49.84,268,percent of total billed charges,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,49.84,268,percent of total billed charges,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,49.84,268,percent of total billed charges,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; SHOULDER,29240,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,49.84,268,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,41.43,,fee schedule,41.43,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,42.22,,fee schedule,42.22,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,39.46,,fee schedule,39.46,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,TRICARE,TRICARE,,57.48,,fee schedule,57.48,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,39.46,178,percent of total billed charges,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,39.46,178,percent of total billed charges,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,39.46,178,percent of total billed charges,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; ELBOW OR WRIST,29260,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,39.46,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,40.12,,fee schedule,40.12,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,40.88,,fee schedule,40.88,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,38.21,,fee schedule,38.21,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,TRICARE,TRICARE,,57.48,,fee schedule,57.48,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,38.21,178,percent of total billed charges,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,38.21,178,percent of total billed charges,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,38.21,178,percent of total billed charges,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,38.21,178,fee schedule,
STRAPPING; HAND OR FINGER,29280,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,38.21,178,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,AETNA,AETNA,,7444.36,87,percent of total billed charges,7444.36,7444.36,8556.74,percent of total billed charges,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7444.36,87,percent of total billed charges,7444.36,7444.36,8556.74,percent of total billed charges,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,7529.93,88,percent of total billed charges,7529.93,7444.36,8556.74,percent of total billed charges,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,AETNA,AETNA,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,ALLIANT,ALLIANT,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,AMBETTER,AMBETTER,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,BEECH STREET,BEECH STREET,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,CARESOURCE,CARESOURCE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,MEDICAID,MEDICAID,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,MEDICARE,MEDICARE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,NOVA NET,NOVA NET,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,PEACHSTATE,PEACHSTATE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,SELFPAY,SELFPAY,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,TRICARE,TRICARE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
HEART FAILURE & SHOCK W/O CC/MCC,293,DRG,inpatient,,,8556.74,8556.74,UHC MEDICARE,UHC MEDICARE,,8556.74,,fee schedule,8556.74,7444.36,8556.74,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,AETNA,AETNA,,38014.17,87,percent of total billed charges,38014.17,38014.17,43694.45,percent of total billed charges,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38014.17,87,percent of total billed charges,38014.17,38014.17,43694.45,percent of total billed charges,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,UNITED HEALTHCARE,UNITED HEALTHCARE,,38451.12,88,percent of total billed charges,38451.12,38014.17,43694.45,percent of total billed charges,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,AETNA,AETNA,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,ALLIANT,ALLIANT,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,AMBETTER,AMBETTER,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,BEECH STREET,BEECH STREET,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,CARESOURCE,CARESOURCE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,MEDICAID,MEDICAID,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,MEDICARE,MEDICARE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,NOVA NET,NOVA NET,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,PEACHSTATE,PEACHSTATE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,SELFPAY,SELFPAY,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,TRICARE,TRICARE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
DEEP VEIN THROMBOPHLEBITIS W CC/MCC,294,DRG,inpatient,,,43694.45,43694.45,UHC MEDICARE,UHC MEDICARE,,43694.45,,fee schedule,43694.45,38014.17,43694.45,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,ALLIANT,ALLIANT,,395.85,,fee schedule,395.85,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,AMBETTER,AMBETTER,,311.88,,fee schedule,311.88,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,193.44,,fee schedule,193.44,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,197.13,,fee schedule,197.13,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,MEDICARE,MEDICARE,,239.91,,fee schedule,239.91,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,184.23,,fee schedule,184.23,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,TRICARE,TRICARE,,239.91,,fee schedule,239.91,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,239.91,,fee schedule,239.91,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,184.23,711,percent of total billed charges,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,184.23,711,percent of total billed charges,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,184.23,711,percent of total billed charges,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,184.23,711,fee schedule,
APPLY RIGID TOT CONTACT LEG,29445,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,184.23,711,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,ALLIANT,ALLIANT,,395.85,,fee schedule,395.85,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,AMBETTER,AMBETTER,,311.88,,fee schedule,311.88,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,193.44,,fee schedule,193.44,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,197.13,,fee schedule,197.13,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,MEDICARE,MEDICARE,,239.91,,fee schedule,239.91,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,184.23,,fee schedule,184.23,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,TRICARE,TRICARE,,239.91,,fee schedule,239.91,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,239.91,,fee schedule,239.91,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,184.23,395.85,percent of total billed charges,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,184.23,395.85,percent of total billed charges,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,184.23,395.85,percent of total billed charges,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,184.23,395.85,fee schedule,
TOTAL CONTACT CAST,29445,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,184.23,395.85,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,AMERIGROUP,AMERIGROUP,,88.68,,fee schedule,88.68,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,90.37,,fee schedule,90.37,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,84.46,,fee schedule,84.46,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,TRICARE,TRICARE,,145.76,,fee schedule,145.76,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,AETNA,AETNA,,290.58,87,percent of total billed charges,290.58,84.46,334,percent of total billed charges,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290.58,87,percent of total billed charges,290.58,84.46,334,percent of total billed charges,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,UNITED HEALTHCARE,UNITED HEALTHCARE,,293.92,88,percent of total billed charges,293.92,84.46,334,percent of total billed charges,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,AETNA,AETNA,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,BEECH STREET,BEECH STREET,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,MEDICAID,MEDICAID,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,NOVA NET,NOVA NET,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,SELFPAY,SELFPAY,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINTING THIGH TO ANKLE/,29505,CPT,both,,,334,334,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,334,,fee schedule,334,84.46,334,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,AMERIGROUP,AMERIGROUP,,75.56,,fee schedule,75.56,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,77,,fee schedule,77,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,71.96,,fee schedule,71.96,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,TRICARE,TRICARE,,145.76,,fee schedule,145.76,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,71.96,316,percent of total billed charges,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,71.96,316,percent of total billed charges,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,71.96,316,percent of total billed charges,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,71.96,316,fee schedule,
SPLINT/STRAP/CAST LEG/ANK,29515,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,71.96,316,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,44.85,,fee schedule,44.85,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,45.7,,fee schedule,45.7,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,42.71,,fee schedule,42.71,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,TRICARE,TRICARE,,116.11,,fee schedule,116.11,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,42.71,191.58,percent of total billed charges,
HIP STRAPPING,29520,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,42.71,191.58,percent of total billed charges,
HIP STRAPPING,29520,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,42.71,191.58,percent of total billed charges,
HIP STRAPPING,29520,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,42.71,191.58,fee schedule,
HIP STRAPPING,29520,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,42.71,191.58,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,45.44,,fee schedule,45.44,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,46.31,,fee schedule,46.31,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,43.28,,fee schedule,43.28,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,TRICARE,TRICARE,,116.11,,fee schedule,116.11,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,43.28,268,percent of total billed charges,
KNEE STRAPPING,29530,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,43.28,268,percent of total billed charges,
KNEE STRAPPING,29530,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,43.28,268,percent of total billed charges,
KNEE STRAPPING,29530,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,43.28,268,fee schedule,
KNEE STRAPPING,29530,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,45.44,,fee schedule,45.44,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,46.31,,fee schedule,46.31,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,43.28,,fee schedule,43.28,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,TRICARE,TRICARE,,116.11,,fee schedule,116.11,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,43.28,268,percent of total billed charges,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,43.28,268,percent of total billed charges,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,43.28,268,percent of total billed charges,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,43.28,268,fee schedule,
SPLINT/STRAP/CAST KNEE,29530,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,43.28,268,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,31.75,,fee schedule,31.75,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,32.36,,fee schedule,32.36,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,30.24,,fee schedule,30.24,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,TRICARE,TRICARE,,145.76,,fee schedule,145.76,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,30.24,240.5,percent of total billed charges,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,30.24,240.5,percent of total billed charges,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,30.24,240.5,percent of total billed charges,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAP ANKLE OR FOOT,29540,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,30.24,240.5,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,29.1,,fee schedule,29.1,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,29.65,,fee schedule,29.65,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,27.71,,fee schedule,27.71,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,TRICARE,TRICARE,,57.48,,fee schedule,57.48,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,27.71,178,percent of total billed charges,
STRAPPING OF TOES,29550,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,27.71,178,percent of total billed charges,
STRAPPING OF TOES,29550,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,27.71,178,percent of total billed charges,
STRAPPING OF TOES,29550,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,27.71,178,fee schedule,
STRAPPING OF TOES,29550,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,27.71,178,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,51.17,,fee schedule,51.17,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,52.14,,fee schedule,52.14,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,48.73,,fee schedule,48.73,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,TRICARE,TRICARE,,145.76,,fee schedule,145.76,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,48.73,240.5,percent of total billed charges,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,48.73,240.5,percent of total billed charges,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,48.73,240.5,percent of total billed charges,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,48.73,240.5,fee schedule,
BILATERAL UNNA’S BOOT,29580,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,48.73,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,AMERIGROUP,AMERIGROUP,,51.17,,fee schedule,51.17,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,52.14,,fee schedule,52.14,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,48.73,,fee schedule,48.73,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,TRICARE,TRICARE,,145.76,,fee schedule,145.76,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,AETNA,AETNA,,362.79,87,percent of total billed charges,362.79,48.73,417,percent of total billed charges,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,362.79,87,percent of total billed charges,362.79,48.73,417,percent of total billed charges,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,UNITED HEALTHCARE,UNITED HEALTHCARE,,366.96,88,percent of total billed charges,366.96,48.73,417,percent of total billed charges,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,AETNA,AETNA,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,BEECH STREET,BEECH STREET,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,MEDICAID,MEDICAID,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,NOVA NET,NOVA NET,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,SELFPAY,SELFPAY,,417,,fee schedule,417,48.73,417,fee schedule,
MULTI-LAYER COMPRESS WRAP,29580,CPT,both,,,417,417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,AMERIGROUP,AMERIGROUP,,51.17,,fee schedule,51.17,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,52.14,,fee schedule,52.14,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,48.73,,fee schedule,48.73,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,TRICARE,TRICARE,,145.76,,fee schedule,145.76,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,AETNA,AETNA,,362.79,87,percent of total billed charges,362.79,48.73,417,percent of total billed charges,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,362.79,87,percent of total billed charges,362.79,48.73,417,percent of total billed charges,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,UNITED HEALTHCARE,UNITED HEALTHCARE,,366.96,88,percent of total billed charges,366.96,48.73,417,percent of total billed charges,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,AETNA,AETNA,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,BEECH STREET,BEECH STREET,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,MEDICAID,MEDICAID,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,NOVA NET,NOVA NET,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,SELFPAY,SELFPAY,,417,,fee schedule,417,48.73,417,fee schedule,
UNA BOOT APLLICATION BILATERAL,29580,CPT,both,,,417,417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,417,,fee schedule,417,48.73,417,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,61.06,,fee schedule,61.06,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,62.22,,fee schedule,62.22,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,58.15,,fee schedule,58.15,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,TRICARE,TRICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,58.15,240.5,percent of total billed charges,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,58.15,240.5,percent of total billed charges,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,58.15,240.5,percent of total billed charges,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,58.15,240.5,fee schedule,
BILATERAL COMPRESSION WRAPS,29581,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,58.15,240.5,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,AMERIGROUP,AMERIGROUP,,61.06,,fee schedule,61.06,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,62.22,,fee schedule,62.22,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,58.15,,fee schedule,58.15,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,TRICARE,TRICARE,,145.76,,fee schedule,145.76,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,AETNA,AETNA,,362.79,87,percent of total billed charges,362.79,58.15,417,percent of total billed charges,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,362.79,87,percent of total billed charges,362.79,58.15,417,percent of total billed charges,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,UNITED HEALTHCARE,UNITED HEALTHCARE,,366.96,88,percent of total billed charges,366.96,58.15,417,percent of total billed charges,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,AETNA,AETNA,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,BEECH STREET,BEECH STREET,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,MEDICAID,MEDICAID,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,NOVA NET,NOVA NET,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,SELFPAY,SELFPAY,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMP WRAP BILATERA,29581,CPT,both,,,417,417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,417,,fee schedule,417,58.15,417,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,61.06,,fee schedule,61.06,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,62.22,,fee schedule,62.22,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,58.15,,fee schedule,58.15,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,TRICARE,TRICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,58.15,240.5,percent of total billed charges,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,58.15,240.5,percent of total billed charges,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,58.15,240.5,percent of total billed charges,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,ALLIANT,ALLIANT,,240.5,,fee schedule,240.5,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AMBETTER,AMBETTER,,189.49,,fee schedule,189.49,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,61.06,,fee schedule,61.06,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,62.22,,fee schedule,62.22,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,MEDICARE,MEDICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,58.15,,fee schedule,58.15,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,TRICARE,TRICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,145.76,,fee schedule,145.76,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,58.15,240.5,percent of total billed charges,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,58.15,240.5,percent of total billed charges,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,58.15,240.5,percent of total billed charges,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,58.15,240.5,fee schedule,
MULTI-LAYER COMPRESS WRAP,29581,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,58.15,240.5,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,AETNA,AETNA,,36660.38,87,percent of total billed charges,36660.38,36660.38,42138.37,percent of total billed charges,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36660.38,87,percent of total billed charges,36660.38,36660.38,42138.37,percent of total billed charges,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,37081.77,88,percent of total billed charges,37081.77,36660.38,42138.37,percent of total billed charges,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,AETNA,AETNA,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,ALLIANT,ALLIANT,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,AMBETTER,AMBETTER,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,BEECH STREET,BEECH STREET,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,CARESOURCE,CARESOURCE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,MEDICAID,MEDICAID,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,MEDICARE,MEDICARE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,NOVA NET,NOVA NET,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,PEACHSTATE,PEACHSTATE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,SELFPAY,SELFPAY,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,TRICARE,TRICARE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W MCC",296,DRG,inpatient,,,42138.37,42138.37,UHC MEDICARE,UHC MEDICARE,,42138.37,,fee schedule,42138.37,36660.38,42138.37,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,AETNA,AETNA,,10176.54,87,percent of total billed charges,10176.54,10176.54,11697.17,percent of total billed charges,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10176.54,87,percent of total billed charges,10176.54,10176.54,11697.17,percent of total billed charges,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,10293.51,88,percent of total billed charges,10293.51,10176.54,11697.17,percent of total billed charges,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,AETNA,AETNA,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,ALLIANT,ALLIANT,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,AMBETTER,AMBETTER,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,BEECH STREET,BEECH STREET,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,CARESOURCE,CARESOURCE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,MEDICAID,MEDICAID,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,MEDICARE,MEDICARE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,NOVA NET,NOVA NET,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,PEACHSTATE,PEACHSTATE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,SELFPAY,SELFPAY,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,TRICARE,TRICARE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
"CARDIAC ARREST, UNEXPLAINED W CC",297,DRG,inpatient,,,11697.17,11697.17,UHC MEDICARE,UHC MEDICARE,,11697.17,,fee schedule,11697.17,10176.54,11697.17,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,AETNA,AETNA,,20564.78,87,percent of total billed charges,20564.78,20564.78,23637.68,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20564.78,87,percent of total billed charges,20564.78,20564.78,23637.68,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,UNITED HEALTHCARE,UNITED HEALTHCARE,,20801.16,88,percent of total billed charges,20801.16,20564.78,23637.68,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,AETNA,AETNA,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,ALLIANT,ALLIANT,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,AMBETTER,AMBETTER,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,BEECH STREET,BEECH STREET,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,CARESOURCE,CARESOURCE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,MEDICAID,MEDICAID,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,MEDICARE,MEDICARE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,NOVA NET,NOVA NET,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,PEACHSTATE,PEACHSTATE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,SELFPAY,SELFPAY,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,TRICARE,TRICARE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W MCC,299,DRG,inpatient,,,23637.68,23637.68,UHC MEDICARE,UHC MEDICARE,,23637.68,,fee schedule,23637.68,20564.78,23637.68,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,AETNA,AETNA,,18130.91,87,percent of total billed charges,18130.91,18130.91,20840.13,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18130.91,87,percent of total billed charges,18130.91,18130.91,20840.13,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,UNITED HEALTHCARE,UNITED HEALTHCARE,,18339.31,88,percent of total billed charges,18339.31,18130.91,20840.13,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,AETNA,AETNA,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,ALLIANT,ALLIANT,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,AMBETTER,AMBETTER,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,BEECH STREET,BEECH STREET,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,CARESOURCE,CARESOURCE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,MEDICAID,MEDICAID,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,MEDICARE,MEDICARE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,NOVA NET,NOVA NET,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,PEACHSTATE,PEACHSTATE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,SELFPAY,SELFPAY,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,TRICARE,TRICARE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W CC,300,DRG,inpatient,,,20840.13,20840.13,UHC MEDICARE,UHC MEDICARE,,20840.13,,fee schedule,20840.13,18130.91,20840.13,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,AETNA,AETNA,,9198.1,87,percent of total billed charges,9198.1,9198.1,10572.53,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9198.1,87,percent of total billed charges,9198.1,9198.1,10572.53,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,UNITED HEALTHCARE,UNITED HEALTHCARE,,9303.83,88,percent of total billed charges,9303.83,9198.1,10572.53,percent of total billed charges,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,AETNA,AETNA,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,ALLIANT,ALLIANT,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,AMBETTER,AMBETTER,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,BEECH STREET,BEECH STREET,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,CARESOURCE,CARESOURCE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,MEDICAID,MEDICAID,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,MEDICARE,MEDICARE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,NOVA NET,NOVA NET,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,PEACHSTATE,PEACHSTATE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,SELFPAY,SELFPAY,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,TRICARE,TRICARE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,301,DRG,inpatient,,,10572.53,10572.53,UHC MEDICARE,UHC MEDICARE,,10572.53,,fee schedule,10572.53,9198.1,10572.53,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,AETNA,AETNA,,22148.82,87,percent of total billed charges,22148.82,22148.82,25458.41,percent of total billed charges,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22148.82,87,percent of total billed charges,22148.82,22148.82,25458.41,percent of total billed charges,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,22403.4,88,percent of total billed charges,22403.4,22148.82,25458.41,percent of total billed charges,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,AETNA,AETNA,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,ALLIANT,ALLIANT,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,AMBETTER,AMBETTER,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,BEECH STREET,BEECH STREET,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,CARESOURCE,CARESOURCE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,MEDICAID,MEDICAID,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,MEDICARE,MEDICARE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,NOVA NET,NOVA NET,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,PEACHSTATE,PEACHSTATE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,SELFPAY,SELFPAY,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,TRICARE,TRICARE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W MCC,302,DRG,inpatient,,,25458.41,25458.41,UHC MEDICARE,UHC MEDICARE,,25458.41,,fee schedule,25458.41,22148.82,25458.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,AETNA,AETNA,,18103.32,87,percent of total billed charges,18103.32,18103.32,20808.41,percent of total billed charges,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18103.32,87,percent of total billed charges,18103.32,18103.32,20808.41,percent of total billed charges,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,18311.4,88,percent of total billed charges,18311.4,18103.32,20808.41,percent of total billed charges,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,AETNA,AETNA,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,ALLIANT,ALLIANT,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,AMBETTER,AMBETTER,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,BEECH STREET,BEECH STREET,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,CARESOURCE,CARESOURCE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,MEDICAID,MEDICAID,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,MEDICARE,MEDICARE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,NOVA NET,NOVA NET,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,PEACHSTATE,PEACHSTATE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,SELFPAY,SELFPAY,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,TRICARE,TRICARE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
ATHEROSCLEROSIS W/O MCC,303,DRG,inpatient,,,20808.41,20808.41,UHC MEDICARE,UHC MEDICARE,,20808.41,,fee schedule,20808.41,18103.32,20808.41,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,81.27,,fee schedule,81.27,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,82.82,,fee schedule,82.82,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,77.4,,fee schedule,77.4,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,TRICARE,TRICARE,,116.11,,fee schedule,116.11,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,77.4,191.58,percent of total billed charges,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,77.4,191.58,percent of total billed charges,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,77.4,191.58,percent of total billed charges,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,77.4,191.58,fee schedule,
FB REMOVAL FROM NOSE,30300,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,77.4,191.58,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,AETNA,AETNA,,24248.44,87,percent of total billed charges,24248.44,24248.44,27871.77,percent of total billed charges,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24248.44,87,percent of total billed charges,24248.44,24248.44,27871.77,percent of total billed charges,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,24527.16,88,percent of total billed charges,24527.16,24248.44,27871.77,percent of total billed charges,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,AETNA,AETNA,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,ALLIANT,ALLIANT,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,AMBETTER,AMBETTER,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,BEECH STREET,BEECH STREET,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,CARESOURCE,CARESOURCE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,MEDICAID,MEDICAID,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,MEDICARE,MEDICARE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,NOVA NET,NOVA NET,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,PEACHSTATE,PEACHSTATE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,SELFPAY,SELFPAY,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,TRICARE,TRICARE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W MCC,304,DRG,inpatient,,,27871.77,27871.77,UHC MEDICARE,UHC MEDICARE,,27871.77,,fee schedule,27871.77,24248.44,27871.77,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,AETNA,AETNA,,16199.64,87,percent of total billed charges,16199.64,16199.64,18620.28,percent of total billed charges,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16199.64,87,percent of total billed charges,16199.64,16199.64,18620.28,percent of total billed charges,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,16385.85,88,percent of total billed charges,16385.85,16199.64,18620.28,percent of total billed charges,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,AETNA,AETNA,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,ALLIANT,ALLIANT,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,AMBETTER,AMBETTER,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,BEECH STREET,BEECH STREET,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,CARESOURCE,CARESOURCE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,MEDICAID,MEDICAID,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,MEDICARE,MEDICARE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,NOVA NET,NOVA NET,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,PEACHSTATE,PEACHSTATE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,SELFPAY,SELFPAY,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,TRICARE,TRICARE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
HYPERTENSION W/O MCC,305,DRG,inpatient,,,18620.28,18620.28,UHC MEDICARE,UHC MEDICARE,,18620.28,,fee schedule,18620.28,16199.64,18620.28,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,AETNA,AETNA,,26728.94,87,percent of total billed charges,26728.94,26728.94,30722.92,percent of total billed charges,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26728.94,87,percent of total billed charges,26728.94,26728.94,30722.92,percent of total billed charges,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,UNITED HEALTHCARE,UNITED HEALTHCARE,,27036.17,88,percent of total billed charges,27036.17,26728.94,30722.92,percent of total billed charges,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,AETNA,AETNA,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,ALLIANT,ALLIANT,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,AMBETTER,AMBETTER,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,BEECH STREET,BEECH STREET,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,CARESOURCE,CARESOURCE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,MEDICAID,MEDICAID,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,MEDICARE,MEDICARE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,NOVA NET,NOVA NET,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,PEACHSTATE,PEACHSTATE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,SELFPAY,SELFPAY,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,TRICARE,TRICARE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,306,DRG,inpatient,,,30722.92,30722.92,UHC MEDICARE,UHC MEDICARE,,30722.92,,fee schedule,30722.92,26728.94,30722.92,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,AETNA,AETNA,,20655.35,87,percent of total billed charges,20655.35,20655.35,23741.78,percent of total billed charges,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20655.35,87,percent of total billed charges,20655.35,20655.35,23741.78,percent of total billed charges,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,20892.77,88,percent of total billed charges,20892.77,20655.35,23741.78,percent of total billed charges,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,AETNA,AETNA,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,ALLIANT,ALLIANT,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,AMBETTER,AMBETTER,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,BEECH STREET,BEECH STREET,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,CARESOURCE,CARESOURCE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,MEDICAID,MEDICAID,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,MEDICARE,MEDICARE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,NOVA NET,NOVA NET,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,PEACHSTATE,PEACHSTATE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,SELFPAY,SELFPAY,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,TRICARE,TRICARE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,307,DRG,inpatient,,,23741.78,23741.78,UHC MEDICARE,UHC MEDICARE,,23741.78,,fee schedule,23741.78,20655.35,23741.78,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,AETNA,AETNA,,22189.98,87,percent of total billed charges,22189.98,22189.98,25505.72,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22189.98,87,percent of total billed charges,22189.98,22189.98,25505.72,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,UNITED HEALTHCARE,UNITED HEALTHCARE,,22445.03,88,percent of total billed charges,22445.03,22189.98,25505.72,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,AETNA,AETNA,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,ALLIANT,ALLIANT,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,AMBETTER,AMBETTER,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,BEECH STREET,BEECH STREET,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,CARESOURCE,CARESOURCE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,MEDICAID,MEDICAID,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,MEDICARE,MEDICARE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,NOVA NET,NOVA NET,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,PEACHSTATE,PEACHSTATE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,SELFPAY,SELFPAY,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,TRICARE,TRICARE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,308,DRG,inpatient,,,25505.72,25505.72,UHC MEDICARE,UHC MEDICARE,,25505.72,,fee schedule,25505.72,22189.98,25505.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,AETNA,AETNA,,16336.36,87,percent of total billed charges,16336.36,16336.36,18777.42,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16336.36,87,percent of total billed charges,16336.36,16336.36,18777.42,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,UNITED HEALTHCARE,UNITED HEALTHCARE,,16524.13,88,percent of total billed charges,16524.13,16336.36,18777.42,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,AETNA,AETNA,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,ALLIANT,ALLIANT,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,AMBETTER,AMBETTER,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,BEECH STREET,BEECH STREET,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,CARESOURCE,CARESOURCE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,MEDICAID,MEDICAID,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,MEDICARE,MEDICARE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,NOVA NET,NOVA NET,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,PEACHSTATE,PEACHSTATE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,SELFPAY,SELFPAY,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,TRICARE,TRICARE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,309,DRG,inpatient,,,18777.42,18777.42,UHC MEDICARE,UHC MEDICARE,,18777.42,,fee schedule,18777.42,16336.36,18777.42,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,AMERIGROUP,AMERIGROUP,,84.77,,fee schedule,84.77,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,86.38,,fee schedule,86.38,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,80.73,,fee schedule,80.73,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,TRICARE,TRICARE,,116.11,,fee schedule,116.11,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,AETNA,AETNA,,180.96,87,percent of total billed charges,180.96,80.73,208,percent of total billed charges,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.96,87,percent of total billed charges,180.96,80.73,208,percent of total billed charges,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.04,88,percent of total billed charges,183.04,80.73,208,percent of total billed charges,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,AETNA,AETNA,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,BEECH STREET,BEECH STREET,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,MEDICAID,MEDICAID,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,NOVA NET,NOVA NET,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,SELFPAY,SELFPAY,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PACKING NOSE BLEE,30901,CPT,both,,,208,208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,208,,fee schedule,208,80.73,208,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,AMERIGROUP,AMERIGROUP,,168.74,,fee schedule,168.74,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,171.95,,fee schedule,171.95,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,160.7,,fee schedule,160.7,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,TRICARE,TRICARE,,116.11,,fee schedule,116.11,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,116.11,225,percent of total billed charges,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,116.11,225,percent of total billed charges,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,116.11,225,percent of total billed charges,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,116.11,225,fee schedule,
CONTROL/PCKING NOSEBLEED,30905,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,116.11,225,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,AETNA,AETNA,,14300.82,87,percent of total billed charges,14300.82,14300.82,16437.72,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14300.82,87,percent of total billed charges,14300.82,14300.82,16437.72,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,UNITED HEALTHCARE,UNITED HEALTHCARE,,14465.19,88,percent of total billed charges,14465.19,14300.82,16437.72,percent of total billed charges,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,AETNA,AETNA,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,ALLIANT,ALLIANT,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,AMBETTER,AMBETTER,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,BEECH STREET,BEECH STREET,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,CARESOURCE,CARESOURCE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,MEDICAID,MEDICAID,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,MEDICARE,MEDICARE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,NOVA NET,NOVA NET,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,PEACHSTATE,PEACHSTATE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,SELFPAY,SELFPAY,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,TRICARE,TRICARE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,310,DRG,inpatient,,,16437.72,16437.72,UHC MEDICARE,UHC MEDICARE,,16437.72,,fee schedule,16437.72,14300.82,16437.72,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,AETNA,AETNA,,21127.05,87,percent of total billed charges,21127.05,21127.05,24283.97,percent of total billed charges,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21127.05,87,percent of total billed charges,21127.05,21127.05,24283.97,percent of total billed charges,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,21369.89,88,percent of total billed charges,21369.89,21127.05,24283.97,percent of total billed charges,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,AETNA,AETNA,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,ALLIANT,ALLIANT,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,AMBETTER,AMBETTER,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,BEECH STREET,BEECH STREET,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,CARESOURCE,CARESOURCE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,MEDICAID,MEDICAID,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,MEDICARE,MEDICARE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,NOVA NET,NOVA NET,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,PEACHSTATE,PEACHSTATE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,SELFPAY,SELFPAY,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,TRICARE,TRICARE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
ANGINA PECTORIS,311,DRG,inpatient,,,24283.97,24283.97,UHC MEDICARE,UHC MEDICARE,,24283.97,,fee schedule,24283.97,21127.05,24283.97,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,AETNA,AETNA,,17395.67,87,percent of total billed charges,17395.67,17395.67,19995.02,percent of total billed charges,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17395.67,87,percent of total billed charges,17395.67,17395.67,19995.02,percent of total billed charges,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,17595.62,88,percent of total billed charges,17595.62,17395.67,19995.02,percent of total billed charges,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,AETNA,AETNA,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,ALLIANT,ALLIANT,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,AMBETTER,AMBETTER,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,BEECH STREET,BEECH STREET,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,CARESOURCE,CARESOURCE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,MEDICAID,MEDICAID,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,MEDICARE,MEDICARE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,NOVA NET,NOVA NET,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,PEACHSTATE,PEACHSTATE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,SELFPAY,SELFPAY,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,TRICARE,TRICARE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
SYNCOPE & COLLAPSE,312,DRG,inpatient,,,19995.02,19995.02,UHC MEDICARE,UHC MEDICARE,,19995.02,,fee schedule,19995.02,17395.67,19995.02,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,AETNA,AETNA,,16720.32,87,percent of total billed charges,16720.32,16720.32,19218.76,percent of total billed charges,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16720.32,87,percent of total billed charges,16720.32,16720.32,19218.76,percent of total billed charges,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,UNITED HEALTHCARE,UNITED HEALTHCARE,,16912.51,88,percent of total billed charges,16912.51,16720.32,19218.76,percent of total billed charges,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,AETNA,AETNA,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,ALLIANT,ALLIANT,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,AMBETTER,AMBETTER,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,BEECH STREET,BEECH STREET,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,CARESOURCE,CARESOURCE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,MEDICAID,MEDICAID,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,MEDICARE,MEDICARE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,NOVA NET,NOVA NET,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,PEACHSTATE,PEACHSTATE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,SELFPAY,SELFPAY,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,TRICARE,TRICARE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
CHEST PAIN,313,DRG,inpatient,,,19218.76,19218.76,UHC MEDICARE,UHC MEDICARE,,19218.76,,fee schedule,19218.76,16720.32,19218.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,AETNA,AETNA,,33671.98,87,percent of total billed charges,33671.98,33671.98,38703.43,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33671.98,87,percent of total billed charges,33671.98,33671.98,38703.43,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,UNITED HEALTHCARE,UNITED HEALTHCARE,,34059.02,88,percent of total billed charges,34059.02,33671.98,38703.43,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,AETNA,AETNA,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,ALLIANT,ALLIANT,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,AMBETTER,AMBETTER,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,BEECH STREET,BEECH STREET,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,CARESOURCE,CARESOURCE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,MEDICAID,MEDICAID,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,MEDICARE,MEDICARE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,NOVA NET,NOVA NET,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,PEACHSTATE,PEACHSTATE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,SELFPAY,SELFPAY,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,TRICARE,TRICARE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,314,DRG,inpatient,,,38703.43,38703.43,UHC MEDICARE,UHC MEDICARE,,38703.43,,fee schedule,38703.43,33671.98,38703.43,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,AETNA,AETNA,,17777.37,87,percent of total billed charges,17777.37,17777.37,20433.76,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17777.37,87,percent of total billed charges,17777.37,17777.37,20433.76,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,UNITED HEALTHCARE,UNITED HEALTHCARE,,17981.71,88,percent of total billed charges,17981.71,17777.37,20433.76,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,AETNA,AETNA,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,ALLIANT,ALLIANT,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,AMBETTER,AMBETTER,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,BEECH STREET,BEECH STREET,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,CARESOURCE,CARESOURCE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,MEDICAID,MEDICAID,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,MEDICARE,MEDICARE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,NOVA NET,NOVA NET,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,PEACHSTATE,PEACHSTATE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,SELFPAY,SELFPAY,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,TRICARE,TRICARE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,315,DRG,inpatient,,,20433.76,20433.76,UHC MEDICARE,UHC MEDICARE,,20433.76,,fee schedule,20433.76,17777.37,20433.76,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,ALLIANT,ALLIANT,,342.92,,fee schedule,342.92,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,AMBETTER,AMBETTER,,270.18,,fee schedule,270.18,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,AMERIGROUP,AMERIGROUP,,111.83,,fee schedule,111.83,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,CARESOURCE,CARESOURCE,,113.96,,fee schedule,113.96,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,MEDICARE,MEDICARE,,207.83,,fee schedule,207.83,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,PEACHSTATE,PEACHSTATE,,106.5,,fee schedule,106.5,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,TRICARE,TRICARE,,207.83,,fee schedule,207.83,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,UHC MEDICARE,UHC MEDICARE,,207.83,,fee schedule,207.83,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,AETNA,AETNA,,516.78,87,percent of total billed charges,516.78,106.5,594,percent of total billed charges,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,516.78,87,percent of total billed charges,516.78,106.5,594,percent of total billed charges,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,UNITED HEALTHCARE,UNITED HEALTHCARE,,522.72,88,percent of total billed charges,522.72,106.5,594,percent of total billed charges,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,AETNA,AETNA,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,BEECH STREET,BEECH STREET,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,CARESOURCE,CARESOURCE,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,MEDICAID,MEDICAID,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,NOVA NET,NOVA NET,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,PEACHSTATE,PEACHSTATE,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,SELFPAY,SELFPAY,,594,,fee schedule,594,106.5,594,fee schedule,
ENDOTRACHEAL INTUBATION,31500,CPT,both,,,594,594,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,594,,fee schedule,594,106.5,594,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,ALLIANT,ALLIANT,,342.92,,fee schedule,342.92,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,AMBETTER,AMBETTER,,270.18,,fee schedule,270.18,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,AMERIGROUP,AMERIGROUP,,111.83,,fee schedule,111.83,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,CARESOURCE,CARESOURCE,,113.96,,fee schedule,113.96,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,MEDICARE,MEDICARE,,207.83,,fee schedule,207.83,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,PEACHSTATE,PEACHSTATE,,106.5,,fee schedule,106.5,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,TRICARE,TRICARE,,207.83,,fee schedule,207.83,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,UHC MEDICARE,UHC MEDICARE,,207.83,,fee schedule,207.83,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,AETNA,AETNA,,738.63,87,percent of total billed charges,738.63,106.5,849,percent of total billed charges,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,738.63,87,percent of total billed charges,738.63,106.5,849,percent of total billed charges,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,UNITED HEALTHCARE,UNITED HEALTHCARE,,747.12,88,percent of total billed charges,747.12,106.5,849,percent of total billed charges,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,AETNA,AETNA,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,BEECH STREET,BEECH STREET,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,CARESOURCE,CARESOURCE,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,MEDICAID,MEDICAID,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,NOVA NET,NOVA NET,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,PEACHSTATE,PEACHSTATE,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,SELFPAY,SELFPAY,,849,,fee schedule,849,106.5,849,fee schedule,
INSERT EMERGENCY AIRWAY,31500,CPT,both,,,849,849,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,849,,fee schedule,849,106.5,849,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,ALLIANT,ALLIANT,,342.92,,fee schedule,342.92,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,AMBETTER,AMBETTER,,270.18,,fee schedule,270.18,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,AMERIGROUP,AMERIGROUP,,111.83,,fee schedule,111.83,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,CARESOURCE,CARESOURCE,,113.96,,fee schedule,113.96,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,MEDICARE,MEDICARE,,207.83,,fee schedule,207.83,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,PEACHSTATE,PEACHSTATE,,106.5,,fee schedule,106.5,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,TRICARE,TRICARE,,207.83,,fee schedule,207.83,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,UHC MEDICARE,UHC MEDICARE,,207.83,,fee schedule,207.83,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,AETNA,AETNA,,516.78,87,percent of total billed charges,516.78,106.5,594,percent of total billed charges,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,516.78,87,percent of total billed charges,516.78,106.5,594,percent of total billed charges,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,UNITED HEALTHCARE,UNITED HEALTHCARE,,522.72,88,percent of total billed charges,522.72,106.5,594,percent of total billed charges,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,AETNA,AETNA,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,BEECH STREET,BEECH STREET,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,CARESOURCE,CARESOURCE,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,MEDICAID,MEDICAID,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,NOVA NET,NOVA NET,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,PEACHSTATE,PEACHSTATE,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,SELFPAY,SELFPAY,,594,,fee schedule,594,106.5,594,fee schedule,
INTUBATION OR ASSIST,31500,CPT,both,,,594,594,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,594,,fee schedule,594,106.5,594,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,ALLIANT,ALLIANT,,342.92,,fee schedule,342.92,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,AMBETTER,AMBETTER,,270.18,,fee schedule,270.18,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,AMERIGROUP,AMERIGROUP,,59.87,,fee schedule,59.87,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,61.01,,fee schedule,61.01,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,MEDICARE,MEDICARE,,207.83,,fee schedule,207.83,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,57.02,,fee schedule,57.02,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,TRICARE,TRICARE,,207.83,,fee schedule,207.83,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,UHC MEDICARE,UHC MEDICARE,,207.83,,fee schedule,207.83,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,AETNA,AETNA,,290.58,87,percent of total billed charges,290.58,57.02,342.92,percent of total billed charges,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290.58,87,percent of total billed charges,290.58,57.02,342.92,percent of total billed charges,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,UNITED HEALTHCARE,UNITED HEALTHCARE,,293.92,88,percent of total billed charges,293.92,57.02,342.92,percent of total billed charges,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,AETNA,AETNA,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,BEECH STREET,BEECH STREET,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,MEDICAID,MEDICAID,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,NOVA NET,NOVA NET,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,SELFPAY,SELFPAY,,334,,fee schedule,334,57.02,342.92,fee schedule,
TRACHEOSTOMY TUBE CHANGE,31502,CPT,both,,,334,334,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,334,,fee schedule,334,57.02,342.92,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,ALLIANT,ALLIANT,,622.28,,fee schedule,622.28,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,AMBETTER,AMBETTER,,490.28,,fee schedule,490.28,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,AMERIGROUP,AMERIGROUP,,164.75,,fee schedule,164.75,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,CARESOURCE,CARESOURCE,,167.88,,fee schedule,167.88,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,MEDICARE,MEDICARE,,377.14,,fee schedule,377.14,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,PEACHSTATE,PEACHSTATE,,156.9,,fee schedule,156.9,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,TRICARE,TRICARE,,377.14,,fee schedule,377.14,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,UHC MEDICARE,UHC MEDICARE,,377.14,,fee schedule,377.14,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,AETNA,AETNA,,1054.44,87,percent of total billed charges,1054.44,156.9,1212,percent of total billed charges,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1054.44,87,percent of total billed charges,1054.44,156.9,1212,percent of total billed charges,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,UNITED HEALTHCARE,UNITED HEALTHCARE,,1066.56,88,percent of total billed charges,1066.56,156.9,1212,percent of total billed charges,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,AETNA,AETNA,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,BEECH STREET,BEECH STREET,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,CARESOURCE,CARESOURCE,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,MEDICAID,MEDICAID,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,NOVA NET,NOVA NET,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,PEACHSTATE,PEACHSTATE,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,SELFPAY,SELFPAY,,1212,,fee schedule,1212,156.9,1212,fee schedule,
LARYNGOSC FLEX/RIGIS; W S,31579,CPT,both,,,1212,1212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1212,,fee schedule,1212,156.9,1212,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,AETNA,AETNA,,11774.56,87,percent of total billed charges,11774.56,11774.56,13533.98,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11774.56,87,percent of total billed charges,11774.56,11774.56,13533.98,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,11909.9,88,percent of total billed charges,11909.9,11774.56,13533.98,percent of total billed charges,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,AETNA,AETNA,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,ALLIANT,ALLIANT,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,AMBETTER,AMBETTER,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,BEECH STREET,BEECH STREET,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,CARESOURCE,CARESOURCE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,MEDICAID,MEDICAID,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,MEDICARE,MEDICARE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,NOVA NET,NOVA NET,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,PEACHSTATE,PEACHSTATE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,SELFPAY,SELFPAY,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,TRICARE,TRICARE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC,316,DRG,inpatient,,,13533.98,13533.98,UHC MEDICARE,UHC MEDICARE,,13533.98,,fee schedule,13533.98,11774.56,13533.98,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,ALLIANT,ALLIANT,,2637.62,,fee schedule,2637.62,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,AMBETTER,AMBETTER,,2078.13,,fee schedule,2078.13,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,AMERIGROUP,AMERIGROUP,,206.06,,fee schedule,206.06,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,CARESOURCE,CARESOURCE,,209.99,,fee schedule,209.99,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,MEDICARE,MEDICARE,,1598.56,,fee schedule,1598.56,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,PEACHSTATE,PEACHSTATE,,196.25,,fee schedule,196.25,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,TRICARE,TRICARE,,1598.56,,fee schedule,1598.56,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,UHC MEDICARE,UHC MEDICARE,,1598.56,,fee schedule,1598.56,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,AETNA,AETNA,,2717.88,87,percent of total billed charges,2717.88,196.25,3124,percent of total billed charges,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2717.88,87,percent of total billed charges,2717.88,196.25,3124,percent of total billed charges,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,UNITED HEALTHCARE,UNITED HEALTHCARE,,2749.12,88,percent of total billed charges,2749.12,196.25,3124,percent of total billed charges,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,AETNA,AETNA,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,BEECH STREET,BEECH STREET,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,CARESOURCE,CARESOURCE,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,MEDICAID,MEDICAID,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,NOVA NET,NOVA NET,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,PEACHSTATE,PEACHSTATE,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,SELFPAY,SELFPAY,,3124,,fee schedule,3124,196.25,3124,fee schedule,
DX BRONCHOSCOPE/WASH,31622,CPT,both,,,3124,3124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3124,,fee schedule,3124,196.25,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,AMERIGROUP,AMERIGROUP,,825.39,,fee schedule,825.39,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,CARESOURCE,CARESOURCE,,841.12,,fee schedule,841.12,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,PEACHSTATE,PEACHSTATE,,786.09,,fee schedule,786.09,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,AETNA,AETNA,,2717.88,87,percent of total billed charges,2717.88,786.09,3124,percent of total billed charges,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2717.88,87,percent of total billed charges,2717.88,786.09,3124,percent of total billed charges,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,UNITED HEALTHCARE,UNITED HEALTHCARE,,2749.12,88,percent of total billed charges,2749.12,786.09,3124,percent of total billed charges,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,AETNA,AETNA,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,ALLIANT,ALLIANT,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,AMBETTER,AMBETTER,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,BEECH STREET,BEECH STREET,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,CARESOURCE,CARESOURCE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,MEDICAID,MEDICAID,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,MEDICARE,MEDICARE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,NOVA NET,NOVA NET,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,PEACHSTATE,PEACHSTATE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,SELFPAY,SELFPAY,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,TRICARE,TRICARE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
NAVIGATION BRONCHOSCOPY,31627,CPT,both,,,3124,3124,UHC MEDICARE,UHC MEDICARE,,3124,,fee schedule,3124,786.09,3124,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,ALLIANT,ALLIANT,,5500.52,,fee schedule,5500.52,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,AMBETTER,AMBETTER,,4333.75,,fee schedule,4333.75,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,AMERIGROUP,AMERIGROUP,,261.65,,fee schedule,261.65,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,CARESOURCE,CARESOURCE,,266.63,,fee schedule,266.63,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,MEDICARE,MEDICARE,,3333.65,,fee schedule,3333.65,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,PEACHSTATE,PEACHSTATE,,249.19,,fee schedule,249.19,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,TRICARE,TRICARE,,3333.65,,fee schedule,3333.65,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,UHC MEDICARE,UHC MEDICARE,,3333.65,,fee schedule,3333.65,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,AETNA,AETNA,,2717.88,87,percent of total billed charges,2717.88,249.19,5500.52,percent of total billed charges,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2717.88,87,percent of total billed charges,2717.88,249.19,5500.52,percent of total billed charges,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,UNITED HEALTHCARE,UNITED HEALTHCARE,,2749.12,88,percent of total billed charges,2749.12,249.19,5500.52,percent of total billed charges,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,AETNA,AETNA,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,BEECH STREET,BEECH STREET,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,CARESOURCE,CARESOURCE,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,MEDICAID,MEDICAID,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,NOVA NET,NOVA NET,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,PEACHSTATE,PEACHSTATE,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,SELFPAY,SELFPAY,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
BRONCHOSCOPY/LUNG BX EACH,31628,CPT,both,,,3124,3124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3124,,fee schedule,3124,249.19,5500.52,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,80.64,,fee schedule,80.64,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,82.18,,fee schedule,82.18,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,76.8,,fee schedule,76.8,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,TRICARE,TRICARE,,191.5,,fee schedule,191.5,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,76.8,356,percent of total billed charges,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,76.8,356,percent of total billed charges,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,76.8,356,percent of total billed charges,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,76.8,356,fee schedule,
CATHETER ASPIRATION,31720,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,80.64,,fee schedule,80.64,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,82.18,,fee schedule,82.18,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,76.8,,fee schedule,76.8,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,TRICARE,TRICARE,,191.5,,fee schedule,191.5,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,76.8,356,percent of total billed charges,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,76.8,356,percent of total billed charges,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,76.8,356,percent of total billed charges,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,76.8,356,fee schedule,
NT SUCTION PROCEDURE,31720,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,76.8,356,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,AMERIGROUP,AMERIGROUP,,812.36,,fee schedule,812.36,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,CARESOURCE,CARESOURCE,,827.84,,fee schedule,827.84,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,PEACHSTATE,PEACHSTATE,,773.68,,fee schedule,773.68,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,AETNA,AETNA,,712.53,87,percent of total billed charges,712.53,712.53,2474.26,percent of total billed charges,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,712.53,87,percent of total billed charges,712.53,712.53,2474.26,percent of total billed charges,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,UNITED HEALTHCARE,UNITED HEALTHCARE,,720.72,88,percent of total billed charges,720.72,712.53,2474.26,percent of total billed charges,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,AETNA,AETNA,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,BEECH STREET,BEECH STREET,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,CARESOURCE,CARESOURCE,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,MEDICAID,MEDICAID,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,NOVA NET,NOVA NET,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,PEACHSTATE,PEACHSTATE,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,SELFPAY,SELFPAY,,819,,fee schedule,819,712.53,2474.26,fee schedule,
LUNG NEEDLE BIOPSY,32408,CPT,both,,,819,819,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,819,,fee schedule,819,712.53,2474.26,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,AMERIGROUP,AMERIGROUP,,679.9,,fee schedule,679.9,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,CARESOURCE,CARESOURCE,,692.85,,fee schedule,692.85,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,PEACHSTATE,PEACHSTATE,,647.52,,fee schedule,647.52,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,AETNA,AETNA,,7218.39,87,percent of total billed charges,7218.39,647.52,8297,percent of total billed charges,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7218.39,87,percent of total billed charges,7218.39,647.52,8297,percent of total billed charges,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,UNITED HEALTHCARE,UNITED HEALTHCARE,,7301.36,88,percent of total billed charges,7301.36,647.52,8297,percent of total billed charges,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,AETNA,AETNA,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,BEECH STREET,BEECH STREET,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,CARESOURCE,CARESOURCE,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,MEDICAID,MEDICAID,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,NOVA NET,NOVA NET,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,PEACHSTATE,PEACHSTATE,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,SELFPAY,SELFPAY,,8297,,fee schedule,8297,647.52,8297,fee schedule,
INSERT PLEURAL CATH,32550,CPT,both,,,8297,8297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8297,,fee schedule,8297,647.52,8297,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,AMERIGROUP,AMERIGROUP,,137.11,,fee schedule,137.11,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,CARESOURCE,CARESOURCE,,139.72,,fee schedule,139.72,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,PEACHSTATE,PEACHSTATE,,130.58,,fee schedule,130.58,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,AETNA,AETNA,,595.08,87,percent of total billed charges,595.08,130.58,2454.95,percent of total billed charges,
CHEST TUBE,32551,CPT,both,,,684,684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,595.08,87,percent of total billed charges,595.08,130.58,2454.95,percent of total billed charges,
CHEST TUBE,32551,CPT,both,,,684,684,UNITED HEALTHCARE,UNITED HEALTHCARE,,601.92,88,percent of total billed charges,601.92,130.58,2454.95,percent of total billed charges,
CHEST TUBE,32551,CPT,both,,,684,684,AETNA,AETNA,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,BEECH STREET,BEECH STREET,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,CARESOURCE,CARESOURCE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,MEDICAID,MEDICAID,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,NOVA NET,NOVA NET,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,PEACHSTATE,PEACHSTATE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,SELFPAY,SELFPAY,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE,32551,CPT,both,,,684,684,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,AMERIGROUP,AMERIGROUP,,137.11,,fee schedule,137.11,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,CARESOURCE,CARESOURCE,,139.72,,fee schedule,139.72,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,PEACHSTATE,PEACHSTATE,,130.58,,fee schedule,130.58,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,AETNA,AETNA,,595.08,87,percent of total billed charges,595.08,130.58,2454.95,percent of total billed charges,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,595.08,87,percent of total billed charges,595.08,130.58,2454.95,percent of total billed charges,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,UNITED HEALTHCARE,UNITED HEALTHCARE,,601.92,88,percent of total billed charges,601.92,130.58,2454.95,percent of total billed charges,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,AETNA,AETNA,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,BEECH STREET,BEECH STREET,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,CARESOURCE,CARESOURCE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,MEDICAID,MEDICAID,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,NOVA NET,NOVA NET,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,PEACHSTATE,PEACHSTATE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,SELFPAY,SELFPAY,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTION,32551,CPT,both,,,684,684,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,AMERIGROUP,AMERIGROUP,,137.11,,fee schedule,137.11,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,CARESOURCE,CARESOURCE,,139.72,,fee schedule,139.72,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,PEACHSTATE,PEACHSTATE,,130.58,,fee schedule,130.58,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,AETNA,AETNA,,595.08,87,percent of total billed charges,595.08,130.58,2454.95,percent of total billed charges,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,595.08,87,percent of total billed charges,595.08,130.58,2454.95,percent of total billed charges,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,UNITED HEALTHCARE,UNITED HEALTHCARE,,601.92,88,percent of total billed charges,601.92,130.58,2454.95,percent of total billed charges,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,AETNA,AETNA,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,BEECH STREET,BEECH STREET,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,CARESOURCE,CARESOURCE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,MEDICAID,MEDICAID,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,NOVA NET,NOVA NET,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,PEACHSTATE,PEACHSTATE,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,SELFPAY,SELFPAY,,684,,fee schedule,684,130.58,2454.95,fee schedule,
CHEST TUBE INSERTIONS,32551,CPT,both,,,684,684,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,684,,fee schedule,684,130.58,2454.95,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,AMERIGROUP,AMERIGROUP,,111.39,,fee schedule,111.39,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,CARESOURCE,CARESOURCE,,113.52,,fee schedule,113.52,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,PEACHSTATE,PEACHSTATE,,106.09,,fee schedule,106.09,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,TRICARE,TRICARE,,578.5,,fee schedule,578.5,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,AETNA,AETNA,,1431.15,87,percent of total billed charges,1431.15,106.09,1645,percent of total billed charges,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1431.15,87,percent of total billed charges,1431.15,106.09,1645,percent of total billed charges,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,UNITED HEALTHCARE,UNITED HEALTHCARE,,1447.6,88,percent of total billed charges,1447.6,106.09,1645,percent of total billed charges,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,AETNA,AETNA,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,BEECH STREET,BEECH STREET,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,CARESOURCE,CARESOURCE,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,MEDICAID,MEDICAID,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,NOVA NET,NOVA NET,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,PEACHSTATE,PEACHSTATE,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,SELFPAY,SELFPAY,,1645,,fee schedule,1645,106.09,1645,fee schedule,
PLEURX PLEURAL CATH REMOVAL,32552,CPT,both,,,1645,1645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1645,,fee schedule,1645,106.09,1645,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,509.96,,fee schedule,509.96,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,519.68,,fee schedule,519.68,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,485.68,,fee schedule,485.68,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,485.68,1776,percent of total billed charges,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACEN PUNC PLEU CAVITY,32554,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,509.96,,fee schedule,509.96,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,519.68,,fee schedule,519.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,485.68,,fee schedule,485.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,509.96,,fee schedule,509.96,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,519.68,,fee schedule,519.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,485.68,,fee schedule,485.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,509.96,,fee schedule,509.96,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,519.68,,fee schedule,519.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,485.68,,fee schedule,485.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,509.96,,fee schedule,509.96,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,519.68,,fee schedule,519.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,485.68,,fee schedule,485.68,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,485.68,1776,percent of total billed charges,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS (FACILITY),32554,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,509.96,,fee schedule,509.96,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,519.68,,fee schedule,519.68,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,485.68,,fee schedule,485.68,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,485.68,1776,percent of total billed charges,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,485.68,1776,percent of total billed charges,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,485.68,1776,fee schedule,
THORACENTESIS W/O IMAGING,32554,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,485.68,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,587.94,,fee schedule,587.94,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,599.14,,fee schedule,599.14,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,559.94,,fee schedule,559.94,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,559.94,1776,percent of total billed charges,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,559.94,1776,percent of total billed charges,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,559.94,1776,percent of total billed charges,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,559.94,1776,fee schedule,
INJ THORACENTESIS,32555,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,AMERIGROUP,AMERIGROUP,,587.94,,fee schedule,587.94,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,CARESOURCE,CARESOURCE,,599.14,,fee schedule,599.14,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,PEACHSTATE,PEACHSTATE,,559.94,,fee schedule,559.94,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,TRICARE,TRICARE,,578.5,,fee schedule,578.5,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,AETNA,AETNA,,1218,87,percent of total billed charges,1218,559.94,1400,percent of total billed charges,
THORACENTESIS,32555,CPT,both,,,1400,1400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1218,87,percent of total billed charges,1218,559.94,1400,percent of total billed charges,
THORACENTESIS,32555,CPT,both,,,1400,1400,UNITED HEALTHCARE,UNITED HEALTHCARE,,1232,88,percent of total billed charges,1232,559.94,1400,percent of total billed charges,
THORACENTESIS,32555,CPT,both,,,1400,1400,AETNA,AETNA,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,BEECH STREET,BEECH STREET,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,CARESOURCE,CARESOURCE,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,MEDICAID,MEDICAID,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,NOVA NET,NOVA NET,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,PEACHSTATE,PEACHSTATE,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,SELFPAY,SELFPAY,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS,32555,CPT,both,,,1400,1400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1400,,fee schedule,1400,559.94,1400,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,587.94,,fee schedule,587.94,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,599.14,,fee schedule,599.14,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,559.94,,fee schedule,559.94,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,559.94,1776,percent of total billed charges,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,559.94,1776,percent of total billed charges,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,559.94,1776,percent of total billed charges,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESIS WITH IMAGING,32555,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,AMERIGROUP,AMERIGROUP,,587.94,,fee schedule,587.94,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,599.14,,fee schedule,599.14,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,559.94,,fee schedule,559.94,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,TRICARE,TRICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,AETNA,AETNA,,1545.12,87,percent of total billed charges,1545.12,559.94,1776,percent of total billed charges,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1545.12,87,percent of total billed charges,1545.12,559.94,1776,percent of total billed charges,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,UNITED HEALTHCARE,UNITED HEALTHCARE,,1562.88,88,percent of total billed charges,1562.88,559.94,1776,percent of total billed charges,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,AETNA,AETNA,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,BEECH STREET,BEECH STREET,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,CARESOURCE,CARESOURCE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,MEDICAID,MEDICAID,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,NOVA NET,NOVA NET,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,PEACHSTATE,PEACHSTATE,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,SELFPAY,SELFPAY,,1776,,fee schedule,1776,559.94,1776,fee schedule,
THORACENTESISTHERA US G,32555,CPT,both,,,1776,1776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1776,,fee schedule,1776,559.94,1776,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,AMERIGROUP,AMERIGROUP,,871.83,,fee schedule,871.83,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,CARESOURCE,CARESOURCE,,888.43,,fee schedule,888.43,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,PEACHSTATE,PEACHSTATE,,830.31,,fee schedule,830.31,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,AETNA,AETNA,,3162.45,87,percent of total billed charges,3162.45,830.31,3635,percent of total billed charges,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3162.45,87,percent of total billed charges,3162.45,830.31,3635,percent of total billed charges,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,UNITED HEALTHCARE,UNITED HEALTHCARE,,3198.8,88,percent of total billed charges,3198.8,830.31,3635,percent of total billed charges,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,AETNA,AETNA,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,BEECH STREET,BEECH STREET,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,CARESOURCE,CARESOURCE,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,MEDICAID,MEDICAID,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,NOVA NET,NOVA NET,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,PEACHSTATE,PEACHSTATE,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,SELFPAY,SELFPAY,,3635,,fee schedule,3635,830.31,3635,fee schedule,
CHEST TUBE PLACEMENT,32557,CPT,both,,,3635,3635,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3635,,fee schedule,3635,830.31,3635,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,AETNA,AETNA,,55127.74,87,percent of total billed charges,55127.74,55127.74,63365.22,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55127.74,87,percent of total billed charges,55127.74,55127.74,63365.22,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,UNITED HEALTHCARE,UNITED HEALTHCARE,,55761.39,88,percent of total billed charges,55761.39,55127.74,63365.22,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,AETNA,AETNA,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,ALLIANT,ALLIANT,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,AMBETTER,AMBETTER,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,BEECH STREET,BEECH STREET,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,CARESOURCE,CARESOURCE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,MEDICAID,MEDICAID,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,MEDICARE,MEDICARE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,NOVA NET,NOVA NET,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,PEACHSTATE,PEACHSTATE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,SELFPAY,SELFPAY,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,TRICARE,TRICARE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC",326,DRG,inpatient,,,63365.22,63365.22,UHC MEDICARE,UHC MEDICARE,,63365.22,,fee schedule,63365.22,55127.74,63365.22,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,AETNA,AETNA,,35990.74,87,percent of total billed charges,35990.74,35990.74,41368.67,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35990.74,87,percent of total billed charges,35990.74,35990.74,41368.67,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,36404.43,88,percent of total billed charges,36404.43,35990.74,41368.67,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,AETNA,AETNA,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,ALLIANT,ALLIANT,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,AMBETTER,AMBETTER,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,BEECH STREET,BEECH STREET,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,CARESOURCE,CARESOURCE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,MEDICAID,MEDICAID,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,MEDICARE,MEDICARE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,NOVA NET,NOVA NET,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,PEACHSTATE,PEACHSTATE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,SELFPAY,SELFPAY,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,TRICARE,TRICARE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC",327,DRG,inpatient,,,41368.67,41368.67,UHC MEDICARE,UHC MEDICARE,,41368.67,,fee schedule,41368.67,35990.74,41368.67,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,AETNA,AETNA,,34016.99,87,percent of total billed charges,34016.99,34016.99,39099.99,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34016.99,87,percent of total billed charges,34016.99,34016.99,39099.99,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,34407.99,88,percent of total billed charges,34407.99,34016.99,39099.99,percent of total billed charges,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,AETNA,AETNA,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,ALLIANT,ALLIANT,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,AMBETTER,AMBETTER,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,BEECH STREET,BEECH STREET,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,CARESOURCE,CARESOURCE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,MEDICAID,MEDICAID,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,MEDICARE,MEDICARE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,NOVA NET,NOVA NET,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,PEACHSTATE,PEACHSTATE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,SELFPAY,SELFPAY,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,TRICARE,TRICARE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC",328,DRG,inpatient,,,39099.99,39099.99,UHC MEDICARE,UHC MEDICARE,,39099.99,,fee schedule,39099.99,34016.99,39099.99,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,AETNA,AETNA,,72226.31,87,percent of total billed charges,72226.31,72226.31,83018.75,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72226.31,87,percent of total billed charges,72226.31,72226.31,83018.75,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,UNITED HEALTHCARE,UNITED HEALTHCARE,,73056.5,88,percent of total billed charges,73056.5,72226.31,83018.75,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,AETNA,AETNA,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,ALLIANT,ALLIANT,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,AMBETTER,AMBETTER,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,BEECH STREET,BEECH STREET,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,CARESOURCE,CARESOURCE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,MEDICAID,MEDICAID,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,MEDICARE,MEDICARE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,NOVA NET,NOVA NET,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,PEACHSTATE,PEACHSTATE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,SELFPAY,SELFPAY,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,TRICARE,TRICARE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,329,DRG,inpatient,,,83018.75,83018.75,UHC MEDICARE,UHC MEDICARE,,83018.75,,fee schedule,83018.75,72226.31,83018.75,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,AETNA,AETNA,,45443.28,87,percent of total billed charges,45443.28,45443.28,52233.66,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45443.28,87,percent of total billed charges,45443.28,45443.28,52233.66,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,45965.62,88,percent of total billed charges,45965.62,45443.28,52233.66,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,AETNA,AETNA,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,ALLIANT,ALLIANT,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,AMBETTER,AMBETTER,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,BEECH STREET,BEECH STREET,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,CARESOURCE,CARESOURCE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,MEDICAID,MEDICAID,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,MEDICARE,MEDICARE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,NOVA NET,NOVA NET,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,PEACHSTATE,PEACHSTATE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,SELFPAY,SELFPAY,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,TRICARE,TRICARE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,330,DRG,inpatient,,,52233.66,52233.66,UHC MEDICARE,UHC MEDICARE,,52233.66,,fee schedule,52233.66,45443.28,52233.66,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,AMERIGROUP,AMERIGROUP,,219.5,,fee schedule,219.5,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,223.68,,fee schedule,223.68,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,209.05,,fee schedule,209.05,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,209.05,2454.95,percent of total billed charges,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,209.05,2454.95,percent of total billed charges,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,209.05,2454.95,percent of total billed charges,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS,33016,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,209.05,2454.95,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,AMERIGROUP,AMERIGROUP,,219.5,,fee schedule,219.5,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,CARESOURCE,CARESOURCE,,223.68,,fee schedule,223.68,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,PEACHSTATE,PEACHSTATE,,209.05,,fee schedule,209.05,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,AETNA,AETNA,,4072.47,87,percent of total billed charges,4072.47,209.05,4681,percent of total billed charges,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4072.47,87,percent of total billed charges,4072.47,209.05,4681,percent of total billed charges,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,UNITED HEALTHCARE,UNITED HEALTHCARE,,4119.28,88,percent of total billed charges,4119.28,209.05,4681,percent of total billed charges,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,AETNA,AETNA,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,BEECH STREET,BEECH STREET,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,CARESOURCE,CARESOURCE,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,MEDICAID,MEDICAID,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,NOVA NET,NOVA NET,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,PEACHSTATE,PEACHSTATE,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,SELFPAY,SELFPAY,,4681,,fee schedule,4681,209.05,4681,fee schedule,
PERICARDIOCENTESIS W/IMAGING,33016,CPT,both,,,4681,4681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4681,,fee schedule,4681,209.05,4681,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,AETNA,AETNA,,33267.83,87,percent of total billed charges,33267.83,33267.83,38238.89,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33267.83,87,percent of total billed charges,33267.83,33267.83,38238.89,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,UNITED HEALTHCARE,UNITED HEALTHCARE,,33650.22,88,percent of total billed charges,33650.22,33267.83,38238.89,percent of total billed charges,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,AETNA,AETNA,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,ALLIANT,ALLIANT,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,AMBETTER,AMBETTER,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,BEECH STREET,BEECH STREET,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,CARESOURCE,CARESOURCE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,MEDICAID,MEDICAID,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,MEDICARE,MEDICARE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,NOVA NET,NOVA NET,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,PEACHSTATE,PEACHSTATE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,SELFPAY,SELFPAY,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,TRICARE,TRICARE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,331,DRG,inpatient,,,38238.89,38238.89,UHC MEDICARE,UHC MEDICARE,,38238.89,,fee schedule,38238.89,33267.83,38238.89,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,ALLIANT,ALLIANT,,17042.47,,fee schedule,17042.47,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,AMBETTER,AMBETTER,,13427.4,,fee schedule,13427.4,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,AMERIGROUP,AMERIGROUP,,482.24,,fee schedule,482.24,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,CARESOURCE,CARESOURCE,,491.43,,fee schedule,491.43,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,MEDICARE,MEDICARE,,10328.77,,fee schedule,10328.77,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,PEACHSTATE,PEACHSTATE,,459.28,,fee schedule,459.28,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,TRICARE,TRICARE,,10328.77,,fee schedule,10328.77,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,UHC MEDICARE,UHC MEDICARE,,10328.77,,fee schedule,10328.77,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,AETNA,AETNA,,23746.65,87,percent of total billed charges,23746.65,459.28,27295,percent of total billed charges,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23746.65,87,percent of total billed charges,23746.65,459.28,27295,percent of total billed charges,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,UNITED HEALTHCARE,UNITED HEALTHCARE,,24019.6,88,percent of total billed charges,24019.6,459.28,27295,percent of total billed charges,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,AETNA,AETNA,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,BEECH STREET,BEECH STREET,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,CARESOURCE,CARESOURCE,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,MEDICAID,MEDICAID,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,NOVA NET,NOVA NET,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,PEACHSTATE,PEACHSTATE,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,SELFPAY,SELFPAY,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACE SINGLE ATRIAL LEAD,33206,CPT,both,,,27295,27295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27295,,fee schedule,27295,459.28,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,ALLIANT,ALLIANT,,17042.47,,fee schedule,17042.47,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,AMBETTER,AMBETTER,,13427.4,,fee schedule,13427.4,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,AMERIGROUP,AMERIGROUP,,565.94,,fee schedule,565.94,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,CARESOURCE,CARESOURCE,,576.72,,fee schedule,576.72,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,MEDICARE,MEDICARE,,10328.77,,fee schedule,10328.77,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,PEACHSTATE,PEACHSTATE,,538.99,,fee schedule,538.99,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,TRICARE,TRICARE,,10328.77,,fee schedule,10328.77,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,UHC MEDICARE,UHC MEDICARE,,10328.77,,fee schedule,10328.77,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,AETNA,AETNA,,23746.65,87,percent of total billed charges,23746.65,538.99,27295,percent of total billed charges,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23746.65,87,percent of total billed charges,23746.65,538.99,27295,percent of total billed charges,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,UNITED HEALTHCARE,UNITED HEALTHCARE,,24019.6,88,percent of total billed charges,24019.6,538.99,27295,percent of total billed charges,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,AETNA,AETNA,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,BEECH STREET,BEECH STREET,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,CARESOURCE,CARESOURCE,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,MEDICAID,MEDICAID,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,NOVA NET,NOVA NET,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,PEACHSTATE,PEACHSTATE,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,SELFPAY,SELFPAY,,27295,,fee schedule,27295,538.99,27295,fee schedule,
INSERT PACER SINGLE VENTR LEAD,33207,CPT,both,,,27295,27295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27295,,fee schedule,27295,538.99,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,ALLIANT,ALLIANT,,17042.47,,fee schedule,17042.47,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,AMBETTER,AMBETTER,,13427.4,,fee schedule,13427.4,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,AMERIGROUP,AMERIGROUP,,574.17,,fee schedule,574.17,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,CARESOURCE,CARESOURCE,,585.11,,fee schedule,585.11,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,MEDICARE,MEDICARE,,10328.77,,fee schedule,10328.77,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,PEACHSTATE,PEACHSTATE,,546.83,,fee schedule,546.83,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,TRICARE,TRICARE,,10328.77,,fee schedule,10328.77,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,UHC MEDICARE,UHC MEDICARE,,10328.77,,fee schedule,10328.77,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,AETNA,AETNA,,23746.65,87,percent of total billed charges,23746.65,546.83,27295,percent of total billed charges,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23746.65,87,percent of total billed charges,23746.65,546.83,27295,percent of total billed charges,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,UNITED HEALTHCARE,UNITED HEALTHCARE,,24019.6,88,percent of total billed charges,24019.6,546.83,27295,percent of total billed charges,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,AETNA,AETNA,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,BEECH STREET,BEECH STREET,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,CARESOURCE,CARESOURCE,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,MEDICAID,MEDICAID,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,NOVA NET,NOVA NET,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,PEACHSTATE,PEACHSTATE,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,SELFPAY,SELFPAY,,27295,,fee schedule,27295,546.83,27295,fee schedule,
"INS PACER DUAL, ATR, VENT LEAD",33208,CPT,both,,,27295,27295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27295,,fee schedule,27295,546.83,27295,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,ALLIANT,ALLIANT,,13468.57,,fee schedule,13468.57,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,AMBETTER,AMBETTER,,10611.6,,fee schedule,10611.6,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,AMERIGROUP,AMERIGROUP,,203.81,,fee schedule,203.81,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,CARESOURCE,CARESOURCE,,207.69,,fee schedule,207.69,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,MEDICARE,MEDICARE,,8162.77,,fee schedule,8162.77,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,PEACHSTATE,PEACHSTATE,,194.1,,fee schedule,194.1,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,TRICARE,TRICARE,,8162.77,,fee schedule,8162.77,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,UHC MEDICARE,UHC MEDICARE,,8162.77,,fee schedule,8162.77,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,AETNA,AETNA,,11671.05,87,percent of total billed charges,11671.05,194.1,13468.57,percent of total billed charges,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11671.05,87,percent of total billed charges,11671.05,194.1,13468.57,percent of total billed charges,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,UNITED HEALTHCARE,UNITED HEALTHCARE,,11805.2,88,percent of total billed charges,11805.2,194.1,13468.57,percent of total billed charges,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,AETNA,AETNA,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,BEECH STREET,BEECH STREET,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,CARESOURCE,CARESOURCE,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,MEDICAID,MEDICAID,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,NOVA NET,NOVA NET,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,PEACHSTATE,PEACHSTATE,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,SELFPAY,SELFPAY,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
TEMPORARY PACEMAKER,33210,CPT,both,,,13415,13415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13415,,fee schedule,13415,194.1,13468.57,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,ALLIANT,ALLIANT,,13468.57,,fee schedule,13468.57,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,AMBETTER,AMBETTER,,10611.6,,fee schedule,10611.6,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,AMERIGROUP,AMERIGROUP,,384.04,,fee schedule,384.04,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,CARESOURCE,CARESOURCE,,391.35,,fee schedule,391.35,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,MEDICARE,MEDICARE,,8162.77,,fee schedule,8162.77,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,PEACHSTATE,PEACHSTATE,,365.75,,fee schedule,365.75,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,TRICARE,TRICARE,,8162.77,,fee schedule,8162.77,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,UHC MEDICARE,UHC MEDICARE,,8162.77,,fee schedule,8162.77,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,AETNA,AETNA,,18584.94,87,percent of total billed charges,18584.94,365.75,21362,percent of total billed charges,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18584.94,87,percent of total billed charges,18584.94,365.75,21362,percent of total billed charges,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,UNITED HEALTHCARE,UNITED HEALTHCARE,,18798.56,88,percent of total billed charges,18798.56,365.75,21362,percent of total billed charges,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,AETNA,AETNA,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,BEECH STREET,BEECH STREET,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,CARESOURCE,CARESOURCE,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,MEDICAID,MEDICAID,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,NOVA NET,NOVA NET,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,PEACHSTATE,PEACHSTATE,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,SELFPAY,SELFPAY,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN SINGLE LEAD,33212,CPT,both,,,21362,21362,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21362,,fee schedule,21362,365.75,21362,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,ALLIANT,ALLIANT,,17042.47,,fee schedule,17042.47,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,AMBETTER,AMBETTER,,13427.4,,fee schedule,13427.4,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,AMERIGROUP,AMERIGROUP,,420.65,,fee schedule,420.65,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,CARESOURCE,CARESOURCE,,428.66,,fee schedule,428.66,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,MEDICARE,MEDICARE,,10328.77,,fee schedule,10328.77,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,PEACHSTATE,PEACHSTATE,,400.62,,fee schedule,400.62,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,TRICARE,TRICARE,,10328.77,,fee schedule,10328.77,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,UHC MEDICARE,UHC MEDICARE,,10328.77,,fee schedule,10328.77,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,AETNA,AETNA,,24580.98,87,percent of total billed charges,24580.98,400.62,28254,percent of total billed charges,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24580.98,87,percent of total billed charges,24580.98,400.62,28254,percent of total billed charges,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,UNITED HEALTHCARE,UNITED HEALTHCARE,,24863.52,88,percent of total billed charges,24863.52,400.62,28254,percent of total billed charges,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,AETNA,AETNA,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,BEECH STREET,BEECH STREET,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,CARESOURCE,CARESOURCE,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,MEDICAID,MEDICAID,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,NOVA NET,NOVA NET,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,PEACHSTATE,PEACHSTATE,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,SELFPAY,SELFPAY,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT PULSE GEN DUAL LEAD,33213,CPT,both,,,28254,28254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28254,,fee schedule,28254,400.62,28254,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,ALLIANT,ALLIANT,,13468.57,,fee schedule,13468.57,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,AMBETTER,AMBETTER,,10611.6,,fee schedule,10611.6,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,AMERIGROUP,AMERIGROUP,,381.15,,fee schedule,381.15,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,CARESOURCE,CARESOURCE,,388.41,,fee schedule,388.41,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,MEDICARE,MEDICARE,,8162.77,,fee schedule,8162.77,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,PEACHSTATE,PEACHSTATE,,363,,fee schedule,363,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,TRICARE,TRICARE,,8162.77,,fee schedule,8162.77,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,UHC MEDICARE,UHC MEDICARE,,8162.77,,fee schedule,8162.77,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,AETNA,AETNA,,18482.28,87,percent of total billed charges,18482.28,363,21244,percent of total billed charges,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18482.28,87,percent of total billed charges,18482.28,363,21244,percent of total billed charges,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,UNITED HEALTHCARE,UNITED HEALTHCARE,,18694.72,88,percent of total billed charges,18694.72,363,21244,percent of total billed charges,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,AETNA,AETNA,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,BEECH STREET,BEECH STREET,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,CARESOURCE,CARESOURCE,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,MEDICAID,MEDICAID,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,NOVA NET,NOVA NET,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,PEACHSTATE,PEACHSTATE,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,SELFPAY,SELFPAY,,21244,,fee schedule,21244,363,21244,fee schedule,
INSERT SGL TVEN LEAD PM/DEF,33216,CPT,both,,,21244,21244,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21244,,fee schedule,21244,363,21244,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,AMERIGROUP,AMERIGROUP,,428.04,,fee schedule,428.04,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,CARESOURCE,CARESOURCE,,436.2,,fee schedule,436.2,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,PEACHSTATE,PEACHSTATE,,407.66,,fee schedule,407.66,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,AETNA,AETNA,,6507.6,87,percent of total billed charges,6507.6,407.66,7480,percent of total billed charges,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6507.6,87,percent of total billed charges,6507.6,407.66,7480,percent of total billed charges,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,UNITED HEALTHCARE,UNITED HEALTHCARE,,6582.4,88,percent of total billed charges,6582.4,407.66,7480,percent of total billed charges,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,AETNA,AETNA,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,BEECH STREET,BEECH STREET,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,CARESOURCE,CARESOURCE,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,MEDICAID,MEDICAID,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,NOVA NET,NOVA NET,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,PEACHSTATE,PEACHSTATE,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,SELFPAY,SELFPAY,,7480,,fee schedule,7480,407.66,7480,fee schedule,
REPOSITION L VENTRIC LEAD,33226,CPT,both,,,7480,7480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7480,,fee schedule,7480,407.66,7480,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,ALLIANT,ALLIANT,,13468.57,,fee schedule,13468.57,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,AMBETTER,AMBETTER,,10611.6,,fee schedule,10611.6,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,AMERIGROUP,AMERIGROUP,,303.67,,fee schedule,303.67,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,CARESOURCE,CARESOURCE,,309.45,,fee schedule,309.45,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,MEDICARE,MEDICARE,,8162.77,,fee schedule,8162.77,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,PEACHSTATE,PEACHSTATE,,289.21,,fee schedule,289.21,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,TRICARE,TRICARE,,8162.77,,fee schedule,8162.77,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,UHC MEDICARE,UHC MEDICARE,,8162.77,,fee schedule,8162.77,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,AETNA,AETNA,,17702.76,87,percent of total billed charges,17702.76,289.21,20348,percent of total billed charges,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17702.76,87,percent of total billed charges,17702.76,289.21,20348,percent of total billed charges,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,UNITED HEALTHCARE,UNITED HEALTHCARE,,17906.24,88,percent of total billed charges,17906.24,289.21,20348,percent of total billed charges,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,AETNA,AETNA,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,BEECH STREET,BEECH STREET,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,CARESOURCE,CARESOURCE,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,MEDICAID,MEDICAID,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,NOVA NET,NOVA NET,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,PEACHSTATE,PEACHSTATE,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,SELFPAY,SELFPAY,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMV & REPL PM GEN SINGLE ONLY,33227,CPT,both,,,20348,20348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20348,,fee schedule,20348,289.21,20348,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,ALLIANT,ALLIANT,,17042.47,,fee schedule,17042.47,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,AMBETTER,AMBETTER,,13427.4,,fee schedule,13427.4,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,AMERIGROUP,AMERIGROUP,,316.64,,fee schedule,316.64,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,CARESOURCE,CARESOURCE,,322.67,,fee schedule,322.67,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,MEDICARE,MEDICARE,,10328.77,,fee schedule,10328.77,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,PEACHSTATE,PEACHSTATE,,301.56,,fee schedule,301.56,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,TRICARE,TRICARE,,10328.77,,fee schedule,10328.77,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,UHC MEDICARE,UHC MEDICARE,,10328.77,,fee schedule,10328.77,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,AETNA,AETNA,,23747.52,87,percent of total billed charges,23747.52,301.56,27296,percent of total billed charges,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23747.52,87,percent of total billed charges,23747.52,301.56,27296,percent of total billed charges,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,UNITED HEALTHCARE,UNITED HEALTHCARE,,24020.48,88,percent of total billed charges,24020.48,301.56,27296,percent of total billed charges,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,AETNA,AETNA,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,BEECH STREET,BEECH STREET,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,CARESOURCE,CARESOURCE,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,MEDICAID,MEDICAID,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,NOVA NET,NOVA NET,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,PEACHSTATE,PEACHSTATE,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,SELFPAY,SELFPAY,,27296,,fee schedule,27296,301.56,27296,fee schedule,
RMVL & RPL PM GEN DUAL ONLY,33228,CPT,both,,,27296,27296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27296,,fee schedule,27296,301.56,27296,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,ALLIANT,ALLIANT,,13468.57,,fee schedule,13468.57,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,AMBETTER,AMBETTER,,10611.6,,fee schedule,10611.6,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,AMERIGROUP,AMERIGROUP,,241.11,,fee schedule,241.11,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,CARESOURCE,CARESOURCE,,245.7,,fee schedule,245.7,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,MEDICARE,MEDICARE,,8162.77,,fee schedule,8162.77,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,PEACHSTATE,PEACHSTATE,,229.63,,fee schedule,229.63,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,TRICARE,TRICARE,,8162.77,,fee schedule,8162.77,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,UHC MEDICARE,UHC MEDICARE,,8162.77,,fee schedule,8162.77,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,AETNA,AETNA,,18550.14,87,percent of total billed charges,18550.14,229.63,21322,percent of total billed charges,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18550.14,87,percent of total billed charges,18550.14,229.63,21322,percent of total billed charges,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,UNITED HEALTHCARE,UNITED HEALTHCARE,,18763.36,88,percent of total billed charges,18763.36,229.63,21322,percent of total billed charges,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,AETNA,AETNA,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,BEECH STREET,BEECH STREET,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,CARESOURCE,CARESOURCE,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,MEDICAID,MEDICAID,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,NOVA NET,NOVA NET,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,PEACHSTATE,PEACHSTATE,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,SELFPAY,SELFPAY,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL OF PACEMAKER GENERATOR,33233,CPT,both,,,21322,21322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21322,,fee schedule,21322,229.63,21322,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,ALLIANT,ALLIANT,,5529.03,,fee schedule,5529.03,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,AMBETTER,AMBETTER,,4356.21,,fee schedule,4356.21,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,AMERIGROUP,AMERIGROUP,,446.97,,fee schedule,446.97,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,CARESOURCE,CARESOURCE,,455.49,,fee schedule,455.49,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,MEDICARE,MEDICARE,,3350.93,,fee schedule,3350.93,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,PEACHSTATE,PEACHSTATE,,425.69,,fee schedule,425.69,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,TRICARE,TRICARE,,3350.93,,fee schedule,3350.93,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,UHC MEDICARE,UHC MEDICARE,,3350.93,,fee schedule,3350.93,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,AETNA,AETNA,,7830,87,percent of total billed charges,7830,425.69,9000,percent of total billed charges,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7830,87,percent of total billed charges,7830,425.69,9000,percent of total billed charges,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,UNITED HEALTHCARE,UNITED HEALTHCARE,,7920,88,percent of total billed charges,7920,425.69,9000,percent of total billed charges,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,AETNA,AETNA,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,BEECH STREET,BEECH STREET,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,CARESOURCE,CARESOURCE,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,MEDICAID,MEDICAID,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,NOVA NET,NOVA NET,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,PEACHSTATE,PEACHSTATE,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,SELFPAY,SELFPAY,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVAL TEMP PACER SINGLE LEAD,33234,CPT,both,,,9000,9000,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9000,,fee schedule,9000,425.69,9000,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,ALLIANT,ALLIANT,,5529.03,,fee schedule,5529.03,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,AMBETTER,AMBETTER,,4356.21,,fee schedule,4356.21,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,AMERIGROUP,AMERIGROUP,,446.97,,fee schedule,446.97,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,CARESOURCE,CARESOURCE,,455.49,,fee schedule,455.49,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,MEDICARE,MEDICARE,,3350.93,,fee schedule,3350.93,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,PEACHSTATE,PEACHSTATE,,425.69,,fee schedule,425.69,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,TRICARE,TRICARE,,3350.93,,fee schedule,3350.93,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,UHC MEDICARE,UHC MEDICARE,,3350.93,,fee schedule,3350.93,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,AETNA,AETNA,,7801.29,87,percent of total billed charges,7801.29,425.69,8967,percent of total billed charges,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7801.29,87,percent of total billed charges,7801.29,425.69,8967,percent of total billed charges,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,UNITED HEALTHCARE,UNITED HEALTHCARE,,7890.96,88,percent of total billed charges,7890.96,425.69,8967,percent of total billed charges,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,AETNA,AETNA,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,BEECH STREET,BEECH STREET,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,CARESOURCE,CARESOURCE,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,MEDICAID,MEDICAID,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,NOVA NET,NOVA NET,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,PEACHSTATE,PEACHSTATE,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,SELFPAY,SELFPAY,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVE TVEN LEAD PM/DEF,33234,CPT,both,,,8967,8967,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8967,,fee schedule,8967,425.69,8967,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,ALLIANT,ALLIANT,,5529.03,,fee schedule,5529.03,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,AMBETTER,AMBETTER,,4356.21,,fee schedule,4356.21,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,AMERIGROUP,AMERIGROUP,,225.69,,fee schedule,225.69,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,CARESOURCE,CARESOURCE,,229.99,,fee schedule,229.99,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,MEDICARE,MEDICARE,,3350.93,,fee schedule,3350.93,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,PEACHSTATE,PEACHSTATE,,214.94,,fee schedule,214.94,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,TRICARE,TRICARE,,3350.93,,fee schedule,3350.93,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,UHC MEDICARE,UHC MEDICARE,,3350.93,,fee schedule,3350.93,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,AETNA,AETNA,,7830,87,percent of total billed charges,7830,214.94,9000,percent of total billed charges,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7830,87,percent of total billed charges,7830,214.94,9000,percent of total billed charges,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,UNITED HEALTHCARE,UNITED HEALTHCARE,,7920,88,percent of total billed charges,7920,214.94,9000,percent of total billed charges,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,AETNA,AETNA,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,BEECH STREET,BEECH STREET,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,CARESOURCE,CARESOURCE,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,MEDICAID,MEDICAID,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,NOVA NET,NOVA NET,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,PEACHSTATE,PEACHSTATE,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,SELFPAY,SELFPAY,,9000,,fee schedule,9000,214.94,9000,fee schedule,
REMOVAL OF ICD GENERATOR,33241,CPT,both,,,9000,9000,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9000,,fee schedule,9000,214.94,9000,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,ALLIANT,ALLIANT,,52925.94,,fee schedule,52925.94,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,AMBETTER,AMBETTER,,41699.23,,fee schedule,41699.23,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,AMERIGROUP,AMERIGROUP,,954.29,,fee schedule,954.29,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,CARESOURCE,CARESOURCE,,972.47,,fee schedule,972.47,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,MEDICARE,MEDICARE,,32076.33,,fee schedule,32076.33,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,PEACHSTATE,PEACHSTATE,,908.85,,fee schedule,908.85,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,TRICARE,TRICARE,,32076.33,,fee schedule,32076.33,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,UHC MEDICARE,UHC MEDICARE,,32076.33,,fee schedule,32076.33,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,AETNA,AETNA,,85938.6,87,percent of total billed charges,85938.6,908.85,98780,percent of total billed charges,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85938.6,87,percent of total billed charges,85938.6,908.85,98780,percent of total billed charges,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,UNITED HEALTHCARE,UNITED HEALTHCARE,,86926.4,88,percent of total billed charges,86926.4,908.85,98780,percent of total billed charges,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,AETNA,AETNA,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,BEECH STREET,BEECH STREET,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,CARESOURCE,CARESOURCE,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,MEDICAID,MEDICAID,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,NOVA NET,NOVA NET,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,PEACHSTATE,PEACHSTATE,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,SELFPAY,SELFPAY,,98780,,fee schedule,98780,908.85,98780,fee schedule,
AICD WITH LEAD(S),33249,CPT,both,,,98780,98780,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98780,,fee schedule,98780,908.85,98780,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,ALLIANT,ALLIANT,,37650.23,,fee schedule,37650.23,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,AMBETTER,AMBETTER,,29663.82,,fee schedule,29663.82,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,AMERIGROUP,AMERIGROUP,,329.92,,fee schedule,329.92,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,CARESOURCE,CARESOURCE,,336.2,,fee schedule,336.2,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,MEDICARE,MEDICARE,,22818.32,,fee schedule,22818.32,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,PEACHSTATE,PEACHSTATE,,314.21,,fee schedule,314.21,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,TRICARE,TRICARE,,22818.32,,fee schedule,22818.32,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,UHC MEDICARE,UHC MEDICARE,,22818.32,,fee schedule,22818.32,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,AETNA,AETNA,,43538.28,87,percent of total billed charges,43538.28,314.21,50044,percent of total billed charges,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43538.28,87,percent of total billed charges,43538.28,314.21,50044,percent of total billed charges,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,UNITED HEALTHCARE,UNITED HEALTHCARE,,44038.72,88,percent of total billed charges,44038.72,314.21,50044,percent of total billed charges,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,AETNA,AETNA,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,BEECH STREET,BEECH STREET,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,CARESOURCE,CARESOURCE,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,MEDICAID,MEDICAID,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,NOVA NET,NOVA NET,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,PEACHSTATE,PEACHSTATE,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,SELFPAY,SELFPAY,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT SINGLE LEAD,33262,CPT,both,,,50044,50044,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50044,,fee schedule,50044,314.21,50044,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,ALLIANT,ALLIANT,,37650.23,,fee schedule,37650.23,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,AMBETTER,AMBETTER,,29663.82,,fee schedule,29663.82,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,AMERIGROUP,AMERIGROUP,,342.9,,fee schedule,342.9,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,CARESOURCE,CARESOURCE,,349.43,,fee schedule,349.43,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,MEDICARE,MEDICARE,,22818.32,,fee schedule,22818.32,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,PEACHSTATE,PEACHSTATE,,326.57,,fee schedule,326.57,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,TRICARE,TRICARE,,22818.32,,fee schedule,22818.32,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,UHC MEDICARE,UHC MEDICARE,,22818.32,,fee schedule,22818.32,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,AETNA,AETNA,,50714.04,87,percent of total billed charges,50714.04,326.57,58292,percent of total billed charges,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50714.04,87,percent of total billed charges,50714.04,326.57,58292,percent of total billed charges,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,UNITED HEALTHCARE,UNITED HEALTHCARE,,51296.96,88,percent of total billed charges,51296.96,326.57,58292,percent of total billed charges,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,AETNA,AETNA,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,BEECH STREET,BEECH STREET,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,CARESOURCE,CARESOURCE,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,MEDICAID,MEDICAID,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,NOVA NET,NOVA NET,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,PEACHSTATE,PEACHSTATE,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,SELFPAY,SELFPAY,,58292,,fee schedule,58292,326.57,58292,fee schedule,
ICD GEN CHG OUT DUAL LEAD,33263,CPT,both,,,58292,58292,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58292,,fee schedule,58292,326.57,58292,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,ALLIANT,ALLIANT,,13468.57,,fee schedule,13468.57,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,AMBETTER,AMBETTER,,10611.6,,fee schedule,10611.6,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,AMERIGROUP,AMERIGROUP,,4665.86,,fee schedule,4665.86,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,CARESOURCE,CARESOURCE,,4754.74,,fee schedule,4754.74,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,MEDICARE,MEDICARE,,8162.77,,fee schedule,8162.77,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,PEACHSTATE,PEACHSTATE,,4443.68,,fee schedule,4443.68,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,TRICARE,TRICARE,,8162.77,,fee schedule,8162.77,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,UHC MEDICARE,UHC MEDICARE,,8162.77,,fee schedule,8162.77,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,AETNA,AETNA,,18250.86,87,percent of total billed charges,18250.86,4443.68,20978,percent of total billed charges,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18250.86,87,percent of total billed charges,18250.86,4443.68,20978,percent of total billed charges,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,UNITED HEALTHCARE,UNITED HEALTHCARE,,18460.64,88,percent of total billed charges,18460.64,4443.68,20978,percent of total billed charges,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,AETNA,AETNA,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,BEECH STREET,BEECH STREET,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,CARESOURCE,CARESOURCE,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,MEDICAID,MEDICAID,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,NOVA NET,NOVA NET,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,PEACHSTATE,PEACHSTATE,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,SELFPAY,SELFPAY,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
LOOP RECORDER IMPLANTATIO,33285,CPT,both,,,20978,20978,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20978,,fee schedule,20978,4443.68,20978,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,AMERIGROUP,AMERIGROUP,,122.51,,fee schedule,122.51,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,CARESOURCE,CARESOURCE,,124.85,,fee schedule,124.85,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,PEACHSTATE,PEACHSTATE,,116.68,,fee schedule,116.68,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,TRICARE,TRICARE,,648.97,,fee schedule,648.97,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,AETNA,AETNA,,1670.4,87,percent of total billed charges,1670.4,116.68,1920,percent of total billed charges,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1670.4,87,percent of total billed charges,1670.4,116.68,1920,percent of total billed charges,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,UNITED HEALTHCARE,UNITED HEALTHCARE,,1689.6,88,percent of total billed charges,1689.6,116.68,1920,percent of total billed charges,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,AETNA,AETNA,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,BEECH STREET,BEECH STREET,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,CARESOURCE,CARESOURCE,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,MEDICAID,MEDICAID,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,NOVA NET,NOVA NET,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,PEACHSTATE,PEACHSTATE,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,SELFPAY,SELFPAY,,1920,,fee schedule,1920,116.68,1920,fee schedule,
REM OF IMPL CARD EVENT MONITOR,33286,CPT,both,,,1920,1920,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1920,,fee schedule,1920,116.68,1920,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,AETNA,AETNA,,79610.44,87,percent of total billed charges,79610.44,79610.44,91506.25,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79610.44,87,percent of total billed charges,79610.44,79610.44,91506.25,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,UNITED HEALTHCARE,UNITED HEALTHCARE,,80525.5,88,percent of total billed charges,80525.5,79610.44,91506.25,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,AETNA,AETNA,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,ALLIANT,ALLIANT,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,AMBETTER,AMBETTER,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,BEECH STREET,BEECH STREET,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,CARESOURCE,CARESOURCE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,MEDICAID,MEDICAID,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,MEDICARE,MEDICARE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,NOVA NET,NOVA NET,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,PEACHSTATE,PEACHSTATE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,SELFPAY,SELFPAY,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,TRICARE,TRICARE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W MCC,335,DRG,inpatient,,,91506.25,91506.25,UHC MEDICARE,UHC MEDICARE,,91506.25,,fee schedule,91506.25,79610.44,91506.25,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,AETNA,AETNA,,28642.16,87,percent of total billed charges,28642.16,28642.16,32922.02,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28642.16,87,percent of total billed charges,28642.16,28642.16,32922.02,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,28971.38,88,percent of total billed charges,28971.38,28642.16,32922.02,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,AETNA,AETNA,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,ALLIANT,ALLIANT,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,AMBETTER,AMBETTER,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,BEECH STREET,BEECH STREET,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,CARESOURCE,CARESOURCE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,MEDICAID,MEDICAID,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,MEDICARE,MEDICARE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,NOVA NET,NOVA NET,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,PEACHSTATE,PEACHSTATE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,SELFPAY,SELFPAY,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,TRICARE,TRICARE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W CC,336,DRG,inpatient,,,32922.02,32922.02,UHC MEDICARE,UHC MEDICARE,,32922.02,,fee schedule,32922.02,28642.16,32922.02,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,AETNA,AETNA,,18941.42,87,percent of total billed charges,18941.42,18941.42,21771.75,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18941.42,87,percent of total billed charges,18941.42,18941.42,21771.75,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,UNITED HEALTHCARE,UNITED HEALTHCARE,,19159.14,88,percent of total billed charges,19159.14,18941.42,21771.75,percent of total billed charges,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,AETNA,AETNA,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,ALLIANT,ALLIANT,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,AMBETTER,AMBETTER,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,BEECH STREET,BEECH STREET,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,CARESOURCE,CARESOURCE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,MEDICAID,MEDICAID,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,MEDICARE,MEDICARE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,NOVA NET,NOVA NET,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,PEACHSTATE,PEACHSTATE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,SELFPAY,SELFPAY,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,TRICARE,TRICARE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
PERITONEAL ADHESIOLYSIS W/O CC/MCC,337,DRG,inpatient,,,21771.75,21771.75,UHC MEDICARE,UHC MEDICARE,,21771.75,,fee schedule,21771.75,18941.42,21771.75,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,AETNA,AETNA,,36580.44,87,percent of total billed charges,36580.44,36580.44,42046.48,percent of total billed charges,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36580.44,87,percent of total billed charges,36580.44,36580.44,42046.48,percent of total billed charges,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,37000.9,88,percent of total billed charges,37000.9,36580.44,42046.48,percent of total billed charges,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,AETNA,AETNA,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,ALLIANT,ALLIANT,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,AMBETTER,AMBETTER,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,BEECH STREET,BEECH STREET,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,CARESOURCE,CARESOURCE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,MEDICAID,MEDICAID,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,MEDICARE,MEDICARE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,NOVA NET,NOVA NET,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,PEACHSTATE,PEACHSTATE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,SELFPAY,SELFPAY,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,TRICARE,TRICARE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,339,DRG,inpatient,,,42046.48,42046.48,UHC MEDICARE,UHC MEDICARE,,42046.48,,fee schedule,42046.48,36580.44,42046.48,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,AMERIGROUP,AMERIGROUP,,432.17,,fee schedule,432.17,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,CARESOURCE,CARESOURCE,,440.4,,fee schedule,440.4,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,PEACHSTATE,PEACHSTATE,,411.59,,fee schedule,411.59,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,AETNA,AETNA,,4363.92,87,percent of total billed charges,4363.92,411.59,5016,percent of total billed charges,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4363.92,87,percent of total billed charges,4363.92,411.59,5016,percent of total billed charges,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,UNITED HEALTHCARE,UNITED HEALTHCARE,,4414.08,88,percent of total billed charges,4414.08,411.59,5016,percent of total billed charges,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,AETNA,AETNA,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,ALLIANT,ALLIANT,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,AMBETTER,AMBETTER,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,BEECH STREET,BEECH STREET,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,CARESOURCE,CARESOURCE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,MEDICAID,MEDICAID,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,MEDICARE,MEDICARE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,NOVA NET,NOVA NET,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,PEACHSTATE,PEACHSTATE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,SELFPAY,SELFPAY,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,TRICARE,TRICARE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
INSERTION OF IAB CATHETER,33970,CPT,both,,,5016,5016,UHC MEDICARE,UHC MEDICARE,,5016,,fee schedule,5016,411.59,5016,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,AETNA,AETNA,,35223.32,87,percent of total billed charges,35223.32,35223.32,40486.58,percent of total billed charges,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35223.32,87,percent of total billed charges,35223.32,35223.32,40486.58,percent of total billed charges,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,UNITED HEALTHCARE,UNITED HEALTHCARE,,35628.19,88,percent of total billed charges,35628.19,35223.32,40486.58,percent of total billed charges,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,AETNA,AETNA,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,ALLIANT,ALLIANT,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,AMBETTER,AMBETTER,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,BEECH STREET,BEECH STREET,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,CARESOURCE,CARESOURCE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,MEDICAID,MEDICAID,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,MEDICARE,MEDICARE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,NOVA NET,NOVA NET,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,PEACHSTATE,PEACHSTATE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,SELFPAY,SELFPAY,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,TRICARE,TRICARE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,340,DRG,inpatient,,,40486.58,40486.58,UHC MEDICARE,UHC MEDICARE,,40486.58,,fee schedule,40486.58,35223.32,40486.58,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,AETNA,AETNA,,74919.06,87,percent of total billed charges,74919.06,74919.06,86113.86,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,74919.06,87,percent of total billed charges,74919.06,74919.06,86113.86,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,UNITED HEALTHCARE,UNITED HEALTHCARE,,75780.2,88,percent of total billed charges,75780.2,74919.06,86113.86,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,AETNA,AETNA,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,ALLIANT,ALLIANT,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,AMBETTER,AMBETTER,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,BEECH STREET,BEECH STREET,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,CARESOURCE,CARESOURCE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,MEDICAID,MEDICAID,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,MEDICARE,MEDICARE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,NOVA NET,NOVA NET,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,PEACHSTATE,PEACHSTATE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,SELFPAY,SELFPAY,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,TRICARE,TRICARE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC,341,DRG,inpatient,,,86113.86,86113.86,UHC MEDICARE,UHC MEDICARE,,86113.86,,fee schedule,86113.86,74919.06,86113.86,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,AETNA,AETNA,,45641.59,87,percent of total billed charges,45641.59,45641.59,52461.6,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45641.59,87,percent of total billed charges,45641.59,45641.59,52461.6,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,UNITED HEALTHCARE,UNITED HEALTHCARE,,46166.21,88,percent of total billed charges,46166.21,45641.59,52461.6,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,AETNA,AETNA,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,ALLIANT,ALLIANT,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,AMBETTER,AMBETTER,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,BEECH STREET,BEECH STREET,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,CARESOURCE,CARESOURCE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,MEDICAID,MEDICAID,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,MEDICARE,MEDICARE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,NOVA NET,NOVA NET,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,PEACHSTATE,PEACHSTATE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,SELFPAY,SELFPAY,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,TRICARE,TRICARE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,342,DRG,inpatient,,,52461.6,52461.6,UHC MEDICARE,UHC MEDICARE,,52461.6,,fee schedule,52461.6,45641.59,52461.6,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,AETNA,AETNA,,33214.36,87,percent of total billed charges,33214.36,33214.36,38177.42,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33214.36,87,percent of total billed charges,33214.36,33214.36,38177.42,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,UNITED HEALTHCARE,UNITED HEALTHCARE,,33596.13,88,percent of total billed charges,33596.13,33214.36,38177.42,percent of total billed charges,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,AETNA,AETNA,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,ALLIANT,ALLIANT,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,AMBETTER,AMBETTER,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,BEECH STREET,BEECH STREET,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,CARESOURCE,CARESOURCE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,MEDICAID,MEDICAID,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,MEDICARE,MEDICARE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,NOVA NET,NOVA NET,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,PEACHSTATE,PEACHSTATE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,SELFPAY,SELFPAY,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,TRICARE,TRICARE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,343,DRG,inpatient,,,38177.42,38177.42,UHC MEDICARE,UHC MEDICARE,,38177.42,,fee schedule,38177.42,33214.36,38177.42,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,AETNA,AETNA,,30788.99,87,percent of total billed charges,30788.99,30788.99,35389.64,percent of total billed charges,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30788.99,87,percent of total billed charges,30788.99,30788.99,35389.64,percent of total billed charges,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,31142.88,88,percent of total billed charges,31142.88,30788.99,35389.64,percent of total billed charges,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,AETNA,AETNA,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,ALLIANT,ALLIANT,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,AMBETTER,AMBETTER,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,BEECH STREET,BEECH STREET,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,CARESOURCE,CARESOURCE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,MEDICAID,MEDICAID,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,MEDICARE,MEDICARE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,NOVA NET,NOVA NET,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,PEACHSTATE,PEACHSTATE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,SELFPAY,SELFPAY,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,TRICARE,TRICARE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W MCC,347,DRG,inpatient,,,35389.64,35389.64,UHC MEDICARE,UHC MEDICARE,,35389.64,,fee schedule,35389.64,30788.99,35389.64,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,AETNA,AETNA,,26106.32,87,percent of total billed charges,26106.32,26106.32,30007.27,percent of total billed charges,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26106.32,87,percent of total billed charges,26106.32,26106.32,30007.27,percent of total billed charges,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,UNITED HEALTHCARE,UNITED HEALTHCARE,,26406.4,88,percent of total billed charges,26406.4,26106.32,30007.27,percent of total billed charges,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,AETNA,AETNA,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,ALLIANT,ALLIANT,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,AMBETTER,AMBETTER,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,BEECH STREET,BEECH STREET,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,CARESOURCE,CARESOURCE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,MEDICAID,MEDICAID,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,MEDICARE,MEDICARE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,NOVA NET,NOVA NET,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,PEACHSTATE,PEACHSTATE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,SELFPAY,SELFPAY,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,TRICARE,TRICARE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
ANAL & STOMAL PROCEDURES W CC,348,DRG,inpatient,,,30007.27,30007.27,UHC MEDICARE,UHC MEDICARE,,30007.27,,fee schedule,30007.27,26106.32,30007.27,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,AETNA,AETNA,,50730.14,87,percent of total billed charges,50730.14,50730.14,58310.5,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50730.14,87,percent of total billed charges,50730.14,50730.14,58310.5,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,51313.24,88,percent of total billed charges,51313.24,50730.14,58310.5,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,AETNA,AETNA,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,ALLIANT,ALLIANT,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,AMBETTER,AMBETTER,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,BEECH STREET,BEECH STREET,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,CARESOURCE,CARESOURCE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,MEDICAID,MEDICAID,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,MEDICARE,MEDICARE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,NOVA NET,NOVA NET,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,PEACHSTATE,PEACHSTATE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,SELFPAY,SELFPAY,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,TRICARE,TRICARE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC,350,DRG,inpatient,,,58310.5,58310.5,UHC MEDICARE,UHC MEDICARE,,58310.5,,fee schedule,58310.5,50730.14,58310.5,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,AETNA,AETNA,,31475.24,87,percent of total billed charges,31475.24,31475.24,36178.44,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31475.24,87,percent of total billed charges,31475.24,31475.24,36178.44,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,UNITED HEALTHCARE,UNITED HEALTHCARE,,31837.03,88,percent of total billed charges,31837.03,31475.24,36178.44,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,AETNA,AETNA,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,ALLIANT,ALLIANT,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,AMBETTER,AMBETTER,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,BEECH STREET,BEECH STREET,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,CARESOURCE,CARESOURCE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,MEDICAID,MEDICAID,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,MEDICARE,MEDICARE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,NOVA NET,NOVA NET,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,PEACHSTATE,PEACHSTATE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,SELFPAY,SELFPAY,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,TRICARE,TRICARE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W CC,351,DRG,inpatient,,,36178.44,36178.44,UHC MEDICARE,UHC MEDICARE,,36178.44,,fee schedule,36178.44,31475.24,36178.44,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,AETNA,AETNA,,23359.15,87,percent of total billed charges,23359.15,23359.15,26849.6,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23359.15,87,percent of total billed charges,23359.15,23359.15,26849.6,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,UNITED HEALTHCARE,UNITED HEALTHCARE,,23627.65,88,percent of total billed charges,23627.65,23359.15,26849.6,percent of total billed charges,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,AETNA,AETNA,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,ALLIANT,ALLIANT,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,AMBETTER,AMBETTER,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,BEECH STREET,BEECH STREET,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,CARESOURCE,CARESOURCE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,MEDICAID,MEDICAID,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,MEDICARE,MEDICARE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,NOVA NET,NOVA NET,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,PEACHSTATE,PEACHSTATE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,SELFPAY,SELFPAY,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,TRICARE,TRICARE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,352,DRG,inpatient,,,26849.6,26849.6,UHC MEDICARE,UHC MEDICARE,,26849.6,,fee schedule,26849.6,23359.15,26849.6,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,AETNA,AETNA,,46259.32,87,percent of total billed charges,46259.32,46259.32,53171.63,percent of total billed charges,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46259.32,87,percent of total billed charges,46259.32,46259.32,53171.63,percent of total billed charges,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,46791.03,88,percent of total billed charges,46791.03,46259.32,53171.63,percent of total billed charges,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,AETNA,AETNA,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,ALLIANT,ALLIANT,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,AMBETTER,AMBETTER,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,BEECH STREET,BEECH STREET,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,CARESOURCE,CARESOURCE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,MEDICAID,MEDICAID,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,MEDICARE,MEDICARE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,NOVA NET,NOVA NET,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,PEACHSTATE,PEACHSTATE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,SELFPAY,SELFPAY,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,TRICARE,TRICARE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,354,DRG,inpatient,,,53171.63,53171.63,UHC MEDICARE,UHC MEDICARE,,53171.63,,fee schedule,53171.63,46259.32,53171.63,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,AETNA,AETNA,,22248.27,87,percent of total billed charges,22248.27,22248.27,25572.72,percent of total billed charges,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22248.27,87,percent of total billed charges,22248.27,22248.27,25572.72,percent of total billed charges,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,UNITED HEALTHCARE,UNITED HEALTHCARE,,22503.99,88,percent of total billed charges,22503.99,22248.27,25572.72,percent of total billed charges,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,AETNA,AETNA,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,ALLIANT,ALLIANT,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,AMBETTER,AMBETTER,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,BEECH STREET,BEECH STREET,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,CARESOURCE,CARESOURCE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,MEDICAID,MEDICAID,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,MEDICARE,MEDICARE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,NOVA NET,NOVA NET,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,PEACHSTATE,PEACHSTATE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,SELFPAY,SELFPAY,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,TRICARE,TRICARE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,355,DRG,inpatient,,,25572.72,25572.72,UHC MEDICARE,UHC MEDICARE,,25572.72,,fee schedule,25572.72,22248.27,25572.72,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,AETNA,AETNA,,126841.38,87,percent of total billed charges,126841.38,126841.38,145794.69,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126841.38,87,percent of total billed charges,126841.38,126841.38,145794.69,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,UNITED HEALTHCARE,UNITED HEALTHCARE,,128299.33,88,percent of total billed charges,128299.33,126841.38,145794.69,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,AETNA,AETNA,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,ALLIANT,ALLIANT,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,AMBETTER,AMBETTER,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,BEECH STREET,BEECH STREET,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,CARESOURCE,CARESOURCE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,MEDICAID,MEDICAID,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,MEDICARE,MEDICARE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,NOVA NET,NOVA NET,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,PEACHSTATE,PEACHSTATE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,SELFPAY,SELFPAY,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,TRICARE,TRICARE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,356,DRG,inpatient,,,145794.69,145794.69,UHC MEDICARE,UHC MEDICARE,,145794.69,,fee schedule,145794.69,126841.38,145794.69,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,AETNA,AETNA,,23287.58,87,percent of total billed charges,23287.58,23287.58,26767.33,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23287.58,87,percent of total billed charges,23287.58,23287.58,26767.33,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,23555.25,88,percent of total billed charges,23555.25,23287.58,26767.33,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,AETNA,AETNA,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,ALLIANT,ALLIANT,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,AMBETTER,AMBETTER,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,BEECH STREET,BEECH STREET,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,CARESOURCE,CARESOURCE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,MEDICAID,MEDICAID,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,MEDICARE,MEDICARE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,NOVA NET,NOVA NET,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,PEACHSTATE,PEACHSTATE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,SELFPAY,SELFPAY,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,TRICARE,TRICARE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,357,DRG,inpatient,,,26767.33,26767.33,UHC MEDICARE,UHC MEDICARE,,26767.33,,fee schedule,26767.33,23287.58,26767.33,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,AETNA,AETNA,,31859.72,87,percent of total billed charges,31859.72,31859.72,36620.37,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31859.72,87,percent of total billed charges,31859.72,31859.72,36620.37,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32225.93,88,percent of total billed charges,32225.93,31859.72,36620.37,percent of total billed charges,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,AETNA,AETNA,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,ALLIANT,ALLIANT,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,AMBETTER,AMBETTER,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,BEECH STREET,BEECH STREET,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,CARESOURCE,CARESOURCE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,MEDICAID,MEDICAID,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,MEDICARE,MEDICARE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,NOVA NET,NOVA NET,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,PEACHSTATE,PEACHSTATE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,SELFPAY,SELFPAY,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,TRICARE,TRICARE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,358,DRG,inpatient,,,36620.37,36620.37,UHC MEDICARE,UHC MEDICARE,,36620.37,,fee schedule,36620.37,31859.72,36620.37,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,19.67,,fee schedule,19.67,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,20.04,,fee schedule,20.04,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,18.73,,fee schedule,18.73,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,18.73,109,percent of total billed charges,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,18.73,109,percent of total billed charges,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,18.73,109,percent of total billed charges,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,18.73,109,fee schedule,
NONSELECTIVE CATH PLACEMENT IN,36000,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,18.73,109,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,AMERIGROUP,AMERIGROUP,,296.11,,fee schedule,296.11,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,CARESOURCE,CARESOURCE,,301.75,,fee schedule,301.75,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,PEACHSTATE,PEACHSTATE,,282.01,,fee schedule,282.01,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,AETNA,AETNA,,395.85,87,percent of total billed charges,395.85,282.01,455,percent of total billed charges,
INJ VENOGRAM,36005,CPT,both,,,455,455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,395.85,87,percent of total billed charges,395.85,282.01,455,percent of total billed charges,
INJ VENOGRAM,36005,CPT,both,,,455,455,UNITED HEALTHCARE,UNITED HEALTHCARE,,400.4,88,percent of total billed charges,400.4,282.01,455,percent of total billed charges,
INJ VENOGRAM,36005,CPT,both,,,455,455,AETNA,AETNA,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,ALLIANT,ALLIANT,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,AMBETTER,AMBETTER,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,BEECH STREET,BEECH STREET,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,CARESOURCE,CARESOURCE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,MEDICAID,MEDICAID,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,MEDICARE,MEDICARE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,NOVA NET,NOVA NET,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,PEACHSTATE,PEACHSTATE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,SELFPAY,SELFPAY,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,TRICARE,TRICARE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENOGRAM,36005,CPT,both,,,455,455,UHC MEDICARE,UHC MEDICARE,,455,,fee schedule,455,282.01,455,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,136.32,,fee schedule,136.32,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,138.92,,fee schedule,138.92,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,129.83,,fee schedule,129.83,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,129.83,695,percent of total billed charges,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,129.83,695,percent of total billed charges,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,129.83,695,percent of total billed charges,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,129.83,695,fee schedule,
INJ VENA CAVA GRAM,36010,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,129.83,695,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,AMERIGROUP,AMERIGROUP,,136.32,,fee schedule,136.32,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,CARESOURCE,CARESOURCE,,138.92,,fee schedule,138.92,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,PEACHSTATE,PEACHSTATE,,129.83,,fee schedule,129.83,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,AETNA,AETNA,,1015.29,87,percent of total billed charges,1015.29,129.83,1167,percent of total billed charges,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1015.29,87,percent of total billed charges,1015.29,129.83,1167,percent of total billed charges,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,UNITED HEALTHCARE,UNITED HEALTHCARE,,1026.96,88,percent of total billed charges,1026.96,129.83,1167,percent of total billed charges,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,AETNA,AETNA,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,ALLIANT,ALLIANT,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,AMBETTER,AMBETTER,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,BEECH STREET,BEECH STREET,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,CARESOURCE,CARESOURCE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,MEDICAID,MEDICAID,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,MEDICARE,MEDICARE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,NOVA NET,NOVA NET,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,PEACHSTATE,PEACHSTATE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,SELFPAY,SELFPAY,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,TRICARE,TRICARE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INTRO CATHETER SVC/IVC,36010,CPT,both,,,1167,1167,UHC MEDICARE,UHC MEDICARE,,1167,,fee schedule,1167,129.83,1167,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,AMERIGROUP,AMERIGROUP,,159.12,,fee schedule,159.12,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,162.15,,fee schedule,162.15,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,151.54,,fee schedule,151.54,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,AETNA,AETNA,,512.43,87,percent of total billed charges,512.43,151.54,589,percent of total billed charges,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,512.43,87,percent of total billed charges,512.43,151.54,589,percent of total billed charges,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,UNITED HEALTHCARE,UNITED HEALTHCARE,,518.32,88,percent of total billed charges,518.32,151.54,589,percent of total billed charges,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,AETNA,AETNA,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,ALLIANT,ALLIANT,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,AMBETTER,AMBETTER,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,BEECH STREET,BEECH STREET,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,MEDICAID,MEDICAID,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,MEDICARE,MEDICARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,NOVA NET,NOVA NET,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,SELFPAY,SELFPAY,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,TRICARE,TRICARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT LEFT PULMONARY,36014,CPT,both,,,589,589,UHC MEDICARE,UHC MEDICARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,AMERIGROUP,AMERIGROUP,,159.12,,fee schedule,159.12,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,162.15,,fee schedule,162.15,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,151.54,,fee schedule,151.54,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,AETNA,AETNA,,512.43,87,percent of total billed charges,512.43,151.54,589,percent of total billed charges,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,512.43,87,percent of total billed charges,512.43,151.54,589,percent of total billed charges,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,UNITED HEALTHCARE,UNITED HEALTHCARE,,518.32,88,percent of total billed charges,518.32,151.54,589,percent of total billed charges,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,AETNA,AETNA,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,ALLIANT,ALLIANT,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,AMBETTER,AMBETTER,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,BEECH STREET,BEECH STREET,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,MEDICAID,MEDICAID,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,MEDICARE,MEDICARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,NOVA NET,NOVA NET,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,SELFPAY,SELFPAY,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,TRICARE,TRICARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJECT RIGHT PULMONARY,36014,CPT,both,,,589,589,UHC MEDICARE,UHC MEDICARE,,589,,fee schedule,589,151.54,589,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,106.17,,fee schedule,106.17,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,108.19,,fee schedule,108.19,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,101.11,,fee schedule,101.11,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,101.11,695,percent of total billed charges,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,101.11,695,percent of total billed charges,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,101.11,695,percent of total billed charges,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,101.11,695,fee schedule,
INJ EXTREMITY UNI,36140,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,101.11,695,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,106.17,,fee schedule,106.17,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,108.19,,fee schedule,108.19,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,101.11,,fee schedule,101.11,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,101.11,137,percent of total billed charges,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,101.11,137,percent of total billed charges,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,101.11,137,percent of total billed charges,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,ALLIANT,ALLIANT,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,AMBETTER,AMBETTER,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,MEDICARE,MEDICARE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,TRICARE,TRICARE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRO NDL ICATH UPR/LXTR ART,36140,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,101.11,137,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,168.75,,fee schedule,168.75,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,171.96,,fee schedule,171.96,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,160.71,,fee schedule,160.71,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,119.19,171.96,percent of total billed charges,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,119.19,171.96,percent of total billed charges,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,119.19,171.96,percent of total billed charges,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,ALLIANT,ALLIANT,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,AMBETTER,AMBETTER,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,MEDICARE,MEDICARE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,TRICARE,TRICARE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INTRODUCTION CATHETER AORTA,36200,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,119.19,171.96,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,236.57,,fee schedule,236.57,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,241.07,,fee schedule,241.07,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,225.3,,fee schedule,225.3,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,225.3,695,percent of total billed charges,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,225.3,695,percent of total billed charges,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,225.3,695,percent of total billed charges,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,225.3,695,fee schedule,
INNOMINATE ARTERY SELECT,36215,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,236.57,,fee schedule,236.57,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,241.07,,fee schedule,241.07,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,225.3,,fee schedule,225.3,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,225.3,695,percent of total billed charges,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,225.3,695,percent of total billed charges,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,225.3,695,percent of total billed charges,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,225.3,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,1ST",36215,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,236.57,,fee schedule,236.57,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,241.07,,fee schedule,241.07,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,225.3,,fee schedule,225.3,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,225.3,695,percent of total billed charges,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,225.3,695,percent of total billed charges,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,225.3,695,percent of total billed charges,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,225.3,695,fee schedule,
SUBCLAVIAN ARTERY SELECT,36215,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,225.3,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,266.72,,fee schedule,266.72,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,271.8,,fee schedule,271.8,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,254.02,,fee schedule,254.02,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,254.02,695,percent of total billed charges,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,254.02,695,percent of total billed charges,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,254.02,695,percent of total billed charges,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT LEFT VERTEBRAL ART,36216,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,266.72,,fee schedule,266.72,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,271.8,,fee schedule,271.8,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,254.02,,fee schedule,254.02,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,254.02,695,percent of total billed charges,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,254.02,695,percent of total billed charges,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,254.02,695,percent of total billed charges,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,254.02,695,fee schedule,
INJECT RIGHT VERTEBRAL,36216,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,266.72,,fee schedule,266.72,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,271.8,,fee schedule,271.8,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,254.02,,fee schedule,254.02,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,254.02,695,percent of total billed charges,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,254.02,695,percent of total billed charges,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,254.02,695,percent of total billed charges,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,254.02,695,fee schedule,
"SELECT CATH ART-BRACH-CEPH,2ND",36216,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,254.02,695,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,AMERIGROUP,AMERIGROUP,,1048.53,,fee schedule,1048.53,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,CARESOURCE,CARESOURCE,,1068.5,,fee schedule,1068.5,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,PEACHSTATE,PEACHSTATE,,998.6,,fee schedule,998.6,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,AETNA,AETNA,,6486.72,87,percent of total billed charges,6486.72,998.6,7456,percent of total billed charges,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6486.72,87,percent of total billed charges,6486.72,998.6,7456,percent of total billed charges,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,UNITED HEALTHCARE,UNITED HEALTHCARE,,6561.28,88,percent of total billed charges,6561.28,998.6,7456,percent of total billed charges,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,AETNA,AETNA,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,BEECH STREET,BEECH STREET,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,CARESOURCE,CARESOURCE,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,MEDICAID,MEDICAID,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,NOVA NET,NOVA NET,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,PEACHSTATE,PEACHSTATE,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,SELFPAY,SELFPAY,,7456,,fee schedule,7456,998.6,7456,fee schedule,
PLACE CATH THORACIC AORTA,36221,CPT,both,,,7456,7456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7456,,fee schedule,7456,998.6,7456,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,AMERIGROUP,AMERIGROUP,,1298.45,,fee schedule,1298.45,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,CARESOURCE,CARESOURCE,,1323.18,,fee schedule,1323.18,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,PEACHSTATE,PEACHSTATE,,1236.62,,fee schedule,1236.62,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,AETNA,AETNA,,6712.05,87,percent of total billed charges,6712.05,1236.62,7715,percent of total billed charges,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6712.05,87,percent of total billed charges,6712.05,1236.62,7715,percent of total billed charges,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,UNITED HEALTHCARE,UNITED HEALTHCARE,,6789.2,88,percent of total billed charges,6789.2,1236.62,7715,percent of total billed charges,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,AETNA,AETNA,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,BEECH STREET,BEECH STREET,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,CARESOURCE,CARESOURCE,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,MEDICAID,MEDICAID,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,NOVA NET,NOVA NET,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,PEACHSTATE,PEACHSTATE,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,SELFPAY,SELFPAY,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
IR ANGIO CAROTID CEREB BI,36222,CPT,both,,,7715,7715,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7715,,fee schedule,7715,1236.62,7715,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,AMERIGROUP,AMERIGROUP,,1420.57,,fee schedule,1420.57,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,CARESOURCE,CARESOURCE,,1447.62,,fee schedule,1447.62,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,PEACHSTATE,PEACHSTATE,,1352.92,,fee schedule,1352.92,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,AETNA,AETNA,,10814.97,87,percent of total billed charges,10814.97,1352.92,12431,percent of total billed charges,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10814.97,87,percent of total billed charges,10814.97,1352.92,12431,percent of total billed charges,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,UNITED HEALTHCARE,UNITED HEALTHCARE,,10939.28,88,percent of total billed charges,10939.28,1352.92,12431,percent of total billed charges,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,AETNA,AETNA,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,BEECH STREET,BEECH STREET,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,CARESOURCE,CARESOURCE,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,MEDICAID,MEDICAID,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,NOVA NET,NOVA NET,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,PEACHSTATE,PEACHSTATE,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,SELFPAY,SELFPAY,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
PLACE CATH CAROT/INOM ART,36223,CPT,both,,,12431,12431,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12431,,fee schedule,12431,1352.92,12431,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,AMERIGROUP,AMERIGROUP,,1543.06,,fee schedule,1543.06,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,CARESOURCE,CARESOURCE,,1572.45,,fee schedule,1572.45,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,PEACHSTATE,PEACHSTATE,,1469.58,,fee schedule,1469.58,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,AETNA,AETNA,,10939.38,87,percent of total billed charges,10939.38,1469.58,12574,percent of total billed charges,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10939.38,87,percent of total billed charges,10939.38,1469.58,12574,percent of total billed charges,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,UNITED HEALTHCARE,UNITED HEALTHCARE,,11065.12,88,percent of total billed charges,11065.12,1469.58,12574,percent of total billed charges,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,AETNA,AETNA,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,BEECH STREET,BEECH STREET,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,CARESOURCE,CARESOURCE,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,MEDICAID,MEDICAID,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,NOVA NET,NOVA NET,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,PEACHSTATE,PEACHSTATE,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,SELFPAY,SELFPAY,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
CAROTID ANGIOGRAM,36224,CPT,both,,,12574,12574,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12574,,fee schedule,12574,1469.58,12574,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,AMERIGROUP,AMERIGROUP,,1410.15,,fee schedule,1410.15,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,CARESOURCE,CARESOURCE,,1437.01,,fee schedule,1437.01,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,PEACHSTATE,PEACHSTATE,,1343,,fee schedule,1343,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,AETNA,AETNA,,6713.79,87,percent of total billed charges,6713.79,1343,7717,percent of total billed charges,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6713.79,87,percent of total billed charges,6713.79,1343,7717,percent of total billed charges,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,UNITED HEALTHCARE,UNITED HEALTHCARE,,6790.96,88,percent of total billed charges,6790.96,1343,7717,percent of total billed charges,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,AETNA,AETNA,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,BEECH STREET,BEECH STREET,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,CARESOURCE,CARESOURCE,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,MEDICAID,MEDICAID,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,NOVA NET,NOVA NET,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,PEACHSTATE,PEACHSTATE,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,SELFPAY,SELFPAY,,7717,,fee schedule,7717,1343,7717,fee schedule,
SUBCLAVIAN ARTERY ANGIOGRAPHY,36225,CPT,both,,,7717,7717,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7717,,fee schedule,7717,1343,7717,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,AMERIGROUP,AMERIGROUP,,1573.13,,fee schedule,1573.13,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,CARESOURCE,CARESOURCE,,1603.1,,fee schedule,1603.1,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,PEACHSTATE,PEACHSTATE,,1498.22,,fee schedule,1498.22,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,AETNA,AETNA,,10814.97,87,percent of total billed charges,10814.97,1498.22,12431,percent of total billed charges,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10814.97,87,percent of total billed charges,10814.97,1498.22,12431,percent of total billed charges,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,UNITED HEALTHCARE,UNITED HEALTHCARE,,10939.28,88,percent of total billed charges,10939.28,1498.22,12431,percent of total billed charges,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,AETNA,AETNA,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,BEECH STREET,BEECH STREET,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,CARESOURCE,CARESOURCE,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,MEDICAID,MEDICAID,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,NOVA NET,NOVA NET,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,PEACHSTATE,PEACHSTATE,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,SELFPAY,SELFPAY,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
PLACE CATH VERTEBRAL ART,36226,CPT,both,,,12431,12431,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12431,,fee schedule,12431,1498.22,12431,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,248.49,,fee schedule,248.49,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,253.23,,fee schedule,253.23,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,236.66,,fee schedule,236.66,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,236.66,695,percent of total billed charges,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ ABD ILEO FEM,36245,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,248.49,,fee schedule,248.49,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,253.23,,fee schedule,253.23,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,236.66,,fee schedule,236.66,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ RENAL BLAST,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ RENAL BLAST,36245,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,236.66,695,percent of total billed charges,
INJ RENAL BLAST,36245,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL BLAST,36245,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,248.49,,fee schedule,248.49,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,253.23,,fee schedule,253.23,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,236.66,,fee schedule,236.66,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,236.66,695,percent of total billed charges,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ RENAL UNI SELECT,36245,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,248.49,,fee schedule,248.49,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,253.23,,fee schedule,253.23,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,236.66,,fee schedule,236.66,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,236.66,695,percent of total billed charges,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,236.66,695,percent of total billed charges,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,236.66,695,fee schedule,
INJ VISCERAL SELECT,36245,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,236.66,695,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,AMERIGROUP,AMERIGROUP,,248.49,,fee schedule,248.49,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,CARESOURCE,CARESOURCE,,253.23,,fee schedule,253.23,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,PEACHSTATE,PEACHSTATE,,236.66,,fee schedule,236.66,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,AETNA,AETNA,,646.41,87,percent of total billed charges,646.41,236.66,743,percent of total billed charges,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,646.41,87,percent of total billed charges,646.41,236.66,743,percent of total billed charges,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,UNITED HEALTHCARE,UNITED HEALTHCARE,,653.84,88,percent of total billed charges,653.84,236.66,743,percent of total billed charges,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,AETNA,AETNA,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,ALLIANT,ALLIANT,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,AMBETTER,AMBETTER,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,BEECH STREET,BEECH STREET,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,CARESOURCE,CARESOURCE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,MEDICAID,MEDICAID,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,MEDICARE,MEDICARE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,NOVA NET,NOVA NET,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,PEACHSTATE,PEACHSTATE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,SELFPAY,SELFPAY,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,TRICARE,TRICARE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 1ST ORDER LOWER EXT,36245,CPT,both,,,743,743,UHC MEDICARE,UHC MEDICARE,,743,,fee schedule,743,236.66,743,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,AMERIGROUP,AMERIGROUP,,271.22,,fee schedule,271.22,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,CARESOURCE,CARESOURCE,,276.38,,fee schedule,276.38,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,PEACHSTATE,PEACHSTATE,,258.3,,fee schedule,258.3,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,AETNA,AETNA,,1015.29,87,percent of total billed charges,1015.29,258.3,1167,percent of total billed charges,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1015.29,87,percent of total billed charges,1015.29,258.3,1167,percent of total billed charges,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,UNITED HEALTHCARE,UNITED HEALTHCARE,,1026.96,88,percent of total billed charges,1026.96,258.3,1167,percent of total billed charges,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,AETNA,AETNA,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,ALLIANT,ALLIANT,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,AMBETTER,AMBETTER,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,BEECH STREET,BEECH STREET,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,CARESOURCE,CARESOURCE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,MEDICAID,MEDICAID,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,MEDICARE,MEDICARE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,NOVA NET,NOVA NET,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,PEACHSTATE,PEACHSTATE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,SELFPAY,SELFPAY,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,TRICARE,TRICARE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 2ND ORDER LOWER EXT,36246,CPT,both,,,1167,1167,UHC MEDICARE,UHC MEDICARE,,1167,,fee schedule,1167,258.3,1167,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,AMERIGROUP,AMERIGROUP,,320.7,,fee schedule,320.7,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,CARESOURCE,CARESOURCE,,326.81,,fee schedule,326.81,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,PEACHSTATE,PEACHSTATE,,305.43,,fee schedule,305.43,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,AETNA,AETNA,,1476.39,87,percent of total billed charges,1476.39,305.43,1697,percent of total billed charges,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1476.39,87,percent of total billed charges,1476.39,305.43,1697,percent of total billed charges,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,UNITED HEALTHCARE,UNITED HEALTHCARE,,1493.36,88,percent of total billed charges,1493.36,305.43,1697,percent of total billed charges,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,AETNA,AETNA,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,ALLIANT,ALLIANT,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,AMBETTER,AMBETTER,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,BEECH STREET,BEECH STREET,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,CARESOURCE,CARESOURCE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,MEDICAID,MEDICAID,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,MEDICARE,MEDICARE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,NOVA NET,NOVA NET,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,PEACHSTATE,PEACHSTATE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,SELFPAY,SELFPAY,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,TRICARE,TRICARE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
SLCTV CATH 3RD ORDER LOWER EXT,36247,CPT,both,,,1697,1697,UHC MEDICARE,UHC MEDICARE,,1697,,fee schedule,1697,305.43,1697,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,1322.38,,fee schedule,1322.38,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,1347.57,,fee schedule,1347.57,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,1259.41,,fee schedule,1259.41,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,AETNA,AETNA,,6119.58,87,percent of total billed charges,6119.58,1259.41,7034,percent of total billed charges,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6119.58,87,percent of total billed charges,6119.58,1259.41,7034,percent of total billed charges,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,UNITED HEALTHCARE,UNITED HEALTHCARE,,6189.92,88,percent of total billed charges,6189.92,1259.41,7034,percent of total billed charges,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,AETNA,AETNA,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,BEECH STREET,BEECH STREET,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,MEDICAID,MEDICAID,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,NOVA NET,NOVA NET,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,SELFPAY,SELFPAY,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO RENAL UNI SELECT,36251,CPT,both,,,7034,7034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7034,,fee schedule,7034,1259.41,7034,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,AMERIGROUP,AMERIGROUP,,1322.38,,fee schedule,1322.38,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,CARESOURCE,CARESOURCE,,1347.57,,fee schedule,1347.57,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,PEACHSTATE,PEACHSTATE,,1259.41,,fee schedule,1259.41,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,AETNA,AETNA,,6413.64,87,percent of total billed charges,6413.64,1259.41,7372,percent of total billed charges,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6413.64,87,percent of total billed charges,6413.64,1259.41,7372,percent of total billed charges,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,UNITED HEALTHCARE,UNITED HEALTHCARE,,6487.36,88,percent of total billed charges,6487.36,1259.41,7372,percent of total billed charges,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,AETNA,AETNA,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,BEECH STREET,BEECH STREET,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,CARESOURCE,CARESOURCE,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,MEDICAID,MEDICAID,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,NOVA NET,NOVA NET,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,PEACHSTATE,PEACHSTATE,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,SELFPAY,SELFPAY,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ANGIO SELECTIVE RENAL UNI,36251,CPT,both,,,7372,7372,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7372,,fee schedule,7372,1259.41,7372,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,1450.71,,fee schedule,1450.71,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,1478.34,,fee schedule,1478.34,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,1381.63,,fee schedule,1381.63,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,AETNA,AETNA,,6119.58,87,percent of total billed charges,6119.58,1381.63,7034,percent of total billed charges,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6119.58,87,percent of total billed charges,6119.58,1381.63,7034,percent of total billed charges,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,UNITED HEALTHCARE,UNITED HEALTHCARE,,6189.92,88,percent of total billed charges,6189.92,1381.63,7034,percent of total billed charges,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,AETNA,AETNA,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,BEECH STREET,BEECH STREET,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,MEDICAID,MEDICAID,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,NOVA NET,NOVA NET,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,SELFPAY,SELFPAY,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ABD BLAST-RENAL SELECT &,36252,CPT,both,,,7034,7034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,1450.71,,fee schedule,1450.71,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,1478.34,,fee schedule,1478.34,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,1381.63,,fee schedule,1381.63,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,AETNA,AETNA,,6119.58,87,percent of total billed charges,6119.58,1381.63,7034,percent of total billed charges,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6119.58,87,percent of total billed charges,6119.58,1381.63,7034,percent of total billed charges,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,UNITED HEALTHCARE,UNITED HEALTHCARE,,6189.92,88,percent of total billed charges,6189.92,1381.63,7034,percent of total billed charges,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,AETNA,AETNA,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,BEECH STREET,BEECH STREET,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,MEDICAID,MEDICAID,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,NOVA NET,NOVA NET,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,SELFPAY,SELFPAY,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO RENAL BIL SELECT,36252,CPT,both,,,7034,7034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7034,,fee schedule,7034,1381.63,7034,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,AMERIGROUP,AMERIGROUP,,1450.71,,fee schedule,1450.71,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,CARESOURCE,CARESOURCE,,1478.34,,fee schedule,1478.34,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,PEACHSTATE,PEACHSTATE,,1381.63,,fee schedule,1381.63,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,AETNA,AETNA,,6413.64,87,percent of total billed charges,6413.64,1381.63,7372,percent of total billed charges,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6413.64,87,percent of total billed charges,6413.64,1381.63,7372,percent of total billed charges,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,UNITED HEALTHCARE,UNITED HEALTHCARE,,6487.36,88,percent of total billed charges,6487.36,1381.63,7372,percent of total billed charges,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,AETNA,AETNA,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,BEECH STREET,BEECH STREET,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,CARESOURCE,CARESOURCE,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,MEDICAID,MEDICAID,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,NOVA NET,NOVA NET,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,PEACHSTATE,PEACHSTATE,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,SELFPAY,SELFPAY,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
ANGIO SELECTIVE RENAL BILAT,36252,CPT,both,,,7372,7372,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7372,,fee schedule,7372,1381.63,7372,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,AMERIGROUP,AMERIGROUP,,17.64,,fee schedule,17.64,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,17.98,,fee schedule,17.98,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,16.8,,fee schedule,16.8,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,AETNA,AETNA,,1916.61,87,percent of total billed charges,1916.61,16.8,2203,percent of total billed charges,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1916.61,87,percent of total billed charges,1916.61,16.8,2203,percent of total billed charges,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,UNITED HEALTHCARE,UNITED HEALTHCARE,,1938.64,88,percent of total billed charges,1938.64,16.8,2203,percent of total billed charges,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,AETNA,AETNA,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,ALLIANT,ALLIANT,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,AMBETTER,AMBETTER,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,BEECH STREET,BEECH STREET,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,MEDICAID,MEDICAID,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,MEDICARE,MEDICARE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,NOVA NET,NOVA NET,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,SELFPAY,SELFPAY,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,TRICARE,TRICARE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
MIDLINE CATH INSERTION,36410,CPT,both,,,2203,2203,UHC MEDICARE,UHC MEDICARE,,2203,,fee schedule,2203,16.8,2203,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,8.57,14.14,percent of total billed charges,
BLOOD DRAWING,36415,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,8.57,14.14,percent of total billed charges,
BLOOD DRAWING,36415,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,8.57,14.14,percent of total billed charges,
BLOOD DRAWING,36415,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,8.57,14.14,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,8.57,14.14,percent of total billed charges,
BLOOD DRAWING,36415,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,8.57,14.14,percent of total billed charges,
BLOOD DRAWING,36415,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,8.57,14.14,percent of total billed charges,
BLOOD DRAWING,36415,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,8.57,14.14,fee schedule,
BLOOD DRAWING,36415,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,8.57,14.14,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
CARDIOLOGY VENIPUNCTURE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
VENIPUNCTURE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,ALLIANT,ALLIANT,,14.14,,fee schedule,14.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AMBETTER,AMBETTER,,11.14,,fee schedule,11.14,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICARE,MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,TRICARE,TRICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,8.57,,fee schedule,8.57,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,8.57,20,percent of total billed charges,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,8.57,20,fee schedule,
VENIPUNCTURE CHARGE,36415,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,8.57,20,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CAPILLARY BLOOD GAS TESTI,36416,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,AETNA,AETNA,,1830.48,87,percent of total billed charges,1830.48,34.49,2104,percent of total billed charges,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1830.48,87,percent of total billed charges,1830.48,34.49,2104,percent of total billed charges,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,UNITED HEALTHCARE,UNITED HEALTHCARE,,1851.52,88,percent of total billed charges,1851.52,34.49,2104,percent of total billed charges,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,AETNA,AETNA,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,BEECH STREET,BEECH STREET,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,CARESOURCE,CARESOURCE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,MEDICAID,MEDICAID,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,NOVA NET,NOVA NET,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,PEACHSTATE,PEACHSTATE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,SELFPAY,SELFPAY,,2104,,fee schedule,2104,34.49,2104,fee schedule,
BLOOD TRANSFUSION 2 UNITS,36430,CPT,both,,,2104,2104,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANFUSION ADMIN,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANS OF BLOOD EACH,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,AETNA,AETNA,,1830.48,87,percent of total billed charges,1830.48,34.49,2104,percent of total billed charges,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1830.48,87,percent of total billed charges,1830.48,34.49,2104,percent of total billed charges,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,UNITED HEALTHCARE,UNITED HEALTHCARE,,1851.52,88,percent of total billed charges,1851.52,34.49,2104,percent of total billed charges,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,AETNA,AETNA,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,BEECH STREET,BEECH STREET,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,CARESOURCE,CARESOURCE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,MEDICAID,MEDICAID,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,NOVA NET,NOVA NET,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,PEACHSTATE,PEACHSTATE,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,SELFPAY,SELFPAY,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSE MULTI UNITS,36430,CPT,both,,,2104,2104,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2104,,fee schedule,2104,34.49,2104,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANSFUSION,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMIN,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSION ADMINISTRATIO,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,ALLIANT,ALLIANT,,672.79,,fee schedule,672.79,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,AMBETTER,AMBETTER,,530.08,,fee schedule,530.08,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,36.21,,fee schedule,36.21,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,36.9,,fee schedule,36.9,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,MEDICARE,MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,34.49,,fee schedule,34.49,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,TRICARE,TRICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,407.75,,fee schedule,407.75,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,34.49,949,percent of total billed charges,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,34.49,949,percent of total billed charges,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,34.49,949,fee schedule,
TRANSFUSIONBLOOD OR COMP,36430,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,34.49,949,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,50.63,,fee schedule,50.63,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,51.6,,fee schedule,51.6,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,48.22,,fee schedule,48.22,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,48.22,109,percent of total billed charges,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,48.22,109,percent of total billed charges,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,48.22,109,percent of total billed charges,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,48.22,109,fee schedule,
CATH OF UMBILICAL VEIN FOR DX,36510,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,48.22,109,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,AMERIGROUP,AMERIGROUP,,292.2,,fee schedule,292.2,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,CARESOURCE,CARESOURCE,,297.77,,fee schedule,297.77,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,PEACHSTATE,PEACHSTATE,,278.29,,fee schedule,278.29,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,AETNA,AETNA,,1028.34,87,percent of total billed charges,1028.34,278.29,4915.3,percent of total billed charges,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1028.34,87,percent of total billed charges,1028.34,278.29,4915.3,percent of total billed charges,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,UNITED HEALTHCARE,UNITED HEALTHCARE,,1040.16,88,percent of total billed charges,1040.16,278.29,4915.3,percent of total billed charges,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,AETNA,AETNA,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,BEECH STREET,BEECH STREET,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,CARESOURCE,CARESOURCE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,MEDICAID,MEDICAID,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,NOVA NET,NOVA NET,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,PEACHSTATE,PEACHSTATE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,SELFPAY,SELFPAY,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
CENTRAL VENOUS CATHETER INSERT,36556,CPT,both,,,1182,1182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,AMERIGROUP,AMERIGROUP,,292.2,,fee schedule,292.2,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,CARESOURCE,CARESOURCE,,297.77,,fee schedule,297.77,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,PEACHSTATE,PEACHSTATE,,278.29,,fee schedule,278.29,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,AETNA,AETNA,,1028.34,87,percent of total billed charges,1028.34,278.29,4915.3,percent of total billed charges,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1028.34,87,percent of total billed charges,1028.34,278.29,4915.3,percent of total billed charges,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,UNITED HEALTHCARE,UNITED HEALTHCARE,,1040.16,88,percent of total billed charges,1040.16,278.29,4915.3,percent of total billed charges,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,AETNA,AETNA,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,BEECH STREET,BEECH STREET,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,CARESOURCE,CARESOURCE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,MEDICAID,MEDICAID,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,NOVA NET,NOVA NET,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,PEACHSTATE,PEACHSTATE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,SELFPAY,SELFPAY,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
INS CANNULA FOR HEMODIALYSIS,36556,CPT,both,,,1182,1182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,AMERIGROUP,AMERIGROUP,,292.2,,fee schedule,292.2,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,CARESOURCE,CARESOURCE,,297.77,,fee schedule,297.77,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,PEACHSTATE,PEACHSTATE,,278.29,,fee schedule,278.29,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,AETNA,AETNA,,1028.34,87,percent of total billed charges,1028.34,278.29,4915.3,percent of total billed charges,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1028.34,87,percent of total billed charges,1028.34,278.29,4915.3,percent of total billed charges,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,UNITED HEALTHCARE,UNITED HEALTHCARE,,1040.16,88,percent of total billed charges,1040.16,278.29,4915.3,percent of total billed charges,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,AETNA,AETNA,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,BEECH STREET,BEECH STREET,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,CARESOURCE,CARESOURCE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,MEDICAID,MEDICAID,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,NOVA NET,NOVA NET,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,PEACHSTATE,PEACHSTATE,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,SELFPAY,SELFPAY,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
IV LINE CENTRAL INSERTION,36556,CPT,both,,,1182,1182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1182,,fee schedule,1182,278.29,4915.3,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,AMERIGROUP,AMERIGROUP,,292.2,,fee schedule,292.2,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,297.77,,fee schedule,297.77,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,278.29,,fee schedule,278.29,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,AETNA,AETNA,,6434.52,87,percent of total billed charges,6434.52,278.29,7396,percent of total billed charges,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6434.52,87,percent of total billed charges,6434.52,278.29,7396,percent of total billed charges,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,UNITED HEALTHCARE,UNITED HEALTHCARE,,6508.48,88,percent of total billed charges,6508.48,278.29,7396,percent of total billed charges,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,AETNA,AETNA,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,BEECH STREET,BEECH STREET,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,MEDICAID,MEDICAID,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,NOVA NET,NOVA NET,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,SELFPAY,SELFPAY,,7396,,fee schedule,7396,278.29,7396,fee schedule,
VASCATH/TRIPLE LUME NON-TUNNEL,36556,CPT,both,,,7396,7396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7396,,fee schedule,7396,278.29,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,AMERIGROUP,AMERIGROUP,,651.2,,fee schedule,651.2,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,663.6,,fee schedule,663.6,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,620.19,,fee schedule,620.19,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,AETNA,AETNA,,6434.52,87,percent of total billed charges,6434.52,620.19,7396,percent of total billed charges,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6434.52,87,percent of total billed charges,6434.52,620.19,7396,percent of total billed charges,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,UNITED HEALTHCARE,UNITED HEALTHCARE,,6508.48,88,percent of total billed charges,6508.48,620.19,7396,percent of total billed charges,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,AETNA,AETNA,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,BEECH STREET,BEECH STREET,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,MEDICAID,MEDICAID,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,NOVA NET,NOVA NET,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,SELFPAY,SELFPAY,,7396,,fee schedule,7396,620.19,7396,fee schedule,
TUNNELED CATHETER INSERTION,36558,CPT,both,,,7396,7396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7396,,fee schedule,7396,620.19,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,AMERIGROUP,AMERIGROUP,,1241.58,,fee schedule,1241.58,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,1265.23,,fee schedule,1265.23,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,1182.46,,fee schedule,1182.46,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,AETNA,AETNA,,6434.52,87,percent of total billed charges,6434.52,1182.46,7396,percent of total billed charges,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6434.52,87,percent of total billed charges,6434.52,1182.46,7396,percent of total billed charges,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,UNITED HEALTHCARE,UNITED HEALTHCARE,,6508.48,88,percent of total billed charges,6508.48,1182.46,7396,percent of total billed charges,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,AETNA,AETNA,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,BEECH STREET,BEECH STREET,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,MEDICAID,MEDICAID,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,NOVA NET,NOVA NET,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,SELFPAY,SELFPAY,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
LIFE PORT PLACEMENT,36561,CPT,both,,,7396,7396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7396,,fee schedule,7396,1182.46,7396,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,AMERIGROUP,AMERIGROUP,,1041.79,,fee schedule,1041.79,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,CARESOURCE,CARESOURCE,,1061.63,,fee schedule,1061.63,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,PEACHSTATE,PEACHSTATE,,992.18,,fee schedule,992.18,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,AETNA,AETNA,,550.71,87,percent of total billed charges,550.71,550.71,8480.6,percent of total billed charges,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,550.71,87,percent of total billed charges,550.71,550.71,8480.6,percent of total billed charges,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,UNITED HEALTHCARE,UNITED HEALTHCARE,,557.04,88,percent of total billed charges,557.04,550.71,8480.6,percent of total billed charges,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,AETNA,AETNA,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,BEECH STREET,BEECH STREET,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,CARESOURCE,CARESOURCE,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,MEDICAID,MEDICAID,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,NOVA NET,NOVA NET,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,PEACHSTATE,PEACHSTATE,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,SELFPAY,SELFPAY,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PERC PLCMT CENT VEN CTH 1,36566,CPT,both,,,633,633,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,633,,fee schedule,633,550.71,8480.6,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,AMERIGROUP,AMERIGROUP,,325.51,,fee schedule,325.51,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,CARESOURCE,CARESOURCE,,331.71,,fee schedule,331.71,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,PEACHSTATE,PEACHSTATE,,310.01,,fee schedule,310.01,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,AETNA,AETNA,,2551.71,87,percent of total billed charges,2551.71,310.01,2933,percent of total billed charges,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2551.71,87,percent of total billed charges,2551.71,310.01,2933,percent of total billed charges,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,UNITED HEALTHCARE,UNITED HEALTHCARE,,2581.04,88,percent of total billed charges,2581.04,310.01,2933,percent of total billed charges,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,AETNA,AETNA,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,BEECH STREET,BEECH STREET,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,CARESOURCE,CARESOURCE,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,MEDICAID,MEDICAID,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,NOVA NET,NOVA NET,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,PEACHSTATE,PEACHSTATE,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,SELFPAY,SELFPAY,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC INSERTION ADULT WO/IMAGE,36569,CPT,both,,,2933,2933,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2933,,fee schedule,2933,310.01,2933,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,AMERIGROUP,AMERIGROUP,,325.51,,fee schedule,325.51,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,331.71,,fee schedule,331.71,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,310.01,,fee schedule,310.01,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,AETNA,AETNA,,1916.61,87,percent of total billed charges,1916.61,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1916.61,87,percent of total billed charges,1916.61,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,UNITED HEALTHCARE,UNITED HEALTHCARE,,1938.64,88,percent of total billed charges,1938.64,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,AETNA,AETNA,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,BEECH STREET,BEECH STREET,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,MEDICAID,MEDICAID,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,NOVA NET,NOVA NET,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,SELFPAY,SELFPAY,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ER,36569,CPT,both,,,2203,2203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,AMERIGROUP,AMERIGROUP,,325.51,,fee schedule,325.51,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,331.71,,fee schedule,331.71,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,310.01,,fee schedule,310.01,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,AETNA,AETNA,,1916.61,87,percent of total billed charges,1916.61,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1916.61,87,percent of total billed charges,1916.61,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,UNITED HEALTHCARE,UNITED HEALTHCARE,,1938.64,88,percent of total billed charges,1938.64,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,AETNA,AETNA,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,BEECH STREET,BEECH STREET,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,MEDICAID,MEDICAID,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,NOVA NET,NOVA NET,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,SELFPAY,SELFPAY,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ ICU,36569,CPT,both,,,2203,2203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,AMERIGROUP,AMERIGROUP,,325.51,,fee schedule,325.51,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,331.71,,fee schedule,331.71,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,310.01,,fee schedule,310.01,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,AETNA,AETNA,,1916.61,87,percent of total billed charges,1916.61,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1916.61,87,percent of total billed charges,1916.61,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,UNITED HEALTHCARE,UNITED HEALTHCARE,,1938.64,88,percent of total billed charges,1938.64,310.01,2454.95,percent of total billed charges,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,AETNA,AETNA,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,BEECH STREET,BEECH STREET,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,MEDICAID,MEDICAID,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,NOVA NET,NOVA NET,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,SELFPAY,SELFPAY,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC LINE INSERTION ~ OPS,36569,CPT,both,,,2203,2203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2203,,fee schedule,2203,310.01,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,AMERIGROUP,AMERIGROUP,,358.35,,fee schedule,358.35,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,365.18,,fee schedule,365.18,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,341.29,,fee schedule,341.29,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,AETNA,AETNA,,1916.61,87,percent of total billed charges,1916.61,341.29,2454.95,percent of total billed charges,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1916.61,87,percent of total billed charges,1916.61,341.29,2454.95,percent of total billed charges,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,UNITED HEALTHCARE,UNITED HEALTHCARE,,1938.64,88,percent of total billed charges,1938.64,341.29,2454.95,percent of total billed charges,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,AETNA,AETNA,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,BEECH STREET,BEECH STREET,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,CARESOURCE,CARESOURCE,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,MEDICAID,MEDICAID,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,NOVA NET,NOVA NET,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,PEACHSTATE,PEACHSTATE,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,SELFPAY,SELFPAY,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
PICC INSERTION ADULT W IMAGE,36573,CPT,both,,,2203,2203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2203,,fee schedule,2203,341.29,2454.95,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,AMERIGROUP,AMERIGROUP,,158.72,,fee schedule,158.72,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,CARESOURCE,CARESOURCE,,161.74,,fee schedule,161.74,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,PEACHSTATE,PEACHSTATE,,151.16,,fee schedule,151.16,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,TRICARE,TRICARE,,578.5,,fee schedule,578.5,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,AETNA,AETNA,,913.5,87,percent of total billed charges,913.5,151.16,1050,percent of total billed charges,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,913.5,87,percent of total billed charges,913.5,151.16,1050,percent of total billed charges,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,UNITED HEALTHCARE,UNITED HEALTHCARE,,924,88,percent of total billed charges,924,151.16,1050,percent of total billed charges,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,AETNA,AETNA,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,BEECH STREET,BEECH STREET,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,CARESOURCE,CARESOURCE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,MEDICAID,MEDICAID,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,NOVA NET,NOVA NET,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,PEACHSTATE,PEACHSTATE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,SELFPAY,SELFPAY,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR CVA CATHETER,36575,CPT,both,,,1050,1050,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,AMERIGROUP,AMERIGROUP,,158.72,,fee schedule,158.72,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,CARESOURCE,CARESOURCE,,161.74,,fee schedule,161.74,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,PEACHSTATE,PEACHSTATE,,151.16,,fee schedule,151.16,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,TRICARE,TRICARE,,578.5,,fee schedule,578.5,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,AETNA,AETNA,,913.5,87,percent of total billed charges,913.5,151.16,1050,percent of total billed charges,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,913.5,87,percent of total billed charges,913.5,151.16,1050,percent of total billed charges,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,UNITED HEALTHCARE,UNITED HEALTHCARE,,924,88,percent of total billed charges,924,151.16,1050,percent of total billed charges,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,AETNA,AETNA,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,BEECH STREET,BEECH STREET,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,CARESOURCE,CARESOURCE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,MEDICAID,MEDICAID,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,NOVA NET,NOVA NET,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,PEACHSTATE,PEACHSTATE,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,SELFPAY,SELFPAY,,1050,,fee schedule,1050,151.16,1050,fee schedule,
REPAIR PICC LINE,36575,CPT,both,,,1050,1050,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1050,,fee schedule,1050,151.16,1050,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,AMERIGROUP,AMERIGROUP,,599.47,,fee schedule,599.47,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,610.88,,fee schedule,610.88,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,570.92,,fee schedule,570.92,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,AETNA,AETNA,,6434.52,87,percent of total billed charges,6434.52,570.92,7396,percent of total billed charges,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6434.52,87,percent of total billed charges,6434.52,570.92,7396,percent of total billed charges,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,UNITED HEALTHCARE,UNITED HEALTHCARE,,6508.48,88,percent of total billed charges,6508.48,570.92,7396,percent of total billed charges,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,AETNA,AETNA,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,BEECH STREET,BEECH STREET,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,CARESOURCE,CARESOURCE,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,MEDICAID,MEDICAID,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,NOVA NET,NOVA NET,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,PEACHSTATE,PEACHSTATE,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,SELFPAY,SELFPAY,,7396,,fee schedule,7396,570.92,7396,fee schedule,
TUNNELED CATHETER REPLACEMENT,36581,CPT,both,,,7396,7396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7396,,fee schedule,7396,570.92,7396,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AMERIGROUP,AMERIGROUP,,299.19,,fee schedule,299.19,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CARESOURCE,CARESOURCE,,304.89,,fee schedule,304.89,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,PEACHSTATE,PEACHSTATE,,284.94,,fee schedule,284.94,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AETNA,AETNA,,927.42,87,percent of total billed charges,927.42,284.94,2454.95,percent of total billed charges,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,927.42,87,percent of total billed charges,927.42,284.94,2454.95,percent of total billed charges,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,UNITED HEALTHCARE,UNITED HEALTHCARE,,938.08,88,percent of total billed charges,938.08,284.94,2454.95,percent of total billed charges,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AETNA,AETNA,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,BEECH STREET,BEECH STREET,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CARESOURCE,CARESOURCE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,MEDICAID,MEDICAID,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,NOVA NET,NOVA NET,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,PEACHSTATE,PEACHSTATE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,SELFPAY,SELFPAY,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AMERIGROUP,AMERIGROUP,,299.19,,fee schedule,299.19,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CARESOURCE,CARESOURCE,,304.89,,fee schedule,304.89,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,PEACHSTATE,PEACHSTATE,,284.94,,fee schedule,284.94,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AETNA,AETNA,,927.42,87,percent of total billed charges,927.42,284.94,2454.95,percent of total billed charges,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,927.42,87,percent of total billed charges,927.42,284.94,2454.95,percent of total billed charges,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,UNITED HEALTHCARE,UNITED HEALTHCARE,,938.08,88,percent of total billed charges,938.08,284.94,2454.95,percent of total billed charges,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,AETNA,AETNA,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,BEECH STREET,BEECH STREET,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CARESOURCE,CARESOURCE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,MEDICAID,MEDICAID,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,NOVA NET,NOVA NET,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,PEACHSTATE,PEACHSTATE,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,SELFPAY,SELFPAY,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
REPLACE PICC CATH,36584,CPT,both,,,1066,1066,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1066,,fee schedule,1066,284.94,2454.95,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,ALLIANT,ALLIANT,,954.53,,fee schedule,954.53,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,AMBETTER,AMBETTER,,752.05,,fee schedule,752.05,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,AMERIGROUP,AMERIGROUP,,160.99,,fee schedule,160.99,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,CARESOURCE,CARESOURCE,,164.05,,fee schedule,164.05,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,MEDICARE,MEDICARE,,578.5,,fee schedule,578.5,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,PEACHSTATE,PEACHSTATE,,153.32,,fee schedule,153.32,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,TRICARE,TRICARE,,578.5,,fee schedule,578.5,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,UHC MEDICARE,UHC MEDICARE,,578.5,,fee schedule,578.5,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,AETNA,AETNA,,1218,87,percent of total billed charges,1218,153.32,1400,percent of total billed charges,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1218,87,percent of total billed charges,1218,153.32,1400,percent of total billed charges,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,UNITED HEALTHCARE,UNITED HEALTHCARE,,1232,88,percent of total billed charges,1232,153.32,1400,percent of total billed charges,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,AETNA,AETNA,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,BEECH STREET,BEECH STREET,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,CARESOURCE,CARESOURCE,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,MEDICAID,MEDICAID,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,NOVA NET,NOVA NET,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,PEACHSTATE,PEACHSTATE,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,SELFPAY,SELFPAY,,1400,,fee schedule,1400,153.32,1400,fee schedule,
TUNNELED CATHETER REMOVAL,36589,CPT,both,,,1400,1400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1400,,fee schedule,1400,153.32,1400,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,AMERIGROUP,AMERIGROUP,,348.36,,fee schedule,348.36,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,CARESOURCE,CARESOURCE,,354.99,,fee schedule,354.99,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,PEACHSTATE,PEACHSTATE,,331.77,,fee schedule,331.77,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,AETNA,AETNA,,3105.03,87,percent of total billed charges,3105.03,331.77,3569,percent of total billed charges,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3105.03,87,percent of total billed charges,3105.03,331.77,3569,percent of total billed charges,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,UNITED HEALTHCARE,UNITED HEALTHCARE,,3140.72,88,percent of total billed charges,3140.72,331.77,3569,percent of total billed charges,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,AETNA,AETNA,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,BEECH STREET,BEECH STREET,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,CARESOURCE,CARESOURCE,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,MEDICAID,MEDICAID,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,NOVA NET,NOVA NET,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,PEACHSTATE,PEACHSTATE,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,SELFPAY,SELFPAY,,3569,,fee schedule,3569,331.77,3569,fee schedule,
LIFEPORT REMOVAL,36590,CPT,both,,,3569,3569,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3569,,fee schedule,3569,331.77,3569,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,17.47,,fee schedule,17.47,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,17.8,,fee schedule,17.8,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,16.64,,fee schedule,16.64,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,TRICARE,TRICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,16.64,191.58,percent of total billed charges,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,16.64,191.58,percent of total billed charges,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,16.64,191.58,percent of total billed charges,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,16.64,191.58,fee schedule,
BLOOD DRAW Q-PORT,36591,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,17.47,,fee schedule,17.47,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,17.8,,fee schedule,17.8,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,16.64,,fee schedule,16.64,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,TRICARE,TRICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,16.64,191.58,percent of total billed charges,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,16.64,191.58,percent of total billed charges,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,16.64,191.58,percent of total billed charges,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q PORT BLOODDRAW/MAINTENA,36591,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,17.47,,fee schedule,17.47,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,17.8,,fee schedule,17.8,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,16.64,,fee schedule,16.64,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,TRICARE,TRICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,16.64,191.58,percent of total billed charges,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,16.64,191.58,percent of total billed charges,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,16.64,191.58,percent of total billed charges,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,16.64,191.58,fee schedule,
Q-PORT BLOOD DRAW,36591,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,16.64,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,21.62,,fee schedule,21.62,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,22.03,,fee schedule,22.03,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,20.59,,fee schedule,20.59,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,TRICARE,TRICARE,,116.11,,fee schedule,116.11,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,20.59,191.58,percent of total billed charges,
VDRL SERUM,36592,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,20.59,191.58,percent of total billed charges,
VDRL SERUM,36592,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,20.59,191.58,percent of total billed charges,
VDRL SERUM,36592,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,21.62,,fee schedule,21.62,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,22.03,,fee schedule,22.03,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,20.59,,fee schedule,20.59,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,TRICARE,TRICARE,,116.11,,fee schedule,116.11,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,20.59,191.58,percent of total billed charges,
VDRL SERUM,36592,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,20.59,191.58,percent of total billed charges,
VDRL SERUM,36592,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,20.59,191.58,percent of total billed charges,
VDRL SERUM,36592,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,20.59,191.58,fee schedule,
VDRL SERUM,36592,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,20.59,191.58,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,AMERIGROUP,AMERIGROUP,,29.06,,fee schedule,29.06,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,CARESOURCE,CARESOURCE,,29.62,,fee schedule,29.62,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,PEACHSTATE,PEACHSTATE,,27.68,,fee schedule,27.68,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,TRICARE,TRICARE,,332.62,,fee schedule,332.62,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,AETNA,AETNA,,716.01,87,percent of total billed charges,716.01,27.68,823,percent of total billed charges,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,716.01,87,percent of total billed charges,716.01,27.68,823,percent of total billed charges,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,UNITED HEALTHCARE,UNITED HEALTHCARE,,724.24,88,percent of total billed charges,724.24,27.68,823,percent of total billed charges,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,AETNA,AETNA,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,BEECH STREET,BEECH STREET,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,CARESOURCE,CARESOURCE,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,MEDICAID,MEDICAID,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,NOVA NET,NOVA NET,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,PEACHSTATE,PEACHSTATE,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,SELFPAY,SELFPAY,,823,,fee schedule,823,27.68,823,fee schedule,
"DECLOTTING PROCEDURE, CATH LAB",36593,CPT,both,,,823,823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,AMERIGROUP,AMERIGROUP,,29.06,,fee schedule,29.06,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,CARESOURCE,CARESOURCE,,29.62,,fee schedule,29.62,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,PEACHSTATE,PEACHSTATE,,27.68,,fee schedule,27.68,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,TRICARE,TRICARE,,332.62,,fee schedule,332.62,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,AETNA,AETNA,,716.01,87,percent of total billed charges,716.01,27.68,823,percent of total billed charges,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,716.01,87,percent of total billed charges,716.01,27.68,823,percent of total billed charges,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,UNITED HEALTHCARE,UNITED HEALTHCARE,,724.24,88,percent of total billed charges,724.24,27.68,823,percent of total billed charges,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,AETNA,AETNA,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,BEECH STREET,BEECH STREET,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,CARESOURCE,CARESOURCE,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,MEDICAID,MEDICAID,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,NOVA NET,NOVA NET,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,PEACHSTATE,PEACHSTATE,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,SELFPAY,SELFPAY,,823,,fee schedule,823,27.68,823,fee schedule,
DECLOTTING QPORT(THROMBOL,36593,CPT,both,,,823,823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,823,,fee schedule,823,27.68,823,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,AMERIGROUP,AMERIGROUP,,821.34,,fee schedule,821.34,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,836.99,,fee schedule,836.99,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,782.23,,fee schedule,782.23,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,AETNA,AETNA,,6488.46,87,percent of total billed charges,6488.46,782.23,7458,percent of total billed charges,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6488.46,87,percent of total billed charges,6488.46,782.23,7458,percent of total billed charges,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,UNITED HEALTHCARE,UNITED HEALTHCARE,,6563.04,88,percent of total billed charges,6563.04,782.23,7458,percent of total billed charges,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,AETNA,AETNA,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,BEECH STREET,BEECH STREET,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,MEDICAID,MEDICAID,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,NOVA NET,NOVA NET,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,SELFPAY,SELFPAY,,7458,,fee schedule,7458,782.23,7458,fee schedule,
MECH REM OBSTR CVAD,36595,CPT,both,,,7458,7458,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7458,,fee schedule,7458,782.23,7458,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,AMERIGROUP,AMERIGROUP,,118.38,,fee schedule,118.38,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,120.63,,fee schedule,120.63,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,112.74,,fee schedule,112.74,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,TRICARE,TRICARE,,206.57,,fee schedule,206.57,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,AETNA,AETNA,,451.53,87,percent of total billed charges,451.53,112.74,519,percent of total billed charges,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451.53,87,percent of total billed charges,451.53,112.74,519,percent of total billed charges,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,UNITED HEALTHCARE,UNITED HEALTHCARE,,456.72,88,percent of total billed charges,456.72,112.74,519,percent of total billed charges,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,AETNA,AETNA,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,BEECH STREET,BEECH STREET,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,MEDICAID,MEDICAID,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,NOVA NET,NOVA NET,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,SELFPAY,SELFPAY,,519,,fee schedule,519,112.74,519,fee schedule,
CV DEVICE INJECTION,36598,CPT,both,,,519,519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,519,,fee schedule,519,112.74,519,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AMERIGROUP,AMERIGROUP,,22.87,,fee schedule,22.87,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,23.3,,fee schedule,23.3,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,21.78,,fee schedule,21.78,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,TRICARE,TRICARE,,116.11,,fee schedule,116.11,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,21.78,191.58,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,21.78,191.58,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,21.78,191.58,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AMERIGROUP,AMERIGROUP,,22.87,,fee schedule,22.87,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,23.3,,fee schedule,23.3,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,21.78,,fee schedule,21.78,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,TRICARE,TRICARE,,116.11,,fee schedule,116.11,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,21.78,191.58,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,21.78,191.58,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,21.78,191.58,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL PUNCTURE,36600,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,21.78,191.58,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,AMERIGROUP,AMERIGROUP,,56.28,,fee schedule,56.28,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,57.35,,fee schedule,57.35,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,53.6,,fee schedule,53.6,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,AETNA,AETNA,,187.92,87,percent of total billed charges,187.92,53.6,216,percent of total billed charges,
ARTERIAL CATH,36620,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.92,87,percent of total billed charges,187.92,53.6,216,percent of total billed charges,
ARTERIAL CATH,36620,CPT,both,,,216,216,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.08,88,percent of total billed charges,190.08,53.6,216,percent of total billed charges,
ARTERIAL CATH,36620,CPT,both,,,216,216,AETNA,AETNA,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,ALLIANT,ALLIANT,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,AMBETTER,AMBETTER,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,BEECH STREET,BEECH STREET,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,MEDICAID,MEDICAID,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,MEDICARE,MEDICARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,NOVA NET,NOVA NET,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,SELFPAY,SELFPAY,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,TRICARE,TRICARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,UHC MEDICARE,UHC MEDICARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,AMERIGROUP,AMERIGROUP,,56.28,,fee schedule,56.28,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,57.35,,fee schedule,57.35,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,53.6,,fee schedule,53.6,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,AETNA,AETNA,,187.92,87,percent of total billed charges,187.92,53.6,216,percent of total billed charges,
ARTERIAL CATH,36620,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.92,87,percent of total billed charges,187.92,53.6,216,percent of total billed charges,
ARTERIAL CATH,36620,CPT,both,,,216,216,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.08,88,percent of total billed charges,190.08,53.6,216,percent of total billed charges,
ARTERIAL CATH,36620,CPT,both,,,216,216,AETNA,AETNA,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,ALLIANT,ALLIANT,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,AMBETTER,AMBETTER,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,BEECH STREET,BEECH STREET,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,MEDICAID,MEDICAID,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,MEDICARE,MEDICARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,NOVA NET,NOVA NET,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,SELFPAY,SELFPAY,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,TRICARE,TRICARE,,216,,fee schedule,216,53.6,216,fee schedule,
ARTERIAL CATH,36620,CPT,both,,,216,216,UHC MEDICARE,UHC MEDICARE,,216,,fee schedule,216,53.6,216,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,ALLIANT,ALLIANT,,622.99,,fee schedule,622.99,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,AMBETTER,AMBETTER,,490.84,,fee schedule,490.84,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,72.31,,fee schedule,72.31,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,73.69,,fee schedule,73.69,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,MEDICARE,MEDICARE,,377.57,,fee schedule,377.57,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,68.87,,fee schedule,68.87,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,TRICARE,TRICARE,,377.57,,fee schedule,377.57,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,377.57,,fee schedule,377.57,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,68.87,622.99,percent of total billed charges,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,68.87,622.99,percent of total billed charges,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,68.87,622.99,percent of total billed charges,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,68.87,622.99,fee schedule,
INTEROSSEOUS NEEDLE INSER,36680,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,68.87,622.99,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,AETNA,AETNA,,10998.52,87,percent of total billed charges,10998.52,10998.52,12641.98,percent of total billed charges,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10998.52,87,percent of total billed charges,10998.52,10998.52,12641.98,percent of total billed charges,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,11124.94,88,percent of total billed charges,11124.94,10998.52,12641.98,percent of total billed charges,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,AETNA,AETNA,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,ALLIANT,ALLIANT,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,AMBETTER,AMBETTER,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,BEECH STREET,BEECH STREET,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,CARESOURCE,CARESOURCE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,MEDICAID,MEDICAID,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,MEDICARE,MEDICARE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,NOVA NET,NOVA NET,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,PEACHSTATE,PEACHSTATE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,SELFPAY,SELFPAY,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,TRICARE,TRICARE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
MAJOR ESOPHAGEAL DISORDERS W CC,369,DRG,inpatient,,,12641.98,12641.98,UHC MEDICARE,UHC MEDICARE,,12641.98,,fee schedule,12641.98,10998.52,12641.98,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,AMERIGROUP,AMERIGROUP,,516.74,,fee schedule,516.74,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,CARESOURCE,CARESOURCE,,526.58,,fee schedule,526.58,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,PEACHSTATE,PEACHSTATE,,492.13,,fee schedule,492.13,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,AETNA,AETNA,,3162.45,87,percent of total billed charges,3162.45,492.13,3635,percent of total billed charges,
FISTULOGRAM,36901,CPT,both,,,3635,3635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3162.45,87,percent of total billed charges,3162.45,492.13,3635,percent of total billed charges,
FISTULOGRAM,36901,CPT,both,,,3635,3635,UNITED HEALTHCARE,UNITED HEALTHCARE,,3198.8,88,percent of total billed charges,3198.8,492.13,3635,percent of total billed charges,
FISTULOGRAM,36901,CPT,both,,,3635,3635,AETNA,AETNA,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,BEECH STREET,BEECH STREET,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,CARESOURCE,CARESOURCE,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,MEDICAID,MEDICAID,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,NOVA NET,NOVA NET,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,PEACHSTATE,PEACHSTATE,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,SELFPAY,SELFPAY,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTULOGRAM,36901,CPT,both,,,3635,3635,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3635,,fee schedule,3635,492.13,3635,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,AMERIGROUP,AMERIGROUP,,1098.87,,fee schedule,1098.87,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,CARESOURCE,CARESOURCE,,1119.8,,fee schedule,1119.8,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,PEACHSTATE,PEACHSTATE,,1046.54,,fee schedule,1046.54,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,AETNA,AETNA,,11147.31,87,percent of total billed charges,11147.31,1046.54,12813,percent of total billed charges,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11147.31,87,percent of total billed charges,11147.31,1046.54,12813,percent of total billed charges,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,UNITED HEALTHCARE,UNITED HEALTHCARE,,11275.44,88,percent of total billed charges,11275.44,1046.54,12813,percent of total billed charges,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,AETNA,AETNA,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,BEECH STREET,BEECH STREET,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,CARESOURCE,CARESOURCE,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,MEDICAID,MEDICAID,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,NOVA NET,NOVA NET,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,PEACHSTATE,PEACHSTATE,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,SELFPAY,SELFPAY,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTOLUGRAM PTA,36902,CPT,both,,,12813,12813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12813,,fee schedule,12813,1046.54,12813,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,AMERIGROUP,AMERIGROUP,,5038.64,,fee schedule,5038.64,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,CARESOURCE,CARESOURCE,,5134.61,,fee schedule,5134.61,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,PEACHSTATE,PEACHSTATE,,4798.7,,fee schedule,4798.7,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,AETNA,AETNA,,22584.33,87,percent of total billed charges,22584.33,4798.7,25959,percent of total billed charges,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22584.33,87,percent of total billed charges,22584.33,4798.7,25959,percent of total billed charges,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,UNITED HEALTHCARE,UNITED HEALTHCARE,,22843.92,88,percent of total billed charges,22843.92,4798.7,25959,percent of total billed charges,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,AETNA,AETNA,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,BEECH STREET,BEECH STREET,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,CARESOURCE,CARESOURCE,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,MEDICAID,MEDICAID,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,NOVA NET,NOVA NET,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,PEACHSTATE,PEACHSTATE,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,SELFPAY,SELFPAY,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
FISTULOGRAM STENT,36903,CPT,both,,,25959,25959,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25959,,fee schedule,25959,4798.7,25959,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,AMERIGROUP,AMERIGROUP,,1602.18,,fee schedule,1602.18,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,CARESOURCE,CARESOURCE,,1632.7,,fee schedule,1632.7,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,PEACHSTATE,PEACHSTATE,,1525.89,,fee schedule,1525.89,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,AETNA,AETNA,,11147.31,87,percent of total billed charges,11147.31,1525.89,12813,percent of total billed charges,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11147.31,87,percent of total billed charges,11147.31,1525.89,12813,percent of total billed charges,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,UNITED HEALTHCARE,UNITED HEALTHCARE,,11275.44,88,percent of total billed charges,11275.44,1525.89,12813,percent of total billed charges,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,AETNA,AETNA,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,BEECH STREET,BEECH STREET,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,CARESOURCE,CARESOURCE,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,MEDICAID,MEDICAID,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,NOVA NET,NOVA NET,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,PEACHSTATE,PEACHSTATE,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,SELFPAY,SELFPAY,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS,36904,CPT,both,,,12813,12813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12813,,fee schedule,12813,1525.89,12813,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,AMERIGROUP,AMERIGROUP,,2050.23,,fee schedule,2050.23,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,CARESOURCE,CARESOURCE,,2089.28,,fee schedule,2089.28,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,PEACHSTATE,PEACHSTATE,,1952.6,,fee schedule,1952.6,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,AETNA,AETNA,,22584.33,87,percent of total billed charges,22584.33,1952.6,25959,percent of total billed charges,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22584.33,87,percent of total billed charges,22584.33,1952.6,25959,percent of total billed charges,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,UNITED HEALTHCARE,UNITED HEALTHCARE,,22843.92,88,percent of total billed charges,22843.92,1952.6,25959,percent of total billed charges,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,AETNA,AETNA,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,BEECH STREET,BEECH STREET,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,CARESOURCE,CARESOURCE,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,MEDICAID,MEDICAID,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,NOVA NET,NOVA NET,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,PEACHSTATE,PEACHSTATE,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,SELFPAY,SELFPAY,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS PTA,36905,CPT,both,,,25959,25959,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25959,,fee schedule,25959,1952.6,25959,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,AMERIGROUP,AMERIGROUP,,6110.04,,fee schedule,6110.04,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,CARESOURCE,CARESOURCE,,6226.43,,fee schedule,6226.43,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,PEACHSTATE,PEACHSTATE,,5819.09,,fee schedule,5819.09,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,AETNA,AETNA,,36125.01,87,percent of total billed charges,36125.01,5819.09,41523,percent of total billed charges,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36125.01,87,percent of total billed charges,36125.01,5819.09,41523,percent of total billed charges,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,UNITED HEALTHCARE,UNITED HEALTHCARE,,36540.24,88,percent of total billed charges,36540.24,5819.09,41523,percent of total billed charges,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,AETNA,AETNA,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,BEECH STREET,BEECH STREET,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,CARESOURCE,CARESOURCE,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,MEDICAID,MEDICAID,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,NOVA NET,NOVA NET,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,PEACHSTATE,PEACHSTATE,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,SELFPAY,SELFPAY,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
THROMBOLYSIS STENT,36906,CPT,both,,,41523,41523,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41523,,fee schedule,41523,5819.09,41523,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,AETNA,AETNA,,30795.64,87,percent of total billed charges,30795.64,30795.64,35397.29,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30795.64,87,percent of total billed charges,30795.64,30795.64,35397.29,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31149.62,88,percent of total billed charges,31149.62,30795.64,35397.29,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,AETNA,AETNA,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,ALLIANT,ALLIANT,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,AMBETTER,AMBETTER,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,BEECH STREET,BEECH STREET,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,CARESOURCE,CARESOURCE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,MEDICAID,MEDICAID,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,MEDICARE,MEDICARE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,NOVA NET,NOVA NET,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,PEACHSTATE,PEACHSTATE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,SELFPAY,SELFPAY,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,TRICARE,TRICARE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,371,DRG,inpatient,,,35397.29,35397.29,UHC MEDICARE,UHC MEDICARE,,35397.29,,fee schedule,35397.29,30795.64,35397.29,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,AMERIGROUP,AMERIGROUP,,2949.8,,fee schedule,2949.8,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,CARESOURCE,CARESOURCE,,3005.98,,fee schedule,3005.98,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,PEACHSTATE,PEACHSTATE,,2809.33,,fee schedule,2809.33,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,AETNA,AETNA,,22769.64,87,percent of total billed charges,22769.64,2809.33,26172,percent of total billed charges,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22769.64,87,percent of total billed charges,22769.64,2809.33,26172,percent of total billed charges,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,UNITED HEALTHCARE,UNITED HEALTHCARE,,23031.36,88,percent of total billed charges,23031.36,2809.33,26172,percent of total billed charges,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,AETNA,AETNA,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,BEECH STREET,BEECH STREET,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,CARESOURCE,CARESOURCE,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,MEDICAID,MEDICAID,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,NOVA NET,NOVA NET,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,PEACHSTATE,PEACHSTATE,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,SELFPAY,SELFPAY,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE INIT VESSEL,37184,CPT,both,,,26172,26172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26172,,fee schedule,26172,2809.33,26172,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,AMERIGROUP,AMERIGROUP,,960.23,,fee schedule,960.23,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,978.52,,fee schedule,978.52,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,914.5,,fee schedule,914.5,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,AETNA,AETNA,,1426.8,87,percent of total billed charges,1426.8,914.5,1640,percent of total billed charges,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426.8,87,percent of total billed charges,1426.8,914.5,1640,percent of total billed charges,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,UNITED HEALTHCARE,UNITED HEALTHCARE,,1443.2,88,percent of total billed charges,1443.2,914.5,1640,percent of total billed charges,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,AETNA,AETNA,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,ALLIANT,ALLIANT,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,AMBETTER,AMBETTER,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,BEECH STREET,BEECH STREET,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,MEDICAID,MEDICAID,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,MEDICARE,MEDICARE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,NOVA NET,NOVA NET,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,SELFPAY,SELFPAY,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,TRICARE,TRICARE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECT; PE ADDL VESSEL,37185,CPT,both,,,1640,1640,UHC MEDICARE,UHC MEDICARE,,1640,,fee schedule,1640,914.5,1640,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,AMERIGROUP,AMERIGROUP,,2871.31,,fee schedule,2871.31,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,CARESOURCE,CARESOURCE,,2926,,fee schedule,2926,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,PEACHSTATE,PEACHSTATE,,2734.58,,fee schedule,2734.58,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,AETNA,AETNA,,22769.64,87,percent of total billed charges,22769.64,2734.58,26172,percent of total billed charges,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22769.64,87,percent of total billed charges,22769.64,2734.58,26172,percent of total billed charges,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,UNITED HEALTHCARE,UNITED HEALTHCARE,,23031.36,88,percent of total billed charges,23031.36,2734.58,26172,percent of total billed charges,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,AETNA,AETNA,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,BEECH STREET,BEECH STREET,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,CARESOURCE,CARESOURCE,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,MEDICAID,MEDICAID,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,NOVA NET,NOVA NET,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,PEACHSTATE,PEACHSTATE,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,SELFPAY,SELFPAY,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMBECTOMY; VEINS,37187,CPT,both,,,26172,26172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26172,,fee schedule,26172,2734.58,26172,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,AMERIGROUP,AMERIGROUP,,2373.08,,fee schedule,2373.08,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,2418.29,,fee schedule,2418.29,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,2260.08,,fee schedule,2260.08,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,AETNA,AETNA,,6488.46,87,percent of total billed charges,6488.46,2260.08,7458,percent of total billed charges,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6488.46,87,percent of total billed charges,6488.46,2260.08,7458,percent of total billed charges,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,UNITED HEALTHCARE,UNITED HEALTHCARE,,6563.04,88,percent of total billed charges,6563.04,2260.08,7458,percent of total billed charges,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,AETNA,AETNA,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,BEECH STREET,BEECH STREET,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,MEDICAID,MEDICAID,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,NOVA NET,NOVA NET,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,SELFPAY,SELFPAY,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
MECH THROMB; RPT TXT SAME DAY,37188,CPT,both,,,7458,7458,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7458,,fee schedule,7458,2260.08,7458,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,AMERIGROUP,AMERIGROUP,,2408.07,,fee schedule,2408.07,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,CARESOURCE,CARESOURCE,,2453.94,,fee schedule,2453.94,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,PEACHSTATE,PEACHSTATE,,2293.4,,fee schedule,2293.4,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,AETNA,AETNA,,3052.83,87,percent of total billed charges,3052.83,2293.4,8480.6,percent of total billed charges,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3052.83,87,percent of total billed charges,3052.83,2293.4,8480.6,percent of total billed charges,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,UNITED HEALTHCARE,UNITED HEALTHCARE,,3087.92,88,percent of total billed charges,3087.92,2293.4,8480.6,percent of total billed charges,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,AETNA,AETNA,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,BEECH STREET,BEECH STREET,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,CARESOURCE,CARESOURCE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,MEDICAID,MEDICAID,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,NOVA NET,NOVA NET,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,PEACHSTATE,PEACHSTATE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,SELFPAY,SELFPAY,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
INJ IVC FILTER,37191,CPT,both,,,3509,3509,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,AMERIGROUP,AMERIGROUP,,2408.07,,fee schedule,2408.07,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,CARESOURCE,CARESOURCE,,2453.94,,fee schedule,2453.94,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,PEACHSTATE,PEACHSTATE,,2293.4,,fee schedule,2293.4,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,AETNA,AETNA,,3052.83,87,percent of total billed charges,3052.83,2293.4,8480.6,percent of total billed charges,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3052.83,87,percent of total billed charges,3052.83,2293.4,8480.6,percent of total billed charges,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,UNITED HEALTHCARE,UNITED HEALTHCARE,,3087.92,88,percent of total billed charges,3087.92,2293.4,8480.6,percent of total billed charges,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,AETNA,AETNA,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,BEECH STREET,BEECH STREET,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,CARESOURCE,CARESOURCE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,MEDICAID,MEDICAID,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,NOVA NET,NOVA NET,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,PEACHSTATE,PEACHSTATE,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,SELFPAY,SELFPAY,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,3509,3509,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3509,,fee schedule,3509,2293.4,8480.6,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,AMERIGROUP,AMERIGROUP,,2408.07,,fee schedule,2408.07,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,CARESOURCE,CARESOURCE,,2453.94,,fee schedule,2453.94,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,PEACHSTATE,PEACHSTATE,,2293.4,,fee schedule,2293.4,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,AETNA,AETNA,,10727.97,87,percent of total billed charges,10727.97,2293.4,12331,percent of total billed charges,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10727.97,87,percent of total billed charges,10727.97,2293.4,12331,percent of total billed charges,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,UNITED HEALTHCARE,UNITED HEALTHCARE,,10851.28,88,percent of total billed charges,10851.28,2293.4,12331,percent of total billed charges,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,AETNA,AETNA,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,BEECH STREET,BEECH STREET,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,CARESOURCE,CARESOURCE,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,MEDICAID,MEDICAID,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,NOVA NET,NOVA NET,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,PEACHSTATE,PEACHSTATE,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,SELFPAY,SELFPAY,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
IVC FILTER PLACEMENT,37191,CPT,both,,,12331,12331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12331,,fee schedule,12331,2293.4,12331,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,AMERIGROUP,AMERIGROUP,,1425.73,,fee schedule,1425.73,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,CARESOURCE,CARESOURCE,,1452.89,,fee schedule,1452.89,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,PEACHSTATE,PEACHSTATE,,1357.84,,fee schedule,1357.84,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,AETNA,AETNA,,6232.68,87,percent of total billed charges,6232.68,1357.84,7164,percent of total billed charges,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6232.68,87,percent of total billed charges,6232.68,1357.84,7164,percent of total billed charges,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,UNITED HEALTHCARE,UNITED HEALTHCARE,,6304.32,88,percent of total billed charges,6304.32,1357.84,7164,percent of total billed charges,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,AETNA,AETNA,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,BEECH STREET,BEECH STREET,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,CARESOURCE,CARESOURCE,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,MEDICAID,MEDICAID,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,NOVA NET,NOVA NET,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,PEACHSTATE,PEACHSTATE,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,SELFPAY,SELFPAY,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
REMOVE INTRVAS FOREIGN BODY,37197,CPT,both,,,7164,7164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7164,,fee schedule,7164,1357.84,7164,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,AETNA,AETNA,,24854.86,87,percent of total billed charges,24854.86,24854.86,28568.8,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24854.86,87,percent of total billed charges,24854.86,24854.86,28568.8,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,UNITED HEALTHCARE,UNITED HEALTHCARE,,25140.54,88,percent of total billed charges,25140.54,24854.86,28568.8,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,AETNA,AETNA,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,ALLIANT,ALLIANT,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,AMBETTER,AMBETTER,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,BEECH STREET,BEECH STREET,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,CARESOURCE,CARESOURCE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,MEDICAID,MEDICAID,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,MEDICARE,MEDICARE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,NOVA NET,NOVA NET,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,PEACHSTATE,PEACHSTATE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,SELFPAY,SELFPAY,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,TRICARE,TRICARE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,372,DRG,inpatient,,,28568.8,28568.8,UHC MEDICARE,UHC MEDICARE,,28568.8,,fee schedule,28568.8,24854.86,28568.8,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,AMERIGROUP,AMERIGROUP,,2829.98,,fee schedule,2829.98,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,CARESOURCE,CARESOURCE,,2883.89,,fee schedule,2883.89,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,PEACHSTATE,PEACHSTATE,,2695.22,,fee schedule,2695.22,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,AETNA,AETNA,,12802.05,87,percent of total billed charges,12802.05,2695.22,14715,percent of total billed charges,
ILIAC PTA,37220,CPT,both,,,14715,14715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12802.05,87,percent of total billed charges,12802.05,2695.22,14715,percent of total billed charges,
ILIAC PTA,37220,CPT,both,,,14715,14715,UNITED HEALTHCARE,UNITED HEALTHCARE,,12949.2,88,percent of total billed charges,12949.2,2695.22,14715,percent of total billed charges,
ILIAC PTA,37220,CPT,both,,,14715,14715,AETNA,AETNA,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,BEECH STREET,BEECH STREET,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,CARESOURCE,CARESOURCE,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,MEDICAID,MEDICAID,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,NOVA NET,NOVA NET,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,PEACHSTATE,PEACHSTATE,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,SELFPAY,SELFPAY,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
ILIAC PTA,37220,CPT,both,,,14715,14715,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14715,,fee schedule,14715,2695.22,14715,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,AMERIGROUP,AMERIGROUP,,2829.98,,fee schedule,2829.98,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,2883.89,,fee schedule,2883.89,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,2695.22,,fee schedule,2695.22,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,AETNA,AETNA,,1558.17,87,percent of total billed charges,1558.17,1558.17,8605.41,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1558.17,87,percent of total billed charges,1558.17,1558.17,8605.41,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,UNITED HEALTHCARE,UNITED HEALTHCARE,,1576.08,88,percent of total billed charges,1576.08,1558.17,8605.41,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,AETNA,AETNA,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,BEECH STREET,BEECH STREET,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,MEDICAID,MEDICAID,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,NOVA NET,NOVA NET,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,SELFPAY,SELFPAY,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37220,CPT,both,,,1791,1791,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,AMERIGROUP,AMERIGROUP,,4183.48,,fee schedule,4183.48,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,4263.17,,fee schedule,4263.17,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,3984.27,,fee schedule,3984.27,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,AETNA,AETNA,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1900.8,88,percent of total billed charges,1900.8,1879.2,17515.26,percent of total billed charges,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,AETNA,AETNA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,BEECH STREET,BEECH STREET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,MEDICAID,MEDICAID,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,NOVA NET,NOVA NET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,SELFPAY,SELFPAY,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
1ST ILIAC STENT WITH ANGI,37221,CPT,both,,,2160,2160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,AMERIGROUP,AMERIGROUP,,4183.48,,fee schedule,4183.48,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,4263.17,,fee schedule,4263.17,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,3984.27,,fee schedule,3984.27,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,AETNA,AETNA,,25569.3,87,percent of total billed charges,25569.3,3984.27,29390,percent of total billed charges,
ILIAC STENT,37221,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25569.3,87,percent of total billed charges,25569.3,3984.27,29390,percent of total billed charges,
ILIAC STENT,37221,CPT,both,,,29390,29390,UNITED HEALTHCARE,UNITED HEALTHCARE,,25863.2,88,percent of total billed charges,25863.2,3984.27,29390,percent of total billed charges,
ILIAC STENT,37221,CPT,both,,,29390,29390,AETNA,AETNA,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,BEECH STREET,BEECH STREET,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,MEDICAID,MEDICAID,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,NOVA NET,NOVA NET,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,SELFPAY,SELFPAY,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
ILIAC STENT,37221,CPT,both,,,29390,29390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29390,,fee schedule,29390,3984.27,29390,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,AMERIGROUP,AMERIGROUP,,815.13,,fee schedule,815.13,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,830.65,,fee schedule,830.65,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,776.31,,fee schedule,776.31,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,AETNA,AETNA,,1558.17,87,percent of total billed charges,1558.17,776.31,1791,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1558.17,87,percent of total billed charges,1558.17,776.31,1791,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,UNITED HEALTHCARE,UNITED HEALTHCARE,,1576.08,88,percent of total billed charges,1576.08,776.31,1791,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,AETNA,AETNA,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,ALLIANT,ALLIANT,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,AMBETTER,AMBETTER,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,BEECH STREET,BEECH STREET,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,MEDICAID,MEDICAID,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,MEDICARE,MEDICARE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,NOVA NET,NOVA NET,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,SELFPAY,SELFPAY,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,TRICARE,TRICARE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37222,CPT,both,,,1791,1791,UHC MEDICARE,UHC MEDICARE,,1791,,fee schedule,1791,776.31,1791,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,AMERIGROUP,AMERIGROUP,,2304.6,,fee schedule,2304.6,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2348.5,,fee schedule,2348.5,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2194.86,,fee schedule,2194.86,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,AETNA,AETNA,,1879.2,87,percent of total billed charges,1879.2,1879.2,2348.5,percent of total billed charges,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1879.2,87,percent of total billed charges,1879.2,1879.2,2348.5,percent of total billed charges,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1900.8,88,percent of total billed charges,1900.8,1879.2,2348.5,percent of total billed charges,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,AETNA,AETNA,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,ALLIANT,ALLIANT,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,AMBETTER,AMBETTER,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,BEECH STREET,BEECH STREET,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,MEDICAID,MEDICAID,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,MEDICARE,MEDICARE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,NOVA NET,NOVA NET,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,SELFPAY,SELFPAY,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,TRICARE,TRICARE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
2ND ILIAC STENT W/ ANGIOP,37223,CPT,both,,,2160,2160,UHC MEDICARE,UHC MEDICARE,,2160,,fee schedule,2160,1879.2,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,AMERIGROUP,AMERIGROUP,,2304.6,,fee schedule,2304.6,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,CARESOURCE,CARESOURCE,,2348.5,,fee schedule,2348.5,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,PEACHSTATE,PEACHSTATE,,2194.86,,fee schedule,2194.86,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,AETNA,AETNA,,1593.84,87,percent of total billed charges,1593.84,1593.84,2348.5,percent of total billed charges,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1593.84,87,percent of total billed charges,1593.84,1593.84,2348.5,percent of total billed charges,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,UNITED HEALTHCARE,UNITED HEALTHCARE,,1612.16,88,percent of total billed charges,1612.16,1593.84,2348.5,percent of total billed charges,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,AETNA,AETNA,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,ALLIANT,ALLIANT,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,AMBETTER,AMBETTER,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,BEECH STREET,BEECH STREET,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,CARESOURCE,CARESOURCE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,MEDICAID,MEDICAID,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,MEDICARE,MEDICARE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,NOVA NET,NOVA NET,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,PEACHSTATE,PEACHSTATE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,SELFPAY,SELFPAY,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,TRICARE,TRICARE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
ILIAC REVASC W/STENT ADD-ON,37223,CPT,both,,,1832,1832,UHC MEDICARE,UHC MEDICARE,,1832,,fee schedule,1832,1593.84,2348.5,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,AMERIGROUP,AMERIGROUP,,2304.6,,fee schedule,2304.6,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,CARESOURCE,CARESOURCE,,2348.5,,fee schedule,2348.5,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,PEACHSTATE,PEACHSTATE,,2194.86,,fee schedule,2194.86,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,AETNA,AETNA,,36881.04,87,percent of total billed charges,36881.04,2194.86,42392,percent of total billed charges,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36881.04,87,percent of total billed charges,36881.04,2194.86,42392,percent of total billed charges,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,UNITED HEALTHCARE,UNITED HEALTHCARE,,37304.96,88,percent of total billed charges,37304.96,2194.86,42392,percent of total billed charges,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,AETNA,AETNA,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,ALLIANT,ALLIANT,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,AMBETTER,AMBETTER,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,BEECH STREET,BEECH STREET,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,CARESOURCE,CARESOURCE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,MEDICAID,MEDICAID,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,MEDICARE,MEDICARE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,NOVA NET,NOVA NET,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,PEACHSTATE,PEACHSTATE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,SELFPAY,SELFPAY,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,TRICARE,TRICARE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
TIB/PER REVASC W/ATHER ADD ON,37223,CPT,both,,,42392,42392,UHC MEDICARE,UHC MEDICARE,,42392,,fee schedule,42392,2194.86,42392,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,AMERIGROUP,AMERIGROUP,,3400.6,,fee schedule,3400.6,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,CARESOURCE,CARESOURCE,,3465.38,,fee schedule,3465.38,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,PEACHSTATE,PEACHSTATE,,3238.67,,fee schedule,3238.67,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,AETNA,AETNA,,12802.05,87,percent of total billed charges,12802.05,3238.67,14715,percent of total billed charges,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12802.05,87,percent of total billed charges,12802.05,3238.67,14715,percent of total billed charges,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,UNITED HEALTHCARE,UNITED HEALTHCARE,,12949.2,88,percent of total billed charges,12949.2,3238.67,14715,percent of total billed charges,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,AETNA,AETNA,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,BEECH STREET,BEECH STREET,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,CARESOURCE,CARESOURCE,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,MEDICAID,MEDICAID,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,NOVA NET,NOVA NET,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,PEACHSTATE,PEACHSTATE,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,SELFPAY,SELFPAY,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
FEMORAL/POPLITEAL  PTA,37224,CPT,both,,,14715,14715,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14715,,fee schedule,14715,3238.67,14715,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,AMERIGROUP,AMERIGROUP,,3400.6,,fee schedule,3400.6,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,3465.38,,fee schedule,3465.38,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,3238.67,,fee schedule,3238.67,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,AETNA,AETNA,,1558.17,87,percent of total billed charges,1558.17,1558.17,8605.41,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1558.17,87,percent of total billed charges,1558.17,1558.17,8605.41,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,UNITED HEALTHCARE,UNITED HEALTHCARE,,1576.08,88,percent of total billed charges,1576.08,1558.17,8605.41,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,AETNA,AETNA,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,BEECH STREET,BEECH STREET,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,MEDICAID,MEDICAID,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,NOVA NET,NOVA NET,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,SELFPAY,SELFPAY,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37224,CPT,both,,,1791,1791,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1791,,fee schedule,1791,1558.17,8605.41,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,AMERIGROUP,AMERIGROUP,,9609.31,,fee schedule,9609.31,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,9792.34,,fee schedule,9792.34,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,9151.72,,fee schedule,9151.72,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,AETNA,AETNA,,25569.3,87,percent of total billed charges,25569.3,9151.72,29390,percent of total billed charges,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25569.3,87,percent of total billed charges,25569.3,9151.72,29390,percent of total billed charges,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,UNITED HEALTHCARE,UNITED HEALTHCARE,,25863.2,88,percent of total billed charges,25863.2,9151.72,29390,percent of total billed charges,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,AETNA,AETNA,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,BEECH STREET,BEECH STREET,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,MEDICAID,MEDICAID,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,NOVA NET,NOVA NET,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,SELFPAY,SELFPAY,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL ATHERECTOMY,37225,CPT,both,,,29390,29390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29390,,fee schedule,29390,9151.72,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,AMERIGROUP,AMERIGROUP,,8046.09,,fee schedule,8046.09,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,8199.35,,fee schedule,8199.35,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,7662.94,,fee schedule,7662.94,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,AETNA,AETNA,,25569.3,87,percent of total billed charges,25569.3,7662.94,29390,percent of total billed charges,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25569.3,87,percent of total billed charges,25569.3,7662.94,29390,percent of total billed charges,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,UNITED HEALTHCARE,UNITED HEALTHCARE,,25863.2,88,percent of total billed charges,25863.2,7662.94,29390,percent of total billed charges,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,AETNA,AETNA,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,BEECH STREET,BEECH STREET,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,MEDICAID,MEDICAID,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,NOVA NET,NOVA NET,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,SELFPAY,SELFPAY,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
FEMORAL/POPLITEAL STENT,37226,CPT,both,,,29390,29390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29390,,fee schedule,29390,7662.94,29390,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AMERIGROUP,AMERIGROUP,,8046.09,,fee schedule,8046.09,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,8199.35,,fee schedule,8199.35,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,7662.94,,fee schedule,7662.94,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AETNA,AETNA,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1900.8,88,percent of total billed charges,1900.8,1879.2,17515.26,percent of total billed charges,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AETNA,AETNA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,BEECH STREET,BEECH STREET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,MEDICAID,MEDICAID,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,NOVA NET,NOVA NET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,SELFPAY,SELFPAY,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
LT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AMERIGROUP,AMERIGROUP,,8046.09,,fee schedule,8046.09,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,8199.35,,fee schedule,8199.35,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,7662.94,,fee schedule,7662.94,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AETNA,AETNA,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1900.8,88,percent of total billed charges,1900.8,1879.2,17515.26,percent of total billed charges,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,AETNA,AETNA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,BEECH STREET,BEECH STREET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,MEDICAID,MEDICAID,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,NOVA NET,NOVA NET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,SELFPAY,SELFPAY,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
RT FEMORAL STENT W/ ANGIO,37226,CPT,both,,,2160,2160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,AMERIGROUP,AMERIGROUP,,12992.22,,fee schedule,12992.22,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,13239.69,,fee schedule,13239.69,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,12373.54,,fee schedule,12373.54,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,AETNA,AETNA,,38604.51,87,percent of total billed charges,38604.51,12373.54,44373,percent of total billed charges,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38604.51,87,percent of total billed charges,38604.51,12373.54,44373,percent of total billed charges,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,UNITED HEALTHCARE,UNITED HEALTHCARE,,39048.24,88,percent of total billed charges,39048.24,12373.54,44373,percent of total billed charges,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,AETNA,AETNA,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,BEECH STREET,BEECH STREET,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,MEDICAID,MEDICAID,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,NOVA NET,NOVA NET,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,SELFPAY,SELFPAY,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
FEMOR/POPLITEAL STENT W/ATHER,37227,CPT,both,,,44373,44373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,44373,,fee schedule,44373,12373.54,44373,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,AMERIGROUP,AMERIGROUP,,4841.71,,fee schedule,4841.71,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,CARESOURCE,CARESOURCE,,4933.93,,fee schedule,4933.93,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,PEACHSTATE,PEACHSTATE,,4611.15,,fee schedule,4611.15,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,AETNA,AETNA,,4230.81,87,percent of total billed charges,4230.81,4230.81,17515.26,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4230.81,87,percent of total billed charges,4230.81,4230.81,17515.26,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,UNITED HEALTHCARE,UNITED HEALTHCARE,,4279.44,88,percent of total billed charges,4279.44,4230.81,17515.26,percent of total billed charges,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,AETNA,AETNA,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,BEECH STREET,BEECH STREET,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,CARESOURCE,CARESOURCE,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,MEDICAID,MEDICAID,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,NOVA NET,NOVA NET,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,PEACHSTATE,PEACHSTATE,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,SELFPAY,SELFPAY,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 1ST,37228,CPT,both,,,4863,4863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4863,,fee schedule,4863,4230.81,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,AMERIGROUP,AMERIGROUP,,4841.71,,fee schedule,4841.71,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,4933.93,,fee schedule,4933.93,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,4611.15,,fee schedule,4611.15,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,AETNA,AETNA,,1558.17,87,percent of total billed charges,1558.17,1558.17,17515.26,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1558.17,87,percent of total billed charges,1558.17,1558.17,17515.26,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,UNITED HEALTHCARE,UNITED HEALTHCARE,,1576.08,88,percent of total billed charges,1576.08,1558.17,17515.26,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,AETNA,AETNA,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,BEECH STREET,BEECH STREET,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,CARESOURCE,CARESOURCE,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,MEDICAID,MEDICAID,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,NOVA NET,NOVA NET,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,PEACHSTATE,PEACHSTATE,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,SELFPAY,SELFPAY,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37228,CPT,both,,,1791,1791,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1791,,fee schedule,1791,1558.17,17515.26,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,AMERIGROUP,AMERIGROUP,,4841.71,,fee schedule,4841.71,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,4933.93,,fee schedule,4933.93,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,4611.15,,fee schedule,4611.15,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,AETNA,AETNA,,25569.3,87,percent of total billed charges,25569.3,4611.15,29390,percent of total billed charges,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25569.3,87,percent of total billed charges,25569.3,4611.15,29390,percent of total billed charges,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,UNITED HEALTHCARE,UNITED HEALTHCARE,,25863.2,88,percent of total billed charges,25863.2,4611.15,29390,percent of total billed charges,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,AETNA,AETNA,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,BEECH STREET,BEECH STREET,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,MEDICAID,MEDICAID,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,NOVA NET,NOVA NET,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,SELFPAY,SELFPAY,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL PTA,37228,CPT,both,,,29390,29390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29390,,fee schedule,29390,4611.15,29390,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,AMERIGROUP,AMERIGROUP,,9525.66,,fee schedule,9525.66,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,9707.1,,fee schedule,9707.1,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,9072.06,,fee schedule,9072.06,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,AETNA,AETNA,,38604.51,87,percent of total billed charges,38604.51,9072.06,44373,percent of total billed charges,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38604.51,87,percent of total billed charges,38604.51,9072.06,44373,percent of total billed charges,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,UNITED HEALTHCARE,UNITED HEALTHCARE,,39048.24,88,percent of total billed charges,39048.24,9072.06,44373,percent of total billed charges,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,AETNA,AETNA,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,BEECH STREET,BEECH STREET,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,MEDICAID,MEDICAID,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,NOVA NET,NOVA NET,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,SELFPAY,SELFPAY,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL ATHERECTOMY,37229,CPT,both,,,44373,44373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,44373,,fee schedule,44373,9072.06,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,AMERIGROUP,AMERIGROUP,,7483.1,,fee schedule,7483.1,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,7625.63,,fee schedule,7625.63,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,7126.76,,fee schedule,7126.76,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,AETNA,AETNA,,38604.51,87,percent of total billed charges,38604.51,7126.76,44373,percent of total billed charges,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38604.51,87,percent of total billed charges,38604.51,7126.76,44373,percent of total billed charges,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,UNITED HEALTHCARE,UNITED HEALTHCARE,,39048.24,88,percent of total billed charges,39048.24,7126.76,44373,percent of total billed charges,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,AETNA,AETNA,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,BEECH STREET,BEECH STREET,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,MEDICAID,MEDICAID,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,NOVA NET,NOVA NET,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,SELFPAY,SELFPAY,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT,37230,CPT,both,,,44373,44373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,44373,,fee schedule,44373,7126.76,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,AMERIGROUP,AMERIGROUP,,12011.42,,fee schedule,12011.42,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,12240.21,,fee schedule,12240.21,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,11439.45,,fee schedule,11439.45,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,AETNA,AETNA,,38604.51,87,percent of total billed charges,38604.51,11439.45,44373,percent of total billed charges,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38604.51,87,percent of total billed charges,38604.51,11439.45,44373,percent of total billed charges,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,UNITED HEALTHCARE,UNITED HEALTHCARE,,39048.24,88,percent of total billed charges,39048.24,11439.45,44373,percent of total billed charges,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,AETNA,AETNA,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,BEECH STREET,BEECH STREET,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,CARESOURCE,CARESOURCE,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,MEDICAID,MEDICAID,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,NOVA NET,NOVA NET,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,PEACHSTATE,PEACHSTATE,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,SELFPAY,SELFPAY,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
TIBIAL/PERONEAL STENT W/ATHER,37231,CPT,both,,,44373,44373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,44373,,fee schedule,44373,11439.45,44373,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,AMERIGROUP,AMERIGROUP,,1086.5,,fee schedule,1086.5,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,CARESOURCE,CARESOURCE,,1107.19,,fee schedule,1107.19,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,PEACHSTATE,PEACHSTATE,,1034.76,,fee schedule,1034.76,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,AETNA,AETNA,,4230.81,87,percent of total billed charges,4230.81,1034.76,4863,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4230.81,87,percent of total billed charges,4230.81,1034.76,4863,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,UNITED HEALTHCARE,UNITED HEALTHCARE,,4279.44,88,percent of total billed charges,4279.44,1034.76,4863,percent of total billed charges,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,AETNA,AETNA,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,ALLIANT,ALLIANT,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,AMBETTER,AMBETTER,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,BEECH STREET,BEECH STREET,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,CARESOURCE,CARESOURCE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,MEDICAID,MEDICAID,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,MEDICARE,MEDICARE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,NOVA NET,NOVA NET,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,PEACHSTATE,PEACHSTATE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,SELFPAY,SELFPAY,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,TRICARE,TRICARE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
INJ BALLOON ANGIOPLAS 2ND,37232,CPT,both,,,4863,4863,UHC MEDICARE,UHC MEDICARE,,4863,,fee schedule,4863,1034.76,4863,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,AMERIGROUP,AMERIGROUP,,1086.5,,fee schedule,1086.5,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,1107.19,,fee schedule,1107.19,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,1034.76,,fee schedule,1034.76,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,AETNA,AETNA,,570.72,87,percent of total billed charges,570.72,570.72,1107.19,percent of total billed charges,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570.72,87,percent of total billed charges,570.72,570.72,1107.19,percent of total billed charges,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,UNITED HEALTHCARE,UNITED HEALTHCARE,,577.28,88,percent of total billed charges,577.28,570.72,1107.19,percent of total billed charges,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,AETNA,AETNA,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,ALLIANT,ALLIANT,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,AMBETTER,AMBETTER,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,BEECH STREET,BEECH STREET,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,MEDICAID,MEDICAID,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,MEDICARE,MEDICARE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,NOVA NET,NOVA NET,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,SELFPAY,SELFPAY,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,TRICARE,TRICARE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
TIB/PER REVASC ADD-ON,37232,CPT,both,,,656,656,UHC MEDICARE,UHC MEDICARE,,656,,fee schedule,656,570.72,1107.19,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,AMERIGROUP,AMERIGROUP,,1326.69,,fee schedule,1326.69,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,CARESOURCE,CARESOURCE,,1351.96,,fee schedule,1351.96,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,PEACHSTATE,PEACHSTATE,,1263.51,,fee schedule,1263.51,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,AETNA,AETNA,,859.56,87,percent of total billed charges,859.56,859.56,1351.96,percent of total billed charges,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,859.56,87,percent of total billed charges,859.56,859.56,1351.96,percent of total billed charges,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,UNITED HEALTHCARE,UNITED HEALTHCARE,,869.44,88,percent of total billed charges,869.44,859.56,1351.96,percent of total billed charges,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,AETNA,AETNA,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,ALLIANT,ALLIANT,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,AMBETTER,AMBETTER,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,BEECH STREET,BEECH STREET,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,CARESOURCE,CARESOURCE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,MEDICAID,MEDICAID,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,MEDICARE,MEDICARE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,NOVA NET,NOVA NET,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,PEACHSTATE,PEACHSTATE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,SELFPAY,SELFPAY,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,TRICARE,TRICARE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
ADD-ON TIB/PER ATHERECT,37233,CPT,both,,,988,988,UHC MEDICARE,UHC MEDICARE,,988,,fee schedule,988,859.56,1351.96,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,AMERIGROUP,AMERIGROUP,,3464.49,,fee schedule,3464.49,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,CARESOURCE,CARESOURCE,,3530.48,,fee schedule,3530.48,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,PEACHSTATE,PEACHSTATE,,3299.51,,fee schedule,3299.51,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,AETNA,AETNA,,1593.84,87,percent of total billed charges,1593.84,1593.84,3530.48,percent of total billed charges,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1593.84,87,percent of total billed charges,1593.84,1593.84,3530.48,percent of total billed charges,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,UNITED HEALTHCARE,UNITED HEALTHCARE,,1612.16,88,percent of total billed charges,1612.16,1593.84,3530.48,percent of total billed charges,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,AETNA,AETNA,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,ALLIANT,ALLIANT,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,AMBETTER,AMBETTER,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,BEECH STREET,BEECH STREET,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,CARESOURCE,CARESOURCE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,MEDICAID,MEDICAID,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,MEDICARE,MEDICARE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,NOVA NET,NOVA NET,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,PEACHSTATE,PEACHSTATE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,SELFPAY,SELFPAY,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,TRICARE,TRICARE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
REVSC OPN/PRQ TIB/PERO STN/ADD,37234,CPT,both,,,1832,1832,UHC MEDICARE,UHC MEDICARE,,1832,,fee schedule,1832,1593.84,3530.48,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,AMERIGROUP,AMERIGROUP,,2563.76,,fee schedule,2563.76,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2612.6,,fee schedule,2612.6,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2441.68,,fee schedule,2441.68,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,AETNA,AETNA,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1879.2,87,percent of total billed charges,1879.2,1879.2,17515.26,percent of total billed charges,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1900.8,88,percent of total billed charges,1900.8,1879.2,17515.26,percent of total billed charges,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,AETNA,AETNA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,BEECH STREET,BEECH STREET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,CARESOURCE,CARESOURCE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,MEDICAID,MEDICAID,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,NOVA NET,NOVA NET,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,PEACHSTATE,PEACHSTATE,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,SELFPAY,SELFPAY,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
INJ STENT - 1ST,37236,CPT,both,,,2160,2160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2160,,fee schedule,2160,1879.2,17515.26,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,AMERIGROUP,AMERIGROUP,,2563.76,,fee schedule,2563.76,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,2612.6,,fee schedule,2612.6,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,2441.68,,fee schedule,2441.68,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,AETNA,AETNA,,25569.3,87,percent of total billed charges,25569.3,2441.68,29390,percent of total billed charges,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25569.3,87,percent of total billed charges,25569.3,2441.68,29390,percent of total billed charges,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,UNITED HEALTHCARE,UNITED HEALTHCARE,,25863.2,88,percent of total billed charges,25863.2,2441.68,29390,percent of total billed charges,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,AETNA,AETNA,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,BEECH STREET,BEECH STREET,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,MEDICAID,MEDICAID,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,NOVA NET,NOVA NET,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,SELFPAY,SELFPAY,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
TRANSCATHETER PLACEMENT OF STE,37236,CPT,both,,,29390,29390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,AMERIGROUP,AMERIGROUP,,2563.76,,fee schedule,2563.76,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,2612.6,,fee schedule,2612.6,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,2441.68,,fee schedule,2441.68,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,AETNA,AETNA,,25569.3,87,percent of total billed charges,25569.3,2441.68,29390,percent of total billed charges,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25569.3,87,percent of total billed charges,25569.3,2441.68,29390,percent of total billed charges,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,UNITED HEALTHCARE,UNITED HEALTHCARE,,25863.2,88,percent of total billed charges,25863.2,2441.68,29390,percent of total billed charges,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,AETNA,AETNA,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,BEECH STREET,BEECH STREET,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,CARESOURCE,CARESOURCE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,MEDICAID,MEDICAID,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,NOVA NET,NOVA NET,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,PEACHSTATE,PEACHSTATE,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,SELFPAY,SELFPAY,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
VESSEL STENT PLACEMENT,37236,CPT,both,,,29390,29390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29390,,fee schedule,29390,2441.68,29390,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,AMERIGROUP,AMERIGROUP,,1113.32,,fee schedule,1113.32,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,1134.52,,fee schedule,1134.52,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,1060.3,,fee schedule,1060.3,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,AETNA,AETNA,,570.72,87,percent of total billed charges,570.72,570.72,1134.52,percent of total billed charges,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570.72,87,percent of total billed charges,570.72,570.72,1134.52,percent of total billed charges,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,UNITED HEALTHCARE,UNITED HEALTHCARE,,577.28,88,percent of total billed charges,577.28,570.72,1134.52,percent of total billed charges,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,AETNA,AETNA,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,ALLIANT,ALLIANT,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,AMBETTER,AMBETTER,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,BEECH STREET,BEECH STREET,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,MEDICAID,MEDICAID,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,MEDICARE,MEDICARE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,NOVA NET,NOVA NET,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,SELFPAY,SELFPAY,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,TRICARE,TRICARE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
OPEN/PERQ PLACE STENT ADD ART,37237,CPT,both,,,656,656,UHC MEDICARE,UHC MEDICARE,,656,,fee schedule,656,570.72,1134.52,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,AMERIGROUP,AMERIGROUP,,3753.4,,fee schedule,3753.4,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,CARESOURCE,CARESOURCE,,3824.9,,fee schedule,3824.9,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,PEACHSTATE,PEACHSTATE,,3574.67,,fee schedule,3574.67,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,AETNA,AETNA,,22769.64,87,percent of total billed charges,22769.64,3574.67,26172,percent of total billed charges,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22769.64,87,percent of total billed charges,22769.64,3574.67,26172,percent of total billed charges,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,UNITED HEALTHCARE,UNITED HEALTHCARE,,23031.36,88,percent of total billed charges,23031.36,3574.67,26172,percent of total billed charges,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,AETNA,AETNA,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,BEECH STREET,BEECH STREET,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,CARESOURCE,CARESOURCE,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,MEDICAID,MEDICAID,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,NOVA NET,NOVA NET,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,PEACHSTATE,PEACHSTATE,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,SELFPAY,SELFPAY,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
"OPEN/PERQ STENT, INITIAL VEIN",37238,CPT,both,,,26172,26172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26172,,fee schedule,26172,3574.67,26172,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,AMERIGROUP,AMERIGROUP,,8838.72,,fee schedule,8838.72,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,CARESOURCE,CARESOURCE,,9007.08,,fee schedule,9007.08,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,PEACHSTATE,PEACHSTATE,,8417.83,,fee schedule,8417.83,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,AETNA,AETNA,,22178.91,87,percent of total billed charges,22178.91,8417.83,25493,percent of total billed charges,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22178.91,87,percent of total billed charges,22178.91,8417.83,25493,percent of total billed charges,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,UNITED HEALTHCARE,UNITED HEALTHCARE,,22433.84,88,percent of total billed charges,22433.84,8417.83,25493,percent of total billed charges,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,AETNA,AETNA,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,BEECH STREET,BEECH STREET,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,CARESOURCE,CARESOURCE,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,MEDICAID,MEDICAID,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,NOVA NET,NOVA NET,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,PEACHSTATE,PEACHSTATE,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,SELFPAY,SELFPAY,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASCULAR EMBOLIZATION/OCCLUDE,37243,CPT,both,,,25493,25493,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25493,,fee schedule,25493,8417.83,25493,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,AMERIGROUP,AMERIGROUP,,6185.71,,fee schedule,6185.71,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,CARESOURCE,CARESOURCE,,6303.53,,fee schedule,6303.53,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,PEACHSTATE,PEACHSTATE,,5891.15,,fee schedule,5891.15,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,AETNA,AETNA,,9137.61,87,percent of total billed charges,9137.61,5891.15,17515.26,percent of total billed charges,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9137.61,87,percent of total billed charges,9137.61,5891.15,17515.26,percent of total billed charges,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,UNITED HEALTHCARE,UNITED HEALTHCARE,,9242.64,88,percent of total billed charges,9242.64,5891.15,17515.26,percent of total billed charges,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,AETNA,AETNA,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,BEECH STREET,BEECH STREET,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,CARESOURCE,CARESOURCE,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,MEDICAID,MEDICAID,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,NOVA NET,NOVA NET,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,PEACHSTATE,PEACHSTATE,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,SELFPAY,SELFPAY,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
VASC EMBOLIZE-OCCLUDE BLEED,37244,CPT,both,,,10503,10503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10503,,fee schedule,10503,5891.15,17515.26,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,AMERIGROUP,AMERIGROUP,,1935.23,,fee schedule,1935.23,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,CARESOURCE,CARESOURCE,,1972.1,,fee schedule,1972.1,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,PEACHSTATE,PEACHSTATE,,1843.08,,fee schedule,1843.08,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,AETNA,AETNA,,12434.91,87,percent of total billed charges,12434.91,1843.08,14293,percent of total billed charges,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12434.91,87,percent of total billed charges,12434.91,1843.08,14293,percent of total billed charges,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,UNITED HEALTHCARE,UNITED HEALTHCARE,,12577.84,88,percent of total billed charges,12577.84,1843.08,14293,percent of total billed charges,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,AETNA,AETNA,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,BEECH STREET,BEECH STREET,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,CARESOURCE,CARESOURCE,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,MEDICAID,MEDICAID,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,NOVA NET,NOVA NET,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,PEACHSTATE,PEACHSTATE,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,SELFPAY,SELFPAY,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP 1ST ART,37246,CPT,both,,,14293,14293,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14293,,fee schedule,14293,1843.08,14293,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,AMERIGROUP,AMERIGROUP,,783.07,,fee schedule,783.07,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,CARESOURCE,CARESOURCE,,797.98,,fee schedule,797.98,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,PEACHSTATE,PEACHSTATE,,745.78,,fee schedule,745.78,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,AETNA,AETNA,,468.06,87,percent of total billed charges,468.06,468.06,797.98,percent of total billed charges,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,468.06,87,percent of total billed charges,468.06,468.06,797.98,percent of total billed charges,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,UNITED HEALTHCARE,UNITED HEALTHCARE,,473.44,88,percent of total billed charges,473.44,468.06,797.98,percent of total billed charges,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,AETNA,AETNA,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,ALLIANT,ALLIANT,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,AMBETTER,AMBETTER,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,BEECH STREET,BEECH STREET,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,CARESOURCE,CARESOURCE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,MEDICAID,MEDICAID,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,MEDICARE,MEDICARE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,NOVA NET,NOVA NET,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,PEACHSTATE,PEACHSTATE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,SELFPAY,SELFPAY,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,TRICARE,TRICARE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRLUML BALO ANGIOP ADDL ART,37247,CPT,both,,,538,538,UHC MEDICARE,UHC MEDICARE,,538,,fee schedule,538,468.06,797.98,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,ALLIANT,ALLIANT,,8605.41,,fee schedule,8605.41,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,AMBETTER,AMBETTER,,6780.02,,fee schedule,6780.02,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,AMERIGROUP,AMERIGROUP,,1340.67,,fee schedule,1340.67,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,CARESOURCE,CARESOURCE,,1366.21,,fee schedule,1366.21,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,MEDICARE,MEDICARE,,5215.4,,fee schedule,5215.4,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,PEACHSTATE,PEACHSTATE,,1276.83,,fee schedule,1276.83,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,TRICARE,TRICARE,,5215.4,,fee schedule,5215.4,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,UHC MEDICARE,UHC MEDICARE,,5215.4,,fee schedule,5215.4,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,AETNA,AETNA,,11237.79,87,percent of total billed charges,11237.79,1276.83,12917,percent of total billed charges,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11237.79,87,percent of total billed charges,11237.79,1276.83,12917,percent of total billed charges,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,UNITED HEALTHCARE,UNITED HEALTHCARE,,11366.96,88,percent of total billed charges,11366.96,1276.83,12917,percent of total billed charges,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,AETNA,AETNA,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,BEECH STREET,BEECH STREET,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,CARESOURCE,CARESOURCE,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,MEDICAID,MEDICAID,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,NOVA NET,NOVA NET,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,PEACHSTATE,PEACHSTATE,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,SELFPAY,SELFPAY,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLASTY 1ST VEIN,37248,CPT,both,,,12917,12917,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12917,,fee schedule,12917,1276.83,12917,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,AMERIGROUP,AMERIGROUP,,574.55,,fee schedule,574.55,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,585.49,,fee schedule,585.49,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,547.19,,fee schedule,547.19,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,AETNA,AETNA,,1426.8,87,percent of total billed charges,1426.8,547.19,1640,percent of total billed charges,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426.8,87,percent of total billed charges,1426.8,547.19,1640,percent of total billed charges,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,UNITED HEALTHCARE,UNITED HEALTHCARE,,1443.2,88,percent of total billed charges,1443.2,547.19,1640,percent of total billed charges,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,AETNA,AETNA,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,ALLIANT,ALLIANT,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,AMBETTER,AMBETTER,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,BEECH STREET,BEECH STREET,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,MEDICAID,MEDICAID,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,MEDICARE,MEDICARE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,NOVA NET,NOVA NET,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,SELFPAY,SELFPAY,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,TRICARE,TRICARE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
TRUMI BAL ANGIOPLATY ADDL VEIN,37249,CPT,both,,,1640,1640,UHC MEDICARE,UHC MEDICARE,,1640,,fee schedule,1640,547.19,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,AMERIGROUP,AMERIGROUP,,1272.41,,fee schedule,1272.41,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1296.65,,fee schedule,1296.65,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1211.82,,fee schedule,1211.82,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,AETNA,AETNA,,1426.8,87,percent of total billed charges,1426.8,1211.82,1640,percent of total billed charges,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426.8,87,percent of total billed charges,1426.8,1211.82,1640,percent of total billed charges,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,UNITED HEALTHCARE,UNITED HEALTHCARE,,1443.2,88,percent of total billed charges,1443.2,1211.82,1640,percent of total billed charges,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,AETNA,AETNA,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,ALLIANT,ALLIANT,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,AMBETTER,AMBETTER,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,BEECH STREET,BEECH STREET,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,MEDICAID,MEDICAID,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,MEDICARE,MEDICARE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,NOVA NET,NOVA NET,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,SELFPAY,SELFPAY,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,TRICARE,TRICARE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR ULTRASOUND (US),37252,CPT,both,,,1640,1640,UHC MEDICARE,UHC MEDICARE,,1640,,fee schedule,1640,1211.82,1640,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,AMERIGROUP,AMERIGROUP,,197.09,,fee schedule,197.09,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,CARESOURCE,CARESOURCE,,200.84,,fee schedule,200.84,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,PEACHSTATE,PEACHSTATE,,187.7,,fee schedule,187.7,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,AETNA,AETNA,,475.89,87,percent of total billed charges,475.89,187.7,547,percent of total billed charges,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,475.89,87,percent of total billed charges,475.89,187.7,547,percent of total billed charges,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,UNITED HEALTHCARE,UNITED HEALTHCARE,,481.36,88,percent of total billed charges,481.36,187.7,547,percent of total billed charges,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,AETNA,AETNA,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,ALLIANT,ALLIANT,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,AMBETTER,AMBETTER,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,BEECH STREET,BEECH STREET,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,CARESOURCE,CARESOURCE,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,MEDICAID,MEDICAID,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,MEDICARE,MEDICARE,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,NOVA NET,NOVA NET,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,PEACHSTATE,PEACHSTATE,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,SELFPAY,SELFPAY,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,TRICARE,TRICARE,,547,,fee schedule,547,187.7,547,fee schedule,
INTRAVASCULAR US ADD VESSEL,37253,CPT,both,,,547,547,UHC MEDICARE,UHC MEDICARE,,547,,fee schedule,547,187.7,547,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,AETNA,AETNA,,17289.43,87,percent of total billed charges,17289.43,17289.43,19872.91,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17289.43,87,percent of total billed charges,17289.43,17289.43,19872.91,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,UNITED HEALTHCARE,UNITED HEALTHCARE,,17488.16,88,percent of total billed charges,17488.16,17289.43,19872.91,percent of total billed charges,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,AETNA,AETNA,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,ALLIANT,ALLIANT,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,AMBETTER,AMBETTER,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,BEECH STREET,BEECH STREET,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,CARESOURCE,CARESOURCE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,MEDICAID,MEDICAID,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,MEDICARE,MEDICARE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,NOVA NET,NOVA NET,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,PEACHSTATE,PEACHSTATE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,SELFPAY,SELFPAY,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,TRICARE,TRICARE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,373,DRG,inpatient,,,19872.91,19872.91,UHC MEDICARE,UHC MEDICARE,,19872.91,,fee schedule,19872.91,17289.43,19872.91,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,AETNA,AETNA,,78035.37,87,percent of total billed charges,78035.37,78035.37,89695.83,percent of total billed charges,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78035.37,87,percent of total billed charges,78035.37,78035.37,89695.83,percent of total billed charges,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,UNITED HEALTHCARE,UNITED HEALTHCARE,,78932.33,88,percent of total billed charges,78932.33,78035.37,89695.83,percent of total billed charges,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,AETNA,AETNA,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,ALLIANT,ALLIANT,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,AMBETTER,AMBETTER,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,BEECH STREET,BEECH STREET,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,CARESOURCE,CARESOURCE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,MEDICAID,MEDICAID,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,MEDICARE,MEDICARE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,NOVA NET,NOVA NET,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,PEACHSTATE,PEACHSTATE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,SELFPAY,SELFPAY,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,TRICARE,TRICARE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W MCC,374,DRG,inpatient,,,89695.83,89695.83,UHC MEDICARE,UHC MEDICARE,,89695.83,,fee schedule,89695.83,78035.37,89695.83,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,AETNA,AETNA,,27483.33,87,percent of total billed charges,27483.33,27483.33,31590.04,percent of total billed charges,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27483.33,87,percent of total billed charges,27483.33,27483.33,31590.04,percent of total billed charges,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,UNITED HEALTHCARE,UNITED HEALTHCARE,,27799.24,88,percent of total billed charges,27799.24,27483.33,31590.04,percent of total billed charges,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,AETNA,AETNA,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,ALLIANT,ALLIANT,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,AMBETTER,AMBETTER,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,BEECH STREET,BEECH STREET,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,CARESOURCE,CARESOURCE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,MEDICAID,MEDICAID,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,MEDICARE,MEDICARE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,NOVA NET,NOVA NET,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,PEACHSTATE,PEACHSTATE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,SELFPAY,SELFPAY,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,TRICARE,TRICARE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W CC,375,DRG,inpatient,,,31590.04,31590.04,UHC MEDICARE,UHC MEDICARE,,31590.04,,fee schedule,31590.04,27483.33,31590.04,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,AETNA,AETNA,,21601.08,87,percent of total billed charges,21601.08,21601.08,24828.83,percent of total billed charges,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21601.08,87,percent of total billed charges,21601.08,21601.08,24828.83,percent of total billed charges,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,UNITED HEALTHCARE,UNITED HEALTHCARE,,21849.37,88,percent of total billed charges,21849.37,21601.08,24828.83,percent of total billed charges,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,AETNA,AETNA,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,ALLIANT,ALLIANT,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,AMBETTER,AMBETTER,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,BEECH STREET,BEECH STREET,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,CARESOURCE,CARESOURCE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,MEDICAID,MEDICAID,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,MEDICARE,MEDICARE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,NOVA NET,NOVA NET,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,PEACHSTATE,PEACHSTATE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,SELFPAY,SELFPAY,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,TRICARE,TRICARE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
DIGESTIVE MALIGNANCY W/O CC/MCC,376,DRG,inpatient,,,24828.83,24828.83,UHC MEDICARE,UHC MEDICARE,,24828.83,,fee schedule,24828.83,21601.08,24828.83,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,AETNA,AETNA,,46597.81,87,percent of total billed charges,46597.81,46597.81,53560.7,percent of total billed charges,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46597.81,87,percent of total billed charges,46597.81,46597.81,53560.7,percent of total billed charges,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,UNITED HEALTHCARE,UNITED HEALTHCARE,,47133.42,88,percent of total billed charges,47133.42,46597.81,53560.7,percent of total billed charges,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,AETNA,AETNA,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,ALLIANT,ALLIANT,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,AMBETTER,AMBETTER,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,BEECH STREET,BEECH STREET,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,CARESOURCE,CARESOURCE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,MEDICAID,MEDICAID,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,MEDICARE,MEDICARE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,NOVA NET,NOVA NET,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,PEACHSTATE,PEACHSTATE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,SELFPAY,SELFPAY,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,TRICARE,TRICARE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W MCC,377,DRG,inpatient,,,53560.7,53560.7,UHC MEDICARE,UHC MEDICARE,,53560.7,,fee schedule,53560.7,46597.81,53560.7,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,AETNA,AETNA,,23380.35,87,percent of total billed charges,23380.35,23380.35,26873.97,percent of total billed charges,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23380.35,87,percent of total billed charges,23380.35,23380.35,26873.97,percent of total billed charges,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,23649.09,88,percent of total billed charges,23649.09,23380.35,26873.97,percent of total billed charges,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,AETNA,AETNA,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,ALLIANT,ALLIANT,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,AMBETTER,AMBETTER,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,BEECH STREET,BEECH STREET,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,CARESOURCE,CARESOURCE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,MEDICAID,MEDICAID,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,MEDICARE,MEDICARE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,NOVA NET,NOVA NET,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,PEACHSTATE,PEACHSTATE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,SELFPAY,SELFPAY,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,TRICARE,TRICARE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W CC,378,DRG,inpatient,,,26873.97,26873.97,UHC MEDICARE,UHC MEDICARE,,26873.97,,fee schedule,26873.97,23380.35,26873.97,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,AETNA,AETNA,,14079.94,87,percent of total billed charges,14079.94,14079.94,16183.84,percent of total billed charges,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14079.94,87,percent of total billed charges,14079.94,14079.94,16183.84,percent of total billed charges,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,UNITED HEALTHCARE,UNITED HEALTHCARE,,14241.78,88,percent of total billed charges,14241.78,14079.94,16183.84,percent of total billed charges,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,AETNA,AETNA,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,ALLIANT,ALLIANT,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,AMBETTER,AMBETTER,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,BEECH STREET,BEECH STREET,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,CARESOURCE,CARESOURCE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,MEDICAID,MEDICAID,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,MEDICARE,MEDICARE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,NOVA NET,NOVA NET,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,PEACHSTATE,PEACHSTATE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,SELFPAY,SELFPAY,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,TRICARE,TRICARE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
G.I. HEMORRHAGE W/O CC/MCC,379,DRG,inpatient,,,16183.84,16183.84,UHC MEDICARE,UHC MEDICARE,,16183.84,,fee schedule,16183.84,14079.94,16183.84,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,AETNA,AETNA,,19243.26,87,percent of total billed charges,19243.26,19243.26,22118.69,percent of total billed charges,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19243.26,87,percent of total billed charges,19243.26,19243.26,22118.69,percent of total billed charges,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,UNITED HEALTHCARE,UNITED HEALTHCARE,,19464.45,88,percent of total billed charges,19464.45,19243.26,22118.69,percent of total billed charges,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,AETNA,AETNA,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,ALLIANT,ALLIANT,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,AMBETTER,AMBETTER,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,BEECH STREET,BEECH STREET,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,CARESOURCE,CARESOURCE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,MEDICAID,MEDICAID,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,MEDICARE,MEDICARE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,NOVA NET,NOVA NET,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,PEACHSTATE,PEACHSTATE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,SELFPAY,SELFPAY,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,TRICARE,TRICARE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W CC,381,DRG,inpatient,,,22118.69,22118.69,UHC MEDICARE,UHC MEDICARE,,22118.69,,fee schedule,22118.69,19243.26,22118.69,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,AETNA,AETNA,,27953.94,87,percent of total billed charges,27953.94,27953.94,32130.97,percent of total billed charges,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27953.94,87,percent of total billed charges,27953.94,27953.94,32130.97,percent of total billed charges,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,28275.25,88,percent of total billed charges,28275.25,27953.94,32130.97,percent of total billed charges,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,AETNA,AETNA,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,ALLIANT,ALLIANT,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,AMBETTER,AMBETTER,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,BEECH STREET,BEECH STREET,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,CARESOURCE,CARESOURCE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,MEDICAID,MEDICAID,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,MEDICARE,MEDICARE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,NOVA NET,NOVA NET,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,PEACHSTATE,PEACHSTATE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,SELFPAY,SELFPAY,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,TRICARE,TRICARE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
COMPLICATED PEPTIC ULCER W/O CC/MCC,382,DRG,inpatient,,,32130.97,32130.97,UHC MEDICARE,UHC MEDICARE,,32130.97,,fee schedule,32130.97,27953.94,32130.97,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,215.5,,fee schedule,215.5,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,219.61,,fee schedule,219.61,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,205.24,,fee schedule,205.24,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,205.24,2474.26,percent of total billed charges,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,205.24,2474.26,percent of total billed charges,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,205.24,2474.26,percent of total billed charges,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION,38220,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,205.24,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,AMERIGROUP,AMERIGROUP,,230.04,,fee schedule,230.04,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,234.43,,fee schedule,234.43,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,219.09,,fee schedule,219.09,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,AETNA,AETNA,,357.57,87,percent of total billed charges,357.57,219.09,2474.26,percent of total billed charges,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357.57,87,percent of total billed charges,357.57,219.09,2474.26,percent of total billed charges,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,UNITED HEALTHCARE,UNITED HEALTHCARE,,361.68,88,percent of total billed charges,361.68,219.09,2474.26,percent of total billed charges,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,AETNA,AETNA,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,BEECH STREET,BEECH STREET,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,MEDICAID,MEDICAID,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,NOVA NET,NOVA NET,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,SELFPAY,SELFPAY,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW ASPIRATION WI,38221,CPT,both,,,411,411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,411,,fee schedule,411,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,AMERIGROUP,AMERIGROUP,,230.04,,fee schedule,230.04,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,CARESOURCE,CARESOURCE,,234.43,,fee schedule,234.43,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,PEACHSTATE,PEACHSTATE,,219.09,,fee schedule,219.09,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,AETNA,AETNA,,261,87,percent of total billed charges,261,219.09,2474.26,percent of total billed charges,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261,87,percent of total billed charges,261,219.09,2474.26,percent of total billed charges,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,UNITED HEALTHCARE,UNITED HEALTHCARE,,264,88,percent of total billed charges,264,219.09,2474.26,percent of total billed charges,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,AETNA,AETNA,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,BEECH STREET,BEECH STREET,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,CARESOURCE,CARESOURCE,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,MEDICAID,MEDICAID,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,NOVA NET,NOVA NET,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,PEACHSTATE,PEACHSTATE,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,SELFPAY,SELFPAY,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPS-NEEDLE/,38221,CPT,both,,,300,300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,300,,fee schedule,300,219.09,2474.26,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,ALLIANT,ALLIANT,,4262.36,,fee schedule,4262.36,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,AMBETTER,AMBETTER,,3358.23,,fee schedule,3358.23,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,AMERIGROUP,AMERIGROUP,,154.73,,fee schedule,154.73,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,CARESOURCE,CARESOURCE,,157.68,,fee schedule,157.68,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,MEDICARE,MEDICARE,,2583.25,,fee schedule,2583.25,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,PEACHSTATE,PEACHSTATE,,147.36,,fee schedule,147.36,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,TRICARE,TRICARE,,2583.25,,fee schedule,2583.25,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,UHC MEDICARE,UHC MEDICARE,,2583.25,,fee schedule,2583.25,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,AETNA,AETNA,,5329.62,87,percent of total billed charges,5329.62,147.36,6126,percent of total billed charges,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5329.62,87,percent of total billed charges,5329.62,147.36,6126,percent of total billed charges,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,UNITED HEALTHCARE,UNITED HEALTHCARE,,5390.88,88,percent of total billed charges,5390.88,147.36,6126,percent of total billed charges,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,AETNA,AETNA,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,BEECH STREET,BEECH STREET,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,CARESOURCE,CARESOURCE,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,MEDICAID,MEDICAID,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,NOVA NET,NOVA NET,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,PEACHSTATE,PEACHSTATE,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,SELFPAY,SELFPAY,,6126,,fee schedule,6126,147.36,6126,fee schedule,
BONE MARROW BIOPSY,38222,CPT,both,,,6126,6126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6126,,fee schedule,6126,147.36,6126,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,AETNA,AETNA,,21883.14,87,percent of total billed charges,21883.14,21883.14,25153.03,percent of total billed charges,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21883.14,87,percent of total billed charges,21883.14,21883.14,25153.03,percent of total billed charges,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,UNITED HEALTHCARE,UNITED HEALTHCARE,,22134.67,88,percent of total billed charges,22134.67,21883.14,25153.03,percent of total billed charges,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,AETNA,AETNA,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,ALLIANT,ALLIANT,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,AMBETTER,AMBETTER,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,BEECH STREET,BEECH STREET,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,CARESOURCE,CARESOURCE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,MEDICAID,MEDICAID,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,MEDICARE,MEDICARE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,NOVA NET,NOVA NET,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,PEACHSTATE,PEACHSTATE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,SELFPAY,SELFPAY,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,TRICARE,TRICARE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W MCC,383,DRG,inpatient,,,25153.03,25153.03,UHC MEDICARE,UHC MEDICARE,,25153.03,,fee schedule,25153.03,21883.14,25153.03,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,AETNA,AETNA,,25261.74,87,percent of total billed charges,25261.74,25261.74,29036.48,percent of total billed charges,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25261.74,87,percent of total billed charges,25261.74,25261.74,29036.48,percent of total billed charges,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,25552.1,88,percent of total billed charges,25552.1,25261.74,29036.48,percent of total billed charges,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,AETNA,AETNA,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,ALLIANT,ALLIANT,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,AMBETTER,AMBETTER,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,BEECH STREET,BEECH STREET,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,CARESOURCE,CARESOURCE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,MEDICAID,MEDICAID,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,MEDICARE,MEDICARE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,NOVA NET,NOVA NET,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,PEACHSTATE,PEACHSTATE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,SELFPAY,SELFPAY,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,TRICARE,TRICARE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
UNCOMPLICATED PEPTIC ULCER W/O MCC,384,DRG,inpatient,,,29036.48,29036.48,UHC MEDICARE,UHC MEDICARE,,29036.48,,fee schedule,29036.48,25261.74,29036.48,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,AETNA,AETNA,,62292.6,87,percent of total billed charges,62292.6,62292.6,71600.69,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62292.6,87,percent of total billed charges,62292.6,62292.6,71600.69,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,UNITED HEALTHCARE,UNITED HEALTHCARE,,63008.61,88,percent of total billed charges,63008.61,62292.6,71600.69,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,AETNA,AETNA,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,ALLIANT,ALLIANT,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,AMBETTER,AMBETTER,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,BEECH STREET,BEECH STREET,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,CARESOURCE,CARESOURCE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,MEDICAID,MEDICAID,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,MEDICARE,MEDICARE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,NOVA NET,NOVA NET,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,PEACHSTATE,PEACHSTATE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,SELFPAY,SELFPAY,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,TRICARE,TRICARE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
INFLAMMATORY BOWEL DISEASE W MCC,385,DRG,inpatient,,,71600.69,71600.69,UHC MEDICARE,UHC MEDICARE,,71600.69,,fee schedule,71600.69,62292.6,71600.69,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,AMERIGROUP,AMERIGROUP,,108.75,,fee schedule,108.75,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,CARESOURCE,CARESOURCE,,110.82,,fee schedule,110.82,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,PEACHSTATE,PEACHSTATE,,103.57,,fee schedule,103.57,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,AETNA,AETNA,,583.77,87,percent of total billed charges,583.77,103.57,2474.26,percent of total billed charges,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,583.77,87,percent of total billed charges,583.77,103.57,2474.26,percent of total billed charges,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,UNITED HEALTHCARE,UNITED HEALTHCARE,,590.48,88,percent of total billed charges,590.48,103.57,2474.26,percent of total billed charges,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,AETNA,AETNA,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,BEECH STREET,BEECH STREET,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,CARESOURCE,CARESOURCE,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,MEDICAID,MEDICAID,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,NOVA NET,NOVA NET,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,PEACHSTATE,PEACHSTATE,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,SELFPAY,SELFPAY,,671,,fee schedule,671,103.57,2474.26,fee schedule,
NEEDLE BIOPSY LYMPH NODE,38505,CPT,both,,,671,671,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,671,,fee schedule,671,103.57,2474.26,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,AMERIGROUP,AMERIGROUP,,108.75,,fee schedule,108.75,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,CARESOURCE,CARESOURCE,,110.82,,fee schedule,110.82,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,PEACHSTATE,PEACHSTATE,,103.57,,fee schedule,103.57,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,AETNA,AETNA,,3190.29,87,percent of total billed charges,3190.29,103.57,3667,percent of total billed charges,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3190.29,87,percent of total billed charges,3190.29,103.57,3667,percent of total billed charges,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,UNITED HEALTHCARE,UNITED HEALTHCARE,,3226.96,88,percent of total billed charges,3226.96,103.57,3667,percent of total billed charges,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,AETNA,AETNA,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,BEECH STREET,BEECH STREET,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,CARESOURCE,CARESOURCE,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,MEDICAID,MEDICAID,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,NOVA NET,NOVA NET,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,PEACHSTATE,PEACHSTATE,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,SELFPAY,SELFPAY,,3667,,fee schedule,3667,103.57,3667,fee schedule,
US GUIDE LYMPH NODE NEEDLE BX,38505,CPT,both,,,3667,3667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3667,,fee schedule,3667,103.57,3667,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,AETNA,AETNA,,18422.58,87,percent of total billed charges,18422.58,18422.58,21175.38,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18422.58,87,percent of total billed charges,18422.58,18422.58,21175.38,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,UNITED HEALTHCARE,UNITED HEALTHCARE,,18634.33,88,percent of total billed charges,18634.33,18422.58,21175.38,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,AETNA,AETNA,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,ALLIANT,ALLIANT,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,AMBETTER,AMBETTER,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,BEECH STREET,BEECH STREET,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,CARESOURCE,CARESOURCE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,MEDICAID,MEDICAID,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,MEDICARE,MEDICARE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,NOVA NET,NOVA NET,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,PEACHSTATE,PEACHSTATE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,SELFPAY,SELFPAY,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,TRICARE,TRICARE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W CC,386,DRG,inpatient,,,21175.38,21175.38,UHC MEDICARE,UHC MEDICARE,,21175.38,,fee schedule,21175.38,18422.58,21175.38,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,AETNA,AETNA,,26953.1,87,percent of total billed charges,26953.1,26953.1,30980.57,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26953.1,87,percent of total billed charges,26953.1,26953.1,30980.57,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,UNITED HEALTHCARE,UNITED HEALTHCARE,,27262.9,88,percent of total billed charges,27262.9,26953.1,30980.57,percent of total billed charges,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,AETNA,AETNA,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,ALLIANT,ALLIANT,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,AMBETTER,AMBETTER,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,BEECH STREET,BEECH STREET,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,CARESOURCE,CARESOURCE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,MEDICAID,MEDICAID,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,MEDICARE,MEDICARE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,NOVA NET,NOVA NET,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,PEACHSTATE,PEACHSTATE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,SELFPAY,SELFPAY,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,TRICARE,TRICARE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
INFLAMMATORY BOWEL DISEASE W/O CC/MCC,387,DRG,inpatient,,,30980.57,30980.57,UHC MEDICARE,UHC MEDICARE,,30980.57,,fee schedule,30980.57,26953.1,30980.57,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,AETNA,AETNA,,36151.34,87,percent of total billed charges,36151.34,36151.34,41553.26,percent of total billed charges,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36151.34,87,percent of total billed charges,36151.34,36151.34,41553.26,percent of total billed charges,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,UNITED HEALTHCARE,UNITED HEALTHCARE,,36566.87,88,percent of total billed charges,36566.87,36151.34,41553.26,percent of total billed charges,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,AETNA,AETNA,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,ALLIANT,ALLIANT,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,AMBETTER,AMBETTER,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,BEECH STREET,BEECH STREET,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,CARESOURCE,CARESOURCE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,MEDICAID,MEDICAID,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,MEDICARE,MEDICARE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,NOVA NET,NOVA NET,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,PEACHSTATE,PEACHSTATE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,SELFPAY,SELFPAY,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,TRICARE,TRICARE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W MCC,388,DRG,inpatient,,,41553.26,41553.26,UHC MEDICARE,UHC MEDICARE,,41553.26,,fee schedule,41553.26,36151.34,41553.26,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,AETNA,AETNA,,15770.19,87,percent of total billed charges,15770.19,15770.19,18126.65,percent of total billed charges,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15770.19,87,percent of total billed charges,15770.19,15770.19,18126.65,percent of total billed charges,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,UNITED HEALTHCARE,UNITED HEALTHCARE,,15951.45,88,percent of total billed charges,15951.45,15770.19,18126.65,percent of total billed charges,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,AETNA,AETNA,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,ALLIANT,ALLIANT,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,AMBETTER,AMBETTER,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,BEECH STREET,BEECH STREET,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,CARESOURCE,CARESOURCE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,MEDICAID,MEDICAID,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,MEDICARE,MEDICARE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,NOVA NET,NOVA NET,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,PEACHSTATE,PEACHSTATE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,SELFPAY,SELFPAY,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,TRICARE,TRICARE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W CC,389,DRG,inpatient,,,18126.65,18126.65,UHC MEDICARE,UHC MEDICARE,,18126.65,,fee schedule,18126.65,15770.19,18126.65,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,AETNA,AETNA,,13624.3,87,percent of total billed charges,13624.3,13624.3,15660.11,percent of total billed charges,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13624.3,87,percent of total billed charges,13624.3,13624.3,15660.11,percent of total billed charges,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,UNITED HEALTHCARE,UNITED HEALTHCARE,,13780.9,88,percent of total billed charges,13780.9,13624.3,15660.11,percent of total billed charges,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,AETNA,AETNA,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,ALLIANT,ALLIANT,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,AMBETTER,AMBETTER,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,BEECH STREET,BEECH STREET,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,CARESOURCE,CARESOURCE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,MEDICAID,MEDICAID,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,MEDICARE,MEDICARE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,NOVA NET,NOVA NET,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,PEACHSTATE,PEACHSTATE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,SELFPAY,SELFPAY,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,TRICARE,TRICARE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
G.I. OBSTRUCTION W/O CC/MCC,390,DRG,inpatient,,,15660.11,15660.11,UHC MEDICARE,UHC MEDICARE,,15660.11,,fee schedule,15660.11,13624.3,15660.11,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,AETNA,AETNA,,26077.86,87,percent of total billed charges,26077.86,26077.86,29974.55,percent of total billed charges,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26077.86,87,percent of total billed charges,26077.86,26077.86,29974.55,percent of total billed charges,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,UNITED HEALTHCARE,UNITED HEALTHCARE,,26377.6,88,percent of total billed charges,26377.6,26077.86,29974.55,percent of total billed charges,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,AETNA,AETNA,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,ALLIANT,ALLIANT,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,AMBETTER,AMBETTER,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,BEECH STREET,BEECH STREET,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,CARESOURCE,CARESOURCE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,MEDICAID,MEDICAID,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,MEDICARE,MEDICARE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,NOVA NET,NOVA NET,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,PEACHSTATE,PEACHSTATE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,SELFPAY,SELFPAY,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,TRICARE,TRICARE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC",391,DRG,inpatient,,,29974.55,29974.55,UHC MEDICARE,UHC MEDICARE,,29974.55,,fee schedule,29974.55,26077.86,29974.55,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,AETNA,AETNA,,16613.29,87,percent of total billed charges,16613.29,16613.29,19095.74,percent of total billed charges,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16613.29,87,percent of total billed charges,16613.29,16613.29,19095.74,percent of total billed charges,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,16804.25,88,percent of total billed charges,16804.25,16613.29,19095.74,percent of total billed charges,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,AETNA,AETNA,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,ALLIANT,ALLIANT,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,AMBETTER,AMBETTER,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,BEECH STREET,BEECH STREET,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,CARESOURCE,CARESOURCE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,MEDICAID,MEDICAID,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,MEDICARE,MEDICARE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,NOVA NET,NOVA NET,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,PEACHSTATE,PEACHSTATE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,SELFPAY,SELFPAY,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,TRICARE,TRICARE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC",392,DRG,inpatient,,,19095.74,19095.74,UHC MEDICARE,UHC MEDICARE,,19095.74,,fee schedule,19095.74,16613.29,19095.74,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,AETNA,AETNA,,22039.36,87,percent of total billed charges,22039.36,22039.36,25332.6,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22039.36,87,percent of total billed charges,22039.36,22039.36,25332.6,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,UNITED HEALTHCARE,UNITED HEALTHCARE,,22292.69,88,percent of total billed charges,22292.69,22039.36,25332.6,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,AETNA,AETNA,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,ALLIANT,ALLIANT,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,AMBETTER,AMBETTER,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,BEECH STREET,BEECH STREET,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,CARESOURCE,CARESOURCE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,MEDICAID,MEDICAID,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,MEDICARE,MEDICARE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,NOVA NET,NOVA NET,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,PEACHSTATE,PEACHSTATE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,SELFPAY,SELFPAY,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,TRICARE,TRICARE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,393,DRG,inpatient,,,25332.6,25332.6,UHC MEDICARE,UHC MEDICARE,,25332.6,,fee schedule,25332.6,22039.36,25332.6,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,AETNA,AETNA,,19238.54,87,percent of total billed charges,19238.54,19238.54,22113.27,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19238.54,87,percent of total billed charges,19238.54,19238.54,22113.27,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,UNITED HEALTHCARE,UNITED HEALTHCARE,,19459.68,88,percent of total billed charges,19459.68,19238.54,22113.27,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,AETNA,AETNA,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,ALLIANT,ALLIANT,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,AMBETTER,AMBETTER,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,BEECH STREET,BEECH STREET,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,CARESOURCE,CARESOURCE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,MEDICAID,MEDICAID,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,MEDICARE,MEDICARE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,NOVA NET,NOVA NET,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,PEACHSTATE,PEACHSTATE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,SELFPAY,SELFPAY,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,TRICARE,TRICARE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,394,DRG,inpatient,,,22113.27,22113.27,UHC MEDICARE,UHC MEDICARE,,22113.27,,fee schedule,22113.27,19238.54,22113.27,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,AETNA,AETNA,,16637.43,87,percent of total billed charges,16637.43,16637.43,19123.48,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16637.43,87,percent of total billed charges,16637.43,16637.43,19123.48,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,16828.66,88,percent of total billed charges,16828.66,16637.43,19123.48,percent of total billed charges,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,AETNA,AETNA,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,ALLIANT,ALLIANT,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,AMBETTER,AMBETTER,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,BEECH STREET,BEECH STREET,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,CARESOURCE,CARESOURCE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,MEDICAID,MEDICAID,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,MEDICARE,MEDICARE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,NOVA NET,NOVA NET,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,PEACHSTATE,PEACHSTATE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,SELFPAY,SELFPAY,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,TRICARE,TRICARE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,395,DRG,inpatient,,,19123.48,19123.48,UHC MEDICARE,UHC MEDICARE,,19123.48,,fee schedule,19123.48,16637.43,19123.48,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,AETNA,AETNA,,30695.32,87,percent of total billed charges,30695.32,30695.32,35281.98,percent of total billed charges,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30695.32,87,percent of total billed charges,30695.32,30695.32,35281.98,percent of total billed charges,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,31048.14,88,percent of total billed charges,31048.14,30695.32,35281.98,percent of total billed charges,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,AETNA,AETNA,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,ALLIANT,ALLIANT,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,AMBETTER,AMBETTER,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,BEECH STREET,BEECH STREET,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,CARESOURCE,CARESOURCE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,MEDICAID,MEDICAID,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,MEDICARE,MEDICARE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,NOVA NET,NOVA NET,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,PEACHSTATE,PEACHSTATE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,SELFPAY,SELFPAY,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,TRICARE,TRICARE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC,408,DRG,inpatient,,,35281.98,35281.98,UHC MEDICARE,UHC MEDICARE,,35281.98,,fee schedule,35281.98,30695.32,35281.98,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,AETNA,AETNA,,36736.44,87,percent of total billed charges,36736.44,36736.44,42225.79,percent of total billed charges,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36736.44,87,percent of total billed charges,36736.44,36736.44,42225.79,percent of total billed charges,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,UNITED HEALTHCARE,UNITED HEALTHCARE,,37158.7,88,percent of total billed charges,37158.7,36736.44,42225.79,percent of total billed charges,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,AETNA,AETNA,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,ALLIANT,ALLIANT,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,AMBETTER,AMBETTER,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,BEECH STREET,BEECH STREET,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,CARESOURCE,CARESOURCE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,MEDICAID,MEDICAID,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,MEDICARE,MEDICARE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,NOVA NET,NOVA NET,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,PEACHSTATE,PEACHSTATE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,SELFPAY,SELFPAY,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,TRICARE,TRICARE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY W C.D.E. W CC,412,DRG,inpatient,,,42225.79,42225.79,UHC MEDICARE,UHC MEDICARE,,42225.79,,fee schedule,42225.79,36736.44,42225.79,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,AETNA,AETNA,,20243.42,87,percent of total billed charges,20243.42,20243.42,23268.3,percent of total billed charges,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20243.42,87,percent of total billed charges,20243.42,20243.42,23268.3,percent of total billed charges,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,20476.1,88,percent of total billed charges,20476.1,20243.42,23268.3,percent of total billed charges,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,AETNA,AETNA,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,ALLIANT,ALLIANT,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,AMBETTER,AMBETTER,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,BEECH STREET,BEECH STREET,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,CARESOURCE,CARESOURCE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,MEDICAID,MEDICAID,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,MEDICARE,MEDICARE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,NOVA NET,NOVA NET,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,PEACHSTATE,PEACHSTATE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,SELFPAY,SELFPAY,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,TRICARE,TRICARE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC,416,DRG,inpatient,,,23268.3,23268.3,UHC MEDICARE,UHC MEDICARE,,23268.3,,fee schedule,23268.3,20243.42,23268.3,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,AETNA,AETNA,,42027.62,87,percent of total billed charges,42027.62,42027.62,48307.61,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42027.62,87,percent of total billed charges,42027.62,42027.62,48307.61,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,UNITED HEALTHCARE,UNITED HEALTHCARE,,42510.7,88,percent of total billed charges,42510.7,42027.62,48307.61,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,AETNA,AETNA,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,ALLIANT,ALLIANT,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,AMBETTER,AMBETTER,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,BEECH STREET,BEECH STREET,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,CARESOURCE,CARESOURCE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,MEDICAID,MEDICAID,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,MEDICARE,MEDICARE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,NOVA NET,NOVA NET,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,PEACHSTATE,PEACHSTATE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,SELFPAY,SELFPAY,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,TRICARE,TRICARE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,417,DRG,inpatient,,,48307.61,48307.61,UHC MEDICARE,UHC MEDICARE,,48307.61,,fee schedule,48307.61,42027.62,48307.61,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,AETNA,AETNA,,33388.99,87,percent of total billed charges,33388.99,33388.99,38378.15,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33388.99,87,percent of total billed charges,33388.99,33388.99,38378.15,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,UNITED HEALTHCARE,UNITED HEALTHCARE,,33772.77,88,percent of total billed charges,33772.77,33388.99,38378.15,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,AETNA,AETNA,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,ALLIANT,ALLIANT,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,AMBETTER,AMBETTER,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,BEECH STREET,BEECH STREET,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,CARESOURCE,CARESOURCE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,MEDICAID,MEDICAID,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,MEDICARE,MEDICARE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,NOVA NET,NOVA NET,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,PEACHSTATE,PEACHSTATE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,SELFPAY,SELFPAY,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,TRICARE,TRICARE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,418,DRG,inpatient,,,38378.15,38378.15,UHC MEDICARE,UHC MEDICARE,,38378.15,,fee schedule,38378.15,33388.99,38378.15,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,82.12,,fee schedule,82.12,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,83.68,,fee schedule,83.68,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,78.21,,fee schedule,78.21,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,TRICARE,TRICARE,,116.11,,fee schedule,116.11,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,78.21,191.58,percent of total billed charges,
DENTAL ABCESS,41800,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,78.21,191.58,percent of total billed charges,
DENTAL ABCESS,41800,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,78.21,191.58,percent of total billed charges,
DENTAL ABCESS,41800,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,78.21,191.58,fee schedule,
DENTAL ABCESS,41800,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,78.21,191.58,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,AETNA,AETNA,,30220.76,87,percent of total billed charges,30220.76,30220.76,34736.51,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30220.76,87,percent of total billed charges,30220.76,30220.76,34736.51,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,UNITED HEALTHCARE,UNITED HEALTHCARE,,30568.13,88,percent of total billed charges,30568.13,30220.76,34736.51,percent of total billed charges,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,AETNA,AETNA,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,ALLIANT,ALLIANT,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,AMBETTER,AMBETTER,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,BEECH STREET,BEECH STREET,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,CARESOURCE,CARESOURCE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,MEDICAID,MEDICAID,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,MEDICARE,MEDICARE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,NOVA NET,NOVA NET,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,PEACHSTATE,PEACHSTATE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,SELFPAY,SELFPAY,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,TRICARE,TRICARE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,419,DRG,inpatient,,,34736.51,34736.51,UHC MEDICARE,UHC MEDICARE,,34736.51,,fee schedule,34736.51,30220.76,34736.51,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,AETNA,AETNA,,33402.61,87,percent of total billed charges,33402.61,33402.61,38393.81,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33402.61,87,percent of total billed charges,33402.61,33402.61,38393.81,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,UNITED HEALTHCARE,UNITED HEALTHCARE,,33786.55,88,percent of total billed charges,33786.55,33402.61,38393.81,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,AETNA,AETNA,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,ALLIANT,ALLIANT,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,AMBETTER,AMBETTER,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,BEECH STREET,BEECH STREET,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,CARESOURCE,CARESOURCE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,MEDICAID,MEDICAID,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,MEDICARE,MEDICARE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,NOVA NET,NOVA NET,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,PEACHSTATE,PEACHSTATE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,SELFPAY,SELFPAY,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,TRICARE,TRICARE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC,420,DRG,inpatient,,,38393.81,38393.81,UHC MEDICARE,UHC MEDICARE,,38393.81,,fee schedule,38393.81,33402.61,38393.81,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,AETNA,AETNA,,5630.94,87,percent of total billed charges,5630.94,5630.94,6472.35,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5630.94,87,percent of total billed charges,5630.94,5630.94,6472.35,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,UNITED HEALTHCARE,UNITED HEALTHCARE,,5695.67,88,percent of total billed charges,5695.67,5630.94,6472.35,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,AETNA,AETNA,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,ALLIANT,ALLIANT,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,AMBETTER,AMBETTER,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,BEECH STREET,BEECH STREET,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,CARESOURCE,CARESOURCE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,MEDICAID,MEDICAID,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,MEDICARE,MEDICARE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,NOVA NET,NOVA NET,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,PEACHSTATE,PEACHSTATE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,SELFPAY,SELFPAY,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,TRICARE,TRICARE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC,421,DRG,inpatient,,,6472.35,6472.35,UHC MEDICARE,UHC MEDICARE,,6472.35,,fee schedule,6472.35,5630.94,6472.35,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,AETNA,AETNA,,9472.87,87,percent of total billed charges,9472.87,9472.87,10888.36,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9472.87,87,percent of total billed charges,9472.87,9472.87,10888.36,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,UNITED HEALTHCARE,UNITED HEALTHCARE,,9581.76,88,percent of total billed charges,9581.76,9472.87,10888.36,percent of total billed charges,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,AETNA,AETNA,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,ALLIANT,ALLIANT,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,AMBETTER,AMBETTER,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,BEECH STREET,BEECH STREET,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,CARESOURCE,CARESOURCE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,MEDICAID,MEDICAID,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,MEDICARE,MEDICARE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,NOVA NET,NOVA NET,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,PEACHSTATE,PEACHSTATE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,SELFPAY,SELFPAY,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,TRICARE,TRICARE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC,422,DRG,inpatient,,,10888.36,10888.36,UHC MEDICARE,UHC MEDICARE,,10888.36,,fee schedule,10888.36,9472.87,10888.36,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,TRICARE,TRICARE,,648.97,,fee schedule,648.97,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,AETNA,AETNA,,1410.27,87,percent of total billed charges,1410.27,648.97,1621,percent of total billed charges,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1410.27,87,percent of total billed charges,1410.27,648.97,1621,percent of total billed charges,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,UNITED HEALTHCARE,UNITED HEALTHCARE,,1426.48,88,percent of total billed charges,1426.48,648.97,1621,percent of total billed charges,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,AETNA,AETNA,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,BEECH STREET,BEECH STREET,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CARESOURCE,CARESOURCE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,MEDICAID,MEDICAID,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,NOVA NET,NOVA NET,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,PEACHSTATE,PEACHSTATE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,SELFPAY,SELFPAY,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,TRICARE,TRICARE,,648.97,,fee schedule,648.97,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,AETNA,AETNA,,1410.27,87,percent of total billed charges,1410.27,648.97,1621,percent of total billed charges,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1410.27,87,percent of total billed charges,1410.27,648.97,1621,percent of total billed charges,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,UNITED HEALTHCARE,UNITED HEALTHCARE,,1426.48,88,percent of total billed charges,1426.48,648.97,1621,percent of total billed charges,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,AETNA,AETNA,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,BEECH STREET,BEECH STREET,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CARESOURCE,CARESOURCE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,MEDICAID,MEDICAID,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,NOVA NET,NOVA NET,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,PEACHSTATE,PEACHSTATE,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,SELFPAY,SELFPAY,,1621,,fee schedule,1621,648.97,1621,fee schedule,
BIOPSY OF SALIVARY GLAND,42400,CPT,both,,,1621,1621,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1621,,fee schedule,1621,648.97,1621,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,236.28,,fee schedule,236.28,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,240.78,,fee schedule,240.78,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,225.03,,fee schedule,225.03,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,113.97,240.78,percent of total billed charges,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,113.97,240.78,percent of total billed charges,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,113.97,240.78,percent of total billed charges,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,ALLIANT,ALLIANT,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,AMBETTER,AMBETTER,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,MEDICARE,MEDICARE,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,TRICARE,TRICARE,,131,,fee schedule,131,113.97,240.78,fee schedule,
INJ SALIVARY GLANDS,42550,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,131,,fee schedule,131,113.97,240.78,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,ALLIANT,ALLIANT,,622.99,,fee schedule,622.99,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,AMBETTER,AMBETTER,,490.84,,fee schedule,490.84,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,124.49,,fee schedule,124.49,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,126.86,,fee schedule,126.86,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,MEDICARE,MEDICARE,,377.57,,fee schedule,377.57,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,118.56,,fee schedule,118.56,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,TRICARE,TRICARE,,377.57,,fee schedule,377.57,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,377.57,,fee schedule,377.57,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,97.44,622.99,percent of total billed charges,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,97.44,622.99,percent of total billed charges,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,97.44,622.99,percent of total billed charges,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,97.44,622.99,fee schedule,
FB REMOVAL PHARYNX/LARYNX,42809,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,97.44,622.99,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,AETNA,AETNA,,27172.57,87,percent of total billed charges,27172.57,27172.57,31232.84,percent of total billed charges,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27172.57,87,percent of total billed charges,27172.57,27172.57,31232.84,percent of total billed charges,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,UNITED HEALTHCARE,UNITED HEALTHCARE,,27484.9,88,percent of total billed charges,27484.9,27172.57,31232.84,percent of total billed charges,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,AETNA,AETNA,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,ALLIANT,ALLIANT,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,AMBETTER,AMBETTER,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,BEECH STREET,BEECH STREET,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,CARESOURCE,CARESOURCE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,MEDICAID,MEDICAID,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,MEDICARE,MEDICARE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,NOVA NET,NOVA NET,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,PEACHSTATE,PEACHSTATE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,SELFPAY,SELFPAY,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,TRICARE,TRICARE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,432,DRG,inpatient,,,31232.84,31232.84,UHC MEDICARE,UHC MEDICARE,,31232.84,,fee schedule,31232.84,27172.57,31232.84,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,ALLIANT,ALLIANT,,5380.14,,fee schedule,5380.14,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,AMBETTER,AMBETTER,,4238.9,,fee schedule,4238.9,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,AMERIGROUP,AMERIGROUP,,349.93,,fee schedule,349.93,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,CARESOURCE,CARESOURCE,,356.6,,fee schedule,356.6,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,MEDICARE,MEDICARE,,3260.69,,fee schedule,3260.69,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,PEACHSTATE,PEACHSTATE,,333.27,,fee schedule,333.27,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,TRICARE,TRICARE,,3260.69,,fee schedule,3260.69,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,UHC MEDICARE,UHC MEDICARE,,3260.69,,fee schedule,3260.69,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,AETNA,AETNA,,1030.95,87,percent of total billed charges,1030.95,333.27,5380.14,percent of total billed charges,
INJECT ERCP,43260,CPT,both,,,1185,1185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1030.95,87,percent of total billed charges,1030.95,333.27,5380.14,percent of total billed charges,
INJECT ERCP,43260,CPT,both,,,1185,1185,UNITED HEALTHCARE,UNITED HEALTHCARE,,1042.8,88,percent of total billed charges,1042.8,333.27,5380.14,percent of total billed charges,
INJECT ERCP,43260,CPT,both,,,1185,1185,AETNA,AETNA,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,BEECH STREET,BEECH STREET,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,CARESOURCE,CARESOURCE,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,MEDICAID,MEDICAID,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,NOVA NET,NOVA NET,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,PEACHSTATE,PEACHSTATE,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,SELFPAY,SELFPAY,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
INJECT ERCP,43260,CPT,both,,,1185,1185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1185,,fee schedule,1185,333.27,5380.14,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,ALLIANT,ALLIANT,,8647.19,,fee schedule,8647.19,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,AMBETTER,AMBETTER,,6812.94,,fee schedule,6812.94,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,AMERIGROUP,AMERIGROUP,,213.72,,fee schedule,213.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,CARESOURCE,CARESOURCE,,217.79,,fee schedule,217.79,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,MEDICARE,MEDICARE,,5240.72,,fee schedule,5240.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,PEACHSTATE,PEACHSTATE,,203.54,,fee schedule,203.54,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,TRICARE,TRICARE,,5240.72,,fee schedule,5240.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,UHC MEDICARE,UHC MEDICARE,,5240.72,,fee schedule,5240.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,AETNA,AETNA,,6335.34,87,percent of total billed charges,6335.34,203.54,8647.19,percent of total billed charges,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6335.34,87,percent of total billed charges,6335.34,203.54,8647.19,percent of total billed charges,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,UNITED HEALTHCARE,UNITED HEALTHCARE,,6408.16,88,percent of total billed charges,6408.16,203.54,8647.19,percent of total billed charges,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,AETNA,AETNA,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,BEECH STREET,BEECH STREET,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,CARESOURCE,CARESOURCE,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,MEDICAID,MEDICAID,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,NOVA NET,NOVA NET,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,PEACHSTATE,PEACHSTATE,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,SELFPAY,SELFPAY,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL FC,43266,CPT,both,,,7282,7282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7282,,fee schedule,7282,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,ALLIANT,ALLIANT,,8647.19,,fee schedule,8647.19,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,AMBETTER,AMBETTER,,6812.94,,fee schedule,6812.94,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,AMERIGROUP,AMERIGROUP,,213.72,,fee schedule,213.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,CARESOURCE,CARESOURCE,,217.79,,fee schedule,217.79,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,MEDICARE,MEDICARE,,5240.72,,fee schedule,5240.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,PEACHSTATE,PEACHSTATE,,203.54,,fee schedule,203.54,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,TRICARE,TRICARE,,5240.72,,fee schedule,5240.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,UHC MEDICARE,UHC MEDICARE,,5240.72,,fee schedule,5240.72,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,AETNA,AETNA,,6090.87,87,percent of total billed charges,6090.87,203.54,8647.19,percent of total billed charges,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6090.87,87,percent of total billed charges,6090.87,203.54,8647.19,percent of total billed charges,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,UNITED HEALTHCARE,UNITED HEALTHCARE,,6160.88,88,percent of total billed charges,6160.88,203.54,8647.19,percent of total billed charges,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,AETNA,AETNA,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,BEECH STREET,BEECH STREET,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,CARESOURCE,CARESOURCE,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,MEDICAID,MEDICAID,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,NOVA NET,NOVA NET,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,PEACHSTATE,PEACHSTATE,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,SELFPAY,SELFPAY,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
WALLFLEX ESOPHAGEAL PC,43266,CPT,both,,,7001,7001,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7001,,fee schedule,7001,203.54,8647.19,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,AETNA,AETNA,,21280.79,87,percent of total billed charges,21280.79,21280.79,24460.68,percent of total billed charges,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21280.79,87,percent of total billed charges,21280.79,21280.79,24460.68,percent of total billed charges,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,UNITED HEALTHCARE,UNITED HEALTHCARE,,21525.4,88,percent of total billed charges,21525.4,21280.79,24460.68,percent of total billed charges,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,AETNA,AETNA,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,ALLIANT,ALLIANT,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,AMBETTER,AMBETTER,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,BEECH STREET,BEECH STREET,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,CARESOURCE,CARESOURCE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,MEDICAID,MEDICAID,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,MEDICARE,MEDICARE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,NOVA NET,NOVA NET,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,PEACHSTATE,PEACHSTATE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,SELFPAY,SELFPAY,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,TRICARE,TRICARE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,433,DRG,inpatient,,,24460.68,24460.68,UHC MEDICARE,UHC MEDICARE,,24460.68,,fee schedule,24460.68,21280.79,24460.68,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,AETNA,AETNA,,17818.67,87,percent of total billed charges,17818.67,17818.67,20481.23,percent of total billed charges,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17818.67,87,percent of total billed charges,17818.67,17818.67,20481.23,percent of total billed charges,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,UNITED HEALTHCARE,UNITED HEALTHCARE,,18023.48,88,percent of total billed charges,18023.48,17818.67,20481.23,percent of total billed charges,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,AETNA,AETNA,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,ALLIANT,ALLIANT,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,AMBETTER,AMBETTER,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,BEECH STREET,BEECH STREET,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,CARESOURCE,CARESOURCE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,MEDICAID,MEDICAID,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,MEDICARE,MEDICARE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,NOVA NET,NOVA NET,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,PEACHSTATE,PEACHSTATE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,SELFPAY,SELFPAY,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,TRICARE,TRICARE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,436,DRG,inpatient,,,20481.23,20481.23,UHC MEDICARE,UHC MEDICARE,,20481.23,,fee schedule,20481.23,17818.67,20481.23,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,AMERIGROUP,AMERIGROUP,,18.43,,fee schedule,18.43,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,18.78,,fee schedule,18.78,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,17.55,,fee schedule,17.55,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,TRICARE,TRICARE,,280.06,,fee schedule,280.06,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,17.55,462.1,percent of total billed charges,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,17.55,462.1,percent of total billed charges,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,17.55,462.1,percent of total billed charges,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERT/IRRIG/SUCT,43753,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,AMERIGROUP,AMERIGROUP,,18.43,,fee schedule,18.43,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,18.78,,fee schedule,18.78,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,17.55,,fee schedule,17.55,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,TRICARE,TRICARE,,280.06,,fee schedule,280.06,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,17.55,462.1,percent of total billed charges,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,17.55,462.1,percent of total billed charges,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,17.55,462.1,percent of total billed charges,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,17.55,462.1,fee schedule,
NGT/OGT INSERTION,43753,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,17.55,462.1,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,ALLIANT,ALLIANT,,354.54,,fee schedule,354.54,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,AMBETTER,AMBETTER,,279.33,,fee schedule,279.33,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,201.9,,fee schedule,201.9,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,205.75,,fee schedule,205.75,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,MEDICARE,MEDICARE,,214.87,,fee schedule,214.87,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,192.29,,fee schedule,192.29,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,TRICARE,TRICARE,,214.87,,fee schedule,214.87,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,214.87,,fee schedule,214.87,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,192.29,354.54,percent of total billed charges,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,192.29,354.54,percent of total billed charges,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,192.29,354.54,percent of total billed charges,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,192.29,354.54,fee schedule,
CHANGE OF GAST. TUBE,43762,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,192.29,354.54,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,AETNA,AETNA,,33872.64,87,percent of total billed charges,33872.64,33872.64,38934.07,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33872.64,87,percent of total billed charges,33872.64,33872.64,38934.07,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,34261.98,88,percent of total billed charges,34261.98,33872.64,38934.07,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,AETNA,AETNA,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,ALLIANT,ALLIANT,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,AMBETTER,AMBETTER,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,BEECH STREET,BEECH STREET,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,CARESOURCE,CARESOURCE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,MEDICAID,MEDICAID,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,MEDICARE,MEDICARE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,NOVA NET,NOVA NET,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,PEACHSTATE,PEACHSTATE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,SELFPAY,SELFPAY,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,TRICARE,TRICARE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,438,DRG,inpatient,,,38934.07,38934.07,UHC MEDICARE,UHC MEDICARE,,38934.07,,fee schedule,38934.07,33872.64,38934.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,AETNA,AETNA,,19415.95,87,percent of total billed charges,19415.95,19415.95,22317.18,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19415.95,87,percent of total billed charges,19415.95,19415.95,22317.18,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,UNITED HEALTHCARE,UNITED HEALTHCARE,,19639.12,88,percent of total billed charges,19639.12,19415.95,22317.18,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,AETNA,AETNA,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,ALLIANT,ALLIANT,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,AMBETTER,AMBETTER,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,BEECH STREET,BEECH STREET,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,CARESOURCE,CARESOURCE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,MEDICAID,MEDICAID,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,MEDICARE,MEDICARE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,NOVA NET,NOVA NET,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,PEACHSTATE,PEACHSTATE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,SELFPAY,SELFPAY,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,TRICARE,TRICARE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,439,DRG,inpatient,,,22317.18,22317.18,UHC MEDICARE,UHC MEDICARE,,22317.18,,fee schedule,22317.18,19415.95,22317.18,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,AETNA,AETNA,,15598.29,87,percent of total billed charges,15598.29,15598.29,17929.07,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15598.29,87,percent of total billed charges,15598.29,15598.29,17929.07,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,15777.58,88,percent of total billed charges,15777.58,15598.29,17929.07,percent of total billed charges,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,AETNA,AETNA,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,ALLIANT,ALLIANT,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,AMBETTER,AMBETTER,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,BEECH STREET,BEECH STREET,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,CARESOURCE,CARESOURCE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,MEDICAID,MEDICAID,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,MEDICARE,MEDICARE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,NOVA NET,NOVA NET,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,PEACHSTATE,PEACHSTATE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,SELFPAY,SELFPAY,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,TRICARE,TRICARE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,440,DRG,inpatient,,,17929.07,17929.07,UHC MEDICARE,UHC MEDICARE,,17929.07,,fee schedule,17929.07,15598.29,17929.07,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,AETNA,AETNA,,17244.96,87,percent of total billed charges,17244.96,17244.96,19821.79,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17244.96,87,percent of total billed charges,17244.96,17244.96,19821.79,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,UNITED HEALTHCARE,UNITED HEALTHCARE,,17443.18,88,percent of total billed charges,17443.18,17244.96,19821.79,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,AETNA,AETNA,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,ALLIANT,ALLIANT,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,AMBETTER,AMBETTER,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,BEECH STREET,BEECH STREET,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,CARESOURCE,CARESOURCE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,MEDICAID,MEDICAID,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,MEDICARE,MEDICARE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,NOVA NET,NOVA NET,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,PEACHSTATE,PEACHSTATE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,SELFPAY,SELFPAY,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,TRICARE,TRICARE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC",441,DRG,inpatient,,,19821.79,19821.79,UHC MEDICARE,UHC MEDICARE,,19821.79,,fee schedule,19821.79,17244.96,19821.79,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,AETNA,AETNA,,25603.08,87,percent of total billed charges,25603.08,25603.08,29428.83,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25603.08,87,percent of total billed charges,25603.08,25603.08,29428.83,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,UNITED HEALTHCARE,UNITED HEALTHCARE,,25897.37,88,percent of total billed charges,25897.37,25603.08,29428.83,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,AETNA,AETNA,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,ALLIANT,ALLIANT,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,AMBETTER,AMBETTER,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,BEECH STREET,BEECH STREET,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,CARESOURCE,CARESOURCE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,MEDICAID,MEDICAID,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,MEDICARE,MEDICARE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,NOVA NET,NOVA NET,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,PEACHSTATE,PEACHSTATE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,SELFPAY,SELFPAY,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,TRICARE,TRICARE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC",442,DRG,inpatient,,,29428.83,29428.83,UHC MEDICARE,UHC MEDICARE,,29428.83,,fee schedule,29428.83,25603.08,29428.83,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,AETNA,AETNA,,11407.81,87,percent of total billed charges,11407.81,11407.81,13112.42,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11407.81,87,percent of total billed charges,11407.81,11407.81,13112.42,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,UNITED HEALTHCARE,UNITED HEALTHCARE,,11538.93,88,percent of total billed charges,11538.93,11407.81,13112.42,percent of total billed charges,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,AETNA,AETNA,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,ALLIANT,ALLIANT,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,AMBETTER,AMBETTER,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,BEECH STREET,BEECH STREET,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,CARESOURCE,CARESOURCE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,MEDICAID,MEDICAID,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,MEDICARE,MEDICARE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,NOVA NET,NOVA NET,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,PEACHSTATE,PEACHSTATE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,SELFPAY,SELFPAY,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,TRICARE,TRICARE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC",443,DRG,inpatient,,,13112.42,13112.42,UHC MEDICARE,UHC MEDICARE,,13112.42,,fee schedule,13112.42,11407.81,13112.42,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,AETNA,AETNA,,50310.33,87,percent of total billed charges,50310.33,50310.33,57827.97,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50310.33,87,percent of total billed charges,50310.33,50310.33,57827.97,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,50888.61,88,percent of total billed charges,50888.61,50310.33,57827.97,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,AETNA,AETNA,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,ALLIANT,ALLIANT,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,AMBETTER,AMBETTER,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,BEECH STREET,BEECH STREET,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,CARESOURCE,CARESOURCE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,MEDICAID,MEDICAID,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,MEDICARE,MEDICARE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,NOVA NET,NOVA NET,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,PEACHSTATE,PEACHSTATE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,SELFPAY,SELFPAY,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,TRICARE,TRICARE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W MCC,444,DRG,inpatient,,,57827.97,57827.97,UHC MEDICARE,UHC MEDICARE,,57827.97,,fee schedule,57827.97,50310.33,57827.97,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,AETNA,AETNA,,23706.27,87,percent of total billed charges,23706.27,23706.27,27248.59,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23706.27,87,percent of total billed charges,23706.27,23706.27,27248.59,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,UNITED HEALTHCARE,UNITED HEALTHCARE,,23978.76,88,percent of total billed charges,23978.76,23706.27,27248.59,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,AETNA,AETNA,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,ALLIANT,ALLIANT,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,AMBETTER,AMBETTER,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,BEECH STREET,BEECH STREET,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,CARESOURCE,CARESOURCE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,MEDICAID,MEDICAID,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,MEDICARE,MEDICARE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,NOVA NET,NOVA NET,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,PEACHSTATE,PEACHSTATE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,SELFPAY,SELFPAY,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,TRICARE,TRICARE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W CC,445,DRG,inpatient,,,27248.59,27248.59,UHC MEDICARE,UHC MEDICARE,,27248.59,,fee schedule,27248.59,23706.27,27248.59,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,AETNA,AETNA,,16082.58,87,percent of total billed charges,16082.58,16082.58,18485.72,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16082.58,87,percent of total billed charges,16082.58,16082.58,18485.72,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,UNITED HEALTHCARE,UNITED HEALTHCARE,,16267.43,88,percent of total billed charges,16267.43,16082.58,18485.72,percent of total billed charges,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,AETNA,AETNA,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,ALLIANT,ALLIANT,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,AMBETTER,AMBETTER,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,BEECH STREET,BEECH STREET,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,CARESOURCE,CARESOURCE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,MEDICAID,MEDICAID,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,MEDICARE,MEDICARE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,NOVA NET,NOVA NET,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,PEACHSTATE,PEACHSTATE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,SELFPAY,SELFPAY,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,TRICARE,TRICARE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
DISORDERS OF THE BILIARY TRACT W/O CC/MCC,446,DRG,inpatient,,,18485.72,18485.72,UHC MEDICARE,UHC MEDICARE,,18485.72,,fee schedule,18485.72,16082.58,18485.72,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,AETNA,AETNA,,123637.41,87,percent of total billed charges,123637.41,123637.41,142111.96,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123637.41,87,percent of total billed charges,123637.41,123637.41,142111.96,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,UNITED HEALTHCARE,UNITED HEALTHCARE,,125058.52,88,percent of total billed charges,125058.52,123637.41,142111.96,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,AETNA,AETNA,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,ALLIANT,ALLIANT,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,AMBETTER,AMBETTER,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,BEECH STREET,BEECH STREET,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,CARESOURCE,CARESOURCE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,MEDICAID,MEDICAID,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,MEDICARE,MEDICARE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,NOVA NET,NOVA NET,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,PEACHSTATE,PEACHSTATE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,SELFPAY,SELFPAY,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,TRICARE,TRICARE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,453,DRG,inpatient,,,142111.96,142111.96,UHC MEDICARE,UHC MEDICARE,,142111.96,,fee schedule,142111.96,123637.41,142111.96,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,AETNA,AETNA,,95479.99,87,percent of total billed charges,95479.99,95479.99,109747.12,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95479.99,87,percent of total billed charges,95479.99,95479.99,109747.12,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,UNITED HEALTHCARE,UNITED HEALTHCARE,,96577.47,88,percent of total billed charges,96577.47,95479.99,109747.12,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,AETNA,AETNA,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,ALLIANT,ALLIANT,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,AMBETTER,AMBETTER,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,BEECH STREET,BEECH STREET,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,CARESOURCE,CARESOURCE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,MEDICAID,MEDICAID,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,MEDICARE,MEDICARE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,NOVA NET,NOVA NET,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,PEACHSTATE,PEACHSTATE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,SELFPAY,SELFPAY,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,TRICARE,TRICARE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,454,DRG,inpatient,,,109747.12,109747.12,UHC MEDICARE,UHC MEDICARE,,109747.12,,fee schedule,109747.12,95479.99,109747.12,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,AETNA,AETNA,,81140.78,87,percent of total billed charges,81140.78,81140.78,93265.26,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81140.78,87,percent of total billed charges,81140.78,81140.78,93265.26,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,UNITED HEALTHCARE,UNITED HEALTHCARE,,82073.43,88,percent of total billed charges,82073.43,81140.78,93265.26,percent of total billed charges,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,AETNA,AETNA,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,ALLIANT,ALLIANT,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,AMBETTER,AMBETTER,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,BEECH STREET,BEECH STREET,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,CARESOURCE,CARESOURCE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,MEDICAID,MEDICAID,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,MEDICARE,MEDICARE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,NOVA NET,NOVA NET,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,PEACHSTATE,PEACHSTATE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,SELFPAY,SELFPAY,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,TRICARE,TRICARE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,455,DRG,inpatient,,,93265.26,93265.26,UHC MEDICARE,UHC MEDICARE,,93265.26,,fee schedule,93265.26,81140.78,93265.26,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,AETNA,AETNA,,91261.96,87,percent of total billed charges,91261.96,91261.96,104898.8,percent of total billed charges,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91261.96,87,percent of total billed charges,91261.96,91261.96,104898.8,percent of total billed charges,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,UNITED HEALTHCARE,UNITED HEALTHCARE,,92310.94,88,percent of total billed charges,92310.94,91261.96,104898.8,percent of total billed charges,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,AETNA,AETNA,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,ALLIANT,ALLIANT,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,AMBETTER,AMBETTER,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,BEECH STREET,BEECH STREET,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,CARESOURCE,CARESOURCE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,MEDICAID,MEDICAID,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,MEDICARE,MEDICARE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,NOVA NET,NOVA NET,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,PEACHSTATE,PEACHSTATE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,SELFPAY,SELFPAY,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,TRICARE,TRICARE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
SPINAL FUSION EXCEPT CERVICAL W/O MCC,460,DRG,inpatient,,,104898.8,104898.8,UHC MEDICARE,UHC MEDICARE,,104898.8,,fee schedule,104898.8,91261.96,104898.8,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,ALLIANT,ALLIANT,,4239.63,,fee schedule,4239.63,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,AMBETTER,AMBETTER,,3340.31,,fee schedule,3340.31,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,AMERIGROUP,AMERIGROUP,,174.31,,fee schedule,174.31,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,CARESOURCE,CARESOURCE,,177.63,,fee schedule,177.63,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,MEDICARE,MEDICARE,,2569.47,,fee schedule,2569.47,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,PEACHSTATE,PEACHSTATE,,166.01,,fee schedule,166.01,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,TRICARE,TRICARE,,2569.47,,fee schedule,2569.47,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,UHC MEDICARE,UHC MEDICARE,,2569.47,,fee schedule,2569.47,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,AETNA,AETNA,,1923.57,87,percent of total billed charges,1923.57,166.01,4239.63,percent of total billed charges,
THROMBECTOMY,46230,CPT,both,,,2211,2211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1923.57,87,percent of total billed charges,1923.57,166.01,4239.63,percent of total billed charges,
THROMBECTOMY,46230,CPT,both,,,2211,2211,UNITED HEALTHCARE,UNITED HEALTHCARE,,1945.68,88,percent of total billed charges,1945.68,166.01,4239.63,percent of total billed charges,
THROMBECTOMY,46230,CPT,both,,,2211,2211,AETNA,AETNA,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,BEECH STREET,BEECH STREET,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,CARESOURCE,CARESOURCE,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,MEDICAID,MEDICAID,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,NOVA NET,NOVA NET,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,PEACHSTATE,PEACHSTATE,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,SELFPAY,SELFPAY,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
THROMBECTOMY,46230,CPT,both,,,2211,2211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2211,,fee schedule,2211,166.01,4239.63,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,AETNA,AETNA,,20047.59,87,percent of total billed charges,20047.59,20047.59,23043.21,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20047.59,87,percent of total billed charges,20047.59,20047.59,23043.21,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,UNITED HEALTHCARE,UNITED HEALTHCARE,,20278.02,88,percent of total billed charges,20278.02,20047.59,23043.21,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,AETNA,AETNA,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,ALLIANT,ALLIANT,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,AMBETTER,AMBETTER,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,BEECH STREET,BEECH STREET,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,CARESOURCE,CARESOURCE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,MEDICAID,MEDICAID,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,MEDICARE,MEDICARE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,NOVA NET,NOVA NET,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,PEACHSTATE,PEACHSTATE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,SELFPAY,SELFPAY,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,TRICARE,TRICARE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC",463,DRG,inpatient,,,23043.21,23043.21,UHC MEDICARE,UHC MEDICARE,,23043.21,,fee schedule,23043.21,20047.59,23043.21,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,AETNA,AETNA,,51242.97,87,percent of total billed charges,51242.97,51242.97,58899.97,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51242.97,87,percent of total billed charges,51242.97,51242.97,58899.97,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,51831.97,88,percent of total billed charges,51831.97,51242.97,58899.97,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,AETNA,AETNA,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,ALLIANT,ALLIANT,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,AMBETTER,AMBETTER,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,BEECH STREET,BEECH STREET,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,CARESOURCE,CARESOURCE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,MEDICAID,MEDICAID,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,MEDICARE,MEDICARE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,NOVA NET,NOVA NET,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,PEACHSTATE,PEACHSTATE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,SELFPAY,SELFPAY,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,TRICARE,TRICARE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC",464,DRG,inpatient,,,58899.97,58899.97,UHC MEDICARE,UHC MEDICARE,,58899.97,,fee schedule,58899.97,51242.97,58899.97,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,AETNA,AETNA,,24818.41,87,percent of total billed charges,24818.41,24818.41,28526.91,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24818.41,87,percent of total billed charges,24818.41,24818.41,28526.91,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,UNITED HEALTHCARE,UNITED HEALTHCARE,,25103.68,88,percent of total billed charges,25103.68,24818.41,28526.91,percent of total billed charges,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,AETNA,AETNA,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,ALLIANT,ALLIANT,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,AMBETTER,AMBETTER,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,BEECH STREET,BEECH STREET,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,CARESOURCE,CARESOURCE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,MEDICAID,MEDICAID,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,MEDICARE,MEDICARE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,NOVA NET,NOVA NET,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,PEACHSTATE,PEACHSTATE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,SELFPAY,SELFPAY,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,TRICARE,TRICARE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC",465,DRG,inpatient,,,28526.91,28526.91,UHC MEDICARE,UHC MEDICARE,,28526.91,,fee schedule,28526.91,24818.41,28526.91,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,AETNA,AETNA,,39308.5,87,percent of total billed charges,39308.5,39308.5,45182.18,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39308.5,87,percent of total billed charges,39308.5,39308.5,45182.18,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,UNITED HEALTHCARE,UNITED HEALTHCARE,,39760.32,88,percent of total billed charges,39760.32,39308.5,45182.18,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,AETNA,AETNA,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,ALLIANT,ALLIANT,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,AMBETTER,AMBETTER,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,BEECH STREET,BEECH STREET,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,CARESOURCE,CARESOURCE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,MEDICAID,MEDICAID,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,MEDICARE,MEDICARE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,NOVA NET,NOVA NET,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,PEACHSTATE,PEACHSTATE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,SELFPAY,SELFPAY,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,TRICARE,TRICARE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W MCC,466,DRG,inpatient,,,45182.18,45182.18,UHC MEDICARE,UHC MEDICARE,,45182.18,,fee schedule,45182.18,39308.5,45182.18,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,AETNA,AETNA,,70929.12,87,percent of total billed charges,70929.12,70929.12,81527.72,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70929.12,87,percent of total billed charges,70929.12,70929.12,81527.72,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,UNITED HEALTHCARE,UNITED HEALTHCARE,,71744.39,88,percent of total billed charges,71744.39,70929.12,81527.72,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,AETNA,AETNA,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,ALLIANT,ALLIANT,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,AMBETTER,AMBETTER,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,BEECH STREET,BEECH STREET,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,CARESOURCE,CARESOURCE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,MEDICAID,MEDICAID,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,MEDICARE,MEDICARE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,NOVA NET,NOVA NET,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,PEACHSTATE,PEACHSTATE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,SELFPAY,SELFPAY,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,TRICARE,TRICARE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W CC,467,DRG,inpatient,,,81527.72,81527.72,UHC MEDICARE,UHC MEDICARE,,81527.72,,fee schedule,81527.72,70929.12,81527.72,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,AETNA,AETNA,,65369.95,87,percent of total billed charges,65369.95,65369.95,75137.87,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65369.95,87,percent of total billed charges,65369.95,65369.95,75137.87,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,UNITED HEALTHCARE,UNITED HEALTHCARE,,66121.33,88,percent of total billed charges,66121.33,65369.95,75137.87,percent of total billed charges,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,AETNA,AETNA,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,ALLIANT,ALLIANT,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,AMBETTER,AMBETTER,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,BEECH STREET,BEECH STREET,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,CARESOURCE,CARESOURCE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,MEDICAID,MEDICAID,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,MEDICARE,MEDICARE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,NOVA NET,NOVA NET,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,PEACHSTATE,PEACHSTATE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,SELFPAY,SELFPAY,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,TRICARE,TRICARE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,468,DRG,inpatient,,,75137.87,75137.87,UHC MEDICARE,UHC MEDICARE,,75137.87,,fee schedule,75137.87,65369.95,75137.87,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,AETNA,AETNA,,52301.23,87,percent of total billed charges,52301.23,52301.23,60116.36,percent of total billed charges,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52301.23,87,percent of total billed charges,52301.23,52301.23,60116.36,percent of total billed charges,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,UNITED HEALTHCARE,UNITED HEALTHCARE,,52902.4,88,percent of total billed charges,52902.4,52301.23,60116.36,percent of total billed charges,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,AETNA,AETNA,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,ALLIANT,ALLIANT,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,AMBETTER,AMBETTER,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,BEECH STREET,BEECH STREET,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,CARESOURCE,CARESOURCE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,MEDICAID,MEDICAID,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,MEDICARE,MEDICARE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,NOVA NET,NOVA NET,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,PEACHSTATE,PEACHSTATE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,SELFPAY,SELFPAY,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,TRICARE,TRICARE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACE,469,DRG,inpatient,,,60116.36,60116.36,UHC MEDICARE,UHC MEDICARE,,60116.36,,fee schedule,60116.36,52301.23,60116.36,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,AETNA,AETNA,,37081.53,87,percent of total billed charges,37081.53,37081.53,42622.45,percent of total billed charges,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37081.53,87,percent of total billed charges,37081.53,37081.53,42622.45,percent of total billed charges,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,UNITED HEALTHCARE,UNITED HEALTHCARE,,37507.76,88,percent of total billed charges,37507.76,37081.53,42622.45,percent of total billed charges,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,AETNA,AETNA,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,ALLIANT,ALLIANT,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,AMBETTER,AMBETTER,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,BEECH STREET,BEECH STREET,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,CARESOURCE,CARESOURCE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,MEDICAID,MEDICAID,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,MEDICARE,MEDICARE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,NOVA NET,NOVA NET,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,PEACHSTATE,PEACHSTATE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,SELFPAY,SELFPAY,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,TRICARE,TRICARE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,470,DRG,inpatient,,,42622.45,42622.45,UHC MEDICARE,UHC MEDICARE,,42622.45,,fee schedule,42622.45,37081.53,42622.45,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,AMERIGROUP,AMERIGROUP,,218.76,,fee schedule,218.76,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,CARESOURCE,CARESOURCE,,222.92,,fee schedule,222.92,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,PEACHSTATE,PEACHSTATE,,208.34,,fee schedule,208.34,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,AETNA,AETNA,,2079.3,87,percent of total billed charges,2079.3,208.34,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2079.3,87,percent of total billed charges,2079.3,208.34,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,UNITED HEALTHCARE,UNITED HEALTHCARE,,2103.2,88,percent of total billed charges,2103.2,208.34,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,AETNA,AETNA,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,BEECH STREET,BEECH STREET,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,CARESOURCE,CARESOURCE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,MEDICAID,MEDICAID,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,NOVA NET,NOVA NET,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,PEACHSTATE,PEACHSTATE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,SELFPAY,SELFPAY,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BIOPSY OF LIVER,47000,CPT,both,,,2390,2390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AMERIGROUP,AMERIGROUP,,218.76,,fee schedule,218.76,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CARESOURCE,CARESOURCE,,222.92,,fee schedule,222.92,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,PEACHSTATE,PEACHSTATE,,208.34,,fee schedule,208.34,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AETNA,AETNA,,2079.3,87,percent of total billed charges,2079.3,208.34,2474.26,percent of total billed charges,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2079.3,87,percent of total billed charges,2079.3,208.34,2474.26,percent of total billed charges,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,UNITED HEALTHCARE,UNITED HEALTHCARE,,2103.2,88,percent of total billed charges,2103.2,208.34,2474.26,percent of total billed charges,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AETNA,AETNA,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,BEECH STREET,BEECH STREET,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CARESOURCE,CARESOURCE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,MEDICAID,MEDICAID,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,NOVA NET,NOVA NET,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,PEACHSTATE,PEACHSTATE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,SELFPAY,SELFPAY,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AMERIGROUP,AMERIGROUP,,218.76,,fee schedule,218.76,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CARESOURCE,CARESOURCE,,222.92,,fee schedule,222.92,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,PEACHSTATE,PEACHSTATE,,208.34,,fee schedule,208.34,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AETNA,AETNA,,2079.3,87,percent of total billed charges,2079.3,208.34,2474.26,percent of total billed charges,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2079.3,87,percent of total billed charges,2079.3,208.34,2474.26,percent of total billed charges,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,UNITED HEALTHCARE,UNITED HEALTHCARE,,2103.2,88,percent of total billed charges,2103.2,208.34,2474.26,percent of total billed charges,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,AETNA,AETNA,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,BEECH STREET,BEECH STREET,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CARESOURCE,CARESOURCE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,MEDICAID,MEDICAID,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,NOVA NET,NOVA NET,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,PEACHSTATE,PEACHSTATE,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,SELFPAY,SELFPAY,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
NEEDLE BX LIVER PERCUTANEOUS U,47000,CPT,both,,,2390,2390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2390,,fee schedule,2390,208.34,2474.26,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,AETNA,AETNA,,53400.93,87,percent of total billed charges,53400.93,53400.93,61380.38,percent of total billed charges,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53400.93,87,percent of total billed charges,53400.93,53400.93,61380.38,percent of total billed charges,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,UNITED HEALTHCARE,UNITED HEALTHCARE,,54014.73,88,percent of total billed charges,54014.73,53400.93,61380.38,percent of total billed charges,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,AETNA,AETNA,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,ALLIANT,ALLIANT,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,AMBETTER,AMBETTER,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,BEECH STREET,BEECH STREET,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,CARESOURCE,CARESOURCE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,MEDICAID,MEDICAID,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,MEDICARE,MEDICARE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,NOVA NET,NOVA NET,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,PEACHSTATE,PEACHSTATE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,SELFPAY,SELFPAY,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,TRICARE,TRICARE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC,474,DRG,inpatient,,,61380.38,61380.38,UHC MEDICARE,UHC MEDICARE,,61380.38,,fee schedule,61380.38,53400.93,61380.38,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,AMERIGROUP,AMERIGROUP,,417.24,,fee schedule,417.24,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,CARESOURCE,CARESOURCE,,425.19,,fee schedule,425.19,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,PEACHSTATE,PEACHSTATE,,397.37,,fee schedule,397.37,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,AETNA,AETNA,,7344.54,87,percent of total billed charges,7344.54,397.37,8442,percent of total billed charges,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7344.54,87,percent of total billed charges,7344.54,397.37,8442,percent of total billed charges,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,UNITED HEALTHCARE,UNITED HEALTHCARE,,7428.96,88,percent of total billed charges,7428.96,397.37,8442,percent of total billed charges,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,AETNA,AETNA,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,BEECH STREET,BEECH STREET,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,CARESOURCE,CARESOURCE,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,MEDICAID,MEDICAID,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,NOVA NET,NOVA NET,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,PEACHSTATE,PEACHSTATE,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,SELFPAY,SELFPAY,,8442,,fee schedule,8442,397.37,8442,fee schedule,
CHOLECYSTOSTOMY PRQ W/IM/CATH,47490,CPT,both,,,8442,8442,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8442,,fee schedule,8442,397.37,8442,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,AMERIGROUP,AMERIGROUP,,338.06,,fee schedule,338.06,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,344.5,,fee schedule,344.5,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,321.96,,fee schedule,321.96,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,AETNA,AETNA,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,UNITED HEALTHCARE,UNITED HEALTHCARE,,902,88,percent of total billed charges,902,321.96,5844.18,percent of total billed charges,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,AETNA,AETNA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,BEECH STREET,BEECH STREET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,MEDICAID,MEDICAID,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,NOVA NET,NOVA NET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,SELFPAY,SELFPAY,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ TRANSHEPATIC DRAIN,47531,CPT,both,,,1025,1025,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AMERIGROUP,AMERIGROUP,,338.06,,fee schedule,338.06,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,344.5,,fee schedule,344.5,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,321.96,,fee schedule,321.96,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AETNA,AETNA,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,UNITED HEALTHCARE,UNITED HEALTHCARE,,902,88,percent of total billed charges,902,321.96,5844.18,percent of total billed charges,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AETNA,AETNA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,BEECH STREET,BEECH STREET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,MEDICAID,MEDICAID,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,NOVA NET,NOVA NET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,SELFPAY,SELFPAY,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJ T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AMERIGROUP,AMERIGROUP,,338.06,,fee schedule,338.06,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,344.5,,fee schedule,344.5,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,321.96,,fee schedule,321.96,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AETNA,AETNA,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,UNITED HEALTHCARE,UNITED HEALTHCARE,,902,88,percent of total billed charges,902,321.96,5844.18,percent of total billed charges,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AETNA,AETNA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,BEECH STREET,BEECH STREET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,MEDICAID,MEDICAID,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,NOVA NET,NOVA NET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,SELFPAY,SELFPAY,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
INJECT CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AMERIGROUP,AMERIGROUP,,338.06,,fee schedule,338.06,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,344.5,,fee schedule,344.5,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,321.96,,fee schedule,321.96,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AETNA,AETNA,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,891.75,87,percent of total billed charges,891.75,321.96,5844.18,percent of total billed charges,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,UNITED HEALTHCARE,UNITED HEALTHCARE,,902,88,percent of total billed charges,902,321.96,5844.18,percent of total billed charges,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,AETNA,AETNA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,BEECH STREET,BEECH STREET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CARESOURCE,CARESOURCE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,MEDICAID,MEDICAID,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,NOVA NET,NOVA NET,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,PEACHSTATE,PEACHSTATE,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,SELFPAY,SELFPAY,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
T-TUBE CHOLANGIOGRAM,47531,CPT,both,,,1025,1025,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1025,,fee schedule,1025,321.96,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,AMERIGROUP,AMERIGROUP,,743.93,,fee schedule,743.93,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,CARESOURCE,CARESOURCE,,758.1,,fee schedule,758.1,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,PEACHSTATE,PEACHSTATE,,708.5,,fee schedule,708.5,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,AETNA,AETNA,,630.75,87,percent of total billed charges,630.75,630.75,5844.18,percent of total billed charges,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,630.75,87,percent of total billed charges,630.75,630.75,5844.18,percent of total billed charges,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,UNITED HEALTHCARE,UNITED HEALTHCARE,,638,88,percent of total billed charges,638,630.75,5844.18,percent of total billed charges,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,AETNA,AETNA,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,BEECH STREET,BEECH STREET,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,CARESOURCE,CARESOURCE,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,MEDICAID,MEDICAID,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,NOVA NET,NOVA NET,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,PEACHSTATE,PEACHSTATE,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,SELFPAY,SELFPAY,,725,,fee schedule,725,630.75,5844.18,fee schedule,
PERCUTANEOUS CHOLANGIOGRA,47532,CPT,both,,,725,725,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,725,,fee schedule,725,630.75,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,AMERIGROUP,AMERIGROUP,,1213.88,,fee schedule,1213.88,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,CARESOURCE,CARESOURCE,,1237.01,,fee schedule,1237.01,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,PEACHSTATE,PEACHSTATE,,1156.08,,fee schedule,1156.08,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,AETNA,AETNA,,780.39,87,percent of total billed charges,780.39,780.39,5844.18,percent of total billed charges,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,780.39,87,percent of total billed charges,780.39,780.39,5844.18,percent of total billed charges,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,UNITED HEALTHCARE,UNITED HEALTHCARE,,789.36,88,percent of total billed charges,789.36,780.39,5844.18,percent of total billed charges,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,AETNA,AETNA,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,BEECH STREET,BEECH STREET,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,CARESOURCE,CARESOURCE,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,MEDICAID,MEDICAID,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,NOVA NET,NOVA NET,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,PEACHSTATE,PEACHSTATE,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,SELFPAY,SELFPAY,,897,,fee schedule,897,780.39,5844.18,fee schedule,
TRANS HEPATIC DRAINAGE,47533,CPT,both,,,897,897,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,897,,fee schedule,897,780.39,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,AMERIGROUP,AMERIGROUP,,740.99,,fee schedule,740.99,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,CARESOURCE,CARESOURCE,,755.1,,fee schedule,755.1,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,PEACHSTATE,PEACHSTATE,,705.7,,fee schedule,705.7,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,AETNA,AETNA,,1442.46,87,percent of total billed charges,1442.46,705.7,5844.18,percent of total billed charges,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1442.46,87,percent of total billed charges,1442.46,705.7,5844.18,percent of total billed charges,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,UNITED HEALTHCARE,UNITED HEALTHCARE,,1459.04,88,percent of total billed charges,1459.04,705.7,5844.18,percent of total billed charges,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,AETNA,AETNA,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,BEECH STREET,BEECH STREET,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,CARESOURCE,CARESOURCE,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,MEDICAID,MEDICAID,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,NOVA NET,NOVA NET,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,PEACHSTATE,PEACHSTATE,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,SELFPAY,SELFPAY,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER CHANGE,47536,CPT,both,,,1658,1658,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1658,,fee schedule,1658,705.7,5844.18,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,AMERIGROUP,AMERIGROUP,,740.99,,fee schedule,740.99,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,CARESOURCE,CARESOURCE,,755.1,,fee schedule,755.1,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,PEACHSTATE,PEACHSTATE,,705.7,,fee schedule,705.7,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,AETNA,AETNA,,7006.11,87,percent of total billed charges,7006.11,705.7,8053,percent of total billed charges,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7006.11,87,percent of total billed charges,7006.11,705.7,8053,percent of total billed charges,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,UNITED HEALTHCARE,UNITED HEALTHCARE,,7086.64,88,percent of total billed charges,7086.64,705.7,8053,percent of total billed charges,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,AETNA,AETNA,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,BEECH STREET,BEECH STREET,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,CARESOURCE,CARESOURCE,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,MEDICAID,MEDICAID,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,NOVA NET,NOVA NET,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,PEACHSTATE,PEACHSTATE,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,SELFPAY,SELFPAY,,8053,,fee schedule,8053,705.7,8053,fee schedule,
BILIARY CATHETER EXCHANGE,47536,CPT,both,,,8053,8053,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8053,,fee schedule,8053,705.7,8053,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,ALLIANT,ALLIANT,,8600.05,,fee schedule,8600.05,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,AMBETTER,AMBETTER,,6775.8,,fee schedule,6775.8,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,AMERIGROUP,AMERIGROUP,,4092.33,,fee schedule,4092.33,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,CARESOURCE,CARESOURCE,,4170.28,,fee schedule,4170.28,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,MEDICARE,MEDICARE,,5212.15,,fee schedule,5212.15,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,PEACHSTATE,PEACHSTATE,,3897.46,,fee schedule,3897.46,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,TRICARE,TRICARE,,5212.15,,fee schedule,5212.15,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,UHC MEDICARE,UHC MEDICARE,,5212.15,,fee schedule,5212.15,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,AETNA,AETNA,,8308.5,87,percent of total billed charges,8308.5,3897.46,9550,percent of total billed charges,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8308.5,87,percent of total billed charges,8308.5,3897.46,9550,percent of total billed charges,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,UNITED HEALTHCARE,UNITED HEALTHCARE,,8404,88,percent of total billed charges,8404,3897.46,9550,percent of total billed charges,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,AETNA,AETNA,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,BEECH STREET,BEECH STREET,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,CARESOURCE,CARESOURCE,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,MEDICAID,MEDICAID,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,NOVA NET,NOVA NET,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,PEACHSTATE,PEACHSTATE,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,SELFPAY,SELFPAY,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
PERQ PLMT BILE DUCT STENT,47538,CPT,both,,,9550,9550,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9550,,fee schedule,9550,3897.46,9550,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,AETNA,AETNA,,85305.39,87,percent of total billed charges,85305.39,85305.39,98052.17,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85305.39,87,percent of total billed charges,85305.39,85305.39,98052.17,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,86285.91,88,percent of total billed charges,86285.91,85305.39,98052.17,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,AETNA,AETNA,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,ALLIANT,ALLIANT,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,AMBETTER,AMBETTER,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,BEECH STREET,BEECH STREET,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,CARESOURCE,CARESOURCE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,MEDICAID,MEDICAID,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,MEDICARE,MEDICARE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,NOVA NET,NOVA NET,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,PEACHSTATE,PEACHSTATE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,SELFPAY,SELFPAY,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,TRICARE,TRICARE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC,477,DRG,inpatient,,,98052.17,98052.17,UHC MEDICARE,UHC MEDICARE,,98052.17,,fee schedule,98052.17,85305.39,98052.17,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,AETNA,AETNA,,30438.49,87,percent of total billed charges,30438.49,30438.49,34986.77,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30438.49,87,percent of total billed charges,30438.49,30438.49,34986.77,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,30788.36,88,percent of total billed charges,30788.36,30438.49,34986.77,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,AETNA,AETNA,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,ALLIANT,ALLIANT,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,AMBETTER,AMBETTER,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,BEECH STREET,BEECH STREET,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,CARESOURCE,CARESOURCE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,MEDICAID,MEDICAID,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,MEDICARE,MEDICARE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,NOVA NET,NOVA NET,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,PEACHSTATE,PEACHSTATE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,SELFPAY,SELFPAY,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,TRICARE,TRICARE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,478,DRG,inpatient,,,34986.77,34986.77,UHC MEDICARE,UHC MEDICARE,,34986.77,,fee schedule,34986.77,30438.49,34986.77,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,AETNA,AETNA,,57696.73,87,percent of total billed charges,57696.73,57696.73,66318.08,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57696.73,87,percent of total billed charges,57696.73,57696.73,66318.08,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,UNITED HEALTHCARE,UNITED HEALTHCARE,,58359.91,88,percent of total billed charges,58359.91,57696.73,66318.08,percent of total billed charges,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,AETNA,AETNA,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,ALLIANT,ALLIANT,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,AMBETTER,AMBETTER,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,BEECH STREET,BEECH STREET,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,CARESOURCE,CARESOURCE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,MEDICAID,MEDICAID,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,MEDICARE,MEDICARE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,NOVA NET,NOVA NET,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,PEACHSTATE,PEACHSTATE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,SELFPAY,SELFPAY,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,TRICARE,TRICARE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,479,DRG,inpatient,,,66318.08,66318.08,UHC MEDICARE,UHC MEDICARE,,66318.08,,fee schedule,66318.08,57696.73,66318.08,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,AETNA,AETNA,,50995.28,87,percent of total billed charges,50995.28,50995.28,58615.26,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50995.28,87,percent of total billed charges,50995.28,50995.28,58615.26,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,UNITED HEALTHCARE,UNITED HEALTHCARE,,51581.43,88,percent of total billed charges,51581.43,50995.28,58615.26,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,AETNA,AETNA,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,ALLIANT,ALLIANT,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,AMBETTER,AMBETTER,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,BEECH STREET,BEECH STREET,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,CARESOURCE,CARESOURCE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,MEDICAID,MEDICAID,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,MEDICARE,MEDICARE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,NOVA NET,NOVA NET,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,PEACHSTATE,PEACHSTATE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,SELFPAY,SELFPAY,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,TRICARE,TRICARE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,480,DRG,inpatient,,,58615.26,58615.26,UHC MEDICARE,UHC MEDICARE,,58615.26,,fee schedule,58615.26,50995.28,58615.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,AETNA,AETNA,,42927.99,87,percent of total billed charges,42927.99,42927.99,49342.52,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42927.99,87,percent of total billed charges,42927.99,42927.99,49342.52,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,UNITED HEALTHCARE,UNITED HEALTHCARE,,43421.42,88,percent of total billed charges,43421.42,42927.99,49342.52,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,AETNA,AETNA,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,ALLIANT,ALLIANT,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,AMBETTER,AMBETTER,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,BEECH STREET,BEECH STREET,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,CARESOURCE,CARESOURCE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,MEDICAID,MEDICAID,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,MEDICARE,MEDICARE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,NOVA NET,NOVA NET,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,PEACHSTATE,PEACHSTATE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,SELFPAY,SELFPAY,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,TRICARE,TRICARE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,481,DRG,inpatient,,,49342.52,49342.52,UHC MEDICARE,UHC MEDICARE,,49342.52,,fee schedule,49342.52,42927.99,49342.52,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,320.93,,fee schedule,320.93,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,327.05,,fee schedule,327.05,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,305.65,,fee schedule,305.65,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,AETNA,AETNA,,642.93,87,percent of total billed charges,642.93,305.65,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642.93,87,percent of total billed charges,642.93,305.65,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,UNITED HEALTHCARE,UNITED HEALTHCARE,,650.32,88,percent of total billed charges,650.32,305.65,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,AETNA,AETNA,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,BEECH STREET,BEECH STREET,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,MEDICAID,MEDICAID,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,NOVA NET,NOVA NET,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,SELFPAY,SELFPAY,,739,,fee schedule,739,305.65,2474.26,fee schedule,
NEEDLE BIOPSY OF PANCREAS,48102,CPT,both,,,739,739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,739,,fee schedule,739,305.65,2474.26,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,AETNA,AETNA,,41412.2,87,percent of total billed charges,41412.2,41412.2,47600.23,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41412.2,87,percent of total billed charges,41412.2,41412.2,47600.23,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,UNITED HEALTHCARE,UNITED HEALTHCARE,,41888.2,88,percent of total billed charges,41888.2,41412.2,47600.23,percent of total billed charges,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,AETNA,AETNA,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,ALLIANT,ALLIANT,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,AMBETTER,AMBETTER,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,BEECH STREET,BEECH STREET,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,CARESOURCE,CARESOURCE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,MEDICAID,MEDICAID,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,MEDICARE,MEDICARE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,NOVA NET,NOVA NET,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,PEACHSTATE,PEACHSTATE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,SELFPAY,SELFPAY,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,TRICARE,TRICARE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,482,DRG,inpatient,,,47600.23,47600.23,UHC MEDICARE,UHC MEDICARE,,47600.23,,fee schedule,47600.23,41412.2,47600.23,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,AETNA,AETNA,,33988.77,87,percent of total billed charges,33988.77,33988.77,39067.55,percent of total billed charges,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33988.77,87,percent of total billed charges,33988.77,33988.77,39067.55,percent of total billed charges,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,UNITED HEALTHCARE,UNITED HEALTHCARE,,34379.44,88,percent of total billed charges,34379.44,33988.77,39067.55,percent of total billed charges,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,AETNA,AETNA,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,ALLIANT,ALLIANT,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,AMBETTER,AMBETTER,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,BEECH STREET,BEECH STREET,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,CARESOURCE,CARESOURCE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,MEDICAID,MEDICAID,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,MEDICARE,MEDICARE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,NOVA NET,NOVA NET,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,PEACHSTATE,PEACHSTATE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,SELFPAY,SELFPAY,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,TRICARE,TRICARE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,483,DRG,inpatient,,,39067.55,39067.55,UHC MEDICARE,UHC MEDICARE,,39067.55,,fee schedule,39067.55,33988.77,39067.55,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,AETNA,AETNA,,60554.81,87,percent of total billed charges,60554.81,60554.81,69603.23,percent of total billed charges,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60554.81,87,percent of total billed charges,60554.81,60554.81,69603.23,percent of total billed charges,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,UNITED HEALTHCARE,UNITED HEALTHCARE,,61250.84,88,percent of total billed charges,61250.84,60554.81,69603.23,percent of total billed charges,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,AETNA,AETNA,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,ALLIANT,ALLIANT,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,AMBETTER,AMBETTER,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,BEECH STREET,BEECH STREET,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,CARESOURCE,CARESOURCE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,MEDICAID,MEDICAID,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,MEDICARE,MEDICARE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,NOVA NET,NOVA NET,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,PEACHSTATE,PEACHSTATE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,SELFPAY,SELFPAY,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,TRICARE,TRICARE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W CC,486,DRG,inpatient,,,69603.23,69603.23,UHC MEDICARE,UHC MEDICARE,,69603.23,,fee schedule,69603.23,60554.81,69603.23,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,AETNA,AETNA,,13936.49,87,percent of total billed charges,13936.49,13936.49,16018.95,percent of total billed charges,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13936.49,87,percent of total billed charges,13936.49,13936.49,16018.95,percent of total billed charges,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,UNITED HEALTHCARE,UNITED HEALTHCARE,,14096.68,88,percent of total billed charges,14096.68,13936.49,16018.95,percent of total billed charges,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,AETNA,AETNA,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,ALLIANT,ALLIANT,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,AMBETTER,AMBETTER,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,BEECH STREET,BEECH STREET,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,CARESOURCE,CARESOURCE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,MEDICAID,MEDICAID,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,MEDICARE,MEDICARE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,NOVA NET,NOVA NET,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,PEACHSTATE,PEACHSTATE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,SELFPAY,SELFPAY,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,TRICARE,TRICARE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC,487,DRG,inpatient,,,16018.95,16018.95,UHC MEDICARE,UHC MEDICARE,,16018.95,,fee schedule,16018.95,13936.49,16018.95,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,AETNA,AETNA,,41039.35,87,percent of total billed charges,41039.35,41039.35,47171.67,percent of total billed charges,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41039.35,87,percent of total billed charges,41039.35,41039.35,47171.67,percent of total billed charges,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,41511.07,88,percent of total billed charges,41511.07,41039.35,47171.67,percent of total billed charges,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,AETNA,AETNA,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,ALLIANT,ALLIANT,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,AMBETTER,AMBETTER,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,BEECH STREET,BEECH STREET,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,CARESOURCE,CARESOURCE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,MEDICAID,MEDICAID,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,MEDICARE,MEDICARE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,NOVA NET,NOVA NET,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,PEACHSTATE,PEACHSTATE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,SELFPAY,SELFPAY,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,TRICARE,TRICARE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC,488,DRG,inpatient,,,47171.67,47171.67,UHC MEDICARE,UHC MEDICARE,,47171.67,,fee schedule,47171.67,41039.35,47171.67,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,ALLIANT,ALLIANT,,1362.09,,fee schedule,1362.09,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,AMBETTER,AMBETTER,,1073.16,,fee schedule,1073.16,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,AMERIGROUP,AMERIGROUP,,147.29,,fee schedule,147.29,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,CARESOURCE,CARESOURCE,,150.1,,fee schedule,150.1,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,MEDICARE,MEDICARE,,825.51,,fee schedule,825.51,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,PEACHSTATE,PEACHSTATE,,140.28,,fee schedule,140.28,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,TRICARE,TRICARE,,825.51,,fee schedule,825.51,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,UHC MEDICARE,UHC MEDICARE,,825.51,,fee schedule,825.51,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,AETNA,AETNA,,1875.72,87,percent of total billed charges,1875.72,140.28,2156,percent of total billed charges,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1875.72,87,percent of total billed charges,1875.72,140.28,2156,percent of total billed charges,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,UNITED HEALTHCARE,UNITED HEALTHCARE,,1897.28,88,percent of total billed charges,1897.28,140.28,2156,percent of total billed charges,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,AETNA,AETNA,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,BEECH STREET,BEECH STREET,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,CARESOURCE,CARESOURCE,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,MEDICAID,MEDICAID,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,NOVA NET,NOVA NET,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,PEACHSTATE,PEACHSTATE,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,SELFPAY,SELFPAY,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS W/O IMAGING,49082,CPT,both,,,2156,2156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2156,,fee schedule,2156,140.28,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,ALLIANT,ALLIANT,,1362.09,,fee schedule,1362.09,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,AMBETTER,AMBETTER,,1073.16,,fee schedule,1073.16,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,AMERIGROUP,AMERIGROUP,,277.97,,fee schedule,277.97,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,CARESOURCE,CARESOURCE,,283.26,,fee schedule,283.26,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,MEDICARE,MEDICARE,,825.51,,fee schedule,825.51,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,PEACHSTATE,PEACHSTATE,,264.73,,fee schedule,264.73,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,TRICARE,TRICARE,,825.51,,fee schedule,825.51,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,UHC MEDICARE,UHC MEDICARE,,825.51,,fee schedule,825.51,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,AETNA,AETNA,,1875.72,87,percent of total billed charges,1875.72,264.73,2156,percent of total billed charges,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1875.72,87,percent of total billed charges,1875.72,264.73,2156,percent of total billed charges,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,UNITED HEALTHCARE,UNITED HEALTHCARE,,1897.28,88,percent of total billed charges,1897.28,264.73,2156,percent of total billed charges,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,AETNA,AETNA,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,BEECH STREET,BEECH STREET,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,CARESOURCE,CARESOURCE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,MEDICAID,MEDICAID,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,NOVA NET,NOVA NET,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,PEACHSTATE,PEACHSTATE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,SELFPAY,SELFPAY,,2156,,fee schedule,2156,264.73,2156,fee schedule,
ABD PARACENTESIS WITH IMAGING,49083,CPT,both,,,2156,2156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,ALLIANT,ALLIANT,,1362.09,,fee schedule,1362.09,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,AMBETTER,AMBETTER,,1073.16,,fee schedule,1073.16,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,AMERIGROUP,AMERIGROUP,,277.97,,fee schedule,277.97,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,CARESOURCE,CARESOURCE,,283.26,,fee schedule,283.26,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,MEDICARE,MEDICARE,,825.51,,fee schedule,825.51,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,PEACHSTATE,PEACHSTATE,,264.73,,fee schedule,264.73,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,TRICARE,TRICARE,,825.51,,fee schedule,825.51,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,UHC MEDICARE,UHC MEDICARE,,825.51,,fee schedule,825.51,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,AETNA,AETNA,,1821.78,87,percent of total billed charges,1821.78,264.73,2094,percent of total billed charges,
PARACENTESIS,49083,CPT,both,,,2094,2094,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1821.78,87,percent of total billed charges,1821.78,264.73,2094,percent of total billed charges,
PARACENTESIS,49083,CPT,both,,,2094,2094,UNITED HEALTHCARE,UNITED HEALTHCARE,,1842.72,88,percent of total billed charges,1842.72,264.73,2094,percent of total billed charges,
PARACENTESIS,49083,CPT,both,,,2094,2094,AETNA,AETNA,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,BEECH STREET,BEECH STREET,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,CARESOURCE,CARESOURCE,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,MEDICAID,MEDICAID,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,NOVA NET,NOVA NET,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,PEACHSTATE,PEACHSTATE,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,SELFPAY,SELFPAY,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS,49083,CPT,both,,,2094,2094,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2094,,fee schedule,2094,264.73,2094,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,ALLIANT,ALLIANT,,1362.09,,fee schedule,1362.09,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,AMBETTER,AMBETTER,,1073.16,,fee schedule,1073.16,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,AMERIGROUP,AMERIGROUP,,277.97,,fee schedule,277.97,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,CARESOURCE,CARESOURCE,,283.26,,fee schedule,283.26,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,MEDICARE,MEDICARE,,825.51,,fee schedule,825.51,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,PEACHSTATE,PEACHSTATE,,264.73,,fee schedule,264.73,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,TRICARE,TRICARE,,825.51,,fee schedule,825.51,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,UHC MEDICARE,UHC MEDICARE,,825.51,,fee schedule,825.51,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,AETNA,AETNA,,1875.72,87,percent of total billed charges,1875.72,264.73,2156,percent of total billed charges,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1875.72,87,percent of total billed charges,1875.72,264.73,2156,percent of total billed charges,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,UNITED HEALTHCARE,UNITED HEALTHCARE,,1897.28,88,percent of total billed charges,1897.28,264.73,2156,percent of total billed charges,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,AETNA,AETNA,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,BEECH STREET,BEECH STREET,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,CARESOURCE,CARESOURCE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,MEDICAID,MEDICAID,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,NOVA NET,NOVA NET,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,PEACHSTATE,PEACHSTATE,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,SELFPAY,SELFPAY,,2156,,fee schedule,2156,264.73,2156,fee schedule,
PARACENTESIS WITH IMAGE,49083,CPT,both,,,2156,2156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2156,,fee schedule,2156,264.73,2156,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,AMERIGROUP,AMERIGROUP,,191.34,,fee schedule,191.34,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,CARESOURCE,CARESOURCE,,194.99,,fee schedule,194.99,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,PEACHSTATE,PEACHSTATE,,182.23,,fee schedule,182.23,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,AETNA,AETNA,,3201.6,87,percent of total billed charges,3201.6,182.23,3680,percent of total billed charges,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3201.6,87,percent of total billed charges,3201.6,182.23,3680,percent of total billed charges,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,UNITED HEALTHCARE,UNITED HEALTHCARE,,3238.4,88,percent of total billed charges,3238.4,182.23,3680,percent of total billed charges,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,AETNA,AETNA,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,BEECH STREET,BEECH STREET,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,CARESOURCE,CARESOURCE,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,MEDICAID,MEDICAID,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,NOVA NET,NOVA NET,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,PEACHSTATE,PEACHSTATE,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,SELFPAY,SELFPAY,,3680,,fee schedule,3680,182.23,3680,fee schedule,
BIOPSY OF ADRENAL GLAND,49180,CPT,both,,,3680,3680,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3680,,fee schedule,3680,182.23,3680,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,AMERIGROUP,AMERIGROUP,,191.34,,fee schedule,191.34,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,CARESOURCE,CARESOURCE,,194.99,,fee schedule,194.99,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,PEACHSTATE,PEACHSTATE,,182.23,,fee schedule,182.23,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,AETNA,AETNA,,852.6,87,percent of total billed charges,852.6,182.23,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,852.6,87,percent of total billed charges,852.6,182.23,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,UNITED HEALTHCARE,UNITED HEALTHCARE,,862.4,88,percent of total billed charges,862.4,182.23,2474.26,percent of total billed charges,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,AETNA,AETNA,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,BEECH STREET,BEECH STREET,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,CARESOURCE,CARESOURCE,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,MEDICAID,MEDICAID,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,NOVA NET,NOVA NET,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,PEACHSTATE,PEACHSTATE,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,SELFPAY,SELFPAY,,980,,fee schedule,980,182.23,2474.26,fee schedule,
NEEDLE BIOPSY OF ABD MASS,49180,CPT,both,,,980,980,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,980,,fee schedule,980,182.23,2474.26,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,AETNA,AETNA,,57792.06,87,percent of total billed charges,57792.06,57792.06,66427.66,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57792.06,87,percent of total billed charges,57792.06,57792.06,66427.66,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58456.34,88,percent of total billed charges,58456.34,57792.06,66427.66,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,AETNA,AETNA,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,ALLIANT,ALLIANT,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,AMBETTER,AMBETTER,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,BEECH STREET,BEECH STREET,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,CARESOURCE,CARESOURCE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,MEDICAID,MEDICAID,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,MEDICARE,MEDICARE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,NOVA NET,NOVA NET,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,PEACHSTATE,PEACHSTATE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,SELFPAY,SELFPAY,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,TRICARE,TRICARE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC",492,DRG,inpatient,,,66427.66,66427.66,UHC MEDICARE,UHC MEDICARE,,66427.66,,fee schedule,66427.66,57792.06,66427.66,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,AETNA,AETNA,,37757.44,87,percent of total billed charges,37757.44,37757.44,43399.36,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37757.44,87,percent of total billed charges,37757.44,37757.44,43399.36,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,UNITED HEALTHCARE,UNITED HEALTHCARE,,38191.44,88,percent of total billed charges,38191.44,37757.44,43399.36,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,AETNA,AETNA,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,ALLIANT,ALLIANT,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,AMBETTER,AMBETTER,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,BEECH STREET,BEECH STREET,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,CARESOURCE,CARESOURCE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,MEDICAID,MEDICAID,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,MEDICARE,MEDICARE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,NOVA NET,NOVA NET,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,PEACHSTATE,PEACHSTATE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,SELFPAY,SELFPAY,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,TRICARE,TRICARE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC",493,DRG,inpatient,,,43399.36,43399.36,UHC MEDICARE,UHC MEDICARE,,43399.36,,fee schedule,43399.36,37757.44,43399.36,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,AETNA,AETNA,,29690.07,87,percent of total billed charges,29690.07,29690.07,34126.52,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29690.07,87,percent of total billed charges,29690.07,29690.07,34126.52,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,UNITED HEALTHCARE,UNITED HEALTHCARE,,30031.34,88,percent of total billed charges,30031.34,29690.07,34126.52,percent of total billed charges,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,AETNA,AETNA,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,ALLIANT,ALLIANT,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,AMBETTER,AMBETTER,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,BEECH STREET,BEECH STREET,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,CARESOURCE,CARESOURCE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,MEDICAID,MEDICAID,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,MEDICARE,MEDICARE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,NOVA NET,NOVA NET,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,PEACHSTATE,PEACHSTATE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,SELFPAY,SELFPAY,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,TRICARE,TRICARE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC",494,DRG,inpatient,,,34126.52,34126.52,UHC MEDICARE,UHC MEDICARE,,34126.52,,fee schedule,34126.52,29690.07,34126.52,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,793.59,,fee schedule,793.59,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,808.71,,fee schedule,808.71,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,755.8,,fee schedule,755.8,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,382.8,2474.26,percent of total billed charges,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,382.8,2474.26,percent of total billed charges,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,382.8,2474.26,percent of total billed charges,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,382.8,2474.26,fee schedule,
ABCESS DRAINAGE,49405,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,382.8,2474.26,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,AMERIGROUP,AMERIGROUP,,793.59,,fee schedule,793.59,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,CARESOURCE,CARESOURCE,,808.71,,fee schedule,808.71,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,PEACHSTATE,PEACHSTATE,,755.8,,fee schedule,755.8,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,AETNA,AETNA,,3201.6,87,percent of total billed charges,3201.6,755.8,3680,percent of total billed charges,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3201.6,87,percent of total billed charges,3201.6,755.8,3680,percent of total billed charges,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,UNITED HEALTHCARE,UNITED HEALTHCARE,,3238.4,88,percent of total billed charges,3238.4,755.8,3680,percent of total billed charges,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,AETNA,AETNA,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,BEECH STREET,BEECH STREET,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,CARESOURCE,CARESOURCE,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,MEDICAID,MEDICAID,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,NOVA NET,NOVA NET,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,PEACHSTATE,PEACHSTATE,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,SELFPAY,SELFPAY,,3680,,fee schedule,3680,755.8,3680,fee schedule,
DRAINAGE OF FLUID COLLECTION,49405,CPT,both,,,3680,3680,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3680,,fee schedule,3680,755.8,3680,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,ALLIANT,ALLIANT,,5844.18,,fee schedule,5844.18,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,AMBETTER,AMBETTER,,4604.51,,fee schedule,4604.51,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,AMERIGROUP,AMERIGROUP,,1356.02,,fee schedule,1356.02,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,CARESOURCE,CARESOURCE,,1381.85,,fee schedule,1381.85,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,MEDICARE,MEDICARE,,3541.93,,fee schedule,3541.93,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,PEACHSTATE,PEACHSTATE,,1291.45,,fee schedule,1291.45,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,TRICARE,TRICARE,,3541.93,,fee schedule,3541.93,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,UHC MEDICARE,UHC MEDICARE,,3541.93,,fee schedule,3541.93,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,AETNA,AETNA,,7218.39,87,percent of total billed charges,7218.39,1291.45,8297,percent of total billed charges,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7218.39,87,percent of total billed charges,7218.39,1291.45,8297,percent of total billed charges,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,UNITED HEALTHCARE,UNITED HEALTHCARE,,7301.36,88,percent of total billed charges,7301.36,1291.45,8297,percent of total billed charges,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,AETNA,AETNA,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,BEECH STREET,BEECH STREET,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,CARESOURCE,CARESOURCE,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,MEDICAID,MEDICAID,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,NOVA NET,NOVA NET,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,PEACHSTATE,PEACHSTATE,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,SELFPAY,SELFPAY,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
INSERT TUN IP CATH PERC,49418,CPT,both,,,8297,8297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8297,,fee schedule,8297,1291.45,8297,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,AMERIGROUP,AMERIGROUP,,350.28,,fee schedule,350.28,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,CARESOURCE,CARESOURCE,,356.95,,fee schedule,356.95,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,PEACHSTATE,PEACHSTATE,,333.6,,fee schedule,333.6,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,AETNA,AETNA,,6096.96,87,percent of total billed charges,6096.96,333.6,7008,percent of total billed charges,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6096.96,87,percent of total billed charges,6096.96,333.6,7008,percent of total billed charges,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,UNITED HEALTHCARE,UNITED HEALTHCARE,,6167.04,88,percent of total billed charges,6167.04,333.6,7008,percent of total billed charges,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,AETNA,AETNA,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,BEECH STREET,BEECH STREET,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,CARESOURCE,CARESOURCE,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,MEDICAID,MEDICAID,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,NOVA NET,NOVA NET,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,PEACHSTATE,PEACHSTATE,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,SELFPAY,SELFPAY,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLEURX PERITONEAL CATH REMOVAL,49422,CPT,both,,,7008,7008,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7008,,fee schedule,7008,333.6,7008,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,ALLIANT,ALLIANT,,2873.62,,fee schedule,2873.62,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,AMBETTER,AMBETTER,,2264.07,,fee schedule,2264.07,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,MEDICARE,MEDICARE,,1741.59,,fee schedule,1741.59,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,TRICARE,TRICARE,,1741.59,,fee schedule,1741.59,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,UHC MEDICARE,UHC MEDICARE,,1741.59,,fee schedule,1741.59,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,AETNA,AETNA,,602.04,87,percent of total billed charges,602.04,602.04,2873.62,percent of total billed charges,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,602.04,87,percent of total billed charges,602.04,602.04,2873.62,percent of total billed charges,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.96,88,percent of total billed charges,608.96,602.04,2873.62,percent of total billed charges,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,AETNA,AETNA,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,BEECH STREET,BEECH STREET,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,MEDICAID,MEDICAID,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,NOVA NET,NOVA NET,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,SELFPAY,SELFPAY,,692,,fee schedule,692,602.04,2873.62,fee schedule,
PLACEMENT OF TUBE,49440,CPT,both,,,692,692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,692,,fee schedule,692,602.04,2873.62,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,AMERIGROUP,AMERIGROUP,,141.52,,fee schedule,141.52,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,CARESOURCE,CARESOURCE,,144.21,,fee schedule,144.21,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,PEACHSTATE,PEACHSTATE,,134.78,,fee schedule,134.78,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,TRICARE,TRICARE,,233.52,,fee schedule,233.52,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,AETNA,AETNA,,308.85,87,percent of total billed charges,308.85,134.78,385.31,percent of total billed charges,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,308.85,87,percent of total billed charges,308.85,134.78,385.31,percent of total billed charges,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,UNITED HEALTHCARE,UNITED HEALTHCARE,,312.4,88,percent of total billed charges,312.4,134.78,385.31,percent of total billed charges,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,AETNA,AETNA,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,BEECH STREET,BEECH STREET,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,CARESOURCE,CARESOURCE,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,MEDICAID,MEDICAID,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,NOVA NET,NOVA NET,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,PEACHSTATE,PEACHSTATE,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,SELFPAY,SELFPAY,,355,,fee schedule,355,134.78,385.31,fee schedule,
GASTROTOMY TUBE EVALUATIO,49465,CPT,both,,,355,355,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,355,,fee schedule,355,134.78,385.31,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,AETNA,AETNA,,35493.88,87,percent of total billed charges,35493.88,35493.88,40797.56,percent of total billed charges,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35493.88,87,percent of total billed charges,35493.88,35493.88,40797.56,percent of total billed charges,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,UNITED HEALTHCARE,UNITED HEALTHCARE,,35901.85,88,percent of total billed charges,35901.85,35493.88,40797.56,percent of total billed charges,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,AETNA,AETNA,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,ALLIANT,ALLIANT,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,AMBETTER,AMBETTER,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,BEECH STREET,BEECH STREET,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,CARESOURCE,CARESOURCE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,MEDICAID,MEDICAID,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,MEDICARE,MEDICARE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,NOVA NET,NOVA NET,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,PEACHSTATE,PEACHSTATE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,SELFPAY,SELFPAY,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,TRICARE,TRICARE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC,496,DRG,inpatient,,,40797.56,40797.56,UHC MEDICARE,UHC MEDICARE,,40797.56,,fee schedule,40797.56,35493.88,40797.56,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,AETNA,AETNA,,71623.23,87,percent of total billed charges,71623.23,71623.23,82325.55,percent of total billed charges,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71623.23,87,percent of total billed charges,71623.23,71623.23,82325.55,percent of total billed charges,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,UNITED HEALTHCARE,UNITED HEALTHCARE,,72446.48,88,percent of total billed charges,72446.48,71623.23,82325.55,percent of total billed charges,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,AETNA,AETNA,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,ALLIANT,ALLIANT,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,AMBETTER,AMBETTER,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,BEECH STREET,BEECH STREET,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,CARESOURCE,CARESOURCE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,MEDICAID,MEDICAID,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,MEDICARE,MEDICARE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,NOVA NET,NOVA NET,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,PEACHSTATE,PEACHSTATE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,SELFPAY,SELFPAY,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,TRICARE,TRICARE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC,497,DRG,inpatient,,,82325.55,82325.55,UHC MEDICARE,UHC MEDICARE,,82325.55,,fee schedule,82325.55,71623.23,82325.55,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,AETNA,AETNA,,34474.88,87,percent of total billed charges,34474.88,34474.88,39626.3,percent of total billed charges,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34474.88,87,percent of total billed charges,34474.88,34474.88,39626.3,percent of total billed charges,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,34871.14,88,percent of total billed charges,34871.14,34474.88,39626.3,percent of total billed charges,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,AETNA,AETNA,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,ALLIANT,ALLIANT,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,AMBETTER,AMBETTER,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,BEECH STREET,BEECH STREET,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,CARESOURCE,CARESOURCE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,MEDICAID,MEDICAID,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,MEDICARE,MEDICARE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,NOVA NET,NOVA NET,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,PEACHSTATE,PEACHSTATE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,SELFPAY,SELFPAY,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,TRICARE,TRICARE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W CC,501,DRG,inpatient,,,39626.3,39626.3,UHC MEDICARE,UHC MEDICARE,,39626.3,,fee schedule,39626.3,34474.88,39626.3,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,AETNA,AETNA,,56524.25,87,percent of total billed charges,56524.25,56524.25,64970.4,percent of total billed charges,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56524.25,87,percent of total billed charges,56524.25,56524.25,64970.4,percent of total billed charges,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,UNITED HEALTHCARE,UNITED HEALTHCARE,,57173.95,88,percent of total billed charges,57173.95,56524.25,64970.4,percent of total billed charges,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,AETNA,AETNA,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,ALLIANT,ALLIANT,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,AMBETTER,AMBETTER,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,BEECH STREET,BEECH STREET,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,CARESOURCE,CARESOURCE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,MEDICAID,MEDICAID,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,MEDICARE,MEDICARE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,NOVA NET,NOVA NET,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,PEACHSTATE,PEACHSTATE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,SELFPAY,SELFPAY,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,TRICARE,TRICARE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
SOFT TISSUE PROCEDURES W/O CC/MCC,502,DRG,inpatient,,,64970.4,64970.4,UHC MEDICARE,UHC MEDICARE,,64970.4,,fee schedule,64970.4,56524.25,64970.4,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,AMERIGROUP,AMERIGROUP,,151.67,,fee schedule,151.67,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,CARESOURCE,CARESOURCE,,154.56,,fee schedule,154.56,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,PEACHSTATE,PEACHSTATE,,144.45,,fee schedule,144.45,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,AETNA,AETNA,,690.78,87,percent of total billed charges,690.78,144.45,2474.26,percent of total billed charges,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,690.78,87,percent of total billed charges,690.78,144.45,2474.26,percent of total billed charges,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,UNITED HEALTHCARE,UNITED HEALTHCARE,,698.72,88,percent of total billed charges,698.72,144.45,2474.26,percent of total billed charges,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,AETNA,AETNA,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,BEECH STREET,BEECH STREET,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,CARESOURCE,CARESOURCE,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,MEDICAID,MEDICAID,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,NOVA NET,NOVA NET,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,PEACHSTATE,PEACHSTATE,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,SELFPAY,SELFPAY,,794,,fee schedule,794,144.45,2474.26,fee schedule,
NEEDLE BIOP OF RENAL,50200,CPT,both,,,794,794,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,794,,fee schedule,794,144.45,2474.26,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,ALLIANT,ALLIANT,,2474.26,,fee schedule,2474.26,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,AMBETTER,AMBETTER,,1949.42,,fee schedule,1949.42,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,AMERIGROUP,AMERIGROUP,,151.67,,fee schedule,151.67,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,CARESOURCE,CARESOURCE,,154.56,,fee schedule,154.56,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,MEDICARE,MEDICARE,,1499.55,,fee schedule,1499.55,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,PEACHSTATE,PEACHSTATE,,144.45,,fee schedule,144.45,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,TRICARE,TRICARE,,1499.55,,fee schedule,1499.55,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,UHC MEDICARE,UHC MEDICARE,,1499.55,,fee schedule,1499.55,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,AETNA,AETNA,,3190.29,87,percent of total billed charges,3190.29,144.45,3667,percent of total billed charges,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3190.29,87,percent of total billed charges,3190.29,144.45,3667,percent of total billed charges,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,UNITED HEALTHCARE,UNITED HEALTHCARE,,3226.96,88,percent of total billed charges,3226.96,144.45,3667,percent of total billed charges,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,AETNA,AETNA,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,BEECH STREET,BEECH STREET,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,CARESOURCE,CARESOURCE,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,MEDICAID,MEDICAID,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,NOVA NET,NOVA NET,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,PEACHSTATE,PEACHSTATE,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,SELFPAY,SELFPAY,,3667,,fee schedule,3667,144.45,3667,fee schedule,
RENAL BIOPSY,50200,CPT,both,,,3667,3667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3667,,fee schedule,3667,144.45,3667,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,AETNA,AETNA,,57029.87,87,percent of total billed charges,57029.87,57029.87,65551.58,percent of total billed charges,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57029.87,87,percent of total billed charges,57029.87,57029.87,65551.58,percent of total billed charges,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,UNITED HEALTHCARE,UNITED HEALTHCARE,,57685.39,88,percent of total billed charges,57685.39,57029.87,65551.58,percent of total billed charges,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,AETNA,AETNA,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,ALLIANT,ALLIANT,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,AMBETTER,AMBETTER,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,BEECH STREET,BEECH STREET,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,CARESOURCE,CARESOURCE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,MEDICAID,MEDICAID,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,MEDICARE,MEDICARE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,NOVA NET,NOVA NET,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,PEACHSTATE,PEACHSTATE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,SELFPAY,SELFPAY,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,TRICARE,TRICARE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
FOOT PROCEDURES W MCC,503,DRG,inpatient,,,65551.58,65551.58,UHC MEDICARE,UHC MEDICARE,,65551.58,,fee schedule,65551.58,57029.87,65551.58,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,AMERIGROUP,AMERIGROUP,,741.72,,fee schedule,741.72,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,CARESOURCE,CARESOURCE,,755.85,,fee schedule,755.85,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,PEACHSTATE,PEACHSTATE,,706.4,,fee schedule,706.4,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,AETNA,AETNA,,497.64,87,percent of total billed charges,497.64,497.64,3060.55,percent of total billed charges,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,497.64,87,percent of total billed charges,497.64,497.64,3060.55,percent of total billed charges,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,UNITED HEALTHCARE,UNITED HEALTHCARE,,503.36,88,percent of total billed charges,503.36,497.64,3060.55,percent of total billed charges,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,AETNA,AETNA,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,BEECH STREET,BEECH STREET,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,CARESOURCE,CARESOURCE,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,MEDICAID,MEDICAID,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,NOVA NET,NOVA NET,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,PEACHSTATE,PEACHSTATE,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,SELFPAY,SELFPAY,,572,,fee schedule,572,497.64,3060.55,fee schedule,
CHANGE NEPHROS TUBE,50387,CPT,both,,,572,572,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,572,,fee schedule,572,497.64,3060.55,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,AMERIGROUP,AMERIGROUP,,106.69,,fee schedule,106.69,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,108.72,,fee schedule,108.72,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,101.61,,fee schedule,101.61,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,TRICARE,TRICARE,,648.97,,fee schedule,648.97,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,AETNA,AETNA,,531.57,87,percent of total billed charges,531.57,101.61,1070.8,percent of total billed charges,
INJ RENAL CYST,50390,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,531.57,87,percent of total billed charges,531.57,101.61,1070.8,percent of total billed charges,
INJ RENAL CYST,50390,CPT,both,,,611,611,UNITED HEALTHCARE,UNITED HEALTHCARE,,537.68,88,percent of total billed charges,537.68,101.61,1070.8,percent of total billed charges,
INJ RENAL CYST,50390,CPT,both,,,611,611,AETNA,AETNA,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,BEECH STREET,BEECH STREET,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,MEDICAID,MEDICAID,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,NOVA NET,NOVA NET,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,SELFPAY,SELFPAY,,611,,fee schedule,611,101.61,1070.8,fee schedule,
INJ RENAL CYST,50390,CPT,both,,,611,611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,AMERIGROUP,AMERIGROUP,,106.69,,fee schedule,106.69,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,108.72,,fee schedule,108.72,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,101.61,,fee schedule,101.61,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,TRICARE,TRICARE,,648.97,,fee schedule,648.97,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,AETNA,AETNA,,531.57,87,percent of total billed charges,531.57,101.61,1070.8,percent of total billed charges,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,531.57,87,percent of total billed charges,531.57,101.61,1070.8,percent of total billed charges,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,UNITED HEALTHCARE,UNITED HEALTHCARE,,537.68,88,percent of total billed charges,537.68,101.61,1070.8,percent of total billed charges,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,AETNA,AETNA,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,BEECH STREET,BEECH STREET,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,MEDICAID,MEDICAID,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,NOVA NET,NOVA NET,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,SELFPAY,SELFPAY,,611,,fee schedule,611,101.61,1070.8,fee schedule,
RENAL CYST DRAINAGE,50390,CPT,both,,,611,611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,611,,fee schedule,611,101.61,1070.8,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,AETNA,AETNA,,42381.17,87,percent of total billed charges,42381.17,42381.17,48713.99,percent of total billed charges,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42381.17,87,percent of total billed charges,42381.17,42381.17,48713.99,percent of total billed charges,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,42868.31,88,percent of total billed charges,42868.31,42381.17,48713.99,percent of total billed charges,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,AETNA,AETNA,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,ALLIANT,ALLIANT,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,AMBETTER,AMBETTER,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,BEECH STREET,BEECH STREET,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,CARESOURCE,CARESOURCE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,MEDICAID,MEDICAID,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,MEDICARE,MEDICARE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,NOVA NET,NOVA NET,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,PEACHSTATE,PEACHSTATE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,SELFPAY,SELFPAY,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,TRICARE,TRICARE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
FOOT PROCEDURES W CC,504,DRG,inpatient,,,48713.99,48713.99,UHC MEDICARE,UHC MEDICARE,,48713.99,,fee schedule,48713.99,42381.17,48713.99,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,ALLIANT,ALLIANT,,1031.81,,fee schedule,1031.81,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,AMBETTER,AMBETTER,,812.94,,fee schedule,812.94,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,AMERIGROUP,AMERIGROUP,,472.91,,fee schedule,472.91,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,CARESOURCE,CARESOURCE,,481.92,,fee schedule,481.92,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,MEDICARE,MEDICARE,,625.34,,fee schedule,625.34,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,PEACHSTATE,PEACHSTATE,,450.39,,fee schedule,450.39,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,TRICARE,TRICARE,,625.34,,fee schedule,625.34,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,UHC MEDICARE,UHC MEDICARE,,625.34,,fee schedule,625.34,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,AETNA,AETNA,,1354.59,87,percent of total billed charges,1354.59,450.39,1557,percent of total billed charges,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1354.59,87,percent of total billed charges,1354.59,450.39,1557,percent of total billed charges,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,UNITED HEALTHCARE,UNITED HEALTHCARE,,1370.16,88,percent of total billed charges,1370.16,450.39,1557,percent of total billed charges,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,AETNA,AETNA,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,BEECH STREET,BEECH STREET,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,CARESOURCE,CARESOURCE,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,MEDICAID,MEDICAID,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,NOVA NET,NOVA NET,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,PEACHSTATE,PEACHSTATE,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,SELFPAY,SELFPAY,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CT GUIDED NEPHROSTOMY,50430,CPT,both,,,1557,1557,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1557,,fee schedule,1557,450.39,1557,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,AMERIGROUP,AMERIGROUP,,767.1,,fee schedule,767.1,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,CARESOURCE,CARESOURCE,,781.71,,fee schedule,781.71,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,PEACHSTATE,PEACHSTATE,,730.57,,fee schedule,730.57,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,AETNA,AETNA,,1380.69,87,percent of total billed charges,1380.69,730.57,3060.55,percent of total billed charges,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1380.69,87,percent of total billed charges,1380.69,730.57,3060.55,percent of total billed charges,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,UNITED HEALTHCARE,UNITED HEALTHCARE,,1396.56,88,percent of total billed charges,1396.56,730.57,3060.55,percent of total billed charges,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,AETNA,AETNA,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,BEECH STREET,BEECH STREET,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,CARESOURCE,CARESOURCE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,MEDICAID,MEDICAID,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,NOVA NET,NOVA NET,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,PEACHSTATE,PEACHSTATE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,SELFPAY,SELFPAY,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
CATH INTRODUCTION,50432,CPT,both,,,1587,1587,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,AMERIGROUP,AMERIGROUP,,767.1,,fee schedule,767.1,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,CARESOURCE,CARESOURCE,,781.71,,fee schedule,781.71,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,PEACHSTATE,PEACHSTATE,,730.57,,fee schedule,730.57,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,AETNA,AETNA,,4065.51,87,percent of total billed charges,4065.51,730.57,4673,percent of total billed charges,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4065.51,87,percent of total billed charges,4065.51,730.57,4673,percent of total billed charges,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,UNITED HEALTHCARE,UNITED HEALTHCARE,,4112.24,88,percent of total billed charges,4112.24,730.57,4673,percent of total billed charges,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,AETNA,AETNA,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,BEECH STREET,BEECH STREET,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,CARESOURCE,CARESOURCE,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,MEDICAID,MEDICAID,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,NOVA NET,NOVA NET,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,PEACHSTATE,PEACHSTATE,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,SELFPAY,SELFPAY,,4673,,fee schedule,4673,730.57,4673,fee schedule,
NEPHROSTOMY,50432,CPT,both,,,4673,4673,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4673,,fee schedule,4673,730.57,4673,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,AMERIGROUP,AMERIGROUP,,767.1,,fee schedule,767.1,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,CARESOURCE,CARESOURCE,,781.71,,fee schedule,781.71,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,PEACHSTATE,PEACHSTATE,,730.57,,fee schedule,730.57,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,AETNA,AETNA,,1380.69,87,percent of total billed charges,1380.69,730.57,3060.55,percent of total billed charges,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1380.69,87,percent of total billed charges,1380.69,730.57,3060.55,percent of total billed charges,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,UNITED HEALTHCARE,UNITED HEALTHCARE,,1396.56,88,percent of total billed charges,1396.56,730.57,3060.55,percent of total billed charges,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,AETNA,AETNA,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,BEECH STREET,BEECH STREET,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,CARESOURCE,CARESOURCE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,MEDICAID,MEDICAID,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,NOVA NET,NOVA NET,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,PEACHSTATE,PEACHSTATE,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,SELFPAY,SELFPAY,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
PERCUTANEOUS NEPHROSTOMY,50432,CPT,both,,,1587,1587,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1587,,fee schedule,1587,730.57,3060.55,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,AMERIGROUP,AMERIGROUP,,428.9,,fee schedule,428.9,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,CARESOURCE,CARESOURCE,,437.07,,fee schedule,437.07,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,PEACHSTATE,PEACHSTATE,,408.48,,fee schedule,408.48,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,AETNA,AETNA,,3946.32,87,percent of total billed charges,3946.32,408.48,4536,percent of total billed charges,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3946.32,87,percent of total billed charges,3946.32,408.48,4536,percent of total billed charges,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,UNITED HEALTHCARE,UNITED HEALTHCARE,,3991.68,88,percent of total billed charges,3991.68,408.48,4536,percent of total billed charges,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,AETNA,AETNA,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,BEECH STREET,BEECH STREET,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,CARESOURCE,CARESOURCE,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,MEDICAID,MEDICAID,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,NOVA NET,NOVA NET,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,PEACHSTATE,PEACHSTATE,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,SELFPAY,SELFPAY,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY EXCHANGE,50435,CPT,both,,,4536,4536,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4536,,fee schedule,4536,408.48,4536,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,AMERIGROUP,AMERIGROUP,,428.9,,fee schedule,428.9,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,CARESOURCE,CARESOURCE,,437.07,,fee schedule,437.07,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,PEACHSTATE,PEACHSTATE,,408.48,,fee schedule,408.48,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,AETNA,AETNA,,614.22,87,percent of total billed charges,614.22,408.48,3060.55,percent of total billed charges,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614.22,87,percent of total billed charges,614.22,408.48,3060.55,percent of total billed charges,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,UNITED HEALTHCARE,UNITED HEALTHCARE,,621.28,88,percent of total billed charges,621.28,408.48,3060.55,percent of total billed charges,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,AETNA,AETNA,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,BEECH STREET,BEECH STREET,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,CARESOURCE,CARESOURCE,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,MEDICAID,MEDICAID,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,NOVA NET,NOVA NET,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,PEACHSTATE,PEACHSTATE,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,SELFPAY,SELFPAY,,706,,fee schedule,706,408.48,3060.55,fee schedule,
NEPHROSTOMY TUBE CHANGE,50435,CPT,both,,,706,706,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,706,,fee schedule,706,408.48,3060.55,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,ALLIANT,ALLIANT,,5288.45,,fee schedule,5288.45,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,AMBETTER,AMBETTER,,4166.66,,fee schedule,4166.66,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,AMERIGROUP,AMERIGROUP,,140.61,,fee schedule,140.61,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,CARESOURCE,CARESOURCE,,143.28,,fee schedule,143.28,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,MEDICARE,MEDICARE,,3205.12,,fee schedule,3205.12,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,PEACHSTATE,PEACHSTATE,,133.91,,fee schedule,133.91,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,TRICARE,TRICARE,,3205.12,,fee schedule,3205.12,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,UHC MEDICARE,UHC MEDICARE,,3205.12,,fee schedule,3205.12,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,AETNA,AETNA,,632.49,87,percent of total billed charges,632.49,133.91,5288.45,percent of total billed charges,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,632.49,87,percent of total billed charges,632.49,133.91,5288.45,percent of total billed charges,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,UNITED HEALTHCARE,UNITED HEALTHCARE,,639.76,88,percent of total billed charges,639.76,133.91,5288.45,percent of total billed charges,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,AETNA,AETNA,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,BEECH STREET,BEECH STREET,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,CARESOURCE,CARESOURCE,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,MEDICAID,MEDICAID,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,NOVA NET,NOVA NET,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,PEACHSTATE,PEACHSTATE,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,SELFPAY,SELFPAY,,727,,fee schedule,727,133.91,5288.45,fee schedule,
INJ NEPHROSTOMY,50436,CPT,both,,,727,727,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,727,,fee schedule,727,133.91,5288.45,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,ALLIANT,ALLIANT,,5288.45,,fee schedule,5288.45,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,AMBETTER,AMBETTER,,4166.66,,fee schedule,4166.66,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,AMERIGROUP,AMERIGROUP,,654.19,,fee schedule,654.19,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,CARESOURCE,CARESOURCE,,666.65,,fee schedule,666.65,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,MEDICARE,MEDICARE,,3205.12,,fee schedule,3205.12,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,PEACHSTATE,PEACHSTATE,,623.04,,fee schedule,623.04,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,TRICARE,TRICARE,,3205.12,,fee schedule,3205.12,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,UHC MEDICARE,UHC MEDICARE,,3205.12,,fee schedule,3205.12,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,AETNA,AETNA,,14978.79,87,percent of total billed charges,14978.79,623.04,17217,percent of total billed charges,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14978.79,87,percent of total billed charges,14978.79,623.04,17217,percent of total billed charges,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,UNITED HEALTHCARE,UNITED HEALTHCARE,,15150.96,88,percent of total billed charges,15150.96,623.04,17217,percent of total billed charges,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,AETNA,AETNA,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,BEECH STREET,BEECH STREET,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,CARESOURCE,CARESOURCE,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,MEDICAID,MEDICAID,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,NOVA NET,NOVA NET,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,PEACHSTATE,PEACHSTATE,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,SELFPAY,SELFPAY,,17217,,fee schedule,17217,623.04,17217,fee schedule,
BILATERAL LITHOTRIPSY,50590,CPT,both,,,17217,17217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17217,,fee schedule,17217,623.04,17217,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,ALLIANT,ALLIANT,,5288.45,,fee schedule,5288.45,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,AMBETTER,AMBETTER,,4166.66,,fee schedule,4166.66,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,AMERIGROUP,AMERIGROUP,,654.19,,fee schedule,654.19,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,CARESOURCE,CARESOURCE,,666.65,,fee schedule,666.65,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,MEDICARE,MEDICARE,,3205.12,,fee schedule,3205.12,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,PEACHSTATE,PEACHSTATE,,623.04,,fee schedule,623.04,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,TRICARE,TRICARE,,3205.12,,fee schedule,3205.12,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,UHC MEDICARE,UHC MEDICARE,,3205.12,,fee schedule,3205.12,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,AETNA,AETNA,,12370.53,87,percent of total billed charges,12370.53,623.04,14219,percent of total billed charges,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12370.53,87,percent of total billed charges,12370.53,623.04,14219,percent of total billed charges,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,UNITED HEALTHCARE,UNITED HEALTHCARE,,12512.72,88,percent of total billed charges,12512.72,623.04,14219,percent of total billed charges,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,AETNA,AETNA,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,BEECH STREET,BEECH STREET,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,CARESOURCE,CARESOURCE,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,MEDICAID,MEDICAID,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,NOVA NET,NOVA NET,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,PEACHSTATE,PEACHSTATE,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,SELFPAY,SELFPAY,,14219,,fee schedule,14219,623.04,14219,fee schedule,
LITHOTRIPSY,50590,CPT,both,,,14219,14219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14219,,fee schedule,14219,623.04,14219,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,ALLIANT,ALLIANT,,5288.45,,fee schedule,5288.45,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,AMBETTER,AMBETTER,,4166.66,,fee schedule,4166.66,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,AMERIGROUP,AMERIGROUP,,961.22,,fee schedule,961.22,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,CARESOURCE,CARESOURCE,,979.53,,fee schedule,979.53,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,MEDICARE,MEDICARE,,3205.12,,fee schedule,3205.12,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,PEACHSTATE,PEACHSTATE,,915.45,,fee schedule,915.45,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,TRICARE,TRICARE,,3205.12,,fee schedule,3205.12,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,UHC MEDICARE,UHC MEDICARE,,3205.12,,fee schedule,3205.12,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,AETNA,AETNA,,6996.54,87,percent of total billed charges,6996.54,915.45,8042,percent of total billed charges,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6996.54,87,percent of total billed charges,6996.54,915.45,8042,percent of total billed charges,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,UNITED HEALTHCARE,UNITED HEALTHCARE,,7076.96,88,percent of total billed charges,7076.96,915.45,8042,percent of total billed charges,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,AETNA,AETNA,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,BEECH STREET,BEECH STREET,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,CARESOURCE,CARESOURCE,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,MEDICAID,MEDICAID,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,NOVA NET,NOVA NET,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,PEACHSTATE,PEACHSTATE,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,SELFPAY,SELFPAY,,8042,,fee schedule,8042,915.45,8042,fee schedule,
PLMT URETERAL STENT PRQ,50693,CPT,both,,,8042,8042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8042,,fee schedule,8042,915.45,8042,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,ALLIANT,ALLIANT,,5288.45,,fee schedule,5288.45,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,AMBETTER,AMBETTER,,4166.66,,fee schedule,4166.66,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,AMERIGROUP,AMERIGROUP,,1058.33,,fee schedule,1058.33,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,CARESOURCE,CARESOURCE,,1078.49,,fee schedule,1078.49,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,MEDICARE,MEDICARE,,3205.12,,fee schedule,3205.12,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,PEACHSTATE,PEACHSTATE,,1007.93,,fee schedule,1007.93,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,TRICARE,TRICARE,,3205.12,,fee schedule,3205.12,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,UHC MEDICARE,UHC MEDICARE,,3205.12,,fee schedule,3205.12,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,AETNA,AETNA,,6992.19,87,percent of total billed charges,6992.19,1007.93,8037,percent of total billed charges,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6992.19,87,percent of total billed charges,6992.19,1007.93,8037,percent of total billed charges,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,UNITED HEALTHCARE,UNITED HEALTHCARE,,7072.56,88,percent of total billed charges,7072.56,1007.93,8037,percent of total billed charges,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,AETNA,AETNA,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,BEECH STREET,BEECH STREET,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,CARESOURCE,CARESOURCE,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,MEDICAID,MEDICAID,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,NOVA NET,NOVA NET,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,PEACHSTATE,PEACHSTATE,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,SELFPAY,SELFPAY,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
URETERAL STENT PLMT NEW ACCESS,50694,CPT,both,,,8037,8037,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8037,,fee schedule,8037,1007.93,8037,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,AETNA,AETNA,,22916.23,87,percent of total billed charges,22916.23,22916.23,26340.49,percent of total billed charges,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22916.23,87,percent of total billed charges,22916.23,22916.23,26340.49,percent of total billed charges,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,UNITED HEALTHCARE,UNITED HEALTHCARE,,23179.63,88,percent of total billed charges,23179.63,22916.23,26340.49,percent of total billed charges,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,AETNA,AETNA,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,ALLIANT,ALLIANT,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,AMBETTER,AMBETTER,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,BEECH STREET,BEECH STREET,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,CARESOURCE,CARESOURCE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,MEDICAID,MEDICAID,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,MEDICARE,MEDICARE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,NOVA NET,NOVA NET,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,PEACHSTATE,PEACHSTATE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,SELFPAY,SELFPAY,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,TRICARE,TRICARE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC,507,DRG,inpatient,,,26340.49,26340.49,UHC MEDICARE,UHC MEDICARE,,26340.49,,fee schedule,26340.49,22916.23,26340.49,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,AETNA,AETNA,,71692.72,87,percent of total billed charges,71692.72,71692.72,82405.43,percent of total billed charges,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71692.72,87,percent of total billed charges,71692.72,71692.72,82405.43,percent of total billed charges,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,UNITED HEALTHCARE,UNITED HEALTHCARE,,72516.78,88,percent of total billed charges,72516.78,71692.72,82405.43,percent of total billed charges,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,AETNA,AETNA,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,ALLIANT,ALLIANT,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,AMBETTER,AMBETTER,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,BEECH STREET,BEECH STREET,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,CARESOURCE,CARESOURCE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,MEDICAID,MEDICAID,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,MEDICARE,MEDICARE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,NOVA NET,NOVA NET,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,PEACHSTATE,PEACHSTATE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,SELFPAY,SELFPAY,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,TRICARE,TRICARE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC",511,DRG,inpatient,,,82405.43,82405.43,UHC MEDICARE,UHC MEDICARE,,82405.43,,fee schedule,82405.43,71692.72,82405.43,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,AETNA,AETNA,,32133.96,87,percent of total billed charges,32133.96,32133.96,36935.59,percent of total billed charges,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32133.96,87,percent of total billed charges,32133.96,32133.96,36935.59,percent of total billed charges,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,UNITED HEALTHCARE,UNITED HEALTHCARE,,32503.32,88,percent of total billed charges,32503.32,32133.96,36935.59,percent of total billed charges,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,AETNA,AETNA,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,ALLIANT,ALLIANT,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,AMBETTER,AMBETTER,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,BEECH STREET,BEECH STREET,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,CARESOURCE,CARESOURCE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,MEDICAID,MEDICAID,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,MEDICARE,MEDICARE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,NOVA NET,NOVA NET,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,PEACHSTATE,PEACHSTATE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,SELFPAY,SELFPAY,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,TRICARE,TRICARE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC",512,DRG,inpatient,,,36935.59,36935.59,UHC MEDICARE,UHC MEDICARE,,36935.59,,fee schedule,36935.59,32133.96,36935.59,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,AETNA,AETNA,,24500.5,87,percent of total billed charges,24500.5,24500.5,28161.49,percent of total billed charges,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24500.5,87,percent of total billed charges,24500.5,24500.5,28161.49,percent of total billed charges,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,UNITED HEALTHCARE,UNITED HEALTHCARE,,24782.11,88,percent of total billed charges,24782.11,24500.5,28161.49,percent of total billed charges,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,AETNA,AETNA,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,ALLIANT,ALLIANT,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,AMBETTER,AMBETTER,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,BEECH STREET,BEECH STREET,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,CARESOURCE,CARESOURCE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,MEDICAID,MEDICAID,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,MEDICARE,MEDICARE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,NOVA NET,NOVA NET,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,PEACHSTATE,PEACHSTATE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,SELFPAY,SELFPAY,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,TRICARE,TRICARE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC",513,DRG,inpatient,,,28161.49,28161.49,UHC MEDICARE,UHC MEDICARE,,28161.49,,fee schedule,28161.49,24500.5,28161.49,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,AETNA,AETNA,,14255.83,87,percent of total billed charges,14255.83,14255.83,16386.01,percent of total billed charges,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14255.83,87,percent of total billed charges,14255.83,14255.83,16386.01,percent of total billed charges,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,UNITED HEALTHCARE,UNITED HEALTHCARE,,14419.69,88,percent of total billed charges,14419.69,14255.83,16386.01,percent of total billed charges,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,AETNA,AETNA,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,ALLIANT,ALLIANT,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,AMBETTER,AMBETTER,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,BEECH STREET,BEECH STREET,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,CARESOURCE,CARESOURCE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,MEDICAID,MEDICAID,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,MEDICARE,MEDICARE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,NOVA NET,NOVA NET,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,PEACHSTATE,PEACHSTATE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,SELFPAY,SELFPAY,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,TRICARE,TRICARE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC",514,DRG,inpatient,,,16386.01,16386.01,UHC MEDICARE,UHC MEDICARE,,16386.01,,fee schedule,16386.01,14255.83,16386.01,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,AETNA,AETNA,,36014.07,87,percent of total billed charges,36014.07,36014.07,41395.48,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36014.07,87,percent of total billed charges,36014.07,36014.07,41395.48,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,36428.02,88,percent of total billed charges,36428.02,36014.07,41395.48,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,AETNA,AETNA,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,ALLIANT,ALLIANT,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,AMBETTER,AMBETTER,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,BEECH STREET,BEECH STREET,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,CARESOURCE,CARESOURCE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,MEDICAID,MEDICAID,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,MEDICARE,MEDICARE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,NOVA NET,NOVA NET,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,PEACHSTATE,PEACHSTATE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,SELFPAY,SELFPAY,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,TRICARE,TRICARE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,515,DRG,inpatient,,,41395.48,41395.48,UHC MEDICARE,UHC MEDICARE,,41395.48,,fee schedule,41395.48,36014.07,41395.48,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,AETNA,AETNA,,26886.86,87,percent of total billed charges,26886.86,26886.86,30904.44,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26886.86,87,percent of total billed charges,26886.86,26886.86,30904.44,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,UNITED HEALTHCARE,UNITED HEALTHCARE,,27195.91,88,percent of total billed charges,27195.91,26886.86,30904.44,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,AETNA,AETNA,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,ALLIANT,ALLIANT,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,AMBETTER,AMBETTER,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,BEECH STREET,BEECH STREET,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,CARESOURCE,CARESOURCE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,MEDICAID,MEDICAID,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,MEDICARE,MEDICARE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,NOVA NET,NOVA NET,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,PEACHSTATE,PEACHSTATE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,SELFPAY,SELFPAY,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,TRICARE,TRICARE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,516,DRG,inpatient,,,30904.44,30904.44,UHC MEDICARE,UHC MEDICARE,,30904.44,,fee schedule,30904.44,26886.86,30904.44,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,AMERIGROUP,AMERIGROUP,,262.89,,fee schedule,262.89,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,267.9,,fee schedule,267.9,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,250.37,,fee schedule,250.37,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,AETNA,AETNA,,148.77,87,percent of total billed charges,148.77,148.77,267.9,percent of total billed charges,
INJ VCUG,51600,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148.77,87,percent of total billed charges,148.77,148.77,267.9,percent of total billed charges,
INJ VCUG,51600,CPT,both,,,171,171,UNITED HEALTHCARE,UNITED HEALTHCARE,,150.48,88,percent of total billed charges,150.48,148.77,267.9,percent of total billed charges,
INJ VCUG,51600,CPT,both,,,171,171,AETNA,AETNA,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,ALLIANT,ALLIANT,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,AMBETTER,AMBETTER,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,BEECH STREET,BEECH STREET,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,MEDICAID,MEDICAID,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,MEDICARE,MEDICARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,NOVA NET,NOVA NET,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,SELFPAY,SELFPAY,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,TRICARE,TRICARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJ VCUG,51600,CPT,both,,,171,171,UHC MEDICARE,UHC MEDICARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,AMERIGROUP,AMERIGROUP,,262.89,,fee schedule,262.89,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,267.9,,fee schedule,267.9,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,250.37,,fee schedule,250.37,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,AETNA,AETNA,,148.77,87,percent of total billed charges,148.77,148.77,267.9,percent of total billed charges,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148.77,87,percent of total billed charges,148.77,148.77,267.9,percent of total billed charges,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,UNITED HEALTHCARE,UNITED HEALTHCARE,,150.48,88,percent of total billed charges,150.48,148.77,267.9,percent of total billed charges,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,AETNA,AETNA,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,ALLIANT,ALLIANT,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,AMBETTER,AMBETTER,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,BEECH STREET,BEECH STREET,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,MEDICAID,MEDICAID,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,MEDICARE,MEDICARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,NOVA NET,NOVA NET,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,SELFPAY,SELFPAY,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,TRICARE,TRICARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
INJECT CYSTOGRAM,51600,CPT,both,,,171,171,UHC MEDICARE,UHC MEDICARE,,171,,fee schedule,171,148.77,267.9,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,AETNA,AETNA,,29083.29,87,percent of total billed charges,29083.29,29083.29,33429.07,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29083.29,87,percent of total billed charges,29083.29,29083.29,33429.07,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,29417.58,88,percent of total billed charges,29417.58,29083.29,33429.07,percent of total billed charges,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,AETNA,AETNA,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,ALLIANT,ALLIANT,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,AMBETTER,AMBETTER,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,BEECH STREET,BEECH STREET,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,CARESOURCE,CARESOURCE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,MEDICAID,MEDICAID,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,MEDICARE,MEDICARE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,NOVA NET,NOVA NET,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,PEACHSTATE,PEACHSTATE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,SELFPAY,SELFPAY,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,TRICARE,TRICARE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,517,DRG,inpatient,,,33429.07,33429.07,UHC MEDICARE,UHC MEDICARE,,33429.07,,fee schedule,33429.07,29083.29,33429.07,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,ALLIANT,ALLIANT,,354.54,,fee schedule,354.54,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AMBETTER,AMBETTER,,279.33,,fee schedule,279.33,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,94.29,,fee schedule,94.29,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,96.09,,fee schedule,96.09,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,MEDICARE,MEDICARE,,214.87,,fee schedule,214.87,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,89.8,,fee schedule,89.8,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,TRICARE,TRICARE,,214.87,,fee schedule,214.87,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,214.87,,fee schedule,214.87,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,89.8,434,percent of total billed charges,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,89.8,434,percent of total billed charges,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,89.8,434,percent of total billed charges,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,ALLIANT,ALLIANT,,354.54,,fee schedule,354.54,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AMBETTER,AMBETTER,,279.33,,fee schedule,279.33,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,94.29,,fee schedule,94.29,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,96.09,,fee schedule,96.09,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,MEDICARE,MEDICARE,,214.87,,fee schedule,214.87,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,89.8,,fee schedule,89.8,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,TRICARE,TRICARE,,214.87,,fee schedule,214.87,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,214.87,,fee schedule,214.87,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,89.8,434,percent of total billed charges,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,89.8,434,percent of total billed charges,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,89.8,434,percent of total billed charges,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,89.8,434,fee schedule,
BLADDER IRRIGATION,51700,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,89.8,434,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,AMERIGROUP,AMERIGROUP,,54.08,,fee schedule,54.08,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,55.11,,fee schedule,55.11,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,51.5,,fee schedule,51.5,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,TRICARE,TRICARE,,116.11,,fee schedule,116.11,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,AETNA,AETNA,,269.7,87,percent of total billed charges,269.7,51.5,310,percent of total billed charges,
IN/OUT CATH,51701,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,269.7,87,percent of total billed charges,269.7,51.5,310,percent of total billed charges,
IN/OUT CATH,51701,CPT,both,,,310,310,UNITED HEALTHCARE,UNITED HEALTHCARE,,272.8,88,percent of total billed charges,272.8,51.5,310,percent of total billed charges,
IN/OUT CATH,51701,CPT,both,,,310,310,AETNA,AETNA,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,BEECH STREET,BEECH STREET,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,MEDICAID,MEDICAID,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,NOVA NET,NOVA NET,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,SELFPAY,SELFPAY,,310,,fee schedule,310,51.5,310,fee schedule,
IN/OUT CATH,51701,CPT,both,,,310,310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,310,,fee schedule,310,51.5,310,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,85.58,,fee schedule,85.58,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,87.21,,fee schedule,87.21,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,81.5,,fee schedule,81.5,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,TRICARE,TRICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,81.5,290,percent of total billed charges,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,81.5,290,percent of total billed charges,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,81.5,290,percent of total billed charges,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,85.58,,fee schedule,85.58,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,87.21,,fee schedule,87.21,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,81.5,,fee schedule,81.5,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,TRICARE,TRICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,81.5,290,percent of total billed charges,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,81.5,290,percent of total billed charges,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,81.5,290,percent of total billed charges,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH  INDWELLING,51702,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,85.58,,fee schedule,85.58,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,87.21,,fee schedule,87.21,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,81.5,,fee schedule,81.5,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,TRICARE,TRICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,81.5,290,percent of total billed charges,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,81.5,290,percent of total billed charges,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,81.5,290,percent of total billed charges,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH INDWELLING,51702,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,81.5,290,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,AMERIGROUP,AMERIGROUP,,159.73,,fee schedule,159.73,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,162.77,,fee schedule,162.77,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,152.12,,fee schedule,152.12,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,TRICARE,TRICARE,,145.43,,fee schedule,145.43,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,145.43,239.96,percent of total billed charges,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,145.43,239.96,percent of total billed charges,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,145.43,239.96,percent of total billed charges,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,145.43,239.96,fee schedule,
URINE CATH COMPLEX,51703,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,145.43,239.96,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,ALLIANT,ALLIANT,,1031.81,,fee schedule,1031.81,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,AMBETTER,AMBETTER,,812.94,,fee schedule,812.94,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,138.57,,fee schedule,138.57,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,141.21,,fee schedule,141.21,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,MEDICARE,MEDICARE,,625.34,,fee schedule,625.34,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,131.97,,fee schedule,131.97,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,TRICARE,TRICARE,,625.34,,fee schedule,625.34,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,UHC MEDICARE,UHC MEDICARE,,625.34,,fee schedule,625.34,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,AETNA,AETNA,,534.18,87,percent of total billed charges,534.18,131.97,1031.81,percent of total billed charges,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534.18,87,percent of total billed charges,534.18,131.97,1031.81,percent of total billed charges,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,UNITED HEALTHCARE,UNITED HEALTHCARE,,540.32,88,percent of total billed charges,540.32,131.97,1031.81,percent of total billed charges,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,AETNA,AETNA,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,BEECH STREET,BEECH STREET,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,MEDICAID,MEDICAID,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,NOVA NET,NOVA NET,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,SELFPAY,SELFPAY,,614,,fee schedule,614,131.97,1031.81,fee schedule,
CHEMO BLADDER INSTILLATI,51720,CPT,both,,,614,614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,614,,fee schedule,614,131.97,1031.81,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,AMERIGROUP,AMERIGROUP,,18.76,,fee schedule,18.76,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,CARESOURCE,CARESOURCE,,19.12,,fee schedule,19.12,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,PEACHSTATE,PEACHSTATE,,17.87,,fee schedule,17.87,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,TRICARE,TRICARE,,57.48,,fee schedule,57.48,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,AETNA,AETNA,,123.54,87,percent of total billed charges,123.54,17.87,142,percent of total billed charges,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123.54,87,percent of total billed charges,123.54,17.87,142,percent of total billed charges,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.96,88,percent of total billed charges,124.96,17.87,142,percent of total billed charges,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,AETNA,AETNA,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,BEECH STREET,BEECH STREET,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,CARESOURCE,CARESOURCE,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,MEDICAID,MEDICAID,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,NOVA NET,NOVA NET,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,PEACHSTATE,PEACHSTATE,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,SELFPAY,SELFPAY,,142,,fee schedule,142,17.87,142,fee schedule,
US URINE CAPACITY MEASURE,51798,CPT,both,,,142,142,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,142,,fee schedule,142,17.87,142,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,AETNA,AETNA,,27394.6,87,percent of total billed charges,27394.6,27394.6,31488.05,percent of total billed charges,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27394.6,87,percent of total billed charges,27394.6,27394.6,31488.05,percent of total billed charges,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,UNITED HEALTHCARE,UNITED HEALTHCARE,,27709.48,88,percent of total billed charges,27709.48,27394.6,31488.05,percent of total billed charges,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,AETNA,AETNA,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,ALLIANT,ALLIANT,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,AMBETTER,AMBETTER,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,BEECH STREET,BEECH STREET,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,CARESOURCE,CARESOURCE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,MEDICAID,MEDICAID,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,MEDICARE,MEDICARE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,NOVA NET,NOVA NET,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,PEACHSTATE,PEACHSTATE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,SELFPAY,SELFPAY,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,TRICARE,TRICARE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,518,DRG,inpatient,,,31488.05,31488.05,UHC MEDICARE,UHC MEDICARE,,31488.05,,fee schedule,31488.05,27394.6,31488.05,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,AETNA,AETNA,,44592.98,87,percent of total billed charges,44592.98,44592.98,51256.3,percent of total billed charges,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44592.98,87,percent of total billed charges,44592.98,44592.98,51256.3,percent of total billed charges,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,45105.54,88,percent of total billed charges,45105.54,44592.98,51256.3,percent of total billed charges,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,AETNA,AETNA,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,ALLIANT,ALLIANT,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,AMBETTER,AMBETTER,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,BEECH STREET,BEECH STREET,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,CARESOURCE,CARESOURCE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,MEDICAID,MEDICAID,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,MEDICARE,MEDICARE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,NOVA NET,NOVA NET,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,PEACHSTATE,PEACHSTATE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,SELFPAY,SELFPAY,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,TRICARE,TRICARE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
BACK & NECK PROC EXC SPINAL FUSION W CC,519,DRG,inpatient,,,51256.3,51256.3,UHC MEDICARE,UHC MEDICARE,,51256.3,,fee schedule,51256.3,44592.98,51256.3,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,AETNA,AETNA,,44025.87,87,percent of total billed charges,44025.87,44025.87,50604.45,percent of total billed charges,
TBD,522,DRG,inpatient,,,50604.45,50604.45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44025.87,87,percent of total billed charges,44025.87,44025.87,50604.45,percent of total billed charges,
TBD,522,DRG,inpatient,,,50604.45,50604.45,UNITED HEALTHCARE,UNITED HEALTHCARE,,44531.92,88,percent of total billed charges,44531.92,44025.87,50604.45,percent of total billed charges,
TBD,522,DRG,inpatient,,,50604.45,50604.45,AETNA,AETNA,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,ALLIANT,ALLIANT,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,AMBETTER,AMBETTER,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,BEECH STREET,BEECH STREET,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,CARESOURCE,CARESOURCE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,MEDICAID,MEDICAID,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,MEDICARE,MEDICARE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,NOVA NET,NOVA NET,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,PEACHSTATE,PEACHSTATE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,SELFPAY,SELFPAY,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,TRICARE,TRICARE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
TBD,522,DRG,inpatient,,,50604.45,50604.45,UHC MEDICARE,UHC MEDICARE,,50604.45,,fee schedule,50604.45,44025.87,50604.45,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,AETNA,AETNA,,30486.38,87,percent of total billed charges,30486.38,30486.38,35041.82,percent of total billed charges,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30486.38,87,percent of total billed charges,30486.38,30486.38,35041.82,percent of total billed charges,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,UNITED HEALTHCARE,UNITED HEALTHCARE,,30836.8,88,percent of total billed charges,30836.8,30486.38,35041.82,percent of total billed charges,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,AETNA,AETNA,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,ALLIANT,ALLIANT,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,AMBETTER,AMBETTER,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,BEECH STREET,BEECH STREET,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,CARESOURCE,CARESOURCE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,MEDICAID,MEDICAID,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,MEDICARE,MEDICARE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,NOVA NET,NOVA NET,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,PEACHSTATE,PEACHSTATE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,SELFPAY,SELFPAY,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,TRICARE,TRICARE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W MCC,535,DRG,inpatient,,,35041.82,35041.82,UHC MEDICARE,UHC MEDICARE,,35041.82,,fee schedule,35041.82,30486.38,35041.82,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,AETNA,AETNA,,14605.64,87,percent of total billed charges,14605.64,14605.64,16788.09,percent of total billed charges,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14605.64,87,percent of total billed charges,14605.64,14605.64,16788.09,percent of total billed charges,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,UNITED HEALTHCARE,UNITED HEALTHCARE,,14773.52,88,percent of total billed charges,14773.52,14605.64,16788.09,percent of total billed charges,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,AETNA,AETNA,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,ALLIANT,ALLIANT,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,AMBETTER,AMBETTER,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,BEECH STREET,BEECH STREET,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,CARESOURCE,CARESOURCE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,MEDICAID,MEDICAID,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,MEDICARE,MEDICARE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,NOVA NET,NOVA NET,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,PEACHSTATE,PEACHSTATE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,SELFPAY,SELFPAY,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,TRICARE,TRICARE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
FRACTURES OF HIP & PELVIS W/O MCC,536,DRG,inpatient,,,16788.09,16788.09,UHC MEDICARE,UHC MEDICARE,,16788.09,,fee schedule,16788.09,14605.64,16788.09,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,ALLIANT,ALLIANT,,5288.45,,fee schedule,5288.45,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,AMBETTER,AMBETTER,,4166.66,,fee schedule,4166.66,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,AMERIGROUP,AMERIGROUP,,556.24,,fee schedule,556.24,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,CARESOURCE,CARESOURCE,,566.83,,fee schedule,566.83,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,MEDICARE,MEDICARE,,3205.12,,fee schedule,3205.12,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,PEACHSTATE,PEACHSTATE,,529.75,,fee schedule,529.75,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,TRICARE,TRICARE,,3205.12,,fee schedule,3205.12,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,UHC MEDICARE,UHC MEDICARE,,3205.12,,fee schedule,3205.12,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,AETNA,AETNA,,11561.43,87,percent of total billed charges,11561.43,529.75,13289,percent of total billed charges,
TUMT,53850,CPT,both,,,13289,13289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11561.43,87,percent of total billed charges,11561.43,529.75,13289,percent of total billed charges,
TUMT,53850,CPT,both,,,13289,13289,UNITED HEALTHCARE,UNITED HEALTHCARE,,11694.32,88,percent of total billed charges,11694.32,529.75,13289,percent of total billed charges,
TUMT,53850,CPT,both,,,13289,13289,AETNA,AETNA,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,BEECH STREET,BEECH STREET,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,CARESOURCE,CARESOURCE,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,MEDICAID,MEDICAID,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,NOVA NET,NOVA NET,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,PEACHSTATE,PEACHSTATE,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,SELFPAY,SELFPAY,,13289,,fee schedule,13289,529.75,13289,fee schedule,
TUMT,53850,CPT,both,,,13289,13289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13289,,fee schedule,13289,529.75,13289,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,AETNA,AETNA,,71315.73,87,percent of total billed charges,71315.73,71315.73,81972.1,percent of total billed charges,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71315.73,87,percent of total billed charges,71315.73,71315.73,81972.1,percent of total billed charges,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,UNITED HEALTHCARE,UNITED HEALTHCARE,,72135.45,88,percent of total billed charges,72135.45,71315.73,81972.1,percent of total billed charges,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,AETNA,AETNA,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,ALLIANT,ALLIANT,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,AMBETTER,AMBETTER,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,BEECH STREET,BEECH STREET,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,CARESOURCE,CARESOURCE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,MEDICAID,MEDICAID,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,MEDICARE,MEDICARE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,NOVA NET,NOVA NET,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,PEACHSTATE,PEACHSTATE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,SELFPAY,SELFPAY,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,TRICARE,TRICARE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W MCC,539,DRG,inpatient,,,81972.1,81972.1,UHC MEDICARE,UHC MEDICARE,,81972.1,,fee schedule,81972.1,71315.73,81972.1,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,AETNA,AETNA,,10853.02,87,percent of total billed charges,10853.02,10853.02,12474.74,percent of total billed charges,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10853.02,87,percent of total billed charges,10853.02,10853.02,12474.74,percent of total billed charges,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,10977.77,88,percent of total billed charges,10977.77,10853.02,12474.74,percent of total billed charges,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,AETNA,AETNA,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,ALLIANT,ALLIANT,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,AMBETTER,AMBETTER,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,BEECH STREET,BEECH STREET,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,CARESOURCE,CARESOURCE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,MEDICAID,MEDICAID,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,MEDICARE,MEDICARE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,NOVA NET,NOVA NET,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,PEACHSTATE,PEACHSTATE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,SELFPAY,SELFPAY,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,TRICARE,TRICARE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
OSTEOMYELITIS W CC,540,DRG,inpatient,,,12474.74,12474.74,UHC MEDICARE,UHC MEDICARE,,12474.74,,fee schedule,12474.74,10853.02,12474.74,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,ALLIANT,ALLIANT,,3060.55,,fee schedule,3060.55,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,AMBETTER,AMBETTER,,2411.34,,fee schedule,2411.34,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,162.56,,fee schedule,162.56,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,165.66,,fee schedule,165.66,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,MEDICARE,MEDICARE,,1854.88,,fee schedule,1854.88,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,154.82,,fee schedule,154.82,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,TRICARE,TRICARE,,1854.88,,fee schedule,1854.88,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,1854.88,,fee schedule,1854.88,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,154.82,3060.55,percent of total billed charges,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,154.82,3060.55,percent of total billed charges,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,154.82,3060.55,percent of total billed charges,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,154.82,3060.55,fee schedule,
CIRCUMCISION PROCEDURE,54150,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,154.82,3060.55,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,ALLIANT,ALLIANT,,354.54,,fee schedule,354.54,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,AMBETTER,AMBETTER,,279.33,,fee schedule,279.33,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,142.11,,fee schedule,142.11,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,144.81,,fee schedule,144.81,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,MEDICARE,MEDICARE,,214.87,,fee schedule,214.87,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,135.34,,fee schedule,135.34,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,TRICARE,TRICARE,,214.87,,fee schedule,214.87,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,214.87,,fee schedule,214.87,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,135.34,456,percent of total billed charges,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,135.34,456,percent of total billed charges,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,135.34,456,percent of total billed charges,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,135.34,456,fee schedule,
ASPIR CORPUS CAVERNOSUMA,54220,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,135.34,456,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,AETNA,AETNA,,37070.8,87,percent of total billed charges,37070.8,37070.8,42610.11,percent of total billed charges,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37070.8,87,percent of total billed charges,37070.8,37070.8,42610.11,percent of total billed charges,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,UNITED HEALTHCARE,UNITED HEALTHCARE,,37496.9,88,percent of total billed charges,37496.9,37070.8,42610.11,percent of total billed charges,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,AETNA,AETNA,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,ALLIANT,ALLIANT,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,AMBETTER,AMBETTER,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,BEECH STREET,BEECH STREET,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,CARESOURCE,CARESOURCE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,MEDICAID,MEDICAID,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,MEDICARE,MEDICARE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,NOVA NET,NOVA NET,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,PEACHSTATE,PEACHSTATE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,SELFPAY,SELFPAY,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,TRICARE,TRICARE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,543,DRG,inpatient,,,42610.11,42610.11,UHC MEDICARE,UHC MEDICARE,,42610.11,,fee schedule,42610.11,37070.8,42610.11,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,AETNA,AETNA,,24292.69,87,percent of total billed charges,24292.69,24292.69,27922.63,percent of total billed charges,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24292.69,87,percent of total billed charges,24292.69,24292.69,27922.63,percent of total billed charges,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,24571.91,88,percent of total billed charges,24571.91,24292.69,27922.63,percent of total billed charges,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,AETNA,AETNA,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,ALLIANT,ALLIANT,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,AMBETTER,AMBETTER,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,BEECH STREET,BEECH STREET,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,CARESOURCE,CARESOURCE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,MEDICAID,MEDICAID,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,MEDICARE,MEDICARE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,NOVA NET,NOVA NET,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,PEACHSTATE,PEACHSTATE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,SELFPAY,SELFPAY,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,TRICARE,TRICARE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,544,DRG,inpatient,,,27922.63,27922.63,UHC MEDICARE,UHC MEDICARE,,27922.63,,fee schedule,27922.63,24292.69,27922.63,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,AETNA,AETNA,,24040.85,87,percent of total billed charges,24040.85,24040.85,27633.16,percent of total billed charges,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24040.85,87,percent of total billed charges,24040.85,24040.85,27633.16,percent of total billed charges,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,UNITED HEALTHCARE,UNITED HEALTHCARE,,24317.18,88,percent of total billed charges,24317.18,24040.85,27633.16,percent of total billed charges,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,AETNA,AETNA,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,ALLIANT,ALLIANT,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,AMBETTER,AMBETTER,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,BEECH STREET,BEECH STREET,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,CARESOURCE,CARESOURCE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,MEDICAID,MEDICAID,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,MEDICARE,MEDICARE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,NOVA NET,NOVA NET,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,PEACHSTATE,PEACHSTATE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,SELFPAY,SELFPAY,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,TRICARE,TRICARE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W CC,546,DRG,inpatient,,,27633.16,27633.16,UHC MEDICARE,UHC MEDICARE,,27633.16,,fee schedule,27633.16,24040.85,27633.16,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,AETNA,AETNA,,10242.96,87,percent of total billed charges,10242.96,10242.96,11773.52,percent of total billed charges,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10242.96,87,percent of total billed charges,10242.96,10242.96,11773.52,percent of total billed charges,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,UNITED HEALTHCARE,UNITED HEALTHCARE,,10360.7,88,percent of total billed charges,10360.7,10242.96,11773.52,percent of total billed charges,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,AETNA,AETNA,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,ALLIANT,ALLIANT,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,AMBETTER,AMBETTER,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,BEECH STREET,BEECH STREET,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,CARESOURCE,CARESOURCE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,MEDICAID,MEDICAID,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,MEDICARE,MEDICARE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,NOVA NET,NOVA NET,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,PEACHSTATE,PEACHSTATE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,SELFPAY,SELFPAY,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,TRICARE,TRICARE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
CONNECTIVE TISSUE DISORDERS W/O CC/MCC,547,DRG,inpatient,,,11773.52,11773.52,UHC MEDICARE,UHC MEDICARE,,11773.52,,fee schedule,11773.52,10242.96,11773.52,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,AETNA,AETNA,,24583.03,87,percent of total billed charges,24583.03,24583.03,28256.36,percent of total billed charges,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24583.03,87,percent of total billed charges,24583.03,24583.03,28256.36,percent of total billed charges,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,UNITED HEALTHCARE,UNITED HEALTHCARE,,24865.6,88,percent of total billed charges,24865.6,24583.03,28256.36,percent of total billed charges,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,AETNA,AETNA,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,ALLIANT,ALLIANT,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,AMBETTER,AMBETTER,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,BEECH STREET,BEECH STREET,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,CARESOURCE,CARESOURCE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,MEDICAID,MEDICAID,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,MEDICARE,MEDICARE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,NOVA NET,NOVA NET,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,PEACHSTATE,PEACHSTATE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,SELFPAY,SELFPAY,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,TRICARE,TRICARE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W MCC,548,DRG,inpatient,,,28256.36,28256.36,UHC MEDICARE,UHC MEDICARE,,28256.36,,fee schedule,28256.36,24583.03,28256.36,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,AETNA,AETNA,,19009.7,87,percent of total billed charges,19009.7,19009.7,21850.23,percent of total billed charges,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19009.7,87,percent of total billed charges,19009.7,19009.7,21850.23,percent of total billed charges,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,UNITED HEALTHCARE,UNITED HEALTHCARE,,19228.2,88,percent of total billed charges,19228.2,19009.7,21850.23,percent of total billed charges,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,AETNA,AETNA,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,ALLIANT,ALLIANT,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,AMBETTER,AMBETTER,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,BEECH STREET,BEECH STREET,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,CARESOURCE,CARESOURCE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,MEDICAID,MEDICAID,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,MEDICARE,MEDICARE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,NOVA NET,NOVA NET,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,PEACHSTATE,PEACHSTATE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,SELFPAY,SELFPAY,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,TRICARE,TRICARE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
SEPTIC ARTHRITIS W CC,549,DRG,inpatient,,,21850.23,21850.23,UHC MEDICARE,UHC MEDICARE,,21850.23,,fee schedule,21850.23,19009.7,21850.23,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,AETNA,AETNA,,54915.44,87,percent of total billed charges,54915.44,54915.44,63121.19,percent of total billed charges,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54915.44,87,percent of total billed charges,54915.44,54915.44,63121.19,percent of total billed charges,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,UNITED HEALTHCARE,UNITED HEALTHCARE,,55546.65,88,percent of total billed charges,55546.65,54915.44,63121.19,percent of total billed charges,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,AETNA,AETNA,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,ALLIANT,ALLIANT,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,AMBETTER,AMBETTER,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,BEECH STREET,BEECH STREET,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,CARESOURCE,CARESOURCE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,MEDICAID,MEDICAID,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,MEDICARE,MEDICARE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,NOVA NET,NOVA NET,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,PEACHSTATE,PEACHSTATE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,SELFPAY,SELFPAY,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,TRICARE,TRICARE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W MCC,551,DRG,inpatient,,,63121.19,63121.19,UHC MEDICARE,UHC MEDICARE,,63121.19,,fee schedule,63121.19,54915.44,63121.19,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,AETNA,AETNA,,23057.84,87,percent of total billed charges,23057.84,23057.84,26503.26,percent of total billed charges,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23057.84,87,percent of total billed charges,23057.84,23057.84,26503.26,percent of total billed charges,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,UNITED HEALTHCARE,UNITED HEALTHCARE,,23322.87,88,percent of total billed charges,23322.87,23057.84,26503.26,percent of total billed charges,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,AETNA,AETNA,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,ALLIANT,ALLIANT,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,AMBETTER,AMBETTER,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,BEECH STREET,BEECH STREET,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,CARESOURCE,CARESOURCE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,MEDICAID,MEDICAID,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,MEDICARE,MEDICARE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,NOVA NET,NOVA NET,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,PEACHSTATE,PEACHSTATE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,SELFPAY,SELFPAY,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,TRICARE,TRICARE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
MEDICAL BACK PROBLEMS W/O MCC,552,DRG,inpatient,,,26503.26,26503.26,UHC MEDICARE,UHC MEDICARE,,26503.26,,fee schedule,26503.26,23057.84,26503.26,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,AETNA,AETNA,,17388.64,87,percent of total billed charges,17388.64,17388.64,19986.94,percent of total billed charges,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17388.64,87,percent of total billed charges,17388.64,17388.64,19986.94,percent of total billed charges,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,UNITED HEALTHCARE,UNITED HEALTHCARE,,17588.51,88,percent of total billed charges,17588.51,17388.64,19986.94,percent of total billed charges,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,AETNA,AETNA,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,ALLIANT,ALLIANT,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,AMBETTER,AMBETTER,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,BEECH STREET,BEECH STREET,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,CARESOURCE,CARESOURCE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,MEDICAID,MEDICAID,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,MEDICARE,MEDICARE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,NOVA NET,NOVA NET,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,PEACHSTATE,PEACHSTATE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,SELFPAY,SELFPAY,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,TRICARE,TRICARE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W MCC,553,DRG,inpatient,,,19986.94,19986.94,UHC MEDICARE,UHC MEDICARE,,19986.94,,fee schedule,19986.94,17388.64,19986.94,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,AETNA,AETNA,,8301.53,87,percent of total billed charges,8301.53,8301.53,9541.99,percent of total billed charges,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8301.53,87,percent of total billed charges,8301.53,8301.53,9541.99,percent of total billed charges,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,8396.95,88,percent of total billed charges,8396.95,8301.53,9541.99,percent of total billed charges,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,AETNA,AETNA,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,ALLIANT,ALLIANT,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,AMBETTER,AMBETTER,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,BEECH STREET,BEECH STREET,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,CARESOURCE,CARESOURCE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,MEDICAID,MEDICAID,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,MEDICARE,MEDICARE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,NOVA NET,NOVA NET,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,PEACHSTATE,PEACHSTATE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,SELFPAY,SELFPAY,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,TRICARE,TRICARE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
BONE DISEASES & ARTHROPATHIES W/O MCC,554,DRG,inpatient,,,9541.99,9541.99,UHC MEDICARE,UHC MEDICARE,,9541.99,,fee schedule,9541.99,8301.53,9541.99,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,AETNA,AETNA,,15199.92,87,percent of total billed charges,15199.92,15199.92,17471.17,percent of total billed charges,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15199.92,87,percent of total billed charges,15199.92,15199.92,17471.17,percent of total billed charges,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,UNITED HEALTHCARE,UNITED HEALTHCARE,,15374.63,88,percent of total billed charges,15374.63,15199.92,17471.17,percent of total billed charges,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,AETNA,AETNA,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,ALLIANT,ALLIANT,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,AMBETTER,AMBETTER,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,BEECH STREET,BEECH STREET,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,CARESOURCE,CARESOURCE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,MEDICAID,MEDICAID,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,MEDICARE,MEDICARE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,NOVA NET,NOVA NET,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,PEACHSTATE,PEACHSTATE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,SELFPAY,SELFPAY,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,TRICARE,TRICARE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC,555,DRG,inpatient,,,17471.17,17471.17,UHC MEDICARE,UHC MEDICARE,,17471.17,,fee schedule,17471.17,15199.92,17471.17,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,AETNA,AETNA,,14355.82,87,percent of total billed charges,14355.82,14355.82,16500.94,percent of total billed charges,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14355.82,87,percent of total billed charges,14355.82,14355.82,16500.94,percent of total billed charges,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,UNITED HEALTHCARE,UNITED HEALTHCARE,,14520.83,88,percent of total billed charges,14520.83,14355.82,16500.94,percent of total billed charges,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,AETNA,AETNA,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,ALLIANT,ALLIANT,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,AMBETTER,AMBETTER,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,BEECH STREET,BEECH STREET,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,CARESOURCE,CARESOURCE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,MEDICAID,MEDICAID,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,MEDICARE,MEDICARE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,NOVA NET,NOVA NET,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,PEACHSTATE,PEACHSTATE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,SELFPAY,SELFPAY,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,TRICARE,TRICARE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,556,DRG,inpatient,,,16500.94,16500.94,UHC MEDICARE,UHC MEDICARE,,16500.94,,fee schedule,16500.94,14355.82,16500.94,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,AETNA,AETNA,,34543.65,87,percent of total billed charges,34543.65,34543.65,39705.35,percent of total billed charges,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34543.65,87,percent of total billed charges,34543.65,34543.65,39705.35,percent of total billed charges,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,UNITED HEALTHCARE,UNITED HEALTHCARE,,34940.71,88,percent of total billed charges,34940.71,34543.65,39705.35,percent of total billed charges,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,AETNA,AETNA,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,ALLIANT,ALLIANT,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,AMBETTER,AMBETTER,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,BEECH STREET,BEECH STREET,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,CARESOURCE,CARESOURCE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,MEDICAID,MEDICAID,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,MEDICARE,MEDICARE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,NOVA NET,NOVA NET,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,PEACHSTATE,PEACHSTATE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,SELFPAY,SELFPAY,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,TRICARE,TRICARE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W MCC",557,DRG,inpatient,,,39705.35,39705.35,UHC MEDICARE,UHC MEDICARE,,39705.35,,fee schedule,39705.35,34543.65,39705.35,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,AETNA,AETNA,,13741.42,87,percent of total billed charges,13741.42,13741.42,15794.73,percent of total billed charges,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13741.42,87,percent of total billed charges,13741.42,13741.42,15794.73,percent of total billed charges,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,UNITED HEALTHCARE,UNITED HEALTHCARE,,13899.36,88,percent of total billed charges,13899.36,13741.42,15794.73,percent of total billed charges,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,AETNA,AETNA,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,ALLIANT,ALLIANT,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,AMBETTER,AMBETTER,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,BEECH STREET,BEECH STREET,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,CARESOURCE,CARESOURCE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,MEDICAID,MEDICAID,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,MEDICARE,MEDICARE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,NOVA NET,NOVA NET,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,PEACHSTATE,PEACHSTATE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,SELFPAY,SELFPAY,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,TRICARE,TRICARE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"TENDONITIS, MYOSITIS & BURSITIS W/O MCC",558,DRG,inpatient,,,15794.73,15794.73,UHC MEDICARE,UHC MEDICARE,,15794.73,,fee schedule,15794.73,13741.42,15794.73,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,AETNA,AETNA,,11769.97,87,percent of total billed charges,11769.97,11769.97,13528.7,percent of total billed charges,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11769.97,87,percent of total billed charges,11769.97,11769.97,13528.7,percent of total billed charges,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,UNITED HEALTHCARE,UNITED HEALTHCARE,,11905.26,88,percent of total billed charges,11905.26,11769.97,13528.7,percent of total billed charges,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,AETNA,AETNA,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,ALLIANT,ALLIANT,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,AMBETTER,AMBETTER,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,BEECH STREET,BEECH STREET,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,CARESOURCE,CARESOURCE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,MEDICAID,MEDICAID,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,MEDICARE,MEDICARE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,NOVA NET,NOVA NET,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,PEACHSTATE,PEACHSTATE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,SELFPAY,SELFPAY,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,TRICARE,TRICARE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC",560,DRG,inpatient,,,13528.7,13528.7,UHC MEDICARE,UHC MEDICARE,,13528.7,,fee schedule,13528.7,11769.97,13528.7,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,AETNA,AETNA,,18392.16,87,percent of total billed charges,18392.16,18392.16,21140.41,percent of total billed charges,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18392.16,87,percent of total billed charges,18392.16,18392.16,21140.41,percent of total billed charges,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,18603.56,88,percent of total billed charges,18603.56,18392.16,21140.41,percent of total billed charges,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,AETNA,AETNA,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,ALLIANT,ALLIANT,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,AMBETTER,AMBETTER,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,BEECH STREET,BEECH STREET,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,CARESOURCE,CARESOURCE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,MEDICAID,MEDICAID,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,MEDICARE,MEDICARE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,NOVA NET,NOVA NET,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,PEACHSTATE,PEACHSTATE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,SELFPAY,SELFPAY,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,TRICARE,TRICARE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC",561,DRG,inpatient,,,21140.41,21140.41,UHC MEDICARE,UHC MEDICARE,,21140.41,,fee schedule,21140.41,18392.16,21140.41,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,AETNA,AETNA,,35128.89,87,percent of total billed charges,35128.89,35128.89,40378.04,percent of total billed charges,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35128.89,87,percent of total billed charges,35128.89,35128.89,40378.04,percent of total billed charges,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,UNITED HEALTHCARE,UNITED HEALTHCARE,,35532.68,88,percent of total billed charges,35532.68,35128.89,40378.04,percent of total billed charges,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,AETNA,AETNA,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,ALLIANT,ALLIANT,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,AMBETTER,AMBETTER,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,BEECH STREET,BEECH STREET,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,CARESOURCE,CARESOURCE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,MEDICAID,MEDICAID,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,MEDICARE,MEDICARE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,NOVA NET,NOVA NET,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,PEACHSTATE,PEACHSTATE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,SELFPAY,SELFPAY,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,TRICARE,TRICARE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC",562,DRG,inpatient,,,40378.04,40378.04,UHC MEDICARE,UHC MEDICARE,,40378.04,,fee schedule,40378.04,35128.89,40378.04,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,AETNA,AETNA,,19597.16,87,percent of total billed charges,19597.16,19597.16,22525.47,percent of total billed charges,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19597.16,87,percent of total billed charges,19597.16,19597.16,22525.47,percent of total billed charges,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,UNITED HEALTHCARE,UNITED HEALTHCARE,,19822.41,88,percent of total billed charges,19822.41,19597.16,22525.47,percent of total billed charges,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,AETNA,AETNA,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,ALLIANT,ALLIANT,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,AMBETTER,AMBETTER,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,BEECH STREET,BEECH STREET,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,CARESOURCE,CARESOURCE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,MEDICAID,MEDICAID,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,MEDICARE,MEDICARE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,NOVA NET,NOVA NET,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,PEACHSTATE,PEACHSTATE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,SELFPAY,SELFPAY,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,TRICARE,TRICARE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC",563,DRG,inpatient,,,22525.47,22525.47,UHC MEDICARE,UHC MEDICARE,,22525.47,,fee schedule,22525.47,19597.16,22525.47,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,AETNA,AETNA,,23160.05,87,percent of total billed charges,23160.05,23160.05,26620.75,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23160.05,87,percent of total billed charges,23160.05,23160.05,26620.75,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,UNITED HEALTHCARE,UNITED HEALTHCARE,,23426.26,88,percent of total billed charges,23426.26,23160.05,26620.75,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,AETNA,AETNA,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,ALLIANT,ALLIANT,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,AMBETTER,AMBETTER,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,BEECH STREET,BEECH STREET,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,CARESOURCE,CARESOURCE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,MEDICAID,MEDICAID,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,MEDICARE,MEDICARE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,NOVA NET,NOVA NET,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,PEACHSTATE,PEACHSTATE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,SELFPAY,SELFPAY,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,TRICARE,TRICARE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,564,DRG,inpatient,,,26620.75,26620.75,UHC MEDICARE,UHC MEDICARE,,26620.75,,fee schedule,26620.75,23160.05,26620.75,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,101.01,,fee schedule,101.01,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,102.93,,fee schedule,102.93,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,96.2,,fee schedule,96.2,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,96.2,742,percent of total billed charges,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,96.2,742,percent of total billed charges,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,96.2,742,percent of total billed charges,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,96.2,742,fee schedule,
I&D OF VULVA/PERINEUM,56405,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,96.2,742,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,100.04,,fee schedule,100.04,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,101.95,,fee schedule,101.95,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,95.28,,fee schedule,95.28,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,TRICARE,TRICARE,,178.13,,fee schedule,178.13,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,95.28,293.91,percent of total billed charges,
BARTHOLINS I & D,56420,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,95.28,293.91,percent of total billed charges,
BARTHOLINS I & D,56420,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,95.28,293.91,percent of total billed charges,
BARTHOLINS I & D,56420,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,95.28,293.91,fee schedule,
BARTHOLINS I & D,56420,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,95.28,293.91,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,100.04,,fee schedule,100.04,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,101.95,,fee schedule,101.95,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,95.28,,fee schedule,95.28,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,95.28,448,percent of total billed charges,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,95.28,448,percent of total billed charges,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,95.28,448,percent of total billed charges,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,95.28,448,fee schedule,
DRAINAGE OF GLAND ABCESS,56420,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,95.28,448,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,AETNA,AETNA,,10209.06,87,percent of total billed charges,10209.06,10209.06,11734.55,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10209.06,87,percent of total billed charges,10209.06,10209.06,11734.55,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,UNITED HEALTHCARE,UNITED HEALTHCARE,,10326.4,88,percent of total billed charges,10326.4,10209.06,11734.55,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,AETNA,AETNA,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,ALLIANT,ALLIANT,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,AMBETTER,AMBETTER,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,BEECH STREET,BEECH STREET,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,CARESOURCE,CARESOURCE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,MEDICAID,MEDICAID,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,MEDICARE,MEDICARE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,NOVA NET,NOVA NET,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,PEACHSTATE,PEACHSTATE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,SELFPAY,SELFPAY,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,TRICARE,TRICARE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,565,DRG,inpatient,,,11734.55,11734.55,UHC MEDICARE,UHC MEDICARE,,11734.55,,fee schedule,11734.55,10209.06,11734.55,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,AMERIGROUP,AMERIGROUP,,99.59,,fee schedule,99.59,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,CARESOURCE,CARESOURCE,,101.49,,fee schedule,101.49,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,PEACHSTATE,PEACHSTATE,,94.85,,fee schedule,94.85,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,AETNA,AETNA,,3918.48,87,percent of total billed charges,3918.48,94.85,4504,percent of total billed charges,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3918.48,87,percent of total billed charges,3918.48,94.85,4504,percent of total billed charges,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,UNITED HEALTHCARE,UNITED HEALTHCARE,,3963.52,88,percent of total billed charges,3963.52,94.85,4504,percent of total billed charges,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,AETNA,AETNA,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,BEECH STREET,BEECH STREET,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,CARESOURCE,CARESOURCE,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,MEDICAID,MEDICAID,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,NOVA NET,NOVA NET,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,PEACHSTATE,PEACHSTATE,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,SELFPAY,SELFPAY,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESIONS SIM,56501,CPT,both,,,4504,4504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4504,,fee schedule,4504,94.85,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,AMERIGROUP,AMERIGROUP,,151.03,,fee schedule,151.03,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,CARESOURCE,CARESOURCE,,153.91,,fee schedule,153.91,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,PEACHSTATE,PEACHSTATE,,143.84,,fee schedule,143.84,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,AETNA,AETNA,,3918.48,87,percent of total billed charges,3918.48,143.84,4504,percent of total billed charges,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3918.48,87,percent of total billed charges,3918.48,143.84,4504,percent of total billed charges,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,UNITED HEALTHCARE,UNITED HEALTHCARE,,3963.52,88,percent of total billed charges,3963.52,143.84,4504,percent of total billed charges,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,AETNA,AETNA,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,BEECH STREET,BEECH STREET,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,CARESOURCE,CARESOURCE,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,MEDICAID,MEDICAID,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,NOVA NET,NOVA NET,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,PEACHSTATE,PEACHSTATE,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,SELFPAY,SELFPAY,,4504,,fee schedule,4504,143.84,4504,fee schedule,
DESTROY VULVA LESION/S COMPL,56515,CPT,both,,,4504,4504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4504,,fee schedule,4504,143.84,4504,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,AETNA,AETNA,,15829.14,87,percent of total billed charges,15829.14,15829.14,18194.41,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15829.14,87,percent of total billed charges,15829.14,15829.14,18194.41,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,16011.08,88,percent of total billed charges,16011.08,15829.14,18194.41,percent of total billed charges,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,AETNA,AETNA,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,ALLIANT,ALLIANT,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,AMBETTER,AMBETTER,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,BEECH STREET,BEECH STREET,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,CARESOURCE,CARESOURCE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,MEDICAID,MEDICAID,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,MEDICARE,MEDICARE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,NOVA NET,NOVA NET,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,PEACHSTATE,PEACHSTATE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,SELFPAY,SELFPAY,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,TRICARE,TRICARE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,566,DRG,inpatient,,,18194.41,18194.41,UHC MEDICARE,UHC MEDICARE,,18194.41,,fee schedule,18194.41,15829.14,18194.41,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,ALLIANT,ALLIANT,,1160.73,,fee schedule,1160.73,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,AMBETTER,AMBETTER,,914.51,,fee schedule,914.51,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,AMERIGROUP,AMERIGROUP,,79.17,,fee schedule,79.17,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,80.68,,fee schedule,80.68,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,MEDICARE,MEDICARE,,703.47,,fee schedule,703.47,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,75.4,,fee schedule,75.4,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,TRICARE,TRICARE,,703.47,,fee schedule,703.47,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,UHC MEDICARE,UHC MEDICARE,,703.47,,fee schedule,703.47,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,AETNA,AETNA,,1451.16,87,percent of total billed charges,1451.16,75.4,1668,percent of total billed charges,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451.16,87,percent of total billed charges,1451.16,75.4,1668,percent of total billed charges,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,UNITED HEALTHCARE,UNITED HEALTHCARE,,1467.84,88,percent of total billed charges,1467.84,75.4,1668,percent of total billed charges,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,AETNA,AETNA,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,BEECH STREET,BEECH STREET,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,MEDICAID,MEDICAID,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,NOVA NET,NOVA NET,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,SELFPAY,SELFPAY,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ONE,56605,CPT,both,,,1668,1668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1668,,fee schedule,1668,75.4,1668,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,AMERIGROUP,AMERIGROUP,,49.85,,fee schedule,49.85,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,CARESOURCE,CARESOURCE,,50.8,,fee schedule,50.8,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,PEACHSTATE,PEACHSTATE,,47.48,,fee schedule,47.48,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,AETNA,AETNA,,725.58,87,percent of total billed charges,725.58,47.48,834,percent of total billed charges,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,725.58,87,percent of total billed charges,725.58,47.48,834,percent of total billed charges,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,UNITED HEALTHCARE,UNITED HEALTHCARE,,733.92,88,percent of total billed charges,733.92,47.48,834,percent of total billed charges,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,AETNA,AETNA,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,ALLIANT,ALLIANT,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,AMBETTER,AMBETTER,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,BEECH STREET,BEECH STREET,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,CARESOURCE,CARESOURCE,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,MEDICAID,MEDICAID,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,MEDICARE,MEDICARE,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,NOVA NET,NOVA NET,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,PEACHSTATE,PEACHSTATE,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,SELFPAY,SELFPAY,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,TRICARE,TRICARE,,834,,fee schedule,834,47.48,834,fee schedule,
BIOPSY OF VULVA/PERINEUM ADD,56606,CPT,both,,,834,834,UHC MEDICARE,UHC MEDICARE,,834,,fee schedule,834,47.48,834,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,109.18,,fee schedule,109.18,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,111.26,,fee schedule,111.26,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,103.98,,fee schedule,103.98,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,103.98,448,percent of total billed charges,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,103.98,448,percent of total billed charges,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,103.98,448,percent of total billed charges,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM OF VULVA W/ SCOPE,56820,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,103.98,448,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,141.35,,fee schedule,141.35,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,144.04,,fee schedule,144.04,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,134.62,,fee schedule,134.62,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,134.62,742,percent of total billed charges,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,134.62,742,percent of total billed charges,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,134.62,742,percent of total billed charges,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,134.62,742,fee schedule,
EXAM/BIOPSY OF VULVA W/ SCOPE,56821,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,134.62,742,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,AETNA,AETNA,,17929.01,87,percent of total billed charges,17929.01,17929.01,20608.06,percent of total billed charges,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17929.01,87,percent of total billed charges,17929.01,17929.01,20608.06,percent of total billed charges,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,18135.09,88,percent of total billed charges,18135.09,17929.01,20608.06,percent of total billed charges,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,AETNA,AETNA,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,ALLIANT,ALLIANT,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,AMBETTER,AMBETTER,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,BEECH STREET,BEECH STREET,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,CARESOURCE,CARESOURCE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,MEDICAID,MEDICAID,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,MEDICARE,MEDICARE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,NOVA NET,NOVA NET,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,PEACHSTATE,PEACHSTATE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,SELFPAY,SELFPAY,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,TRICARE,TRICARE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W MCC,570,DRG,inpatient,,,20608.06,20608.06,UHC MEDICARE,UHC MEDICARE,,20608.06,,fee schedule,20608.06,17929.01,20608.06,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,AETNA,AETNA,,22960.29,87,percent of total billed charges,22960.29,22960.29,26391.14,percent of total billed charges,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22960.29,87,percent of total billed charges,22960.29,22960.29,26391.14,percent of total billed charges,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,UNITED HEALTHCARE,UNITED HEALTHCARE,,23224.2,88,percent of total billed charges,23224.2,22960.29,26391.14,percent of total billed charges,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,AETNA,AETNA,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,ALLIANT,ALLIANT,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,AMBETTER,AMBETTER,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,BEECH STREET,BEECH STREET,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,CARESOURCE,CARESOURCE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,MEDICAID,MEDICAID,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,MEDICARE,MEDICARE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,NOVA NET,NOVA NET,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,PEACHSTATE,PEACHSTATE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,SELFPAY,SELFPAY,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,TRICARE,TRICARE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
SKIN DEBRIDEMENT W CC,571,DRG,inpatient,,,26391.14,26391.14,UHC MEDICARE,UHC MEDICARE,,26391.14,,fee schedule,26391.14,22960.29,26391.14,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,ALLIANT,ALLIANT,,1160.73,,fee schedule,1160.73,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,AMBETTER,AMBETTER,,914.51,,fee schedule,914.51,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,AMERIGROUP,AMERIGROUP,,67.54,,fee schedule,67.54,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,68.82,,fee schedule,68.82,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,MEDICARE,MEDICARE,,703.47,,fee schedule,703.47,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,64.32,,fee schedule,64.32,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,TRICARE,TRICARE,,703.47,,fee schedule,703.47,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,UHC MEDICARE,UHC MEDICARE,,703.47,,fee schedule,703.47,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,AETNA,AETNA,,1451.16,87,percent of total billed charges,1451.16,64.32,1668,percent of total billed charges,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451.16,87,percent of total billed charges,1451.16,64.32,1668,percent of total billed charges,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,UNITED HEALTHCARE,UNITED HEALTHCARE,,1467.84,88,percent of total billed charges,1467.84,64.32,1668,percent of total billed charges,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,AETNA,AETNA,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,BEECH STREET,BEECH STREET,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,MEDICAID,MEDICAID,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,NOVA NET,NOVA NET,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,SELFPAY,SELFPAY,,1668,,fee schedule,1668,64.32,1668,fee schedule,
BIOPSY OF VAGINA,57100,CPT,both,,,1668,1668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1668,,fee schedule,1668,64.32,1668,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,AETNA,AETNA,,21984.11,87,percent of total billed charges,21984.11,21984.11,25269.09,percent of total billed charges,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21984.11,87,percent of total billed charges,21984.11,21984.11,25269.09,percent of total billed charges,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,UNITED HEALTHCARE,UNITED HEALTHCARE,,22236.8,88,percent of total billed charges,22236.8,21984.11,25269.09,percent of total billed charges,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,AETNA,AETNA,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,ALLIANT,ALLIANT,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,AMBETTER,AMBETTER,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,BEECH STREET,BEECH STREET,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,CARESOURCE,CARESOURCE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,MEDICAID,MEDICAID,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,MEDICARE,MEDICARE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,NOVA NET,NOVA NET,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,PEACHSTATE,PEACHSTATE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,SELFPAY,SELFPAY,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,TRICARE,TRICARE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN DEBRIDEMENT W/O CC/MCC,572,DRG,inpatient,,,25269.09,25269.09,UHC MEDICARE,UHC MEDICARE,,25269.09,,fee schedule,25269.09,21984.11,25269.09,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,AETNA,AETNA,,50075.74,87,percent of total billed charges,50075.74,50075.74,57558.32,percent of total billed charges,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50075.74,87,percent of total billed charges,50075.74,50075.74,57558.32,percent of total billed charges,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,UNITED HEALTHCARE,UNITED HEALTHCARE,,50651.32,88,percent of total billed charges,50651.32,50075.74,57558.32,percent of total billed charges,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,AETNA,AETNA,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,ALLIANT,ALLIANT,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,AMBETTER,AMBETTER,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,BEECH STREET,BEECH STREET,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,CARESOURCE,CARESOURCE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,MEDICAID,MEDICAID,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,MEDICARE,MEDICARE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,NOVA NET,NOVA NET,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,PEACHSTATE,PEACHSTATE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,SELFPAY,SELFPAY,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,TRICARE,TRICARE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC,574,DRG,inpatient,,,57558.32,57558.32,UHC MEDICARE,UHC MEDICARE,,57558.32,,fee schedule,57558.32,50075.74,57558.32,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,113.85,,fee schedule,113.85,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,116.02,,fee schedule,116.02,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,108.43,,fee schedule,108.43,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,108.43,742,percent of total billed charges,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,108.43,742,percent of total billed charges,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,108.43,742,percent of total billed charges,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM OF VAGINA W/ SCOPE,57420,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,108.43,742,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,ALLIANT,ALLIANT,,1160.73,,fee schedule,1160.73,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,AMBETTER,AMBETTER,,914.51,,fee schedule,914.51,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,AMERIGROUP,AMERIGROUP,,148.34,,fee schedule,148.34,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,151.17,,fee schedule,151.17,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,MEDICARE,MEDICARE,,703.47,,fee schedule,703.47,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,141.28,,fee schedule,141.28,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,TRICARE,TRICARE,,703.47,,fee schedule,703.47,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,UHC MEDICARE,UHC MEDICARE,,703.47,,fee schedule,703.47,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,AETNA,AETNA,,1451.16,87,percent of total billed charges,1451.16,141.28,1668,percent of total billed charges,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451.16,87,percent of total billed charges,1451.16,141.28,1668,percent of total billed charges,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,UNITED HEALTHCARE,UNITED HEALTHCARE,,1467.84,88,percent of total billed charges,1467.84,141.28,1668,percent of total billed charges,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,AETNA,AETNA,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,BEECH STREET,BEECH STREET,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,MEDICAID,MEDICAID,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,NOVA NET,NOVA NET,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,SELFPAY,SELFPAY,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM/BIOPSY OF VAG W/ SCOPE,57421,CPT,both,,,1668,1668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1668,,fee schedule,1668,141.28,1668,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,72.58,,fee schedule,72.58,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,73.96,,fee schedule,73.96,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,69.12,,fee schedule,69.12,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,69.12,448,percent of total billed charges,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,69.12,448,percent of total billed charges,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,69.12,448,percent of total billed charges,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,69.12,448,fee schedule,
EXAM OF CERVIX W/ SCOPE,57452,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,69.12,448,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,93.8,,fee schedule,93.8,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,95.58,,fee schedule,95.58,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,89.33,,fee schedule,89.33,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,89.33,742,percent of total billed charges,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,89.33,742,percent of total billed charges,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,89.33,742,percent of total billed charges,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,89.33,742,fee schedule,
BX/CURETT OF CERVIX W/SCOPE,57454,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,89.33,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,136.59,,fee schedule,136.59,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,139.2,,fee schedule,139.2,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,130.09,,fee schedule,130.09,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,130.09,742,percent of total billed charges,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,130.09,742,percent of total billed charges,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,130.09,742,percent of total billed charges,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,130.09,742,fee schedule,
BIOPSY OF CERVIX W/ SCOPE,57455,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,130.09,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,129.22,,fee schedule,129.22,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,131.68,,fee schedule,131.68,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,123.07,,fee schedule,123.07,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,123.07,742,percent of total billed charges,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,123.07,742,percent of total billed charges,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,123.07,742,percent of total billed charges,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,123.07,742,fee schedule,
ENDOCERV CURETTAGE W/SCOPE,57456,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,123.07,742,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,ALLIANT,ALLIANT,,4665.28,,fee schedule,4665.28,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,AMBETTER,AMBETTER,,3675.67,,fee schedule,3675.67,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,AMERIGROUP,AMERIGROUP,,167.44,,fee schedule,167.44,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,CARESOURCE,CARESOURCE,,170.63,,fee schedule,170.63,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,MEDICARE,MEDICARE,,2827.44,,fee schedule,2827.44,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,PEACHSTATE,PEACHSTATE,,159.47,,fee schedule,159.47,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,TRICARE,TRICARE,,2827.44,,fee schedule,2827.44,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,UHC MEDICARE,UHC MEDICARE,,2827.44,,fee schedule,2827.44,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,AETNA,AETNA,,6003,87,percent of total billed charges,6003,159.47,6900,percent of total billed charges,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6003,87,percent of total billed charges,6003,159.47,6900,percent of total billed charges,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,UNITED HEALTHCARE,UNITED HEALTHCARE,,6072,88,percent of total billed charges,6072,159.47,6900,percent of total billed charges,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,AETNA,AETNA,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,BEECH STREET,BEECH STREET,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,CARESOURCE,CARESOURCE,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,MEDICAID,MEDICAID,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,NOVA NET,NOVA NET,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,PEACHSTATE,PEACHSTATE,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,SELFPAY,SELFPAY,,6900,,fee schedule,6900,159.47,6900,fee schedule,
BX OF CERVIX W/SCOPE LEEP,57460,CPT,both,,,6900,6900,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6900,,fee schedule,6900,159.47,6900,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,51.05,,fee schedule,51.05,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,52.02,,fee schedule,52.02,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,48.62,,fee schedule,48.62,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,48.62,288,percent of total billed charges,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,48.62,288,percent of total billed charges,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,48.62,288,percent of total billed charges,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,ALLIANT,ALLIANT,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,AMBETTER,AMBETTER,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,MEDICARE,MEDICARE,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,TRICARE,TRICARE,,288,,fee schedule,288,48.62,288,fee schedule,
CAM CERVIX UTERI DRG COLP,57465,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,288,,fee schedule,288,48.62,288,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,ALLIANT,ALLIANT,,1160.73,,fee schedule,1160.73,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,AMBETTER,AMBETTER,,914.51,,fee schedule,914.51,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,AMERIGROUP,AMERIGROUP,,66.87,,fee schedule,66.87,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,68.15,,fee schedule,68.15,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,MEDICARE,MEDICARE,,703.47,,fee schedule,703.47,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,63.69,,fee schedule,63.69,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,TRICARE,TRICARE,,703.47,,fee schedule,703.47,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,UHC MEDICARE,UHC MEDICARE,,703.47,,fee schedule,703.47,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,AETNA,AETNA,,1451.16,87,percent of total billed charges,1451.16,63.69,1668,percent of total billed charges,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451.16,87,percent of total billed charges,1451.16,63.69,1668,percent of total billed charges,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,UNITED HEALTHCARE,UNITED HEALTHCARE,,1467.84,88,percent of total billed charges,1467.84,63.69,1668,percent of total billed charges,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,AETNA,AETNA,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,BEECH STREET,BEECH STREET,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,MEDICAID,MEDICAID,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,NOVA NET,NOVA NET,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,SELFPAY,SELFPAY,,1668,,fee schedule,1668,63.69,1668,fee schedule,
BIOPSY OF CERVIX,57500,CPT,both,,,1668,1668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1668,,fee schedule,1668,63.69,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,ALLIANT,ALLIANT,,1160.73,,fee schedule,1160.73,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,AMBETTER,AMBETTER,,914.51,,fee schedule,914.51,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,AMERIGROUP,AMERIGROUP,,81.15,,fee schedule,81.15,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,82.7,,fee schedule,82.7,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,MEDICARE,MEDICARE,,703.47,,fee schedule,703.47,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,77.29,,fee schedule,77.29,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,TRICARE,TRICARE,,703.47,,fee schedule,703.47,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,UHC MEDICARE,UHC MEDICARE,,703.47,,fee schedule,703.47,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,AETNA,AETNA,,1451.16,87,percent of total billed charges,1451.16,77.29,1668,percent of total billed charges,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451.16,87,percent of total billed charges,1451.16,77.29,1668,percent of total billed charges,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,UNITED HEALTHCARE,UNITED HEALTHCARE,,1467.84,88,percent of total billed charges,1467.84,77.29,1668,percent of total billed charges,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,AETNA,AETNA,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,BEECH STREET,BEECH STREET,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,CARESOURCE,CARESOURCE,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,MEDICAID,MEDICAID,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,NOVA NET,NOVA NET,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,PEACHSTATE,PEACHSTATE,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,SELFPAY,SELFPAY,,1668,,fee schedule,1668,77.29,1668,fee schedule,
ENDOCERVICAL CURETTAGE,57505,CPT,both,,,1668,1668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1668,,fee schedule,1668,77.29,1668,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,ALLIANT,ALLIANT,,4665.28,,fee schedule,4665.28,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,AMBETTER,AMBETTER,,3675.67,,fee schedule,3675.67,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,AMERIGROUP,AMERIGROUP,,124.75,,fee schedule,124.75,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,CARESOURCE,CARESOURCE,,127.13,,fee schedule,127.13,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,MEDICARE,MEDICARE,,2827.44,,fee schedule,2827.44,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,PEACHSTATE,PEACHSTATE,,118.81,,fee schedule,118.81,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,TRICARE,TRICARE,,2827.44,,fee schedule,2827.44,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,UHC MEDICARE,UHC MEDICARE,,2827.44,,fee schedule,2827.44,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,AETNA,AETNA,,6003,87,percent of total billed charges,6003,118.81,6900,percent of total billed charges,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6003,87,percent of total billed charges,6003,118.81,6900,percent of total billed charges,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,UNITED HEALTHCARE,UNITED HEALTHCARE,,6072,88,percent of total billed charges,6072,118.81,6900,percent of total billed charges,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,AETNA,AETNA,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,BEECH STREET,BEECH STREET,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,CARESOURCE,CARESOURCE,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,MEDICAID,MEDICAID,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,NOVA NET,NOVA NET,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,PEACHSTATE,PEACHSTATE,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,SELFPAY,SELFPAY,,6900,,fee schedule,6900,118.81,6900,fee schedule,
CAUTERIZATION OF CERVIX,57510,CPT,both,,,6900,6900,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6900,,fee schedule,6900,118.81,6900,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,AETNA,AETNA,,130590.08,87,percent of total billed charges,130590.08,130590.08,150103.54,percent of total billed charges,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130590.08,87,percent of total billed charges,130590.08,130590.08,150103.54,percent of total billed charges,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,UNITED HEALTHCARE,UNITED HEALTHCARE,,132091.12,88,percent of total billed charges,132091.12,130590.08,150103.54,percent of total billed charges,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,AETNA,AETNA,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,ALLIANT,ALLIANT,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,AMBETTER,AMBETTER,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,BEECH STREET,BEECH STREET,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,CARESOURCE,CARESOURCE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,MEDICAID,MEDICAID,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,MEDICARE,MEDICARE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,NOVA NET,NOVA NET,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,PEACHSTATE,PEACHSTATE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,SELFPAY,SELFPAY,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,TRICARE,TRICARE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC,577,DRG,inpatient,,,150103.54,150103.54,UHC MEDICARE,UHC MEDICARE,,150103.54,,fee schedule,150103.54,130590.08,150103.54,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,ALLIANT,ALLIANT,,4665.28,,fee schedule,4665.28,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,AMBETTER,AMBETTER,,3675.67,,fee schedule,3675.67,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,AMERIGROUP,AMERIGROUP,,53.31,,fee schedule,53.31,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,CARESOURCE,CARESOURCE,,54.32,,fee schedule,54.32,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,MEDICARE,MEDICARE,,2827.44,,fee schedule,2827.44,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,PEACHSTATE,PEACHSTATE,,50.77,,fee schedule,50.77,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,TRICARE,TRICARE,,2827.44,,fee schedule,2827.44,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,UHC MEDICARE,UHC MEDICARE,,2827.44,,fee schedule,2827.44,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,AETNA,AETNA,,6003,87,percent of total billed charges,6003,50.77,6900,percent of total billed charges,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6003,87,percent of total billed charges,6003,50.77,6900,percent of total billed charges,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,UNITED HEALTHCARE,UNITED HEALTHCARE,,6072,88,percent of total billed charges,6072,50.77,6900,percent of total billed charges,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,AETNA,AETNA,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,BEECH STREET,BEECH STREET,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,CARESOURCE,CARESOURCE,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,MEDICAID,MEDICAID,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,NOVA NET,NOVA NET,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,PEACHSTATE,PEACHSTATE,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,SELFPAY,SELFPAY,,6900,,fee schedule,6900,50.77,6900,fee schedule,
DILATION OF CERVICAL CANAL,57800,CPT,both,,,6900,6900,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6900,,fee schedule,6900,50.77,6900,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,AETNA,AETNA,,47951.34,87,percent of total billed charges,47951.34,47951.34,55116.48,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47951.34,87,percent of total billed charges,47951.34,47951.34,55116.48,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,48502.5,88,percent of total billed charges,48502.5,47951.34,55116.48,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,AETNA,AETNA,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,ALLIANT,ALLIANT,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,AMBETTER,AMBETTER,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,BEECH STREET,BEECH STREET,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,CARESOURCE,CARESOURCE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,MEDICAID,MEDICAID,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,MEDICARE,MEDICARE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,NOVA NET,NOVA NET,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,PEACHSTATE,PEACHSTATE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,SELFPAY,SELFPAY,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,TRICARE,TRICARE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC",579,DRG,inpatient,,,55116.48,55116.48,UHC MEDICARE,UHC MEDICARE,,55116.48,,fee schedule,55116.48,47951.34,55116.48,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,AETNA,AETNA,,26216.72,87,percent of total billed charges,26216.72,26216.72,30134.16,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26216.72,87,percent of total billed charges,26216.72,26216.72,30134.16,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,UNITED HEALTHCARE,UNITED HEALTHCARE,,26518.06,88,percent of total billed charges,26518.06,26216.72,30134.16,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,AETNA,AETNA,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,ALLIANT,ALLIANT,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,AMBETTER,AMBETTER,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,BEECH STREET,BEECH STREET,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,CARESOURCE,CARESOURCE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,MEDICAID,MEDICAID,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,MEDICARE,MEDICARE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,NOVA NET,NOVA NET,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,PEACHSTATE,PEACHSTATE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,SELFPAY,SELFPAY,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,TRICARE,TRICARE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC",580,DRG,inpatient,,,30134.16,30134.16,UHC MEDICARE,UHC MEDICARE,,30134.16,,fee schedule,30134.16,26216.72,30134.16,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,AETNA,AETNA,,28470.59,87,percent of total billed charges,28470.59,28470.59,32724.82,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28470.59,87,percent of total billed charges,28470.59,28470.59,32724.82,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,UNITED HEALTHCARE,UNITED HEALTHCARE,,28797.84,88,percent of total billed charges,28797.84,28470.59,32724.82,percent of total billed charges,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,AETNA,AETNA,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,ALLIANT,ALLIANT,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,AMBETTER,AMBETTER,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,BEECH STREET,BEECH STREET,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,CARESOURCE,CARESOURCE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,MEDICAID,MEDICAID,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,MEDICARE,MEDICARE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,NOVA NET,NOVA NET,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,PEACHSTATE,PEACHSTATE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,SELFPAY,SELFPAY,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,TRICARE,TRICARE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC",581,DRG,inpatient,,,32724.82,32724.82,UHC MEDICARE,UHC MEDICARE,,32724.82,,fee schedule,32724.82,28470.59,32724.82,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,56.05,,fee schedule,56.05,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,57.12,,fee schedule,57.12,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,53.38,,fee schedule,53.38,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,53.38,448,percent of total billed charges,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,53.38,448,percent of total billed charges,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,53.38,448,percent of total billed charges,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,53.38,448,fee schedule,
BIOPSY OF UTERUS LINING,58100,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,53.38,448,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,47.06,,fee schedule,47.06,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,47.96,,fee schedule,47.96,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,44.82,,fee schedule,44.82,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,AETNA,AETNA,,322.77,87,percent of total billed charges,322.77,44.82,371,percent of total billed charges,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322.77,87,percent of total billed charges,322.77,44.82,371,percent of total billed charges,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,UNITED HEALTHCARE,UNITED HEALTHCARE,,326.48,88,percent of total billed charges,326.48,44.82,371,percent of total billed charges,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,AETNA,AETNA,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,ALLIANT,ALLIANT,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,AMBETTER,AMBETTER,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,BEECH STREET,BEECH STREET,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,MEDICAID,MEDICAID,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,MEDICARE,MEDICARE,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,NOVA NET,NOVA NET,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,SELFPAY,SELFPAY,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,TRICARE,TRICARE,,371,,fee schedule,371,44.82,371,fee schedule,
BX DONE W/COLPOSCOPY ADD-ON,58110,CPT,both,,,371,371,UHC MEDICARE,UHC MEDICARE,,371,,fee schedule,371,44.82,371,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,AETNA,AETNA,,34810.48,87,percent of total billed charges,34810.48,34810.48,40012.05,percent of total billed charges,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34810.48,87,percent of total billed charges,34810.48,34810.48,40012.05,percent of total billed charges,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,UNITED HEALTHCARE,UNITED HEALTHCARE,,35210.6,88,percent of total billed charges,35210.6,34810.48,40012.05,percent of total billed charges,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,AETNA,AETNA,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,ALLIANT,ALLIANT,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,AMBETTER,AMBETTER,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,BEECH STREET,BEECH STREET,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,CARESOURCE,CARESOURCE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,MEDICAID,MEDICAID,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,MEDICARE,MEDICARE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,NOVA NET,NOVA NET,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,PEACHSTATE,PEACHSTATE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,SELFPAY,SELFPAY,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,TRICARE,TRICARE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W CC/MCC,582,DRG,inpatient,,,40012.05,40012.05,UHC MEDICARE,UHC MEDICARE,,40012.05,,fee schedule,40012.05,34810.48,40012.05,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,AETNA,AETNA,,9168.57,87,percent of total billed charges,9168.57,9168.57,10538.59,percent of total billed charges,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9168.57,87,percent of total billed charges,9168.57,9168.57,10538.59,percent of total billed charges,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,UNITED HEALTHCARE,UNITED HEALTHCARE,,9273.96,88,percent of total billed charges,9273.96,9168.57,10538.59,percent of total billed charges,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,AETNA,AETNA,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,ALLIANT,ALLIANT,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,AMBETTER,AMBETTER,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,BEECH STREET,BEECH STREET,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,CARESOURCE,CARESOURCE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,MEDICAID,MEDICAID,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,MEDICARE,MEDICARE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,NOVA NET,NOVA NET,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,PEACHSTATE,PEACHSTATE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,SELFPAY,SELFPAY,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,TRICARE,TRICARE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
MASTECTOMY FOR MALIGNANCY W/O CC/MCC,583,DRG,inpatient,,,10538.59,10538.59,UHC MEDICARE,UHC MEDICARE,,10538.59,,fee schedule,10538.59,9168.57,10538.59,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,ALLIANT,ALLIANT,,481.73,,fee schedule,481.73,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,AMBETTER,AMBETTER,,379.55,,fee schedule,379.55,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,AMERIGROUP,AMERIGROUP,,76.64,,fee schedule,76.64,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,78.1,,fee schedule,78.1,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,MEDICARE,MEDICARE,,291.96,,fee schedule,291.96,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,72.99,,fee schedule,72.99,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,TRICARE,TRICARE,,291.96,,fee schedule,291.96,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,UHC MEDICARE,UHC MEDICARE,,291.96,,fee schedule,291.96,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,AETNA,AETNA,,645.54,87,percent of total billed charges,645.54,72.99,742,percent of total billed charges,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645.54,87,percent of total billed charges,645.54,72.99,742,percent of total billed charges,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.96,88,percent of total billed charges,652.96,72.99,742,percent of total billed charges,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,AETNA,AETNA,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,BEECH STREET,BEECH STREET,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,CARESOURCE,CARESOURCE,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,MEDICAID,MEDICAID,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,NOVA NET,NOVA NET,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,PEACHSTATE,PEACHSTATE,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,SELFPAY,SELFPAY,,742,,fee schedule,742,72.99,742,fee schedule,
REMOVE INTRAUTERINE DEVICE,58301,CPT,both,,,742,742,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,742,,fee schedule,742,72.99,742,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,201.26,,fee schedule,201.26,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,205.1,,fee schedule,205.1,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,191.68,,fee schedule,191.68,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,79.17,205.1,percent of total billed charges,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,79.17,205.1,percent of total billed charges,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,79.17,205.1,percent of total billed charges,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,79.17,205.1,fee schedule,
HYSTERO SALINE INFUSION,58340,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,79.17,205.1,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,AETNA,AETNA,,50873.41,87,percent of total billed charges,50873.41,50873.41,58475.18,percent of total billed charges,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50873.41,87,percent of total billed charges,50873.41,50873.41,58475.18,percent of total billed charges,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,UNITED HEALTHCARE,UNITED HEALTHCARE,,51458.16,88,percent of total billed charges,51458.16,50873.41,58475.18,percent of total billed charges,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,AETNA,AETNA,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,ALLIANT,ALLIANT,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,AMBETTER,AMBETTER,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,BEECH STREET,BEECH STREET,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,CARESOURCE,CARESOURCE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,MEDICAID,MEDICAID,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,MEDICARE,MEDICARE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,NOVA NET,NOVA NET,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,PEACHSTATE,PEACHSTATE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,SELFPAY,SELFPAY,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,TRICARE,TRICARE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC",585,DRG,inpatient,,,58475.18,58475.18,UHC MEDICARE,UHC MEDICARE,,58475.18,,fee schedule,58475.18,50873.41,58475.18,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,ALLIANT,ALLIANT,,1160.73,,fee schedule,1160.73,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,AMBETTER,AMBETTER,,914.51,,fee schedule,914.51,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,89.4,,fee schedule,89.4,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,91.1,,fee schedule,91.1,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,MEDICARE,MEDICARE,,703.47,,fee schedule,703.47,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,85.14,,fee schedule,85.14,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,TRICARE,TRICARE,,703.47,,fee schedule,703.47,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,UHC MEDICARE,UHC MEDICARE,,703.47,,fee schedule,703.47,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,AETNA,AETNA,,366.27,87,percent of total billed charges,366.27,85.14,1160.73,percent of total billed charges,
AMNIOCENTESIS,59000,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,366.27,87,percent of total billed charges,366.27,85.14,1160.73,percent of total billed charges,
AMNIOCENTESIS,59000,CPT,both,,,421,421,UNITED HEALTHCARE,UNITED HEALTHCARE,,370.48,88,percent of total billed charges,370.48,85.14,1160.73,percent of total billed charges,
AMNIOCENTESIS,59000,CPT,both,,,421,421,AETNA,AETNA,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,BEECH STREET,BEECH STREET,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,MEDICAID,MEDICAID,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,NOVA NET,NOVA NET,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,SELFPAY,SELFPAY,,421,,fee schedule,421,85.14,1160.73,fee schedule,
AMNIOCENTESIS,59000,CPT,both,,,421,421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,421,,fee schedule,421,85.14,1160.73,fee schedule,
OCT,59020,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,40.99,,fee schedule,40.99,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,20.31,,fee schedule,20.31,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,61.29,,fee schedule,61.29,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,41.77,,fee schedule,41.77,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,20.69,,fee schedule,20.69,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,62.46,,fee schedule,62.46,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,39.04,,fee schedule,39.04,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,19.34,,fee schedule,19.34,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,58.37,,fee schedule,58.37,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,19.34,448,percent of total billed charges,
OCT,59020,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,19.34,448,percent of total billed charges,
OCT,59020,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,19.34,448,percent of total billed charges,
OCT,59020,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,19.34,448,fee schedule,
OCT,59020,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,19.34,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,29.02,,fee schedule,29.02,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,9.01,,fee schedule,9.01,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,38.02,,fee schedule,38.02,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,29.57,,fee schedule,29.57,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,9.18,,fee schedule,9.18,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,38.74,,fee schedule,38.74,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,27.64,,fee schedule,27.64,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,8.58,,fee schedule,8.58,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,36.21,,fee schedule,36.21,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,8.58,448,percent of total billed charges,
FETAL MONITORING,59025,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,8.58,448,percent of total billed charges,
FETAL MONITORING,59025,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,8.58,448,percent of total billed charges,
FETAL MONITORING,59025,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,8.58,448,fee schedule,
FETAL MONITORING,59025,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,ALLIANT,ALLIANT,,293.91,,fee schedule,293.91,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,AMBETTER,AMBETTER,,231.57,,fee schedule,231.57,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,29.02,,fee schedule,29.02,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,9.01,,fee schedule,9.01,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,AMERIGROUP,AMERIGROUP,,38.02,,fee schedule,38.02,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,29.57,,fee schedule,29.57,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,9.18,,fee schedule,9.18,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,38.74,,fee schedule,38.74,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,MEDICARE,MEDICARE,,178.13,,fee schedule,178.13,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,27.64,,fee schedule,27.64,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,8.58,,fee schedule,8.58,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,36.21,,fee schedule,36.21,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,TRICARE,TRICARE,,178.13,,fee schedule,178.13,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,UHC MEDICARE,UHC MEDICARE,,178.13,,fee schedule,178.13,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,AETNA,AETNA,,389.76,87,percent of total billed charges,389.76,8.58,448,percent of total billed charges,
NST,59025,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,389.76,87,percent of total billed charges,389.76,8.58,448,percent of total billed charges,
NST,59025,CPT,both,,,448,448,UNITED HEALTHCARE,UNITED HEALTHCARE,,394.24,88,percent of total billed charges,394.24,8.58,448,percent of total billed charges,
NST,59025,CPT,both,,,448,448,AETNA,AETNA,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,BEECH STREET,BEECH STREET,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,CARESOURCE,CARESOURCE,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,MEDICAID,MEDICAID,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,NOVA NET,NOVA NET,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,PEACHSTATE,PEACHSTATE,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,SELFPAY,SELFPAY,,448,,fee schedule,448,8.58,448,fee schedule,
NST,59025,CPT,both,,,448,448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,448,,fee schedule,448,8.58,448,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,AETNA,AETNA,,33408.21,87,percent of total billed charges,33408.21,33408.21,38400.24,percent of total billed charges,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33408.21,87,percent of total billed charges,33408.21,33408.21,38400.24,percent of total billed charges,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,UNITED HEALTHCARE,UNITED HEALTHCARE,,33792.21,88,percent of total billed charges,33792.21,33408.21,38400.24,percent of total billed charges,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,AETNA,AETNA,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,ALLIANT,ALLIANT,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,AMBETTER,AMBETTER,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,BEECH STREET,BEECH STREET,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,CARESOURCE,CARESOURCE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,MEDICAID,MEDICAID,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,MEDICARE,MEDICARE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,NOVA NET,NOVA NET,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,PEACHSTATE,PEACHSTATE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,SELFPAY,SELFPAY,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,TRICARE,TRICARE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W MCC,592,DRG,inpatient,,,38400.24,38400.24,UHC MEDICARE,UHC MEDICARE,,38400.24,,fee schedule,38400.24,33408.21,38400.24,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,AETNA,AETNA,,15590.96,87,percent of total billed charges,15590.96,15590.96,17920.64,percent of total billed charges,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15590.96,87,percent of total billed charges,15590.96,15590.96,17920.64,percent of total billed charges,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,15770.16,88,percent of total billed charges,15770.16,15590.96,17920.64,percent of total billed charges,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,AETNA,AETNA,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,ALLIANT,ALLIANT,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,AMBETTER,AMBETTER,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,BEECH STREET,BEECH STREET,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,CARESOURCE,CARESOURCE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,MEDICAID,MEDICAID,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,MEDICARE,MEDICARE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,NOVA NET,NOVA NET,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,PEACHSTATE,PEACHSTATE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,SELFPAY,SELFPAY,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,TRICARE,TRICARE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W CC,593,DRG,inpatient,,,17920.64,17920.64,UHC MEDICARE,UHC MEDICARE,,17920.64,,fee schedule,17920.64,15590.96,17920.64,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,AETNA,AETNA,,8898.61,87,percent of total billed charges,8898.61,8898.61,10228.29,percent of total billed charges,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8898.61,87,percent of total billed charges,8898.61,8898.61,10228.29,percent of total billed charges,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,9000.9,88,percent of total billed charges,9000.9,8898.61,10228.29,percent of total billed charges,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,AETNA,AETNA,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,ALLIANT,ALLIANT,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,AMBETTER,AMBETTER,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,BEECH STREET,BEECH STREET,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,CARESOURCE,CARESOURCE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,MEDICAID,MEDICAID,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,MEDICARE,MEDICARE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,NOVA NET,NOVA NET,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,PEACHSTATE,PEACHSTATE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,SELFPAY,SELFPAY,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,TRICARE,TRICARE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
SKIN ULCERS W/O CC/MCC,594,DRG,inpatient,,,10228.29,10228.29,UHC MEDICARE,UHC MEDICARE,,10228.29,,fee schedule,10228.29,8898.61,10228.29,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,ALLIANT,ALLIANT,,4665.28,,fee schedule,4665.28,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,AMBETTER,AMBETTER,,3675.67,,fee schedule,3675.67,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,AMERIGROUP,AMERIGROUP,,837.3,,fee schedule,837.3,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,CARESOURCE,CARESOURCE,,853.25,,fee schedule,853.25,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,MEDICARE,MEDICARE,,2827.44,,fee schedule,2827.44,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,PEACHSTATE,PEACHSTATE,,797.43,,fee schedule,797.43,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,TRICARE,TRICARE,,2827.44,,fee schedule,2827.44,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,UHC MEDICARE,UHC MEDICARE,,2827.44,,fee schedule,2827.44,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,AETNA,AETNA,,1923.57,87,percent of total billed charges,1923.57,797.43,4665.28,percent of total billed charges,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1923.57,87,percent of total billed charges,1923.57,797.43,4665.28,percent of total billed charges,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,UNITED HEALTHCARE,UNITED HEALTHCARE,,1945.68,88,percent of total billed charges,1945.68,797.43,4665.28,percent of total billed charges,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,AETNA,AETNA,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,BEECH STREET,BEECH STREET,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,CARESOURCE,CARESOURCE,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,MEDICAID,MEDICAID,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,NOVA NET,NOVA NET,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,PEACHSTATE,PEACHSTATE,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,SELFPAY,SELFPAY,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
EMERGENCY VAGINAL DELIVER,59409,CPT,both,,,2211,2211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2211,,fee schedule,2211,797.43,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,ALLIANT,ALLIANT,,4665.28,,fee schedule,4665.28,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,AMBETTER,AMBETTER,,3675.67,,fee schedule,3675.67,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,AMERIGROUP,AMERIGROUP,,101.72,,fee schedule,101.72,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,CARESOURCE,CARESOURCE,,103.66,,fee schedule,103.66,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,MEDICARE,MEDICARE,,2827.44,,fee schedule,2827.44,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,PEACHSTATE,PEACHSTATE,,96.88,,fee schedule,96.88,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,TRICARE,TRICARE,,2827.44,,fee schedule,2827.44,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,UHC MEDICARE,UHC MEDICARE,,2827.44,,fee schedule,2827.44,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,AETNA,AETNA,,341.91,87,percent of total billed charges,341.91,96.88,4665.28,percent of total billed charges,
VERSION,59412,CPT,both,,,393,393,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341.91,87,percent of total billed charges,341.91,96.88,4665.28,percent of total billed charges,
VERSION,59412,CPT,both,,,393,393,UNITED HEALTHCARE,UNITED HEALTHCARE,,345.84,88,percent of total billed charges,345.84,96.88,4665.28,percent of total billed charges,
VERSION,59412,CPT,both,,,393,393,AETNA,AETNA,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,BEECH STREET,BEECH STREET,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,CARESOURCE,CARESOURCE,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,MEDICAID,MEDICAID,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,NOVA NET,NOVA NET,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,PEACHSTATE,PEACHSTATE,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,SELFPAY,SELFPAY,,393,,fee schedule,393,96.88,4665.28,fee schedule,
VERSION,59412,CPT,both,,,393,393,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,393,,fee schedule,393,96.88,4665.28,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,AETNA,AETNA,,16933.94,87,percent of total billed charges,16933.94,16933.94,19464.3,percent of total billed charges,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16933.94,87,percent of total billed charges,16933.94,16933.94,19464.3,percent of total billed charges,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,17128.58,88,percent of total billed charges,17128.58,16933.94,19464.3,percent of total billed charges,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,AETNA,AETNA,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,ALLIANT,ALLIANT,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,AMBETTER,AMBETTER,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,BEECH STREET,BEECH STREET,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,CARESOURCE,CARESOURCE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,MEDICAID,MEDICAID,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,MEDICARE,MEDICARE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,NOVA NET,NOVA NET,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,PEACHSTATE,PEACHSTATE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,SELFPAY,SELFPAY,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,TRICARE,TRICARE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MAJOR SKIN DISORDERS W/O MCC,596,DRG,inpatient,,,19464.3,19464.3,UHC MEDICARE,UHC MEDICARE,,19464.3,,fee schedule,19464.3,16933.94,19464.3,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,AETNA,AETNA,,17176.77,87,percent of total billed charges,17176.77,17176.77,19743.41,percent of total billed charges,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17176.77,87,percent of total billed charges,17176.77,17176.77,19743.41,percent of total billed charges,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,17374.2,88,percent of total billed charges,17374.2,17176.77,19743.41,percent of total billed charges,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,AETNA,AETNA,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,ALLIANT,ALLIANT,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,AMBETTER,AMBETTER,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,BEECH STREET,BEECH STREET,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,CARESOURCE,CARESOURCE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,MEDICAID,MEDICAID,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,MEDICARE,MEDICARE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,NOVA NET,NOVA NET,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,PEACHSTATE,PEACHSTATE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,SELFPAY,SELFPAY,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,TRICARE,TRICARE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
MALIGNANT BREAST DISORDERS W MCC,597,DRG,inpatient,,,19743.41,19743.41,UHC MEDICARE,UHC MEDICARE,,19743.41,,fee schedule,19743.41,17176.77,19743.41,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,AETNA,AETNA,,24965.52,87,percent of total billed charges,24965.52,24965.52,28696,percent of total billed charges,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24965.52,87,percent of total billed charges,24965.52,24965.52,28696,percent of total billed charges,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,UNITED HEALTHCARE,UNITED HEALTHCARE,,25252.48,88,percent of total billed charges,25252.48,24965.52,28696,percent of total billed charges,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,AETNA,AETNA,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,ALLIANT,ALLIANT,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,AMBETTER,AMBETTER,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,BEECH STREET,BEECH STREET,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,CARESOURCE,CARESOURCE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,MEDICAID,MEDICAID,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,MEDICARE,MEDICARE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,NOVA NET,NOVA NET,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,PEACHSTATE,PEACHSTATE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,SELFPAY,SELFPAY,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,TRICARE,TRICARE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W CC/MCC,600,DRG,inpatient,,,28696,28696,UHC MEDICARE,UHC MEDICARE,,28696,,fee schedule,28696,24965.52,28696,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,AETNA,AETNA,,8588.34,87,percent of total billed charges,8588.34,8588.34,9871.66,percent of total billed charges,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8588.34,87,percent of total billed charges,8588.34,8588.34,9871.66,percent of total billed charges,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,8687.06,88,percent of total billed charges,8687.06,8588.34,9871.66,percent of total billed charges,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,AETNA,AETNA,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,ALLIANT,ALLIANT,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,AMBETTER,AMBETTER,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,BEECH STREET,BEECH STREET,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,CARESOURCE,CARESOURCE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,MEDICAID,MEDICAID,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,MEDICARE,MEDICARE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,NOVA NET,NOVA NET,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,PEACHSTATE,PEACHSTATE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,SELFPAY,SELFPAY,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,TRICARE,TRICARE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC,601,DRG,inpatient,,,9871.66,9871.66,UHC MEDICARE,UHC MEDICARE,,9871.66,,fee schedule,9871.66,8588.34,9871.66,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,ALLIANT,ALLIANT,,1070.8,,fee schedule,1070.8,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,AMBETTER,AMBETTER,,843.66,,fee schedule,843.66,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,AMERIGROUP,AMERIGROUP,,87.45,,fee schedule,87.45,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,CARESOURCE,CARESOURCE,,89.12,,fee schedule,89.12,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,MEDICARE,MEDICARE,,648.97,,fee schedule,648.97,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,PEACHSTATE,PEACHSTATE,,83.29,,fee schedule,83.29,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,TRICARE,TRICARE,,648.97,,fee schedule,648.97,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,UHC MEDICARE,UHC MEDICARE,,648.97,,fee schedule,648.97,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,AETNA,AETNA,,1398.96,87,percent of total billed charges,1398.96,83.29,1608,percent of total billed charges,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1398.96,87,percent of total billed charges,1398.96,83.29,1608,percent of total billed charges,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,UNITED HEALTHCARE,UNITED HEALTHCARE,,1415.04,88,percent of total billed charges,1415.04,83.29,1608,percent of total billed charges,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,AETNA,AETNA,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,BEECH STREET,BEECH STREET,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,CARESOURCE,CARESOURCE,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,MEDICAID,MEDICAID,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,NOVA NET,NOVA NET,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,PEACHSTATE,PEACHSTATE,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,SELFPAY,SELFPAY,,1608,,fee schedule,1608,83.29,1608,fee schedule,
THYROID BIOPSY,60100,CPT,both,,,1608,1608,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1608,,fee schedule,1608,83.29,1608,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,AETNA,AETNA,,25213.46,87,percent of total billed charges,25213.46,25213.46,28980.99,percent of total billed charges,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25213.46,87,percent of total billed charges,25213.46,25213.46,28980.99,percent of total billed charges,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,25503.27,88,percent of total billed charges,25503.27,25213.46,28980.99,percent of total billed charges,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,AETNA,AETNA,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,ALLIANT,ALLIANT,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,AMBETTER,AMBETTER,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,BEECH STREET,BEECH STREET,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,CARESOURCE,CARESOURCE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,MEDICAID,MEDICAID,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,MEDICARE,MEDICARE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,NOVA NET,NOVA NET,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,PEACHSTATE,PEACHSTATE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,SELFPAY,SELFPAY,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,TRICARE,TRICARE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W MCC,602,DRG,inpatient,,,28980.99,28980.99,UHC MEDICARE,UHC MEDICARE,,28980.99,,fee schedule,28980.99,25213.46,28980.99,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,AETNA,AETNA,,17117.98,87,percent of total billed charges,17117.98,17117.98,19675.84,percent of total billed charges,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17117.98,87,percent of total billed charges,17117.98,17117.98,19675.84,percent of total billed charges,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,UNITED HEALTHCARE,UNITED HEALTHCARE,,17314.74,88,percent of total billed charges,17314.74,17117.98,19675.84,percent of total billed charges,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,AETNA,AETNA,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,ALLIANT,ALLIANT,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,AMBETTER,AMBETTER,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,BEECH STREET,BEECH STREET,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,CARESOURCE,CARESOURCE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,MEDICAID,MEDICAID,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,MEDICARE,MEDICARE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,NOVA NET,NOVA NET,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,PEACHSTATE,PEACHSTATE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,SELFPAY,SELFPAY,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,TRICARE,TRICARE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
CELLULITIS W/O MCC,603,DRG,inpatient,,,19675.84,19675.84,UHC MEDICARE,UHC MEDICARE,,19675.84,,fee schedule,19675.84,17117.98,19675.84,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,AETNA,AETNA,,46507.28,87,percent of total billed charges,46507.28,46507.28,53456.64,percent of total billed charges,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46507.28,87,percent of total billed charges,46507.28,46507.28,53456.64,percent of total billed charges,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,47041.84,88,percent of total billed charges,47041.84,46507.28,53456.64,percent of total billed charges,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,AETNA,AETNA,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,ALLIANT,ALLIANT,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,AMBETTER,AMBETTER,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,BEECH STREET,BEECH STREET,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,CARESOURCE,CARESOURCE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,MEDICAID,MEDICAID,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,MEDICARE,MEDICARE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,NOVA NET,NOVA NET,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,PEACHSTATE,PEACHSTATE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,SELFPAY,SELFPAY,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,TRICARE,TRICARE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC",604,DRG,inpatient,,,53456.64,53456.64,UHC MEDICARE,UHC MEDICARE,,53456.64,,fee schedule,53456.64,46507.28,53456.64,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,AETNA,AETNA,,21756.43,87,percent of total billed charges,21756.43,21756.43,25007.39,percent of total billed charges,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21756.43,87,percent of total billed charges,21756.43,21756.43,25007.39,percent of total billed charges,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,UNITED HEALTHCARE,UNITED HEALTHCARE,,22006.5,88,percent of total billed charges,22006.5,21756.43,25007.39,percent of total billed charges,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,AETNA,AETNA,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,ALLIANT,ALLIANT,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,AMBETTER,AMBETTER,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,BEECH STREET,BEECH STREET,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,CARESOURCE,CARESOURCE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,MEDICAID,MEDICAID,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,MEDICARE,MEDICARE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,NOVA NET,NOVA NET,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,PEACHSTATE,PEACHSTATE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,SELFPAY,SELFPAY,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,TRICARE,TRICARE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC",605,DRG,inpatient,,,25007.39,25007.39,UHC MEDICARE,UHC MEDICARE,,25007.39,,fee schedule,25007.39,21756.43,25007.39,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,AETNA,AETNA,,160319.81,87,percent of total billed charges,160319.81,160319.81,184275.64,percent of total billed charges,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160319.81,87,percent of total billed charges,160319.81,160319.81,184275.64,percent of total billed charges,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,162162.56,88,percent of total billed charges,162162.56,160319.81,184275.64,percent of total billed charges,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,AETNA,AETNA,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,ALLIANT,ALLIANT,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,AMBETTER,AMBETTER,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,BEECH STREET,BEECH STREET,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,CARESOURCE,CARESOURCE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,MEDICAID,MEDICAID,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,MEDICARE,MEDICARE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,NOVA NET,NOVA NET,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,PEACHSTATE,PEACHSTATE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,SELFPAY,SELFPAY,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,TRICARE,TRICARE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W MCC,606,DRG,inpatient,,,184275.64,184275.64,UHC MEDICARE,UHC MEDICARE,,184275.64,,fee schedule,184275.64,160319.81,184275.64,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,AETNA,AETNA,,7798.58,87,percent of total billed charges,7798.58,7798.58,8963.89,percent of total billed charges,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7798.58,87,percent of total billed charges,7798.58,7798.58,8963.89,percent of total billed charges,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,UNITED HEALTHCARE,UNITED HEALTHCARE,,7888.22,88,percent of total billed charges,7888.22,7798.58,8963.89,percent of total billed charges,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,AETNA,AETNA,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,ALLIANT,ALLIANT,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,AMBETTER,AMBETTER,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,BEECH STREET,BEECH STREET,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,CARESOURCE,CARESOURCE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,MEDICAID,MEDICAID,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,MEDICARE,MEDICARE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,NOVA NET,NOVA NET,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,PEACHSTATE,PEACHSTATE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,SELFPAY,SELFPAY,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,TRICARE,TRICARE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
MINOR SKIN DISORDERS W/O MCC,607,DRG,inpatient,,,8963.89,8963.89,UHC MEDICARE,UHC MEDICARE,,8963.89,,fee schedule,8963.89,7798.58,8963.89,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,AETNA,AETNA,,33794.5,87,percent of total billed charges,33794.5,33794.5,38844.25,percent of total billed charges,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33794.5,87,percent of total billed charges,33794.5,33794.5,38844.25,percent of total billed charges,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,UNITED HEALTHCARE,UNITED HEALTHCARE,,34182.94,88,percent of total billed charges,34182.94,33794.5,38844.25,percent of total billed charges,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,AETNA,AETNA,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,ALLIANT,ALLIANT,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,AMBETTER,AMBETTER,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,BEECH STREET,BEECH STREET,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,CARESOURCE,CARESOURCE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,MEDICAID,MEDICAID,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,MEDICARE,MEDICARE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,NOVA NET,NOVA NET,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,PEACHSTATE,PEACHSTATE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,SELFPAY,SELFPAY,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,TRICARE,TRICARE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC",616,DRG,inpatient,,,38844.25,38844.25,UHC MEDICARE,UHC MEDICARE,,38844.25,,fee schedule,38844.25,33794.5,38844.25,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,AETNA,AETNA,,31726.17,87,percent of total billed charges,31726.17,31726.17,36466.86,percent of total billed charges,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31726.17,87,percent of total billed charges,31726.17,31726.17,36466.86,percent of total billed charges,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,UNITED HEALTHCARE,UNITED HEALTHCARE,,32090.84,88,percent of total billed charges,32090.84,31726.17,36466.86,percent of total billed charges,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,AETNA,AETNA,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,ALLIANT,ALLIANT,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,AMBETTER,AMBETTER,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,BEECH STREET,BEECH STREET,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,CARESOURCE,CARESOURCE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,MEDICAID,MEDICAID,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,MEDICARE,MEDICARE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,NOVA NET,NOVA NET,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,PEACHSTATE,PEACHSTATE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,SELFPAY,SELFPAY,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,TRICARE,TRICARE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC",617,DRG,inpatient,,,36466.86,36466.86,UHC MEDICARE,UHC MEDICARE,,36466.86,,fee schedule,36466.86,31726.17,36466.86,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,AETNA,AETNA,,26492.41,87,percent of total billed charges,26492.41,26492.41,30451.05,percent of total billed charges,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26492.41,87,percent of total billed charges,26492.41,26492.41,30451.05,percent of total billed charges,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,UNITED HEALTHCARE,UNITED HEALTHCARE,,26796.92,88,percent of total billed charges,26796.92,26492.41,30451.05,percent of total billed charges,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,AETNA,AETNA,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,ALLIANT,ALLIANT,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,AMBETTER,AMBETTER,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,BEECH STREET,BEECH STREET,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,CARESOURCE,CARESOURCE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,MEDICAID,MEDICAID,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,MEDICARE,MEDICARE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,NOVA NET,NOVA NET,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,PEACHSTATE,PEACHSTATE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,SELFPAY,SELFPAY,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,TRICARE,TRICARE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W CC,620,DRG,inpatient,,,30451.05,30451.05,UHC MEDICARE,UHC MEDICARE,,30451.05,,fee schedule,30451.05,26492.41,30451.05,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,AETNA,AETNA,,24957.95,87,percent of total billed charges,24957.95,24957.95,28687.3,percent of total billed charges,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24957.95,87,percent of total billed charges,24957.95,24957.95,28687.3,percent of total billed charges,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,25244.82,88,percent of total billed charges,25244.82,24957.95,28687.3,percent of total billed charges,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,AETNA,AETNA,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,ALLIANT,ALLIANT,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,AMBETTER,AMBETTER,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,BEECH STREET,BEECH STREET,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,CARESOURCE,CARESOURCE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,MEDICAID,MEDICAID,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,MEDICARE,MEDICARE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,NOVA NET,NOVA NET,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,PEACHSTATE,PEACHSTATE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,SELFPAY,SELFPAY,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,TRICARE,TRICARE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
O.R. PROCEDURES FOR OBESITY W/O CC/MCC,621,DRG,inpatient,,,28687.3,28687.3,UHC MEDICARE,UHC MEDICARE,,28687.3,,fee schedule,28687.3,24957.95,28687.3,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,AETNA,AETNA,,28627.92,87,percent of total billed charges,28627.92,28627.92,32905.66,percent of total billed charges,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28627.92,87,percent of total billed charges,28627.92,28627.92,32905.66,percent of total billed charges,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,UNITED HEALTHCARE,UNITED HEALTHCARE,,28956.98,88,percent of total billed charges,28956.98,28627.92,32905.66,percent of total billed charges,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,AETNA,AETNA,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,ALLIANT,ALLIANT,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,AMBETTER,AMBETTER,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,BEECH STREET,BEECH STREET,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,CARESOURCE,CARESOURCE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,MEDICAID,MEDICAID,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,MEDICARE,MEDICARE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,NOVA NET,NOVA NET,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,PEACHSTATE,PEACHSTATE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,SELFPAY,SELFPAY,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,TRICARE,TRICARE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC",622,DRG,inpatient,,,32905.66,32905.66,UHC MEDICARE,UHC MEDICARE,,32905.66,,fee schedule,32905.66,28627.92,32905.66,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,AMERIGROUP,AMERIGROUP,,548.89,,fee schedule,548.89,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,CARESOURCE,CARESOURCE,,559.34,,fee schedule,559.34,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,PEACHSTATE,PEACHSTATE,,522.75,,fee schedule,522.75,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,TRICARE,TRICARE,,852.18,,fee schedule,852.18,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,AETNA,AETNA,,1787.85,87,percent of total billed charges,1787.85,522.75,2055,percent of total billed charges,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1787.85,87,percent of total billed charges,1787.85,522.75,2055,percent of total billed charges,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,UNITED HEALTHCARE,UNITED HEALTHCARE,,1808.4,88,percent of total billed charges,1808.4,522.75,2055,percent of total billed charges,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,AETNA,AETNA,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,BEECH STREET,BEECH STREET,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,CARESOURCE,CARESOURCE,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,MEDICAID,MEDICAID,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,NOVA NET,NOVA NET,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,PEACHSTATE,PEACHSTATE,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,SELFPAY,SELFPAY,,2055,,fee schedule,2055,522.75,2055,fee schedule,
RACZ PROCEDURE 1 DAY,62264,CPT,both,,,2055,2055,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2055,,fee schedule,2055,522.75,2055,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AMERIGROUP,AMERIGROUP,,112.65,,fee schedule,112.65,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,114.8,,fee schedule,114.8,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,107.29,,fee schedule,107.29,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,TRICARE,TRICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,UNITED HEALTHCARE,UNITED HEALTHCARE,,813.12,88,percent of total billed charges,813.12,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,BEECH STREET,BEECH STREET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,MEDICAID,MEDICAID,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET,NOVA NET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,SELFPAY,SELFPAY,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AMERIGROUP,AMERIGROUP,,112.65,,fee schedule,112.65,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,114.8,,fee schedule,114.8,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,107.29,,fee schedule,107.29,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,TRICARE,TRICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,UNITED HEALTHCARE,UNITED HEALTHCARE,,813.12,88,percent of total billed charges,813.12,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,BEECH STREET,BEECH STREET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,MEDICAID,MEDICAID,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET,NOVA NET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,SELFPAY,SELFPAY,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AMERIGROUP,AMERIGROUP,,112.65,,fee schedule,112.65,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,114.8,,fee schedule,114.8,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,107.29,,fee schedule,107.29,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,TRICARE,TRICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,UNITED HEALTHCARE,UNITED HEALTHCARE,,813.12,88,percent of total billed charges,813.12,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,BEECH STREET,BEECH STREET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,MEDICAID,MEDICAID,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET,NOVA NET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,SELFPAY,SELFPAY,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE,62270,CPT,both,,,924,924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,AMERIGROUP,AMERIGROUP,,112.65,,fee schedule,112.65,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,114.8,,fee schedule,114.8,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,107.29,,fee schedule,107.29,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,TRICARE,TRICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,AETNA,AETNA,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,UNITED HEALTHCARE,UNITED HEALTHCARE,,813.12,88,percent of total billed charges,813.12,107.29,1063.16,percent of total billed charges,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,AETNA,AETNA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,BEECH STREET,BEECH STREET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,MEDICAID,MEDICAID,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,NOVA NET,NOVA NET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,SELFPAY,SELFPAY,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBAR PUNCTURE NEWBORN,62270,CPT,both,,,924,924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,AMERIGROUP,AMERIGROUP,,112.65,,fee schedule,112.65,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,114.8,,fee schedule,114.8,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,107.29,,fee schedule,107.29,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,TRICARE,TRICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.88,87,percent of total billed charges,803.88,107.29,1063.16,percent of total billed charges,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,UNITED HEALTHCARE,UNITED HEALTHCARE,,813.12,88,percent of total billed charges,813.12,107.29,1063.16,percent of total billed charges,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,AETNA,AETNA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,BEECH STREET,BEECH STREET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,MEDICAID,MEDICAID,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET,NOVA NET,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,SELFPAY,SELFPAY,,924,,fee schedule,924,107.29,1063.16,fee schedule,
LUMBATR PUNCTURE,62270,CPT,both,,,924,924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,924,,fee schedule,924,107.29,1063.16,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,AMERIGROUP,AMERIGROUP,,123.42,,fee schedule,123.42,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,CARESOURCE,CARESOURCE,,125.77,,fee schedule,125.77,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,PEACHSTATE,PEACHSTATE,,117.54,,fee schedule,117.54,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,TRICARE,TRICARE,,644.34,,fee schedule,644.34,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,AETNA,AETNA,,944.82,87,percent of total billed charges,944.82,117.54,1086,percent of total billed charges,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,944.82,87,percent of total billed charges,944.82,117.54,1086,percent of total billed charges,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,UNITED HEALTHCARE,UNITED HEALTHCARE,,955.68,88,percent of total billed charges,955.68,117.54,1086,percent of total billed charges,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,AETNA,AETNA,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,BEECH STREET,BEECH STREET,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,CARESOURCE,CARESOURCE,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,MEDICAID,MEDICAID,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,NOVA NET,NOVA NET,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,PEACHSTATE,PEACHSTATE,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,SELFPAY,SELFPAY,,1086,,fee schedule,1086,117.54,1086,fee schedule,
CSF DRAIN PLACEMENT,62272,CPT,both,,,1086,1086,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1086,,fee schedule,1086,117.54,1086,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,AMERIGROUP,AMERIGROUP,,115.77,,fee schedule,115.77,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,CARESOURCE,CARESOURCE,,117.98,,fee schedule,117.98,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,PEACHSTATE,PEACHSTATE,,110.26,,fee schedule,110.26,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,TRICARE,TRICARE,,644.34,,fee schedule,644.34,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,AETNA,AETNA,,1023.12,87,percent of total billed charges,1023.12,110.26,1176,percent of total billed charges,
BLOOD PATCH,62273,CPT,both,,,1176,1176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1023.12,87,percent of total billed charges,1023.12,110.26,1176,percent of total billed charges,
BLOOD PATCH,62273,CPT,both,,,1176,1176,UNITED HEALTHCARE,UNITED HEALTHCARE,,1034.88,88,percent of total billed charges,1034.88,110.26,1176,percent of total billed charges,
BLOOD PATCH,62273,CPT,both,,,1176,1176,AETNA,AETNA,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,BEECH STREET,BEECH STREET,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,CARESOURCE,CARESOURCE,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,MEDICAID,MEDICAID,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,NOVA NET,NOVA NET,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,PEACHSTATE,PEACHSTATE,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,SELFPAY,SELFPAY,,1176,,fee schedule,1176,110.26,1176,fee schedule,
BLOOD PATCH,62273,CPT,both,,,1176,1176,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1176,,fee schedule,1176,110.26,1176,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,AMERIGROUP,AMERIGROUP,,148.39,,fee schedule,148.39,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,151.21,,fee schedule,151.21,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,141.32,,fee schedule,141.32,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,AETNA,AETNA,,503.73,87,percent of total billed charges,503.73,141.32,579,percent of total billed charges,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503.73,87,percent of total billed charges,503.73,141.32,579,percent of total billed charges,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,UNITED HEALTHCARE,UNITED HEALTHCARE,,509.52,88,percent of total billed charges,509.52,141.32,579,percent of total billed charges,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,AETNA,AETNA,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,ALLIANT,ALLIANT,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,AMBETTER,AMBETTER,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,BEECH STREET,BEECH STREET,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,MEDICAID,MEDICAID,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,MEDICARE,MEDICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,NOVA NET,NOVA NET,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,SELFPAY,SELFPAY,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,TRICARE,TRICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ COMPLETE MYELOGRAM,62284,CPT,both,,,579,579,UHC MEDICARE,UHC MEDICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,AMERIGROUP,AMERIGROUP,,148.39,,fee schedule,148.39,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,151.21,,fee schedule,151.21,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,141.32,,fee schedule,141.32,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,AETNA,AETNA,,503.73,87,percent of total billed charges,503.73,141.32,579,percent of total billed charges,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503.73,87,percent of total billed charges,503.73,141.32,579,percent of total billed charges,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,UNITED HEALTHCARE,UNITED HEALTHCARE,,509.52,88,percent of total billed charges,509.52,141.32,579,percent of total billed charges,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,AETNA,AETNA,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,ALLIANT,ALLIANT,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,AMBETTER,AMBETTER,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,BEECH STREET,BEECH STREET,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,MEDICAID,MEDICAID,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,MEDICARE,MEDICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,NOVA NET,NOVA NET,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,SELFPAY,SELFPAY,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,TRICARE,TRICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJ LUMBAR MYELOGRAM,62284,CPT,both,,,579,579,UHC MEDICARE,UHC MEDICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,AMERIGROUP,AMERIGROUP,,148.39,,fee schedule,148.39,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,151.21,,fee schedule,151.21,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,141.32,,fee schedule,141.32,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,AETNA,AETNA,,503.73,87,percent of total billed charges,503.73,141.32,579,percent of total billed charges,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503.73,87,percent of total billed charges,503.73,141.32,579,percent of total billed charges,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,UNITED HEALTHCARE,UNITED HEALTHCARE,,509.52,88,percent of total billed charges,509.52,141.32,579,percent of total billed charges,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,AETNA,AETNA,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,ALLIANT,ALLIANT,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,AMBETTER,AMBETTER,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,BEECH STREET,BEECH STREET,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,MEDICAID,MEDICAID,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,MEDICARE,MEDICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,NOVA NET,NOVA NET,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,SELFPAY,SELFPAY,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,TRICARE,TRICARE,,579,,fee schedule,579,141.32,579,fee schedule,
INJECT CERVICAL MYELO,62284,CPT,both,,,579,579,UHC MEDICARE,UHC MEDICARE,,579,,fee schedule,579,141.32,579,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,ALLIANT,ALLIANT,,2965.91,,fee schedule,2965.91,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,AMBETTER,AMBETTER,,2336.78,,fee schedule,2336.78,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,AMERIGROUP,AMERIGROUP,,492.43,,fee schedule,492.43,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,CARESOURCE,CARESOURCE,,501.81,,fee schedule,501.81,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,MEDICARE,MEDICARE,,1797.52,,fee schedule,1797.52,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,PEACHSTATE,PEACHSTATE,,468.98,,fee schedule,468.98,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,TRICARE,TRICARE,,1797.52,,fee schedule,1797.52,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,UHC MEDICARE,UHC MEDICARE,,1797.52,,fee schedule,1797.52,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,AETNA,AETNA,,3163.32,87,percent of total billed charges,3163.32,468.98,3636,percent of total billed charges,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3163.32,87,percent of total billed charges,3163.32,468.98,3636,percent of total billed charges,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,UNITED HEALTHCARE,UNITED HEALTHCARE,,3199.68,88,percent of total billed charges,3199.68,468.98,3636,percent of total billed charges,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,AETNA,AETNA,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,BEECH STREET,BEECH STREET,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,CARESOURCE,CARESOURCE,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,MEDICAID,MEDICAID,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,NOVA NET,NOVA NET,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,PEACHSTATE,PEACHSTATE,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,SELFPAY,SELFPAY,,3636,,fee schedule,3636,468.98,3636,fee schedule,
NUCLEOPLASTY DEK KIT,62287,CPT,both,,,3636,3636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3636,,fee schedule,3636,468.98,3636,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,AMERIGROUP,AMERIGROUP,,210.37,,fee schedule,210.37,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,CARESOURCE,CARESOURCE,,214.37,,fee schedule,214.37,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,PEACHSTATE,PEACHSTATE,,200.35,,fee schedule,200.35,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,AETNA,AETNA,,1737.39,87,percent of total billed charges,1737.39,200.35,1997,percent of total billed charges,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1737.39,87,percent of total billed charges,1737.39,200.35,1997,percent of total billed charges,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,UNITED HEALTHCARE,UNITED HEALTHCARE,,1757.36,88,percent of total billed charges,1757.36,200.35,1997,percent of total billed charges,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,AETNA,AETNA,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,ALLIANT,ALLIANT,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,AMBETTER,AMBETTER,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,BEECH STREET,BEECH STREET,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,CARESOURCE,CARESOURCE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,MEDICAID,MEDICAID,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,MEDICARE,MEDICARE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,NOVA NET,NOVA NET,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,PEACHSTATE,PEACHSTATE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,SELFPAY,SELFPAY,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,TRICARE,TRICARE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
INJ PROC FOR DISCOGRAPHY/LEVEL,62290,CPT,both,,,1997,1997,UHC MEDICARE,UHC MEDICARE,,1997,,fee schedule,1997,200.35,1997,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,AETNA,AETNA,,36961.09,87,percent of total billed charges,36961.09,36961.09,42484.01,percent of total billed charges,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36961.09,87,percent of total billed charges,36961.09,36961.09,42484.01,percent of total billed charges,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,UNITED HEALTHCARE,UNITED HEALTHCARE,,37385.93,88,percent of total billed charges,37385.93,36961.09,42484.01,percent of total billed charges,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,AETNA,AETNA,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,ALLIANT,ALLIANT,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,AMBETTER,AMBETTER,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,BEECH STREET,BEECH STREET,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,CARESOURCE,CARESOURCE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,MEDICAID,MEDICAID,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,MEDICARE,MEDICARE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,NOVA NET,NOVA NET,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,PEACHSTATE,PEACHSTATE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,SELFPAY,SELFPAY,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,TRICARE,TRICARE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC",623,DRG,inpatient,,,42484.01,42484.01,UHC MEDICARE,UHC MEDICARE,,42484.01,,fee schedule,42484.01,36961.09,42484.01,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,AMERIGROUP,AMERIGROUP,,221.07,,fee schedule,221.07,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,CARESOURCE,CARESOURCE,,225.28,,fee schedule,225.28,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,PEACHSTATE,PEACHSTATE,,210.54,,fee schedule,210.54,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,TRICARE,TRICARE,,740.75,,fee schedule,740.75,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,AETNA,AETNA,,1611.24,87,percent of total billed charges,1611.24,210.54,1852,percent of total billed charges,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1611.24,87,percent of total billed charges,1611.24,210.54,1852,percent of total billed charges,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,UNITED HEALTHCARE,UNITED HEALTHCARE,,1629.76,88,percent of total billed charges,1629.76,210.54,1852,percent of total billed charges,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,AETNA,AETNA,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,BEECH STREET,BEECH STREET,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,CARESOURCE,CARESOURCE,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,MEDICAID,MEDICAID,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,NOVA NET,NOVA NET,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,PEACHSTATE,PEACHSTATE,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,SELFPAY,SELFPAY,,1852,,fee schedule,1852,210.54,1852,fee schedule,
CERVICAL MYELOGRAM,62302,CPT,both,,,1852,1852,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1852,,fee schedule,1852,210.54,1852,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,AMERIGROUP,AMERIGROUP,,229.69,,fee schedule,229.69,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,CARESOURCE,CARESOURCE,,234.06,,fee schedule,234.06,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,PEACHSTATE,PEACHSTATE,,218.75,,fee schedule,218.75,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,TRICARE,TRICARE,,740.75,,fee schedule,740.75,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,AETNA,AETNA,,1556.43,87,percent of total billed charges,1556.43,218.75,1789,percent of total billed charges,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1556.43,87,percent of total billed charges,1556.43,218.75,1789,percent of total billed charges,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,UNITED HEALTHCARE,UNITED HEALTHCARE,,1574.32,88,percent of total billed charges,1574.32,218.75,1789,percent of total billed charges,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,AETNA,AETNA,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,BEECH STREET,BEECH STREET,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,CARESOURCE,CARESOURCE,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,MEDICAID,MEDICAID,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,NOVA NET,NOVA NET,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,PEACHSTATE,PEACHSTATE,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,SELFPAY,SELFPAY,,1789,,fee schedule,1789,218.75,1789,fee schedule,
THORACIC MYELOGRAM,62303,CPT,both,,,1789,1789,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1789,,fee schedule,1789,218.75,1789,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,218.19,,fee schedule,218.19,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,222.35,,fee schedule,222.35,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,207.8,,fee schedule,207.8,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,TRICARE,TRICARE,,740.75,,fee schedule,740.75,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,207.8,1843,percent of total billed charges,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,207.8,1843,percent of total billed charges,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,207.8,1843,percent of total billed charges,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,207.8,1843,fee schedule,
LUMBAR MYELOGRAM,62304,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,207.8,1843,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,AMERIGROUP,AMERIGROUP,,238.28,,fee schedule,238.28,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,CARESOURCE,CARESOURCE,,242.82,,fee schedule,242.82,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,PEACHSTATE,PEACHSTATE,,226.93,,fee schedule,226.93,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,TRICARE,TRICARE,,740.75,,fee schedule,740.75,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,AETNA,AETNA,,2943.21,87,percent of total billed charges,2943.21,226.93,3383,percent of total billed charges,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2943.21,87,percent of total billed charges,2943.21,226.93,3383,percent of total billed charges,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,UNITED HEALTHCARE,UNITED HEALTHCARE,,2977.04,88,percent of total billed charges,2977.04,226.93,3383,percent of total billed charges,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,AETNA,AETNA,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,BEECH STREET,BEECH STREET,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,CARESOURCE,CARESOURCE,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,MEDICAID,MEDICAID,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,NOVA NET,NOVA NET,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,PEACHSTATE,PEACHSTATE,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,SELFPAY,SELFPAY,,3383,,fee schedule,3383,226.93,3383,fee schedule,
MYELOGRAM COMPLETE,62305,CPT,both,,,3383,3383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3383,,fee schedule,3383,226.93,3383,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,AMERIGROUP,AMERIGROUP,,225.48,,fee schedule,225.48,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,CARESOURCE,CARESOURCE,,229.77,,fee schedule,229.77,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,PEACHSTATE,PEACHSTATE,,214.74,,fee schedule,214.74,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,TRICARE,TRICARE,,644.34,,fee schedule,644.34,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,AETNA,AETNA,,979.62,87,percent of total billed charges,979.62,214.74,1126,percent of total billed charges,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,979.62,87,percent of total billed charges,979.62,214.74,1126,percent of total billed charges,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,UNITED HEALTHCARE,UNITED HEALTHCARE,,990.88,88,percent of total billed charges,990.88,214.74,1126,percent of total billed charges,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,AETNA,AETNA,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,BEECH STREET,BEECH STREET,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,CARESOURCE,CARESOURCE,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,MEDICAID,MEDICAID,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,NOVA NET,NOVA NET,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,PEACHSTATE,PEACHSTATE,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,SELFPAY,SELFPAY,,1126,,fee schedule,1126,214.74,1126,fee schedule,
CERVICAL/THORACIC EPIDURA,62321,CPT,both,,,1126,1126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1126,,fee schedule,1126,214.74,1126,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,AMERIGROUP,AMERIGROUP,,141.49,,fee schedule,141.49,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,CARESOURCE,CARESOURCE,,144.18,,fee schedule,144.18,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,PEACHSTATE,PEACHSTATE,,134.75,,fee schedule,134.75,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,TRICARE,TRICARE,,852.18,,fee schedule,852.18,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,AETNA,AETNA,,884.79,87,percent of total billed charges,884.79,134.75,1406.1,percent of total billed charges,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,884.79,87,percent of total billed charges,884.79,134.75,1406.1,percent of total billed charges,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,UNITED HEALTHCARE,UNITED HEALTHCARE,,894.96,88,percent of total billed charges,894.96,134.75,1406.1,percent of total billed charges,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,AETNA,AETNA,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,BEECH STREET,BEECH STREET,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,CARESOURCE,CARESOURCE,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,MEDICAID,MEDICAID,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,NOVA NET,NOVA NET,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,PEACHSTATE,PEACHSTATE,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,SELFPAY,SELFPAY,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR EPIDURAL INJECTION,62322,CPT,both,,,1017,1017,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1017,,fee schedule,1017,134.75,1406.1,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,AMERIGROUP,AMERIGROUP,,221.31,,fee schedule,221.31,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,CARESOURCE,CARESOURCE,,225.52,,fee schedule,225.52,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,PEACHSTATE,PEACHSTATE,,210.77,,fee schedule,210.77,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,TRICARE,TRICARE,,644.34,,fee schedule,644.34,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,AETNA,AETNA,,979.62,87,percent of total billed charges,979.62,210.77,1126,percent of total billed charges,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,979.62,87,percent of total billed charges,979.62,210.77,1126,percent of total billed charges,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,UNITED HEALTHCARE,UNITED HEALTHCARE,,990.88,88,percent of total billed charges,990.88,210.77,1126,percent of total billed charges,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,AETNA,AETNA,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,BEECH STREET,BEECH STREET,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,CARESOURCE,CARESOURCE,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,MEDICAID,MEDICAID,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,NOVA NET,NOVA NET,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,PEACHSTATE,PEACHSTATE,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,SELFPAY,SELFPAY,,1126,,fee schedule,1126,210.77,1126,fee schedule,
LUMBAR/SACRAL EPIDURAL,62323,CPT,both,,,1126,1126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1126,,fee schedule,1126,210.77,1126,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,AMERIGROUP,AMERIGROUP,,203.75,,fee schedule,203.75,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,CARESOURCE,CARESOURCE,,207.63,,fee schedule,207.63,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,PEACHSTATE,PEACHSTATE,,194.05,,fee schedule,194.05,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,TRICARE,TRICARE,,852.18,,fee schedule,852.18,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,AETNA,AETNA,,2544.75,87,percent of total billed charges,2544.75,194.05,2925,percent of total billed charges,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2544.75,87,percent of total billed charges,2544.75,194.05,2925,percent of total billed charges,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,UNITED HEALTHCARE,UNITED HEALTHCARE,,2574,88,percent of total billed charges,2574,194.05,2925,percent of total billed charges,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,AETNA,AETNA,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,BEECH STREET,BEECH STREET,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,CARESOURCE,CARESOURCE,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,MEDICAID,MEDICAID,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,NOVA NET,NOVA NET,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,PEACHSTATE,PEACHSTATE,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,SELFPAY,SELFPAY,,2925,,fee schedule,2925,194.05,2925,fee schedule,
PAIN PUMP TRIAL INJECTION,62327,CPT,both,,,2925,2925,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2925,,fee schedule,2925,194.05,2925,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,AMERIGROUP,AMERIGROUP,,236.99,,fee schedule,236.99,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,CARESOURCE,CARESOURCE,,241.5,,fee schedule,241.5,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,PEACHSTATE,PEACHSTATE,,225.7,,fee schedule,225.7,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,TRICARE,TRICARE,,644.34,,fee schedule,644.34,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,AETNA,AETNA,,944.82,87,percent of total billed charges,944.82,225.7,1086,percent of total billed charges,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,944.82,87,percent of total billed charges,944.82,225.7,1086,percent of total billed charges,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,UNITED HEALTHCARE,UNITED HEALTHCARE,,955.68,88,percent of total billed charges,955.68,225.7,1086,percent of total billed charges,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,AETNA,AETNA,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,BEECH STREET,BEECH STREET,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,CARESOURCE,CARESOURCE,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,MEDICAID,MEDICAID,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,NOVA NET,NOVA NET,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,PEACHSTATE,PEACHSTATE,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,SELFPAY,SELFPAY,,1086,,fee schedule,1086,225.7,1086,fee schedule,
LUMBAR PUNCTURE FOR DIAGN,62328,CPT,both,,,1086,1086,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1086,,fee schedule,1086,225.7,1086,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,ALLIANT,ALLIANT,,456.47,,fee schedule,456.47,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,AMBETTER,AMBETTER,,359.65,,fee schedule,359.65,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,AMERIGROUP,AMERIGROUP,,26.01,,fee schedule,26.01,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,AMERIGROUP,AMERIGROUP,,20.52,,fee schedule,20.52,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,AMERIGROUP,AMERIGROUP,,21.87,,fee schedule,21.87,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,26.5,,fee schedule,26.5,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,20.91,,fee schedule,20.91,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,22.29,,fee schedule,22.29,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,MEDICARE,MEDICARE,,276.65,,fee schedule,276.65,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,24.77,,fee schedule,24.77,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,19.54,,fee schedule,19.54,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,20.83,,fee schedule,20.83,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,TRICARE,TRICARE,,276.65,,fee schedule,276.65,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,UHC MEDICARE,UHC MEDICARE,,276.65,,fee schedule,276.65,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,AETNA,AETNA,,657.72,87,percent of total billed charges,657.72,19.54,756,percent of total billed charges,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,657.72,87,percent of total billed charges,657.72,19.54,756,percent of total billed charges,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,UNITED HEALTHCARE,UNITED HEALTHCARE,,665.28,88,percent of total billed charges,665.28,19.54,756,percent of total billed charges,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,AETNA,AETNA,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,BEECH STREET,BEECH STREET,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,MEDICAID,MEDICAID,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,NOVA NET,NOVA NET,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,SELFPAY,SELFPAY,,756,,fee schedule,756,19.54,756,fee schedule,
ANALYSIS OF IMPLANTED PUM,62367,CPT,both,,,756,756,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,756,,fee schedule,756,19.54,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,ALLIANT,ALLIANT,,456.47,,fee schedule,456.47,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,AMBETTER,AMBETTER,,359.65,,fee schedule,359.65,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,AMERIGROUP,AMERIGROUP,,39.86,,fee schedule,39.86,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,AMERIGROUP,AMERIGROUP,,43.73,,fee schedule,43.73,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,40.62,,fee schedule,40.62,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,44.57,,fee schedule,44.57,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,MEDICARE,MEDICARE,,276.65,,fee schedule,276.65,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,37.96,,fee schedule,37.96,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,41.65,,fee schedule,41.65,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,TRICARE,TRICARE,,276.65,,fee schedule,276.65,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,UHC MEDICARE,UHC MEDICARE,,276.65,,fee schedule,276.65,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,AETNA,AETNA,,657.72,87,percent of total billed charges,657.72,37.96,756,percent of total billed charges,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,657.72,87,percent of total billed charges,657.72,37.96,756,percent of total billed charges,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,UNITED HEALTHCARE,UNITED HEALTHCARE,,665.28,88,percent of total billed charges,665.28,37.96,756,percent of total billed charges,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,AETNA,AETNA,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,BEECH STREET,BEECH STREET,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,MEDICAID,MEDICAID,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,NOVA NET,NOVA NET,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,SELFPAY,SELFPAY,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REPROGRAMMING,62368,CPT,both,,,756,756,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,756,,fee schedule,756,37.96,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,ALLIANT,ALLIANT,,456.47,,fee schedule,456.47,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,AMBETTER,AMBETTER,,359.65,,fee schedule,359.65,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,AMERIGROUP,AMERIGROUP,,117.13,,fee schedule,117.13,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,119.36,,fee schedule,119.36,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,MEDICARE,MEDICARE,,276.65,,fee schedule,276.65,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,111.55,,fee schedule,111.55,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,TRICARE,TRICARE,,276.65,,fee schedule,276.65,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,UHC MEDICARE,UHC MEDICARE,,276.65,,fee schedule,276.65,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,AETNA,AETNA,,657.72,87,percent of total billed charges,657.72,111.55,756,percent of total billed charges,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,657.72,87,percent of total billed charges,657.72,111.55,756,percent of total billed charges,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,UNITED HEALTHCARE,UNITED HEALTHCARE,,665.28,88,percent of total billed charges,665.28,111.55,756,percent of total billed charges,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,AETNA,AETNA,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,BEECH STREET,BEECH STREET,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,MEDICAID,MEDICAID,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,NOVA NET,NOVA NET,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,SELFPAY,SELFPAY,,756,,fee schedule,756,111.55,756,fee schedule,
PAIN PUMP REFILL/REPROG,62370,CPT,both,,,756,756,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,756,,fee schedule,756,111.55,756,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,AETNA,AETNA,,9836.45,87,percent of total billed charges,9836.45,9836.45,11306.27,percent of total billed charges,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9836.45,87,percent of total billed charges,9836.45,9836.45,11306.27,percent of total billed charges,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,UNITED HEALTHCARE,UNITED HEALTHCARE,,9949.52,88,percent of total billed charges,9949.52,9836.45,11306.27,percent of total billed charges,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,AETNA,AETNA,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,ALLIANT,ALLIANT,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,AMBETTER,AMBETTER,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,BEECH STREET,BEECH STREET,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,CARESOURCE,CARESOURCE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,MEDICAID,MEDICAID,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,MEDICARE,MEDICARE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,NOVA NET,NOVA NET,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,PEACHSTATE,PEACHSTATE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,SELFPAY,SELFPAY,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,TRICARE,TRICARE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC",627,DRG,inpatient,,,11306.27,11306.27,UHC MEDICARE,UHC MEDICARE,,11306.27,,fee schedule,11306.27,9836.45,11306.27,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,AETNA,AETNA,,25289.42,87,percent of total billed charges,25289.42,25289.42,29068.3,percent of total billed charges,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25289.42,87,percent of total billed charges,25289.42,25289.42,29068.3,percent of total billed charges,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,25580.1,88,percent of total billed charges,25580.1,25289.42,29068.3,percent of total billed charges,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,AETNA,AETNA,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,ALLIANT,ALLIANT,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,AMBETTER,AMBETTER,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,BEECH STREET,BEECH STREET,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,CARESOURCE,CARESOURCE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,MEDICAID,MEDICAID,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,MEDICARE,MEDICARE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,NOVA NET,NOVA NET,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,PEACHSTATE,PEACHSTATE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,SELFPAY,SELFPAY,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,TRICARE,TRICARE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC",628,DRG,inpatient,,,29068.3,29068.3,UHC MEDICARE,UHC MEDICARE,,29068.3,,fee schedule,29068.3,25289.42,29068.3,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,AETNA,AETNA,,32885.88,87,percent of total billed charges,32885.88,32885.88,37799.86,percent of total billed charges,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32885.88,87,percent of total billed charges,32885.88,32885.88,37799.86,percent of total billed charges,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,UNITED HEALTHCARE,UNITED HEALTHCARE,,33263.88,88,percent of total billed charges,33263.88,32885.88,37799.86,percent of total billed charges,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,AETNA,AETNA,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,ALLIANT,ALLIANT,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,AMBETTER,AMBETTER,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,BEECH STREET,BEECH STREET,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,CARESOURCE,CARESOURCE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,MEDICAID,MEDICAID,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,MEDICARE,MEDICARE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,NOVA NET,NOVA NET,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,PEACHSTATE,PEACHSTATE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,SELFPAY,SELFPAY,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,TRICARE,TRICARE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC",629,DRG,inpatient,,,37799.86,37799.86,UHC MEDICARE,UHC MEDICARE,,37799.86,,fee schedule,37799.86,32885.88,37799.86,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,ALLIANT,ALLIANT,,10896.35,,fee schedule,10896.35,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,AMBETTER,AMBETTER,,8585.01,,fee schedule,8585.01,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,AMERIGROUP,AMERIGROUP,,417.68,,fee schedule,417.68,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,CARESOURCE,CARESOURCE,,425.64,,fee schedule,425.64,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,MEDICARE,MEDICARE,,6603.85,,fee schedule,6603.85,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,PEACHSTATE,PEACHSTATE,,397.79,,fee schedule,397.79,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,TRICARE,TRICARE,,6603.85,,fee schedule,6603.85,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,UHC MEDICARE,UHC MEDICARE,,6603.85,,fee schedule,6603.85,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,AETNA,AETNA,,13982.64,87,percent of total billed charges,13982.64,397.79,16072,percent of total billed charges,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13982.64,87,percent of total billed charges,13982.64,397.79,16072,percent of total billed charges,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,UNITED HEALTHCARE,UNITED HEALTHCARE,,14143.36,88,percent of total billed charges,14143.36,397.79,16072,percent of total billed charges,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,AETNA,AETNA,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,BEECH STREET,BEECH STREET,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,CARESOURCE,CARESOURCE,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,MEDICAID,MEDICAID,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,NOVA NET,NOVA NET,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,PEACHSTATE,PEACHSTATE,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,SELFPAY,SELFPAY,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,16072,16072,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16072,,fee schedule,16072,397.79,16072,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,ALLIANT,ALLIANT,,10896.35,,fee schedule,10896.35,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,AMBETTER,AMBETTER,,8585.01,,fee schedule,8585.01,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,AMERIGROUP,AMERIGROUP,,417.68,,fee schedule,417.68,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,CARESOURCE,CARESOURCE,,425.64,,fee schedule,425.64,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,MEDICARE,MEDICARE,,6603.85,,fee schedule,6603.85,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,PEACHSTATE,PEACHSTATE,,397.79,,fee schedule,397.79,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,TRICARE,TRICARE,,6603.85,,fee schedule,6603.85,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,UHC MEDICARE,UHC MEDICARE,,6603.85,,fee schedule,6603.85,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,AETNA,AETNA,,7298.43,87,percent of total billed charges,7298.43,397.79,10896.35,percent of total billed charges,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7298.43,87,percent of total billed charges,7298.43,397.79,10896.35,percent of total billed charges,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,UNITED HEALTHCARE,UNITED HEALTHCARE,,7382.32,88,percent of total billed charges,7382.32,397.79,10896.35,percent of total billed charges,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,AETNA,AETNA,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,BEECH STREET,BEECH STREET,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,CARESOURCE,CARESOURCE,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,MEDICAID,MEDICAID,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,NOVA NET,NOVA NET,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,PEACHSTATE,PEACHSTATE,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,SELFPAY,SELFPAY,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
DORSAL COLUMN STIMULATOR TRIAL,63650,CPT,both,,,8389,8389,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8389,,fee schedule,8389,397.79,10896.35,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,ALLIANT,ALLIANT,,2965.91,,fee schedule,2965.91,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,AMBETTER,AMBETTER,,2336.78,,fee schedule,2336.78,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,AMERIGROUP,AMERIGROUP,,378.48,,fee schedule,378.48,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,CARESOURCE,CARESOURCE,,385.69,,fee schedule,385.69,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,MEDICARE,MEDICARE,,1797.52,,fee schedule,1797.52,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,PEACHSTATE,PEACHSTATE,,360.46,,fee schedule,360.46,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,TRICARE,TRICARE,,1797.52,,fee schedule,1797.52,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,UHC MEDICARE,UHC MEDICARE,,1797.52,,fee schedule,1797.52,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,AETNA,AETNA,,3837.57,87,percent of total billed charges,3837.57,360.46,4411,percent of total billed charges,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3837.57,87,percent of total billed charges,3837.57,360.46,4411,percent of total billed charges,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,UNITED HEALTHCARE,UNITED HEALTHCARE,,3881.68,88,percent of total billed charges,3881.68,360.46,4411,percent of total billed charges,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,AETNA,AETNA,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,BEECH STREET,BEECH STREET,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,CARESOURCE,CARESOURCE,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,MEDICAID,MEDICAID,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,NOVA NET,NOVA NET,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,PEACHSTATE,PEACHSTATE,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,SELFPAY,SELFPAY,,4411,,fee schedule,4411,360.46,4411,fee schedule,
REMOVE SPINE ELTRD PERQ A,63661,CPT,both,,,4411,4411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4411,,fee schedule,4411,360.46,4411,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,AETNA,AETNA,,30694.02,87,percent of total billed charges,30694.02,30694.02,35280.48,percent of total billed charges,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30694.02,87,percent of total billed charges,30694.02,30694.02,35280.48,percent of total billed charges,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,31046.82,88,percent of total billed charges,31046.82,30694.02,35280.48,percent of total billed charges,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,AETNA,AETNA,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,ALLIANT,ALLIANT,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,AMBETTER,AMBETTER,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,BEECH STREET,BEECH STREET,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,CARESOURCE,CARESOURCE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,MEDICAID,MEDICAID,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,MEDICARE,MEDICARE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,NOVA NET,NOVA NET,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,PEACHSTATE,PEACHSTATE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,SELFPAY,SELFPAY,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,TRICARE,TRICARE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W MCC,637,DRG,inpatient,,,35280.48,35280.48,UHC MEDICARE,UHC MEDICARE,,35280.48,,fee schedule,35280.48,30694.02,35280.48,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,AETNA,AETNA,,15386.86,87,percent of total billed charges,15386.86,15386.86,17686.05,percent of total billed charges,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15386.86,87,percent of total billed charges,15386.86,15386.86,17686.05,percent of total billed charges,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,UNITED HEALTHCARE,UNITED HEALTHCARE,,15563.72,88,percent of total billed charges,15563.72,15386.86,17686.05,percent of total billed charges,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,AETNA,AETNA,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,ALLIANT,ALLIANT,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,AMBETTER,AMBETTER,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,BEECH STREET,BEECH STREET,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,CARESOURCE,CARESOURCE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,MEDICAID,MEDICAID,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,MEDICARE,MEDICARE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,NOVA NET,NOVA NET,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,PEACHSTATE,PEACHSTATE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,SELFPAY,SELFPAY,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,TRICARE,TRICARE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W CC,638,DRG,inpatient,,,17686.05,17686.05,UHC MEDICARE,UHC MEDICARE,,17686.05,,fee schedule,17686.05,15386.86,17686.05,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,AETNA,AETNA,,12550.04,87,percent of total billed charges,12550.04,12550.04,14425.33,percent of total billed charges,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12550.04,87,percent of total billed charges,12550.04,12550.04,14425.33,percent of total billed charges,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,12694.29,88,percent of total billed charges,12694.29,12550.04,14425.33,percent of total billed charges,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,AETNA,AETNA,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,ALLIANT,ALLIANT,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,AMBETTER,AMBETTER,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,BEECH STREET,BEECH STREET,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,CARESOURCE,CARESOURCE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,MEDICAID,MEDICAID,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,MEDICARE,MEDICARE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,NOVA NET,NOVA NET,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,PEACHSTATE,PEACHSTATE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,SELFPAY,SELFPAY,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,TRICARE,TRICARE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
DIABETES W/O CC/MCC,639,DRG,inpatient,,,14425.33,14425.33,UHC MEDICARE,UHC MEDICARE,,14425.33,,fee schedule,14425.33,12550.04,14425.33,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,AETNA,AETNA,,21785.33,87,percent of total billed charges,21785.33,21785.33,25040.61,percent of total billed charges,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21785.33,87,percent of total billed charges,21785.33,21785.33,25040.61,percent of total billed charges,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,UNITED HEALTHCARE,UNITED HEALTHCARE,,22035.74,88,percent of total billed charges,22035.74,21785.33,25040.61,percent of total billed charges,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,AETNA,AETNA,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,ALLIANT,ALLIANT,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,AMBETTER,AMBETTER,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,BEECH STREET,BEECH STREET,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,CARESOURCE,CARESOURCE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,MEDICAID,MEDICAID,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,MEDICARE,MEDICARE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,NOVA NET,NOVA NET,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,PEACHSTATE,PEACHSTATE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,SELFPAY,SELFPAY,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,TRICARE,TRICARE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC",640,DRG,inpatient,,,25040.61,25040.61,UHC MEDICARE,UHC MEDICARE,,25040.61,,fee schedule,25040.61,21785.33,25040.61,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,AETNA,AETNA,,14965.91,87,percent of total billed charges,14965.91,14965.91,17202.2,percent of total billed charges,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14965.91,87,percent of total billed charges,14965.91,14965.91,17202.2,percent of total billed charges,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,UNITED HEALTHCARE,UNITED HEALTHCARE,,15137.94,88,percent of total billed charges,15137.94,14965.91,17202.2,percent of total billed charges,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,AETNA,AETNA,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,ALLIANT,ALLIANT,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,AMBETTER,AMBETTER,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,BEECH STREET,BEECH STREET,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,CARESOURCE,CARESOURCE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,MEDICAID,MEDICAID,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,MEDICARE,MEDICARE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,NOVA NET,NOVA NET,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,PEACHSTATE,PEACHSTATE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,SELFPAY,SELFPAY,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,TRICARE,TRICARE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC",641,DRG,inpatient,,,17202.2,17202.2,UHC MEDICARE,UHC MEDICARE,,17202.2,,fee schedule,17202.2,14965.91,17202.2,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,AETNA,AETNA,,17534.52,87,percent of total billed charges,17534.52,17534.52,20154.62,percent of total billed charges,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17534.52,87,percent of total billed charges,17534.52,17534.52,20154.62,percent of total billed charges,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,UNITED HEALTHCARE,UNITED HEALTHCARE,,17736.07,88,percent of total billed charges,17736.07,17534.52,20154.62,percent of total billed charges,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,AETNA,AETNA,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,ALLIANT,ALLIANT,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,AMBETTER,AMBETTER,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,BEECH STREET,BEECH STREET,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,CARESOURCE,CARESOURCE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,MEDICAID,MEDICAID,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,MEDICARE,MEDICARE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,NOVA NET,NOVA NET,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,PEACHSTATE,PEACHSTATE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,SELFPAY,SELFPAY,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,TRICARE,TRICARE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
INBORN AND OTHER DISORDERS OF METABOLISM,642,DRG,inpatient,,,20154.62,20154.62,UHC MEDICARE,UHC MEDICARE,,20154.62,,fee schedule,20154.62,17534.52,20154.62,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,AETNA,AETNA,,18927.74,87,percent of total billed charges,18927.74,18927.74,21756.02,percent of total billed charges,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18927.74,87,percent of total billed charges,18927.74,18927.74,21756.02,percent of total billed charges,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,19145.3,88,percent of total billed charges,19145.3,18927.74,21756.02,percent of total billed charges,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,AETNA,AETNA,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,ALLIANT,ALLIANT,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,AMBETTER,AMBETTER,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,BEECH STREET,BEECH STREET,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,CARESOURCE,CARESOURCE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,MEDICAID,MEDICAID,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,MEDICARE,MEDICARE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,NOVA NET,NOVA NET,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,PEACHSTATE,PEACHSTATE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,SELFPAY,SELFPAY,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,TRICARE,TRICARE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W MCC,643,DRG,inpatient,,,21756.02,21756.02,UHC MEDICARE,UHC MEDICARE,,21756.02,,fee schedule,21756.02,18927.74,21756.02,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,AETNA,AETNA,,27094.26,87,percent of total billed charges,27094.26,27094.26,31142.83,percent of total billed charges,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27094.26,87,percent of total billed charges,27094.26,27094.26,31142.83,percent of total billed charges,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,UNITED HEALTHCARE,UNITED HEALTHCARE,,27405.69,88,percent of total billed charges,27405.69,27094.26,31142.83,percent of total billed charges,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,AETNA,AETNA,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,ALLIANT,ALLIANT,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,AMBETTER,AMBETTER,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,BEECH STREET,BEECH STREET,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,CARESOURCE,CARESOURCE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,MEDICAID,MEDICAID,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,MEDICARE,MEDICARE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,NOVA NET,NOVA NET,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,PEACHSTATE,PEACHSTATE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,SELFPAY,SELFPAY,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,TRICARE,TRICARE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
ENDOCRINE DISORDERS W CC,644,DRG,inpatient,,,31142.83,31142.83,UHC MEDICARE,UHC MEDICARE,,31142.83,,fee schedule,31142.83,27094.26,31142.83,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,AMERIGROUP,AMERIGROUP,,83.2,,fee schedule,83.2,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,CARESOURCE,CARESOURCE,,84.79,,fee schedule,84.79,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,PEACHSTATE,PEACHSTATE,,79.24,,fee schedule,79.24,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,TRICARE,TRICARE,,271.89,,fee schedule,271.89,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,AETNA,AETNA,,550.71,87,percent of total billed charges,550.71,79.24,633,percent of total billed charges,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,550.71,87,percent of total billed charges,550.71,79.24,633,percent of total billed charges,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,UNITED HEALTHCARE,UNITED HEALTHCARE,,557.04,88,percent of total billed charges,557.04,79.24,633,percent of total billed charges,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,AETNA,AETNA,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,BEECH STREET,BEECH STREET,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,CARESOURCE,CARESOURCE,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,MEDICAID,MEDICAID,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,NOVA NET,NOVA NET,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,PEACHSTATE,PEACHSTATE,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,SELFPAY,SELFPAY,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK TRIGEMINAL BR,64400,CPT,both,,,633,633,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,633,,fee schedule,633,79.24,633,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,AMERIGROUP,AMERIGROUP,,96.04,,fee schedule,96.04,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,CARESOURCE,CARESOURCE,,97.87,,fee schedule,97.87,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,PEACHSTATE,PEACHSTATE,,91.47,,fee schedule,91.47,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,TRICARE,TRICARE,,271.89,,fee schedule,271.89,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,AETNA,AETNA,,817.8,87,percent of total billed charges,817.8,91.47,940,percent of total billed charges,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,817.8,87,percent of total billed charges,817.8,91.47,940,percent of total billed charges,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,UNITED HEALTHCARE,UNITED HEALTHCARE,,827.2,88,percent of total billed charges,827.2,91.47,940,percent of total billed charges,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,AETNA,AETNA,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,BEECH STREET,BEECH STREET,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,CARESOURCE,CARESOURCE,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,MEDICAID,MEDICAID,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,NOVA NET,NOVA NET,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,PEACHSTATE,PEACHSTATE,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,SELFPAY,SELFPAY,,940,,fee schedule,940,91.47,940,fee schedule,
NERVE BLOCK-GREATER OCCIP,64405,CPT,both,,,940,940,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,940,,fee schedule,940,91.47,940,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,AMERIGROUP,AMERIGROUP,,100.65,,fee schedule,100.65,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,102.57,,fee schedule,102.57,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,95.86,,fee schedule,95.86,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,TRICARE,TRICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,AETNA,AETNA,,703.83,87,percent of total billed charges,703.83,95.86,1406.1,percent of total billed charges,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,703.83,87,percent of total billed charges,703.83,95.86,1406.1,percent of total billed charges,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,UNITED HEALTHCARE,UNITED HEALTHCARE,,711.92,88,percent of total billed charges,711.92,95.86,1406.1,percent of total billed charges,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,AETNA,AETNA,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,BEECH STREET,BEECH STREET,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,MEDICAID,MEDICAID,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,NOVA NET,NOVA NET,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,SELFPAY,SELFPAY,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE (BRACHIAL PL,64415,CPT,both,,,809,809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,AMERIGROUP,AMERIGROUP,,100.65,,fee schedule,100.65,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,102.57,,fee schedule,102.57,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,95.86,,fee schedule,95.86,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,TRICARE,TRICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,AETNA,AETNA,,703.83,87,percent of total billed charges,703.83,95.86,1406.1,percent of total billed charges,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,703.83,87,percent of total billed charges,703.83,95.86,1406.1,percent of total billed charges,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,UNITED HEALTHCARE,UNITED HEALTHCARE,,711.92,88,percent of total billed charges,711.92,95.86,1406.1,percent of total billed charges,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,AETNA,AETNA,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,BEECH STREET,BEECH STREET,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,MEDICAID,MEDICAID,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,NOVA NET,NOVA NET,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,SELFPAY,SELFPAY,,809,,fee schedule,809,95.86,1406.1,fee schedule,
INTERSCALENE(BRACHIAL PLE,64415,CPT,both,,,809,809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,AMERIGROUP,AMERIGROUP,,100.65,,fee schedule,100.65,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,102.57,,fee schedule,102.57,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,95.86,,fee schedule,95.86,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,TRICARE,TRICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,AETNA,AETNA,,703.83,87,percent of total billed charges,703.83,95.86,1406.1,percent of total billed charges,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,703.83,87,percent of total billed charges,703.83,95.86,1406.1,percent of total billed charges,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,UNITED HEALTHCARE,UNITED HEALTHCARE,,711.92,88,percent of total billed charges,711.92,95.86,1406.1,percent of total billed charges,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,AETNA,AETNA,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,BEECH STREET,BEECH STREET,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,MEDICAID,MEDICAID,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,NOVA NET,NOVA NET,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,SELFPAY,SELFPAY,,809,,fee schedule,809,95.86,1406.1,fee schedule,
SUPRACLAVICULAR BLOCK,64415,CPT,both,,,809,809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,809,,fee schedule,809,95.86,1406.1,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,AMERIGROUP,AMERIGROUP,,143.54,,fee schedule,143.54,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,CARESOURCE,CARESOURCE,,146.27,,fee schedule,146.27,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,PEACHSTATE,PEACHSTATE,,136.7,,fee schedule,136.7,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,TRICARE,TRICARE,,852.18,,fee schedule,852.18,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,AETNA,AETNA,,1790.46,87,percent of total billed charges,1790.46,136.7,2058,percent of total billed charges,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1790.46,87,percent of total billed charges,1790.46,136.7,2058,percent of total billed charges,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,UNITED HEALTHCARE,UNITED HEALTHCARE,,1811.04,88,percent of total billed charges,1811.04,136.7,2058,percent of total billed charges,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,AETNA,AETNA,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,BEECH STREET,BEECH STREET,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,CARESOURCE,CARESOURCE,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,MEDICAID,MEDICAID,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,NOVA NET,NOVA NET,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,PEACHSTATE,PEACHSTATE,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,SELFPAY,SELFPAY,,2058,,fee schedule,2058,136.7,2058,fee schedule,
N BLOCK CONT INFUSE B PLEX,64416,CPT,both,,,2058,2058,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2058,,fee schedule,2058,136.7,2058,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AMERIGROUP,AMERIGROUP,,100,,fee schedule,100,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,101.91,,fee schedule,101.91,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,95.24,,fee schedule,95.24,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,TRICARE,TRICARE,,852.18,,fee schedule,852.18,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AETNA,AETNA,,703.83,87,percent of total billed charges,703.83,95.24,1406.1,percent of total billed charges,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,703.83,87,percent of total billed charges,703.83,95.24,1406.1,percent of total billed charges,
AXILLARY BLOCK,64417,CPT,both,,,809,809,UNITED HEALTHCARE,UNITED HEALTHCARE,,711.92,88,percent of total billed charges,711.92,95.24,1406.1,percent of total billed charges,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AETNA,AETNA,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,BEECH STREET,BEECH STREET,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,MEDICAID,MEDICAID,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,NOVA NET,NOVA NET,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,SELFPAY,SELFPAY,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AMERIGROUP,AMERIGROUP,,100,,fee schedule,100,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,101.91,,fee schedule,101.91,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,95.24,,fee schedule,95.24,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,TRICARE,TRICARE,,852.18,,fee schedule,852.18,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AETNA,AETNA,,703.83,87,percent of total billed charges,703.83,95.24,1406.1,percent of total billed charges,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,703.83,87,percent of total billed charges,703.83,95.24,1406.1,percent of total billed charges,
AXILLARY BLOCK,64417,CPT,both,,,809,809,UNITED HEALTHCARE,UNITED HEALTHCARE,,711.92,88,percent of total billed charges,711.92,95.24,1406.1,percent of total billed charges,
AXILLARY BLOCK,64417,CPT,both,,,809,809,AETNA,AETNA,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,BEECH STREET,BEECH STREET,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CARESOURCE,CARESOURCE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,MEDICAID,MEDICAID,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,NOVA NET,NOVA NET,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,PEACHSTATE,PEACHSTATE,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,SELFPAY,SELFPAY,,809,,fee schedule,809,95.24,1406.1,fee schedule,
AXILLARY BLOCK,64417,CPT,both,,,809,809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,809,,fee schedule,809,95.24,1406.1,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AMERIGROUP,AMERIGROUP,,97.8,,fee schedule,97.8,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CARESOURCE,CARESOURCE,,99.66,,fee schedule,99.66,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,PEACHSTATE,PEACHSTATE,,93.14,,fee schedule,93.14,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,TRICARE,TRICARE,,644.34,,fee schedule,644.34,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AETNA,AETNA,,753.42,87,percent of total billed charges,753.42,93.14,1063.16,percent of total billed charges,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,753.42,87,percent of total billed charges,753.42,93.14,1063.16,percent of total billed charges,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,UNITED HEALTHCARE,UNITED HEALTHCARE,,762.08,88,percent of total billed charges,762.08,93.14,1063.16,percent of total billed charges,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AETNA,AETNA,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,BEECH STREET,BEECH STREET,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CARESOURCE,CARESOURCE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,MEDICAID,MEDICAID,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,NOVA NET,NOVA NET,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,PEACHSTATE,PEACHSTATE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,SELFPAY,SELFPAY,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AMERIGROUP,AMERIGROUP,,97.8,,fee schedule,97.8,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CARESOURCE,CARESOURCE,,99.66,,fee schedule,99.66,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,PEACHSTATE,PEACHSTATE,,93.14,,fee schedule,93.14,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,TRICARE,TRICARE,,644.34,,fee schedule,644.34,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AETNA,AETNA,,753.42,87,percent of total billed charges,753.42,93.14,1063.16,percent of total billed charges,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,753.42,87,percent of total billed charges,753.42,93.14,1063.16,percent of total billed charges,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,UNITED HEALTHCARE,UNITED HEALTHCARE,,762.08,88,percent of total billed charges,762.08,93.14,1063.16,percent of total billed charges,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,AETNA,AETNA,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,BEECH STREET,BEECH STREET,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CARESOURCE,CARESOURCE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,MEDICAID,MEDICAID,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,NOVA NET,NOVA NET,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,PEACHSTATE,PEACHSTATE,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,SELFPAY,SELFPAY,,866,,fee schedule,866,93.14,1063.16,fee schedule,
SUPRASCAPULAR NERVE INJEC,64418,CPT,both,,,866,866,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,866,,fee schedule,866,93.14,1063.16,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,89.9,,fee schedule,89.9,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,91.61,,fee schedule,91.61,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,85.62,,fee schedule,85.62,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,TRICARE,TRICARE,,644.34,,fee schedule,644.34,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,85.62,1824,percent of total billed charges,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,85.62,1824,percent of total billed charges,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,85.62,1824,percent of total billed charges,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJ SI,64420,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,85.62,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,116.61,,fee schedule,116.61,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,118.83,,fee schedule,118.83,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,111.06,,fee schedule,111.06,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,TRICARE,TRICARE,,852.18,,fee schedule,852.18,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,111.06,1824,percent of total billed charges,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,111.06,1824,percent of total billed charges,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,111.06,1824,percent of total billed charges,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,111.06,1824,fee schedule,
INTERCOSTAL NERVE INJMUL,64421,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,111.06,1824,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,AMERIGROUP,AMERIGROUP,,108.11,,fee schedule,108.11,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,CARESOURCE,CARESOURCE,,110.17,,fee schedule,110.17,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,PEACHSTATE,PEACHSTATE,,102.96,,fee schedule,102.96,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,TRICARE,TRICARE,,644.34,,fee schedule,644.34,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,AETNA,AETNA,,528.96,87,percent of total billed charges,528.96,102.96,1063.16,percent of total billed charges,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,528.96,87,percent of total billed charges,528.96,102.96,1063.16,percent of total billed charges,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,UNITED HEALTHCARE,UNITED HEALTHCARE,,535.04,88,percent of total billed charges,535.04,102.96,1063.16,percent of total billed charges,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,AETNA,AETNA,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,BEECH STREET,BEECH STREET,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,CARESOURCE,CARESOURCE,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,MEDICAID,MEDICAID,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,NOVA NET,NOVA NET,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,PEACHSTATE,PEACHSTATE,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,SELFPAY,SELFPAY,,608,,fee schedule,608,102.96,1063.16,fee schedule,
ILLIOINGUINAL BLOCK,64425,CPT,both,,,608,608,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,608,,fee schedule,608,102.96,1063.16,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,AMERIGROUP,AMERIGROUP,,110.44,,fee schedule,110.44,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,112.54,,fee schedule,112.54,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,105.18,,fee schedule,105.18,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,TRICARE,TRICARE,,644.34,,fee schedule,644.34,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,AETNA,AETNA,,1467.69,87,percent of total billed charges,1467.69,105.18,1687,percent of total billed charges,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1467.69,87,percent of total billed charges,1467.69,105.18,1687,percent of total billed charges,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,UNITED HEALTHCARE,UNITED HEALTHCARE,,1484.56,88,percent of total billed charges,1484.56,105.18,1687,percent of total billed charges,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,AETNA,AETNA,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,BEECH STREET,BEECH STREET,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,MEDICAID,MEDICAID,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,NOVA NET,NOVA NET,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,SELFPAY,SELFPAY,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK SCIATIC,64445,CPT,both,,,1687,1687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,AMERIGROUP,AMERIGROUP,,110.44,,fee schedule,110.44,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,112.54,,fee schedule,112.54,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,105.18,,fee schedule,105.18,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,TRICARE,TRICARE,,644.34,,fee schedule,644.34,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,AETNA,AETNA,,1467.69,87,percent of total billed charges,1467.69,105.18,1687,percent of total billed charges,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1467.69,87,percent of total billed charges,1467.69,105.18,1687,percent of total billed charges,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,UNITED HEALTHCARE,UNITED HEALTHCARE,,1484.56,88,percent of total billed charges,1484.56,105.18,1687,percent of total billed charges,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,AETNA,AETNA,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,BEECH STREET,BEECH STREET,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,MEDICAID,MEDICAID,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,NOVA NET,NOVA NET,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,SELFPAY,SELFPAY,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK-SCIATIC,64445,CPT,both,,,1687,1687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1687,,fee schedule,1687,105.18,1687,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,69.78,,fee schedule,69.78,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,71.11,,fee schedule,71.11,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,66.46,,fee schedule,66.46,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,TRICARE,TRICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,66.46,1063.16,percent of total billed charges,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,66.46,1063.16,percent of total billed charges,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,66.46,1063.16,percent of total billed charges,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK - FEMORAL,64447,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,69.78,,fee schedule,69.78,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,71.11,,fee schedule,71.11,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,66.46,,fee schedule,66.46,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,TRICARE,TRICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,66.46,1063.16,percent of total billed charges,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,66.46,1063.16,percent of total billed charges,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,66.46,1063.16,percent of total billed charges,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK FEMORAL,64447,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,69.78,,fee schedule,69.78,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,71.11,,fee schedule,71.11,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,66.46,,fee schedule,66.46,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,TRICARE,TRICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,66.46,1063.16,percent of total billed charges,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,66.46,1063.16,percent of total billed charges,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,66.46,1063.16,percent of total billed charges,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,66.46,1063.16,fee schedule,
NERVE BLOCK SAPHENOUS,64447,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,66.46,1063.16,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,AMERIGROUP,AMERIGROUP,,137.39,,fee schedule,137.39,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,CARESOURCE,CARESOURCE,,140.01,,fee schedule,140.01,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,PEACHSTATE,PEACHSTATE,,130.85,,fee schedule,130.85,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,TRICARE,TRICARE,,852.18,,fee schedule,852.18,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,AETNA,AETNA,,1530.33,87,percent of total billed charges,1530.33,130.85,1759,percent of total billed charges,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1530.33,87,percent of total billed charges,1530.33,130.85,1759,percent of total billed charges,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,UNITED HEALTHCARE,UNITED HEALTHCARE,,1547.92,88,percent of total billed charges,1547.92,130.85,1759,percent of total billed charges,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,AETNA,AETNA,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,BEECH STREET,BEECH STREET,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,CARESOURCE,CARESOURCE,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,MEDICAID,MEDICAID,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,NOVA NET,NOVA NET,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,PEACHSTATE,PEACHSTATE,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,SELFPAY,SELFPAY,,1759,,fee schedule,1759,130.85,1759,fee schedule,
LUMBAR PLEXUS BLOCK,64449,CPT,both,,,1759,1759,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1759,,fee schedule,1759,130.85,1759,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,AMERIGROUP,AMERIGROUP,,80.03,,fee schedule,80.03,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,CARESOURCE,CARESOURCE,,81.56,,fee schedule,81.56,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,PEACHSTATE,PEACHSTATE,,76.22,,fee schedule,76.22,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,TRICARE,TRICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,AETNA,AETNA,,1400.7,87,percent of total billed charges,1400.7,76.22,1610,percent of total billed charges,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1400.7,87,percent of total billed charges,1400.7,76.22,1610,percent of total billed charges,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,UNITED HEALTHCARE,UNITED HEALTHCARE,,1416.8,88,percent of total billed charges,1416.8,76.22,1610,percent of total billed charges,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,AETNA,AETNA,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,BEECH STREET,BEECH STREET,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,CARESOURCE,CARESOURCE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,MEDICAID,MEDICAID,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,NOVA NET,NOVA NET,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,PEACHSTATE,PEACHSTATE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,SELFPAY,SELFPAY,,1610,,fee schedule,1610,76.22,1610,fee schedule,
DIGITAL BLOCK,64450,CPT,both,,,1610,1610,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,AMERIGROUP,AMERIGROUP,,80.03,,fee schedule,80.03,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,CARESOURCE,CARESOURCE,,81.56,,fee schedule,81.56,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,PEACHSTATE,PEACHSTATE,,76.22,,fee schedule,76.22,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,TRICARE,TRICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,AETNA,AETNA,,1400.7,87,percent of total billed charges,1400.7,76.22,1610,percent of total billed charges,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1400.7,87,percent of total billed charges,1400.7,76.22,1610,percent of total billed charges,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,UNITED HEALTHCARE,UNITED HEALTHCARE,,1416.8,88,percent of total billed charges,1416.8,76.22,1610,percent of total billed charges,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,AETNA,AETNA,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,BEECH STREET,BEECH STREET,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,CARESOURCE,CARESOURCE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,MEDICAID,MEDICAID,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,NOVA NET,NOVA NET,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,PEACHSTATE,PEACHSTATE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,SELFPAY,SELFPAY,,1610,,fee schedule,1610,76.22,1610,fee schedule,
INJ OTHER PERIPHERAL NERVE,64450,CPT,both,,,1610,1610,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,AMERIGROUP,AMERIGROUP,,80.03,,fee schedule,80.03,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,CARESOURCE,CARESOURCE,,81.56,,fee schedule,81.56,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,PEACHSTATE,PEACHSTATE,,76.22,,fee schedule,76.22,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,TRICARE,TRICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,AETNA,AETNA,,1400.7,87,percent of total billed charges,1400.7,76.22,1610,percent of total billed charges,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1400.7,87,percent of total billed charges,1400.7,76.22,1610,percent of total billed charges,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,UNITED HEALTHCARE,UNITED HEALTHCARE,,1416.8,88,percent of total billed charges,1416.8,76.22,1610,percent of total billed charges,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,AETNA,AETNA,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,BEECH STREET,BEECH STREET,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,CARESOURCE,CARESOURCE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,MEDICAID,MEDICAID,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,NOVA NET,NOVA NET,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,PEACHSTATE,PEACHSTATE,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,SELFPAY,SELFPAY,,1610,,fee schedule,1610,76.22,1610,fee schedule,
NERVE BLOCK POPLITEAL,64450,CPT,both,,,1610,1610,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1610,,fee schedule,1610,76.22,1610,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,AMERIGROUP,AMERIGROUP,,193.76,,fee schedule,193.76,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,CARESOURCE,CARESOURCE,,197.45,,fee schedule,197.45,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,PEACHSTATE,PEACHSTATE,,184.53,,fee schedule,184.53,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,TRICARE,TRICARE,,644.34,,fee schedule,644.34,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,AETNA,AETNA,,1450.29,87,percent of total billed charges,1450.29,184.53,1667,percent of total billed charges,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1450.29,87,percent of total billed charges,1450.29,184.53,1667,percent of total billed charges,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,UNITED HEALTHCARE,UNITED HEALTHCARE,,1466.96,88,percent of total billed charges,1466.96,184.53,1667,percent of total billed charges,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,AETNA,AETNA,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,BEECH STREET,BEECH STREET,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,CARESOURCE,CARESOURCE,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,MEDICAID,MEDICAID,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,NOVA NET,NOVA NET,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,PEACHSTATE,PEACHSTATE,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,SELFPAY,SELFPAY,,1667,,fee schedule,1667,184.53,1667,fee schedule,
GENICULAR NERVE BLOCK,64454,CPT,both,,,1667,1667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1667,,fee schedule,1667,184.53,1667,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,201.16,,fee schedule,201.16,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,204.99,,fee schedule,204.99,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,191.58,,fee schedule,191.58,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,TRICARE,TRICARE,,852.18,,fee schedule,852.18,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,191.58,1824,percent of total billed charges,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,191.58,1824,percent of total billed charges,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,191.58,1824,percent of total billed charges,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;CER/TH,64479,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,191.58,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,181.68,,fee schedule,181.68,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,185.14,,fee schedule,185.14,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,173.03,,fee schedule,173.03,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,173.03,1824,percent of total billed charges,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,173.03,1824,percent of total billed charges,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,173.03,1824,percent of total billed charges,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,TRICARE,TRICARE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
TRANSFORAMINAL EPI;C/T EA,64480,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,1824,,fee schedule,1824,173.03,1824,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,185.76,,fee schedule,185.76,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,189.29,,fee schedule,189.29,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,176.91,,fee schedule,176.91,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,TRICARE,TRICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,176.91,1843,percent of total billed charges,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE INJ 1ST LEV,64483,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,185.76,,fee schedule,185.76,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,189.29,,fee schedule,189.29,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,176.91,,fee schedule,176.91,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,TRICARE,TRICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,176.91,1843,percent of total billed charges,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERVE ROOT INJFIR,64483,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,185.76,,fee schedule,185.76,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,189.29,,fee schedule,189.29,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,176.91,,fee schedule,176.91,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,TRICARE,TRICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,176.91,1843,percent of total billed charges,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TFLE LUM/SAC 1ST LV,64483,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,AMERIGROUP,AMERIGROUP,,185.76,,fee schedule,185.76,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,CARESOURCE,CARESOURCE,,189.29,,fee schedule,189.29,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,PEACHSTATE,PEACHSTATE,,176.91,,fee schedule,176.91,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,TRICARE,TRICARE,,852.18,,fee schedule,852.18,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,AETNA,AETNA,,1814.82,87,percent of total billed charges,1814.82,176.91,2086,percent of total billed charges,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1814.82,87,percent of total billed charges,1814.82,176.91,2086,percent of total billed charges,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,UNITED HEALTHCARE,UNITED HEALTHCARE,,1835.68,88,percent of total billed charges,1835.68,176.91,2086,percent of total billed charges,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,AETNA,AETNA,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,BEECH STREET,BEECH STREET,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,CARESOURCE,CARESOURCE,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,MEDICAID,MEDICAID,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,NOVA NET,NOVA NET,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,PEACHSTATE,PEACHSTATE,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,SELFPAY,SELFPAY,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL,64483,CPT,both,,,2086,2086,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2086,,fee schedule,2086,176.91,2086,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,185.76,,fee schedule,185.76,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,189.29,,fee schedule,189.29,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,176.91,,fee schedule,176.91,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,TRICARE,TRICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,176.91,1843,percent of total billed charges,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORAMINAL EPIDURAL I,64483,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,185.76,,fee schedule,185.76,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,189.29,,fee schedule,189.29,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,176.91,,fee schedule,176.91,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,TRICARE,TRICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,176.91,1843,percent of total billed charges,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,176.91,1843,percent of total billed charges,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,176.91,1843,fee schedule,
TRANSFORMAINAL EPIDURAL I,64483,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,176.91,1843,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,171.8,,fee schedule,171.8,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,175.07,,fee schedule,175.07,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,163.62,,fee schedule,163.62,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,163.62,1824,percent of total billed charges,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,TRICARE,TRICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERV ROOT INJEA A,64484,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,171.8,,fee schedule,171.8,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,175.07,,fee schedule,175.07,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,163.62,,fee schedule,163.62,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,163.62,1824,percent of total billed charges,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,TRICARE,TRICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR NERVE INJ EA ADD B,64484,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,171.8,,fee schedule,171.8,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,175.07,,fee schedule,175.07,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,163.62,,fee schedule,163.62,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,163.62,1824,percent of total billed charges,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,TRICARE,TRICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
LUMBAR OR SIJ EA ADD LEV,64484,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,171.8,,fee schedule,171.8,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,175.07,,fee schedule,175.07,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,163.62,,fee schedule,163.62,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,163.62,1824,percent of total billed charges,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,163.62,1824,percent of total billed charges,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,TRICARE,TRICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
TFLE LUM/SAC EA ADD,64484,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,1824,,fee schedule,1824,163.62,1824,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,AMERIGROUP,AMERIGROUP,,115.04,,fee schedule,115.04,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,117.23,,fee schedule,117.23,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,109.56,,fee schedule,109.56,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,TRICARE,TRICARE,,852.18,,fee schedule,852.18,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,109.56,1843,percent of total billed charges,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,109.56,1843,percent of total billed charges,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,109.56,1843,percent of total billed charges,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,109.56,1843,fee schedule,
FACET INJ C/T 1ST LEVEL,64490,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,109.56,1843,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,AMERIGROUP,AMERIGROUP,,115.04,,fee schedule,115.04,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,CARESOURCE,CARESOURCE,,117.23,,fee schedule,117.23,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,PEACHSTATE,PEACHSTATE,,109.56,,fee schedule,109.56,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,TRICARE,TRICARE,,852.18,,fee schedule,852.18,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,AETNA,AETNA,,1866.15,87,percent of total billed charges,1866.15,109.56,2145,percent of total billed charges,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1866.15,87,percent of total billed charges,1866.15,109.56,2145,percent of total billed charges,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,UNITED HEALTHCARE,UNITED HEALTHCARE,,1887.6,88,percent of total billed charges,1887.6,109.56,2145,percent of total billed charges,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,AETNA,AETNA,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,BEECH STREET,BEECH STREET,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,CARESOURCE,CARESOURCE,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,MEDICAID,MEDICAID,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,NOVA NET,NOVA NET,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,PEACHSTATE,PEACHSTATE,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,SELFPAY,SELFPAY,,2145,,fee schedule,2145,109.56,2145,fee schedule,
INJ PARAVERT F JNT C/T 1 LEV,64490,CPT,both,,,2145,2145,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2145,,fee schedule,2145,109.56,2145,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,AMERIGROUP,AMERIGROUP,,56.51,,fee schedule,56.51,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,57.59,,fee schedule,57.59,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,53.82,,fee schedule,53.82,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,AETNA,AETNA,,1068.36,87,percent of total billed charges,1068.36,53.82,1228,percent of total billed charges,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1068.36,87,percent of total billed charges,1068.36,53.82,1228,percent of total billed charges,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1080.64,88,percent of total billed charges,1080.64,53.82,1228,percent of total billed charges,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,AETNA,AETNA,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,ALLIANT,ALLIANT,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,AMBETTER,AMBETTER,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,BEECH STREET,BEECH STREET,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,MEDICAID,MEDICAID,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,MEDICARE,MEDICARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,NOVA NET,NOVA NET,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,SELFPAY,SELFPAY,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,TRICARE,TRICARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T 2ND LEVEL,64491,CPT,both,,,1228,1228,UHC MEDICARE,UHC MEDICARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,AMERIGROUP,AMERIGROUP,,56.51,,fee schedule,56.51,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,57.59,,fee schedule,57.59,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,53.82,,fee schedule,53.82,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,AETNA,AETNA,,1068.36,87,percent of total billed charges,1068.36,53.82,1228,percent of total billed charges,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1068.36,87,percent of total billed charges,1068.36,53.82,1228,percent of total billed charges,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1080.64,88,percent of total billed charges,1080.64,53.82,1228,percent of total billed charges,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,AETNA,AETNA,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,ALLIANT,ALLIANT,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,AMBETTER,AMBETTER,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,BEECH STREET,BEECH STREET,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,MEDICAID,MEDICAID,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,MEDICARE,MEDICARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,NOVA NET,NOVA NET,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,SELFPAY,SELFPAY,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,TRICARE,TRICARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
INJ PARAVERT F JNT C/T 2 LEV,64491,CPT,both,,,1228,1228,UHC MEDICARE,UHC MEDICARE,,1228,,fee schedule,1228,53.82,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,AMERIGROUP,AMERIGROUP,,57.28,,fee schedule,57.28,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,58.37,,fee schedule,58.37,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,54.55,,fee schedule,54.55,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,AETNA,AETNA,,1068.36,87,percent of total billed charges,1068.36,54.55,1228,percent of total billed charges,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1068.36,87,percent of total billed charges,1068.36,54.55,1228,percent of total billed charges,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1080.64,88,percent of total billed charges,1080.64,54.55,1228,percent of total billed charges,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,AETNA,AETNA,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,ALLIANT,ALLIANT,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,AMBETTER,AMBETTER,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,BEECH STREET,BEECH STREET,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,MEDICAID,MEDICAID,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,MEDICARE,MEDICARE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,NOVA NET,NOVA NET,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,SELFPAY,SELFPAY,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,TRICARE,TRICARE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ C/T EA ADD LEV,64492,CPT,both,,,1228,1228,UHC MEDICARE,UHC MEDICARE,,1228,,fee schedule,1228,54.55,1228,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AMERIGROUP,AMERIGROUP,,104.21,,fee schedule,104.21,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,106.2,,fee schedule,106.2,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,99.25,,fee schedule,99.25,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,TRICARE,TRICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AMERIGROUP,AMERIGROUP,,104.21,,fee schedule,104.21,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,106.2,,fee schedule,106.2,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,99.25,,fee schedule,99.25,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,TRICARE,TRICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL,64493,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,AMERIGROUP,AMERIGROUP,,104.21,,fee schedule,104.21,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,106.2,,fee schedule,106.2,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,99.25,,fee schedule,99.25,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,TRICARE,TRICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL B,64493,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,AMERIGROUP,AMERIGROUP,,104.21,,fee schedule,104.21,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,106.2,,fee schedule,106.2,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,99.25,,fee schedule,99.25,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,TRICARE,TRICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL L,64493,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,AMERIGROUP,AMERIGROUP,,104.21,,fee schedule,104.21,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,106.2,,fee schedule,106.2,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,99.25,,fee schedule,99.25,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,TRICARE,TRICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,99.25,2758,percent of total billed charges,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 1ST LEVEL R,64493,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,99.25,2758,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,AMERIGROUP,AMERIGROUP,,50.74,,fee schedule,50.74,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,51.7,,fee schedule,51.7,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,48.32,,fee schedule,48.32,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,48.32,1381,percent of total billed charges,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,48.32,1381,percent of total billed charges,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,48.32,1381,percent of total billed charges,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,TRICARE,TRICARE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 2ND LEVEL B,64494,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,1381,,fee schedule,1381,48.32,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,AMERIGROUP,AMERIGROUP,,51.49,,fee schedule,51.49,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,52.47,,fee schedule,52.47,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,49.04,,fee schedule,49.04,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,49.04,1381,percent of total billed charges,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,49.04,1381,percent of total billed charges,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,49.04,1381,percent of total billed charges,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,TRICARE,TRICARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S 3RD LEVEL,64495,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,AMERIGROUP,AMERIGROUP,,51.49,,fee schedule,51.49,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,52.47,,fee schedule,52.47,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,49.04,,fee schedule,49.04,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,49.04,1381,percent of total billed charges,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,49.04,1381,percent of total billed charges,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,49.04,1381,percent of total billed charges,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,TRICARE,TRICARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
FACET INJ L/S EA ADD LEV,64495,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,1381,,fee schedule,1381,49.04,1381,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,AETNA,AETNA,,6749.17,87,percent of total billed charges,6749.17,6749.17,7757.67,percent of total billed charges,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6749.17,87,percent of total billed charges,6749.17,6749.17,7757.67,percent of total billed charges,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,6826.75,88,percent of total billed charges,6826.75,6749.17,7757.67,percent of total billed charges,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,AETNA,AETNA,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,ALLIANT,ALLIANT,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,AMBETTER,AMBETTER,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,BEECH STREET,BEECH STREET,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,CARESOURCE,CARESOURCE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,MEDICAID,MEDICAID,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,MEDICARE,MEDICARE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,NOVA NET,NOVA NET,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,PEACHSTATE,PEACHSTATE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,SELFPAY,SELFPAY,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,TRICARE,TRICARE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
ENDOCRINE DISORDERS W/O CC/MCC,645,DRG,inpatient,,,7757.67,7757.67,UHC MEDICARE,UHC MEDICARE,,7757.67,,fee schedule,7757.67,6749.17,7757.67,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,AMERIGROUP,AMERIGROUP,,93.73,,fee schedule,93.73,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,95.52,,fee schedule,95.52,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,89.27,,fee schedule,89.27,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,TRICARE,TRICARE,,271.89,,fee schedule,271.89,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,AETNA,AETNA,,473.28,87,percent of total billed charges,473.28,89.27,544,percent of total billed charges,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473.28,87,percent of total billed charges,473.28,89.27,544,percent of total billed charges,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,UNITED HEALTHCARE,UNITED HEALTHCARE,,478.72,88,percent of total billed charges,478.72,89.27,544,percent of total billed charges,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,AETNA,AETNA,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,BEECH STREET,BEECH STREET,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,MEDICAID,MEDICAID,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,NOVA NET,NOVA NET,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,SELFPAY,SELFPAY,,544,,fee schedule,544,89.27,544,fee schedule,
SPHENOPALATINE GANGLION B,64505,CPT,both,,,544,544,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,544,,fee schedule,544,89.27,544,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,AMERIGROUP,AMERIGROUP,,92.88,,fee schedule,92.88,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,CARESOURCE,CARESOURCE,,94.65,,fee schedule,94.65,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,PEACHSTATE,PEACHSTATE,,88.46,,fee schedule,88.46,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,TRICARE,TRICARE,,852.18,,fee schedule,852.18,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,AETNA,AETNA,,1456.38,87,percent of total billed charges,1456.38,88.46,1674,percent of total billed charges,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1456.38,87,percent of total billed charges,1456.38,88.46,1674,percent of total billed charges,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,UNITED HEALTHCARE,UNITED HEALTHCARE,,1473.12,88,percent of total billed charges,1473.12,88.46,1674,percent of total billed charges,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,AETNA,AETNA,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,BEECH STREET,BEECH STREET,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,CARESOURCE,CARESOURCE,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,MEDICAID,MEDICAID,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,NOVA NET,NOVA NET,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,PEACHSTATE,PEACHSTATE,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,SELFPAY,SELFPAY,,1674,,fee schedule,1674,88.46,1674,fee schedule,
STELLATE GANGLION NERVE B,64510,CPT,both,,,1674,1674,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1674,,fee schedule,1674,88.46,1674,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,AMERIGROUP,AMERIGROUP,,172.43,,fee schedule,172.43,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,CARESOURCE,CARESOURCE,,175.72,,fee schedule,175.72,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,PEACHSTATE,PEACHSTATE,,164.22,,fee schedule,164.22,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,TRICARE,TRICARE,,852.18,,fee schedule,852.18,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,AETNA,AETNA,,1476.39,87,percent of total billed charges,1476.39,164.22,1697,percent of total billed charges,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1476.39,87,percent of total billed charges,1476.39,164.22,1697,percent of total billed charges,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,UNITED HEALTHCARE,UNITED HEALTHCARE,,1493.36,88,percent of total billed charges,1493.36,164.22,1697,percent of total billed charges,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,AETNA,AETNA,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,BEECH STREET,BEECH STREET,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,CARESOURCE,CARESOURCE,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,MEDICAID,MEDICAID,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,NOVA NET,NOVA NET,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,PEACHSTATE,PEACHSTATE,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,SELFPAY,SELFPAY,,1697,,fee schedule,1697,164.22,1697,fee schedule,
SUPERIOR HYPOGASTRIC PLEX,64517,CPT,both,,,1697,1697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1697,,fee schedule,1697,164.22,1697,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,117.61,,fee schedule,117.61,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,119.85,,fee schedule,119.85,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,112.01,,fee schedule,112.01,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,TRICARE,TRICARE,,852.18,,fee schedule,852.18,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,112.01,1824,percent of total billed charges,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,112.01,1824,percent of total billed charges,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,112.01,1824,percent of total billed charges,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,112.01,1824,fee schedule,
LUMBAR SYMPATHETIC BLOCK,64520,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,112.01,1824,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,AMERIGROUP,AMERIGROUP,,122.09,,fee schedule,122.09,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,CARESOURCE,CARESOURCE,,124.42,,fee schedule,124.42,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,PEACHSTATE,PEACHSTATE,,116.28,,fee schedule,116.28,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,TRICARE,TRICARE,,852.18,,fee schedule,852.18,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,AETNA,AETNA,,1468.56,87,percent of total billed charges,1468.56,116.28,1688,percent of total billed charges,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1468.56,87,percent of total billed charges,1468.56,116.28,1688,percent of total billed charges,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,UNITED HEALTHCARE,UNITED HEALTHCARE,,1485.44,88,percent of total billed charges,1485.44,116.28,1688,percent of total billed charges,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,AETNA,AETNA,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,BEECH STREET,BEECH STREET,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,CARESOURCE,CARESOURCE,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,MEDICAID,MEDICAID,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,NOVA NET,NOVA NET,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,PEACHSTATE,PEACHSTATE,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,SELFPAY,SELFPAY,,1688,,fee schedule,1688,116.28,1688,fee schedule,
CELIAC PLEXUS BLOCK,64530,CPT,both,,,1688,1688,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1688,,fee schedule,1688,116.28,1688,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,ALLIANT,ALLIANT,,10896.35,,fee schedule,10896.35,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,AMBETTER,AMBETTER,,8585.01,,fee schedule,8585.01,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,AMERIGROUP,AMERIGROUP,,123.68,,fee schedule,123.68,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,CARESOURCE,CARESOURCE,,126.04,,fee schedule,126.04,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,MEDICARE,MEDICARE,,6603.85,,fee schedule,6603.85,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,PEACHSTATE,PEACHSTATE,,117.79,,fee schedule,117.79,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,TRICARE,TRICARE,,6603.85,,fee schedule,6603.85,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,UHC MEDICARE,UHC MEDICARE,,6603.85,,fee schedule,6603.85,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,AETNA,AETNA,,13982.64,87,percent of total billed charges,13982.64,117.79,16072,percent of total billed charges,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13982.64,87,percent of total billed charges,13982.64,117.79,16072,percent of total billed charges,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,UNITED HEALTHCARE,UNITED HEALTHCARE,,14143.36,88,percent of total billed charges,14143.36,117.79,16072,percent of total billed charges,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,AETNA,AETNA,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,BEECH STREET,BEECH STREET,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,CARESOURCE,CARESOURCE,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,MEDICAID,MEDICAID,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,NOVA NET,NOVA NET,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,PEACHSTATE,PEACHSTATE,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,SELFPAY,SELFPAY,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS TRIAL (PROCEDURE),64555,CPT,both,,,16072,16072,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16072,,fee schedule,16072,117.79,16072,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,ALLIANT,ALLIANT,,5358.67,,fee schedule,5358.67,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,AMBETTER,AMBETTER,,4221.98,,fee schedule,4221.98,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,AMERIGROUP,AMERIGROUP,,159.61,,fee schedule,159.61,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,CARESOURCE,CARESOURCE,,162.65,,fee schedule,162.65,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,MEDICARE,MEDICARE,,3247.68,,fee schedule,3247.68,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,PEACHSTATE,PEACHSTATE,,152.01,,fee schedule,152.01,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,TRICARE,TRICARE,,3247.68,,fee schedule,3247.68,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,UHC MEDICARE,UHC MEDICARE,,3247.68,,fee schedule,3247.68,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,AETNA,AETNA,,6734.67,87,percent of total billed charges,6734.67,152.01,7741,percent of total billed charges,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6734.67,87,percent of total billed charges,6734.67,152.01,7741,percent of total billed charges,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,UNITED HEALTHCARE,UNITED HEALTHCARE,,6812.08,88,percent of total billed charges,6812.08,152.01,7741,percent of total billed charges,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,AETNA,AETNA,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,BEECH STREET,BEECH STREET,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,CARESOURCE,CARESOURCE,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,MEDICAID,MEDICAID,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,NOVA NET,NOVA NET,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,PEACHSTATE,PEACHSTATE,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,SELFPAY,SELFPAY,,7741,,fee schedule,7741,152.01,7741,fee schedule,
PNS LEAD REMOVAL OR REVISION,64585,CPT,both,,,7741,7741,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7741,,fee schedule,7741,152.01,7741,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,AMERIGROUP,AMERIGROUP,,127.9,,fee schedule,127.9,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,CARESOURCE,CARESOURCE,,130.34,,fee schedule,130.34,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,PEACHSTATE,PEACHSTATE,,121.81,,fee schedule,121.81,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,TRICARE,TRICARE,,271.89,,fee schedule,271.89,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,AETNA,AETNA,,749.07,87,percent of total billed charges,749.07,121.81,861,percent of total billed charges,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,749.07,87,percent of total billed charges,749.07,121.81,861,percent of total billed charges,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,UNITED HEALTHCARE,UNITED HEALTHCARE,,757.68,88,percent of total billed charges,757.68,121.81,861,percent of total billed charges,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,AETNA,AETNA,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,BEECH STREET,BEECH STREET,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,CARESOURCE,CARESOURCE,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,MEDICAID,MEDICAID,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,NOVA NET,NOVA NET,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,PEACHSTATE,PEACHSTATE,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,SELFPAY,SELFPAY,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ FOR MIGRAINE,64615,CPT,both,,,861,861,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,861,,fee schedule,861,121.81,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,ALLIANT,ALLIANT,,448.62,,fee schedule,448.62,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,AMBETTER,AMBETTER,,353.46,,fee schedule,353.46,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,AMERIGROUP,AMERIGROUP,,110.59,,fee schedule,110.59,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,CARESOURCE,CARESOURCE,,112.69,,fee schedule,112.69,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,MEDICARE,MEDICARE,,271.89,,fee schedule,271.89,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,PEACHSTATE,PEACHSTATE,,105.32,,fee schedule,105.32,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,TRICARE,TRICARE,,271.89,,fee schedule,271.89,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,UHC MEDICARE,UHC MEDICARE,,271.89,,fee schedule,271.89,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,AETNA,AETNA,,749.07,87,percent of total billed charges,749.07,105.32,861,percent of total billed charges,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,749.07,87,percent of total billed charges,749.07,105.32,861,percent of total billed charges,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,UNITED HEALTHCARE,UNITED HEALTHCARE,,757.68,88,percent of total billed charges,757.68,105.32,861,percent of total billed charges,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,AETNA,AETNA,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,BEECH STREET,BEECH STREET,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,CARESOURCE,CARESOURCE,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,MEDICAID,MEDICAID,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,NOVA NET,NOVA NET,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,PEACHSTATE,PEACHSTATE,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,SELFPAY,SELFPAY,,861,,fee schedule,861,105.32,861,fee schedule,
BOTOX INJ NECK MUSCLE,64616,CPT,both,,,861,861,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,861,,fee schedule,861,105.32,861,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,ALLIANT,ALLIANT,,2965.91,,fee schedule,2965.91,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,AMBETTER,AMBETTER,,2336.78,,fee schedule,2336.78,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,AMERIGROUP,AMERIGROUP,,370.51,,fee schedule,370.51,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,CARESOURCE,CARESOURCE,,377.57,,fee schedule,377.57,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,MEDICARE,MEDICARE,,1797.52,,fee schedule,1797.52,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,PEACHSTATE,PEACHSTATE,,352.87,,fee schedule,352.87,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,TRICARE,TRICARE,,1797.52,,fee schedule,1797.52,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,UHC MEDICARE,UHC MEDICARE,,1797.52,,fee schedule,1797.52,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,AETNA,AETNA,,3983.73,87,percent of total billed charges,3983.73,352.87,4579,percent of total billed charges,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3983.73,87,percent of total billed charges,3983.73,352.87,4579,percent of total billed charges,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,UNITED HEALTHCARE,UNITED HEALTHCARE,,4029.52,88,percent of total billed charges,4029.52,352.87,4579,percent of total billed charges,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,AETNA,AETNA,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,BEECH STREET,BEECH STREET,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,CARESOURCE,CARESOURCE,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,MEDICAID,MEDICAID,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,NOVA NET,NOVA NET,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,PEACHSTATE,PEACHSTATE,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,SELFPAY,SELFPAY,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA GENICULAR NERVE BRANCHES,64624,CPT,both,,,4579,4579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4579,,fee schedule,4579,352.87,4579,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,ALLIANT,ALLIANT,,2965.91,,fee schedule,2965.91,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,AMBETTER,AMBETTER,,2336.78,,fee schedule,2336.78,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,AMERIGROUP,AMERIGROUP,,405.9,,fee schedule,405.9,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,CARESOURCE,CARESOURCE,,413.63,,fee schedule,413.63,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,MEDICARE,MEDICARE,,1797.52,,fee schedule,1797.52,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,PEACHSTATE,PEACHSTATE,,386.57,,fee schedule,386.57,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,TRICARE,TRICARE,,1797.52,,fee schedule,1797.52,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,UHC MEDICARE,UHC MEDICARE,,1797.52,,fee schedule,1797.52,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,AETNA,AETNA,,2559.54,87,percent of total billed charges,2559.54,386.57,2965.91,percent of total billed charges,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2559.54,87,percent of total billed charges,2559.54,386.57,2965.91,percent of total billed charges,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,UNITED HEALTHCARE,UNITED HEALTHCARE,,2588.96,88,percent of total billed charges,2588.96,386.57,2965.91,percent of total billed charges,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,AETNA,AETNA,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,BEECH STREET,BEECH STREET,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,CARESOURCE,CARESOURCE,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,MEDICAID,MEDICAID,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,NOVA NET,NOVA NET,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,PEACHSTATE,PEACHSTATE,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,SELFPAY,SELFPAY,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC 1S,64633,CPT,both,,,2942,2942,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2942,,fee schedule,2942,386.57,2965.91,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,AMERIGROUP,AMERIGROUP,,186.26,,fee schedule,186.26,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,CARESOURCE,CARESOURCE,,189.81,,fee schedule,189.81,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,PEACHSTATE,PEACHSTATE,,177.39,,fee schedule,177.39,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,AETNA,AETNA,,551.58,87,percent of total billed charges,551.58,177.39,634,percent of total billed charges,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551.58,87,percent of total billed charges,551.58,177.39,634,percent of total billed charges,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,UNITED HEALTHCARE,UNITED HEALTHCARE,,557.92,88,percent of total billed charges,557.92,177.39,634,percent of total billed charges,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,AETNA,AETNA,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,ALLIANT,ALLIANT,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,AMBETTER,AMBETTER,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,BEECH STREET,BEECH STREET,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,CARESOURCE,CARESOURCE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,MEDICAID,MEDICAID,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,MEDICARE,MEDICARE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,NOVA NET,NOVA NET,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,PEACHSTATE,PEACHSTATE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,SELFPAY,SELFPAY,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,TRICARE,TRICARE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX CERVICAL/THORAC EA ADD,64634,CPT,both,,,634,634,UHC MEDICARE,UHC MEDICARE,,634,,fee schedule,634,177.39,634,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,ALLIANT,ALLIANT,,2965.91,,fee schedule,2965.91,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,AMBETTER,AMBETTER,,2336.78,,fee schedule,2336.78,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,AMERIGROUP,AMERIGROUP,,398.9,,fee schedule,398.9,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,CARESOURCE,CARESOURCE,,406.49,,fee schedule,406.49,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,MEDICARE,MEDICARE,,1797.52,,fee schedule,1797.52,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,PEACHSTATE,PEACHSTATE,,379.9,,fee schedule,379.9,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,TRICARE,TRICARE,,1797.52,,fee schedule,1797.52,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,UHC MEDICARE,UHC MEDICARE,,1797.52,,fee schedule,1797.52,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,AETNA,AETNA,,2559.54,87,percent of total billed charges,2559.54,379.9,2965.91,percent of total billed charges,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2559.54,87,percent of total billed charges,2559.54,379.9,2965.91,percent of total billed charges,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,UNITED HEALTHCARE,UNITED HEALTHCARE,,2588.96,88,percent of total billed charges,2588.96,379.9,2965.91,percent of total billed charges,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,AETNA,AETNA,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,BEECH STREET,BEECH STREET,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,CARESOURCE,CARESOURCE,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,MEDICAID,MEDICAID,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,NOVA NET,NOVA NET,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,PEACHSTATE,PEACHSTATE,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,SELFPAY,SELFPAY,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL 1ST,64635,CPT,both,,,2942,2942,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2942,,fee schedule,2942,379.9,2965.91,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,AMERIGROUP,AMERIGROUP,,167.63,,fee schedule,167.63,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,170.83,,fee schedule,170.83,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,159.65,,fee schedule,159.65,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,AETNA,AETNA,,1521.63,87,percent of total billed charges,1521.63,159.65,1749,percent of total billed charges,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1521.63,87,percent of total billed charges,1521.63,159.65,1749,percent of total billed charges,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,UNITED HEALTHCARE,UNITED HEALTHCARE,,1539.12,88,percent of total billed charges,1539.12,159.65,1749,percent of total billed charges,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,AETNA,AETNA,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,ALLIANT,ALLIANT,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,AMBETTER,AMBETTER,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,BEECH STREET,BEECH STREET,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,MEDICAID,MEDICAID,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,MEDICARE,MEDICARE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,NOVA NET,NOVA NET,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,SELFPAY,SELFPAY,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,TRICARE,TRICARE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA TX LUMBAR/SACRAL EA ADD,64636,CPT,both,,,1749,1749,UHC MEDICARE,UHC MEDICARE,,1749,,fee schedule,1749,159.65,1749,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,ALLIANT,ALLIANT,,1406.1,,fee schedule,1406.1,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,AMBETTER,AMBETTER,,1107.83,,fee schedule,1107.83,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,AMERIGROUP,AMERIGROUP,,186.72,,fee schedule,186.72,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,CARESOURCE,CARESOURCE,,190.28,,fee schedule,190.28,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,MEDICARE,MEDICARE,,852.18,,fee schedule,852.18,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,PEACHSTATE,PEACHSTATE,,177.83,,fee schedule,177.83,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,TRICARE,TRICARE,,852.18,,fee schedule,852.18,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,UHC MEDICARE,UHC MEDICARE,,852.18,,fee schedule,852.18,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,AETNA,AETNA,,2459.49,87,percent of total billed charges,2459.49,177.83,2827,percent of total billed charges,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2459.49,87,percent of total billed charges,2459.49,177.83,2827,percent of total billed charges,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,UNITED HEALTHCARE,UNITED HEALTHCARE,,2487.76,88,percent of total billed charges,2487.76,177.83,2827,percent of total billed charges,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,AETNA,AETNA,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,BEECH STREET,BEECH STREET,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,CARESOURCE,CARESOURCE,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,MEDICAID,MEDICAID,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,NOVA NET,NOVA NET,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,PEACHSTATE,PEACHSTATE,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,SELFPAY,SELFPAY,,2827,,fee schedule,2827,177.83,2827,fee schedule,
RFA OTHER PERIPERAL NERVE,64640,CPT,both,,,2827,2827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2827,,fee schedule,2827,177.83,2827,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,AMERIGROUP,AMERIGROUP,,125.92,,fee schedule,125.92,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,CARESOURCE,CARESOURCE,,128.31,,fee schedule,128.31,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,PEACHSTATE,PEACHSTATE,,119.92,,fee schedule,119.92,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,TRICARE,TRICARE,,644.34,,fee schedule,644.34,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,AETNA,AETNA,,1449.42,87,percent of total billed charges,1449.42,119.92,1666,percent of total billed charges,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1449.42,87,percent of total billed charges,1449.42,119.92,1666,percent of total billed charges,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,UNITED HEALTHCARE,UNITED HEALTHCARE,,1466.08,88,percent of total billed charges,1466.08,119.92,1666,percent of total billed charges,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,AETNA,AETNA,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,BEECH STREET,BEECH STREET,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,CARESOURCE,CARESOURCE,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,MEDICAID,MEDICAID,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,NOVA NET,NOVA NET,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,PEACHSTATE,PEACHSTATE,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,SELFPAY,SELFPAY,,1666,,fee schedule,1666,119.92,1666,fee schedule,
CHEMODENERV 1 EXTREMITY 1-4,64642,CPT,both,,,1666,1666,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1666,,fee schedule,1666,119.92,1666,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,AMERIGROUP,AMERIGROUP,,135.47,,fee schedule,135.47,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,CARESOURCE,CARESOURCE,,138.05,,fee schedule,138.05,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,PEACHSTATE,PEACHSTATE,,129.02,,fee schedule,129.02,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,TRICARE,TRICARE,,644.34,,fee schedule,644.34,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,AETNA,AETNA,,1496.4,87,percent of total billed charges,1496.4,129.02,1720,percent of total billed charges,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1496.4,87,percent of total billed charges,1496.4,129.02,1720,percent of total billed charges,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,UNITED HEALTHCARE,UNITED HEALTHCARE,,1513.6,88,percent of total billed charges,1513.6,129.02,1720,percent of total billed charges,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,AETNA,AETNA,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,BEECH STREET,BEECH STREET,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,CARESOURCE,CARESOURCE,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,MEDICAID,MEDICAID,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,NOVA NET,NOVA NET,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,PEACHSTATE,PEACHSTATE,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,SELFPAY,SELFPAY,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 1-5 TRNK MUSC,64646,CPT,both,,,1720,1720,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1720,,fee schedule,1720,129.02,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,TRICARE,TRICARE,,644.34,,fee schedule,644.34,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,AETNA,AETNA,,1496.4,87,percent of total billed charges,1496.4,644.34,1720,percent of total billed charges,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1496.4,87,percent of total billed charges,1496.4,644.34,1720,percent of total billed charges,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,UNITED HEALTHCARE,UNITED HEALTHCARE,,1513.6,88,percent of total billed charges,1513.6,644.34,1720,percent of total billed charges,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,AETNA,AETNA,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,BEECH STREET,BEECH STREET,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,CARESOURCE,CARESOURCE,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,MEDICAID,MEDICAID,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,NOVA NET,NOVA NET,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,PEACHSTATE,PEACHSTATE,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,SELFPAY,SELFPAY,,1720,,fee schedule,1720,644.34,1720,fee schedule,
BOTOX INJ 6+TRNK MUSC,64647,CPT,both,,,1720,1720,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1720,,fee schedule,1720,644.34,1720,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,AMERIGROUP,AMERIGROUP,,124.74,,fee schedule,124.74,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,127.12,,fee schedule,127.12,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,118.8,,fee schedule,118.8,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,TRICARE,TRICARE,,116.11,,fee schedule,116.11,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,116.11,191.58,percent of total billed charges,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,116.11,191.58,percent of total billed charges,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,116.11,191.58,percent of total billed charges,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,116.11,191.58,fee schedule,
EYE IRRIGATION (MORGAN'S,65205,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,116.11,191.58,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,124.74,,fee schedule,124.74,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,127.12,,fee schedule,127.12,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,118.8,,fee schedule,118.8,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,TRICARE,TRICARE,,116.11,,fee schedule,116.11,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,116.11,342,percent of total billed charges,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,116.11,342,percent of total billed charges,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,116.11,342,percent of total billed charges,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL FROM CONJUNCTI,65205,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,116.11,342,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,ALLIANT,ALLIANT,,622.99,,fee schedule,622.99,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,AMBETTER,AMBETTER,,490.84,,fee schedule,490.84,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,158.34,,fee schedule,158.34,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,161.36,,fee schedule,161.36,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,MEDICARE,MEDICARE,,377.57,,fee schedule,377.57,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,150.8,,fee schedule,150.8,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,TRICARE,TRICARE,,377.57,,fee schedule,377.57,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,377.57,,fee schedule,377.57,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,150.8,622.99,percent of total billed charges,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,150.8,622.99,percent of total billed charges,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,150.8,622.99,percent of total billed charges,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL CORNEAL,65220,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,150.8,622.99,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,AMERIGROUP,AMERIGROUP,,138,,fee schedule,138,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,CARESOURCE,CARESOURCE,,140.63,,fee schedule,140.63,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,PEACHSTATE,PEACHSTATE,,131.43,,fee schedule,131.43,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,TRICARE,TRICARE,,116.11,,fee schedule,116.11,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,AETNA,AETNA,,387.15,87,percent of total billed charges,387.15,116.11,445,percent of total billed charges,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,387.15,87,percent of total billed charges,387.15,116.11,445,percent of total billed charges,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,UNITED HEALTHCARE,UNITED HEALTHCARE,,391.6,88,percent of total billed charges,391.6,116.11,445,percent of total billed charges,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,AETNA,AETNA,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,BEECH STREET,BEECH STREET,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,CARESOURCE,CARESOURCE,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,MEDICAID,MEDICAID,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,NOVA NET,NOVA NET,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,PEACHSTATE,PEACHSTATE,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,SELFPAY,SELFPAY,,445,,fee schedule,445,116.11,445,fee schedule,
FB REMOVAL-CORNEAL W/ SLE,65222,CPT,both,,,445,445,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,445,,fee schedule,445,116.11,445,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,AETNA,AETNA,,37296.59,87,percent of total billed charges,37296.59,37296.59,42869.64,percent of total billed charges,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37296.59,87,percent of total billed charges,37296.59,37296.59,42869.64,percent of total billed charges,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,37725.28,88,percent of total billed charges,37725.28,37296.59,42869.64,percent of total billed charges,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,AETNA,AETNA,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,ALLIANT,ALLIANT,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,AMBETTER,AMBETTER,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,BEECH STREET,BEECH STREET,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,CARESOURCE,CARESOURCE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,MEDICAID,MEDICAID,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,MEDICARE,MEDICARE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,NOVA NET,NOVA NET,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,PEACHSTATE,PEACHSTATE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,SELFPAY,SELFPAY,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,TRICARE,TRICARE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W CC,654,DRG,inpatient,,,42869.64,42869.64,UHC MEDICARE,UHC MEDICARE,,42869.64,,fee schedule,42869.64,37296.59,42869.64,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,AETNA,AETNA,,11240.88,87,percent of total billed charges,11240.88,11240.88,12920.55,percent of total billed charges,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11240.88,87,percent of total billed charges,11240.88,11240.88,12920.55,percent of total billed charges,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,UNITED HEALTHCARE,UNITED HEALTHCARE,,11370.08,88,percent of total billed charges,11370.08,11240.88,12920.55,percent of total billed charges,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,AETNA,AETNA,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,ALLIANT,ALLIANT,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,AMBETTER,AMBETTER,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,BEECH STREET,BEECH STREET,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,CARESOURCE,CARESOURCE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,MEDICAID,MEDICAID,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,MEDICARE,MEDICARE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,NOVA NET,NOVA NET,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,PEACHSTATE,PEACHSTATE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,SELFPAY,SELFPAY,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,TRICARE,TRICARE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
MAJOR BLADDER PROCEDURES W/O CC/MCC,655,DRG,inpatient,,,12920.55,12920.55,UHC MEDICARE,UHC MEDICARE,,12920.55,,fee schedule,12920.55,11240.88,12920.55,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,AETNA,AETNA,,34095.38,87,percent of total billed charges,34095.38,34095.38,39190.09,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34095.38,87,percent of total billed charges,34095.38,34095.38,39190.09,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,UNITED HEALTHCARE,UNITED HEALTHCARE,,34487.28,88,percent of total billed charges,34487.28,34095.38,39190.09,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,AETNA,AETNA,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,ALLIANT,ALLIANT,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,AMBETTER,AMBETTER,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,BEECH STREET,BEECH STREET,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,CARESOURCE,CARESOURCE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,MEDICAID,MEDICAID,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,MEDICARE,MEDICARE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,NOVA NET,NOVA NET,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,PEACHSTATE,PEACHSTATE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,SELFPAY,SELFPAY,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,TRICARE,TRICARE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,657,DRG,inpatient,,,39190.09,39190.09,UHC MEDICARE,UHC MEDICARE,,39190.09,,fee schedule,39190.09,34095.38,39190.09,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,AETNA,AETNA,,27257.87,87,percent of total billed charges,27257.87,27257.87,31330.89,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27257.87,87,percent of total billed charges,27257.87,27257.87,31330.89,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,UNITED HEALTHCARE,UNITED HEALTHCARE,,27571.18,88,percent of total billed charges,27571.18,27257.87,31330.89,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,AETNA,AETNA,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,ALLIANT,ALLIANT,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,AMBETTER,AMBETTER,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,BEECH STREET,BEECH STREET,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,CARESOURCE,CARESOURCE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,MEDICAID,MEDICAID,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,MEDICARE,MEDICARE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,NOVA NET,NOVA NET,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,PEACHSTATE,PEACHSTATE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,SELFPAY,SELFPAY,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,TRICARE,TRICARE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,658,DRG,inpatient,,,31330.89,31330.89,UHC MEDICARE,UHC MEDICARE,,31330.89,,fee schedule,31330.89,27257.87,31330.89,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,AETNA,AETNA,,25806.32,87,percent of total billed charges,25806.32,25806.32,29662.44,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25806.32,87,percent of total billed charges,25806.32,25806.32,29662.44,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,UNITED HEALTHCARE,UNITED HEALTHCARE,,26102.95,88,percent of total billed charges,26102.95,25806.32,29662.44,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,AETNA,AETNA,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,ALLIANT,ALLIANT,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,AMBETTER,AMBETTER,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,BEECH STREET,BEECH STREET,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,CARESOURCE,CARESOURCE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,MEDICAID,MEDICAID,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,MEDICARE,MEDICARE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,NOVA NET,NOVA NET,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,PEACHSTATE,PEACHSTATE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,SELFPAY,SELFPAY,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,TRICARE,TRICARE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,660,DRG,inpatient,,,29662.44,29662.44,UHC MEDICARE,UHC MEDICARE,,29662.44,,fee schedule,29662.44,25806.32,29662.44,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,AETNA,AETNA,,19545.21,87,percent of total billed charges,19545.21,19545.21,22465.76,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19545.21,87,percent of total billed charges,19545.21,19545.21,22465.76,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,UNITED HEALTHCARE,UNITED HEALTHCARE,,19769.87,88,percent of total billed charges,19769.87,19545.21,22465.76,percent of total billed charges,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,AETNA,AETNA,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,ALLIANT,ALLIANT,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,AMBETTER,AMBETTER,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,BEECH STREET,BEECH STREET,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,CARESOURCE,CARESOURCE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,MEDICAID,MEDICAID,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,MEDICARE,MEDICARE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,NOVA NET,NOVA NET,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,PEACHSTATE,PEACHSTATE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,SELFPAY,SELFPAY,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,TRICARE,TRICARE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,661,DRG,inpatient,,,22465.76,22465.76,UHC MEDICARE,UHC MEDICARE,,22465.76,,fee schedule,22465.76,19545.21,22465.76,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,AETNA,AETNA,,12002.46,87,percent of total billed charges,12002.46,12002.46,13795.93,percent of total billed charges,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12002.46,87,percent of total billed charges,12002.46,12002.46,13795.93,percent of total billed charges,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,UNITED HEALTHCARE,UNITED HEALTHCARE,,12140.42,88,percent of total billed charges,12140.42,12002.46,13795.93,percent of total billed charges,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,AETNA,AETNA,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,ALLIANT,ALLIANT,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,AMBETTER,AMBETTER,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,BEECH STREET,BEECH STREET,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,CARESOURCE,CARESOURCE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,MEDICAID,MEDICAID,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,MEDICARE,MEDICARE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,NOVA NET,NOVA NET,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,PEACHSTATE,PEACHSTATE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,SELFPAY,SELFPAY,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,TRICARE,TRICARE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W MCC,662,DRG,inpatient,,,13795.93,13795.93,UHC MEDICARE,UHC MEDICARE,,13795.93,,fee schedule,13795.93,12002.46,13795.93,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,AETNA,AETNA,,71584.02,87,percent of total billed charges,71584.02,71584.02,82280.48,percent of total billed charges,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71584.02,87,percent of total billed charges,71584.02,71584.02,82280.48,percent of total billed charges,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,72406.82,88,percent of total billed charges,72406.82,71584.02,82280.48,percent of total billed charges,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,AETNA,AETNA,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,ALLIANT,ALLIANT,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,AMBETTER,AMBETTER,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,BEECH STREET,BEECH STREET,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,CARESOURCE,CARESOURCE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,MEDICAID,MEDICAID,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,MEDICARE,MEDICARE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,NOVA NET,NOVA NET,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,PEACHSTATE,PEACHSTATE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,SELFPAY,SELFPAY,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,TRICARE,TRICARE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
MINOR BLADDER PROCEDURES W/O CC/MCC,664,DRG,inpatient,,,82280.48,82280.48,UHC MEDICARE,UHC MEDICARE,,82280.48,,fee schedule,82280.48,71584.02,82280.48,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,AETNA,AETNA,,41671.96,87,percent of total billed charges,41671.96,41671.96,47898.8,percent of total billed charges,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41671.96,87,percent of total billed charges,41671.96,41671.96,47898.8,percent of total billed charges,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,UNITED HEALTHCARE,UNITED HEALTHCARE,,42150.94,88,percent of total billed charges,42150.94,41671.96,47898.8,percent of total billed charges,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,AETNA,AETNA,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,ALLIANT,ALLIANT,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,AMBETTER,AMBETTER,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,BEECH STREET,BEECH STREET,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,CARESOURCE,CARESOURCE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,MEDICAID,MEDICAID,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,MEDICARE,MEDICARE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,NOVA NET,NOVA NET,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,PEACHSTATE,PEACHSTATE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,SELFPAY,SELFPAY,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,TRICARE,TRICARE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
TRANSURETHRAL PROCEDURES W CC,669,DRG,inpatient,,,47898.8,47898.8,UHC MEDICARE,UHC MEDICARE,,47898.8,,fee schedule,47898.8,41671.96,47898.8,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,AETNA,AETNA,,15494.02,87,percent of total billed charges,15494.02,15494.02,17809.22,percent of total billed charges,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15494.02,87,percent of total billed charges,15494.02,15494.02,17809.22,percent of total billed charges,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,UNITED HEALTHCARE,UNITED HEALTHCARE,,15672.11,88,percent of total billed charges,15672.11,15494.02,17809.22,percent of total billed charges,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,AETNA,AETNA,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,ALLIANT,ALLIANT,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,AMBETTER,AMBETTER,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,BEECH STREET,BEECH STREET,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,CARESOURCE,CARESOURCE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,MEDICAID,MEDICAID,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,MEDICARE,MEDICARE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,NOVA NET,NOVA NET,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,PEACHSTATE,PEACHSTATE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,SELFPAY,SELFPAY,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,TRICARE,TRICARE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W CC/MCC,671,DRG,inpatient,,,17809.22,17809.22,UHC MEDICARE,UHC MEDICARE,,17809.22,,fee schedule,17809.22,15494.02,17809.22,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,AETNA,AETNA,,11142.9,87,percent of total billed charges,11142.9,11142.9,12807.93,percent of total billed charges,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11142.9,87,percent of total billed charges,11142.9,11142.9,12807.93,percent of total billed charges,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,UNITED HEALTHCARE,UNITED HEALTHCARE,,11270.98,88,percent of total billed charges,11270.98,11142.9,12807.93,percent of total billed charges,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,AETNA,AETNA,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,ALLIANT,ALLIANT,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,AMBETTER,AMBETTER,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,BEECH STREET,BEECH STREET,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,CARESOURCE,CARESOURCE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,MEDICAID,MEDICAID,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,MEDICARE,MEDICARE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,NOVA NET,NOVA NET,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,PEACHSTATE,PEACHSTATE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,SELFPAY,SELFPAY,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,TRICARE,TRICARE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
URETHRAL PROCEDURES W/O CC/MCC,672,DRG,inpatient,,,12807.93,12807.93,UHC MEDICARE,UHC MEDICARE,,12807.93,,fee schedule,12807.93,11142.9,12807.93,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,AETNA,AETNA,,41551.8,87,percent of total billed charges,41551.8,41551.8,47760.69,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41551.8,87,percent of total billed charges,41551.8,41551.8,47760.69,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,UNITED HEALTHCARE,UNITED HEALTHCARE,,42029.41,88,percent of total billed charges,42029.41,41551.8,47760.69,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,AETNA,AETNA,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,ALLIANT,ALLIANT,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,AMBETTER,AMBETTER,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,BEECH STREET,BEECH STREET,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,CARESOURCE,CARESOURCE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,MEDICAID,MEDICAID,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,MEDICARE,MEDICARE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,NOVA NET,NOVA NET,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,PEACHSTATE,PEACHSTATE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,SELFPAY,SELFPAY,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,TRICARE,TRICARE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,673,DRG,inpatient,,,47760.69,47760.69,UHC MEDICARE,UHC MEDICARE,,47760.69,,fee schedule,47760.69,41551.8,47760.69,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,AETNA,AETNA,,53210.04,87,percent of total billed charges,53210.04,53210.04,61160.97,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53210.04,87,percent of total billed charges,53210.04,53210.04,61160.97,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,53821.65,88,percent of total billed charges,53821.65,53210.04,61160.97,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,AETNA,AETNA,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,ALLIANT,ALLIANT,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,AMBETTER,AMBETTER,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,BEECH STREET,BEECH STREET,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,CARESOURCE,CARESOURCE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,MEDICAID,MEDICAID,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,MEDICARE,MEDICARE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,NOVA NET,NOVA NET,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,PEACHSTATE,PEACHSTATE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,SELFPAY,SELFPAY,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,TRICARE,TRICARE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,674,DRG,inpatient,,,61160.97,61160.97,UHC MEDICARE,UHC MEDICARE,,61160.97,,fee schedule,61160.97,53210.04,61160.97,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,AETNA,AETNA,,30934.48,87,percent of total billed charges,30934.48,30934.48,35556.87,percent of total billed charges,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30934.48,87,percent of total billed charges,30934.48,30934.48,35556.87,percent of total billed charges,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,UNITED HEALTHCARE,UNITED HEALTHCARE,,31290.05,88,percent of total billed charges,31290.05,30934.48,35556.87,percent of total billed charges,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,AETNA,AETNA,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,ALLIANT,ALLIANT,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,AMBETTER,AMBETTER,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,BEECH STREET,BEECH STREET,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,CARESOURCE,CARESOURCE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,MEDICAID,MEDICAID,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,MEDICARE,MEDICARE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,NOVA NET,NOVA NET,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,PEACHSTATE,PEACHSTATE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,SELFPAY,SELFPAY,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,TRICARE,TRICARE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W MCC,682,DRG,inpatient,,,35556.87,35556.87,UHC MEDICARE,UHC MEDICARE,,35556.87,,fee schedule,35556.87,30934.48,35556.87,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,AETNA,AETNA,,17072.78,87,percent of total billed charges,17072.78,17072.78,19623.89,percent of total billed charges,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17072.78,87,percent of total billed charges,17072.78,17072.78,19623.89,percent of total billed charges,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,UNITED HEALTHCARE,UNITED HEALTHCARE,,17269.02,88,percent of total billed charges,17269.02,17072.78,19623.89,percent of total billed charges,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,AETNA,AETNA,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,ALLIANT,ALLIANT,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,AMBETTER,AMBETTER,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,BEECH STREET,BEECH STREET,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,CARESOURCE,CARESOURCE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,MEDICAID,MEDICAID,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,MEDICARE,MEDICARE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,NOVA NET,NOVA NET,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,PEACHSTATE,PEACHSTATE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,SELFPAY,SELFPAY,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,TRICARE,TRICARE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W CC,683,DRG,inpatient,,,19623.89,19623.89,UHC MEDICARE,UHC MEDICARE,,19623.89,,fee schedule,19623.89,17072.78,19623.89,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,AETNA,AETNA,,15179.39,87,percent of total billed charges,15179.39,15179.39,17447.57,percent of total billed charges,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15179.39,87,percent of total billed charges,15179.39,15179.39,17447.57,percent of total billed charges,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,UNITED HEALTHCARE,UNITED HEALTHCARE,,15353.86,88,percent of total billed charges,15353.86,15179.39,17447.57,percent of total billed charges,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,AETNA,AETNA,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,ALLIANT,ALLIANT,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,AMBETTER,AMBETTER,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,BEECH STREET,BEECH STREET,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,CARESOURCE,CARESOURCE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,MEDICAID,MEDICAID,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,MEDICARE,MEDICARE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,NOVA NET,NOVA NET,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,PEACHSTATE,PEACHSTATE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,SELFPAY,SELFPAY,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,TRICARE,TRICARE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
RENAL FAILURE W/O CC/MCC,684,DRG,inpatient,,,17447.57,17447.57,UHC MEDICARE,UHC MEDICARE,,17447.57,,fee schedule,17447.57,15179.39,17447.57,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,AETNA,AETNA,,30548.8,87,percent of total billed charges,30548.8,30548.8,35113.56,percent of total billed charges,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30548.8,87,percent of total billed charges,30548.8,30548.8,35113.56,percent of total billed charges,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,UNITED HEALTHCARE,UNITED HEALTHCARE,,30899.93,88,percent of total billed charges,30899.93,30548.8,35113.56,percent of total billed charges,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,AETNA,AETNA,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,ALLIANT,ALLIANT,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,AMBETTER,AMBETTER,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,BEECH STREET,BEECH STREET,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,CARESOURCE,CARESOURCE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,MEDICAID,MEDICAID,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,MEDICARE,MEDICARE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,NOVA NET,NOVA NET,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,PEACHSTATE,PEACHSTATE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,SELFPAY,SELFPAY,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,TRICARE,TRICARE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W CC,687,DRG,inpatient,,,35113.56,35113.56,UHC MEDICARE,UHC MEDICARE,,35113.56,,fee schedule,35113.56,30548.8,35113.56,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,AETNA,AETNA,,23119.63,87,percent of total billed charges,23119.63,23119.63,26574.29,percent of total billed charges,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23119.63,87,percent of total billed charges,23119.63,23119.63,26574.29,percent of total billed charges,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,23385.38,88,percent of total billed charges,23385.38,23119.63,26574.29,percent of total billed charges,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,AETNA,AETNA,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,ALLIANT,ALLIANT,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,AMBETTER,AMBETTER,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,BEECH STREET,BEECH STREET,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,CARESOURCE,CARESOURCE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,MEDICAID,MEDICAID,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,MEDICARE,MEDICARE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,NOVA NET,NOVA NET,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,PEACHSTATE,PEACHSTATE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,SELFPAY,SELFPAY,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,TRICARE,TRICARE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC,689,DRG,inpatient,,,26574.29,26574.29,UHC MEDICARE,UHC MEDICARE,,26574.29,,fee schedule,26574.29,23119.63,26574.29,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,AETNA,AETNA,,16816.55,87,percent of total billed charges,16816.55,16816.55,19329.37,percent of total billed charges,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16816.55,87,percent of total billed charges,16816.55,16816.55,19329.37,percent of total billed charges,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,17009.85,88,percent of total billed charges,17009.85,16816.55,19329.37,percent of total billed charges,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,AETNA,AETNA,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,ALLIANT,ALLIANT,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,AMBETTER,AMBETTER,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,BEECH STREET,BEECH STREET,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,CARESOURCE,CARESOURCE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,MEDICAID,MEDICAID,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,MEDICARE,MEDICARE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,NOVA NET,NOVA NET,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,PEACHSTATE,PEACHSTATE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,SELFPAY,SELFPAY,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,TRICARE,TRICARE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
KIDNEY & URINARY TRACT INFECTIONS W MCC,690,DRG,inpatient,,,19329.37,19329.37,UHC MEDICARE,UHC MEDICARE,,19329.37,,fee schedule,19329.37,16816.55,19329.37,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,54.98,,fee schedule,54.98,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,56.03,,fee schedule,56.03,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,52.36,,fee schedule,52.36,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,TRICARE,TRICARE,,116.11,,fee schedule,116.11,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,52.36,191.58,percent of total billed charges,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,52.36,191.58,percent of total billed charges,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,52.36,191.58,percent of total billed charges,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,52.36,191.58,fee schedule,
FB REMOVAL FROM EXTERNAL,69200,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,52.36,191.58,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,11.49,,fee schedule,11.49,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,11.71,,fee schedule,11.71,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,10.94,,fee schedule,10.94,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,TRICARE,TRICARE,,57.48,,fee schedule,57.48,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,10.94,181,percent of total billed charges,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,10.94,181,percent of total billed charges,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,10.94,181,percent of total billed charges,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,10.94,181,fee schedule,
REMOVE IMAPCTED EAR WAX,69209,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,10.94,181,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,44.43,,fee schedule,44.43,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,45.27,,fee schedule,45.27,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,42.31,,fee schedule,42.31,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,TRICARE,TRICARE,,57.48,,fee schedule,57.48,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,42.31,134,percent of total billed charges,
EAR IRRIGATION,69210,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,42.31,134,percent of total billed charges,
EAR IRRIGATION,69210,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,42.31,134,percent of total billed charges,
EAR IRRIGATION,69210,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,42.31,134,fee schedule,
EAR IRRIGATION,69210,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,42.31,134,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,AETNA,AETNA,,17242.73,87,percent of total billed charges,17242.73,17242.73,19819.23,percent of total billed charges,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17242.73,87,percent of total billed charges,17242.73,17242.73,19819.23,percent of total billed charges,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,UNITED HEALTHCARE,UNITED HEALTHCARE,,17440.92,88,percent of total billed charges,17440.92,17242.73,19819.23,percent of total billed charges,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,AETNA,AETNA,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,ALLIANT,ALLIANT,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,AMBETTER,AMBETTER,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,BEECH STREET,BEECH STREET,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,CARESOURCE,CARESOURCE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,MEDICAID,MEDICAID,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,MEDICARE,MEDICARE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,NOVA NET,NOVA NET,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,PEACHSTATE,PEACHSTATE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,SELFPAY,SELFPAY,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,TRICARE,TRICARE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W MCC,693,DRG,inpatient,,,19819.23,19819.23,UHC MEDICARE,UHC MEDICARE,,19819.23,,fee schedule,19819.23,17242.73,19819.23,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,AETNA,AETNA,,16241.4,87,percent of total billed charges,16241.4,16241.4,18668.28,percent of total billed charges,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16241.4,87,percent of total billed charges,16241.4,16241.4,18668.28,percent of total billed charges,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,16428.09,88,percent of total billed charges,16428.09,16241.4,18668.28,percent of total billed charges,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,AETNA,AETNA,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,ALLIANT,ALLIANT,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,AMBETTER,AMBETTER,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,BEECH STREET,BEECH STREET,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,CARESOURCE,CARESOURCE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,MEDICAID,MEDICAID,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,MEDICARE,MEDICARE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,NOVA NET,NOVA NET,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,PEACHSTATE,PEACHSTATE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,SELFPAY,SELFPAY,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,TRICARE,TRICARE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URINARY STONES W/O MCC,694,DRG,inpatient,,,18668.28,18668.28,UHC MEDICARE,UHC MEDICARE,,18668.28,,fee schedule,18668.28,16241.4,18668.28,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,AETNA,AETNA,,24113.41,87,percent of total billed charges,24113.41,24113.41,27716.56,percent of total billed charges,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24113.41,87,percent of total billed charges,24113.41,24113.41,27716.56,percent of total billed charges,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,UNITED HEALTHCARE,UNITED HEALTHCARE,,24390.57,88,percent of total billed charges,24390.57,24113.41,27716.56,percent of total billed charges,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,AETNA,AETNA,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,ALLIANT,ALLIANT,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,AMBETTER,AMBETTER,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,BEECH STREET,BEECH STREET,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,CARESOURCE,CARESOURCE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,MEDICAID,MEDICAID,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,MEDICARE,MEDICARE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,NOVA NET,NOVA NET,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,PEACHSTATE,PEACHSTATE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,SELFPAY,SELFPAY,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,TRICARE,TRICARE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
URETHRAL STRICTURE,697,DRG,inpatient,,,27716.56,27716.56,UHC MEDICARE,UHC MEDICARE,,27716.56,,fee schedule,27716.56,24113.41,27716.56,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,AETNA,AETNA,,28255.09,87,percent of total billed charges,28255.09,28255.09,32477.12,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28255.09,87,percent of total billed charges,28255.09,28255.09,32477.12,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,UNITED HEALTHCARE,UNITED HEALTHCARE,,28579.87,88,percent of total billed charges,28579.87,28255.09,32477.12,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,AETNA,AETNA,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,ALLIANT,ALLIANT,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,AMBETTER,AMBETTER,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,BEECH STREET,BEECH STREET,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,CARESOURCE,CARESOURCE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,MEDICAID,MEDICAID,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,MEDICARE,MEDICARE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,NOVA NET,NOVA NET,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,PEACHSTATE,PEACHSTATE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,SELFPAY,SELFPAY,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,TRICARE,TRICARE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,698,DRG,inpatient,,,32477.12,32477.12,UHC MEDICARE,UHC MEDICARE,,32477.12,,fee schedule,32477.12,28255.09,32477.12,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,AETNA,AETNA,,17865.36,87,percent of total billed charges,17865.36,17865.36,20534.9,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17865.36,87,percent of total billed charges,17865.36,17865.36,20534.9,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,UNITED HEALTHCARE,UNITED HEALTHCARE,,18070.71,88,percent of total billed charges,18070.71,17865.36,20534.9,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,AETNA,AETNA,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,ALLIANT,ALLIANT,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,AMBETTER,AMBETTER,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,BEECH STREET,BEECH STREET,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,CARESOURCE,CARESOURCE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,MEDICAID,MEDICAID,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,MEDICARE,MEDICARE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,NOVA NET,NOVA NET,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,PEACHSTATE,PEACHSTATE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,SELFPAY,SELFPAY,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,TRICARE,TRICARE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,699,DRG,inpatient,,,20534.9,20534.9,UHC MEDICARE,UHC MEDICARE,,20534.9,,fee schedule,20534.9,17865.36,20534.9,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,AETNA,AETNA,,12070.67,87,percent of total billed charges,12070.67,12070.67,13874.33,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12070.67,87,percent of total billed charges,12070.67,12070.67,13874.33,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,12209.41,88,percent of total billed charges,12209.41,12070.67,13874.33,percent of total billed charges,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,AETNA,AETNA,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,ALLIANT,ALLIANT,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,AMBETTER,AMBETTER,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,BEECH STREET,BEECH STREET,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,CARESOURCE,CARESOURCE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,MEDICAID,MEDICAID,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,MEDICARE,MEDICARE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,NOVA NET,NOVA NET,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,PEACHSTATE,PEACHSTATE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,SELFPAY,SELFPAY,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,TRICARE,TRICARE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,700,DRG,inpatient,,,13874.33,13874.33,UHC MEDICARE,UHC MEDICARE,,13874.33,,fee schedule,13874.33,12070.67,13874.33,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,11.87,,fee schedule,11.87,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,33.99,,fee schedule,33.99,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,12.09,,fee schedule,12.09,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,34.64,,fee schedule,34.64,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,11.3,,fee schedule,11.3,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,32.37,,fee schedule,32.37,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,TRICARE,TRICARE,,106.88,,fee schedule,106.88,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,AETNA,AETNA,,489.81,87,percent of total billed charges,489.81,11.3,563,percent of total billed charges,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,489.81,87,percent of total billed charges,489.81,11.3,563,percent of total billed charges,
MANDIBLE SERIES,70110,CPT,both,,,563,563,UNITED HEALTHCARE,UNITED HEALTHCARE,,495.44,88,percent of total billed charges,495.44,11.3,563,percent of total billed charges,
MANDIBLE SERIES,70110,CPT,both,,,563,563,AETNA,AETNA,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,BEECH STREET,BEECH STREET,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,MEDICAID,MEDICAID,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,NOVA NET,NOVA NET,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,SELFPAY,SELFPAY,,563,,fee schedule,563,11.3,563,fee schedule,
MANDIBLE SERIES,70110,CPT,both,,,563,563,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,563,,fee schedule,563,11.3,563,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,15.81,,fee schedule,15.81,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,28.15,,fee schedule,28.15,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,43.96,,fee schedule,43.96,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,16.11,,fee schedule,16.11,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,28.69,,fee schedule,28.69,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,44.8,,fee schedule,44.8,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,15.06,,fee schedule,15.06,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,26.81,,fee schedule,26.81,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,41.87,,fee schedule,41.87,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,TRICARE,TRICARE,,106.88,,fee schedule,106.88,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,15.06,262,percent of total billed charges,
MASTOIDS,70130,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,15.06,262,percent of total billed charges,
MASTOIDS,70130,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,15.06,262,percent of total billed charges,
MASTOIDS,70130,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,15.06,262,fee schedule,
MASTOIDS,70130,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,15.06,262,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,AMERIGROUP,AMERIGROUP,,31.35,,fee schedule,31.35,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CARESOURCE,CARESOURCE,,31.95,,fee schedule,31.95,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,PEACHSTATE,PEACHSTATE,,29.86,,fee schedule,29.86,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,AETNA,AETNA,,460.23,87,percent of total billed charges,460.23,8.79,529,percent of total billed charges,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,460.23,87,percent of total billed charges,460.23,8.79,529,percent of total billed charges,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,UNITED HEALTHCARE,UNITED HEALTHCARE,,465.52,88,percent of total billed charges,465.52,8.79,529,percent of total billed charges,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,AETNA,AETNA,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,BEECH STREET,BEECH STREET,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CARESOURCE,CARESOURCE,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,MEDICAID,MEDICAID,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,NOVA NET,NOVA NET,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,PEACHSTATE,PEACHSTATE,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,SELFPAY,SELFPAY,,529,,fee schedule,529,8.79,529,fee schedule,
ZYGOMATIC ARCH,70140,CPT,both,,,529,529,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,529,,fee schedule,529,8.79,529,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,12.19,,fee schedule,12.19,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,28.15,,fee schedule,28.15,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,40.34,,fee schedule,40.34,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,12.42,,fee schedule,12.42,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,28.69,,fee schedule,28.69,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,41.11,,fee schedule,41.11,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,11.61,,fee schedule,11.61,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,26.81,,fee schedule,26.81,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,38.42,,fee schedule,38.42,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,TRICARE,TRICARE,,106.88,,fee schedule,106.88,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,11.61,576,percent of total billed charges,
FACIAL BONES,70150,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,11.61,576,percent of total billed charges,
FACIAL BONES,70150,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,11.61,576,percent of total billed charges,
FACIAL BONES,70150,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,11.61,576,fee schedule,
FACIAL BONES,70150,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,11.61,576,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,7.84,320,percent of total billed charges,
NASAL BONES,70160,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,7.84,320,percent of total billed charges,
NASAL BONES,70160,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,7.84,320,percent of total billed charges,
NASAL BONES,70160,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,7.84,320,fee schedule,
NASAL BONES,70160,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,7.84,320,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,13.19,,fee schedule,13.19,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,28.15,,fee schedule,28.15,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,41.34,,fee schedule,41.34,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,13.44,,fee schedule,13.44,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,28.69,,fee schedule,28.69,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,42.13,,fee schedule,42.13,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,12.56,,fee schedule,12.56,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,26.81,,fee schedule,26.81,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,39.37,,fee schedule,39.37,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,TRICARE,TRICARE,,106.88,,fee schedule,106.88,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,AETNA,AETNA,,421.08,87,percent of total billed charges,421.08,12.56,484,percent of total billed charges,
ORBIT RIGHT,70200,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.08,87,percent of total billed charges,421.08,12.56,484,percent of total billed charges,
ORBIT RIGHT,70200,CPT,both,,,484,484,UNITED HEALTHCARE,UNITED HEALTHCARE,,425.92,88,percent of total billed charges,425.92,12.56,484,percent of total billed charges,
ORBIT RIGHT,70200,CPT,both,,,484,484,AETNA,AETNA,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,BEECH STREET,BEECH STREET,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,MEDICAID,MEDICAID,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,NOVA NET,NOVA NET,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,SELFPAY,SELFPAY,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT RIGHT,70200,CPT,both,,,484,484,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,13.19,,fee schedule,13.19,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,28.15,,fee schedule,28.15,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,41.34,,fee schedule,41.34,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,13.44,,fee schedule,13.44,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,28.69,,fee schedule,28.69,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,42.13,,fee schedule,42.13,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,12.56,,fee schedule,12.56,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,26.81,,fee schedule,26.81,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,39.37,,fee schedule,39.37,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,TRICARE,TRICARE,,106.88,,fee schedule,106.88,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,AETNA,AETNA,,421.08,87,percent of total billed charges,421.08,12.56,484,percent of total billed charges,
ORBIT SERIES,70200,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.08,87,percent of total billed charges,421.08,12.56,484,percent of total billed charges,
ORBIT SERIES,70200,CPT,both,,,484,484,UNITED HEALTHCARE,UNITED HEALTHCARE,,425.92,88,percent of total billed charges,425.92,12.56,484,percent of total billed charges,
ORBIT SERIES,70200,CPT,both,,,484,484,AETNA,AETNA,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,BEECH STREET,BEECH STREET,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,MEDICAID,MEDICAID,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,NOVA NET,NOVA NET,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,SELFPAY,SELFPAY,,484,,fee schedule,484,12.56,484,fee schedule,
ORBIT SERIES,70200,CPT,both,,,484,484,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,484,,fee schedule,484,12.56,484,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,AMERIGROUP,AMERIGROUP,,30.37,,fee schedule,30.37,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,30.94,,fee schedule,30.94,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,28.92,,fee schedule,28.92,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,AETNA,AETNA,,290.58,87,percent of total billed charges,290.58,7.84,334,percent of total billed charges,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290.58,87,percent of total billed charges,290.58,7.84,334,percent of total billed charges,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,UNITED HEALTHCARE,UNITED HEALTHCARE,,293.92,88,percent of total billed charges,293.92,7.84,334,percent of total billed charges,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,AETNA,AETNA,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,BEECH STREET,BEECH STREET,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,MEDICAID,MEDICAID,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,NOVA NET,NOVA NET,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,SELFPAY,SELFPAY,,334,,fee schedule,334,7.84,334,fee schedule,
SINUSES-WATERS ONLY,70210,CPT,both,,,334,334,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,334,,fee schedule,334,7.84,334,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,AMERIGROUP,AMERIGROUP,,11.87,,fee schedule,11.87,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,AMERIGROUP,AMERIGROUP,,28.15,,fee schedule,28.15,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,AMERIGROUP,AMERIGROUP,,40.02,,fee schedule,40.02,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,CARESOURCE,CARESOURCE,,12.09,,fee schedule,12.09,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,CARESOURCE,CARESOURCE,,28.69,,fee schedule,28.69,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,CARESOURCE,CARESOURCE,,40.78,,fee schedule,40.78,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,PEACHSTATE,PEACHSTATE,,11.3,,fee schedule,11.3,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,PEACHSTATE,PEACHSTATE,,26.81,,fee schedule,26.81,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,PEACHSTATE,PEACHSTATE,,38.11,,fee schedule,38.11,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,TRICARE,TRICARE,,86.88,,fee schedule,86.88,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,AETNA,AETNA,,481.11,87,percent of total billed charges,481.11,11.3,553,percent of total billed charges,
SINUS SERIES,70220,CPT,both,,,553,553,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,481.11,87,percent of total billed charges,481.11,11.3,553,percent of total billed charges,
SINUS SERIES,70220,CPT,both,,,553,553,UNITED HEALTHCARE,UNITED HEALTHCARE,,486.64,88,percent of total billed charges,486.64,11.3,553,percent of total billed charges,
SINUS SERIES,70220,CPT,both,,,553,553,AETNA,AETNA,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,BEECH STREET,BEECH STREET,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,CARESOURCE,CARESOURCE,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,MEDICAID,MEDICAID,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,NOVA NET,NOVA NET,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,PEACHSTATE,PEACHSTATE,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,SELFPAY,SELFPAY,,553,,fee schedule,553,11.3,553,fee schedule,
SINUS SERIES,70220,CPT,both,,,553,553,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,553,,fee schedule,553,11.3,553,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,24.32,,fee schedule,24.32,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,24.78,,fee schedule,24.78,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,23.16,,fee schedule,23.16,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,AETNA,AETNA,,331.47,87,percent of total billed charges,331.47,8.79,381,percent of total billed charges,
SELLA TURCICA,70240,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331.47,87,percent of total billed charges,331.47,8.79,381,percent of total billed charges,
SELLA TURCICA,70240,CPT,both,,,381,381,UNITED HEALTHCARE,UNITED HEALTHCARE,,335.28,88,percent of total billed charges,335.28,8.79,381,percent of total billed charges,
SELLA TURCICA,70240,CPT,both,,,381,381,AETNA,AETNA,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,BEECH STREET,BEECH STREET,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,MEDICAID,MEDICAID,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,NOVA NET,NOVA NET,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,SELFPAY,SELFPAY,,381,,fee schedule,381,8.79,381,fee schedule,
SELLA TURCICA,70240,CPT,both,,,381,381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,381,,fee schedule,381,8.79,381,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,11.52,,fee schedule,11.52,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,33.65,,fee schedule,33.65,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,11.74,,fee schedule,11.74,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,34.29,,fee schedule,34.29,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,10.97,,fee schedule,10.97,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,32.05,,fee schedule,32.05,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,AETNA,AETNA,,370.62,87,percent of total billed charges,370.62,10.97,426,percent of total billed charges,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370.62,87,percent of total billed charges,370.62,10.97,426,percent of total billed charges,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,UNITED HEALTHCARE,UNITED HEALTHCARE,,374.88,88,percent of total billed charges,374.88,10.97,426,percent of total billed charges,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,AETNA,AETNA,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,BEECH STREET,BEECH STREET,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,MEDICAID,MEDICAID,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,NOVA NET,NOVA NET,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,SELFPAY,SELFPAY,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES AP & LATERAL,70250,CPT,both,,,426,426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,426,,fee schedule,426,10.97,426,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,AMERIGROUP,AMERIGROUP,,15.81,,fee schedule,15.81,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,AMERIGROUP,AMERIGROUP,,32.16,,fee schedule,32.16,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,AMERIGROUP,AMERIGROUP,,47.99,,fee schedule,47.99,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,16.11,,fee schedule,16.11,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,32.77,,fee schedule,32.77,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,48.9,,fee schedule,48.9,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,15.06,,fee schedule,15.06,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,30.63,,fee schedule,30.63,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,45.7,,fee schedule,45.7,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,TRICARE,TRICARE,,106.88,,fee schedule,106.88,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,AETNA,AETNA,,446.31,87,percent of total billed charges,446.31,15.06,513,percent of total billed charges,
SKULL SERIES,70260,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,446.31,87,percent of total billed charges,446.31,15.06,513,percent of total billed charges,
SKULL SERIES,70260,CPT,both,,,513,513,UNITED HEALTHCARE,UNITED HEALTHCARE,,451.44,88,percent of total billed charges,451.44,15.06,513,percent of total billed charges,
SKULL SERIES,70260,CPT,both,,,513,513,AETNA,AETNA,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,BEECH STREET,BEECH STREET,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,MEDICAID,MEDICAID,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,NOVA NET,NOVA NET,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,SELFPAY,SELFPAY,,513,,fee schedule,513,15.06,513,fee schedule,
SKULL SERIES,70260,CPT,both,,,513,513,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,513,,fee schedule,513,15.06,513,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,11.52,,fee schedule,11.52,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,30.18,,fee schedule,30.18,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,41.72,,fee schedule,41.72,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,11.74,,fee schedule,11.74,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,30.75,,fee schedule,30.75,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,42.51,,fee schedule,42.51,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,10.97,,fee schedule,10.97,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,28.74,,fee schedule,28.74,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,39.73,,fee schedule,39.73,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,TRICARE,TRICARE,,86.88,,fee schedule,86.88,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,AETNA,AETNA,,370.62,87,percent of total billed charges,370.62,10.97,426,percent of total billed charges,
TM JOINTS,70330,CPT,both,,,426,426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370.62,87,percent of total billed charges,370.62,10.97,426,percent of total billed charges,
TM JOINTS,70330,CPT,both,,,426,426,UNITED HEALTHCARE,UNITED HEALTHCARE,,374.88,88,percent of total billed charges,374.88,10.97,426,percent of total billed charges,
TM JOINTS,70330,CPT,both,,,426,426,AETNA,AETNA,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,BEECH STREET,BEECH STREET,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,MEDICAID,MEDICAID,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,NOVA NET,NOVA NET,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,SELFPAY,SELFPAY,,426,,fee schedule,426,10.97,426,fee schedule,
TM JOINTS,70330,CPT,both,,,426,426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,426,,fee schedule,426,10.97,426,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,23.33,,fee schedule,23.33,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,23.78,,fee schedule,23.78,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,22.22,,fee schedule,22.22,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,7.84,290,percent of total billed charges,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,7.84,290,percent of total billed charges,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,7.84,290,percent of total billed charges,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,7.84,290,fee schedule,
SOFT TISSUE LATERAL NECK,70360,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,7.84,290,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,AMERIGROUP,AMERIGROUP,,17.77,,fee schedule,17.77,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,AMERIGROUP,AMERIGROUP,,64.04,,fee schedule,64.04,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,AMERIGROUP,AMERIGROUP,,81.8,,fee schedule,81.8,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,18.1,,fee schedule,18.1,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,65.26,,fee schedule,65.26,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,83.35,,fee schedule,83.35,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,16.92,,fee schedule,16.92,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,60.99,,fee schedule,60.99,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,77.9,,fee schedule,77.9,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,TRICARE,TRICARE,,233.52,,fee schedule,233.52,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,AETNA,AETNA,,265.35,87,percent of total billed charges,265.35,16.92,385.31,percent of total billed charges,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,265.35,87,percent of total billed charges,265.35,16.92,385.31,percent of total billed charges,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,UNITED HEALTHCARE,UNITED HEALTHCARE,,268.4,88,percent of total billed charges,268.4,16.92,385.31,percent of total billed charges,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,AETNA,AETNA,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,BEECH STREET,BEECH STREET,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,MEDICAID,MEDICAID,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,NOVA NET,NOVA NET,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,SELFPAY,SELFPAY,,305,,fee schedule,305,16.92,385.31,fee schedule,
PAROTID SIALOGRAM,70390,CPT,both,,,305,305,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,305,,fee schedule,305,16.92,385.31,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,AMERIGROUP,AMERIGROUP,,39.52,,fee schedule,39.52,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,AMERIGROUP,AMERIGROUP,,208.18,,fee schedule,208.18,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CARESOURCE,CARESOURCE,,40.27,,fee schedule,40.27,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CARESOURCE,CARESOURCE,,212.15,,fee schedule,212.15,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,PEACHSTATE,PEACHSTATE,,37.64,,fee schedule,37.64,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,PEACHSTATE,PEACHSTATE,,198.27,,fee schedule,198.27,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,TRICARE,TRICARE,,106.88,,fee schedule,106.88,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,AETNA,AETNA,,2209.8,87,percent of total billed charges,2209.8,37.64,2540,percent of total billed charges,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2209.8,87,percent of total billed charges,2209.8,37.64,2540,percent of total billed charges,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,UNITED HEALTHCARE,UNITED HEALTHCARE,,2235.2,88,percent of total billed charges,2235.2,37.64,2540,percent of total billed charges,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,AETNA,AETNA,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,BEECH STREET,BEECH STREET,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CARESOURCE,CARESOURCE,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,MEDICAID,MEDICAID,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,NOVA NET,NOVA NET,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,PEACHSTATE,PEACHSTATE,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,SELFPAY,SELFPAY,,2540,,fee schedule,2540,37.64,2540,fee schedule,
CT HEAD (BRAIN),70450,CPT,both,,,2540,2540,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2540,,fee schedule,2540,37.64,2540,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,AMERIGROUP,AMERIGROUP,,53,,fee schedule,53,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,AMERIGROUP,AMERIGROUP,,202.2,,fee schedule,202.2,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,AMERIGROUP,AMERIGROUP,,255.21,,fee schedule,255.21,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CARESOURCE,CARESOURCE,,54.01,,fee schedule,54.01,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CARESOURCE,CARESOURCE,,206.05,,fee schedule,206.05,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CARESOURCE,CARESOURCE,,260.07,,fee schedule,260.07,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,PEACHSTATE,PEACHSTATE,,50.48,,fee schedule,50.48,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,PEACHSTATE,PEACHSTATE,,192.57,,fee schedule,192.57,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,PEACHSTATE,PEACHSTATE,,243.06,,fee schedule,243.06,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,TRICARE,TRICARE,,180.34,,fee schedule,180.34,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,AETNA,AETNA,,2302.89,87,percent of total billed charges,2302.89,50.48,2647,percent of total billed charges,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2302.89,87,percent of total billed charges,2302.89,50.48,2647,percent of total billed charges,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,UNITED HEALTHCARE,UNITED HEALTHCARE,,2329.36,88,percent of total billed charges,2329.36,50.48,2647,percent of total billed charges,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,AETNA,AETNA,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,BEECH STREET,BEECH STREET,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CARESOURCE,CARESOURCE,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,MEDICAID,MEDICAID,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,NOVA NET,NOVA NET,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,PEACHSTATE,PEACHSTATE,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,SELFPAY,SELFPAY,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH CONTRAST,70460,CPT,both,,,2647,2647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2647,,fee schedule,2647,50.48,2647,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,AMERIGROUP,AMERIGROUP,,59.27,,fee schedule,59.27,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,AMERIGROUP,AMERIGROUP,,311.78,,fee schedule,311.78,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CARESOURCE,CARESOURCE,,60.4,,fee schedule,60.4,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CARESOURCE,CARESOURCE,,317.72,,fee schedule,317.72,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,PEACHSTATE,PEACHSTATE,,56.45,,fee schedule,56.45,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,PEACHSTATE,PEACHSTATE,,296.93,,fee schedule,296.93,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,TRICARE,TRICARE,,180.34,,fee schedule,180.34,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,AETNA,AETNA,,2832.72,87,percent of total billed charges,2832.72,56.45,3256,percent of total billed charges,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2832.72,87,percent of total billed charges,2832.72,56.45,3256,percent of total billed charges,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,UNITED HEALTHCARE,UNITED HEALTHCARE,,2865.28,88,percent of total billed charges,2865.28,56.45,3256,percent of total billed charges,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,AETNA,AETNA,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,BEECH STREET,BEECH STREET,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CARESOURCE,CARESOURCE,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,MEDICAID,MEDICAID,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,NOVA NET,NOVA NET,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,PEACHSTATE,PEACHSTATE,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,SELFPAY,SELFPAY,,3256,,fee schedule,3256,56.45,3256,fee schedule,
HEAD WITH & W/O CONTRAST,70470,CPT,both,,,3256,3256,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3256,,fee schedule,3256,56.45,3256,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,AMERIGROUP,AMERIGROUP,,59.94,,fee schedule,59.94,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,AMERIGROUP,AMERIGROUP,,228.59,,fee schedule,228.59,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,61.09,,fee schedule,61.09,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,232.94,,fee schedule,232.94,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,57.09,,fee schedule,57.09,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,217.7,,fee schedule,217.7,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,TRICARE,TRICARE,,106.88,,fee schedule,106.88,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,AETNA,AETNA,,1759.14,87,percent of total billed charges,1759.14,57.09,2022,percent of total billed charges,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1759.14,87,percent of total billed charges,1759.14,57.09,2022,percent of total billed charges,
CT MASTOIDS,70480,CPT,both,,,2022,2022,UNITED HEALTHCARE,UNITED HEALTHCARE,,1779.36,88,percent of total billed charges,1779.36,57.09,2022,percent of total billed charges,
CT MASTOIDS,70480,CPT,both,,,2022,2022,AETNA,AETNA,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,BEECH STREET,BEECH STREET,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,MEDICAID,MEDICAID,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,NOVA NET,NOVA NET,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,SELFPAY,SELFPAY,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT MASTOIDS,70480,CPT,both,,,2022,2022,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,AMERIGROUP,AMERIGROUP,,59.94,,fee schedule,59.94,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,AMERIGROUP,AMERIGROUP,,228.59,,fee schedule,228.59,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,61.09,,fee schedule,61.09,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,232.94,,fee schedule,232.94,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,57.09,,fee schedule,57.09,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,217.7,,fee schedule,217.7,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,TRICARE,TRICARE,,106.88,,fee schedule,106.88,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,AETNA,AETNA,,1759.14,87,percent of total billed charges,1759.14,57.09,2022,percent of total billed charges,
CT ORBITS,70480,CPT,both,,,2022,2022,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1759.14,87,percent of total billed charges,1759.14,57.09,2022,percent of total billed charges,
CT ORBITS,70480,CPT,both,,,2022,2022,UNITED HEALTHCARE,UNITED HEALTHCARE,,1779.36,88,percent of total billed charges,1779.36,57.09,2022,percent of total billed charges,
CT ORBITS,70480,CPT,both,,,2022,2022,AETNA,AETNA,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,BEECH STREET,BEECH STREET,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,CARESOURCE,CARESOURCE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,MEDICAID,MEDICAID,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,NOVA NET,NOVA NET,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,PEACHSTATE,PEACHSTATE,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,SELFPAY,SELFPAY,,2022,,fee schedule,2022,57.09,2022,fee schedule,
CT ORBITS,70480,CPT,both,,,2022,2022,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2022,,fee schedule,2022,57.09,2022,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,AMERIGROUP,AMERIGROUP,,202.2,,fee schedule,202.2,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,AMERIGROUP,AMERIGROUP,,266.42,,fee schedule,266.42,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,206.05,,fee schedule,206.05,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,271.49,,fee schedule,271.49,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,192.57,,fee schedule,192.57,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,253.73,,fee schedule,253.73,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,TRICARE,TRICARE,,180.34,,fee schedule,180.34,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,AETNA,AETNA,,1841.79,87,percent of total billed charges,1841.79,61.16,2117,percent of total billed charges,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1841.79,87,percent of total billed charges,1841.79,61.16,2117,percent of total billed charges,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,UNITED HEALTHCARE,UNITED HEALTHCARE,,1862.96,88,percent of total billed charges,1862.96,61.16,2117,percent of total billed charges,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,AETNA,AETNA,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,BEECH STREET,BEECH STREET,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,MEDICAID,MEDICAID,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,NOVA NET,NOVA NET,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,SELFPAY,SELFPAY,,2117,,fee schedule,2117,61.16,2117,fee schedule,
INTERNAL AUDITORY CANALS,70481,CPT,both,,,2117,2117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,AMERIGROUP,AMERIGROUP,,202.2,,fee schedule,202.2,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,AMERIGROUP,AMERIGROUP,,266.42,,fee schedule,266.42,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,206.05,,fee schedule,206.05,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,271.49,,fee schedule,271.49,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,192.57,,fee schedule,192.57,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,253.73,,fee schedule,253.73,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,TRICARE,TRICARE,,180.34,,fee schedule,180.34,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,AETNA,AETNA,,1841.79,87,percent of total billed charges,1841.79,61.16,2117,percent of total billed charges,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1841.79,87,percent of total billed charges,1841.79,61.16,2117,percent of total billed charges,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,UNITED HEALTHCARE,UNITED HEALTHCARE,,1862.96,88,percent of total billed charges,1862.96,61.16,2117,percent of total billed charges,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,AETNA,AETNA,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,BEECH STREET,BEECH STREET,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CARESOURCE,CARESOURCE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,MEDICAID,MEDICAID,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,NOVA NET,NOVA NET,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,PEACHSTATE,PEACHSTATE,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,SELFPAY,SELFPAY,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH CONTRAST,70481,CPT,both,,,2117,2117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2117,,fee schedule,2117,61.16,2117,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,AMERIGROUP,AMERIGROUP,,67.83,,fee schedule,67.83,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,AMERIGROUP,AMERIGROUP,,320.33,,fee schedule,320.33,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CARESOURCE,CARESOURCE,,69.12,,fee schedule,69.12,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CARESOURCE,CARESOURCE,,326.44,,fee schedule,326.44,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,PEACHSTATE,PEACHSTATE,,64.6,,fee schedule,64.6,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,PEACHSTATE,PEACHSTATE,,305.08,,fee schedule,305.08,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,TRICARE,TRICARE,,180.34,,fee schedule,180.34,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,AETNA,AETNA,,2122.8,87,percent of total billed charges,2122.8,64.6,2440,percent of total billed charges,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2122.8,87,percent of total billed charges,2122.8,64.6,2440,percent of total billed charges,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,UNITED HEALTHCARE,UNITED HEALTHCARE,,2147.2,88,percent of total billed charges,2147.2,64.6,2440,percent of total billed charges,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,AETNA,AETNA,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,BEECH STREET,BEECH STREET,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CARESOURCE,CARESOURCE,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,MEDICAID,MEDICAID,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,NOVA NET,NOVA NET,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,PEACHSTATE,PEACHSTATE,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,SELFPAY,SELFPAY,,2440,,fee schedule,2440,64.6,2440,fee schedule,
ORBIT WITH & W/O CONTRAST,70482,CPT,both,,,2440,2440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2440,,fee schedule,2440,64.6,2440,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,221.98,,fee schedule,221.98,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,226.21,,fee schedule,226.21,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,211.41,,fee schedule,211.41,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,TRICARE,TRICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,UNITED HEALTHCARE,UNITED HEALTHCARE,,2206.16,88,percent of total billed charges,2206.16,50.8,2507,percent of total billed charges,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,BEECH STREET,BEECH STREET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,MEDICAID,MEDICAID,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,NOVA NET,NOVA NET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,SELFPAY,SELFPAY,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT FACIAL BONES,70486,CPT,both,,,2507,2507,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,221.98,,fee schedule,221.98,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,226.21,,fee schedule,226.21,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,211.41,,fee schedule,211.41,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,TRICARE,TRICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
CT SINUSES,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
CT SINUSES,70486,CPT,both,,,2507,2507,UNITED HEALTHCARE,UNITED HEALTHCARE,,2206.16,88,percent of total billed charges,2206.16,50.8,2507,percent of total billed charges,
CT SINUSES,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,BEECH STREET,BEECH STREET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,MEDICAID,MEDICAID,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,NOVA NET,NOVA NET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,SELFPAY,SELFPAY,,2507,,fee schedule,2507,50.8,2507,fee schedule,
CT SINUSES,70486,CPT,both,,,2507,2507,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,221.98,,fee schedule,221.98,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,226.21,,fee schedule,226.21,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,211.41,,fee schedule,211.41,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,TRICARE,TRICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,UNITED HEALTHCARE,UNITED HEALTHCARE,,2206.16,88,percent of total billed charges,2206.16,50.8,2507,percent of total billed charges,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,BEECH STREET,BEECH STREET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,MEDICAID,MEDICAID,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,NOVA NET,NOVA NET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,SELFPAY,SELFPAY,,2507,,fee schedule,2507,50.8,2507,fee schedule,
LTD CT SINUSES,70486,CPT,both,,,2507,2507,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,AMERIGROUP,AMERIGROUP,,221.98,,fee schedule,221.98,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,226.21,,fee schedule,226.21,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,211.41,,fee schedule,211.41,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,TRICARE,TRICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2181.09,87,percent of total billed charges,2181.09,50.8,2507,percent of total billed charges,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,UNITED HEALTHCARE,UNITED HEALTHCARE,,2206.16,88,percent of total billed charges,2206.16,50.8,2507,percent of total billed charges,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,AETNA,AETNA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,BEECH STREET,BEECH STREET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CARESOURCE,CARESOURCE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,MEDICAID,MEDICAID,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,NOVA NET,NOVA NET,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,PEACHSTATE,PEACHSTATE,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,SELFPAY,SELFPAY,,2507,,fee schedule,2507,50.8,2507,fee schedule,
TMJ BI WO CONTRAST,70486,CPT,both,,,2507,2507,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2507,,fee schedule,2507,50.8,2507,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,AMERIGROUP,AMERIGROUP,,59.94,,fee schedule,59.94,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,AMERIGROUP,AMERIGROUP,,168.65,,fee schedule,168.65,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,AMERIGROUP,AMERIGROUP,,228.59,,fee schedule,228.59,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CARESOURCE,CARESOURCE,,61.09,,fee schedule,61.09,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CARESOURCE,CARESOURCE,,171.86,,fee schedule,171.86,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CARESOURCE,CARESOURCE,,232.94,,fee schedule,232.94,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,PEACHSTATE,PEACHSTATE,,57.09,,fee schedule,57.09,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,PEACHSTATE,PEACHSTATE,,160.62,,fee schedule,160.62,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,PEACHSTATE,PEACHSTATE,,217.7,,fee schedule,217.7,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,TRICARE,TRICARE,,106.88,,fee schedule,106.88,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,AETNA,AETNA,,1900.95,87,percent of total billed charges,1900.95,57.09,2185,percent of total billed charges,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1900.95,87,percent of total billed charges,1900.95,57.09,2185,percent of total billed charges,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,UNITED HEALTHCARE,UNITED HEALTHCARE,,1922.8,88,percent of total billed charges,1922.8,57.09,2185,percent of total billed charges,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,AETNA,AETNA,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,BEECH STREET,BEECH STREET,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CARESOURCE,CARESOURCE,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,MEDICAID,MEDICAID,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,NOVA NET,NOVA NET,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,PEACHSTATE,PEACHSTATE,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,SELFPAY,SELFPAY,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK W/O CONTRAST,70490,CPT,both,,,2185,2185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2185,,fee schedule,2185,57.09,2185,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,AMERIGROUP,AMERIGROUP,,202.2,,fee schedule,202.2,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,AMERIGROUP,AMERIGROUP,,266.42,,fee schedule,266.42,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CARESOURCE,CARESOURCE,,206.05,,fee schedule,206.05,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CARESOURCE,CARESOURCE,,271.49,,fee schedule,271.49,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,PEACHSTATE,PEACHSTATE,,192.57,,fee schedule,192.57,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,PEACHSTATE,PEACHSTATE,,253.73,,fee schedule,253.73,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,TRICARE,TRICARE,,180.34,,fee schedule,180.34,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,AETNA,AETNA,,1944.45,87,percent of total billed charges,1944.45,61.16,2235,percent of total billed charges,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1944.45,87,percent of total billed charges,1944.45,61.16,2235,percent of total billed charges,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,UNITED HEALTHCARE,UNITED HEALTHCARE,,1966.8,88,percent of total billed charges,1966.8,61.16,2235,percent of total billed charges,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,AETNA,AETNA,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,BEECH STREET,BEECH STREET,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CARESOURCE,CARESOURCE,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,MEDICAID,MEDICAID,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,NOVA NET,NOVA NET,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,PEACHSTATE,PEACHSTATE,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,SELFPAY,SELFPAY,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH CONTRAST,70491,CPT,both,,,2235,2235,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2235,,fee schedule,2235,61.16,2235,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,AMERIGROUP,AMERIGROUP,,67.5,,fee schedule,67.5,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,AMERIGROUP,AMERIGROUP,,320,,fee schedule,320,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CARESOURCE,CARESOURCE,,68.79,,fee schedule,68.79,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CARESOURCE,CARESOURCE,,326.09,,fee schedule,326.09,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,PEACHSTATE,PEACHSTATE,,64.29,,fee schedule,64.29,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,PEACHSTATE,PEACHSTATE,,304.76,,fee schedule,304.76,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,TRICARE,TRICARE,,180.34,,fee schedule,180.34,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,AETNA,AETNA,,2261.13,87,percent of total billed charges,2261.13,64.29,2599,percent of total billed charges,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2261.13,87,percent of total billed charges,2261.13,64.29,2599,percent of total billed charges,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,UNITED HEALTHCARE,UNITED HEALTHCARE,,2287.12,88,percent of total billed charges,2287.12,64.29,2599,percent of total billed charges,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,AETNA,AETNA,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,BEECH STREET,BEECH STREET,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CARESOURCE,CARESOURCE,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,MEDICAID,MEDICAID,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,NOVA NET,NOVA NET,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,PEACHSTATE,PEACHSTATE,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,SELFPAY,SELFPAY,,2599,,fee schedule,2599,64.29,2599,fee schedule,
NECK WITH & W/O CONTRAST,70492,CPT,both,,,2599,2599,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2599,,fee schedule,2599,64.29,2599,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,AMERIGROUP,AMERIGROUP,,96.32,,fee schedule,96.32,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,AMERIGROUP,AMERIGROUP,,294.13,,fee schedule,294.13,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,AMERIGROUP,AMERIGROUP,,390.43,,fee schedule,390.43,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CARESOURCE,CARESOURCE,,98.15,,fee schedule,98.15,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CARESOURCE,CARESOURCE,,299.73,,fee schedule,299.73,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CARESOURCE,CARESOURCE,,397.87,,fee schedule,397.87,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,PEACHSTATE,PEACHSTATE,,91.73,,fee schedule,91.73,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,PEACHSTATE,PEACHSTATE,,280.12,,fee schedule,280.12,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,PEACHSTATE,PEACHSTATE,,371.84,,fee schedule,371.84,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,TRICARE,TRICARE,,180.34,,fee schedule,180.34,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,AETNA,AETNA,,1983.6,87,percent of total billed charges,1983.6,91.73,2280,percent of total billed charges,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1983.6,87,percent of total billed charges,1983.6,91.73,2280,percent of total billed charges,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,UNITED HEALTHCARE,UNITED HEALTHCARE,,2006.4,88,percent of total billed charges,2006.4,91.73,2280,percent of total billed charges,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,AETNA,AETNA,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,BEECH STREET,BEECH STREET,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CARESOURCE,CARESOURCE,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,MEDICAID,MEDICAID,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,NOVA NET,NOVA NET,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,PEACHSTATE,PEACHSTATE,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,SELFPAY,SELFPAY,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT HEAD ANGIOGRAPHY,70496,CPT,both,,,2280,2280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2280,,fee schedule,2280,91.73,2280,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,AMERIGROUP,AMERIGROUP,,96.32,,fee schedule,96.32,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,AMERIGROUP,AMERIGROUP,,294.13,,fee schedule,294.13,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,AMERIGROUP,AMERIGROUP,,390.43,,fee schedule,390.43,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CARESOURCE,CARESOURCE,,98.15,,fee schedule,98.15,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CARESOURCE,CARESOURCE,,299.73,,fee schedule,299.73,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CARESOURCE,CARESOURCE,,397.87,,fee schedule,397.87,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,PEACHSTATE,PEACHSTATE,,91.73,,fee schedule,91.73,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,PEACHSTATE,PEACHSTATE,,280.12,,fee schedule,280.12,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,PEACHSTATE,PEACHSTATE,,371.84,,fee schedule,371.84,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,TRICARE,TRICARE,,180.34,,fee schedule,180.34,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,AETNA,AETNA,,2053.2,87,percent of total billed charges,2053.2,91.73,2360,percent of total billed charges,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2053.2,87,percent of total billed charges,2053.2,91.73,2360,percent of total billed charges,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,UNITED HEALTHCARE,UNITED HEALTHCARE,,2076.8,88,percent of total billed charges,2076.8,91.73,2360,percent of total billed charges,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,AETNA,AETNA,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,BEECH STREET,BEECH STREET,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CARESOURCE,CARESOURCE,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,MEDICAID,MEDICAID,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,NOVA NET,NOVA NET,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,PEACHSTATE,PEACHSTATE,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,SELFPAY,SELFPAY,,2360,,fee schedule,2360,91.73,2360,fee schedule,
CT ANGIOGRAPHY OF NECK,70498,CPT,both,,,2360,2360,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2360,,fee schedule,2360,91.73,2360,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,69.48,,fee schedule,69.48,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,469.56,,fee schedule,469.56,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,70.8,,fee schedule,70.8,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,478.5,,fee schedule,478.5,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,66.17,,fee schedule,66.17,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,447.2,,fee schedule,447.2,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,TRICARE,TRICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,66.17,3556,percent of total billed charges,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,66.17,3556,percent of total billed charges,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,66.17,3556,percent of total billed charges,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MR NECK W/O & W CON,70540,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,AMERIGROUP,AMERIGROUP,,84.28,,fee schedule,84.28,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,AMERIGROUP,AMERIGROUP,,1001.45,,fee schedule,1001.45,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,AMERIGROUP,AMERIGROUP,,1085.73,,fee schedule,1085.73,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CARESOURCE,CARESOURCE,,85.89,,fee schedule,85.89,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CARESOURCE,CARESOURCE,,1020.52,,fee schedule,1020.52,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CARESOURCE,CARESOURCE,,1106.41,,fee schedule,1106.41,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,PEACHSTATE,PEACHSTATE,,80.27,,fee schedule,80.27,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,PEACHSTATE,PEACHSTATE,,953.76,,fee schedule,953.76,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,PEACHSTATE,PEACHSTATE,,1034.03,,fee schedule,1034.03,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,TRICARE,TRICARE,,368.43,,fee schedule,368.43,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,AETNA,AETNA,,2228.07,87,percent of total billed charges,2228.07,80.27,2561,percent of total billed charges,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2228.07,87,percent of total billed charges,2228.07,80.27,2561,percent of total billed charges,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,UNITED HEALTHCARE,UNITED HEALTHCARE,,2253.68,88,percent of total billed charges,2253.68,80.27,2561,percent of total billed charges,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,AETNA,AETNA,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,BEECH STREET,BEECH STREET,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CARESOURCE,CARESOURCE,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,MEDICAID,MEDICAID,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,NOVA NET,NOVA NET,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,PEACHSTATE,PEACHSTATE,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,SELFPAY,SELFPAY,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MRI BRACHIAL PLEXUS,70543,CPT,both,,,2561,2561,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2561,,fee schedule,2561,80.27,2561,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,65.1,,fee schedule,65.1,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,457.3,,fee schedule,457.3,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,522.4,,fee schedule,522.4,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,66.34,,fee schedule,66.34,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,466.01,,fee schedule,466.01,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,532.35,,fee schedule,532.35,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,435.52,,fee schedule,435.52,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,497.52,,fee schedule,497.52,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,62,3556,percent of total billed charges,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,62,3556,percent of total billed charges,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,62,3556,percent of total billed charges,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,62,3556,fee schedule,
MR BRAIN - VENOUS PROTOCO,70544,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,65.1,,fee schedule,65.1,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,457.3,,fee schedule,457.3,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,522.4,,fee schedule,522.4,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,66.34,,fee schedule,66.34,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,466.01,,fee schedule,466.01,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,532.35,,fee schedule,532.35,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,435.52,,fee schedule,435.52,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,497.52,,fee schedule,497.52,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,62,3556,percent of total billed charges,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,62,3556,percent of total billed charges,
MRA OF HEAD,70544,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,62,3556,percent of total billed charges,
MRA OF HEAD,70544,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF HEAD,70544,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,65.1,,fee schedule,65.1,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,457.3,,fee schedule,457.3,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,522.4,,fee schedule,522.4,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,66.34,,fee schedule,66.34,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,466.01,,fee schedule,466.01,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,532.35,,fee schedule,532.35,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,435.52,,fee schedule,435.52,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,497.52,,fee schedule,497.52,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,62,3556,percent of total billed charges,
MRA OF NECK,70547,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,62,3556,percent of total billed charges,
MRA OF NECK,70547,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,62,3556,percent of total billed charges,
MRA OF NECK,70547,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,62,3556,fee schedule,
MRA OF NECK,70547,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,62,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,69.48,,fee schedule,69.48,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,469.56,,fee schedule,469.56,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,70.8,,fee schedule,70.8,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,478.5,,fee schedule,478.5,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,66.17,,fee schedule,66.17,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,447.2,,fee schedule,447.2,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,TRICARE,TRICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,66.17,3556,percent of total billed charges,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,66.17,3556,percent of total billed charges,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,66.17,3556,percent of total billed charges,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,66.17,3556,fee schedule,
ATTEMPTED MRI BRAIN,70551,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,69.48,,fee schedule,69.48,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,AMERIGROUP,AMERIGROUP,,469.56,,fee schedule,469.56,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,70.8,,fee schedule,70.8,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,478.5,,fee schedule,478.5,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,66.17,,fee schedule,66.17,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,447.2,,fee schedule,447.2,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,TRICARE,TRICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,66.17,3556,percent of total billed charges,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,66.17,3556,percent of total billed charges,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,66.17,3556,percent of total billed charges,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI: BRAIN(INCLUDING BRAI,70551,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,66.17,3556,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,AMERIGROUP,AMERIGROUP,,83.65,,fee schedule,83.65,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,AMERIGROUP,AMERIGROUP,,479.55,,fee schedule,479.55,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,AMERIGROUP,AMERIGROUP,,563.2,,fee schedule,563.2,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CARESOURCE,CARESOURCE,,85.25,,fee schedule,85.25,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CARESOURCE,CARESOURCE,,488.68,,fee schedule,488.68,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CARESOURCE,CARESOURCE,,573.93,,fee schedule,573.93,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,PEACHSTATE,PEACHSTATE,,79.67,,fee schedule,79.67,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,PEACHSTATE,PEACHSTATE,,456.71,,fee schedule,456.71,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,PEACHSTATE,PEACHSTATE,,536.38,,fee schedule,536.38,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,TRICARE,TRICARE,,368.43,,fee schedule,368.43,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,AETNA,AETNA,,3224.22,87,percent of total billed charges,3224.22,79.67,3706,percent of total billed charges,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3224.22,87,percent of total billed charges,3224.22,79.67,3706,percent of total billed charges,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,UNITED HEALTHCARE,UNITED HEALTHCARE,,3261.28,88,percent of total billed charges,3261.28,79.67,3706,percent of total billed charges,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,AETNA,AETNA,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,BEECH STREET,BEECH STREET,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CARESOURCE,CARESOURCE,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,MEDICAID,MEDICAID,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,NOVA NET,NOVA NET,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,PEACHSTATE,PEACHSTATE,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,SELFPAY,SELFPAY,,3706,,fee schedule,3706,79.67,3706,fee schedule,
MRI BRAIN WITH CONTRAST,70552,CPT,both,,,3706,3706,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3706,,fee schedule,3706,79.67,3706,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,AMERIGROUP,AMERIGROUP,,110.66,,fee schedule,110.66,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,AMERIGROUP,AMERIGROUP,,888.64,,fee schedule,888.64,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,AMERIGROUP,AMERIGROUP,,999.3,,fee schedule,999.3,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,112.77,,fee schedule,112.77,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,905.56,,fee schedule,905.56,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,1018.33,,fee schedule,1018.33,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,105.39,,fee schedule,105.39,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,846.32,,fee schedule,846.32,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,951.71,,fee schedule,951.71,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,TRICARE,TRICARE,,368.43,,fee schedule,368.43,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,AETNA,AETNA,,3357.33,87,percent of total billed charges,3357.33,105.39,3859,percent of total billed charges,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3357.33,87,percent of total billed charges,3357.33,105.39,3859,percent of total billed charges,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,UNITED HEALTHCARE,UNITED HEALTHCARE,,3395.92,88,percent of total billed charges,3395.92,105.39,3859,percent of total billed charges,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,AETNA,AETNA,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,BEECH STREET,BEECH STREET,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,MEDICAID,MEDICAID,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,NOVA NET,NOVA NET,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,SELFPAY,SELFPAY,,3859,,fee schedule,3859,105.39,3859,fee schedule,
IACS/PITUITARY,70553,CPT,both,,,3859,3859,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,AMERIGROUP,AMERIGROUP,,110.66,,fee schedule,110.66,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,AMERIGROUP,AMERIGROUP,,888.64,,fee schedule,888.64,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,AMERIGROUP,AMERIGROUP,,999.3,,fee schedule,999.3,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,112.77,,fee schedule,112.77,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,905.56,,fee schedule,905.56,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,1018.33,,fee schedule,1018.33,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,105.39,,fee schedule,105.39,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,846.32,,fee schedule,846.32,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,951.71,,fee schedule,951.71,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,TRICARE,TRICARE,,368.43,,fee schedule,368.43,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,AETNA,AETNA,,3357.33,87,percent of total billed charges,3357.33,105.39,3859,percent of total billed charges,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3357.33,87,percent of total billed charges,3357.33,105.39,3859,percent of total billed charges,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,UNITED HEALTHCARE,UNITED HEALTHCARE,,3395.92,88,percent of total billed charges,3395.92,105.39,3859,percent of total billed charges,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,AETNA,AETNA,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,BEECH STREET,BEECH STREET,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CARESOURCE,CARESOURCE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,MEDICAID,MEDICAID,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,NOVA NET,NOVA NET,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,PEACHSTATE,PEACHSTATE,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,SELFPAY,SELFPAY,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MRI BRAIN WITH & W/O CONT,70553,CPT,both,,,3859,3859,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3859,,fee schedule,3859,105.39,3859,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,AETNA,AETNA,,29509.3,87,percent of total billed charges,29509.3,29509.3,33918.74,percent of total billed charges,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29509.3,87,percent of total billed charges,29509.3,29509.3,33918.74,percent of total billed charges,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,29848.49,88,percent of total billed charges,29848.49,29509.3,33918.74,percent of total billed charges,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,AETNA,AETNA,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,ALLIANT,ALLIANT,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,AMBETTER,AMBETTER,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,BEECH STREET,BEECH STREET,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,CARESOURCE,CARESOURCE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,MEDICAID,MEDICAID,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,MEDICARE,MEDICARE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,NOVA NET,NOVA NET,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,PEACHSTATE,PEACHSTATE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,SELFPAY,SELFPAY,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,TRICARE,TRICARE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W CC/MCC,707,DRG,inpatient,,,33918.74,33918.74,UHC MEDICARE,UHC MEDICARE,,33918.74,,fee schedule,33918.74,29509.3,33918.74,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,AETNA,AETNA,,16732.55,87,percent of total billed charges,16732.55,16732.55,19232.82,percent of total billed charges,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16732.55,87,percent of total billed charges,16732.55,16732.55,19232.82,percent of total billed charges,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,UNITED HEALTHCARE,UNITED HEALTHCARE,,16924.88,88,percent of total billed charges,16924.88,16732.55,19232.82,percent of total billed charges,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,AETNA,AETNA,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,ALLIANT,ALLIANT,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,AMBETTER,AMBETTER,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,BEECH STREET,BEECH STREET,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,CARESOURCE,CARESOURCE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,MEDICAID,MEDICAID,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,MEDICARE,MEDICARE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,NOVA NET,NOVA NET,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,PEACHSTATE,PEACHSTATE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,SELFPAY,SELFPAY,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,TRICARE,TRICARE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,708,DRG,inpatient,,,19232.82,19232.82,UHC MEDICARE,UHC MEDICARE,,19232.82,,fee schedule,19232.82,16732.55,19232.82,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,AETNA,AETNA,,45803.56,87,percent of total billed charges,45803.56,45803.56,52647.77,percent of total billed charges,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45803.56,87,percent of total billed charges,45803.56,45803.56,52647.77,percent of total billed charges,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,46330.04,88,percent of total billed charges,46330.04,45803.56,52647.77,percent of total billed charges,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,AETNA,AETNA,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,ALLIANT,ALLIANT,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,AMBETTER,AMBETTER,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,BEECH STREET,BEECH STREET,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,CARESOURCE,CARESOURCE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,MEDICAID,MEDICAID,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,MEDICARE,MEDICARE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,NOVA NET,NOVA NET,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,PEACHSTATE,PEACHSTATE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,SELFPAY,SELFPAY,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,TRICARE,TRICARE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
PENIS PROCEDURES W/O CC/MCC,710,DRG,inpatient,,,52647.77,52647.77,UHC MEDICARE,UHC MEDICARE,,52647.77,,fee schedule,52647.77,45803.56,52647.77,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,17.92,,fee schedule,17.92,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.6,,fee schedule,9.6,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.33,,fee schedule,8.33,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,18.26,,fee schedule,18.26,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,9.78,,fee schedule,9.78,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.49,,fee schedule,8.49,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,17.07,,fee schedule,17.07,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.14,,fee schedule,9.14,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.93,,fee schedule,7.93,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.93,299,percent of total billed charges,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.93,299,percent of total billed charges,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.93,299,percent of total billed charges,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.93,299,fee schedule,
APICAL LORDOTIC CHEST,71045,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,17.92,,fee schedule,17.92,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.6,,fee schedule,9.6,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.33,,fee schedule,8.33,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,18.26,,fee schedule,18.26,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,9.78,,fee schedule,9.78,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.49,,fee schedule,8.49,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,17.07,,fee schedule,17.07,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.14,,fee schedule,9.14,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.93,,fee schedule,7.93,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.93,299,percent of total billed charges,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.93,299,percent of total billed charges,
CHEST 1 VIEW,71045,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.93,299,percent of total billed charges,
CHEST 1 VIEW,71045,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 1 VIEW,71045,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,17.92,,fee schedule,17.92,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.6,,fee schedule,9.6,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.33,,fee schedule,8.33,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,18.26,,fee schedule,18.26,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,9.78,,fee schedule,9.78,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.49,,fee schedule,8.49,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,17.07,,fee schedule,17.07,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.14,,fee schedule,9.14,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.93,,fee schedule,7.93,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.93,299,percent of total billed charges,
PORTABLE CHEST,71045,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.93,299,percent of total billed charges,
PORTABLE CHEST,71045,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.93,299,percent of total billed charges,
PORTABLE CHEST,71045,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.93,299,fee schedule,
PORTABLE CHEST,71045,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.93,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,27.5,,fee schedule,27.5,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,17.57,,fee schedule,17.57,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.92,,fee schedule,9.92,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,28.02,,fee schedule,28.02,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,17.9,,fee schedule,17.9,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,10.11,,fee schedule,10.11,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,26.19,,fee schedule,26.19,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,16.73,,fee schedule,16.73,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.45,,fee schedule,9.45,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,9.45,299,percent of total billed charges,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,9.45,299,percent of total billed charges,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,9.45,299,percent of total billed charges,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST 2 VIEWS,71046,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,27.5,,fee schedule,27.5,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,17.57,,fee schedule,17.57,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.92,,fee schedule,9.92,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,28.02,,fee schedule,28.02,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,17.9,,fee schedule,17.9,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,10.11,,fee schedule,10.11,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,26.19,,fee schedule,26.19,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,16.73,,fee schedule,16.73,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.45,,fee schedule,9.45,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,9.45,299,percent of total billed charges,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,9.45,299,percent of total billed charges,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,9.45,299,percent of total billed charges,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH FLUOROSCOPY,71046,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,27.5,,fee schedule,27.5,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,17.57,,fee schedule,17.57,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.92,,fee schedule,9.92,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,28.02,,fee schedule,28.02,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,17.9,,fee schedule,17.9,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,10.11,,fee schedule,10.11,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,26.19,,fee schedule,26.19,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,16.73,,fee schedule,16.73,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.45,,fee schedule,9.45,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,9.45,299,percent of total billed charges,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,9.45,299,percent of total billed charges,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,9.45,299,percent of total billed charges,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST-LATERAL DECUBITUS V,71046,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,9.45,299,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,AMERIGROUP,AMERIGROUP,,35.16,,fee schedule,35.16,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,AMERIGROUP,AMERIGROUP,,22.37,,fee schedule,22.37,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,AMERIGROUP,AMERIGROUP,,12.8,,fee schedule,12.8,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,35.83,,fee schedule,35.83,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,22.79,,fee schedule,22.79,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,13.04,,fee schedule,13.04,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,33.49,,fee schedule,33.49,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,21.3,,fee schedule,21.3,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,12.19,,fee schedule,12.19,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,TRICARE,TRICARE,,86.88,,fee schedule,86.88,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,AETNA,AETNA,,320.16,87,percent of total billed charges,320.16,12.19,368,percent of total billed charges,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320.16,87,percent of total billed charges,320.16,12.19,368,percent of total billed charges,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,UNITED HEALTHCARE,UNITED HEALTHCARE,,323.84,88,percent of total billed charges,323.84,12.19,368,percent of total billed charges,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,AETNA,AETNA,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,BEECH STREET,BEECH STREET,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,MEDICAID,MEDICAID,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,NOVA NET,NOVA NET,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,SELFPAY,SELFPAY,,368,,fee schedule,368,12.19,368,fee schedule,
CHEST WITH OBLIQUES,71047,CPT,both,,,368,368,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,368,,fee schedule,368,12.19,368,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,12.85,,fee schedule,12.85,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,36.67,,fee schedule,36.67,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,13.1,,fee schedule,13.1,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,37.36,,fee schedule,37.36,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,12.24,,fee schedule,12.24,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,34.92,,fee schedule,34.92,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,TRICARE,TRICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,AETNA,AETNA,,408.9,87,percent of total billed charges,408.9,12.24,470,percent of total billed charges,
LEFT RIBS,71101,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408.9,87,percent of total billed charges,408.9,12.24,470,percent of total billed charges,
LEFT RIBS,71101,CPT,both,,,470,470,UNITED HEALTHCARE,UNITED HEALTHCARE,,413.6,88,percent of total billed charges,413.6,12.24,470,percent of total billed charges,
LEFT RIBS,71101,CPT,both,,,470,470,AETNA,AETNA,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,BEECH STREET,BEECH STREET,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,MEDICAID,MEDICAID,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,NOVA NET,NOVA NET,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,SELFPAY,SELFPAY,,470,,fee schedule,470,12.24,470,fee schedule,
LEFT RIBS,71101,CPT,both,,,470,470,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,12.85,,fee schedule,12.85,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,36.67,,fee schedule,36.67,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,13.1,,fee schedule,13.1,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,37.36,,fee schedule,37.36,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,12.24,,fee schedule,12.24,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,34.92,,fee schedule,34.92,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,TRICARE,TRICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,AETNA,AETNA,,408.9,87,percent of total billed charges,408.9,12.24,470,percent of total billed charges,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408.9,87,percent of total billed charges,408.9,12.24,470,percent of total billed charges,
RIBS UNILATERAL,71101,CPT,both,,,470,470,UNITED HEALTHCARE,UNITED HEALTHCARE,,413.6,88,percent of total billed charges,413.6,12.24,470,percent of total billed charges,
RIBS UNILATERAL,71101,CPT,both,,,470,470,AETNA,AETNA,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,BEECH STREET,BEECH STREET,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,MEDICAID,MEDICAID,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,NOVA NET,NOVA NET,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,SELFPAY,SELFPAY,,470,,fee schedule,470,12.24,470,fee schedule,
RIBS UNILATERAL,71101,CPT,both,,,470,470,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,12.85,,fee schedule,12.85,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,AMERIGROUP,AMERIGROUP,,36.67,,fee schedule,36.67,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,13.1,,fee schedule,13.1,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,37.36,,fee schedule,37.36,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,12.24,,fee schedule,12.24,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,34.92,,fee schedule,34.92,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,TRICARE,TRICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,AETNA,AETNA,,408.9,87,percent of total billed charges,408.9,12.24,470,percent of total billed charges,
RIGHT RIBS,71101,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408.9,87,percent of total billed charges,408.9,12.24,470,percent of total billed charges,
RIGHT RIBS,71101,CPT,both,,,470,470,UNITED HEALTHCARE,UNITED HEALTHCARE,,413.6,88,percent of total billed charges,413.6,12.24,470,percent of total billed charges,
RIGHT RIBS,71101,CPT,both,,,470,470,AETNA,AETNA,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,BEECH STREET,BEECH STREET,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,MEDICAID,MEDICAID,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,NOVA NET,NOVA NET,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,SELFPAY,SELFPAY,,470,,fee schedule,470,12.24,470,fee schedule,
RIGHT RIBS,71101,CPT,both,,,470,470,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,470,,fee schedule,470,12.24,470,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,AMERIGROUP,AMERIGROUP,,15.16,,fee schedule,15.16,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,AMERIGROUP,AMERIGROUP,,32.16,,fee schedule,32.16,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,AMERIGROUP,AMERIGROUP,,47.33,,fee schedule,47.33,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,CARESOURCE,CARESOURCE,,15.45,,fee schedule,15.45,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,CARESOURCE,CARESOURCE,,32.77,,fee schedule,32.77,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,CARESOURCE,CARESOURCE,,48.24,,fee schedule,48.24,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,PEACHSTATE,PEACHSTATE,,14.44,,fee schedule,14.44,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,PEACHSTATE,PEACHSTATE,,30.63,,fee schedule,30.63,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,PEACHSTATE,PEACHSTATE,,45.08,,fee schedule,45.08,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,TRICARE,TRICARE,,106.88,,fee schedule,106.88,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,AETNA,AETNA,,494.16,87,percent of total billed charges,494.16,14.44,568,percent of total billed charges,
BILATERAL RIBS,71111,CPT,both,,,568,568,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494.16,87,percent of total billed charges,494.16,14.44,568,percent of total billed charges,
BILATERAL RIBS,71111,CPT,both,,,568,568,UNITED HEALTHCARE,UNITED HEALTHCARE,,499.84,88,percent of total billed charges,499.84,14.44,568,percent of total billed charges,
BILATERAL RIBS,71111,CPT,both,,,568,568,AETNA,AETNA,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,BEECH STREET,BEECH STREET,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,CARESOURCE,CARESOURCE,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,MEDICAID,MEDICAID,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,NOVA NET,NOVA NET,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,PEACHSTATE,PEACHSTATE,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,SELFPAY,SELFPAY,,568,,fee schedule,568,14.44,568,fee schedule,
BILATERAL RIBS,71111,CPT,both,,,568,568,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,568,,fee schedule,568,14.44,568,fee schedule,
STERNUM,71120,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,9.54,,fee schedule,9.54,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,23.14,,fee schedule,23.14,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,32.68,,fee schedule,32.68,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,23.58,,fee schedule,23.58,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,33.3,,fee schedule,33.3,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,22.04,,fee schedule,22.04,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,31.12,,fee schedule,31.12,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,9.09,299,percent of total billed charges,
STERNUM,71120,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,9.09,299,percent of total billed charges,
STERNUM,71120,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,9.09,299,percent of total billed charges,
STERNUM,71120,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,9.09,299,fee schedule,
STERNUM,71120,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,9.09,299,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,25.15,,fee schedule,25.15,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,35.69,,fee schedule,35.69,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,25.63,,fee schedule,25.63,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,36.37,,fee schedule,36.37,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,23.95,,fee schedule,23.95,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,33.99,,fee schedule,33.99,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,TRICARE,TRICARE,,86.88,,fee schedule,86.88,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,10.03,159,percent of total billed charges,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,10.03,159,percent of total billed charges,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,10.03,159,percent of total billed charges,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,10.03,159,fee schedule,
STERNOCLAVICULAR JOINTS,71130,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,10.03,159,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,TRICARE,TRICARE,,106.88,,fee schedule,106.88,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,AETNA,AETNA,,1706.94,87,percent of total billed charges,1706.94,51.75,1962,percent of total billed charges,
CT THORAX,71250,CPT,both,,,1962,1962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1706.94,87,percent of total billed charges,1706.94,51.75,1962,percent of total billed charges,
CT THORAX,71250,CPT,both,,,1962,1962,UNITED HEALTHCARE,UNITED HEALTHCARE,,1726.56,88,percent of total billed charges,1726.56,51.75,1962,percent of total billed charges,
CT THORAX,71250,CPT,both,,,1962,1962,AETNA,AETNA,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,BEECH STREET,BEECH STREET,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,CARESOURCE,CARESOURCE,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,MEDICAID,MEDICAID,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,NOVA NET,NOVA NET,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,PEACHSTATE,PEACHSTATE,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,SELFPAY,SELFPAY,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT THORAX,71250,CPT,both,,,1962,1962,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1962,,fee schedule,1962,51.75,1962,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,57.96,,fee schedule,57.96,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,310.45,,fee schedule,310.45,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,59.06,,fee schedule,59.06,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,316.37,,fee schedule,316.37,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,55.2,,fee schedule,55.2,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,295.67,,fee schedule,295.67,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,TRICARE,TRICARE,,180.34,,fee schedule,180.34,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,AETNA,AETNA,,1776.54,87,percent of total billed charges,1776.54,55.2,2042,percent of total billed charges,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776.54,87,percent of total billed charges,1776.54,55.2,2042,percent of total billed charges,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,UNITED HEALTHCARE,UNITED HEALTHCARE,,1796.96,88,percent of total billed charges,1796.96,55.2,2042,percent of total billed charges,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,AETNA,AETNA,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,BEECH STREET,BEECH STREET,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,MEDICAID,MEDICAID,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,NOVA NET,NOVA NET,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,SELFPAY,SELFPAY,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST WITH CONTRAST,71260,CPT,both,,,2042,2042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2042,,fee schedule,2042,55.2,2042,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,315.57,,fee schedule,315.57,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,379.8,,fee schedule,379.8,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,321.58,,fee schedule,321.58,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,387.03,,fee schedule,387.03,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,300.54,,fee schedule,300.54,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,361.71,,fee schedule,361.71,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,TRICARE,TRICARE,,180.34,,fee schedule,180.34,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,AETNA,AETNA,,2371.62,87,percent of total billed charges,2371.62,61.16,2726,percent of total billed charges,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2371.62,87,percent of total billed charges,2371.62,61.16,2726,percent of total billed charges,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,UNITED HEALTHCARE,UNITED HEALTHCARE,,2398.88,88,percent of total billed charges,2398.88,61.16,2726,percent of total billed charges,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,AETNA,AETNA,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,BEECH STREET,BEECH STREET,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,MEDICAID,MEDICAID,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,NOVA NET,NOVA NET,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,SELFPAY,SELFPAY,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST W & W/O CONTRAST,71270,CPT,both,,,2726,2726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2726,,fee schedule,2726,61.16,2726,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,46.97,,fee schedule,46.97,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,86.63,,fee schedule,86.63,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,133.6,,fee schedule,133.6,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,47.86,,fee schedule,47.86,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,88.28,,fee schedule,88.28,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,136.15,,fee schedule,136.15,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,44.73,,fee schedule,44.73,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,82.5,,fee schedule,82.5,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,127.24,,fee schedule,127.24,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,TRICARE,TRICARE,,106.88,,fee schedule,106.88,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,44.73,344,percent of total billed charges,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,44.73,344,percent of total billed charges,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,44.73,344,percent of total billed charges,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST LOW DOSE STUDY,71271,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,44.73,344,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,424.74,,fee schedule,424.74,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,358.38,,fee schedule,358.38,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,432.83,,fee schedule,432.83,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,365.2,,fee schedule,365.2,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,404.51,,fee schedule,404.51,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,341.31,,fee schedule,341.31,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,AETNA,AETNA,,1776.54,87,percent of total billed charges,1776.54,63.2,2042,percent of total billed charges,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776.54,87,percent of total billed charges,1776.54,63.2,2042,percent of total billed charges,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,UNITED HEALTHCARE,UNITED HEALTHCARE,,1796.96,88,percent of total billed charges,1796.96,63.2,2042,percent of total billed charges,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,AETNA,AETNA,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,BEECH STREET,BEECH STREET,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,MEDICAID,MEDICAID,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,NOVA NET,NOVA NET,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,SELFPAY,SELFPAY,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CT CHEST ANGIOGRAPHY,71275,CPT,both,,,2042,2042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,424.74,,fee schedule,424.74,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,AMERIGROUP,AMERIGROUP,,358.38,,fee schedule,358.38,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,432.83,,fee schedule,432.83,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,365.2,,fee schedule,365.2,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,404.51,,fee schedule,404.51,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,341.31,,fee schedule,341.31,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,AETNA,AETNA,,1776.54,87,percent of total billed charges,1776.54,63.2,2042,percent of total billed charges,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1776.54,87,percent of total billed charges,1776.54,63.2,2042,percent of total billed charges,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,UNITED HEALTHCARE,UNITED HEALTHCARE,,1796.96,88,percent of total billed charges,1796.96,63.2,2042,percent of total billed charges,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,AETNA,AETNA,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,BEECH STREET,BEECH STREET,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CARESOURCE,CARESOURCE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,MEDICAID,MEDICAID,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,NOVA NET,NOVA NET,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,PEACHSTATE,PEACHSTATE,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,SELFPAY,SELFPAY,,2042,,fee schedule,2042,63.2,2042,fee schedule,
CTA OF THORACIC AORTA,71275,CPT,both,,,2042,2042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2042,,fee schedule,2042,63.2,2042,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,AETNA,AETNA,,25179.81,87,percent of total billed charges,25179.81,25179.81,28942.31,percent of total billed charges,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25179.81,87,percent of total billed charges,25179.81,25179.81,28942.31,percent of total billed charges,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,UNITED HEALTHCARE,UNITED HEALTHCARE,,25469.23,88,percent of total billed charges,25469.23,25179.81,28942.31,percent of total billed charges,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,AETNA,AETNA,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,ALLIANT,ALLIANT,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,AMBETTER,AMBETTER,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,BEECH STREET,BEECH STREET,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,CARESOURCE,CARESOURCE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,MEDICAID,MEDICAID,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,MEDICARE,MEDICARE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,NOVA NET,NOVA NET,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,PEACHSTATE,PEACHSTATE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,SELFPAY,SELFPAY,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,TRICARE,TRICARE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W CC/MCC,713,DRG,inpatient,,,28942.31,28942.31,UHC MEDICARE,UHC MEDICARE,,28942.31,,fee schedule,28942.31,25179.81,28942.31,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,AETNA,AETNA,,16968.39,87,percent of total billed charges,16968.39,16968.39,19503.9,percent of total billed charges,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16968.39,87,percent of total billed charges,16968.39,16968.39,19503.9,percent of total billed charges,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,UNITED HEALTHCARE,UNITED HEALTHCARE,,17163.43,88,percent of total billed charges,17163.43,16968.39,19503.9,percent of total billed charges,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,AETNA,AETNA,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,ALLIANT,ALLIANT,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,AMBETTER,AMBETTER,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,BEECH STREET,BEECH STREET,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,CARESOURCE,CARESOURCE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,MEDICAID,MEDICAID,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,MEDICARE,MEDICARE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,NOVA NET,NOVA NET,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,PEACHSTATE,PEACHSTATE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,SELFPAY,SELFPAY,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,TRICARE,TRICARE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,714,DRG,inpatient,,,19503.9,19503.9,UHC MEDICARE,UHC MEDICARE,,19503.9,,fee schedule,19503.9,16968.39,19503.9,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,AMERIGROUP,AMERIGROUP,,74.77,,fee schedule,74.77,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,AMERIGROUP,AMERIGROUP,,474.83,,fee schedule,474.83,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,76.19,,fee schedule,76.19,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,483.88,,fee schedule,483.88,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,71.21,,fee schedule,71.21,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,452.22,,fee schedule,452.22,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,AETNA,AETNA,,2435.13,87,percent of total billed charges,2435.13,71.21,2799,percent of total billed charges,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2435.13,87,percent of total billed charges,2435.13,71.21,2799,percent of total billed charges,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,UNITED HEALTHCARE,UNITED HEALTHCARE,,2463.12,88,percent of total billed charges,2463.12,71.21,2799,percent of total billed charges,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,AETNA,AETNA,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,BEECH STREET,BEECH STREET,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,MEDICAID,MEDICAID,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,NOVA NET,NOVA NET,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,SELFPAY,SELFPAY,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI:CHEST (EG: HILMEDLY,71550,CPT,both,,,2799,2799,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2799,,fee schedule,2799,71.21,2799,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,AMERIGROUP,AMERIGROUP,,90.81,,fee schedule,90.81,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,AMERIGROUP,AMERIGROUP,,996.47,,fee schedule,996.47,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,AMERIGROUP,AMERIGROUP,,1087.28,,fee schedule,1087.28,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CARESOURCE,CARESOURCE,,92.54,,fee schedule,92.54,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CARESOURCE,CARESOURCE,,1015.45,,fee schedule,1015.45,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CARESOURCE,CARESOURCE,,1107.99,,fee schedule,1107.99,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,PEACHSTATE,PEACHSTATE,,86.49,,fee schedule,86.49,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,PEACHSTATE,PEACHSTATE,,949.02,,fee schedule,949.02,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,PEACHSTATE,PEACHSTATE,,1035.5,,fee schedule,1035.5,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,TRICARE,TRICARE,,368.43,,fee schedule,368.43,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,AETNA,AETNA,,2666.55,87,percent of total billed charges,2666.55,86.49,3065,percent of total billed charges,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2666.55,87,percent of total billed charges,2666.55,86.49,3065,percent of total billed charges,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,UNITED HEALTHCARE,UNITED HEALTHCARE,,2697.2,88,percent of total billed charges,2697.2,86.49,3065,percent of total billed charges,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,AETNA,AETNA,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,BEECH STREET,BEECH STREET,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CARESOURCE,CARESOURCE,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,MEDICAID,MEDICAID,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,NOVA NET,NOVA NET,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,PEACHSTATE,PEACHSTATE,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,SELFPAY,SELFPAY,,3065,,fee schedule,3065,86.49,3065,fee schedule,
MRI OF CHEST W/O & W CON,71552,CPT,both,,,3065,3065,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3065,,fee schedule,3065,86.49,3065,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,AETNA,AETNA,,22532.94,87,percent of total billed charges,22532.94,22532.94,25899.93,percent of total billed charges,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22532.94,87,percent of total billed charges,22532.94,22532.94,25899.93,percent of total billed charges,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,UNITED HEALTHCARE,UNITED HEALTHCARE,,22791.94,88,percent of total billed charges,22791.94,22532.94,25899.93,percent of total billed charges,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,AETNA,AETNA,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,ALLIANT,ALLIANT,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,AMBETTER,AMBETTER,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,BEECH STREET,BEECH STREET,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,CARESOURCE,CARESOURCE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,MEDICAID,MEDICAID,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,MEDICARE,MEDICARE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,NOVA NET,NOVA NET,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,PEACHSTATE,PEACHSTATE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,SELFPAY,SELFPAY,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,TRICARE,TRICARE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC,717,DRG,inpatient,,,25899.93,25899.93,UHC MEDICARE,UHC MEDICARE,,25899.93,,fee schedule,25899.93,22532.94,25899.93,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,AETNA,AETNA,,10173.17,87,percent of total billed charges,10173.17,10173.17,11693.3,percent of total billed charges,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10173.17,87,percent of total billed charges,10173.17,10173.17,11693.3,percent of total billed charges,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,10290.1,88,percent of total billed charges,10290.1,10173.17,11693.3,percent of total billed charges,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,AETNA,AETNA,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,ALLIANT,ALLIANT,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,AMBETTER,AMBETTER,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,BEECH STREET,BEECH STREET,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,CARESOURCE,CARESOURCE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,MEDICAID,MEDICAID,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,MEDICARE,MEDICARE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,NOVA NET,NOVA NET,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,PEACHSTATE,PEACHSTATE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,SELFPAY,SELFPAY,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,TRICARE,TRICARE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC,718,DRG,inpatient,,,11693.3,11693.3,UHC MEDICARE,UHC MEDICARE,,11693.3,,fee schedule,11693.3,10173.17,11693.3,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,22.33,,fee schedule,22.33,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,22.76,,fee schedule,22.76,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,21.27,,fee schedule,21.27,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,6.9,476,percent of total billed charges,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL CERVICAL SPINE,72020,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,22.33,,fee schedule,22.33,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,22.76,,fee schedule,22.76,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,21.27,,fee schedule,21.27,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,6.9,476,percent of total billed charges,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL LUMBAR SPINE,72020,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,22.33,,fee schedule,22.33,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,22.76,,fee schedule,22.76,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,21.27,,fee schedule,21.27,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL SPINE,72020,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,6.9,476,percent of total billed charges,
LATERAL SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL SPINE,72020,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,22.33,,fee schedule,22.33,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,22.76,,fee schedule,22.76,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,21.27,,fee schedule,21.27,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,6.9,476,percent of total billed charges,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,6.9,476,percent of total billed charges,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,6.9,476,fee schedule,
LATERAL THORACIC SPINE,72020,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,6.9,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,21.46,,fee schedule,21.46,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,31.99,,fee schedule,31.99,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,21.87,,fee schedule,21.87,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,32.6,,fee schedule,32.6,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,20.44,,fee schedule,20.44,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,30.47,,fee schedule,30.47,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,TRICARE,TRICARE,,86.88,,fee schedule,86.88,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,10.03,476,percent of total billed charges,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,10.03,476,percent of total billed charges,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,10.03,476,percent of total billed charges,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 2 VIEWS,72040,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,21.46,,fee schedule,21.46,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,31.99,,fee schedule,31.99,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,21.87,,fee schedule,21.87,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,32.6,,fee schedule,32.6,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,20.44,,fee schedule,20.44,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,30.47,,fee schedule,30.47,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,TRICARE,TRICARE,,86.88,,fee schedule,86.88,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,10.03,476,percent of total billed charges,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,10.03,476,percent of total billed charges,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,10.03,476,percent of total billed charges,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE - 3 VIEWS,72040,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,10.03,476,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,AMERIGROUP,AMERIGROUP,,14.49,,fee schedule,14.49,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,AMERIGROUP,AMERIGROUP,,32.16,,fee schedule,32.16,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,AMERIGROUP,AMERIGROUP,,46.66,,fee schedule,46.66,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,14.77,,fee schedule,14.77,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,32.77,,fee schedule,32.77,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,47.55,,fee schedule,47.55,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,13.8,,fee schedule,13.8,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,30.63,,fee schedule,30.63,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,44.44,,fee schedule,44.44,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,TRICARE,TRICARE,,106.88,,fee schedule,106.88,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,AETNA,AETNA,,580.29,87,percent of total billed charges,580.29,13.8,667,percent of total billed charges,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,580.29,87,percent of total billed charges,580.29,13.8,667,percent of total billed charges,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,UNITED HEALTHCARE,UNITED HEALTHCARE,,586.96,88,percent of total billed charges,586.96,13.8,667,percent of total billed charges,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,AETNA,AETNA,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,BEECH STREET,BEECH STREET,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,MEDICAID,MEDICAID,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,NOVA NET,NOVA NET,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,SELFPAY,SELFPAY,,667,,fee schedule,667,13.8,667,fee schedule,
CERVICAL SPINE 5 VIEWS,72050,CPT,both,,,667,667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,667,,fee schedule,667,13.8,667,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,26.48,,fee schedule,26.48,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,37.02,,fee schedule,37.02,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,26.99,,fee schedule,26.99,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,37.73,,fee schedule,37.73,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,25.22,,fee schedule,25.22,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,35.26,,fee schedule,35.26,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,10.03,456,percent of total billed charges,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,10.03,456,percent of total billed charges,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,10.03,456,percent of total billed charges,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,10.03,456,fee schedule,
THORACIC (DORSAL) SPINE,72072,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,10.03,456,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,AMERIGROUP,AMERIGROUP,,32.84,,fee schedule,32.84,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,AMERIGROUP,AMERIGROUP,,43.39,,fee schedule,43.39,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,33.47,,fee schedule,33.47,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,44.21,,fee schedule,44.21,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,31.28,,fee schedule,31.28,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,41.32,,fee schedule,41.32,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,AETNA,AETNA,,788.22,87,percent of total billed charges,788.22,10.03,906,percent of total billed charges,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,788.22,87,percent of total billed charges,788.22,10.03,906,percent of total billed charges,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,UNITED HEALTHCARE,UNITED HEALTHCARE,,797.28,88,percent of total billed charges,797.28,10.03,906,percent of total billed charges,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,AETNA,AETNA,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,BEECH STREET,BEECH STREET,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,MEDICAID,MEDICAID,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,NOVA NET,NOVA NET,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,SELFPAY,SELFPAY,,906,,fee schedule,906,10.03,906,fee schedule,
RAD DORSAL COLUMN STIMULA,72074,CPT,both,,,906,906,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,AMERIGROUP,AMERIGROUP,,32.84,,fee schedule,32.84,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,AMERIGROUP,AMERIGROUP,,43.39,,fee schedule,43.39,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,33.47,,fee schedule,33.47,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,44.21,,fee schedule,44.21,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,31.28,,fee schedule,31.28,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,41.32,,fee schedule,41.32,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,AETNA,AETNA,,788.22,87,percent of total billed charges,788.22,10.03,906,percent of total billed charges,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,788.22,87,percent of total billed charges,788.22,10.03,906,percent of total billed charges,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,UNITED HEALTHCARE,UNITED HEALTHCARE,,797.28,88,percent of total billed charges,797.28,10.03,906,percent of total billed charges,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,AETNA,AETNA,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,BEECH STREET,BEECH STREET,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CARESOURCE,CARESOURCE,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,MEDICAID,MEDICAID,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,NOVA NET,NOVA NET,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,PEACHSTATE,PEACHSTATE,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,SELFPAY,SELFPAY,,906,,fee schedule,906,10.03,906,fee schedule,
THORACIC SPINE-4V-KYPHOPL,72074,CPT,both,,,906,906,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,906,,fee schedule,906,10.03,906,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,34.36,,fee schedule,34.36,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,35.01,,fee schedule,35.01,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,32.72,,fee schedule,32.72,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,TRICARE,TRICARE,,86.88,,fee schedule,86.88,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,10.03,456,percent of total billed charges,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,10.03,456,percent of total billed charges,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,10.03,456,percent of total billed charges,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,10.03,456,fee schedule,
DORSOLUMBAR SPINE,72080,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,10.03,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,12.06,,fee schedule,12.06,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,22.69,,fee schedule,22.69,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,34.76,,fee schedule,34.76,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,12.29,,fee schedule,12.29,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,23.12,,fee schedule,23.12,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,35.42,,fee schedule,35.42,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,11.49,,fee schedule,11.49,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,21.61,,fee schedule,21.61,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,33.1,,fee schedule,33.1,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,TRICARE,TRICARE,,86.88,,fee schedule,86.88,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,11.49,456,percent of total billed charges,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,11.49,456,percent of total billed charges,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,11.49,456,percent of total billed charges,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,11.49,456,fee schedule,
SCOLIOSIS SERIES,72081,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,11.49,456,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,AMERIGROUP,AMERIGROUP,,34.36,,fee schedule,34.36,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,35.01,,fee schedule,35.01,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,32.72,,fee schedule,32.72,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,AETNA,AETNA,,401.94,87,percent of total billed charges,401.94,10.03,462,percent of total billed charges,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.94,87,percent of total billed charges,401.94,10.03,462,percent of total billed charges,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,UNITED HEALTHCARE,UNITED HEALTHCARE,,406.56,88,percent of total billed charges,406.56,10.03,462,percent of total billed charges,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,AETNA,AETNA,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,BEECH STREET,BEECH STREET,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,MEDICAID,MEDICAID,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,NOVA NET,NOVA NET,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,SELFPAY,SELFPAY,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE - 2 VIEWS,72100,CPT,both,,,462,462,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,AMERIGROUP,AMERIGROUP,,34.36,,fee schedule,34.36,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,35.01,,fee schedule,35.01,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,32.72,,fee schedule,32.72,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,AETNA,AETNA,,401.94,87,percent of total billed charges,401.94,10.03,462,percent of total billed charges,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.94,87,percent of total billed charges,401.94,10.03,462,percent of total billed charges,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,UNITED HEALTHCARE,UNITED HEALTHCARE,,406.56,88,percent of total billed charges,406.56,10.03,462,percent of total billed charges,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,AETNA,AETNA,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,BEECH STREET,BEECH STREET,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,MEDICAID,MEDICAID,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,NOVA NET,NOVA NET,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,SELFPAY,SELFPAY,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 3 VIEWS,72100,CPT,both,,,462,462,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,462,,fee schedule,462,10.03,462,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,AMERIGROUP,AMERIGROUP,,14.49,,fee schedule,14.49,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,AMERIGROUP,AMERIGROUP,,32.84,,fee schedule,32.84,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,AMERIGROUP,AMERIGROUP,,47.33,,fee schedule,47.33,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,14.77,,fee schedule,14.77,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,33.47,,fee schedule,33.47,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,48.24,,fee schedule,48.24,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,13.8,,fee schedule,13.8,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,31.28,,fee schedule,31.28,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,45.08,,fee schedule,45.08,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,TRICARE,TRICARE,,106.88,,fee schedule,106.88,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,AETNA,AETNA,,837.81,87,percent of total billed charges,837.81,13.8,963,percent of total billed charges,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,837.81,87,percent of total billed charges,837.81,13.8,963,percent of total billed charges,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,UNITED HEALTHCARE,UNITED HEALTHCARE,,847.44,88,percent of total billed charges,847.44,13.8,963,percent of total billed charges,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,AETNA,AETNA,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,BEECH STREET,BEECH STREET,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,MEDICAID,MEDICAID,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,NOVA NET,NOVA NET,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,SELFPAY,SELFPAY,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE 5 VIEWS,72110,CPT,both,,,963,963,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,AMERIGROUP,AMERIGROUP,,14.49,,fee schedule,14.49,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,AMERIGROUP,AMERIGROUP,,32.84,,fee schedule,32.84,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,AMERIGROUP,AMERIGROUP,,47.33,,fee schedule,47.33,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,14.77,,fee schedule,14.77,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,33.47,,fee schedule,33.47,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,48.24,,fee schedule,48.24,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,13.8,,fee schedule,13.8,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,31.28,,fee schedule,31.28,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,45.08,,fee schedule,45.08,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,TRICARE,TRICARE,,106.88,,fee schedule,106.88,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,AETNA,AETNA,,837.81,87,percent of total billed charges,837.81,13.8,963,percent of total billed charges,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,837.81,87,percent of total billed charges,837.81,13.8,963,percent of total billed charges,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,UNITED HEALTHCARE,UNITED HEALTHCARE,,847.44,88,percent of total billed charges,847.44,13.8,963,percent of total billed charges,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,AETNA,AETNA,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,BEECH STREET,BEECH STREET,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CARESOURCE,CARESOURCE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,MEDICAID,MEDICAID,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,NOVA NET,NOVA NET,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,PEACHSTATE,PEACHSTATE,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,SELFPAY,SELFPAY,,963,,fee schedule,963,13.8,963,fee schedule,
LUMBAR SPINE KYPHOPLASTY,72110,CPT,both,,,963,963,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,963,,fee schedule,963,13.8,963,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,TRICARE,TRICARE,,106.88,,fee schedule,106.88,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,AETNA,AETNA,,2824.89,87,percent of total billed charges,2824.89,51.75,3247,percent of total billed charges,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2824.89,87,percent of total billed charges,2824.89,51.75,3247,percent of total billed charges,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,UNITED HEALTHCARE,UNITED HEALTHCARE,,2857.36,88,percent of total billed charges,2857.36,51.75,3247,percent of total billed charges,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,AETNA,AETNA,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,BEECH STREET,BEECH STREET,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CARESOURCE,CARESOURCE,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,MEDICAID,MEDICAID,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,NOVA NET,NOVA NET,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,PEACHSTATE,PEACHSTATE,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,SELFPAY,SELFPAY,,3247,,fee schedule,3247,51.75,3247,fee schedule,
CT CERVICAL SPINE,72125,CPT,both,,,3247,3247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3247,,fee schedule,3247,51.75,3247,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,AMERIGROUP,AMERIGROUP,,309.47,,fee schedule,309.47,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CARESOURCE,CARESOURCE,,315.36,,fee schedule,315.36,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,PEACHSTATE,PEACHSTATE,,294.73,,fee schedule,294.73,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,TRICARE,TRICARE,,368.43,,fee schedule,368.43,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,AETNA,AETNA,,2478.63,87,percent of total billed charges,2478.63,54.25,2849,percent of total billed charges,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2478.63,87,percent of total billed charges,2478.63,54.25,2849,percent of total billed charges,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,UNITED HEALTHCARE,UNITED HEALTHCARE,,2507.12,88,percent of total billed charges,2507.12,54.25,2849,percent of total billed charges,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,AETNA,AETNA,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,BEECH STREET,BEECH STREET,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CARESOURCE,CARESOURCE,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,MEDICAID,MEDICAID,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,NOVA NET,NOVA NET,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,PEACHSTATE,PEACHSTATE,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,SELFPAY,SELFPAY,,2849,,fee schedule,2849,54.25,2849,fee schedule,
POSTMYELOGRAM CERV W/CONT,72126,CPT,both,,,2849,2849,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2849,,fee schedule,2849,54.25,2849,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,TRICARE,TRICARE,,106.88,,fee schedule,106.88,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,AETNA,AETNA,,2707.44,87,percent of total billed charges,2707.44,51.75,3112,percent of total billed charges,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2707.44,87,percent of total billed charges,2707.44,51.75,3112,percent of total billed charges,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,UNITED HEALTHCARE,UNITED HEALTHCARE,,2738.56,88,percent of total billed charges,2738.56,51.75,3112,percent of total billed charges,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,AETNA,AETNA,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,BEECH STREET,BEECH STREET,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,MEDICAID,MEDICAID,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,NOVA NET,NOVA NET,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,SELFPAY,SELFPAY,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE,72128,CPT,both,,,3112,3112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,TRICARE,TRICARE,,106.88,,fee schedule,106.88,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,AETNA,AETNA,,2707.44,87,percent of total billed charges,2707.44,51.75,3112,percent of total billed charges,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2707.44,87,percent of total billed charges,2707.44,51.75,3112,percent of total billed charges,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,UNITED HEALTHCARE,UNITED HEALTHCARE,,2738.56,88,percent of total billed charges,2738.56,51.75,3112,percent of total billed charges,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,AETNA,AETNA,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,BEECH STREET,BEECH STREET,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CARESOURCE,CARESOURCE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,MEDICAID,MEDICAID,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,NOVA NET,NOVA NET,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,PEACHSTATE,PEACHSTATE,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,SELFPAY,SELFPAY,,3112,,fee schedule,3112,51.75,3112,fee schedule,
POST MYELOGRAM THORACIC,72128,CPT,both,,,3112,3112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3112,,fee schedule,3112,51.75,3112,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,AMERIGROUP,AMERIGROUP,,309.47,,fee schedule,309.47,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CARESOURCE,CARESOURCE,,315.36,,fee schedule,315.36,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,PEACHSTATE,PEACHSTATE,,294.73,,fee schedule,294.73,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,TRICARE,TRICARE,,180.34,,fee schedule,180.34,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,AETNA,AETNA,,2772.69,87,percent of total billed charges,2772.69,54.25,3187,percent of total billed charges,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2772.69,87,percent of total billed charges,2772.69,54.25,3187,percent of total billed charges,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,UNITED HEALTHCARE,UNITED HEALTHCARE,,2804.56,88,percent of total billed charges,2804.56,54.25,3187,percent of total billed charges,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,AETNA,AETNA,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,BEECH STREET,BEECH STREET,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CARESOURCE,CARESOURCE,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,MEDICAID,MEDICAID,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,NOVA NET,NOVA NET,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,PEACHSTATE,PEACHSTATE,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,SELFPAY,SELFPAY,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT THORACIC SPINE W CONTRAST,72129,CPT,both,,,3187,3187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3187,,fee schedule,3187,54.25,3187,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,TRICARE,TRICARE,,106.88,,fee schedule,106.88,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,AETNA,AETNA,,2771.82,87,percent of total billed charges,2771.82,51.75,3186,percent of total billed charges,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2771.82,87,percent of total billed charges,2771.82,51.75,3186,percent of total billed charges,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,UNITED HEALTHCARE,UNITED HEALTHCARE,,2803.68,88,percent of total billed charges,2803.68,51.75,3186,percent of total billed charges,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,AETNA,AETNA,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,BEECH STREET,BEECH STREET,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CARESOURCE,CARESOURCE,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,MEDICAID,MEDICAID,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,NOVA NET,NOVA NET,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,PEACHSTATE,PEACHSTATE,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,SELFPAY,SELFPAY,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE,72131,CPT,both,,,3186,3186,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3186,,fee schedule,3186,51.75,3186,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,AMERIGROUP,AMERIGROUP,,309.47,,fee schedule,309.47,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CARESOURCE,CARESOURCE,,315.36,,fee schedule,315.36,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,PEACHSTATE,PEACHSTATE,,294.73,,fee schedule,294.73,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,TRICARE,TRICARE,,368.43,,fee schedule,368.43,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,AETNA,AETNA,,2544.75,87,percent of total billed charges,2544.75,54.25,2925,percent of total billed charges,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2544.75,87,percent of total billed charges,2544.75,54.25,2925,percent of total billed charges,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,UNITED HEALTHCARE,UNITED HEALTHCARE,,2574,88,percent of total billed charges,2574,54.25,2925,percent of total billed charges,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,AETNA,AETNA,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,BEECH STREET,BEECH STREET,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CARESOURCE,CARESOURCE,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,MEDICAID,MEDICAID,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,NOVA NET,NOVA NET,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,PEACHSTATE,PEACHSTATE,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,SELFPAY,SELFPAY,,2925,,fee schedule,2925,54.25,2925,fee schedule,
CT LUMBAR SPINE W CONTRAST,72132,CPT,both,,,2925,2925,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2925,,fee schedule,2925,54.25,2925,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,AMERIGROUP,AMERIGROUP,,252.5,,fee schedule,252.5,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,AMERIGROUP,AMERIGROUP,,309.47,,fee schedule,309.47,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CARESOURCE,CARESOURCE,,257.31,,fee schedule,257.31,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CARESOURCE,CARESOURCE,,315.36,,fee schedule,315.36,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,PEACHSTATE,PEACHSTATE,,240.48,,fee schedule,240.48,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,PEACHSTATE,PEACHSTATE,,294.73,,fee schedule,294.73,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,TRICARE,TRICARE,,368.43,,fee schedule,368.43,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,AETNA,AETNA,,2432.52,87,percent of total billed charges,2432.52,54.25,2796,percent of total billed charges,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2432.52,87,percent of total billed charges,2432.52,54.25,2796,percent of total billed charges,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,UNITED HEALTHCARE,UNITED HEALTHCARE,,2460.48,88,percent of total billed charges,2460.48,54.25,2796,percent of total billed charges,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,AETNA,AETNA,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,BEECH STREET,BEECH STREET,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CARESOURCE,CARESOURCE,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,MEDICAID,MEDICAID,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,NOVA NET,NOVA NET,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,PEACHSTATE,PEACHSTATE,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,SELFPAY,SELFPAY,,2796,,fee schedule,2796,54.25,2796,fee schedule,
POST MYELOGRAM LUMBAR,72132,CPT,both,,,2796,2796,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2796,,fee schedule,2796,54.25,2796,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,74.77,,fee schedule,74.77,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,474.83,,fee schedule,474.83,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,76.19,,fee schedule,76.19,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,483.88,,fee schedule,483.88,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,71.21,,fee schedule,71.21,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,452.22,,fee schedule,452.22,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,AETNA,AETNA,,3122.43,87,percent of total billed charges,3122.43,71.21,3589,percent of total billed charges,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3122.43,87,percent of total billed charges,3122.43,71.21,3589,percent of total billed charges,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,UNITED HEALTHCARE,UNITED HEALTHCARE,,3158.32,88,percent of total billed charges,3158.32,71.21,3589,percent of total billed charges,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,AETNA,AETNA,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,BEECH STREET,BEECH STREET,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,MEDICAID,MEDICAID,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,NOVA NET,NOVA NET,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,SELFPAY,SELFPAY,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI CERVICAL SPINE - INCO,72141,CPT,both,,,3589,3589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,74.77,,fee schedule,74.77,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,474.83,,fee schedule,474.83,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,76.19,,fee schedule,76.19,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,483.88,,fee schedule,483.88,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,71.21,,fee schedule,71.21,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,452.22,,fee schedule,452.22,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,AETNA,AETNA,,3122.43,87,percent of total billed charges,3122.43,71.21,3589,percent of total billed charges,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3122.43,87,percent of total billed charges,3122.43,71.21,3589,percent of total billed charges,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,UNITED HEALTHCARE,UNITED HEALTHCARE,,3158.32,88,percent of total billed charges,3158.32,71.21,3589,percent of total billed charges,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,AETNA,AETNA,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,BEECH STREET,BEECH STREET,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,MEDICAID,MEDICAID,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,NOVA NET,NOVA NET,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,SELFPAY,SELFPAY,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:SPINAL AND CONT; CERV,72141,CPT,both,,,3589,3589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3589,,fee schedule,3589,71.21,3589,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,AMERIGROUP,AMERIGROUP,,90.23,,fee schedule,90.23,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,AMERIGROUP,AMERIGROUP,,479.55,,fee schedule,479.55,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,AMERIGROUP,AMERIGROUP,,569.77,,fee schedule,569.77,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CARESOURCE,CARESOURCE,,91.95,,fee schedule,91.95,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CARESOURCE,CARESOURCE,,488.68,,fee schedule,488.68,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CARESOURCE,CARESOURCE,,580.62,,fee schedule,580.62,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,PEACHSTATE,PEACHSTATE,,85.93,,fee schedule,85.93,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,PEACHSTATE,PEACHSTATE,,456.71,,fee schedule,456.71,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,PEACHSTATE,PEACHSTATE,,542.64,,fee schedule,542.64,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,TRICARE,TRICARE,,368.43,,fee schedule,368.43,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,AETNA,AETNA,,3252.93,87,percent of total billed charges,3252.93,85.93,3739,percent of total billed charges,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3252.93,87,percent of total billed charges,3252.93,85.93,3739,percent of total billed charges,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,UNITED HEALTHCARE,UNITED HEALTHCARE,,3290.32,88,percent of total billed charges,3290.32,85.93,3739,percent of total billed charges,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,AETNA,AETNA,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,BEECH STREET,BEECH STREET,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CARESOURCE,CARESOURCE,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,MEDICAID,MEDICAID,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,NOVA NET,NOVA NET,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,PEACHSTATE,PEACHSTATE,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,SELFPAY,SELFPAY,,3739,,fee schedule,3739,85.93,3739,fee schedule,
CERVICAL WITH CONTRAST,72142,CPT,both,,,3739,3739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3739,,fee schedule,3739,85.93,3739,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,AMERIGROUP,AMERIGROUP,,74.77,,fee schedule,74.77,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,AMERIGROUP,AMERIGROUP,,444.01,,fee schedule,444.01,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,AMERIGROUP,AMERIGROUP,,518.77,,fee schedule,518.77,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CARESOURCE,CARESOURCE,,76.19,,fee schedule,76.19,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CARESOURCE,CARESOURCE,,452.47,,fee schedule,452.47,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CARESOURCE,CARESOURCE,,528.65,,fee schedule,528.65,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,PEACHSTATE,PEACHSTATE,,71.21,,fee schedule,71.21,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,PEACHSTATE,PEACHSTATE,,422.87,,fee schedule,422.87,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,PEACHSTATE,PEACHSTATE,,494.07,,fee schedule,494.07,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,AETNA,AETNA,,2891.01,87,percent of total billed charges,2891.01,71.21,3323,percent of total billed charges,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2891.01,87,percent of total billed charges,2891.01,71.21,3323,percent of total billed charges,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,UNITED HEALTHCARE,UNITED HEALTHCARE,,2924.24,88,percent of total billed charges,2924.24,71.21,3323,percent of total billed charges,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,AETNA,AETNA,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,BEECH STREET,BEECH STREET,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CARESOURCE,CARESOURCE,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,MEDICAID,MEDICAID,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,NOVA NET,NOVA NET,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,PEACHSTATE,PEACHSTATE,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,SELFPAY,SELFPAY,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC & CONTENTS,72146,CPT,both,,,3323,3323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3323,,fee schedule,3323,71.21,3323,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,AMERIGROUP,AMERIGROUP,,90.23,,fee schedule,90.23,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,AMERIGROUP,AMERIGROUP,,479.55,,fee schedule,479.55,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,AMERIGROUP,AMERIGROUP,,569.77,,fee schedule,569.77,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CARESOURCE,CARESOURCE,,91.95,,fee schedule,91.95,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CARESOURCE,CARESOURCE,,488.68,,fee schedule,488.68,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CARESOURCE,CARESOURCE,,580.62,,fee schedule,580.62,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,PEACHSTATE,PEACHSTATE,,85.93,,fee schedule,85.93,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,PEACHSTATE,PEACHSTATE,,456.71,,fee schedule,456.71,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,PEACHSTATE,PEACHSTATE,,542.64,,fee schedule,542.64,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,TRICARE,TRICARE,,368.43,,fee schedule,368.43,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,AETNA,AETNA,,3012.81,87,percent of total billed charges,3012.81,85.93,3463,percent of total billed charges,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3012.81,87,percent of total billed charges,3012.81,85.93,3463,percent of total billed charges,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,UNITED HEALTHCARE,UNITED HEALTHCARE,,3047.44,88,percent of total billed charges,3047.44,85.93,3463,percent of total billed charges,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,AETNA,AETNA,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,BEECH STREET,BEECH STREET,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CARESOURCE,CARESOURCE,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,MEDICAID,MEDICAID,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,NOVA NET,NOVA NET,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,PEACHSTATE,PEACHSTATE,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,SELFPAY,SELFPAY,,3463,,fee schedule,3463,85.93,3463,fee schedule,
THORACIC WITH CONTRAST,72147,CPT,both,,,3463,3463,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3463,,fee schedule,3463,85.93,3463,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,69.48,,fee schedule,69.48,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,444.01,,fee schedule,444.01,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,513.49,,fee schedule,513.49,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,70.8,,fee schedule,70.8,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,452.47,,fee schedule,452.47,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,523.27,,fee schedule,523.27,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,66.17,,fee schedule,66.17,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,422.87,,fee schedule,422.87,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,489.04,,fee schedule,489.04,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,TRICARE,TRICARE,,233.52,,fee schedule,233.52,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,AETNA,AETNA,,3122.43,87,percent of total billed charges,3122.43,66.17,3589,percent of total billed charges,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3122.43,87,percent of total billed charges,3122.43,66.17,3589,percent of total billed charges,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,UNITED HEALTHCARE,UNITED HEALTHCARE,,3158.32,88,percent of total billed charges,3158.32,66.17,3589,percent of total billed charges,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,AETNA,AETNA,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,BEECH STREET,BEECH STREET,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,MEDICAID,MEDICAID,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,NOVA NET,NOVA NET,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,SELFPAY,SELFPAY,,3589,,fee schedule,3589,66.17,3589,fee schedule,
MRI:SPINAL AND CONT:LUMBA,72148,CPT,both,,,3589,3589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3589,,fee schedule,3589,66.17,3589,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,AMERIGROUP,AMERIGROUP,,83.65,,fee schedule,83.65,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,AMERIGROUP,AMERIGROUP,,479.55,,fee schedule,479.55,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,AMERIGROUP,AMERIGROUP,,563.2,,fee schedule,563.2,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CARESOURCE,CARESOURCE,,85.25,,fee schedule,85.25,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CARESOURCE,CARESOURCE,,488.68,,fee schedule,488.68,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CARESOURCE,CARESOURCE,,573.93,,fee schedule,573.93,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,PEACHSTATE,PEACHSTATE,,79.67,,fee schedule,79.67,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,PEACHSTATE,PEACHSTATE,,456.71,,fee schedule,456.71,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,PEACHSTATE,PEACHSTATE,,536.38,,fee schedule,536.38,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,TRICARE,TRICARE,,368.43,,fee schedule,368.43,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,AETNA,AETNA,,3146.79,87,percent of total billed charges,3146.79,79.67,3617,percent of total billed charges,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3146.79,87,percent of total billed charges,3146.79,79.67,3617,percent of total billed charges,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,UNITED HEALTHCARE,UNITED HEALTHCARE,,3182.96,88,percent of total billed charges,3182.96,79.67,3617,percent of total billed charges,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,AETNA,AETNA,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,BEECH STREET,BEECH STREET,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CARESOURCE,CARESOURCE,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,MEDICAID,MEDICAID,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,NOVA NET,NOVA NET,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,PEACHSTATE,PEACHSTATE,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,SELFPAY,SELFPAY,,3617,,fee schedule,3617,79.67,3617,fee schedule,
LUMBAR WITH CONTRAST,72149,CPT,both,,,3617,3617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3617,,fee schedule,3617,79.67,3617,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,AMERIGROUP,AMERIGROUP,,120.21,,fee schedule,120.21,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,AMERIGROUP,AMERIGROUP,,888.64,,fee schedule,888.64,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,AMERIGROUP,AMERIGROUP,,1008.83,,fee schedule,1008.83,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,122.5,,fee schedule,122.5,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,905.56,,fee schedule,905.56,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,1028.05,,fee schedule,1028.05,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,114.49,,fee schedule,114.49,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,846.32,,fee schedule,846.32,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,960.79,,fee schedule,960.79,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,TRICARE,TRICARE,,368.43,,fee schedule,368.43,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,AETNA,AETNA,,3391.26,87,percent of total billed charges,3391.26,114.49,3898,percent of total billed charges,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3391.26,87,percent of total billed charges,3391.26,114.49,3898,percent of total billed charges,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,UNITED HEALTHCARE,UNITED HEALTHCARE,,3430.24,88,percent of total billed charges,3430.24,114.49,3898,percent of total billed charges,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,AETNA,AETNA,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,BEECH STREET,BEECH STREET,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,MEDICAID,MEDICAID,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,NOVA NET,NOVA NET,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,SELFPAY,SELFPAY,,3898,,fee schedule,3898,114.49,3898,fee schedule,
CERVICAL W & W/O CONTRAST,72156,CPT,both,,,3898,3898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3898,,fee schedule,3898,114.49,3898,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,AMERIGROUP,AMERIGROUP,,120.21,,fee schedule,120.21,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,AMERIGROUP,AMERIGROUP,,888.64,,fee schedule,888.64,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,AMERIGROUP,AMERIGROUP,,1008.83,,fee schedule,1008.83,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CARESOURCE,CARESOURCE,,122.5,,fee schedule,122.5,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CARESOURCE,CARESOURCE,,905.56,,fee schedule,905.56,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CARESOURCE,CARESOURCE,,1028.05,,fee schedule,1028.05,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,PEACHSTATE,PEACHSTATE,,114.49,,fee schedule,114.49,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,PEACHSTATE,PEACHSTATE,,846.32,,fee schedule,846.32,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,PEACHSTATE,PEACHSTATE,,960.79,,fee schedule,960.79,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,TRICARE,TRICARE,,368.43,,fee schedule,368.43,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,AETNA,AETNA,,3140.7,87,percent of total billed charges,3140.7,114.49,3610,percent of total billed charges,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3140.7,87,percent of total billed charges,3140.7,114.49,3610,percent of total billed charges,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,UNITED HEALTHCARE,UNITED HEALTHCARE,,3176.8,88,percent of total billed charges,3176.8,114.49,3610,percent of total billed charges,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,AETNA,AETNA,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,BEECH STREET,BEECH STREET,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CARESOURCE,CARESOURCE,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,MEDICAID,MEDICAID,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,NOVA NET,NOVA NET,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,PEACHSTATE,PEACHSTATE,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,SELFPAY,SELFPAY,,3610,,fee schedule,3610,114.49,3610,fee schedule,
THORACIC W & W/O CONTRAST,72157,CPT,both,,,3610,3610,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3610,,fee schedule,3610,114.49,3610,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,AMERIGROUP,AMERIGROUP,,110.66,,fee schedule,110.66,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,AMERIGROUP,AMERIGROUP,,888.64,,fee schedule,888.64,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,AMERIGROUP,AMERIGROUP,,999.3,,fee schedule,999.3,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,112.77,,fee schedule,112.77,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,905.56,,fee schedule,905.56,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,1018.33,,fee schedule,1018.33,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,105.39,,fee schedule,105.39,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,846.32,,fee schedule,846.32,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,951.71,,fee schedule,951.71,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,TRICARE,TRICARE,,368.43,,fee schedule,368.43,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,AETNA,AETNA,,3391.26,87,percent of total billed charges,3391.26,105.39,3898,percent of total billed charges,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3391.26,87,percent of total billed charges,3391.26,105.39,3898,percent of total billed charges,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,UNITED HEALTHCARE,UNITED HEALTHCARE,,3430.24,88,percent of total billed charges,3430.24,105.39,3898,percent of total billed charges,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,AETNA,AETNA,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,BEECH STREET,BEECH STREET,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CARESOURCE,CARESOURCE,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,MEDICAID,MEDICAID,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,NOVA NET,NOVA NET,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,PEACHSTATE,PEACHSTATE,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,SELFPAY,SELFPAY,,3898,,fee schedule,3898,105.39,3898,fee schedule,
LUMBAR W & W/O CONTRAST,72158,CPT,both,,,3898,3898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3898,,fee schedule,3898,105.39,3898,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,TRICARE,TRICARE,,106.88,,fee schedule,106.88,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,AETNA,AETNA,,328.86,87,percent of total billed charges,328.86,7.84,378,percent of total billed charges,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328.86,87,percent of total billed charges,328.86,7.84,378,percent of total billed charges,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,UNITED HEALTHCARE,UNITED HEALTHCARE,,332.64,88,percent of total billed charges,332.64,7.84,378,percent of total billed charges,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,AETNA,AETNA,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,BEECH STREET,BEECH STREET,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,MEDICAID,MEDICAID,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,NOVA NET,NOVA NET,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,SELFPAY,SELFPAY,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS (JUDET VIEWS),72170,CPT,both,,,378,378,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,TRICARE,TRICARE,,106.88,,fee schedule,106.88,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,AETNA,AETNA,,328.86,87,percent of total billed charges,328.86,7.84,378,percent of total billed charges,
PELVIS XRAY,72170,CPT,both,,,378,378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328.86,87,percent of total billed charges,328.86,7.84,378,percent of total billed charges,
PELVIS XRAY,72170,CPT,both,,,378,378,UNITED HEALTHCARE,UNITED HEALTHCARE,,332.64,88,percent of total billed charges,332.64,7.84,378,percent of total billed charges,
PELVIS XRAY,72170,CPT,both,,,378,378,AETNA,AETNA,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,BEECH STREET,BEECH STREET,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,MEDICAID,MEDICAID,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,NOVA NET,NOVA NET,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,SELFPAY,SELFPAY,,378,,fee schedule,378,7.84,378,fee schedule,
PELVIS XRAY,72170,CPT,both,,,378,378,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,378,,fee schedule,378,7.84,378,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,261.96,,fee schedule,261.96,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,266.95,,fee schedule,266.95,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,249.49,,fee schedule,249.49,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,AETNA,AETNA,,2403.81,87,percent of total billed charges,2403.81,48.3,2763,percent of total billed charges,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2403.81,87,percent of total billed charges,2403.81,48.3,2763,percent of total billed charges,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,UNITED HEALTHCARE,UNITED HEALTHCARE,,2431.44,88,percent of total billed charges,2431.44,48.3,2763,percent of total billed charges,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,AETNA,AETNA,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,BEECH STREET,BEECH STREET,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,MEDICAID,MEDICAID,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,NOVA NET,NOVA NET,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,SELFPAY,SELFPAY,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT BONY PELVIS,72192,CPT,both,,,2763,2763,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,261.96,,fee schedule,261.96,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,266.95,,fee schedule,266.95,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,249.49,,fee schedule,249.49,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,AETNA,AETNA,,2403.81,87,percent of total billed charges,2403.81,48.3,2763,percent of total billed charges,
CT PELVIS,72192,CPT,both,,,2763,2763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2403.81,87,percent of total billed charges,2403.81,48.3,2763,percent of total billed charges,
CT PELVIS,72192,CPT,both,,,2763,2763,UNITED HEALTHCARE,UNITED HEALTHCARE,,2431.44,88,percent of total billed charges,2431.44,48.3,2763,percent of total billed charges,
CT PELVIS,72192,CPT,both,,,2763,2763,AETNA,AETNA,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,BEECH STREET,BEECH STREET,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,MEDICAID,MEDICAID,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,NOVA NET,NOVA NET,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,SELFPAY,SELFPAY,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT PELVIS,72192,CPT,both,,,2763,2763,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,AMERIGROUP,AMERIGROUP,,261.96,,fee schedule,261.96,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,266.95,,fee schedule,266.95,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,249.49,,fee schedule,249.49,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,AETNA,AETNA,,2403.81,87,percent of total billed charges,2403.81,48.3,2763,percent of total billed charges,
CT SACRUM,72192,CPT,both,,,2763,2763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2403.81,87,percent of total billed charges,2403.81,48.3,2763,percent of total billed charges,
CT SACRUM,72192,CPT,both,,,2763,2763,UNITED HEALTHCARE,UNITED HEALTHCARE,,2431.44,88,percent of total billed charges,2431.44,48.3,2763,percent of total billed charges,
CT SACRUM,72192,CPT,both,,,2763,2763,AETNA,AETNA,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,BEECH STREET,BEECH STREET,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,CARESOURCE,CARESOURCE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,MEDICAID,MEDICAID,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,NOVA NET,NOVA NET,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,PEACHSTATE,PEACHSTATE,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,SELFPAY,SELFPAY,,2763,,fee schedule,2763,48.3,2763,fee schedule,
CT SACRUM,72192,CPT,both,,,2763,2763,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2763,,fee schedule,2763,48.3,2763,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,AMERIGROUP,AMERIGROUP,,244.47,,fee schedule,244.47,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,AMERIGROUP,AMERIGROUP,,298.78,,fee schedule,298.78,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CARESOURCE,CARESOURCE,,249.13,,fee schedule,249.13,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CARESOURCE,CARESOURCE,,304.47,,fee schedule,304.47,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,PEACHSTATE,PEACHSTATE,,232.83,,fee schedule,232.83,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,PEACHSTATE,PEACHSTATE,,284.55,,fee schedule,284.55,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,TRICARE,TRICARE,,180.34,,fee schedule,180.34,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,AETNA,AETNA,,2754.42,87,percent of total billed charges,2754.42,51.75,3166,percent of total billed charges,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2754.42,87,percent of total billed charges,2754.42,51.75,3166,percent of total billed charges,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,UNITED HEALTHCARE,UNITED HEALTHCARE,,2786.08,88,percent of total billed charges,2786.08,51.75,3166,percent of total billed charges,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,AETNA,AETNA,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,BEECH STREET,BEECH STREET,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CARESOURCE,CARESOURCE,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,MEDICAID,MEDICAID,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,NOVA NET,NOVA NET,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,PEACHSTATE,PEACHSTATE,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,SELFPAY,SELFPAY,,3166,,fee schedule,3166,51.75,3166,fee schedule,
PELVIS WITH CONTRAST,72193,CPT,both,,,3166,3166,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3166,,fee schedule,3166,51.75,3166,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,AMERIGROUP,AMERIGROUP,,302.84,,fee schedule,302.84,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,AMERIGROUP,AMERIGROUP,,359.81,,fee schedule,359.81,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CARESOURCE,CARESOURCE,,308.61,,fee schedule,308.61,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CARESOURCE,CARESOURCE,,366.67,,fee schedule,366.67,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,PEACHSTATE,PEACHSTATE,,288.42,,fee schedule,288.42,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,PEACHSTATE,PEACHSTATE,,342.68,,fee schedule,342.68,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,TRICARE,TRICARE,,180.34,,fee schedule,180.34,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,AETNA,AETNA,,3071.1,87,percent of total billed charges,3071.1,54.25,3530,percent of total billed charges,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3071.1,87,percent of total billed charges,3071.1,54.25,3530,percent of total billed charges,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,UNITED HEALTHCARE,UNITED HEALTHCARE,,3106.4,88,percent of total billed charges,3106.4,54.25,3530,percent of total billed charges,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,AETNA,AETNA,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,BEECH STREET,BEECH STREET,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CARESOURCE,CARESOURCE,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,MEDICAID,MEDICAID,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,NOVA NET,NOVA NET,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,PEACHSTATE,PEACHSTATE,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,SELFPAY,SELFPAY,,3530,,fee schedule,3530,54.25,3530,fee schedule,
CT PELVIS WITH & W/O CONT,72194,CPT,both,,,3530,3530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3530,,fee schedule,3530,54.25,3530,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,AMERIGROUP,AMERIGROUP,,58.65,,fee schedule,58.65,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,AMERIGROUP,AMERIGROUP,,453.03,,fee schedule,453.03,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,AMERIGROUP,AMERIGROUP,,511.68,,fee schedule,511.68,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,59.77,,fee schedule,59.77,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,461.66,,fee schedule,461.66,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,521.42,,fee schedule,521.42,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,55.86,,fee schedule,55.86,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,431.46,,fee schedule,431.46,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,487.31,,fee schedule,487.31,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,TRICARE,TRICARE,,233.52,,fee schedule,233.52,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,AETNA,AETNA,,2556.93,87,percent of total billed charges,2556.93,55.86,2939,percent of total billed charges,
MRI PELVIS,72195,CPT,both,,,2939,2939,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2556.93,87,percent of total billed charges,2556.93,55.86,2939,percent of total billed charges,
MRI PELVIS,72195,CPT,both,,,2939,2939,UNITED HEALTHCARE,UNITED HEALTHCARE,,2586.32,88,percent of total billed charges,2586.32,55.86,2939,percent of total billed charges,
MRI PELVIS,72195,CPT,both,,,2939,2939,AETNA,AETNA,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,BEECH STREET,BEECH STREET,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,MEDICAID,MEDICAID,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,NOVA NET,NOVA NET,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,SELFPAY,SELFPAY,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS,72195,CPT,both,,,2939,2939,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,AMERIGROUP,AMERIGROUP,,58.65,,fee schedule,58.65,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,AMERIGROUP,AMERIGROUP,,453.03,,fee schedule,453.03,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,AMERIGROUP,AMERIGROUP,,511.68,,fee schedule,511.68,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,59.77,,fee schedule,59.77,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,461.66,,fee schedule,461.66,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,521.42,,fee schedule,521.42,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,55.86,,fee schedule,55.86,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,431.46,,fee schedule,431.46,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,487.31,,fee schedule,487.31,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,TRICARE,TRICARE,,233.52,,fee schedule,233.52,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,AETNA,AETNA,,2556.93,87,percent of total billed charges,2556.93,55.86,2939,percent of total billed charges,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2556.93,87,percent of total billed charges,2556.93,55.86,2939,percent of total billed charges,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,UNITED HEALTHCARE,UNITED HEALTHCARE,,2586.32,88,percent of total billed charges,2586.32,55.86,2939,percent of total billed charges,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,AETNA,AETNA,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,BEECH STREET,BEECH STREET,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CARESOURCE,CARESOURCE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,MEDICAID,MEDICAID,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,NOVA NET,NOVA NET,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,PEACHSTATE,PEACHSTATE,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,SELFPAY,SELFPAY,,2939,,fee schedule,2939,55.86,2939,fee schedule,
SACRUM W/O CO,72195,CPT,both,,,2939,2939,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2939,,fee schedule,2939,55.86,2939,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,AMERIGROUP,AMERIGROUP,,74.77,,fee schedule,74.77,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,AMERIGROUP,AMERIGROUP,,474.83,,fee schedule,474.83,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,76.19,,fee schedule,76.19,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,483.88,,fee schedule,483.88,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,71.21,,fee schedule,71.21,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,452.22,,fee schedule,452.22,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,TRICARE,TRICARE,,368.43,,fee schedule,368.43,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,AETNA,AETNA,,2688.3,87,percent of total billed charges,2688.3,71.21,3090,percent of total billed charges,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2688.3,87,percent of total billed charges,2688.3,71.21,3090,percent of total billed charges,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,UNITED HEALTHCARE,UNITED HEALTHCARE,,2719.2,88,percent of total billed charges,2719.2,71.21,3090,percent of total billed charges,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,AETNA,AETNA,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,BEECH STREET,BEECH STREET,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,MEDICAID,MEDICAID,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,NOVA NET,NOVA NET,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,SELFPAY,SELFPAY,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS WITH CONTRAST,72196,CPT,both,,,3090,3090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3090,,fee schedule,3090,71.21,3090,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,AMERIGROUP,AMERIGROUP,,91.53,,fee schedule,91.53,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,AMERIGROUP,AMERIGROUP,,1003.58,,fee schedule,1003.58,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,AMERIGROUP,AMERIGROUP,,1095.12,,fee schedule,1095.12,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CARESOURCE,CARESOURCE,,93.27,,fee schedule,93.27,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CARESOURCE,CARESOURCE,,1022.7,,fee schedule,1022.7,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CARESOURCE,CARESOURCE,,1115.98,,fee schedule,1115.98,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,PEACHSTATE,PEACHSTATE,,87.17,,fee schedule,87.17,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,PEACHSTATE,PEACHSTATE,,955.79,,fee schedule,955.79,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,PEACHSTATE,PEACHSTATE,,1042.97,,fee schedule,1042.97,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,TRICARE,TRICARE,,368.43,,fee schedule,368.43,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,AETNA,AETNA,,2840.55,87,percent of total billed charges,2840.55,87.17,3265,percent of total billed charges,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2840.55,87,percent of total billed charges,2840.55,87.17,3265,percent of total billed charges,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,UNITED HEALTHCARE,UNITED HEALTHCARE,,2873.2,88,percent of total billed charges,2873.2,87.17,3265,percent of total billed charges,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,AETNA,AETNA,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,BEECH STREET,BEECH STREET,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CARESOURCE,CARESOURCE,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,MEDICAID,MEDICAID,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,NOVA NET,NOVA NET,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,PEACHSTATE,PEACHSTATE,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,SELFPAY,SELFPAY,,3265,,fee schedule,3265,87.17,3265,fee schedule,
MRI PELVIS W/O WITH CONT,72197,CPT,both,,,3265,3265,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3265,,fee schedule,3265,87.17,3265,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,AMERIGROUP,AMERIGROUP,,31.35,,fee schedule,31.35,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,31.95,,fee schedule,31.95,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,29.86,,fee schedule,29.86,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,TRICARE,TRICARE,,106.88,,fee schedule,106.88,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,AETNA,AETNA,,226.2,87,percent of total billed charges,226.2,8.79,260,percent of total billed charges,
SI JOINTS,72202,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226.2,87,percent of total billed charges,226.2,8.79,260,percent of total billed charges,
SI JOINTS,72202,CPT,both,,,260,260,UNITED HEALTHCARE,UNITED HEALTHCARE,,228.8,88,percent of total billed charges,228.8,8.79,260,percent of total billed charges,
SI JOINTS,72202,CPT,both,,,260,260,AETNA,AETNA,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,BEECH STREET,BEECH STREET,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,MEDICAID,MEDICAID,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,NOVA NET,NOVA NET,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,SELFPAY,SELFPAY,,260,,fee schedule,260,8.79,260,fee schedule,
SI JOINTS,72202,CPT,both,,,260,260,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,260,,fee schedule,260,8.79,260,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,AETNA,AETNA,,346.26,87,percent of total billed charges,346.26,7.84,398,percent of total billed charges,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,346.26,87,percent of total billed charges,346.26,7.84,398,percent of total billed charges,
SACRUM/COCCYX,72220,CPT,both,,,398,398,UNITED HEALTHCARE,UNITED HEALTHCARE,,350.24,88,percent of total billed charges,350.24,7.84,398,percent of total billed charges,
SACRUM/COCCYX,72220,CPT,both,,,398,398,AETNA,AETNA,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,BEECH STREET,BEECH STREET,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,MEDICAID,MEDICAID,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,NOVA NET,NOVA NET,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,SELFPAY,SELFPAY,,398,,fee schedule,398,7.84,398,fee schedule,
SACRUM/COCCYX,72220,CPT,both,,,398,398,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,398,,fee schedule,398,7.84,398,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,AMERIGROUP,AMERIGROUP,,38.84,,fee schedule,38.84,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,AMERIGROUP,AMERIGROUP,,145.52,,fee schedule,145.52,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,AMERIGROUP,AMERIGROUP,,184.36,,fee schedule,184.36,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,39.58,,fee schedule,39.58,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,148.29,,fee schedule,148.29,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,187.87,,fee schedule,187.87,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,36.99,,fee schedule,36.99,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,138.59,,fee schedule,138.59,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,175.58,,fee schedule,175.58,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,TRICARE,TRICARE,,740.75,,fee schedule,740.75,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,AETNA,AETNA,,1626.03,87,percent of total billed charges,1626.03,36.99,1869,percent of total billed charges,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1626.03,87,percent of total billed charges,1626.03,36.99,1869,percent of total billed charges,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,UNITED HEALTHCARE,UNITED HEALTHCARE,,1644.72,88,percent of total billed charges,1644.72,36.99,1869,percent of total billed charges,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,AETNA,AETNA,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,BEECH STREET,BEECH STREET,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,MEDICAID,MEDICAID,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,NOVA NET,NOVA NET,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,SELFPAY,SELFPAY,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGRAPHY L-S SPINE,72265,CPT,both,,,1869,1869,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1869,,fee schedule,1869,36.99,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,AMERIGROUP,AMERIGROUP,,62.22,,fee schedule,62.22,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,AMERIGROUP,AMERIGROUP,,217.96,,fee schedule,217.96,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,AMERIGROUP,AMERIGROUP,,280.18,,fee schedule,280.18,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,63.41,,fee schedule,63.41,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,222.11,,fee schedule,222.11,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,285.52,,fee schedule,285.52,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,59.26,,fee schedule,59.26,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,207.58,,fee schedule,207.58,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,266.84,,fee schedule,266.84,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,TRICARE,TRICARE,,740.75,,fee schedule,740.75,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,AETNA,AETNA,,1626.03,87,percent of total billed charges,1626.03,59.26,1869,percent of total billed charges,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1626.03,87,percent of total billed charges,1626.03,59.26,1869,percent of total billed charges,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,UNITED HEALTHCARE,UNITED HEALTHCARE,,1644.72,88,percent of total billed charges,1644.72,59.26,1869,percent of total billed charges,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,AETNA,AETNA,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,BEECH STREET,BEECH STREET,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CARESOURCE,CARESOURCE,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,MEDICAID,MEDICAID,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,NOVA NET,NOVA NET,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,PEACHSTATE,PEACHSTATE,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,SELFPAY,SELFPAY,,1869,,fee schedule,1869,59.26,1869,fee schedule,
MYELOGPHY 2/> SPINE REGIONS,72270,CPT,both,,,1869,1869,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1869,,fee schedule,1869,59.26,1869,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,ALLIANT,ALLIANT,,2965.91,,fee schedule,2965.91,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,AMBETTER,AMBETTER,,2336.78,,fee schedule,2336.78,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,AMERIGROUP,AMERIGROUP,,39.51,,fee schedule,39.51,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,AMERIGROUP,AMERIGROUP,,280.37,,fee schedule,280.37,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,AMERIGROUP,AMERIGROUP,,319.89,,fee schedule,319.89,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CARESOURCE,CARESOURCE,,40.26,,fee schedule,40.26,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CARESOURCE,CARESOURCE,,285.71,,fee schedule,285.71,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CARESOURCE,CARESOURCE,,325.99,,fee schedule,325.99,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,MEDICARE,MEDICARE,,1797.52,,fee schedule,1797.52,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,PEACHSTATE,PEACHSTATE,,37.63,,fee schedule,37.63,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,PEACHSTATE,PEACHSTATE,,267.02,,fee schedule,267.02,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,PEACHSTATE,PEACHSTATE,,304.66,,fee schedule,304.66,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,TRICARE,TRICARE,,1797.52,,fee schedule,1797.52,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,UHC MEDICARE,UHC MEDICARE,,1797.52,,fee schedule,1797.52,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,AETNA,AETNA,,3704.46,87,percent of total billed charges,3704.46,37.63,4258,percent of total billed charges,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3704.46,87,percent of total billed charges,3704.46,37.63,4258,percent of total billed charges,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,UNITED HEALTHCARE,UNITED HEALTHCARE,,3747.04,88,percent of total billed charges,3747.04,37.63,4258,percent of total billed charges,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,AETNA,AETNA,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,BEECH STREET,BEECH STREET,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CARESOURCE,CARESOURCE,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,MEDICAID,MEDICAID,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,NOVA NET,NOVA NET,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,PEACHSTATE,PEACHSTATE,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,SELFPAY,SELFPAY,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"DISCOGRAPHY, LUM RAD&SPV INTER",72295,CPT,both,,,4258,4258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4258,,fee schedule,4258,37.63,4258,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,AETNA,AETNA,,17308.82,87,percent of total billed charges,17308.82,17308.82,19895.2,percent of total billed charges,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17308.82,87,percent of total billed charges,17308.82,17308.82,19895.2,percent of total billed charges,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,UNITED HEALTHCARE,UNITED HEALTHCARE,,17507.78,88,percent of total billed charges,17507.78,17308.82,19895.2,percent of total billed charges,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,AETNA,AETNA,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,ALLIANT,ALLIANT,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,AMBETTER,AMBETTER,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,BEECH STREET,BEECH STREET,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,CARESOURCE,CARESOURCE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,MEDICAID,MEDICAID,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,MEDICARE,MEDICARE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,NOVA NET,NOVA NET,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,PEACHSTATE,PEACHSTATE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,SELFPAY,SELFPAY,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,TRICARE,TRICARE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
"MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC",723,DRG,inpatient,,,19895.2,19895.2,UHC MEDICARE,UHC MEDICARE,,19895.2,,fee schedule,19895.2,17308.82,19895.2,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,AETNA,AETNA,,20216.73,87,percent of total billed charges,20216.73,20216.73,23237.62,percent of total billed charges,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20216.73,87,percent of total billed charges,20216.73,20216.73,23237.62,percent of total billed charges,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,UNITED HEALTHCARE,UNITED HEALTHCARE,,20449.11,88,percent of total billed charges,20449.11,20216.73,23237.62,percent of total billed charges,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,AETNA,AETNA,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,ALLIANT,ALLIANT,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,AMBETTER,AMBETTER,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,BEECH STREET,BEECH STREET,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,CARESOURCE,CARESOURCE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,MEDICAID,MEDICAID,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,MEDICARE,MEDICARE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,NOVA NET,NOVA NET,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,PEACHSTATE,PEACHSTATE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,SELFPAY,SELFPAY,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,TRICARE,TRICARE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
BENIGN PROSTATIC HYPERTROPHY W/O MCC,726,DRG,inpatient,,,23237.62,23237.62,UHC MEDICARE,UHC MEDICARE,,23237.62,,fee schedule,23237.62,20216.73,23237.62,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,AETNA,AETNA,,13436.41,87,percent of total billed charges,13436.41,13436.41,15444.15,percent of total billed charges,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13436.41,87,percent of total billed charges,13436.41,13436.41,15444.15,percent of total billed charges,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13590.85,88,percent of total billed charges,13590.85,13436.41,15444.15,percent of total billed charges,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,AETNA,AETNA,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,ALLIANT,ALLIANT,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,AMBETTER,AMBETTER,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,BEECH STREET,BEECH STREET,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,CARESOURCE,CARESOURCE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,MEDICAID,MEDICAID,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,MEDICARE,MEDICARE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,NOVA NET,NOVA NET,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,PEACHSTATE,PEACHSTATE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,SELFPAY,SELFPAY,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,TRICARE,TRICARE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,728,DRG,inpatient,,,15444.15,15444.15,UHC MEDICARE,UHC MEDICARE,,15444.15,,fee schedule,15444.15,13436.41,15444.15,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,7.56,,fee schedule,7.56,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,26.02,,fee schedule,26.02,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,7.7,,fee schedule,7.7,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,26.51,,fee schedule,26.51,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.2,,fee schedule,7.2,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,24.78,,fee schedule,24.78,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.2,348,percent of total billed charges,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.2,348,percent of total billed charges,
LEFT CLAVICLE,73000,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.2,348,percent of total billed charges,
LEFT CLAVICLE,73000,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT CLAVICLE,73000,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,7.56,,fee schedule,7.56,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,26.02,,fee schedule,26.02,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,7.7,,fee schedule,7.7,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,26.51,,fee schedule,26.51,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.2,,fee schedule,7.2,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,24.78,,fee schedule,24.78,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.2,348,percent of total billed charges,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.2,348,percent of total billed charges,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.2,348,percent of total billed charges,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.2,348,fee schedule,
RIGHT CLAVICLE,73000,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.2,348,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,TRICARE,TRICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,7.84,331,percent of total billed charges,
LEFT SCAPULA,73010,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,7.84,331,percent of total billed charges,
LEFT SCAPULA,73010,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,7.84,331,percent of total billed charges,
LEFT SCAPULA,73010,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SCAPULA,73010,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,TRICARE,TRICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,7.84,331,percent of total billed charges,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,7.84,331,percent of total billed charges,
RIGHT SCAPULA,73010,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,7.84,331,percent of total billed charges,
RIGHT SCAPULA,73010,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,7.84,331,fee schedule,
RIGHT SCAPULA,73010,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,TRICARE,TRICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,7.84,331,percent of total billed charges,
SCAPULA,73010,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,7.84,331,percent of total billed charges,
SCAPULA,73010,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,7.84,331,percent of total billed charges,
SCAPULA,73010,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,7.84,331,fee schedule,
SCAPULA,73010,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,7.84,331,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,17.12,,fee schedule,17.12,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,24.35,,fee schedule,24.35,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,17.44,,fee schedule,17.44,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,24.81,,fee schedule,24.81,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,16.3,,fee schedule,16.3,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,23.19,,fee schedule,23.19,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,6.9,215,percent of total billed charges,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,6.9,215,percent of total billed charges,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,6.9,215,percent of total billed charges,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,17.12,,fee schedule,17.12,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,24.35,,fee schedule,24.35,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,17.44,,fee schedule,17.44,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,24.81,,fee schedule,24.81,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,16.3,,fee schedule,16.3,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,23.19,,fee schedule,23.19,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,6.9,215,percent of total billed charges,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,6.9,215,percent of total billed charges,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,6.9,215,percent of total billed charges,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,6.9,215,fee schedule,
RIGHT SHOULDER - 1 VIEW,73020,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,6.9,215,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,29,,fee schedule,29,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,29.55,,fee schedule,29.55,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,27.62,,fee schedule,27.62,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,8.15,443,percent of total billed charges,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,29,,fee schedule,29,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,29.55,,fee schedule,29.55,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,27.62,,fee schedule,27.62,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,8.15,443,percent of total billed charges,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,8.15,443,fee schedule,
LEFT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,29,,fee schedule,29,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,29.55,,fee schedule,29.55,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,27.62,,fee schedule,27.62,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,8.15,443,percent of total billed charges,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 2 VIEWS,73030,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,29,,fee schedule,29,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,29.55,,fee schedule,29.55,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,27.62,,fee schedule,27.62,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,8.15,443,percent of total billed charges,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,8.15,443,fee schedule,
RIGHT SHOULDER - 3 VIEWS,73030,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,29,,fee schedule,29,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,29.55,,fee schedule,29.55,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,27.62,,fee schedule,27.62,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,8.15,443,percent of total billed charges,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 2 VIEWS,73030,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,AMERIGROUP,AMERIGROUP,,29,,fee schedule,29,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,29.55,,fee schedule,29.55,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,27.62,,fee schedule,27.62,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,8.15,443,percent of total billed charges,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,8.15,443,percent of total billed charges,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,8.15,443,fee schedule,
SHOULDER 3 VIEWS,73030,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,8.15,443,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,AMERIGROUP,AMERIGROUP,,75.11,,fee schedule,75.11,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,AMERIGROUP,AMERIGROUP,,100.47,,fee schedule,100.47,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,76.54,,fee schedule,76.54,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,102.39,,fee schedule,102.39,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,71.53,,fee schedule,71.53,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,95.69,,fee schedule,95.69,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,TRICARE,TRICARE,,368.43,,fee schedule,368.43,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,AETNA,AETNA,,1001.37,87,percent of total billed charges,1001.37,24.16,1151,percent of total billed charges,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1001.37,87,percent of total billed charges,1001.37,24.16,1151,percent of total billed charges,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,UNITED HEALTHCARE,UNITED HEALTHCARE,,1012.88,88,percent of total billed charges,1012.88,24.16,1151,percent of total billed charges,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,AETNA,AETNA,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,BEECH STREET,BEECH STREET,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,MEDICAID,MEDICAID,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,NOVA NET,NOVA NET,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,SELFPAY,SELFPAY,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHOGRAM-SHOULDER,73040,CPT,both,,,1151,1151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,AMERIGROUP,AMERIGROUP,,75.11,,fee schedule,75.11,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,AMERIGROUP,AMERIGROUP,,100.47,,fee schedule,100.47,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,76.54,,fee schedule,76.54,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,102.39,,fee schedule,102.39,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,71.53,,fee schedule,71.53,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,95.69,,fee schedule,95.69,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,TRICARE,TRICARE,,368.43,,fee schedule,368.43,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,AETNA,AETNA,,1001.37,87,percent of total billed charges,1001.37,24.16,1151,percent of total billed charges,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1001.37,87,percent of total billed charges,1001.37,24.16,1151,percent of total billed charges,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,UNITED HEALTHCARE,UNITED HEALTHCARE,,1012.88,88,percent of total billed charges,1012.88,24.16,1151,percent of total billed charges,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,AETNA,AETNA,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,BEECH STREET,BEECH STREET,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CARESOURCE,CARESOURCE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,MEDICAID,MEDICAID,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,NOVA NET,NOVA NET,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,PEACHSTATE,PEACHSTATE,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,SELFPAY,SELFPAY,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ARTHROGRAM SHOULDER RT,73040,CPT,both,,,1151,1151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1151,,fee schedule,1151,24.16,1151,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,9.54,,fee schedule,9.54,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,33.36,,fee schedule,33.36,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,33.99,,fee schedule,33.99,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,31.77,,fee schedule,31.77,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,9.09,276,percent of total billed charges,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,9.09,276,fee schedule,
ACROMIOCLAVIC SEP,73050,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,9.54,,fee schedule,9.54,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,33.36,,fee schedule,33.36,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,33.99,,fee schedule,33.99,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,31.77,,fee schedule,31.77,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
HUMERUS,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
HUMERUS,73050,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,9.09,276,percent of total billed charges,
HUMERUS,73050,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,9.09,276,fee schedule,
HUMERUS,73050,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,9.54,,fee schedule,9.54,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,33.36,,fee schedule,33.36,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,33.99,,fee schedule,33.99,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,31.77,,fee schedule,31.77,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,9.09,276,percent of total billed charges,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT AC JOINT ONLY,73050,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,9.54,,fee schedule,9.54,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,23.81,,fee schedule,23.81,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,33.36,,fee schedule,33.36,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,24.27,,fee schedule,24.27,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,33.99,,fee schedule,33.99,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,22.68,,fee schedule,22.68,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,31.77,,fee schedule,31.77,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,9.09,276,percent of total billed charges,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,9.09,276,percent of total billed charges,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,9.09,276,fee schedule,
RIGHT AC JOINT ONLY,73050,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,9.09,276,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
LEFT HUMERUS,73060,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
LEFT HUMERUS,73060,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.84,299,percent of total billed charges,
LEFT HUMERUS,73060,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT HUMERUS,73060,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
RIGHT HUMERUS,73060,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.84,299,percent of total billed charges,
RIGHT HUMERUS,73060,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT HUMERUS,73060,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.9,296,percent of total billed charges,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.9,296,percent of total billed charges,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.9,296,percent of total billed charges,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 2 VIEWS,73070,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.9,296,percent of total billed charges,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.9,296,percent of total billed charges,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.9,296,percent of total billed charges,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.9,296,fee schedule,
LEFT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.9,296,percent of total billed charges,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.9,296,percent of total billed charges,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.9,296,percent of total billed charges,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.9,296,fee schedule,
RIGHT ELBOW - 2 VIEWS,73070,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.9,296,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,7.84,323,percent of total billed charges,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,7.84,323,percent of total billed charges,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,7.84,323,percent of total billed charges,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,7.84,323,fee schedule,
ELBOW 4 VIEWS,73080,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,7.84,323,percent of total billed charges,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,7.84,323,percent of total billed charges,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,7.84,323,percent of total billed charges,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,20.44,,fee schedule,20.44,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,20.83,,fee schedule,20.83,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,19.47,,fee schedule,19.47,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,7.84,323,percent of total billed charges,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,7.84,323,percent of total billed charges,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,7.84,323,percent of total billed charges,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,7.84,323,fee schedule,
RIGHT ELBOW - 4 VIEWS,73080,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,7.84,323,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,7.56,,fee schedule,7.56,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,26.02,,fee schedule,26.02,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,7.7,,fee schedule,7.7,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,26.51,,fee schedule,26.51,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,7.2,,fee schedule,7.2,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,24.78,,fee schedule,24.78,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,7.2,290,percent of total billed charges,
LEFT FOREARM,73090,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,7.2,290,percent of total billed charges,
LEFT FOREARM,73090,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,7.2,290,percent of total billed charges,
LEFT FOREARM,73090,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT FOREARM,73090,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,7.56,,fee schedule,7.56,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,26.02,,fee schedule,26.02,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,7.7,,fee schedule,7.7,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,26.51,,fee schedule,26.51,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,7.2,,fee schedule,7.2,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,24.78,,fee schedule,24.78,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,7.2,290,percent of total billed charges,
RIGHT FOREARM,73090,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,7.2,290,percent of total billed charges,
RIGHT FOREARM,73090,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,7.2,290,percent of total billed charges,
RIGHT FOREARM,73090,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,7.2,290,fee schedule,
RIGHT FOREARM,73090,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,7.2,290,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,17.78,,fee schedule,17.78,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,18.12,,fee schedule,18.12,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,16.93,,fee schedule,16.93,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,7.52,287,percent of total billed charges,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,17.78,,fee schedule,17.78,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,18.12,,fee schedule,18.12,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,16.93,,fee schedule,16.93,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,7.52,287,percent of total billed charges,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT WRIST - 2 VIEWS,73100,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,17.78,,fee schedule,17.78,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,18.12,,fee schedule,18.12,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,16.93,,fee schedule,16.93,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,7.52,287,percent of total billed charges,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,7.52,287,fee schedule,
WRIST 2 VIEWS,73100,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,7.84,341,percent of total billed charges,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,7.84,341,percent of total billed charges,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,7.84,341,percent of total billed charges,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,7.84,341,fee schedule,
LEFT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,7.84,341,percent of total billed charges,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,7.84,341,percent of total billed charges,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,7.84,341,percent of total billed charges,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,7.84,341,fee schedule,
RIGHT WRISTS - 4 VIEWS,73110,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,7.84,341,percent of total billed charges,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,7.84,341,percent of total billed charges,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,7.84,341,percent of total billed charges,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,7.84,341,fee schedule,
WRIST 4 VIEWS,73110,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,7.84,341,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,AMERIGROUP,AMERIGROUP,,25.7,,fee schedule,25.7,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,AMERIGROUP,AMERIGROUP,,56.65,,fee schedule,56.65,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,AMERIGROUP,AMERIGROUP,,82.35,,fee schedule,82.35,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CARESOURCE,CARESOURCE,,26.19,,fee schedule,26.19,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CARESOURCE,CARESOURCE,,57.73,,fee schedule,57.73,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CARESOURCE,CARESOURCE,,83.92,,fee schedule,83.92,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,PEACHSTATE,PEACHSTATE,,24.48,,fee schedule,24.48,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,PEACHSTATE,PEACHSTATE,,53.95,,fee schedule,53.95,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,PEACHSTATE,PEACHSTATE,,78.43,,fee schedule,78.43,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,TRICARE,TRICARE,,368.43,,fee schedule,368.43,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,AETNA,AETNA,,996.15,87,percent of total billed charges,996.15,24.48,1145,percent of total billed charges,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,996.15,87,percent of total billed charges,996.15,24.48,1145,percent of total billed charges,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,UNITED HEALTHCARE,UNITED HEALTHCARE,,1007.6,88,percent of total billed charges,1007.6,24.48,1145,percent of total billed charges,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,AETNA,AETNA,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,BEECH STREET,BEECH STREET,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CARESOURCE,CARESOURCE,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,MEDICAID,MEDICAID,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,NOVA NET,NOVA NET,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,PEACHSTATE,PEACHSTATE,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,SELFPAY,SELFPAY,,1145,,fee schedule,1145,24.48,1145,fee schedule,
ARTHOGRAM-WRIST,73115,CPT,both,,,1145,1145,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1145,,fee schedule,1145,24.48,1145,fee schedule,
HAND,73130,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
HAND,73130,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
HAND,73130,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.84,348,percent of total billed charges,
HAND,73130,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.84,348,fee schedule,
HAND,73130,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
LEFT HAND,73130,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
LEFT HAND,73130,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.84,348,percent of total billed charges,
LEFT HAND,73130,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT HAND,73130,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
RIGHT HAND,73130,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
RIGHT HAND,73130,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.84,348,percent of total billed charges,
RIGHT HAND,73130,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT HAND,73130,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
FINGERS,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
FINGERS,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
FINGERS,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
FINGERS,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
FINGERS,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 3RD FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 4TH FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT 5TH FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT INDEX FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT THUMB,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
LEFT THUMB,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
LEFT THUMB,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
LEFT THUMB,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 3RD FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 4TH FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT 5TH FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT INDEX FINGER,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT THUMB,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,6.27,296,percent of total billed charges,
RIGHT THUMB,73140,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,6.27,296,percent of total billed charges,
RIGHT THUMB,73140,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,6.27,296,fee schedule,
RIGHT THUMB,73140,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,6.27,296,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LEFT SCAPULA,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT RIGHT SCAPULA,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT VIP SHOULDER,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT ELBOW WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOREARM WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HAND WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HUMORUS WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT SHOULDER WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT WRIST WO CONTRAST,73200,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,TRICARE,TRICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,AETNA,AETNA,,2201.1,87,percent of total billed charges,2201.1,51.75,2530,percent of total billed charges,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2201.1,87,percent of total billed charges,2201.1,51.75,2530,percent of total billed charges,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,UNITED HEALTHCARE,UNITED HEALTHCARE,,2226.4,88,percent of total billed charges,2226.4,51.75,2530,percent of total billed charges,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,AETNA,AETNA,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,BEECH STREET,BEECH STREET,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,MEDICAID,MEDICAID,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,NOVA NET,NOVA NET,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,SELFPAY,SELFPAY,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXTREMITY W/ CON,73201,CPT,both,,,2530,2530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,TRICARE,TRICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AETNA,AETNA,,2201.1,87,percent of total billed charges,2201.1,51.75,2530,percent of total billed charges,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2201.1,87,percent of total billed charges,2201.1,51.75,2530,percent of total billed charges,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,UNITED HEALTHCARE,UNITED HEALTHCARE,,2226.4,88,percent of total billed charges,2226.4,51.75,2530,percent of total billed charges,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AETNA,AETNA,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,BEECH STREET,BEECH STREET,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,MEDICAID,MEDICAID,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,NOVA NET,NOVA NET,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,SELFPAY,SELFPAY,,2530,,fee schedule,2530,51.75,2530,fee schedule,
LEFT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,TRICARE,TRICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AETNA,AETNA,,2201.1,87,percent of total billed charges,2201.1,51.75,2530,percent of total billed charges,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2201.1,87,percent of total billed charges,2201.1,51.75,2530,percent of total billed charges,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,UNITED HEALTHCARE,UNITED HEALTHCARE,,2226.4,88,percent of total billed charges,2226.4,51.75,2530,percent of total billed charges,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,AETNA,AETNA,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,BEECH STREET,BEECH STREET,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CARESOURCE,CARESOURCE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,MEDICAID,MEDICAID,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,NOVA NET,NOVA NET,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,PEACHSTATE,PEACHSTATE,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,SELFPAY,SELFPAY,,2530,,fee schedule,2530,51.75,2530,fee schedule,
RIGHT SHOULDER W CONTRAST,73201,CPT,both,,,2530,2530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2530,,fee schedule,2530,51.75,2530,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,AMERIGROUP,AMERIGROUP,,264.92,,fee schedule,264.92,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,AMERIGROUP,AMERIGROUP,,321.89,,fee schedule,321.89,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CARESOURCE,CARESOURCE,,269.96,,fee schedule,269.96,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CARESOURCE,CARESOURCE,,328.02,,fee schedule,328.02,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,PEACHSTATE,PEACHSTATE,,252.3,,fee schedule,252.3,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,PEACHSTATE,PEACHSTATE,,306.56,,fee schedule,306.56,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,TRICARE,TRICARE,,180.34,,fee schedule,180.34,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,AETNA,AETNA,,2345.52,87,percent of total billed charges,2345.52,54.25,2696,percent of total billed charges,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2345.52,87,percent of total billed charges,2345.52,54.25,2696,percent of total billed charges,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,UNITED HEALTHCARE,UNITED HEALTHCARE,,2372.48,88,percent of total billed charges,2372.48,54.25,2696,percent of total billed charges,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,AETNA,AETNA,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,BEECH STREET,BEECH STREET,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CARESOURCE,CARESOURCE,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,MEDICAID,MEDICAID,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,NOVA NET,NOVA NET,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,PEACHSTATE,PEACHSTATE,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,SELFPAY,SELFPAY,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT UPPER EXT W/ & W/O CON,73202,CPT,both,,,2696,2696,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2696,,fee schedule,2696,54.25,2696,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,302.65,,fee schedule,302.65,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,369,,fee schedule,369,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,308.42,,fee schedule,308.42,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,376.03,,fee schedule,376.03,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,288.24,,fee schedule,288.24,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,351.43,,fee schedule,351.43,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,63.2,2623,percent of total billed charges,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT ANGIOGRAPHY UPPER EXTR,73206,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,302.65,,fee schedule,302.65,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,369,,fee schedule,369,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,308.42,,fee schedule,308.42,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,376.03,,fee schedule,376.03,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,288.24,,fee schedule,288.24,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,351.43,,fee schedule,351.43,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,63.2,2623,percent of total billed charges,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,63.2,2623,fee schedule,
LEFT LE CT ANGIO,73206,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,302.65,,fee schedule,302.65,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,369,,fee schedule,369,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,308.42,,fee schedule,308.42,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,376.03,,fee schedule,376.03,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,288.24,,fee schedule,288.24,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,351.43,,fee schedule,351.43,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,63.2,2623,percent of total billed charges,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT UE CT ANGIO,73206,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FINGER,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOREARM,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HAND,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT HUMERUS,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FINGER,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOREARM,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HAND,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT HUMERUS,73218,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ELBOW,73221,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT SHOULDER,73221,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ELBOW,73221,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT SHOULDER,73221,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT WRIST W/O CONTRAST,73221,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,AMERIGROUP,AMERIGROUP,,62.49,,fee schedule,62.49,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,AMERIGROUP,AMERIGROUP,,541.08,,fee schedule,541.08,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,AMERIGROUP,AMERIGROUP,,603.56,,fee schedule,603.56,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CARESOURCE,CARESOURCE,,63.68,,fee schedule,63.68,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CARESOURCE,CARESOURCE,,551.38,,fee schedule,551.38,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CARESOURCE,CARESOURCE,,615.06,,fee schedule,615.06,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,PEACHSTATE,PEACHSTATE,,59.51,,fee schedule,59.51,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,PEACHSTATE,PEACHSTATE,,515.31,,fee schedule,515.31,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,PEACHSTATE,PEACHSTATE,,574.82,,fee schedule,574.82,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,TRICARE,TRICARE,,740.75,,fee schedule,740.75,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,AETNA,AETNA,,2333.34,87,percent of total billed charges,2333.34,59.51,2682,percent of total billed charges,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2333.34,87,percent of total billed charges,2333.34,59.51,2682,percent of total billed charges,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,UNITED HEALTHCARE,UNITED HEALTHCARE,,2360.16,88,percent of total billed charges,2360.16,59.51,2682,percent of total billed charges,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,AETNA,AETNA,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,BEECH STREET,BEECH STREET,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CARESOURCE,CARESOURCE,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,MEDICAID,MEDICAID,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,NOVA NET,NOVA NET,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,PEACHSTATE,PEACHSTATE,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,SELFPAY,SELFPAY,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI SHOULDER WITH CONTRAS,73222,CPT,both,,,2682,2682,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2682,,fee schedule,2682,59.51,2682,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,84.28,,fee schedule,84.28,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1001.45,,fee schedule,1001.45,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1085.73,,fee schedule,1085.73,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,85.89,,fee schedule,85.89,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1020.52,,fee schedule,1020.52,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1106.41,,fee schedule,1106.41,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,80.27,,fee schedule,80.27,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,953.76,,fee schedule,953.76,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,1034.03,,fee schedule,1034.03,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,TRICARE,TRICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AETNA,AETNA,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,UNITED HEALTHCARE,UNITED HEALTHCARE,,2398.88,88,percent of total billed charges,2398.88,80.27,2726,percent of total billed charges,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AETNA,AETNA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,BEECH STREET,BEECH STREET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,MEDICAID,MEDICAID,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,NOVA NET,NOVA NET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,SELFPAY,SELFPAY,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,84.28,,fee schedule,84.28,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1001.45,,fee schedule,1001.45,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1085.73,,fee schedule,1085.73,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,85.89,,fee schedule,85.89,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1020.52,,fee schedule,1020.52,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1106.41,,fee schedule,1106.41,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,80.27,,fee schedule,80.27,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,953.76,,fee schedule,953.76,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,1034.03,,fee schedule,1034.03,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,TRICARE,TRICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AETNA,AETNA,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,UNITED HEALTHCARE,UNITED HEALTHCARE,,2398.88,88,percent of total billed charges,2398.88,80.27,2726,percent of total billed charges,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,AETNA,AETNA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,BEECH STREET,BEECH STREET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,MEDICAID,MEDICAID,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,NOVA NET,NOVA NET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,SELFPAY,SELFPAY,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RT SHOULDER W/O & W/C,73223,CPT,both,,,2726,2726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,AETNA,AETNA,,21869.26,87,percent of total billed charges,21869.26,21869.26,25137.08,percent of total billed charges,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21869.26,87,percent of total billed charges,21869.26,21869.26,25137.08,percent of total billed charges,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,UNITED HEALTHCARE,UNITED HEALTHCARE,,22120.63,88,percent of total billed charges,22120.63,21869.26,25137.08,percent of total billed charges,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,AETNA,AETNA,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,ALLIANT,ALLIANT,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,AMBETTER,AMBETTER,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,BEECH STREET,BEECH STREET,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,CARESOURCE,CARESOURCE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,MEDICAID,MEDICAID,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,MEDICARE,MEDICARE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,NOVA NET,NOVA NET,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,PEACHSTATE,PEACHSTATE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,SELFPAY,SELFPAY,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,TRICARE,TRICARE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
"PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC",735,DRG,inpatient,,,25137.08,25137.08,UHC MEDICARE,UHC MEDICARE,,25137.08,,fee schedule,25137.08,21869.26,25137.08,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,10.17,,fee schedule,10.17,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,26.84,,fee schedule,26.84,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,37.02,,fee schedule,37.02,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,10.37,,fee schedule,10.37,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,27.35,,fee schedule,27.35,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,37.73,,fee schedule,37.73,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,9.69,,fee schedule,9.69,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,25.56,,fee schedule,25.56,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,35.26,,fee schedule,35.26,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,AETNA,AETNA,,316.68,87,percent of total billed charges,316.68,9.69,364,percent of total billed charges,
LEFT HIP,73502,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316.68,87,percent of total billed charges,316.68,9.69,364,percent of total billed charges,
LEFT HIP,73502,CPT,both,,,364,364,UNITED HEALTHCARE,UNITED HEALTHCARE,,320.32,88,percent of total billed charges,320.32,9.69,364,percent of total billed charges,
LEFT HIP,73502,CPT,both,,,364,364,AETNA,AETNA,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,BEECH STREET,BEECH STREET,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,MEDICAID,MEDICAID,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,NOVA NET,NOVA NET,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,SELFPAY,SELFPAY,,364,,fee schedule,364,9.69,364,fee schedule,
LEFT HIP,73502,CPT,both,,,364,364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,364,,fee schedule,364,9.69,364,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,AMERIGROUP,AMERIGROUP,,10.17,,fee schedule,10.17,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,AMERIGROUP,AMERIGROUP,,26.84,,fee schedule,26.84,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,AMERIGROUP,AMERIGROUP,,37.02,,fee schedule,37.02,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CARESOURCE,CARESOURCE,,10.37,,fee schedule,10.37,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CARESOURCE,CARESOURCE,,27.35,,fee schedule,27.35,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CARESOURCE,CARESOURCE,,37.73,,fee schedule,37.73,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,PEACHSTATE,PEACHSTATE,,9.69,,fee schedule,9.69,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,PEACHSTATE,PEACHSTATE,,25.56,,fee schedule,25.56,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,PEACHSTATE,PEACHSTATE,,35.26,,fee schedule,35.26,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,AETNA,AETNA,,1073.58,87,percent of total billed charges,1073.58,9.69,1234,percent of total billed charges,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1073.58,87,percent of total billed charges,1073.58,9.69,1234,percent of total billed charges,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,UNITED HEALTHCARE,UNITED HEALTHCARE,,1085.92,88,percent of total billed charges,1085.92,9.69,1234,percent of total billed charges,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,AETNA,AETNA,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,BEECH STREET,BEECH STREET,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CARESOURCE,CARESOURCE,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,MEDICAID,MEDICAID,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,NOVA NET,NOVA NET,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,PEACHSTATE,PEACHSTATE,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,SELFPAY,SELFPAY,,1234,,fee schedule,1234,9.69,1234,fee schedule,
OPERATIVE HIP,73502,CPT,both,,,1234,1234,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1234,,fee schedule,1234,9.69,1234,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,10.17,,fee schedule,10.17,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,26.84,,fee schedule,26.84,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,37.02,,fee schedule,37.02,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,10.37,,fee schedule,10.37,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,27.35,,fee schedule,27.35,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,37.73,,fee schedule,37.73,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,9.69,,fee schedule,9.69,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,25.56,,fee schedule,25.56,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,35.26,,fee schedule,35.26,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,TRICARE,TRICARE,,86.88,,fee schedule,86.88,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,AETNA,AETNA,,316.68,87,percent of total billed charges,316.68,9.69,364,percent of total billed charges,
RIGHT HIP,73502,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316.68,87,percent of total billed charges,316.68,9.69,364,percent of total billed charges,
RIGHT HIP,73502,CPT,both,,,364,364,UNITED HEALTHCARE,UNITED HEALTHCARE,,320.32,88,percent of total billed charges,320.32,9.69,364,percent of total billed charges,
RIGHT HIP,73502,CPT,both,,,364,364,AETNA,AETNA,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,BEECH STREET,BEECH STREET,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,MEDICAID,MEDICAID,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,NOVA NET,NOVA NET,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,SELFPAY,SELFPAY,,364,,fee schedule,364,9.69,364,fee schedule,
RIGHT HIP,73502,CPT,both,,,364,364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,364,,fee schedule,364,9.69,364,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,AMERIGROUP,AMERIGROUP,,24.92,,fee schedule,24.92,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,AMERIGROUP,AMERIGROUP,,35.43,,fee schedule,35.43,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,25.39,,fee schedule,25.39,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,36.1,,fee schedule,36.1,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,23.73,,fee schedule,23.73,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,33.74,,fee schedule,33.74,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,AETNA,AETNA,,629.01,87,percent of total billed charges,629.01,10,723,percent of total billed charges,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629.01,87,percent of total billed charges,629.01,10,723,percent of total billed charges,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,UNITED HEALTHCARE,UNITED HEALTHCARE,,636.24,88,percent of total billed charges,636.24,10,723,percent of total billed charges,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,AETNA,AETNA,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,BEECH STREET,BEECH STREET,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,MEDICAID,MEDICAID,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,NOVA NET,NOVA NET,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,SELFPAY,SELFPAY,,723,,fee schedule,723,10,723,fee schedule,
BILATERAL HIP XRAYS,73521,CPT,both,,,723,723,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,723,,fee schedule,723,10,723,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,AMERIGROUP,AMERIGROUP,,75.11,,fee schedule,75.11,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,AMERIGROUP,AMERIGROUP,,100.47,,fee schedule,100.47,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,76.54,,fee schedule,76.54,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,102.39,,fee schedule,102.39,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,71.53,,fee schedule,71.53,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,95.69,,fee schedule,95.69,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,TRICARE,TRICARE,,368.43,,fee schedule,368.43,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,AETNA,AETNA,,870,87,percent of total billed charges,870,24.16,1000,percent of total billed charges,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,870,87,percent of total billed charges,870,24.16,1000,percent of total billed charges,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,UNITED HEALTHCARE,UNITED HEALTHCARE,,880,88,percent of total billed charges,880,24.16,1000,percent of total billed charges,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,AETNA,AETNA,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,BEECH STREET,BEECH STREET,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,MEDICAID,MEDICAID,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,NOVA NET,NOVA NET,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,SELFPAY,SELFPAY,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHOGRAM - HIP,73525,CPT,both,,,1000,1000,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,AMERIGROUP,AMERIGROUP,,75.11,,fee schedule,75.11,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,AMERIGROUP,AMERIGROUP,,100.47,,fee schedule,100.47,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,76.54,,fee schedule,76.54,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,102.39,,fee schedule,102.39,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,71.53,,fee schedule,71.53,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,95.69,,fee schedule,95.69,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,TRICARE,TRICARE,,368.43,,fee schedule,368.43,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,AETNA,AETNA,,870,87,percent of total billed charges,870,24.16,1000,percent of total billed charges,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,870,87,percent of total billed charges,870,24.16,1000,percent of total billed charges,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,UNITED HEALTHCARE,UNITED HEALTHCARE,,880,88,percent of total billed charges,880,24.16,1000,percent of total billed charges,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,AETNA,AETNA,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,BEECH STREET,BEECH STREET,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,MEDICAID,MEDICAID,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,NOVA NET,NOVA NET,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,SELFPAY,SELFPAY,,1000,,fee schedule,1000,24.16,1000,fee schedule,
ARTHROGRAM HIP RT,73525,CPT,both,,,1000,1000,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1000,,fee schedule,1000,24.16,1000,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,8.59,,fee schedule,8.59,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,29.03,,fee schedule,29.03,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,8.75,,fee schedule,8.75,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,29.59,,fee schedule,29.59,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,8.18,,fee schedule,8.18,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,27.65,,fee schedule,27.65,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,AETNA,AETNA,,293.19,87,percent of total billed charges,293.19,8.18,337,percent of total billed charges,
LEFT FEMUR,73552,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,293.19,87,percent of total billed charges,293.19,8.18,337,percent of total billed charges,
LEFT FEMUR,73552,CPT,both,,,337,337,UNITED HEALTHCARE,UNITED HEALTHCARE,,296.56,88,percent of total billed charges,296.56,8.18,337,percent of total billed charges,
LEFT FEMUR,73552,CPT,both,,,337,337,AETNA,AETNA,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,BEECH STREET,BEECH STREET,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,MEDICAID,MEDICAID,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,NOVA NET,NOVA NET,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,SELFPAY,SELFPAY,,337,,fee schedule,337,8.18,337,fee schedule,
LEFT FEMUR,73552,CPT,both,,,337,337,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,8.59,,fee schedule,8.59,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,29.03,,fee schedule,29.03,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,8.75,,fee schedule,8.75,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,29.59,,fee schedule,29.59,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,8.18,,fee schedule,8.18,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,27.65,,fee schedule,27.65,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,TRICARE,TRICARE,,86.88,,fee schedule,86.88,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,AETNA,AETNA,,293.19,87,percent of total billed charges,293.19,8.18,337,percent of total billed charges,
RIGHT FEMUR,73552,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,293.19,87,percent of total billed charges,293.19,8.18,337,percent of total billed charges,
RIGHT FEMUR,73552,CPT,both,,,337,337,UNITED HEALTHCARE,UNITED HEALTHCARE,,296.56,88,percent of total billed charges,296.56,8.18,337,percent of total billed charges,
RIGHT FEMUR,73552,CPT,both,,,337,337,AETNA,AETNA,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,BEECH STREET,BEECH STREET,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,MEDICAID,MEDICAID,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,NOVA NET,NOVA NET,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,SELFPAY,SELFPAY,,337,,fee schedule,337,8.18,337,fee schedule,
RIGHT FEMUR,73552,CPT,both,,,337,337,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,337,,fee schedule,337,8.18,337,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,7.84,295,percent of total billed charges,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,7.84,295,fee schedule,
KNEE 2 VIEWS,73560,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,7.84,295,percent of total billed charges,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
LEFT PATELLA,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
LEFT PATELLA,73560,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,7.84,295,percent of total billed charges,
LEFT PATELLA,73560,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,7.84,295,fee schedule,
LEFT PATELLA,73560,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,7.84,295,percent of total billed charges,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT KNEE - 2 VIEWS,73560,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
RIGHT PATELLA,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,7.84,295,percent of total billed charges,
RIGHT PATELLA,73560,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,7.84,295,percent of total billed charges,
RIGHT PATELLA,73560,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,7.84,295,fee schedule,
RIGHT PATELLA,73560,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,7.84,295,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,32.67,,fee schedule,32.67,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,33.29,,fee schedule,33.29,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,31.11,,fee schedule,31.11,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,10.03,347,percent of total billed charges,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,10.03,347,percent of total billed charges,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,10.03,347,percent of total billed charges,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,10.03,347,fee schedule,
BILATERAL KNEE 4 VIEWS,73564,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,10.03,347,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,32.67,,fee schedule,32.67,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,33.29,,fee schedule,33.29,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,31.11,,fee schedule,31.11,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,AETNA,AETNA,,601.17,87,percent of total billed charges,601.17,10.03,691,percent of total billed charges,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,601.17,87,percent of total billed charges,601.17,10.03,691,percent of total billed charges,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.08,88,percent of total billed charges,608.08,10.03,691,percent of total billed charges,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,AETNA,AETNA,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,BEECH STREET,BEECH STREET,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,MEDICAID,MEDICAID,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,NOVA NET,NOVA NET,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,SELFPAY,SELFPAY,,691,,fee schedule,691,10.03,691,fee schedule,
KNEE 4 VIEWS,73564,CPT,both,,,691,691,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,32.67,,fee schedule,32.67,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,33.29,,fee schedule,33.29,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,31.11,,fee schedule,31.11,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AETNA,AETNA,,601.17,87,percent of total billed charges,601.17,10.03,691,percent of total billed charges,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,601.17,87,percent of total billed charges,601.17,10.03,691,percent of total billed charges,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.08,88,percent of total billed charges,608.08,10.03,691,percent of total billed charges,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AETNA,AETNA,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,BEECH STREET,BEECH STREET,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,MEDICAID,MEDICAID,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,NOVA NET,NOVA NET,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,SELFPAY,SELFPAY,,691,,fee schedule,691,10.03,691,fee schedule,
LEFT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,10.53,,fee schedule,10.53,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,22.13,,fee schedule,22.13,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AMERIGROUP,AMERIGROUP,,32.67,,fee schedule,32.67,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,10.73,,fee schedule,10.73,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,22.56,,fee schedule,22.56,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,33.29,,fee schedule,33.29,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,10.03,,fee schedule,10.03,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,21.08,,fee schedule,21.08,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,31.11,,fee schedule,31.11,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AETNA,AETNA,,601.17,87,percent of total billed charges,601.17,10.03,691,percent of total billed charges,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,601.17,87,percent of total billed charges,601.17,10.03,691,percent of total billed charges,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.08,88,percent of total billed charges,608.08,10.03,691,percent of total billed charges,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,AETNA,AETNA,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,BEECH STREET,BEECH STREET,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CARESOURCE,CARESOURCE,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,MEDICAID,MEDICAID,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,NOVA NET,NOVA NET,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,PEACHSTATE,PEACHSTATE,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,SELFPAY,SELFPAY,,691,,fee schedule,691,10.03,691,fee schedule,
RIGHT KNEE - 4 VIEWS,73564,CPT,both,,,691,691,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,691,,fee schedule,691,10.03,691,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,AMERIGROUP,AMERIGROUP,,93.56,,fee schedule,93.56,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,AMERIGROUP,AMERIGROUP,,118.92,,fee schedule,118.92,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CARESOURCE,CARESOURCE,,95.34,,fee schedule,95.34,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CARESOURCE,CARESOURCE,,121.19,,fee schedule,121.19,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,PEACHSTATE,PEACHSTATE,,89.1,,fee schedule,89.1,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,PEACHSTATE,PEACHSTATE,,113.26,,fee schedule,113.26,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,TRICARE,TRICARE,,368.43,,fee schedule,368.43,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,AETNA,AETNA,,959.61,87,percent of total billed charges,959.61,24.16,1103,percent of total billed charges,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,959.61,87,percent of total billed charges,959.61,24.16,1103,percent of total billed charges,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,UNITED HEALTHCARE,UNITED HEALTHCARE,,970.64,88,percent of total billed charges,970.64,24.16,1103,percent of total billed charges,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,AETNA,AETNA,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,BEECH STREET,BEECH STREET,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CARESOURCE,CARESOURCE,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,MEDICAID,MEDICAID,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,NOVA NET,NOVA NET,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,PEACHSTATE,PEACHSTATE,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,SELFPAY,SELFPAY,,1103,,fee schedule,1103,24.16,1103,fee schedule,
ARTHOGRAM-KNEE,73580,CPT,both,,,1103,1103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1103,,fee schedule,1103,24.16,1103,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.84,299,percent of total billed charges,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.84,299,fee schedule,
LEFT TIBIA - FIBULA,73590,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,18.45,,fee schedule,18.45,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,26.68,,fee schedule,26.68,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,18.8,,fee schedule,18.8,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,27.19,,fee schedule,27.19,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,17.57,,fee schedule,17.57,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,25.41,,fee schedule,25.41,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.84,299,percent of total billed charges,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.84,299,percent of total billed charges,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.84,299,fee schedule,
RIGHT TIBIA - FIBULA,73590,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.84,299,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,AETNA,AETNA,,33520.87,87,percent of total billed charges,33520.87,33520.87,38529.74,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33520.87,87,percent of total billed charges,33520.87,33520.87,38529.74,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,UNITED HEALTHCARE,UNITED HEALTHCARE,,33906.17,88,percent of total billed charges,33906.17,33520.87,38529.74,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,AETNA,AETNA,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,ALLIANT,ALLIANT,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,AMBETTER,AMBETTER,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,BEECH STREET,BEECH STREET,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,CARESOURCE,CARESOURCE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,MEDICAID,MEDICAID,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,MEDICARE,MEDICARE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,NOVA NET,NOVA NET,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,PEACHSTATE,PEACHSTATE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,SELFPAY,SELFPAY,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,TRICARE,TRICARE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC,736,DRG,inpatient,,,38529.74,38529.74,UHC MEDICARE,UHC MEDICARE,,38529.74,,fee schedule,38529.74,33520.87,38529.74,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,17.78,,fee schedule,17.78,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,18.12,,fee schedule,18.12,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,16.93,,fee schedule,16.93,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,7.52,287,percent of total billed charges,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,17.78,,fee schedule,17.78,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,18.12,,fee schedule,18.12,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,16.93,,fee schedule,16.93,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,7.52,287,percent of total billed charges,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,7.52,287,percent of total billed charges,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,7.52,287,fee schedule,
RIGHT ANKLE 2 VIEWS,73600,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,7.52,287,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.84,348,percent of total billed charges,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.84,348,fee schedule,
LEFT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,7.84,348,percent of total billed charges,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,7.84,348,percent of total billed charges,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,7.84,348,fee schedule,
RIGHT ANKLE - 4 VIEWS,73610,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,7.84,348,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,AETNA,AETNA,,599.43,87,percent of total billed charges,599.43,7.84,689,percent of total billed charges,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,599.43,87,percent of total billed charges,599.43,7.84,689,percent of total billed charges,
FOOT  BILATERAL,73630,CPT,both,,,689,689,UNITED HEALTHCARE,UNITED HEALTHCARE,,606.32,88,percent of total billed charges,606.32,7.84,689,percent of total billed charges,
FOOT  BILATERAL,73630,CPT,both,,,689,689,AETNA,AETNA,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,BEECH STREET,BEECH STREET,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CARESOURCE,CARESOURCE,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,MEDICAID,MEDICAID,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,NOVA NET,NOVA NET,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,PEACHSTATE,PEACHSTATE,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,SELFPAY,SELFPAY,,689,,fee schedule,689,7.84,689,fee schedule,
FOOT  BILATERAL,73630,CPT,both,,,689,689,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,689,,fee schedule,689,7.84,689,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,AETNA,AETNA,,305.37,87,percent of total billed charges,305.37,7.84,351,percent of total billed charges,
LEFT FOOT,73630,CPT,both,,,351,351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,305.37,87,percent of total billed charges,305.37,7.84,351,percent of total billed charges,
LEFT FOOT,73630,CPT,both,,,351,351,UNITED HEALTHCARE,UNITED HEALTHCARE,,308.88,88,percent of total billed charges,308.88,7.84,351,percent of total billed charges,
LEFT FOOT,73630,CPT,both,,,351,351,AETNA,AETNA,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,BEECH STREET,BEECH STREET,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,MEDICAID,MEDICAID,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,NOVA NET,NOVA NET,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,SELFPAY,SELFPAY,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT FOOT,73630,CPT,both,,,351,351,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,AETNA,AETNA,,305.37,87,percent of total billed charges,305.37,7.84,351,percent of total billed charges,
RIGHT FOOT,73630,CPT,both,,,351,351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,305.37,87,percent of total billed charges,305.37,7.84,351,percent of total billed charges,
RIGHT FOOT,73630,CPT,both,,,351,351,UNITED HEALTHCARE,UNITED HEALTHCARE,,308.88,88,percent of total billed charges,308.88,7.84,351,percent of total billed charges,
RIGHT FOOT,73630,CPT,both,,,351,351,AETNA,AETNA,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,BEECH STREET,BEECH STREET,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,CARESOURCE,CARESOURCE,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,MEDICAID,MEDICAID,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,NOVA NET,NOVA NET,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,PEACHSTATE,PEACHSTATE,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,SELFPAY,SELFPAY,,351,,fee schedule,351,7.84,351,fee schedule,
RIGHT FOOT,73630,CPT,both,,,351,351,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,351,,fee schedule,351,7.84,351,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,17.12,,fee schedule,17.12,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,25.02,,fee schedule,25.02,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,17.44,,fee schedule,17.44,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,25.5,,fee schedule,25.5,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,16.3,,fee schedule,16.3,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,23.83,,fee schedule,23.83,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,7.52,313,percent of total billed charges,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,7.52,313,percent of total billed charges,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,7.52,313,percent of total billed charges,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT CALCANEOUS,73650,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,7.9,,fee schedule,7.9,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,17.12,,fee schedule,17.12,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,25.02,,fee schedule,25.02,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,8.05,,fee schedule,8.05,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,17.44,,fee schedule,17.44,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,25.5,,fee schedule,25.5,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,7.52,,fee schedule,7.52,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,16.3,,fee schedule,16.3,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,23.83,,fee schedule,23.83,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,7.52,313,percent of total billed charges,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,7.52,313,percent of total billed charges,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,7.52,313,percent of total billed charges,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,7.52,313,fee schedule,
RIGHT CALCANEOUS,73650,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,7.52,313,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 2ND TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
LEFT 2ND TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 2ND TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 3RD TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
LEFT 3RD TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 3RD TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 4TH TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
LEFT 4TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 4TH TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT 5TH TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
LEFT 5TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT 5TH TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
LEFT GREAT TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
LEFT GREAT TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
LEFT GREAT TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 2ND TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 3RD TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 4TH TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT 5TH TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,6.58,,fee schedule,6.58,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,21.67,,fee schedule,21.67,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,6.71,,fee schedule,6.71,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,22.08,,fee schedule,22.08,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,6.27,,fee schedule,6.27,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,20.64,,fee schedule,20.64,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,TRICARE,TRICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,6.27,272,percent of total billed charges,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,6.27,272,percent of total billed charges,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,6.27,272,fee schedule,
RIGHT GREAT TOE,73660,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,6.27,272,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,AETNA,AETNA,,26646.68,87,percent of total billed charges,26646.68,26646.68,30628.37,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26646.68,87,percent of total billed charges,26646.68,26646.68,30628.37,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,26952.97,88,percent of total billed charges,26952.97,26646.68,30628.37,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,AETNA,AETNA,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,ALLIANT,ALLIANT,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,AMBETTER,AMBETTER,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,BEECH STREET,BEECH STREET,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,CARESOURCE,CARESOURCE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,MEDICAID,MEDICAID,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,MEDICARE,MEDICARE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,NOVA NET,NOVA NET,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,PEACHSTATE,PEACHSTATE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,SELFPAY,SELFPAY,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,TRICARE,TRICARE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,737,DRG,inpatient,,,30628.37,30628.37,UHC MEDICARE,UHC MEDICARE,,30628.37,,fee schedule,30628.37,26646.68,30628.37,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
BIOMET CT EXTREMITY SCAN,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT CALCANEUS RIGHT,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
LEFT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,AETNA,AETNA,,1963.59,87,percent of total billed charges,1963.59,48.3,2257,percent of total billed charges,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1963.59,87,percent of total billed charges,1963.59,48.3,2257,percent of total billed charges,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,UNITED HEALTHCARE,UNITED HEALTHCARE,,1986.16,88,percent of total billed charges,1986.16,48.3,2257,percent of total billed charges,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,AETNA,AETNA,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,BEECH STREET,BEECH STREET,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CARESOURCE,CARESOURCE,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,MEDICAID,MEDICAID,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,NOVA NET,NOVA NET,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,PEACHSTATE,PEACHSTATE,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,SELFPAY,SELFPAY,,2257,,fee schedule,2257,48.3,2257,fee schedule,
MAKO EXTREMITY SCAN,73700,CPT,both,,,2257,2257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2257,,fee schedule,2257,48.3,2257,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FEMUR WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT FOOT WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT HIP WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT KNEE WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGHT LOWER LEG WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,50.72,,fee schedule,50.72,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,177.06,,fee schedule,177.06,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AMERIGROUP,AMERIGROUP,,227.78,,fee schedule,227.78,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,51.68,,fee schedule,51.68,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,180.43,,fee schedule,180.43,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,232.12,,fee schedule,232.12,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,48.3,,fee schedule,48.3,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,168.63,,fee schedule,168.63,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,216.93,,fee schedule,216.93,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2022.75,87,percent of total billed charges,2022.75,48.3,2325,percent of total billed charges,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,UNITED HEALTHCARE,UNITED HEALTHCARE,,2046,88,percent of total billed charges,2046,48.3,2325,percent of total billed charges,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,AETNA,AETNA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,BEECH STREET,BEECH STREET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CARESOURCE,CARESOURCE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,MEDICAID,MEDICAID,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET,NOVA NET,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,PEACHSTATE,PEACHSTATE,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,SELFPAY,SELFPAY,,2325,,fee schedule,2325,48.3,2325,fee schedule,
RIGTH ANKLE WO CONTRAST,73700,CPT,both,,,2325,2325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2325,,fee schedule,2325,48.3,2325,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,AMERIGROUP,AMERIGROUP,,54.34,,fee schedule,54.34,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,AMERIGROUP,AMERIGROUP,,211.25,,fee schedule,211.25,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,AMERIGROUP,AMERIGROUP,,265.58,,fee schedule,265.58,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CARESOURCE,CARESOURCE,,55.37,,fee schedule,55.37,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CARESOURCE,CARESOURCE,,215.27,,fee schedule,215.27,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CARESOURCE,CARESOURCE,,270.64,,fee schedule,270.64,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,PEACHSTATE,PEACHSTATE,,51.75,,fee schedule,51.75,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,PEACHSTATE,PEACHSTATE,,201.19,,fee schedule,201.19,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,PEACHSTATE,PEACHSTATE,,252.93,,fee schedule,252.93,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,TRICARE,TRICARE,,180.34,,fee schedule,180.34,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,AETNA,AETNA,,2141.07,87,percent of total billed charges,2141.07,51.75,2461,percent of total billed charges,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2141.07,87,percent of total billed charges,2141.07,51.75,2461,percent of total billed charges,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,UNITED HEALTHCARE,UNITED HEALTHCARE,,2165.68,88,percent of total billed charges,2165.68,51.75,2461,percent of total billed charges,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,AETNA,AETNA,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,BEECH STREET,BEECH STREET,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CARESOURCE,CARESOURCE,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,MEDICAID,MEDICAID,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,NOVA NET,NOVA NET,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,PEACHSTATE,PEACHSTATE,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,SELFPAY,SELFPAY,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXTREMITY W/ CON,73701,CPT,both,,,2461,2461,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2461,,fee schedule,2461,51.75,2461,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,56.96,,fee schedule,56.96,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,264.92,,fee schedule,264.92,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,321.89,,fee schedule,321.89,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,58.05,,fee schedule,58.05,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,269.96,,fee schedule,269.96,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,328.02,,fee schedule,328.02,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,54.25,,fee schedule,54.25,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,252.3,,fee schedule,252.3,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,306.56,,fee schedule,306.56,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,TRICARE,TRICARE,,180.34,,fee schedule,180.34,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,54.25,2623,percent of total billed charges,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,54.25,2623,percent of total billed charges,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,54.25,2623,percent of total billed charges,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXT W/ & W/O CON,73702,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,54.25,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,302.65,,fee schedule,302.65,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,369,,fee schedule,369,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,308.42,,fee schedule,308.42,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,376.03,,fee schedule,376.03,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,288.24,,fee schedule,288.24,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,351.43,,fee schedule,351.43,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,63.2,2623,percent of total billed charges,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,63.2,2623,fee schedule,
CT LOWER EXTREMITY ANGIOG,73706,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,66.36,,fee schedule,66.36,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,302.65,,fee schedule,302.65,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,AMERIGROUP,AMERIGROUP,,369,,fee schedule,369,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,67.62,,fee schedule,67.62,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,308.42,,fee schedule,308.42,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,376.03,,fee schedule,376.03,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,63.2,,fee schedule,63.2,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,288.24,,fee schedule,288.24,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,351.43,,fee schedule,351.43,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,TRICARE,TRICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,63.2,2623,percent of total billed charges,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,63.2,2623,percent of total billed charges,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,63.2,2623,fee schedule,
RIGHT LE CT ANGIO,73706,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,63.2,2623,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FEMUR,73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT FOOT,73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TIB/FIB,73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT TOE(S),73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FEMUR,73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT FOOT,73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TIB/FIB,73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,52.5,,fee schedule,52.5,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,451.25,,fee schedule,451.25,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,503.75,,fee schedule,503.75,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,53.5,,fee schedule,53.5,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,459.84,,fee schedule,459.84,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,513.34,,fee schedule,513.34,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,429.76,,fee schedule,429.76,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,479.76,,fee schedule,479.76,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,50,2616,percent of total billed charges,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,50,2616,percent of total billed charges,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI RIGHT TOE(S),73718,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,50,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT ANKLE,73721,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP,73721,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT KNEE,73721,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT ANKLE,73721,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT HIP,73721,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,65.11,,fee schedule,65.11,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,AMERIGROUP,AMERIGROUP,,465.18,,fee schedule,465.18,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,66.35,,fee schedule,66.35,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,474.04,,fee schedule,474.04,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,62.01,,fee schedule,62.01,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,443.03,,fee schedule,443.03,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,TRICARE,TRICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.92,87,percent of total billed charges,2275.92,62.01,2616,percent of total billed charges,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,UNITED HEALTHCARE,UNITED HEALTHCARE,,2302.08,88,percent of total billed charges,2302.08,62.01,2616,percent of total billed charges,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,AETNA,AETNA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,BEECH STREET,BEECH STREET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CARESOURCE,CARESOURCE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,MEDICAID,MEDICAID,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,NOVA NET,NOVA NET,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,PEACHSTATE,PEACHSTATE,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,SELFPAY,SELFPAY,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI RIGHT KNEE,73721,CPT,both,,,2616,2616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2616,,fee schedule,2616,62.01,2616,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,84.28,,fee schedule,84.28,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1001.45,,fee schedule,1001.45,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1085.73,,fee schedule,1085.73,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,85.89,,fee schedule,85.89,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1020.52,,fee schedule,1020.52,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1106.41,,fee schedule,1106.41,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,80.27,,fee schedule,80.27,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,953.76,,fee schedule,953.76,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,1034.03,,fee schedule,1034.03,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,TRICARE,TRICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,AETNA,AETNA,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,UNITED HEALTHCARE,UNITED HEALTHCARE,,2398.88,88,percent of total billed charges,2398.88,80.27,2726,percent of total billed charges,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,AETNA,AETNA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,BEECH STREET,BEECH STREET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,MEDICAID,MEDICAID,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,NOVA NET,NOVA NET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,SELFPAY,SELFPAY,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI LEFT HIP W/O&W CONTRA,73723,CPT,both,,,2726,2726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,84.28,,fee schedule,84.28,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1001.45,,fee schedule,1001.45,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,AMERIGROUP,AMERIGROUP,,1085.73,,fee schedule,1085.73,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,85.89,,fee schedule,85.89,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1020.52,,fee schedule,1020.52,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,1106.41,,fee schedule,1106.41,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,80.27,,fee schedule,80.27,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,953.76,,fee schedule,953.76,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,1034.03,,fee schedule,1034.03,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,TRICARE,TRICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,AETNA,AETNA,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2371.62,87,percent of total billed charges,2371.62,80.27,2726,percent of total billed charges,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,UNITED HEALTHCARE,UNITED HEALTHCARE,,2398.88,88,percent of total billed charges,2398.88,80.27,2726,percent of total billed charges,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,AETNA,AETNA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,BEECH STREET,BEECH STREET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CARESOURCE,CARESOURCE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,MEDICAID,MEDICAID,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,NOVA NET,NOVA NET,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,PEACHSTATE,PEACHSTATE,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,SELFPAY,SELFPAY,,2726,,fee schedule,2726,80.27,2726,fee schedule,
MRI RIGHT HIP W/O&W CONTR,73723,CPT,both,,,2726,2726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2726,,fee schedule,2726,80.27,2726,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,AETNA,AETNA,,42136.34,87,percent of total billed charges,42136.34,42136.34,48432.58,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42136.34,87,percent of total billed charges,42136.34,42136.34,48432.58,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,UNITED HEALTHCARE,UNITED HEALTHCARE,,42620.67,88,percent of total billed charges,42620.67,42136.34,48432.58,percent of total billed charges,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,AETNA,AETNA,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,ALLIANT,ALLIANT,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,AMBETTER,AMBETTER,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,BEECH STREET,BEECH STREET,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,CARESOURCE,CARESOURCE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,MEDICAID,MEDICAID,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,MEDICARE,MEDICARE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,NOVA NET,NOVA NET,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,PEACHSTATE,PEACHSTATE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,SELFPAY,SELFPAY,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,TRICARE,TRICARE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC,738,DRG,inpatient,,,48432.58,48432.58,UHC MEDICARE,UHC MEDICARE,,48432.58,,fee schedule,48432.58,42136.34,48432.58,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,AETNA,AETNA,,63580.37,87,percent of total billed charges,63580.37,63580.37,73080.89,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63580.37,87,percent of total billed charges,63580.37,63580.37,73080.89,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,UNITED HEALTHCARE,UNITED HEALTHCARE,,64311.18,88,percent of total billed charges,64311.18,63580.37,73080.89,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,AETNA,AETNA,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,ALLIANT,ALLIANT,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,AMBETTER,AMBETTER,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,BEECH STREET,BEECH STREET,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,CARESOURCE,CARESOURCE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,MEDICAID,MEDICAID,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,MEDICARE,MEDICARE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,NOVA NET,NOVA NET,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,PEACHSTATE,PEACHSTATE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,SELFPAY,SELFPAY,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,TRICARE,TRICARE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC",739,DRG,inpatient,,,73080.89,73080.89,UHC MEDICARE,UHC MEDICARE,,73080.89,,fee schedule,73080.89,63580.37,73080.89,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,AETNA,AETNA,,48567.82,87,percent of total billed charges,48567.82,48567.82,55825.08,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48567.82,87,percent of total billed charges,48567.82,48567.82,55825.08,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,UNITED HEALTHCARE,UNITED HEALTHCARE,,49126.07,88,percent of total billed charges,49126.07,48567.82,55825.08,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,AETNA,AETNA,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,ALLIANT,ALLIANT,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,AMBETTER,AMBETTER,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,BEECH STREET,BEECH STREET,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,CARESOURCE,CARESOURCE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,MEDICAID,MEDICAID,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,MEDICARE,MEDICARE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,NOVA NET,NOVA NET,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,PEACHSTATE,PEACHSTATE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,SELFPAY,SELFPAY,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,TRICARE,TRICARE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC",740,DRG,inpatient,,,55825.08,55825.08,UHC MEDICARE,UHC MEDICARE,,55825.08,,fee schedule,55825.08,48567.82,55825.08,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,24.63,,fee schedule,24.63,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,16.3,,fee schedule,16.3,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,8.33,,fee schedule,8.33,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,25.1,,fee schedule,25.1,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,16.61,,fee schedule,16.61,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,8.49,,fee schedule,8.49,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,23.46,,fee schedule,23.46,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,15.52,,fee schedule,15.52,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,7.93,,fee schedule,7.93,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,TRICARE,TRICARE,,86.88,,fee schedule,86.88,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,7.93,212,percent of total billed charges,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,7.93,212,percent of total billed charges,
ABDOMEN (KUB),74018,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,7.93,212,percent of total billed charges,
ABDOMEN (KUB),74018,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,7.93,212,fee schedule,
ABDOMEN (KUB),74018,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,7.93,212,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,30.05,,fee schedule,30.05,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.49,,fee schedule,19.49,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,10.56,,fee schedule,10.56,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,30.62,,fee schedule,30.62,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.86,,fee schedule,19.86,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,10.76,,fee schedule,10.76,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,28.62,,fee schedule,28.62,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.56,,fee schedule,18.56,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,10.06,,fee schedule,10.06,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,10.06,237,percent of total billed charges,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,10.06,237,percent of total billed charges,
ABD W DECUBITUS,74019,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,10.06,237,percent of total billed charges,
ABD W DECUBITUS,74019,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,10.06,237,fee schedule,
ABD W DECUBITUS,74019,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,30.05,,fee schedule,30.05,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.49,,fee schedule,19.49,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,10.56,,fee schedule,10.56,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,30.62,,fee schedule,30.62,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.86,,fee schedule,19.86,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,10.76,,fee schedule,10.76,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,28.62,,fee schedule,28.62,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.56,,fee schedule,18.56,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,10.06,,fee schedule,10.06,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,10.06,237,percent of total billed charges,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,10.06,237,percent of total billed charges,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,10.06,237,percent of total billed charges,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT & LATERAL VIEWS OF A,74019,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,30.05,,fee schedule,30.05,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.49,,fee schedule,19.49,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,10.56,,fee schedule,10.56,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,30.62,,fee schedule,30.62,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.86,,fee schedule,19.86,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,10.76,,fee schedule,10.76,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,28.62,,fee schedule,28.62,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.56,,fee schedule,18.56,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,10.06,,fee schedule,10.06,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,10.06,237,percent of total billed charges,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,10.06,237,percent of total billed charges,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,10.06,237,percent of total billed charges,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,10.06,237,fee schedule,
FLAT/UPRIGHT ABDOMEN,74019,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,10.06,237,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,AMERIGROUP,AMERIGROUP,,15.16,,fee schedule,15.16,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,AMERIGROUP,AMERIGROUP,,26.48,,fee schedule,26.48,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,AMERIGROUP,AMERIGROUP,,41.63,,fee schedule,41.63,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,15.45,,fee schedule,15.45,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,26.99,,fee schedule,26.99,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,42.43,,fee schedule,42.43,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,14.44,,fee schedule,14.44,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,25.22,,fee schedule,25.22,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,39.65,,fee schedule,39.65,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,TRICARE,TRICARE,,106.88,,fee schedule,106.88,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,AETNA,AETNA,,347.13,87,percent of total billed charges,347.13,14.44,399,percent of total billed charges,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347.13,87,percent of total billed charges,347.13,14.44,399,percent of total billed charges,
ABDOMEN SERIES,74022,CPT,both,,,399,399,UNITED HEALTHCARE,UNITED HEALTHCARE,,351.12,88,percent of total billed charges,351.12,14.44,399,percent of total billed charges,
ABDOMEN SERIES,74022,CPT,both,,,399,399,AETNA,AETNA,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,BEECH STREET,BEECH STREET,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,MEDICAID,MEDICAID,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,NOVA NET,NOVA NET,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,SELFPAY,SELFPAY,,399,,fee schedule,399,14.44,399,fee schedule,
ABDOMEN SERIES,74022,CPT,both,,,399,399,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,399,,fee schedule,399,14.44,399,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,AETNA,AETNA,,22229.67,87,percent of total billed charges,22229.67,22229.67,25551.35,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22229.67,87,percent of total billed charges,22229.67,22229.67,25551.35,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,UNITED HEALTHCARE,UNITED HEALTHCARE,,22485.19,88,percent of total billed charges,22485.19,22229.67,25551.35,percent of total billed charges,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,AETNA,AETNA,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,ALLIANT,ALLIANT,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,AMBETTER,AMBETTER,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,BEECH STREET,BEECH STREET,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,CARESOURCE,CARESOURCE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,MEDICAID,MEDICAID,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,MEDICARE,MEDICARE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,NOVA NET,NOVA NET,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,PEACHSTATE,PEACHSTATE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,SELFPAY,SELFPAY,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,TRICARE,TRICARE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC",741,DRG,inpatient,,,25551.35,25551.35,UHC MEDICARE,UHC MEDICARE,,25551.35,,fee schedule,25551.35,22229.67,25551.35,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,202.2,,fee schedule,202.2,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,257.84,,fee schedule,257.84,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,206.05,,fee schedule,206.05,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,262.75,,fee schedule,262.75,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,192.57,,fee schedule,192.57,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,245.56,,fee schedule,245.56,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,TRICARE,TRICARE,,106.88,,fee schedule,106.88,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,AETNA,AETNA,,2131.5,87,percent of total billed charges,2131.5,53,2450,percent of total billed charges,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131.5,87,percent of total billed charges,2131.5,53,2450,percent of total billed charges,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,UNITED HEALTHCARE,UNITED HEALTHCARE,,2156,88,percent of total billed charges,2156,53,2450,percent of total billed charges,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,AETNA,AETNA,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,BEECH STREET,BEECH STREET,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,MEDICAID,MEDICAID,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,NOVA NET,NOVA NET,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,SELFPAY,SELFPAY,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/O CONTRAST,74150,CPT,both,,,2450,2450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,202.2,,fee schedule,202.2,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,257.84,,fee schedule,257.84,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,206.05,,fee schedule,206.05,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,262.75,,fee schedule,262.75,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,192.57,,fee schedule,192.57,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,245.56,,fee schedule,245.56,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,TRICARE,TRICARE,,106.88,,fee schedule,106.88,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,AETNA,AETNA,,2131.5,87,percent of total billed charges,2131.5,53,2450,percent of total billed charges,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131.5,87,percent of total billed charges,2131.5,53,2450,percent of total billed charges,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,UNITED HEALTHCARE,UNITED HEALTHCARE,,2156,88,percent of total billed charges,2156,53,2450,percent of total billed charges,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,AETNA,AETNA,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,BEECH STREET,BEECH STREET,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,MEDICAID,MEDICAID,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,NOVA NET,NOVA NET,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,SELFPAY,SELFPAY,,2450,,fee schedule,2450,53,2450,fee schedule,
CT RENAL WO CONTRAST,74150,CPT,both,,,2450,2450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2450,,fee schedule,2450,53,2450,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,AMERIGROUP,AMERIGROUP,,59.27,,fee schedule,59.27,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,AMERIGROUP,AMERIGROUP,,244.47,,fee schedule,244.47,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,AMERIGROUP,AMERIGROUP,,303.73,,fee schedule,303.73,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,60.4,,fee schedule,60.4,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,249.13,,fee schedule,249.13,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,309.52,,fee schedule,309.52,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,56.45,,fee schedule,56.45,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,232.83,,fee schedule,232.83,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,289.27,,fee schedule,289.27,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,TRICARE,TRICARE,,180.34,,fee schedule,180.34,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,AETNA,AETNA,,2574.33,87,percent of total billed charges,2574.33,56.45,2959,percent of total billed charges,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2574.33,87,percent of total billed charges,2574.33,56.45,2959,percent of total billed charges,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,UNITED HEALTHCARE,UNITED HEALTHCARE,,2603.92,88,percent of total billed charges,2603.92,56.45,2959,percent of total billed charges,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,AETNA,AETNA,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,BEECH STREET,BEECH STREET,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,MEDICAID,MEDICAID,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,NOVA NET,NOVA NET,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,SELFPAY,SELFPAY,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W/CONTRAST,74160,CPT,both,,,2959,2959,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,AMERIGROUP,AMERIGROUP,,59.27,,fee schedule,59.27,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,AMERIGROUP,AMERIGROUP,,244.47,,fee schedule,244.47,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,AMERIGROUP,AMERIGROUP,,303.73,,fee schedule,303.73,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,60.4,,fee schedule,60.4,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,249.13,,fee schedule,249.13,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,309.52,,fee schedule,309.52,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,56.45,,fee schedule,56.45,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,232.83,,fee schedule,232.83,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,289.27,,fee schedule,289.27,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,TRICARE,TRICARE,,180.34,,fee schedule,180.34,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,AETNA,AETNA,,2574.33,87,percent of total billed charges,2574.33,56.45,2959,percent of total billed charges,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2574.33,87,percent of total billed charges,2574.33,56.45,2959,percent of total billed charges,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,UNITED HEALTHCARE,UNITED HEALTHCARE,,2603.92,88,percent of total billed charges,2603.92,56.45,2959,percent of total billed charges,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,AETNA,AETNA,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,BEECH STREET,BEECH STREET,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CARESOURCE,CARESOURCE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,MEDICAID,MEDICAID,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,NOVA NET,NOVA NET,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,PEACHSTATE,PEACHSTATE,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,SELFPAY,SELFPAY,,2959,,fee schedule,2959,56.45,2959,fee schedule,
CT RENAL W CONTRAST,74160,CPT,both,,,2959,2959,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2959,,fee schedule,2959,56.45,2959,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,65.53,,fee schedule,65.53,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,302.84,,fee schedule,302.84,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,368.36,,fee schedule,368.36,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,66.78,,fee schedule,66.78,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,308.61,,fee schedule,308.61,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,375.38,,fee schedule,375.38,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,62.41,,fee schedule,62.41,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,288.42,,fee schedule,288.42,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,350.82,,fee schedule,350.82,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,TRICARE,TRICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,UNITED HEALTHCARE,UNITED HEALTHCARE,,3351.92,88,percent of total billed charges,3351.92,62.41,3809,percent of total billed charges,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,BEECH STREET,BEECH STREET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,MEDICAID,MEDICAID,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,NOVA NET,NOVA NET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,SELFPAY,SELFPAY,,3809,,fee schedule,3809,62.41,3809,fee schedule,
ABDOMEN W & W/O CONTRAST,74170,CPT,both,,,3809,3809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,65.53,,fee schedule,65.53,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,302.84,,fee schedule,302.84,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,368.36,,fee schedule,368.36,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,66.78,,fee schedule,66.78,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,308.61,,fee schedule,308.61,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,375.38,,fee schedule,375.38,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,62.41,,fee schedule,62.41,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,288.42,,fee schedule,288.42,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,350.82,,fee schedule,350.82,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,TRICARE,TRICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
CT KIDNEYS,74170,CPT,both,,,3809,3809,UNITED HEALTHCARE,UNITED HEALTHCARE,,3351.92,88,percent of total billed charges,3351.92,62.41,3809,percent of total billed charges,
CT KIDNEYS,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,BEECH STREET,BEECH STREET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,MEDICAID,MEDICAID,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,NOVA NET,NOVA NET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,SELFPAY,SELFPAY,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT KIDNEYS,74170,CPT,both,,,3809,3809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,65.53,,fee schedule,65.53,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,302.84,,fee schedule,302.84,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,368.36,,fee schedule,368.36,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,66.78,,fee schedule,66.78,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,308.61,,fee schedule,308.61,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,375.38,,fee schedule,375.38,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,62.41,,fee schedule,62.41,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,288.42,,fee schedule,288.42,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,350.82,,fee schedule,350.82,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,TRICARE,TRICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,UNITED HEALTHCARE,UNITED HEALTHCARE,,3351.92,88,percent of total billed charges,3351.92,62.41,3809,percent of total billed charges,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,BEECH STREET,BEECH STREET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,MEDICAID,MEDICAID,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,NOVA NET,NOVA NET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,SELFPAY,SELFPAY,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT RENAL WO/W CONTRAST,74170,CPT,both,,,3809,3809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,65.53,,fee schedule,65.53,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,302.84,,fee schedule,302.84,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,AMERIGROUP,AMERIGROUP,,368.36,,fee schedule,368.36,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,66.78,,fee schedule,66.78,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,308.61,,fee schedule,308.61,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,375.38,,fee schedule,375.38,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,62.41,,fee schedule,62.41,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,288.42,,fee schedule,288.42,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,350.82,,fee schedule,350.82,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,TRICARE,TRICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
CT-IVP,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3313.83,87,percent of total billed charges,3313.83,62.41,3809,percent of total billed charges,
CT-IVP,74170,CPT,both,,,3809,3809,UNITED HEALTHCARE,UNITED HEALTHCARE,,3351.92,88,percent of total billed charges,3351.92,62.41,3809,percent of total billed charges,
CT-IVP,74170,CPT,both,,,3809,3809,AETNA,AETNA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,BEECH STREET,BEECH STREET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,CARESOURCE,CARESOURCE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,MEDICAID,MEDICAID,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,NOVA NET,NOVA NET,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,PEACHSTATE,PEACHSTATE,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,SELFPAY,SELFPAY,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT-IVP,74170,CPT,both,,,3809,3809,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3809,,fee schedule,3809,62.41,3809,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,AMERIGROUP,AMERIGROUP,,94.04,,fee schedule,94.04,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,AMERIGROUP,AMERIGROUP,,412.04,,fee schedule,412.04,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,AMERIGROUP,AMERIGROUP,,506.09,,fee schedule,506.09,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CARESOURCE,CARESOURCE,,95.83,,fee schedule,95.83,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CARESOURCE,CARESOURCE,,419.89,,fee schedule,419.89,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CARESOURCE,CARESOURCE,,515.73,,fee schedule,515.73,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,PEACHSTATE,PEACHSTATE,,89.56,,fee schedule,89.56,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,PEACHSTATE,PEACHSTATE,,392.42,,fee schedule,392.42,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,PEACHSTATE,PEACHSTATE,,481.99,,fee schedule,481.99,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,TRICARE,TRICARE,,368.43,,fee schedule,368.43,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,AETNA,AETNA,,3993.3,87,percent of total billed charges,3993.3,89.56,4590,percent of total billed charges,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3993.3,87,percent of total billed charges,3993.3,89.56,4590,percent of total billed charges,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,UNITED HEALTHCARE,UNITED HEALTHCARE,,4039.2,88,percent of total billed charges,4039.2,89.56,4590,percent of total billed charges,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,AETNA,AETNA,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,BEECH STREET,BEECH STREET,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CARESOURCE,CARESOURCE,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,MEDICAID,MEDICAID,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,NOVA NET,NOVA NET,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,PEACHSTATE,PEACHSTATE,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,SELFPAY,SELFPAY,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ANGIOGRAPHY OF ABDOMEN,74174,CPT,both,,,4590,4590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4590,,fee schedule,4590,89.56,4590,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,75.29,,fee schedule,75.29,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,117.83,,fee schedule,117.83,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,193.13,,fee schedule,193.13,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,76.72,,fee schedule,76.72,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,120.08,,fee schedule,120.08,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,196.81,,fee schedule,196.81,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,71.7,,fee schedule,71.7,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,112.22,,fee schedule,112.22,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,183.93,,fee schedule,183.93,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,AETNA,AETNA,,2131.5,87,percent of total billed charges,2131.5,71.7,2450,percent of total billed charges,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131.5,87,percent of total billed charges,2131.5,71.7,2450,percent of total billed charges,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,UNITED HEALTHCARE,UNITED HEALTHCARE,,2156,88,percent of total billed charges,2156,71.7,2450,percent of total billed charges,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,AETNA,AETNA,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,BEECH STREET,BEECH STREET,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,MEDICAID,MEDICAID,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,NOVA NET,NOVA NET,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,SELFPAY,SELFPAY,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/O CONTRAS,74176,CPT,both,,,2450,2450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,75.29,,fee schedule,75.29,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,117.83,,fee schedule,117.83,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,193.13,,fee schedule,193.13,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,76.72,,fee schedule,76.72,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,120.08,,fee schedule,120.08,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,196.81,,fee schedule,196.81,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,71.7,,fee schedule,71.7,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,112.22,,fee schedule,112.22,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,183.93,,fee schedule,183.93,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,AETNA,AETNA,,2131.5,87,percent of total billed charges,2131.5,71.7,2450,percent of total billed charges,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131.5,87,percent of total billed charges,2131.5,71.7,2450,percent of total billed charges,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,UNITED HEALTHCARE,UNITED HEALTHCARE,,2156,88,percent of total billed charges,2156,71.7,2450,percent of total billed charges,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,AETNA,AETNA,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,BEECH STREET,BEECH STREET,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,MEDICAID,MEDICAID,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,NOVA NET,NOVA NET,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,SELFPAY,SELFPAY,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT RENAL STONE SEARCH,74176,CPT,both,,,2450,2450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2450,,fee schedule,2450,71.7,2450,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,AMERIGROUP,AMERIGROUP,,78.94,,fee schedule,78.94,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,AMERIGROUP,AMERIGROUP,,224.76,,fee schedule,224.76,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,AMERIGROUP,AMERIGROUP,,303.7,,fee schedule,303.7,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CARESOURCE,CARESOURCE,,80.44,,fee schedule,80.44,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CARESOURCE,CARESOURCE,,229.04,,fee schedule,229.04,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CARESOURCE,CARESOURCE,,309.49,,fee schedule,309.49,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,PEACHSTATE,PEACHSTATE,,75.18,,fee schedule,75.18,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,PEACHSTATE,PEACHSTATE,,214.06,,fee schedule,214.06,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,PEACHSTATE,PEACHSTATE,,289.24,,fee schedule,289.24,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,TRICARE,TRICARE,,368.43,,fee schedule,368.43,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,AETNA,AETNA,,5327.88,87,percent of total billed charges,5327.88,75.18,6124,percent of total billed charges,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5327.88,87,percent of total billed charges,5327.88,75.18,6124,percent of total billed charges,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,UNITED HEALTHCARE,UNITED HEALTHCARE,,5389.12,88,percent of total billed charges,5389.12,75.18,6124,percent of total billed charges,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,AETNA,AETNA,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,BEECH STREET,BEECH STREET,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CARESOURCE,CARESOURCE,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,MEDICAID,MEDICAID,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,NOVA NET,NOVA NET,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,PEACHSTATE,PEACHSTATE,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,SELFPAY,SELFPAY,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W/ CONTRAST,74177,CPT,both,,,6124,6124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6124,,fee schedule,6124,75.18,6124,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,AMERIGROUP,AMERIGROUP,,87.37,,fee schedule,87.37,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,AMERIGROUP,AMERIGROUP,,297.07,,fee schedule,297.07,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,AMERIGROUP,AMERIGROUP,,384.44,,fee schedule,384.44,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CARESOURCE,CARESOURCE,,89.03,,fee schedule,89.03,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CARESOURCE,CARESOURCE,,302.72,,fee schedule,302.72,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CARESOURCE,CARESOURCE,,391.76,,fee schedule,391.76,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,PEACHSTATE,PEACHSTATE,,83.21,,fee schedule,83.21,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,PEACHSTATE,PEACHSTATE,,282.92,,fee schedule,282.92,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,PEACHSTATE,PEACHSTATE,,366.13,,fee schedule,366.13,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,TRICARE,TRICARE,,368.43,,fee schedule,368.43,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,AETNA,AETNA,,5372.25,87,percent of total billed charges,5372.25,83.21,6175,percent of total billed charges,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5372.25,87,percent of total billed charges,5372.25,83.21,6175,percent of total billed charges,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,UNITED HEALTHCARE,UNITED HEALTHCARE,,5434,88,percent of total billed charges,5434,83.21,6175,percent of total billed charges,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,AETNA,AETNA,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,BEECH STREET,BEECH STREET,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CARESOURCE,CARESOURCE,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,MEDICAID,MEDICAID,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,NOVA NET,NOVA NET,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,PEACHSTATE,PEACHSTATE,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,SELFPAY,SELFPAY,,6175,,fee schedule,6175,83.21,6175,fee schedule,
CT ABD&PELVIS W&W/O CONTR,74178,CPT,both,,,6175,6175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6175,,fee schedule,6175,83.21,6175,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,74.77,,fee schedule,74.77,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,400.07,,fee schedule,400.07,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,AMERIGROUP,AMERIGROUP,,474.83,,fee schedule,474.83,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,76.19,,fee schedule,76.19,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,407.69,,fee schedule,407.69,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,483.88,,fee schedule,483.88,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,71.21,,fee schedule,71.21,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,381.02,,fee schedule,381.02,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,452.22,,fee schedule,452.22,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,TRICARE,TRICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,AETNA,AETNA,,3122.43,87,percent of total billed charges,3122.43,71.21,3589,percent of total billed charges,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3122.43,87,percent of total billed charges,3122.43,71.21,3589,percent of total billed charges,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,UNITED HEALTHCARE,UNITED HEALTHCARE,,3158.32,88,percent of total billed charges,3158.32,71.21,3589,percent of total billed charges,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,AETNA,AETNA,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,BEECH STREET,BEECH STREET,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CARESOURCE,CARESOURCE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,MEDICAID,MEDICAID,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,NOVA NET,NOVA NET,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,PEACHSTATE,PEACHSTATE,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,SELFPAY,SELFPAY,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRI:ABDOMEN,74181,CPT,both,,,3589,3589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3589,,fee schedule,3589,71.21,3589,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,AMERIGROUP,AMERIGROUP,,69.38,,fee schedule,69.38,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,AMERIGROUP,AMERIGROUP,,542.5,,fee schedule,542.5,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,AMERIGROUP,AMERIGROUP,,611.87,,fee schedule,611.87,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,70.71,,fee schedule,70.71,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,552.84,,fee schedule,552.84,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,623.52,,fee schedule,623.52,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,66.08,,fee schedule,66.08,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,516.67,,fee schedule,516.67,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,582.73,,fee schedule,582.73,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,TRICARE,TRICARE,,368.43,,fee schedule,368.43,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,AETNA,AETNA,,3253.8,87,percent of total billed charges,3253.8,66.08,3740,percent of total billed charges,
MRCP,74182,CPT,both,,,3740,3740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3253.8,87,percent of total billed charges,3253.8,66.08,3740,percent of total billed charges,
MRCP,74182,CPT,both,,,3740,3740,UNITED HEALTHCARE,UNITED HEALTHCARE,,3291.2,88,percent of total billed charges,3291.2,66.08,3740,percent of total billed charges,
MRCP,74182,CPT,both,,,3740,3740,AETNA,AETNA,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,BEECH STREET,BEECH STREET,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,MEDICAID,MEDICAID,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,NOVA NET,NOVA NET,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,SELFPAY,SELFPAY,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRCP,74182,CPT,both,,,3740,3740,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,AMERIGROUP,AMERIGROUP,,69.38,,fee schedule,69.38,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,AMERIGROUP,AMERIGROUP,,542.5,,fee schedule,542.5,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,AMERIGROUP,AMERIGROUP,,611.87,,fee schedule,611.87,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,70.71,,fee schedule,70.71,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,552.84,,fee schedule,552.84,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,623.52,,fee schedule,623.52,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,66.08,,fee schedule,66.08,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,516.67,,fee schedule,516.67,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,582.73,,fee schedule,582.73,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,TRICARE,TRICARE,,368.43,,fee schedule,368.43,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,AETNA,AETNA,,3253.8,87,percent of total billed charges,3253.8,66.08,3740,percent of total billed charges,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3253.8,87,percent of total billed charges,3253.8,66.08,3740,percent of total billed charges,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,UNITED HEALTHCARE,UNITED HEALTHCARE,,3291.2,88,percent of total billed charges,3291.2,66.08,3740,percent of total billed charges,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,AETNA,AETNA,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,BEECH STREET,BEECH STREET,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,MEDICAID,MEDICAID,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,NOVA NET,NOVA NET,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,SELFPAY,SELFPAY,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN WITH CONTRAST,74182,CPT,both,,,3740,3740,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3740,,fee schedule,3740,66.08,3740,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,AMERIGROUP,AMERIGROUP,,91.53,,fee schedule,91.53,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,AMERIGROUP,AMERIGROUP,,1003.58,,fee schedule,1003.58,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,AMERIGROUP,AMERIGROUP,,1095.12,,fee schedule,1095.12,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CARESOURCE,CARESOURCE,,93.27,,fee schedule,93.27,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CARESOURCE,CARESOURCE,,1022.7,,fee schedule,1022.7,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CARESOURCE,CARESOURCE,,1115.98,,fee schedule,1115.98,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,PEACHSTATE,PEACHSTATE,,87.17,,fee schedule,87.17,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,PEACHSTATE,PEACHSTATE,,955.79,,fee schedule,955.79,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,PEACHSTATE,PEACHSTATE,,1042.97,,fee schedule,1042.97,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,TRICARE,TRICARE,,368.43,,fee schedule,368.43,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,AETNA,AETNA,,3788.85,87,percent of total billed charges,3788.85,87.17,4355,percent of total billed charges,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3788.85,87,percent of total billed charges,3788.85,87.17,4355,percent of total billed charges,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,UNITED HEALTHCARE,UNITED HEALTHCARE,,3832.4,88,percent of total billed charges,3832.4,87.17,4355,percent of total billed charges,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,AETNA,AETNA,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,BEECH STREET,BEECH STREET,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CARESOURCE,CARESOURCE,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,MEDICAID,MEDICAID,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,NOVA NET,NOVA NET,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,PEACHSTATE,PEACHSTATE,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,SELFPAY,SELFPAY,,4355,,fee schedule,4355,87.17,4355,fee schedule,
MRI ABDOMEN W/O & W/ CONT,74183,CPT,both,,,4355,4355,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4355,,fee schedule,4355,87.17,4355,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,AETNA,AETNA,,31107.77,87,percent of total billed charges,31107.77,31107.77,35756.06,percent of total billed charges,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31107.77,87,percent of total billed charges,31107.77,31107.77,35756.06,percent of total billed charges,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,31465.33,88,percent of total billed charges,31465.33,31107.77,35756.06,percent of total billed charges,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,AETNA,AETNA,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,ALLIANT,ALLIANT,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,AMBETTER,AMBETTER,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,BEECH STREET,BEECH STREET,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,CARESOURCE,CARESOURCE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,MEDICAID,MEDICAID,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,MEDICARE,MEDICARE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,NOVA NET,NOVA NET,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,PEACHSTATE,PEACHSTATE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,SELFPAY,SELFPAY,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,TRICARE,TRICARE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,742,DRG,inpatient,,,35756.06,35756.06,UHC MEDICARE,UHC MEDICARE,,35756.06,,fee schedule,35756.06,31107.77,35756.06,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,42.61,,fee schedule,42.61,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,64.33,,fee schedule,64.33,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,43.42,,fee schedule,43.42,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,65.56,,fee schedule,65.56,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,40.58,,fee schedule,40.58,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,61.27,,fee schedule,61.27,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,TRICARE,TRICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,AETNA,AETNA,,584.64,87,percent of total billed charges,584.64,20.7,672,percent of total billed charges,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,584.64,87,percent of total billed charges,584.64,20.7,672,percent of total billed charges,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,UNITED HEALTHCARE,UNITED HEALTHCARE,,591.36,88,percent of total billed charges,591.36,20.7,672,percent of total billed charges,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,AETNA,AETNA,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,BEECH STREET,BEECH STREET,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,MEDICAID,MEDICAID,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,NOVA NET,NOVA NET,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,SELFPAY,SELFPAY,,672,,fee schedule,672,20.7,672,fee schedule,
BA SWALLOW - POST LAPBAND,74220,CPT,both,,,672,672,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,42.61,,fee schedule,42.61,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,64.33,,fee schedule,64.33,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,43.42,,fee schedule,43.42,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,65.56,,fee schedule,65.56,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,40.58,,fee schedule,40.58,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,61.27,,fee schedule,61.27,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,TRICARE,TRICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,AETNA,AETNA,,584.64,87,percent of total billed charges,584.64,20.7,672,percent of total billed charges,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,584.64,87,percent of total billed charges,584.64,20.7,672,percent of total billed charges,
BARIUM SWALLOW,74220,CPT,both,,,672,672,UNITED HEALTHCARE,UNITED HEALTHCARE,,591.36,88,percent of total billed charges,591.36,20.7,672,percent of total billed charges,
BARIUM SWALLOW,74220,CPT,both,,,672,672,AETNA,AETNA,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,BEECH STREET,BEECH STREET,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,MEDICAID,MEDICAID,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,NOVA NET,NOVA NET,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,SELFPAY,SELFPAY,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW,74220,CPT,both,,,672,672,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,42.61,,fee schedule,42.61,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,64.33,,fee schedule,64.33,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,43.42,,fee schedule,43.42,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,65.56,,fee schedule,65.56,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,40.58,,fee schedule,40.58,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,61.27,,fee schedule,61.27,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,TRICARE,TRICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,AETNA,AETNA,,584.64,87,percent of total billed charges,584.64,20.7,672,percent of total billed charges,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,584.64,87,percent of total billed charges,584.64,20.7,672,percent of total billed charges,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,UNITED HEALTHCARE,UNITED HEALTHCARE,,591.36,88,percent of total billed charges,591.36,20.7,672,percent of total billed charges,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,AETNA,AETNA,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,BEECH STREET,BEECH STREET,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,MEDICAID,MEDICAID,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,NOVA NET,NOVA NET,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,SELFPAY,SELFPAY,,672,,fee schedule,672,20.7,672,fee schedule,
GASTROGRAFIN SWALLOW,74220,CPT,both,,,672,672,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,672,,fee schedule,672,20.7,672,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,AMERIGROUP,AMERIGROUP,,25.04,,fee schedule,25.04,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,AMERIGROUP,AMERIGROUP,,71.65,,fee schedule,71.65,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CARESOURCE,CARESOURCE,,25.52,,fee schedule,25.52,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CARESOURCE,CARESOURCE,,73.02,,fee schedule,73.02,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,PEACHSTATE,PEACHSTATE,,23.85,,fee schedule,23.85,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,PEACHSTATE,PEACHSTATE,,68.24,,fee schedule,68.24,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,TRICARE,TRICARE,,180.34,,fee schedule,180.34,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,AETNA,AETNA,,572.46,87,percent of total billed charges,572.46,23.85,658,percent of total billed charges,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,572.46,87,percent of total billed charges,572.46,23.85,658,percent of total billed charges,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,UNITED HEALTHCARE,UNITED HEALTHCARE,,579.04,88,percent of total billed charges,579.04,23.85,658,percent of total billed charges,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,AETNA,AETNA,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,BEECH STREET,BEECH STREET,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CARESOURCE,CARESOURCE,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,MEDICAID,MEDICAID,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,NOVA NET,NOVA NET,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,PEACHSTATE,PEACHSTATE,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,SELFPAY,SELFPAY,,658,,fee schedule,658,23.85,658,fee schedule,
BARIUM SWALLOW - MODIFIED,74230,CPT,both,,,658,658,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,658,,fee schedule,658,23.85,658,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,52.31,,fee schedule,52.31,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,84.9,,fee schedule,84.9,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,53.31,,fee schedule,53.31,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,86.52,,fee schedule,86.52,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,49.82,,fee schedule,49.82,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,80.86,,fee schedule,80.86,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,AETNA,AETNA,,787.35,87,percent of total billed charges,787.35,31.05,905,percent of total billed charges,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,787.35,87,percent of total billed charges,787.35,31.05,905,percent of total billed charges,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,UNITED HEALTHCARE,UNITED HEALTHCARE,,796.4,88,percent of total billed charges,796.4,31.05,905,percent of total billed charges,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,AETNA,AETNA,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,BEECH STREET,BEECH STREET,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,MEDICAID,MEDICAID,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,NOVA NET,NOVA NET,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,SELFPAY,SELFPAY,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W UPPER GI SER,74240,CPT,both,,,905,905,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,52.31,,fee schedule,52.31,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,84.9,,fee schedule,84.9,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,53.31,,fee schedule,53.31,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,86.52,,fee schedule,86.52,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,49.82,,fee schedule,49.82,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,80.86,,fee schedule,80.86,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,AETNA,AETNA,,787.35,87,percent of total billed charges,787.35,31.05,905,percent of total billed charges,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,787.35,87,percent of total billed charges,787.35,31.05,905,percent of total billed charges,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,UNITED HEALTHCARE,UNITED HEALTHCARE,,796.4,88,percent of total billed charges,796.4,31.05,905,percent of total billed charges,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,AETNA,AETNA,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,BEECH STREET,BEECH STREET,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,MEDICAID,MEDICAID,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,NOVA NET,NOVA NET,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,SELFPAY,SELFPAY,,905,,fee schedule,905,31.05,905,fee schedule,
UGI W GASTROGRAFIN,74240,CPT,both,,,905,905,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,905,,fee schedule,905,31.05,905,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,AMERIGROUP,AMERIGROUP,,52.31,,fee schedule,52.31,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,AMERIGROUP,AMERIGROUP,,84.9,,fee schedule,84.9,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CARESOURCE,CARESOURCE,,53.31,,fee schedule,53.31,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CARESOURCE,CARESOURCE,,86.52,,fee schedule,86.52,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,PEACHSTATE,PEACHSTATE,,49.82,,fee schedule,49.82,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,PEACHSTATE,PEACHSTATE,,80.86,,fee schedule,80.86,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,AETNA,AETNA,,1443.33,87,percent of total billed charges,1443.33,31.05,1659,percent of total billed charges,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1443.33,87,percent of total billed charges,1443.33,31.05,1659,percent of total billed charges,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,UNITED HEALTHCARE,UNITED HEALTHCARE,,1459.92,88,percent of total billed charges,1459.92,31.05,1659,percent of total billed charges,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,AETNA,AETNA,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,BEECH STREET,BEECH STREET,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CARESOURCE,CARESOURCE,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,MEDICAID,MEDICAID,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,NOVA NET,NOVA NET,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,PEACHSTATE,PEACHSTATE,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,SELFPAY,SELFPAY,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UGI WITH SBFT,74240,CPT,both,,,1659,1659,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1659,,fee schedule,1659,31.05,1659,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,52.31,,fee schedule,52.31,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,84.9,,fee schedule,84.9,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,53.31,,fee schedule,53.31,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,86.52,,fee schedule,86.52,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,49.82,,fee schedule,49.82,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,80.86,,fee schedule,80.86,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,AETNA,AETNA,,787.35,87,percent of total billed charges,787.35,31.05,905,percent of total billed charges,
UPPER GI SERIES,74240,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,787.35,87,percent of total billed charges,787.35,31.05,905,percent of total billed charges,
UPPER GI SERIES,74240,CPT,both,,,905,905,UNITED HEALTHCARE,UNITED HEALTHCARE,,796.4,88,percent of total billed charges,796.4,31.05,905,percent of total billed charges,
UPPER GI SERIES,74240,CPT,both,,,905,905,AETNA,AETNA,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,BEECH STREET,BEECH STREET,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,MEDICAID,MEDICAID,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,NOVA NET,NOVA NET,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,SELFPAY,SELFPAY,,905,,fee schedule,905,31.05,905,fee schedule,
UPPER GI SERIES,74240,CPT,both,,,905,905,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,905,,fee schedule,905,31.05,905,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,AMERIGROUP,AMERIGROUP,,59.01,,fee schedule,59.01,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,AMERIGROUP,AMERIGROUP,,91.6,,fee schedule,91.6,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,60.13,,fee schedule,60.13,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,93.35,,fee schedule,93.35,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,56.2,,fee schedule,56.2,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,87.24,,fee schedule,87.24,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,AETNA,AETNA,,890.88,87,percent of total billed charges,890.88,31.05,1024,percent of total billed charges,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890.88,87,percent of total billed charges,890.88,31.05,1024,percent of total billed charges,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,UNITED HEALTHCARE,UNITED HEALTHCARE,,901.12,88,percent of total billed charges,901.12,31.05,1024,percent of total billed charges,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,AETNA,AETNA,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,BEECH STREET,BEECH STREET,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,MEDICAID,MEDICAID,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,NOVA NET,NOVA NET,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,SELFPAY,SELFPAY,,1024,,fee schedule,1024,31.05,1024,fee schedule,
BA SWALLOW W AC UPPER GI,74246,CPT,both,,,1024,1024,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,AMERIGROUP,AMERIGROUP,,59.01,,fee schedule,59.01,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,AMERIGROUP,AMERIGROUP,,91.6,,fee schedule,91.6,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,60.13,,fee schedule,60.13,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,93.35,,fee schedule,93.35,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,56.2,,fee schedule,56.2,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,87.24,,fee schedule,87.24,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,AETNA,AETNA,,890.88,87,percent of total billed charges,890.88,31.05,1024,percent of total billed charges,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890.88,87,percent of total billed charges,890.88,31.05,1024,percent of total billed charges,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,UNITED HEALTHCARE,UNITED HEALTHCARE,,901.12,88,percent of total billed charges,901.12,31.05,1024,percent of total billed charges,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,AETNA,AETNA,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,BEECH STREET,BEECH STREET,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CARESOURCE,CARESOURCE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,MEDICAID,MEDICAID,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,NOVA NET,NOVA NET,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,PEACHSTATE,PEACHSTATE,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,SELFPAY,SELFPAY,,1024,,fee schedule,1024,31.05,1024,fee schedule,
UPPER GI SERIES - AIR CON,74246,CPT,both,,,1024,1024,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1024,,fee schedule,1024,31.05,1024,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,22.06,,fee schedule,22.06,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,68.67,,fee schedule,68.67,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,22.48,,fee schedule,22.48,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,69.98,,fee schedule,69.98,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,21.01,,fee schedule,21.01,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,65.4,,fee schedule,65.4,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,AETNA,AETNA,,704.7,87,percent of total billed charges,704.7,21.01,810,percent of total billed charges,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,704.7,87,percent of total billed charges,704.7,21.01,810,percent of total billed charges,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,UNITED HEALTHCARE,UNITED HEALTHCARE,,712.8,88,percent of total billed charges,712.8,21.01,810,percent of total billed charges,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,AETNA,AETNA,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,BEECH STREET,BEECH STREET,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,MEDICAID,MEDICAID,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,NOVA NET,NOVA NET,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,SELFPAY,SELFPAY,,810,,fee schedule,810,21.01,810,fee schedule,
GASTROGRAFIN SMALL BOWELS,74250,CPT,both,,,810,810,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,22.06,,fee schedule,22.06,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,68.67,,fee schedule,68.67,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,22.48,,fee schedule,22.48,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,69.98,,fee schedule,69.98,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,21.01,,fee schedule,21.01,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,65.4,,fee schedule,65.4,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,AETNA,AETNA,,704.7,87,percent of total billed charges,704.7,21.01,810,percent of total billed charges,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,704.7,87,percent of total billed charges,704.7,21.01,810,percent of total billed charges,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,UNITED HEALTHCARE,UNITED HEALTHCARE,,712.8,88,percent of total billed charges,712.8,21.01,810,percent of total billed charges,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,AETNA,AETNA,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,BEECH STREET,BEECH STREET,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,MEDICAID,MEDICAID,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,NOVA NET,NOVA NET,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,SELFPAY,SELFPAY,,810,,fee schedule,810,21.01,810,fee schedule,
SITZ MARKER STUDY,74250,CPT,both,,,810,810,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,22.06,,fee schedule,22.06,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,68.67,,fee schedule,68.67,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,22.48,,fee schedule,22.48,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,69.98,,fee schedule,69.98,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,21.01,,fee schedule,21.01,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,65.4,,fee schedule,65.4,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,AETNA,AETNA,,704.7,87,percent of total billed charges,704.7,21.01,810,percent of total billed charges,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,704.7,87,percent of total billed charges,704.7,21.01,810,percent of total billed charges,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,UNITED HEALTHCARE,UNITED HEALTHCARE,,712.8,88,percent of total billed charges,712.8,21.01,810,percent of total billed charges,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,AETNA,AETNA,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,BEECH STREET,BEECH STREET,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,MEDICAID,MEDICAID,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,NOVA NET,NOVA NET,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,SELFPAY,SELFPAY,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL FOLLOW THRU,74250,CPT,both,,,810,810,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,810,,fee schedule,810,21.01,810,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,AMERIGROUP,AMERIGROUP,,30.58,,fee schedule,30.58,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,AMERIGROUP,AMERIGROUP,,77.2,,fee schedule,77.2,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CARESOURCE,CARESOURCE,,31.16,,fee schedule,31.16,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CARESOURCE,CARESOURCE,,78.67,,fee schedule,78.67,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,PEACHSTATE,PEACHSTATE,,29.12,,fee schedule,29.12,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,PEACHSTATE,PEACHSTATE,,73.52,,fee schedule,73.52,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,TRICARE,TRICARE,,180.34,,fee schedule,180.34,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,AETNA,AETNA,,1221.48,87,percent of total billed charges,1221.48,29.12,1404,percent of total billed charges,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1221.48,87,percent of total billed charges,1221.48,29.12,1404,percent of total billed charges,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,UNITED HEALTHCARE,UNITED HEALTHCARE,,1235.52,88,percent of total billed charges,1235.52,29.12,1404,percent of total billed charges,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,AETNA,AETNA,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,BEECH STREET,BEECH STREET,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CARESOURCE,CARESOURCE,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,MEDICAID,MEDICAID,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,NOVA NET,NOVA NET,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,PEACHSTATE,PEACHSTATE,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,SELFPAY,SELFPAY,,1404,,fee schedule,1404,29.12,1404,fee schedule,
SMALL BOWEL ENTEROCLYSIS,74251,CPT,both,,,1404,1404,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1404,,fee schedule,1404,29.12,1404,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,AMERIGROUP,AMERIGROUP,,61.34,,fee schedule,61.34,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,AMERIGROUP,AMERIGROUP,,93.93,,fee schedule,93.93,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,62.51,,fee schedule,62.51,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,95.72,,fee schedule,95.72,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,58.42,,fee schedule,58.42,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,89.46,,fee schedule,89.46,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,AETNA,AETNA,,746.46,87,percent of total billed charges,746.46,31.05,858,percent of total billed charges,
BARIUM ENEMA,74270,CPT,both,,,858,858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,746.46,87,percent of total billed charges,746.46,31.05,858,percent of total billed charges,
BARIUM ENEMA,74270,CPT,both,,,858,858,UNITED HEALTHCARE,UNITED HEALTHCARE,,755.04,88,percent of total billed charges,755.04,31.05,858,percent of total billed charges,
BARIUM ENEMA,74270,CPT,both,,,858,858,AETNA,AETNA,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,BEECH STREET,BEECH STREET,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,MEDICAID,MEDICAID,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,NOVA NET,NOVA NET,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,SELFPAY,SELFPAY,,858,,fee schedule,858,31.05,858,fee schedule,
BARIUM ENEMA,74270,CPT,both,,,858,858,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,AMERIGROUP,AMERIGROUP,,61.34,,fee schedule,61.34,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,AMERIGROUP,AMERIGROUP,,93.93,,fee schedule,93.93,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,62.51,,fee schedule,62.51,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,95.72,,fee schedule,95.72,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,58.42,,fee schedule,58.42,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,89.46,,fee schedule,89.46,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,TRICARE,TRICARE,,180.34,,fee schedule,180.34,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,AETNA,AETNA,,746.46,87,percent of total billed charges,746.46,31.05,858,percent of total billed charges,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,746.46,87,percent of total billed charges,746.46,31.05,858,percent of total billed charges,
ENEMA W GASTRO,74270,CPT,both,,,858,858,UNITED HEALTHCARE,UNITED HEALTHCARE,,755.04,88,percent of total billed charges,755.04,31.05,858,percent of total billed charges,
ENEMA W GASTRO,74270,CPT,both,,,858,858,AETNA,AETNA,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,BEECH STREET,BEECH STREET,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,MEDICAID,MEDICAID,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,NOVA NET,NOVA NET,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,SELFPAY,SELFPAY,,858,,fee schedule,858,31.05,858,fee schedule,
ENEMA W GASTRO,74270,CPT,both,,,858,858,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,858,,fee schedule,858,31.05,858,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,AMERIGROUP,AMERIGROUP,,46.43,,fee schedule,46.43,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,AMERIGROUP,AMERIGROUP,,80.14,,fee schedule,80.14,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,AMERIGROUP,AMERIGROUP,,126.56,,fee schedule,126.56,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CARESOURCE,CARESOURCE,,47.32,,fee schedule,47.32,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CARESOURCE,CARESOURCE,,81.66,,fee schedule,81.66,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CARESOURCE,CARESOURCE,,128.97,,fee schedule,128.97,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,PEACHSTATE,PEACHSTATE,,44.22,,fee schedule,44.22,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,PEACHSTATE,PEACHSTATE,,76.32,,fee schedule,76.32,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,PEACHSTATE,PEACHSTATE,,120.53,,fee schedule,120.53,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,TRICARE,TRICARE,,180.34,,fee schedule,180.34,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,AETNA,AETNA,,1106.64,87,percent of total billed charges,1106.64,44.22,1272,percent of total billed charges,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1106.64,87,percent of total billed charges,1106.64,44.22,1272,percent of total billed charges,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,UNITED HEALTHCARE,UNITED HEALTHCARE,,1119.36,88,percent of total billed charges,1119.36,44.22,1272,percent of total billed charges,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,AETNA,AETNA,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,BEECH STREET,BEECH STREET,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CARESOURCE,CARESOURCE,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,MEDICAID,MEDICAID,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,NOVA NET,NOVA NET,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,PEACHSTATE,PEACHSTATE,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,SELFPAY,SELFPAY,,1272,,fee schedule,1272,44.22,1272,fee schedule,
BA ENEMA - AIR CONTRAST,74280,CPT,both,,,1272,1272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1272,,fee schedule,1272,44.22,1272,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,AETNA,AETNA,,23269.6,87,percent of total billed charges,23269.6,23269.6,26746.67,percent of total billed charges,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23269.6,87,percent of total billed charges,23269.6,23269.6,26746.67,percent of total billed charges,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,23537.07,88,percent of total billed charges,23537.07,23269.6,26746.67,percent of total billed charges,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,AETNA,AETNA,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,ALLIANT,ALLIANT,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,AMBETTER,AMBETTER,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,BEECH STREET,BEECH STREET,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,CARESOURCE,CARESOURCE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,MEDICAID,MEDICAID,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,MEDICARE,MEDICARE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,NOVA NET,NOVA NET,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,PEACHSTATE,PEACHSTATE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,SELFPAY,SELFPAY,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,TRICARE,TRICARE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,743,DRG,inpatient,,,26746.67,26746.67,UHC MEDICARE,UHC MEDICARE,,26746.67,,fee schedule,26746.67,23269.6,26746.67,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,AMERIGROUP,AMERIGROUP,,16.81,,fee schedule,16.81,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,AMERIGROUP,AMERIGROUP,,32.75,,fee schedule,32.75,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,CARESOURCE,CARESOURCE,,17.13,,fee schedule,17.13,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,CARESOURCE,CARESOURCE,,33.37,,fee schedule,33.37,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,PEACHSTATE,PEACHSTATE,,16.01,,fee schedule,16.01,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,PEACHSTATE,PEACHSTATE,,31.19,,fee schedule,31.19,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,AETNA,AETNA,,786.48,87,percent of total billed charges,786.48,16.01,904,percent of total billed charges,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,786.48,87,percent of total billed charges,786.48,16.01,904,percent of total billed charges,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,UNITED HEALTHCARE,UNITED HEALTHCARE,,795.52,88,percent of total billed charges,795.52,16.01,904,percent of total billed charges,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,AETNA,AETNA,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,ALLIANT,ALLIANT,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,AMBETTER,AMBETTER,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,BEECH STREET,BEECH STREET,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,CARESOURCE,CARESOURCE,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,MEDICAID,MEDICAID,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,MEDICARE,MEDICARE,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,NOVA NET,NOVA NET,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,PEACHSTATE,PEACHSTATE,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,SELFPAY,SELFPAY,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,TRICARE,TRICARE,,904,,fee schedule,904,16.01,904,fee schedule,
OPERATIVE CHOLANGIOGRAM,74300,CPT,both,,,904,904,UHC MEDICARE,UHC MEDICARE,,904,,fee schedule,904,16.01,904,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,AMERIGROUP,AMERIGROUP,,40.79,,fee schedule,40.79,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,AMERIGROUP,AMERIGROUP,,153.47,,fee schedule,153.47,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,CARESOURCE,CARESOURCE,,41.57,,fee schedule,41.57,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,CARESOURCE,CARESOURCE,,156.39,,fee schedule,156.39,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,PEACHSTATE,PEACHSTATE,,38.85,,fee schedule,38.85,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,PEACHSTATE,PEACHSTATE,,146.16,,fee schedule,146.16,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,AETNA,AETNA,,1126.65,87,percent of total billed charges,1126.65,38.85,1295,percent of total billed charges,
ERCP,74330,CPT,both,,,1295,1295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1126.65,87,percent of total billed charges,1126.65,38.85,1295,percent of total billed charges,
ERCP,74330,CPT,both,,,1295,1295,UNITED HEALTHCARE,UNITED HEALTHCARE,,1139.6,88,percent of total billed charges,1139.6,38.85,1295,percent of total billed charges,
ERCP,74330,CPT,both,,,1295,1295,AETNA,AETNA,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,ALLIANT,ALLIANT,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,AMBETTER,AMBETTER,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,BEECH STREET,BEECH STREET,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,CARESOURCE,CARESOURCE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,MEDICAID,MEDICAID,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,MEDICARE,MEDICARE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,NOVA NET,NOVA NET,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,PEACHSTATE,PEACHSTATE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,SELFPAY,SELFPAY,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,TRICARE,TRICARE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
ERCP,74330,CPT,both,,,1295,1295,UHC MEDICARE,UHC MEDICARE,,1295,,fee schedule,1295,38.85,1295,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,93.56,,fee schedule,93.56,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,118.92,,fee schedule,118.92,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,95.34,,fee schedule,95.34,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,121.19,,fee schedule,121.19,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,89.1,,fee schedule,89.1,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,113.26,,fee schedule,113.26,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,24.16,774,percent of total billed charges,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,24.16,774,percent of total billed charges,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,24.16,774,percent of total billed charges,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,ALLIANT,ALLIANT,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,AMBETTER,AMBETTER,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,MEDICARE,MEDICARE,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,TRICARE,TRICARE,,774,,fee schedule,774,24.16,774,fee schedule,
GASTROSTOMY TUBE PLACEMEN,74340,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,774,,fee schedule,774,24.16,774,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,AETNA,AETNA,,18635.83,87,percent of total billed charges,18635.83,18635.83,21420.49,percent of total billed charges,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18635.83,87,percent of total billed charges,18635.83,18635.83,21420.49,percent of total billed charges,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,UNITED HEALTHCARE,UNITED HEALTHCARE,,18850.03,88,percent of total billed charges,18850.03,18635.83,21420.49,percent of total billed charges,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,AETNA,AETNA,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,ALLIANT,ALLIANT,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,AMBETTER,AMBETTER,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,BEECH STREET,BEECH STREET,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,CARESOURCE,CARESOURCE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,MEDICAID,MEDICAID,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,MEDICARE,MEDICARE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,NOVA NET,NOVA NET,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,PEACHSTATE,PEACHSTATE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,SELFPAY,SELFPAY,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,TRICARE,TRICARE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC",744,DRG,inpatient,,,21420.49,21420.49,UHC MEDICARE,UHC MEDICARE,,21420.49,,fee schedule,21420.49,18635.83,21420.49,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,AMERIGROUP,AMERIGROUP,,60.67,,fee schedule,60.67,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,AMERIGROUP,AMERIGROUP,,83.71,,fee schedule,83.71,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CARESOURCE,CARESOURCE,,61.82,,fee schedule,61.82,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CARESOURCE,CARESOURCE,,85.3,,fee schedule,85.3,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,PEACHSTATE,PEACHSTATE,,57.78,,fee schedule,57.78,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,PEACHSTATE,PEACHSTATE,,79.72,,fee schedule,79.72,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,AETNA,AETNA,,866.52,87,percent of total billed charges,866.52,21.97,996,percent of total billed charges,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,866.52,87,percent of total billed charges,866.52,21.97,996,percent of total billed charges,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,UNITED HEALTHCARE,UNITED HEALTHCARE,,876.48,88,percent of total billed charges,876.48,21.97,996,percent of total billed charges,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,AETNA,AETNA,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,BEECH STREET,BEECH STREET,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CARESOURCE,CARESOURCE,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,MEDICAID,MEDICAID,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,NOVA NET,NOVA NET,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,PEACHSTATE,PEACHSTATE,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,SELFPAY,SELFPAY,,996,,fee schedule,996,21.97,996,fee schedule,
INTRAVENOUS PYELOGRAM,74400,CPT,both,,,996,996,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,996,,fee schedule,996,21.97,996,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,AMERIGROUP,AMERIGROUP,,69.74,,fee schedule,69.74,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,AMERIGROUP,AMERIGROUP,,92.8,,fee schedule,92.8,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,71.07,,fee schedule,71.07,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,94.57,,fee schedule,94.57,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,66.42,,fee schedule,66.42,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,88.38,,fee schedule,88.38,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,AETNA,AETNA,,816.06,87,percent of total billed charges,816.06,21.97,938,percent of total billed charges,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,816.06,87,percent of total billed charges,816.06,21.97,938,percent of total billed charges,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,UNITED HEALTHCARE,UNITED HEALTHCARE,,825.44,88,percent of total billed charges,825.44,21.97,938,percent of total billed charges,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,AETNA,AETNA,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,BEECH STREET,BEECH STREET,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,MEDICAID,MEDICAID,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,NOVA NET,NOVA NET,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,SELFPAY,SELFPAY,,938,,fee schedule,938,21.97,938,fee schedule,
HYPERTENSIVE IVP,74410,CPT,both,,,938,938,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,AMERIGROUP,AMERIGROUP,,69.74,,fee schedule,69.74,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,AMERIGROUP,AMERIGROUP,,92.8,,fee schedule,92.8,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,71.07,,fee schedule,71.07,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,94.57,,fee schedule,94.57,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,66.42,,fee schedule,66.42,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,88.38,,fee schedule,88.38,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,AETNA,AETNA,,816.06,87,percent of total billed charges,816.06,21.97,938,percent of total billed charges,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,816.06,87,percent of total billed charges,816.06,21.97,938,percent of total billed charges,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,UNITED HEALTHCARE,UNITED HEALTHCARE,,825.44,88,percent of total billed charges,825.44,21.97,938,percent of total billed charges,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,AETNA,AETNA,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,BEECH STREET,BEECH STREET,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,MEDICAID,MEDICAID,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,NOVA NET,NOVA NET,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,SELFPAY,SELFPAY,,938,,fee schedule,938,21.97,938,fee schedule,
IVP-HYPERTENSIVE,74410,CPT,both,,,938,938,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,938,,fee schedule,938,21.97,938,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,AMERIGROUP,AMERIGROUP,,75.78,,fee schedule,75.78,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,AMERIGROUP,AMERIGROUP,,98.82,,fee schedule,98.82,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,77.22,,fee schedule,77.22,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,100.7,,fee schedule,100.7,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,72.17,,fee schedule,72.17,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,94.11,,fee schedule,94.11,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,TRICARE,TRICARE,,180.34,,fee schedule,180.34,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,AETNA,AETNA,,602.04,87,percent of total billed charges,602.04,21.97,692,percent of total billed charges,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,602.04,87,percent of total billed charges,602.04,21.97,692,percent of total billed charges,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.96,88,percent of total billed charges,608.96,21.97,692,percent of total billed charges,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,AETNA,AETNA,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,BEECH STREET,BEECH STREET,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,MEDICAID,MEDICAID,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,NOVA NET,NOVA NET,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,SELFPAY,SELFPAY,,692,,fee schedule,692,21.97,692,fee schedule,
IVP WITH TOMOGRAMS,74415,CPT,both,,,692,692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,692,,fee schedule,692,21.97,692,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,AMERIGROUP,AMERIGROUP,,17.12,,fee schedule,17.12,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,AMERIGROUP,AMERIGROUP,,93.56,,fee schedule,93.56,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,AMERIGROUP,AMERIGROUP,,110.67,,fee schedule,110.67,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CARESOURCE,CARESOURCE,,17.44,,fee schedule,17.44,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CARESOURCE,CARESOURCE,,95.34,,fee schedule,95.34,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CARESOURCE,CARESOURCE,,112.78,,fee schedule,112.78,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,PEACHSTATE,PEACHSTATE,,16.3,,fee schedule,16.3,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,PEACHSTATE,PEACHSTATE,,89.1,,fee schedule,89.1,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,PEACHSTATE,PEACHSTATE,,105.4,,fee schedule,105.4,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,TRICARE,TRICARE,,368.43,,fee schedule,368.43,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,AETNA,AETNA,,415.86,87,percent of total billed charges,415.86,16.3,607.91,percent of total billed charges,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,415.86,87,percent of total billed charges,415.86,16.3,607.91,percent of total billed charges,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,UNITED HEALTHCARE,UNITED HEALTHCARE,,420.64,88,percent of total billed charges,420.64,16.3,607.91,percent of total billed charges,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,AETNA,AETNA,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,BEECH STREET,BEECH STREET,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CARESOURCE,CARESOURCE,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,MEDICAID,MEDICAID,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,NOVA NET,NOVA NET,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,PEACHSTATE,PEACHSTATE,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,SELFPAY,SELFPAY,,478,,fee schedule,478,16.3,607.91,fee schedule,
RETROGRADE PYELOGRAM,74420,CPT,both,,,478,478,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,478,,fee schedule,478,16.3,607.91,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,16.81,,fee schedule,16.81,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,63.42,,fee schedule,63.42,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,17.13,,fee schedule,17.13,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,64.63,,fee schedule,64.63,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,16.01,,fee schedule,16.01,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,60.4,,fee schedule,60.4,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,TRICARE,TRICARE,,368.43,,fee schedule,368.43,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,AETNA,AETNA,,762.99,87,percent of total billed charges,762.99,16.01,877,percent of total billed charges,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,762.99,87,percent of total billed charges,762.99,16.01,877,percent of total billed charges,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,UNITED HEALTHCARE,UNITED HEALTHCARE,,771.76,88,percent of total billed charges,771.76,16.01,877,percent of total billed charges,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,AETNA,AETNA,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,BEECH STREET,BEECH STREET,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,MEDICAID,MEDICAID,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,NOVA NET,NOVA NET,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,SELFPAY,SELFPAY,,877,,fee schedule,877,16.01,877,fee schedule,
PERCUTANEOUS ANTEGRADE PYELOGR,74425,CPT,both,,,877,877,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,16.81,,fee schedule,16.81,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,63.42,,fee schedule,63.42,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,17.13,,fee schedule,17.13,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,64.63,,fee schedule,64.63,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,16.01,,fee schedule,16.01,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,60.4,,fee schedule,60.4,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,TRICARE,TRICARE,,368.43,,fee schedule,368.43,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,AETNA,AETNA,,762.99,87,percent of total billed charges,762.99,16.01,877,percent of total billed charges,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,762.99,87,percent of total billed charges,762.99,16.01,877,percent of total billed charges,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,UNITED HEALTHCARE,UNITED HEALTHCARE,,771.76,88,percent of total billed charges,771.76,16.01,877,percent of total billed charges,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,AETNA,AETNA,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,BEECH STREET,BEECH STREET,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,MEDICAID,MEDICAID,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,NOVA NET,NOVA NET,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,SELFPAY,SELFPAY,,877,,fee schedule,877,16.01,877,fee schedule,
RETROGRADE URETHEROGRAM,74425,CPT,both,,,877,877,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,877,,fee schedule,877,16.01,877,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,AMERIGROUP,AMERIGROUP,,15.16,,fee schedule,15.16,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,AMERIGROUP,AMERIGROUP,,37.88,,fee schedule,37.88,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,AMERIGROUP,AMERIGROUP,,53.05,,fee schedule,53.05,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,15.45,,fee schedule,15.45,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,38.61,,fee schedule,38.61,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,54.06,,fee schedule,54.06,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,14.44,,fee schedule,14.44,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,36.08,,fee schedule,36.08,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,50.52,,fee schedule,50.52,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,TRICARE,TRICARE,,368.43,,fee schedule,368.43,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,AETNA,AETNA,,473.28,87,percent of total billed charges,473.28,14.44,607.91,percent of total billed charges,
CYSTOGRAM,74430,CPT,both,,,544,544,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473.28,87,percent of total billed charges,473.28,14.44,607.91,percent of total billed charges,
CYSTOGRAM,74430,CPT,both,,,544,544,UNITED HEALTHCARE,UNITED HEALTHCARE,,478.72,88,percent of total billed charges,478.72,14.44,607.91,percent of total billed charges,
CYSTOGRAM,74430,CPT,both,,,544,544,AETNA,AETNA,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,BEECH STREET,BEECH STREET,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,MEDICAID,MEDICAID,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,NOVA NET,NOVA NET,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,SELFPAY,SELFPAY,,544,,fee schedule,544,14.44,607.91,fee schedule,
CYSTOGRAM,74430,CPT,both,,,544,544,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,544,,fee schedule,544,14.44,607.91,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,AMERIGROUP,AMERIGROUP,,15.48,,fee schedule,15.48,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,AMERIGROUP,AMERIGROUP,,52.31,,fee schedule,52.31,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,AMERIGROUP,AMERIGROUP,,67.79,,fee schedule,67.79,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CARESOURCE,CARESOURCE,,15.77,,fee schedule,15.77,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CARESOURCE,CARESOURCE,,53.31,,fee schedule,53.31,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CARESOURCE,CARESOURCE,,69.08,,fee schedule,69.08,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,PEACHSTATE,PEACHSTATE,,14.74,,fee schedule,14.74,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,PEACHSTATE,PEACHSTATE,,49.82,,fee schedule,49.82,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,PEACHSTATE,PEACHSTATE,,64.56,,fee schedule,64.56,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,TRICARE,TRICARE,,233.52,,fee schedule,233.52,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,AETNA,AETNA,,441.96,87,percent of total billed charges,441.96,14.74,508,percent of total billed charges,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,441.96,87,percent of total billed charges,441.96,14.74,508,percent of total billed charges,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,UNITED HEALTHCARE,UNITED HEALTHCARE,,447.04,88,percent of total billed charges,447.04,14.74,508,percent of total billed charges,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,AETNA,AETNA,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,BEECH STREET,BEECH STREET,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CARESOURCE,CARESOURCE,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,MEDICAID,MEDICAID,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,NOVA NET,NOVA NET,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,PEACHSTATE,PEACHSTATE,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,SELFPAY,SELFPAY,,508,,fee schedule,508,14.74,508,fee schedule,
URETHROCYSTOGRAPHY,74450,CPT,both,,,508,508,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,508,,fee schedule,508,14.74,508,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,AMERIGROUP,AMERIGROUP,,15.48,,fee schedule,15.48,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,AMERIGROUP,AMERIGROUP,,56.65,,fee schedule,56.65,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,AMERIGROUP,AMERIGROUP,,72.14,,fee schedule,72.14,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CARESOURCE,CARESOURCE,,15.77,,fee schedule,15.77,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CARESOURCE,CARESOURCE,,57.73,,fee schedule,57.73,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CARESOURCE,CARESOURCE,,73.51,,fee schedule,73.51,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,PEACHSTATE,PEACHSTATE,,14.74,,fee schedule,14.74,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,PEACHSTATE,PEACHSTATE,,53.95,,fee schedule,53.95,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,PEACHSTATE,PEACHSTATE,,68.7,,fee schedule,68.7,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,TRICARE,TRICARE,,233.52,,fee schedule,233.52,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,AETNA,AETNA,,548.1,87,percent of total billed charges,548.1,14.74,630,percent of total billed charges,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,548.1,87,percent of total billed charges,548.1,14.74,630,percent of total billed charges,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,UNITED HEALTHCARE,UNITED HEALTHCARE,,554.4,88,percent of total billed charges,554.4,14.74,630,percent of total billed charges,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,AETNA,AETNA,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,BEECH STREET,BEECH STREET,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CARESOURCE,CARESOURCE,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,MEDICAID,MEDICAID,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,NOVA NET,NOVA NET,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,PEACHSTATE,PEACHSTATE,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,SELFPAY,SELFPAY,,630,,fee schedule,630,14.74,630,fee schedule,
VOIDING CYSTOURETHROGRAM,74455,CPT,both,,,630,630,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,630,,fee schedule,630,14.74,630,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,AMERIGROUP,AMERIGROUP,,44.59,,fee schedule,44.59,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,AMERIGROUP,AMERIGROUP,,69.96,,fee schedule,69.96,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,45.44,,fee schedule,45.44,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,71.29,,fee schedule,71.29,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,42.47,,fee schedule,42.47,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,66.63,,fee schedule,66.63,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,TRICARE,TRICARE,,503.13,,fee schedule,503.13,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,AETNA,AETNA,,781.26,87,percent of total billed charges,781.26,24.16,898,percent of total billed charges,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,781.26,87,percent of total billed charges,781.26,24.16,898,percent of total billed charges,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,UNITED HEALTHCARE,UNITED HEALTHCARE,,790.24,88,percent of total billed charges,790.24,24.16,898,percent of total billed charges,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,AETNA,AETNA,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,BEECH STREET,BEECH STREET,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,MEDICAID,MEDICAID,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,NOVA NET,NOVA NET,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,SELFPAY,SELFPAY,,898,,fee schedule,898,24.16,898,fee schedule,
RENAL CYST PUNCTURE,74470,CPT,both,,,898,898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,898,,fee schedule,898,24.16,898,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,AETNA,AETNA,,22825.51,87,percent of total billed charges,22825.51,22825.51,26236.22,percent of total billed charges,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22825.51,87,percent of total billed charges,22825.51,22825.51,26236.22,percent of total billed charges,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,UNITED HEALTHCARE,UNITED HEALTHCARE,,23087.87,88,percent of total billed charges,23087.87,22825.51,26236.22,percent of total billed charges,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,AETNA,AETNA,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,ALLIANT,ALLIANT,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,AMBETTER,AMBETTER,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,BEECH STREET,BEECH STREET,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,CARESOURCE,CARESOURCE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,MEDICAID,MEDICAID,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,MEDICARE,MEDICARE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,NOVA NET,NOVA NET,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,PEACHSTATE,PEACHSTATE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,SELFPAY,SELFPAY,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,TRICARE,TRICARE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
"VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC",746,DRG,inpatient,,,26236.22,26236.22,UHC MEDICARE,UHC MEDICARE,,26236.22,,fee schedule,26236.22,22825.51,26236.22,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,AMERIGROUP,AMERIGROUP,,18.1,,fee schedule,18.1,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,AMERIGROUP,AMERIGROUP,,64.71,,fee schedule,64.71,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CARESOURCE,CARESOURCE,,18.45,,fee schedule,18.45,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CARESOURCE,CARESOURCE,,65.94,,fee schedule,65.94,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,PEACHSTATE,PEACHSTATE,,17.24,,fee schedule,17.24,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,PEACHSTATE,PEACHSTATE,,61.63,,fee schedule,61.63,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,TRICARE,TRICARE,,233.52,,fee schedule,233.52,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,AETNA,AETNA,,817.8,87,percent of total billed charges,817.8,17.24,940,percent of total billed charges,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,817.8,87,percent of total billed charges,817.8,17.24,940,percent of total billed charges,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,UNITED HEALTHCARE,UNITED HEALTHCARE,,827.2,88,percent of total billed charges,827.2,17.24,940,percent of total billed charges,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,AETNA,AETNA,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,BEECH STREET,BEECH STREET,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CARESOURCE,CARESOURCE,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,MEDICAID,MEDICAID,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,NOVA NET,NOVA NET,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,PEACHSTATE,PEACHSTATE,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,SELFPAY,SELFPAY,,940,,fee schedule,940,17.24,940,fee schedule,
HYSTEROSALPINGOGRAM,74740,CPT,both,,,940,940,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,940,,fee schedule,940,17.24,940,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,AETNA,AETNA,,32475.32,87,percent of total billed charges,32475.32,32475.32,37327.95,percent of total billed charges,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32475.32,87,percent of total billed charges,32475.32,32475.32,37327.95,percent of total billed charges,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,UNITED HEALTHCARE,UNITED HEALTHCARE,,32848.6,88,percent of total billed charges,32848.6,32475.32,37327.95,percent of total billed charges,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,AETNA,AETNA,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,ALLIANT,ALLIANT,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,AMBETTER,AMBETTER,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,BEECH STREET,BEECH STREET,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,CARESOURCE,CARESOURCE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,MEDICAID,MEDICAID,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,MEDICARE,MEDICARE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,NOVA NET,NOVA NET,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,PEACHSTATE,PEACHSTATE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,SELFPAY,SELFPAY,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,TRICARE,TRICARE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,DRG,inpatient,,,37327.95,37327.95,UHC MEDICARE,UHC MEDICARE,,37327.95,,fee schedule,37327.95,32475.32,37327.95,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,AETNA,AETNA,,23211.28,87,percent of total billed charges,23211.28,23211.28,26679.63,percent of total billed charges,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23211.28,87,percent of total billed charges,23211.28,23211.28,26679.63,percent of total billed charges,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,23478.07,88,percent of total billed charges,23478.07,23211.28,26679.63,percent of total billed charges,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,AETNA,AETNA,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,ALLIANT,ALLIANT,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,AMBETTER,AMBETTER,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,BEECH STREET,BEECH STREET,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,CARESOURCE,CARESOURCE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,MEDICAID,MEDICAID,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,MEDICARE,MEDICARE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,NOVA NET,NOVA NET,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,PEACHSTATE,PEACHSTATE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,SELFPAY,SELFPAY,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,TRICARE,TRICARE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,750,DRG,inpatient,,,26679.63,26679.63,UHC MEDICARE,UHC MEDICARE,,26679.63,,fee schedule,26679.63,23211.28,26679.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,AETNA,AETNA,,31620.9,87,percent of total billed charges,31620.9,31620.9,36345.86,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31620.9,87,percent of total billed charges,31620.9,31620.9,36345.86,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,UNITED HEALTHCARE,UNITED HEALTHCARE,,31984.36,88,percent of total billed charges,31984.36,31620.9,36345.86,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,AETNA,AETNA,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,ALLIANT,ALLIANT,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,AMBETTER,AMBETTER,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,BEECH STREET,BEECH STREET,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,CARESOURCE,CARESOURCE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,MEDICAID,MEDICAID,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,MEDICARE,MEDICARE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,NOVA NET,NOVA NET,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,PEACHSTATE,PEACHSTATE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,SELFPAY,SELFPAY,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,TRICARE,TRICARE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC",754,DRG,inpatient,,,36345.86,36345.86,UHC MEDICARE,UHC MEDICARE,,36345.86,,fee schedule,36345.86,31620.9,36345.86,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,AETNA,AETNA,,23403.73,87,percent of total billed charges,23403.73,23403.73,26900.84,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23403.73,87,percent of total billed charges,23403.73,23403.73,26900.84,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,UNITED HEALTHCARE,UNITED HEALTHCARE,,23672.74,88,percent of total billed charges,23672.74,23403.73,26900.84,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,AETNA,AETNA,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,ALLIANT,ALLIANT,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,AMBETTER,AMBETTER,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,BEECH STREET,BEECH STREET,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,CARESOURCE,CARESOURCE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,MEDICAID,MEDICAID,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,MEDICARE,MEDICARE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,NOVA NET,NOVA NET,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,PEACHSTATE,PEACHSTATE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,SELFPAY,SELFPAY,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,TRICARE,TRICARE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC",755,DRG,inpatient,,,26900.84,26900.84,UHC MEDICARE,UHC MEDICARE,,26900.84,,fee schedule,26900.84,23403.73,26900.84,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,19.58,,fee schedule,19.58,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,40.64,,fee schedule,40.64,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,60.22,,fee schedule,60.22,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,19.96,,fee schedule,19.96,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,41.41,,fee schedule,41.41,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,61.36,,fee schedule,61.36,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,18.65,,fee schedule,18.65,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,38.7,,fee schedule,38.7,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,57.35,,fee schedule,57.35,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,TRICARE,TRICARE,,86.88,,fee schedule,86.88,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,AETNA,AETNA,,534.18,87,percent of total billed charges,534.18,18.65,614,percent of total billed charges,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534.18,87,percent of total billed charges,534.18,18.65,614,percent of total billed charges,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,UNITED HEALTHCARE,UNITED HEALTHCARE,,540.32,88,percent of total billed charges,540.32,18.65,614,percent of total billed charges,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,AETNA,AETNA,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,BEECH STREET,BEECH STREET,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,MEDICAID,MEDICAID,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,NOVA NET,NOVA NET,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,SELFPAY,SELFPAY,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CALCIUM SCORING,75571,CPT,both,,,614,614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,614,,fee schedule,614,18.65,614,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,AMERIGROUP,AMERIGROUP,,59.99,,fee schedule,59.99,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,AMERIGROUP,AMERIGROUP,,126.09,,fee schedule,126.09,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,AMERIGROUP,AMERIGROUP,,186.07,,fee schedule,186.07,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CARESOURCE,CARESOURCE,,61.13,,fee schedule,61.13,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CARESOURCE,CARESOURCE,,128.5,,fee schedule,128.5,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CARESOURCE,CARESOURCE,,189.61,,fee schedule,189.61,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,PEACHSTATE,PEACHSTATE,,57.13,,fee schedule,57.13,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,PEACHSTATE,PEACHSTATE,,120.09,,fee schedule,120.09,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,PEACHSTATE,PEACHSTATE,,177.21,,fee schedule,177.21,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,TRICARE,TRICARE,,180.34,,fee schedule,180.34,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,AETNA,AETNA,,1642.56,87,percent of total billed charges,1642.56,57.13,1888,percent of total billed charges,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1642.56,87,percent of total billed charges,1642.56,57.13,1888,percent of total billed charges,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,UNITED HEALTHCARE,UNITED HEALTHCARE,,1661.44,88,percent of total billed charges,1661.44,57.13,1888,percent of total billed charges,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,AETNA,AETNA,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,BEECH STREET,BEECH STREET,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CARESOURCE,CARESOURCE,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,MEDICAID,MEDICAID,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,NOVA NET,NOVA NET,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,PEACHSTATE,PEACHSTATE,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,SELFPAY,SELFPAY,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CARDIAC MORPHOLO,75572,CPT,both,,,1888,1888,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1888,,fee schedule,1888,57.13,1888,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,85.88,,fee schedule,85.88,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,178.53,,fee schedule,178.53,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,264.43,,fee schedule,264.43,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,87.52,,fee schedule,87.52,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,181.93,,fee schedule,181.93,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,269.47,,fee schedule,269.47,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,81.79,,fee schedule,81.79,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,170.03,,fee schedule,170.03,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,251.84,,fee schedule,251.84,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,TRICARE,TRICARE,,180.34,,fee schedule,180.34,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,AETNA,AETNA,,3168.54,87,percent of total billed charges,3168.54,81.79,3642,percent of total billed charges,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3168.54,87,percent of total billed charges,3168.54,81.79,3642,percent of total billed charges,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,UNITED HEALTHCARE,UNITED HEALTHCARE,,3204.96,88,percent of total billed charges,3204.96,81.79,3642,percent of total billed charges,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,AETNA,AETNA,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,BEECH STREET,BEECH STREET,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,MEDICAID,MEDICAID,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,NOVA NET,NOVA NET,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,SELFPAY,SELFPAY,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CONGENITAL STUDI,75573,CPT,both,,,3642,3642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3642,,fee schedule,3642,81.79,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,81.86,,fee schedule,81.86,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,242.5,,fee schedule,242.5,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,324.36,,fee schedule,324.36,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,83.42,,fee schedule,83.42,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,247.12,,fee schedule,247.12,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,330.53,,fee schedule,330.53,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,77.96,,fee schedule,77.96,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,230.95,,fee schedule,230.95,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,308.91,,fee schedule,308.91,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,TRICARE,TRICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,UNITED HEALTHCARE,UNITED HEALTHCARE,,3204.96,88,percent of total billed charges,3204.96,77.96,3642,percent of total billed charges,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,BEECH STREET,BEECH STREET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,MEDICAID,MEDICAID,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,NOVA NET,NOVA NET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,SELFPAY,SELFPAY,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORO CA SCOR M,75574,CPT,both,,,3642,3642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,81.86,,fee schedule,81.86,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,242.5,,fee schedule,242.5,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,324.36,,fee schedule,324.36,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,83.42,,fee schedule,83.42,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,247.12,,fee schedule,247.12,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,330.53,,fee schedule,330.53,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,77.96,,fee schedule,77.96,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,230.95,,fee schedule,230.95,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,308.91,,fee schedule,308.91,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,TRICARE,TRICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,UNITED HEALTHCARE,UNITED HEALTHCARE,,3204.96,88,percent of total billed charges,3204.96,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,BEECH STREET,BEECH STREET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,MEDICAID,MEDICAID,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,NOVA NET,NOVA NET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,SELFPAY,SELFPAY,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES ALONE,75574,CPT,both,,,3642,3642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,81.86,,fee schedule,81.86,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,242.5,,fee schedule,242.5,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,324.36,,fee schedule,324.36,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,83.42,,fee schedule,83.42,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,247.12,,fee schedule,247.12,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,330.53,,fee schedule,330.53,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,77.96,,fee schedule,77.96,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,230.95,,fee schedule,230.95,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,308.91,,fee schedule,308.91,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,TRICARE,TRICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,UNITED HEALTHCARE,UNITED HEALTHCARE,,3204.96,88,percent of total billed charges,3204.96,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,BEECH STREET,BEECH STREET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,MEDICAID,MEDICAID,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,NOVA NET,NOVA NET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,SELFPAY,SELFPAY,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CALCI,75574,CPT,both,,,3642,3642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,81.86,,fee schedule,81.86,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,242.5,,fee schedule,242.5,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,AMERIGROUP,AMERIGROUP,,324.36,,fee schedule,324.36,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,83.42,,fee schedule,83.42,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,247.12,,fee schedule,247.12,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,330.53,,fee schedule,330.53,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,77.96,,fee schedule,77.96,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,230.95,,fee schedule,230.95,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,308.91,,fee schedule,308.91,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,TRICARE,TRICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3168.54,87,percent of total billed charges,3168.54,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,UNITED HEALTHCARE,UNITED HEALTHCARE,,3204.96,88,percent of total billed charges,3204.96,77.96,3642,percent of total billed charges,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,AETNA,AETNA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,BEECH STREET,BEECH STREET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CARESOURCE,CARESOURCE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,MEDICAID,MEDICAID,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,NOVA NET,NOVA NET,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,PEACHSTATE,PEACHSTATE,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,SELFPAY,SELFPAY,,3642,,fee schedule,3642,77.96,3642,fee schedule,
CT HEART-CORONARIES/CARDI,75574,CPT,both,,,3642,3642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3642,,fee schedule,3642,77.96,3642,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,AETNA,AETNA,,19856.56,87,percent of total billed charges,19856.56,19856.56,22823.63,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19856.56,87,percent of total billed charges,19856.56,19856.56,22823.63,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,20084.79,88,percent of total billed charges,20084.79,19856.56,22823.63,percent of total billed charges,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,AETNA,AETNA,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,ALLIANT,ALLIANT,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,AMBETTER,AMBETTER,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,BEECH STREET,BEECH STREET,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,CARESOURCE,CARESOURCE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,MEDICAID,MEDICAID,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,MEDICARE,MEDICARE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,NOVA NET,NOVA NET,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,PEACHSTATE,PEACHSTATE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,SELFPAY,SELFPAY,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,TRICARE,TRICARE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",756,DRG,inpatient,,,22823.63,22823.63,UHC MEDICARE,UHC MEDICARE,,22823.63,,fee schedule,22823.63,19856.56,22823.63,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,AMERIGROUP,AMERIGROUP,,54.04,,fee schedule,54.04,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,AMERIGROUP,AMERIGROUP,,503.74,,fee schedule,503.74,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CARESOURCE,CARESOURCE,,55.07,,fee schedule,55.07,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CARESOURCE,CARESOURCE,,513.33,,fee schedule,513.33,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,PEACHSTATE,PEACHSTATE,,51.47,,fee schedule,51.47,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,PEACHSTATE,PEACHSTATE,,479.75,,fee schedule,479.75,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,AETNA,AETNA,,10172.04,87,percent of total billed charges,10172.04,51.47,11692,percent of total billed charges,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10172.04,87,percent of total billed charges,10172.04,51.47,11692,percent of total billed charges,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,UNITED HEALTHCARE,UNITED HEALTHCARE,,10288.96,88,percent of total billed charges,10288.96,51.47,11692,percent of total billed charges,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,AETNA,AETNA,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,BEECH STREET,BEECH STREET,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CARESOURCE,CARESOURCE,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,MEDICAID,MEDICAID,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,NOVA NET,NOVA NET,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,PEACHSTATE,PEACHSTATE,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,SELFPAY,SELFPAY,,11692,,fee schedule,11692,51.47,11692,fee schedule,
THORACIC AORTOGRAM,75605,CPT,both,,,11692,11692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11692,,fee schedule,11692,51.47,11692,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,53.68,,fee schedule,53.68,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,503.37,,fee schedule,503.37,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,54.7,,fee schedule,54.7,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,512.96,,fee schedule,512.96,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,51.12,,fee schedule,51.12,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,479.4,,fee schedule,479.4,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,AETNA,AETNA,,6119.58,87,percent of total billed charges,6119.58,51.12,7034,percent of total billed charges,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6119.58,87,percent of total billed charges,6119.58,51.12,7034,percent of total billed charges,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,UNITED HEALTHCARE,UNITED HEALTHCARE,,6189.92,88,percent of total billed charges,6189.92,51.12,7034,percent of total billed charges,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,AETNA,AETNA,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,BEECH STREET,BEECH STREET,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,MEDICAID,MEDICAID,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,NOVA NET,NOVA NET,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,SELFPAY,SELFPAY,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM,75625,CPT,both,,,7034,7034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7034,,fee schedule,7034,51.12,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,80.63,,fee schedule,80.63,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,468.8,,fee schedule,468.8,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,549.41,,fee schedule,549.41,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,82.17,,fee schedule,82.17,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,477.73,,fee schedule,477.73,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,559.88,,fee schedule,559.88,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,76.79,,fee schedule,76.79,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,446.48,,fee schedule,446.48,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,523.25,,fee schedule,523.25,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,AETNA,AETNA,,6119.58,87,percent of total billed charges,6119.58,76.79,7034,percent of total billed charges,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6119.58,87,percent of total billed charges,6119.58,76.79,7034,percent of total billed charges,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,UNITED HEALTHCARE,UNITED HEALTHCARE,,6189.92,88,percent of total billed charges,6189.92,76.79,7034,percent of total billed charges,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,AETNA,AETNA,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,BEECH STREET,BEECH STREET,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,MEDICAID,MEDICAID,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,NOVA NET,NOVA NET,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,SELFPAY,SELFPAY,,7034,,fee schedule,7034,76.79,7034,fee schedule,
ABD AORTAGRAM W BIL RUNOFF,75630,CPT,both,,,7034,7034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7034,,fee schedule,7034,76.79,7034,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,AMERIGROUP,AMERIGROUP,,103.65,,fee schedule,103.65,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,AMERIGROUP,AMERIGROUP,,344.55,,fee schedule,344.55,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,AMERIGROUP,AMERIGROUP,,448.19,,fee schedule,448.19,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CARESOURCE,CARESOURCE,,105.62,,fee schedule,105.62,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CARESOURCE,CARESOURCE,,351.11,,fee schedule,351.11,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CARESOURCE,CARESOURCE,,456.73,,fee schedule,456.73,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,PEACHSTATE,PEACHSTATE,,98.71,,fee schedule,98.71,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,PEACHSTATE,PEACHSTATE,,328.14,,fee schedule,328.14,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,PEACHSTATE,PEACHSTATE,,426.85,,fee schedule,426.85,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,TRICARE,TRICARE,,180.34,,fee schedule,180.34,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,AETNA,AETNA,,2736.15,87,percent of total billed charges,2736.15,98.71,3145,percent of total billed charges,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2736.15,87,percent of total billed charges,2736.15,98.71,3145,percent of total billed charges,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,UNITED HEALTHCARE,UNITED HEALTHCARE,,2767.6,88,percent of total billed charges,2767.6,98.71,3145,percent of total billed charges,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,AETNA,AETNA,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,BEECH STREET,BEECH STREET,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CARESOURCE,CARESOURCE,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,MEDICAID,MEDICAID,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,NOVA NET,NOVA NET,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,PEACHSTATE,PEACHSTATE,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,SELFPAY,SELFPAY,,3145,,fee schedule,3145,98.71,3145,fee schedule,
CT ANGIO OF ABD AORTA AND,75635,CPT,both,,,3145,3145,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3145,,fee schedule,3145,98.71,3145,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,AETNA,AETNA,,7538.05,87,percent of total billed charges,7538.05,7538.05,8664.42,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7538.05,87,percent of total billed charges,7538.05,7538.05,8664.42,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,UNITED HEALTHCARE,UNITED HEALTHCARE,,7624.69,88,percent of total billed charges,7624.69,7538.05,8664.42,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,AETNA,AETNA,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,ALLIANT,ALLIANT,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,AMBETTER,AMBETTER,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,BEECH STREET,BEECH STREET,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,CARESOURCE,CARESOURCE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,MEDICAID,MEDICAID,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,MEDICARE,MEDICARE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,NOVA NET,NOVA NET,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,PEACHSTATE,PEACHSTATE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,SELFPAY,SELFPAY,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,TRICARE,TRICARE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC",757,DRG,inpatient,,,8664.42,8664.42,UHC MEDICARE,UHC MEDICARE,,8664.42,,fee schedule,8664.42,7538.05,8664.42,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,54,,fee schedule,54,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,AMERIGROUP,AMERIGROUP,,503.72,,fee schedule,503.72,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,55.03,,fee schedule,55.03,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,513.31,,fee schedule,513.31,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,51.43,,fee schedule,51.43,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,479.73,,fee schedule,479.73,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,AETNA,AETNA,,6119.58,87,percent of total billed charges,6119.58,51.43,7034,percent of total billed charges,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6119.58,87,percent of total billed charges,6119.58,51.43,7034,percent of total billed charges,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,UNITED HEALTHCARE,UNITED HEALTHCARE,,6189.92,88,percent of total billed charges,6189.92,51.43,7034,percent of total billed charges,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,AETNA,AETNA,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,BEECH STREET,BEECH STREET,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CARESOURCE,CARESOURCE,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,MEDICAID,MEDICAID,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,NOVA NET,NOVA NET,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,PEACHSTATE,PEACHSTATE,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,SELFPAY,SELFPAY,,7034,,fee schedule,7034,51.43,7034,fee schedule,
ANGIO EXTREMITY UNIL,75710,CPT,both,,,7034,7034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7034,,fee schedule,7034,51.43,7034,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,AMERIGROUP,AMERIGROUP,,61.26,,fee schedule,61.26,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,AMERIGROUP,AMERIGROUP,,510.96,,fee schedule,510.96,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CARESOURCE,CARESOURCE,,62.42,,fee schedule,62.42,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CARESOURCE,CARESOURCE,,520.69,,fee schedule,520.69,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,PEACHSTATE,PEACHSTATE,,58.34,,fee schedule,58.34,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,PEACHSTATE,PEACHSTATE,,486.63,,fee schedule,486.63,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,AETNA,AETNA,,5942.97,87,percent of total billed charges,5942.97,58.34,6831,percent of total billed charges,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5942.97,87,percent of total billed charges,5942.97,58.34,6831,percent of total billed charges,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,UNITED HEALTHCARE,UNITED HEALTHCARE,,6011.28,88,percent of total billed charges,6011.28,58.34,6831,percent of total billed charges,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,AETNA,AETNA,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,BEECH STREET,BEECH STREET,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CARESOURCE,CARESOURCE,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,MEDICAID,MEDICAID,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,NOVA NET,NOVA NET,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,PEACHSTATE,PEACHSTATE,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,SELFPAY,SELFPAY,,6831,,fee schedule,6831,58.34,6831,fee schedule,
EXTREMITY ANGIO-BILAT,75716,CPT,both,,,6831,6831,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6831,,fee schedule,6831,58.34,6831,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,AMERIGROUP,AMERIGROUP,,503.03,,fee schedule,503.03,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CARESOURCE,CARESOURCE,,512.62,,fee schedule,512.62,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,PEACHSTATE,PEACHSTATE,,479.08,,fee schedule,479.08,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,AETNA,AETNA,,10169.43,87,percent of total billed charges,10169.43,50.8,11689,percent of total billed charges,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10169.43,87,percent of total billed charges,10169.43,50.8,11689,percent of total billed charges,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,UNITED HEALTHCARE,UNITED HEALTHCARE,,10286.32,88,percent of total billed charges,10286.32,50.8,11689,percent of total billed charges,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,AETNA,AETNA,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,BEECH STREET,BEECH STREET,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CARESOURCE,CARESOURCE,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,MEDICAID,MEDICAID,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,NOVA NET,NOVA NET,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,PEACHSTATE,PEACHSTATE,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,SELFPAY,SELFPAY,,11689,,fee schedule,11689,50.8,11689,fee schedule,
ANGIO ABDOMEN,75726,CPT,both,,,11689,11689,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11689,,fee schedule,11689,50.8,11689,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,ALLIANT,ALLIANT,,8480.6,,fee schedule,8480.6,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,AMBETTER,AMBETTER,,6681.69,,fee schedule,6681.69,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,AMERIGROUP,AMERIGROUP,,503.03,,fee schedule,503.03,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CARESOURCE,CARESOURCE,,512.62,,fee schedule,512.62,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,MEDICARE,MEDICARE,,5139.76,,fee schedule,5139.76,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,PEACHSTATE,PEACHSTATE,,479.08,,fee schedule,479.08,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,TRICARE,TRICARE,,5139.76,,fee schedule,5139.76,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,UHC MEDICARE,UHC MEDICARE,,5139.76,,fee schedule,5139.76,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,AETNA,AETNA,,5359.2,87,percent of total billed charges,5359.2,50.8,8480.6,percent of total billed charges,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5359.2,87,percent of total billed charges,5359.2,50.8,8480.6,percent of total billed charges,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,UNITED HEALTHCARE,UNITED HEALTHCARE,,5420.8,88,percent of total billed charges,5420.8,50.8,8480.6,percent of total billed charges,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,AETNA,AETNA,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,BEECH STREET,BEECH STREET,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CARESOURCE,CARESOURCE,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,MEDICAID,MEDICAID,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,NOVA NET,NOVA NET,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,PEACHSTATE,PEACHSTATE,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,SELFPAY,SELFPAY,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
PELVIC ANGIOGRAM,75736,CPT,both,,,6160,6160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6160,,fee schedule,6160,50.8,8480.6,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,AMERIGROUP,AMERIGROUP,,77.71,,fee schedule,77.71,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,AMERIGROUP,AMERIGROUP,,527.4,,fee schedule,527.4,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,79.19,,fee schedule,79.19,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,537.45,,fee schedule,537.45,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,74.01,,fee schedule,74.01,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,502.29,,fee schedule,502.29,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,AETNA,AETNA,,6488.46,87,percent of total billed charges,6488.46,74.01,7458,percent of total billed charges,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6488.46,87,percent of total billed charges,6488.46,74.01,7458,percent of total billed charges,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,UNITED HEALTHCARE,UNITED HEALTHCARE,,6563.04,88,percent of total billed charges,6563.04,74.01,7458,percent of total billed charges,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,AETNA,AETNA,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,BEECH STREET,BEECH STREET,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CARESOURCE,CARESOURCE,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,MEDICAID,MEDICAID,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,NOVA NET,NOVA NET,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,PEACHSTATE,PEACHSTATE,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,SELFPAY,SELFPAY,,7458,,fee schedule,7458,74.01,7458,fee schedule,
BILAT SELECT PULM ANGIOGRAPHY,75743,CPT,both,,,7458,7458,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7458,,fee schedule,7458,74.01,7458,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,AMERIGROUP,AMERIGROUP,,16.81,,fee schedule,16.81,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,AMERIGROUP,AMERIGROUP,,466.5,,fee schedule,466.5,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CARESOURCE,CARESOURCE,,17.13,,fee schedule,17.13,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CARESOURCE,CARESOURCE,,475.39,,fee schedule,475.39,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,PEACHSTATE,PEACHSTATE,,16.01,,fee schedule,16.01,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,PEACHSTATE,PEACHSTATE,,444.29,,fee schedule,444.29,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,AETNA,AETNA,,1308.48,87,percent of total billed charges,1308.48,16.01,1504,percent of total billed charges,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1308.48,87,percent of total billed charges,1308.48,16.01,1504,percent of total billed charges,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,UNITED HEALTHCARE,UNITED HEALTHCARE,,1323.52,88,percent of total billed charges,1323.52,16.01,1504,percent of total billed charges,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,AETNA,AETNA,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,ALLIANT,ALLIANT,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,AMBETTER,AMBETTER,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,BEECH STREET,BEECH STREET,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CARESOURCE,CARESOURCE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,MEDICAID,MEDICAID,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,MEDICARE,MEDICARE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,NOVA NET,NOVA NET,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,PEACHSTATE,PEACHSTATE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,SELFPAY,SELFPAY,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,TRICARE,TRICARE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
OR ARTERIOGRAM,75774,CPT,both,,,1504,1504,UHC MEDICARE,UHC MEDICARE,,1504,,fee schedule,1504,16.01,1504,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,AETNA,AETNA,,16671.49,87,percent of total billed charges,16671.49,16671.49,19162.63,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16671.49,87,percent of total billed charges,16671.49,16671.49,19162.63,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,UNITED HEALTHCARE,UNITED HEALTHCARE,,16863.11,88,percent of total billed charges,16863.11,16671.49,19162.63,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,AETNA,AETNA,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,ALLIANT,ALLIANT,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,AMBETTER,AMBETTER,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,BEECH STREET,BEECH STREET,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,CARESOURCE,CARESOURCE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,MEDICAID,MEDICAID,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,MEDICARE,MEDICARE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,NOVA NET,NOVA NET,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,PEACHSTATE,PEACHSTATE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,SELFPAY,SELFPAY,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,TRICARE,TRICARE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC",758,DRG,inpatient,,,19162.63,19162.63,UHC MEDICARE,UHC MEDICARE,,19162.63,,fee schedule,19162.63,16671.49,19162.63,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,AMERIGROUP,AMERIGROUP,,32.94,,fee schedule,32.94,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,AMERIGROUP,AMERIGROUP,,34.18,,fee schedule,34.18,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,AMERIGROUP,AMERIGROUP,,67.11,,fee schedule,67.11,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CARESOURCE,CARESOURCE,,33.57,,fee schedule,33.57,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CARESOURCE,CARESOURCE,,34.83,,fee schedule,34.83,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CARESOURCE,CARESOURCE,,68.38,,fee schedule,68.38,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,PEACHSTATE,PEACHSTATE,,31.37,,fee schedule,31.37,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,PEACHSTATE,PEACHSTATE,,32.55,,fee schedule,32.55,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,PEACHSTATE,PEACHSTATE,,63.91,,fee schedule,63.91,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,AETNA,AETNA,,3094.59,87,percent of total billed charges,3094.59,31.37,3557,percent of total billed charges,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3094.59,87,percent of total billed charges,3094.59,31.37,3557,percent of total billed charges,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,UNITED HEALTHCARE,UNITED HEALTHCARE,,3130.16,88,percent of total billed charges,3130.16,31.37,3557,percent of total billed charges,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,AETNA,AETNA,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,BEECH STREET,BEECH STREET,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CARESOURCE,CARESOURCE,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,MEDICAID,MEDICAID,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,NOVA NET,NOVA NET,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,PEACHSTATE,PEACHSTATE,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,SELFPAY,SELFPAY,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY,75820,CPT,both,,,3557,3557,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3557,,fee schedule,3557,31.37,3557,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,AMERIGROUP,AMERIGROUP,,49.4,,fee schedule,49.4,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,AMERIGROUP,AMERIGROUP,,52.97,,fee schedule,52.97,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,AMERIGROUP,AMERIGROUP,,102.36,,fee schedule,102.36,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CARESOURCE,CARESOURCE,,50.34,,fee schedule,50.34,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CARESOURCE,CARESOURCE,,53.98,,fee schedule,53.98,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CARESOURCE,CARESOURCE,,104.31,,fee schedule,104.31,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,PEACHSTATE,PEACHSTATE,,47.05,,fee schedule,47.05,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,PEACHSTATE,PEACHSTATE,,50.45,,fee schedule,50.45,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,PEACHSTATE,PEACHSTATE,,97.49,,fee schedule,97.49,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,AETNA,AETNA,,3188.55,87,percent of total billed charges,3188.55,47.05,3665,percent of total billed charges,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3188.55,87,percent of total billed charges,3188.55,47.05,3665,percent of total billed charges,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,UNITED HEALTHCARE,UNITED HEALTHCARE,,3225.2,88,percent of total billed charges,3225.2,47.05,3665,percent of total billed charges,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,AETNA,AETNA,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,BEECH STREET,BEECH STREET,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CARESOURCE,CARESOURCE,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,MEDICAID,MEDICAID,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,NOVA NET,NOVA NET,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,PEACHSTATE,PEACHSTATE,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,SELFPAY,SELFPAY,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VENOGRAPHY EXTREMITY;BILATERAL,75822,CPT,both,,,3665,3665,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3665,,fee schedule,3665,47.05,3665,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,ALLIANT,ALLIANT,,4915.3,,fee schedule,4915.3,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,AMBETTER,AMBETTER,,3872.66,,fee schedule,3872.66,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,AMERIGROUP,AMERIGROUP,,503.03,,fee schedule,503.03,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CARESOURCE,CARESOURCE,,512.62,,fee schedule,512.62,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,MEDICARE,MEDICARE,,2978.97,,fee schedule,2978.97,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,PEACHSTATE,PEACHSTATE,,479.08,,fee schedule,479.08,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,TRICARE,TRICARE,,2978.97,,fee schedule,2978.97,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,UHC MEDICARE,UHC MEDICARE,,2978.97,,fee schedule,2978.97,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,AETNA,AETNA,,6507.6,87,percent of total billed charges,6507.6,50.8,7480,percent of total billed charges,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6507.6,87,percent of total billed charges,6507.6,50.8,7480,percent of total billed charges,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,UNITED HEALTHCARE,UNITED HEALTHCARE,,6582.4,88,percent of total billed charges,6582.4,50.8,7480,percent of total billed charges,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,AETNA,AETNA,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,BEECH STREET,BEECH STREET,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CARESOURCE,CARESOURCE,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,MEDICAID,MEDICAID,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,NOVA NET,NOVA NET,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,PEACHSTATE,PEACHSTATE,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,SELFPAY,SELFPAY,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY TRUNK,75825,CPT,both,,,7480,7480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7480,,fee schedule,7480,50.8,7480,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,AMERIGROUP,AMERIGROUP,,53.34,,fee schedule,53.34,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,AMERIGROUP,AMERIGROUP,,449.69,,fee schedule,449.69,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,AMERIGROUP,AMERIGROUP,,503.03,,fee schedule,503.03,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CARESOURCE,CARESOURCE,,54.36,,fee schedule,54.36,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CARESOURCE,CARESOURCE,,458.26,,fee schedule,458.26,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CARESOURCE,CARESOURCE,,512.62,,fee schedule,512.62,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,PEACHSTATE,PEACHSTATE,,50.8,,fee schedule,50.8,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,PEACHSTATE,PEACHSTATE,,428.28,,fee schedule,428.28,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,PEACHSTATE,PEACHSTATE,,479.08,,fee schedule,479.08,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,AETNA,AETNA,,3245.1,87,percent of total billed charges,3245.1,50.8,3730,percent of total billed charges,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3245.1,87,percent of total billed charges,3245.1,50.8,3730,percent of total billed charges,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,UNITED HEALTHCARE,UNITED HEALTHCARE,,3282.4,88,percent of total billed charges,3282.4,50.8,3730,percent of total billed charges,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,AETNA,AETNA,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,BEECH STREET,BEECH STREET,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CARESOURCE,CARESOURCE,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,MEDICAID,MEDICAID,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,NOVA NET,NOVA NET,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,PEACHSTATE,PEACHSTATE,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,SELFPAY,SELFPAY,,3730,,fee schedule,3730,50.8,3730,fee schedule,
VEIN X-RAY CHEST,75827,CPT,both,,,3730,3730,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3730,,fee schedule,3730,50.8,3730,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,AETNA,AETNA,,15418.04,87,percent of total billed charges,15418.04,15418.04,17721.89,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15418.04,87,percent of total billed charges,15418.04,15418.04,17721.89,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,UNITED HEALTHCARE,UNITED HEALTHCARE,,15595.26,88,percent of total billed charges,15595.26,15418.04,17721.89,percent of total billed charges,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,AETNA,AETNA,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,ALLIANT,ALLIANT,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,AMBETTER,AMBETTER,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,BEECH STREET,BEECH STREET,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,CARESOURCE,CARESOURCE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,MEDICAID,MEDICAID,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,MEDICARE,MEDICARE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,NOVA NET,NOVA NET,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,PEACHSTATE,PEACHSTATE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,SELFPAY,SELFPAY,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,TRICARE,TRICARE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC",759,DRG,inpatient,,,17721.89,17721.89,UHC MEDICARE,UHC MEDICARE,,17721.89,,fee schedule,17721.89,15418.04,17721.89,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,AETNA,AETNA,,1426.8,87,percent of total billed charges,1426.8,1426.8,1640,percent of total billed charges,
REM OBST CVD,75901,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426.8,87,percent of total billed charges,1426.8,1426.8,1640,percent of total billed charges,
REM OBST CVD,75901,CPT,both,,,1640,1640,UNITED HEALTHCARE,UNITED HEALTHCARE,,1443.2,88,percent of total billed charges,1443.2,1426.8,1640,percent of total billed charges,
REM OBST CVD,75901,CPT,both,,,1640,1640,AETNA,AETNA,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,ALLIANT,ALLIANT,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,AMBETTER,AMBETTER,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,BEECH STREET,BEECH STREET,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,MEDICAID,MEDICAID,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,MEDICARE,MEDICARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,NOVA NET,NOVA NET,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,SELFPAY,SELFPAY,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,TRICARE,TRICARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
REM OBST CVD,75901,CPT,both,,,1640,1640,UHC MEDICARE,UHC MEDICARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,33.93,,fee schedule,33.93,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,69.74,,fee schedule,69.74,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,103.67,,fee schedule,103.67,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,34.57,,fee schedule,34.57,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,71.07,,fee schedule,71.07,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,105.64,,fee schedule,105.64,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,32.31,,fee schedule,32.31,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,66.42,,fee schedule,66.42,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,98.73,,fee schedule,98.73,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,32.31,375,percent of total billed charges,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,32.31,375,percent of total billed charges,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,32.31,375,percent of total billed charges,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,ALLIANT,ALLIANT,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,AMBETTER,AMBETTER,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,MEDICARE,MEDICARE,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,TRICARE,TRICARE,,375,,fee schedule,375,32.31,375,fee schedule,
GATROSTOMY TUBE CHANGE,75984,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,375,,fee schedule,375,32.31,375,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT ABCESS DRAINAGE,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT APPENDICEAL ABCESS DRAIN,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
CT LIVE ABCESS DRAIN,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
DRAINAGE CATH UNDER XR,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
LEFT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
PANCREATIC PESUDOCYST DRAIN,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,55.65,,fee schedule,55.65,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,112.68,,fee schedule,112.68,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMERIGROUP,AMERIGROUP,,168.33,,fee schedule,168.33,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,56.71,,fee schedule,56.71,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,114.82,,fee schedule,114.82,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,171.53,,fee schedule,171.53,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,107.31,,fee schedule,107.31,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,160.31,,fee schedule,160.31,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,53,1746,percent of total billed charges,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,53,1746,percent of total billed charges,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
RIGHT LUNG ABCESS DRAIN,75989,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,53,1746,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,AETNA,AETNA,,18862.83,87,percent of total billed charges,18862.83,18862.83,21681.41,percent of total billed charges,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18862.83,87,percent of total billed charges,18862.83,18862.83,21681.41,percent of total billed charges,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,UNITED HEALTHCARE,UNITED HEALTHCARE,,19079.64,88,percent of total billed charges,19079.64,18862.83,21681.41,percent of total billed charges,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,AETNA,AETNA,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,ALLIANT,ALLIANT,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,AMBETTER,AMBETTER,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,BEECH STREET,BEECH STREET,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,CARESOURCE,CARESOURCE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,MEDICAID,MEDICAID,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,MEDICARE,MEDICARE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,NOVA NET,NOVA NET,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,PEACHSTATE,PEACHSTATE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,SELFPAY,SELFPAY,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,TRICARE,TRICARE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,760,DRG,inpatient,,,21681.41,21681.41,UHC MEDICARE,UHC MEDICARE,,21681.41,,fee schedule,21681.41,18862.83,21681.41,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,54.84,,fee schedule,54.84,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,55.89,,fee schedule,55.89,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,52.23,,fee schedule,52.23,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,TRICARE,TRICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,AETNA,AETNA,,613.35,87,percent of total billed charges,613.35,7.84,705,percent of total billed charges,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613.35,87,percent of total billed charges,613.35,7.84,705,percent of total billed charges,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,UNITED HEALTHCARE,UNITED HEALTHCARE,,620.4,88,percent of total billed charges,620.4,7.84,705,percent of total billed charges,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,AETNA,AETNA,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,BEECH STREET,BEECH STREET,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,MEDICAID,MEDICAID,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,NOVA NET,NOVA NET,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,SELFPAY,SELFPAY,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO LESS THAN 1 HOUR,76000,CPT,both,,,705,705,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,54.84,,fee schedule,54.84,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,55.89,,fee schedule,55.89,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,52.23,,fee schedule,52.23,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,TRICARE,TRICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,AETNA,AETNA,,613.35,87,percent of total billed charges,613.35,7.84,705,percent of total billed charges,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613.35,87,percent of total billed charges,613.35,7.84,705,percent of total billed charges,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,UNITED HEALTHCARE,UNITED HEALTHCARE,,620.4,88,percent of total billed charges,620.4,7.84,705,percent of total billed charges,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,AETNA,AETNA,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,BEECH STREET,BEECH STREET,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,MEDICAID,MEDICAID,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,NOVA NET,NOVA NET,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,SELFPAY,SELFPAY,,705,,fee schedule,705,7.84,705,fee schedule,
FLUORO MORE THAN 1 HOUR,76000,CPT,both,,,705,705,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,8.23,,fee schedule,8.23,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,AMERIGROUP,AMERIGROUP,,54.84,,fee schedule,54.84,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,8.39,,fee schedule,8.39,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,55.89,,fee schedule,55.89,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,7.84,,fee schedule,7.84,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,52.23,,fee schedule,52.23,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,TRICARE,TRICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,AETNA,AETNA,,613.35,87,percent of total billed charges,613.35,7.84,705,percent of total billed charges,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613.35,87,percent of total billed charges,613.35,7.84,705,percent of total billed charges,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,UNITED HEALTHCARE,UNITED HEALTHCARE,,620.4,88,percent of total billed charges,620.4,7.84,705,percent of total billed charges,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,AETNA,AETNA,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,BEECH STREET,BEECH STREET,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,MEDICAID,MEDICAID,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,NOVA NET,NOVA NET,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,SELFPAY,SELFPAY,,705,,fee schedule,705,7.84,705,fee schedule,
TESIO CATH/PACEMAKER,76000,CPT,both,,,705,705,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,705,,fee schedule,705,7.84,705,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,25.37,,fee schedule,25.37,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,37.88,,fee schedule,37.88,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,63.24,,fee schedule,63.24,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,25.85,,fee schedule,25.85,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,38.61,,fee schedule,38.61,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,64.45,,fee schedule,64.45,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,24.16,,fee schedule,24.16,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,36.08,,fee schedule,36.08,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,60.23,,fee schedule,60.23,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,TRICARE,TRICARE,,503.13,,fee schedule,503.13,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,24.16,830.16,percent of total billed charges,
SINOGRAM,76080,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,24.16,830.16,percent of total billed charges,
SINOGRAM,76080,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,24.16,830.16,percent of total billed charges,
SINOGRAM,76080,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,24.16,830.16,fee schedule,
SINOGRAM,76080,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,24.16,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,TRICARE,TRICARE,,503.13,,fee schedule,503.13,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,AETNA,AETNA,,194.88,87,percent of total billed charges,194.88,194.88,830.16,percent of total billed charges,
BREAST BIOPSY,76098,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194.88,87,percent of total billed charges,194.88,194.88,830.16,percent of total billed charges,
BREAST BIOPSY,76098,CPT,both,,,224,224,UNITED HEALTHCARE,UNITED HEALTHCARE,,197.12,88,percent of total billed charges,197.12,194.88,830.16,percent of total billed charges,
BREAST BIOPSY,76098,CPT,both,,,224,224,AETNA,AETNA,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,BEECH STREET,BEECH STREET,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,MEDICAID,MEDICAID,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,NOVA NET,NOVA NET,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,SELFPAY,SELFPAY,,224,,fee schedule,224,194.88,830.16,fee schedule,
BREAST BIOPSY,76098,CPT,both,,,224,224,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,224,,fee schedule,224,194.88,830.16,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,AETNA,AETNA,,8240.8,87,percent of total billed charges,8240.8,8240.8,9472.18,percent of total billed charges,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8240.8,87,percent of total billed charges,8240.8,8240.8,9472.18,percent of total billed charges,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,UNITED HEALTHCARE,UNITED HEALTHCARE,,8335.52,88,percent of total billed charges,8335.52,8240.8,9472.18,percent of total billed charges,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,AETNA,AETNA,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,ALLIANT,ALLIANT,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,AMBETTER,AMBETTER,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,BEECH STREET,BEECH STREET,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,CARESOURCE,CARESOURCE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,MEDICAID,MEDICAID,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,MEDICARE,MEDICARE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,NOVA NET,NOVA NET,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,PEACHSTATE,PEACHSTATE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,SELFPAY,SELFPAY,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,TRICARE,TRICARE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC,761,DRG,inpatient,,,9472.18,9472.18,UHC MEDICARE,UHC MEDICARE,,9472.18,,fee schedule,9472.18,8240.8,9472.18,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,AMERIGROUP,AMERIGROUP,,27.34,,fee schedule,27.34,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,AMERIGROUP,AMERIGROUP,,44.59,,fee schedule,44.59,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,AMERIGROUP,AMERIGROUP,,71.95,,fee schedule,71.95,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,27.86,,fee schedule,27.86,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,45.44,,fee schedule,45.44,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,73.32,,fee schedule,73.32,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,26.04,,fee schedule,26.04,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,42.47,,fee schedule,42.47,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,68.52,,fee schedule,68.52,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,AETNA,AETNA,,342.78,87,percent of total billed charges,342.78,26.04,394,percent of total billed charges,
TOMOGRAM,76100,CPT,both,,,394,394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342.78,87,percent of total billed charges,342.78,26.04,394,percent of total billed charges,
TOMOGRAM,76100,CPT,both,,,394,394,UNITED HEALTHCARE,UNITED HEALTHCARE,,346.72,88,percent of total billed charges,346.72,26.04,394,percent of total billed charges,
TOMOGRAM,76100,CPT,both,,,394,394,AETNA,AETNA,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,BEECH STREET,BEECH STREET,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,MEDICAID,MEDICAID,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,NOVA NET,NOVA NET,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,SELFPAY,SELFPAY,,394,,fee schedule,394,26.04,394,fee schedule,
TOMOGRAM,76100,CPT,both,,,394,394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,394,,fee schedule,394,26.04,394,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,30.29,,fee schedule,30.29,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,81.26,,fee schedule,81.26,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,30.87,,fee schedule,30.87,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,82.81,,fee schedule,82.81,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,28.85,,fee schedule,28.85,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,77.39,,fee schedule,77.39,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,TRICARE,TRICARE,,106.88,,fee schedule,106.88,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,AETNA,AETNA,,275.79,87,percent of total billed charges,275.79,28.85,317,percent of total billed charges,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275.79,87,percent of total billed charges,275.79,28.85,317,percent of total billed charges,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.96,88,percent of total billed charges,278.96,28.85,317,percent of total billed charges,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,AETNA,AETNA,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,BEECH STREET,BEECH STREET,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,MEDICAID,MEDICAID,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,NOVA NET,NOVA NET,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,SELFPAY,SELFPAY,,317,,fee schedule,317,28.85,317,fee schedule,
NEONATAL BRAIN SONOGRAM,76506,CPT,both,,,317,317,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,317,,fee schedule,317,28.85,317,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.36,,fee schedule,26.36,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.3,,fee schedule,77.3,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.86,,fee schedule,26.86,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.77,,fee schedule,78.77,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.1,,fee schedule,25.1,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.62,,fee schedule,73.62,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,25.1,613,percent of total billed charges,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,25.1,613,fee schedule,
HEAD - SOFT TISSUE ONLY,76536,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.36,,fee schedule,26.36,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.3,,fee schedule,77.3,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.86,,fee schedule,26.86,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.77,,fee schedule,78.77,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.1,,fee schedule,25.1,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.62,,fee schedule,73.62,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
NECK - SONOGRAM,76536,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,25.1,613,percent of total billed charges,
NECK - SONOGRAM,76536,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,25.1,613,fee schedule,
NECK - SONOGRAM,76536,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.36,,fee schedule,26.36,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.3,,fee schedule,77.3,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.86,,fee schedule,26.86,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.77,,fee schedule,78.77,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.1,,fee schedule,25.1,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.62,,fee schedule,73.62,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,25.1,613,percent of total billed charges,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,25.1,613,fee schedule,
PARATHYROID ULTRASOUND,76536,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.36,,fee schedule,26.36,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.3,,fee schedule,77.3,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.86,,fee schedule,26.86,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.77,,fee schedule,78.77,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.1,,fee schedule,25.1,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.62,,fee schedule,73.62,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,25.1,613,percent of total billed charges,
THYROID SONOGRAM,76536,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,25.1,613,percent of total billed charges,
THYROID SONOGRAM,76536,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,25.1,613,fee schedule,
THYROID SONOGRAM,76536,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,25.1,613,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,26.03,,fee schedule,26.03,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,72.64,,fee schedule,72.64,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,26.53,,fee schedule,26.53,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,74.02,,fee schedule,74.02,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,24.79,,fee schedule,24.79,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,69.18,,fee schedule,69.18,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,AETNA,AETNA,,331.47,87,percent of total billed charges,331.47,24.79,381,percent of total billed charges,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331.47,87,percent of total billed charges,331.47,24.79,381,percent of total billed charges,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,UNITED HEALTHCARE,UNITED HEALTHCARE,,335.28,88,percent of total billed charges,335.28,24.79,381,percent of total billed charges,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,AETNA,AETNA,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,BEECH STREET,BEECH STREET,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,MEDICAID,MEDICAID,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,NOVA NET,NOVA NET,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,SELFPAY,SELFPAY,,381,,fee schedule,381,24.79,381,fee schedule,
PLEURAL EFFUSION LOCALIZA,76604,CPT,both,,,381,381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,26.03,,fee schedule,26.03,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,AMERIGROUP,AMERIGROUP,,72.64,,fee schedule,72.64,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,26.53,,fee schedule,26.53,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,74.02,,fee schedule,74.02,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,24.79,,fee schedule,24.79,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,69.18,,fee schedule,69.18,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,AETNA,AETNA,,331.47,87,percent of total billed charges,331.47,24.79,381,percent of total billed charges,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331.47,87,percent of total billed charges,331.47,24.79,381,percent of total billed charges,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,UNITED HEALTHCARE,UNITED HEALTHCARE,,335.28,88,percent of total billed charges,335.28,24.79,381,percent of total billed charges,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,AETNA,AETNA,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,BEECH STREET,BEECH STREET,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,MEDICAID,MEDICAID,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,NOVA NET,NOVA NET,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,SELFPAY,SELFPAY,,381,,fee schedule,381,24.79,381,fee schedule,
US CHEST SOFT TISSUE,76604,CPT,both,,,381,381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,381,,fee schedule,381,24.79,381,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,97.49,,fee schedule,97.49,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,33.32,,fee schedule,33.32,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,64.17,,fee schedule,64.17,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,99.35,,fee schedule,99.35,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,33.95,,fee schedule,33.95,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,65.39,,fee schedule,65.39,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,92.85,,fee schedule,92.85,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,31.73,,fee schedule,31.73,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,61.11,,fee schedule,61.11,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,31.73,711,percent of total billed charges,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,31.73,711,percent of total billed charges,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,31.73,711,percent of total billed charges,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,31.73,711,fee schedule,
BILATERAL BREAST ULTRASOU,76641,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,97.49,,fee schedule,97.49,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,33.32,,fee schedule,33.32,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,64.17,,fee schedule,64.17,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,99.35,,fee schedule,99.35,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,33.95,,fee schedule,33.95,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,65.39,,fee schedule,65.39,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,92.85,,fee schedule,92.85,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,31.73,,fee schedule,31.73,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,61.11,,fee schedule,61.11,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,31.73,711,percent of total billed charges,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,31.73,711,percent of total billed charges,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,31.73,711,percent of total billed charges,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - LEFT,76641,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,97.49,,fee schedule,97.49,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,33.32,,fee schedule,33.32,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,64.17,,fee schedule,64.17,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,99.35,,fee schedule,99.35,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,33.95,,fee schedule,33.95,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,65.39,,fee schedule,65.39,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,92.85,,fee schedule,92.85,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,31.73,,fee schedule,31.73,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,61.11,,fee schedule,61.11,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,31.73,711,percent of total billed charges,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,31.73,711,percent of total billed charges,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,31.73,711,percent of total billed charges,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,31.73,711,fee schedule,
BREAST WITHOUT ASP - RIGH,76641,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,31.73,711,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,97.49,,fee schedule,97.49,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,33.32,,fee schedule,33.32,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,64.17,,fee schedule,64.17,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,99.35,,fee schedule,99.35,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,33.95,,fee schedule,33.95,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,65.39,,fee schedule,65.39,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,92.85,,fee schedule,92.85,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,31.73,,fee schedule,31.73,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,61.11,,fee schedule,61.11,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,31.73,356,percent of total billed charges,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,31.73,356,percent of total billed charges,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,31.73,356,percent of total billed charges,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76641,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,97.49,,fee schedule,97.49,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,33.32,,fee schedule,33.32,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,64.17,,fee schedule,64.17,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,99.35,,fee schedule,99.35,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,33.95,,fee schedule,33.95,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,65.39,,fee schedule,65.39,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,92.85,,fee schedule,92.85,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,31.73,,fee schedule,31.73,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,61.11,,fee schedule,61.11,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,31.73,356,percent of total billed charges,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,31.73,356,percent of total billed charges,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,31.73,356,percent of total billed charges,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST RT LIMITED,76641,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,31.73,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,80.25,,fee schedule,80.25,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,31.09,,fee schedule,31.09,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,49.17,,fee schedule,49.17,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,81.78,,fee schedule,81.78,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,31.68,,fee schedule,31.68,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,50.11,,fee schedule,50.11,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,76.43,,fee schedule,76.43,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,29.61,,fee schedule,29.61,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,46.83,,fee schedule,46.83,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,TRICARE,TRICARE,,86.88,,fee schedule,86.88,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,29.61,356,percent of total billed charges,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,29.61,356,percent of total billed charges,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,29.61,356,percent of total billed charges,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST LT LIMITED,76642,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,80.25,,fee schedule,80.25,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,31.09,,fee schedule,31.09,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,49.17,,fee schedule,49.17,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,81.78,,fee schedule,81.78,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,31.68,,fee schedule,31.68,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,50.11,,fee schedule,50.11,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,76.43,,fee schedule,76.43,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,29.61,,fee schedule,29.61,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,46.83,,fee schedule,46.83,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,TRICARE,TRICARE,,86.88,,fee schedule,86.88,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,29.61,356,percent of total billed charges,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,29.61,356,percent of total billed charges,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,29.61,356,percent of total billed charges,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,29.61,356,fee schedule,
US BREAST RT LIMITED,76642,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,29.61,356,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,37.87,,fee schedule,37.87,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,70.42,,fee schedule,70.42,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,108.3,,fee schedule,108.3,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,38.59,,fee schedule,38.59,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,71.76,,fee schedule,71.76,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,110.36,,fee schedule,110.36,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,36.07,,fee schedule,36.07,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,67.07,,fee schedule,67.07,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,103.14,,fee schedule,103.14,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,TRICARE,TRICARE,,106.88,,fee schedule,106.88,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,36.07,1312,percent of total billed charges,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,36.07,1312,percent of total billed charges,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,36.07,1312,percent of total billed charges,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,36.07,1312,fee schedule,
COMPLETE ABDOMEN,76700,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,36.07,1312,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
ABD FLUID LOC,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
APPENDIX ULTRASOUND,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
GALL BLADDER,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
GALL BLADDER,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
GALL BLADDER,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
GALL BLADDER,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
LIVER,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
LIVER,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
LIVER,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
LIVER,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
PANCREAS,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
PANCREAS,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
PANCREAS,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PANCREAS,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PARACENTESIS ABD W/IMAGE DIAGN,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
PYLORUS ULTRASOUND,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
SPLEEN,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
SPLEEN,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
SPLEEN,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
SPLEEN,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
UPPER ABD,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
UPPER ABD,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
UPPER ABD,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
UPPER ABD,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,27.69,,fee schedule,27.69,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,AMERIGROUP,AMERIGROUP,,78.62,,fee schedule,78.62,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,28.22,,fee schedule,28.22,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,80.12,,fee schedule,80.12,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,26.37,,fee schedule,26.37,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,74.88,,fee schedule,74.88,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1061.4,87,percent of total billed charges,1061.4,26.37,1220,percent of total billed charges,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1073.6,88,percent of total billed charges,1073.6,26.37,1220,percent of total billed charges,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,AETNA,AETNA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,BEECH STREET,BEECH STREET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CARESOURCE,CARESOURCE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,MEDICAID,MEDICAID,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,NOVA NET,NOVA NET,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,PEACHSTATE,PEACHSTATE,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,SELFPAY,SELFPAY,,1220,,fee schedule,1220,26.37,1220,fee schedule,
URINARY BLADDER ULTRASOUN,76705,CPT,both,,,1220,1220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1220,,fee schedule,1220,26.37,1220,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,AMERIGROUP,AMERIGROUP,,84.93,,fee schedule,84.93,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,AMERIGROUP,AMERIGROUP,,25.22,,fee schedule,25.22,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,AMERIGROUP,AMERIGROUP,,59.7,,fee schedule,59.7,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CARESOURCE,CARESOURCE,,86.55,,fee schedule,86.55,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CARESOURCE,CARESOURCE,,25.7,,fee schedule,25.7,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CARESOURCE,CARESOURCE,,60.84,,fee schedule,60.84,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,PEACHSTATE,PEACHSTATE,,80.89,,fee schedule,80.89,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,PEACHSTATE,PEACHSTATE,,24.02,,fee schedule,24.02,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,PEACHSTATE,PEACHSTATE,,56.86,,fee schedule,56.86,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,AETNA,AETNA,,773.43,87,percent of total billed charges,773.43,24.02,889,percent of total billed charges,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,773.43,87,percent of total billed charges,773.43,24.02,889,percent of total billed charges,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,UNITED HEALTHCARE,UNITED HEALTHCARE,,782.32,88,percent of total billed charges,782.32,24.02,889,percent of total billed charges,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,AETNA,AETNA,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,BEECH STREET,BEECH STREET,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CARESOURCE,CARESOURCE,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,MEDICAID,MEDICAID,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,NOVA NET,NOVA NET,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,PEACHSTATE,PEACHSTATE,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,SELFPAY,SELFPAY,,889,,fee schedule,889,24.02,889,fee schedule,
AORTA US SCREENING EXAM,76706,CPT,both,,,889,889,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,889,,fee schedule,889,24.02,889,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,27.35,,fee schedule,27.35,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,78.3,,fee schedule,78.3,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,27.87,,fee schedule,27.87,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,79.79,,fee schedule,79.79,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,26.05,,fee schedule,26.05,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,74.57,,fee schedule,74.57,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,AETNA,AETNA,,822.15,87,percent of total billed charges,822.15,26.05,945,percent of total billed charges,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,822.15,87,percent of total billed charges,822.15,26.05,945,percent of total billed charges,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,UNITED HEALTHCARE,UNITED HEALTHCARE,,831.6,88,percent of total billed charges,831.6,26.05,945,percent of total billed charges,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,AETNA,AETNA,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,BEECH STREET,BEECH STREET,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,MEDICAID,MEDICAID,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,NOVA NET,NOVA NET,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,SELFPAY,SELFPAY,,945,,fee schedule,945,26.05,945,fee schedule,
ABDOMINAL AORTA,76775,CPT,both,,,945,945,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,27.35,,fee schedule,27.35,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,78.3,,fee schedule,78.3,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,27.87,,fee schedule,27.87,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,79.79,,fee schedule,79.79,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,26.05,,fee schedule,26.05,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,74.57,,fee schedule,74.57,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,AETNA,AETNA,,822.15,87,percent of total billed charges,822.15,26.05,945,percent of total billed charges,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,822.15,87,percent of total billed charges,822.15,26.05,945,percent of total billed charges,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,UNITED HEALTHCARE,UNITED HEALTHCARE,,831.6,88,percent of total billed charges,831.6,26.05,945,percent of total billed charges,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,AETNA,AETNA,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,BEECH STREET,BEECH STREET,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,MEDICAID,MEDICAID,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,NOVA NET,NOVA NET,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,SELFPAY,SELFPAY,,945,,fee schedule,945,26.05,945,fee schedule,
DUCTAL SYSTEM,76775,CPT,both,,,945,945,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,27.35,,fee schedule,27.35,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,AMERIGROUP,AMERIGROUP,,78.3,,fee schedule,78.3,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,27.87,,fee schedule,27.87,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,79.79,,fee schedule,79.79,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,26.05,,fee schedule,26.05,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,74.57,,fee schedule,74.57,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,AETNA,AETNA,,822.15,87,percent of total billed charges,822.15,26.05,945,percent of total billed charges,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,822.15,87,percent of total billed charges,822.15,26.05,945,percent of total billed charges,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,UNITED HEALTHCARE,UNITED HEALTHCARE,,831.6,88,percent of total billed charges,831.6,26.05,945,percent of total billed charges,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,AETNA,AETNA,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,BEECH STREET,BEECH STREET,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CARESOURCE,CARESOURCE,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,MEDICAID,MEDICAID,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,NOVA NET,NOVA NET,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,PEACHSTATE,PEACHSTATE,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,SELFPAY,SELFPAY,,945,,fee schedule,945,26.05,945,fee schedule,
RENAL ULTRASOUND,76775,CPT,both,,,945,945,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,945,,fee schedule,945,26.05,945,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,AMERIGROUP,AMERIGROUP,,53.35,,fee schedule,53.35,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,AMERIGROUP,AMERIGROUP,,104.31,,fee schedule,104.31,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,54.37,,fee schedule,54.37,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,106.29,,fee schedule,106.29,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,50.81,,fee schedule,50.81,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,99.34,,fee schedule,99.34,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,TRICARE,TRICARE,,106.88,,fee schedule,106.88,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,AETNA,AETNA,,437.61,87,percent of total billed charges,437.61,48.53,503,percent of total billed charges,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437.61,87,percent of total billed charges,437.61,48.53,503,percent of total billed charges,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,UNITED HEALTHCARE,UNITED HEALTHCARE,,442.64,88,percent of total billed charges,442.64,48.53,503,percent of total billed charges,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,AETNA,AETNA,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,BEECH STREET,BEECH STREET,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,MEDICAID,MEDICAID,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,NOVA NET,NOVA NET,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,SELFPAY,SELFPAY,,503,,fee schedule,503,48.53,503,fee schedule,
SPINAL ULTRASOUND,76800,CPT,both,,,503,503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,503,,fee schedule,503,48.53,503,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,47.1,,fee schedule,47.1,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,75.11,,fee schedule,75.11,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,122.21,,fee schedule,122.21,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,48,,fee schedule,48,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,76.54,,fee schedule,76.54,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,124.54,,fee schedule,124.54,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,44.86,,fee schedule,44.86,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,71.53,,fee schedule,71.53,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,116.39,,fee schedule,116.39,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,TRICARE,TRICARE,,106.88,,fee schedule,106.88,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,44.86,576,percent of total billed charges,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,44.86,576,percent of total billed charges,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,44.86,576,percent of total billed charges,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,44.86,576,fee schedule,
COMP FETAL STUDY (OB SONO,76805,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,44.86,576,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,30.98,,fee schedule,30.98,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,50.96,,fee schedule,50.96,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,81.93,,fee schedule,81.93,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,31.57,,fee schedule,31.57,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,51.93,,fee schedule,51.93,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,83.49,,fee schedule,83.49,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,29.5,,fee schedule,29.5,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,48.53,,fee schedule,48.53,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,78.03,,fee schedule,78.03,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,TRICARE,TRICARE,,106.88,,fee schedule,106.88,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,29.5,344,percent of total billed charges,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,29.5,344,percent of total billed charges,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,29.5,344,percent of total billed charges,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,29.5,344,fee schedule,
OB-LIMITED EXAMINATION,76815,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,29.5,344,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,AMERIGROUP,AMERIGROUP,,27.35,,fee schedule,27.35,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,AMERIGROUP,AMERIGROUP,,39.91,,fee schedule,39.91,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,AMERIGROUP,AMERIGROUP,,67.25,,fee schedule,67.25,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,27.87,,fee schedule,27.87,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,40.67,,fee schedule,40.67,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,68.53,,fee schedule,68.53,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,26.05,,fee schedule,26.05,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,38.01,,fee schedule,38.01,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,64.05,,fee schedule,64.05,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,AETNA,AETNA,,435.87,87,percent of total billed charges,435.87,26.05,501,percent of total billed charges,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435.87,87,percent of total billed charges,435.87,26.05,501,percent of total billed charges,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,UNITED HEALTHCARE,UNITED HEALTHCARE,,440.88,88,percent of total billed charges,440.88,26.05,501,percent of total billed charges,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,AETNA,AETNA,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,BEECH STREET,BEECH STREET,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,MEDICAID,MEDICAID,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,NOVA NET,NOVA NET,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,SELFPAY,SELFPAY,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB SONOGRAM,76816,CPT,both,,,501,501,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,AMERIGROUP,AMERIGROUP,,27.35,,fee schedule,27.35,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,AMERIGROUP,AMERIGROUP,,39.91,,fee schedule,39.91,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,AMERIGROUP,AMERIGROUP,,67.25,,fee schedule,67.25,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,27.87,,fee schedule,27.87,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,40.67,,fee schedule,40.67,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,68.53,,fee schedule,68.53,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,26.05,,fee schedule,26.05,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,38.01,,fee schedule,38.01,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,64.05,,fee schedule,64.05,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,TRICARE,TRICARE,,106.88,,fee schedule,106.88,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,AETNA,AETNA,,435.87,87,percent of total billed charges,435.87,26.05,501,percent of total billed charges,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435.87,87,percent of total billed charges,435.87,26.05,501,percent of total billed charges,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,UNITED HEALTHCARE,UNITED HEALTHCARE,,440.88,88,percent of total billed charges,440.88,26.05,501,percent of total billed charges,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,AETNA,AETNA,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,BEECH STREET,BEECH STREET,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CARESOURCE,CARESOURCE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,MEDICAID,MEDICAID,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,NOVA NET,NOVA NET,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,PEACHSTATE,PEACHSTATE,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,SELFPAY,SELFPAY,,501,,fee schedule,501,26.05,501,fee schedule,
REPEAT OB WITH BPP,76816,CPT,both,,,501,501,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,501,,fee schedule,501,26.05,501,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,AMERIGROUP,AMERIGROUP,,34.98,,fee schedule,34.98,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,AMERIGROUP,AMERIGROUP,,53.81,,fee schedule,53.81,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,AMERIGROUP,AMERIGROUP,,88.78,,fee schedule,88.78,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CARESOURCE,CARESOURCE,,35.64,,fee schedule,35.64,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CARESOURCE,CARESOURCE,,54.84,,fee schedule,54.84,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CARESOURCE,CARESOURCE,,90.47,,fee schedule,90.47,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,PEACHSTATE,PEACHSTATE,,33.31,,fee schedule,33.31,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,PEACHSTATE,PEACHSTATE,,51.25,,fee schedule,51.25,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,PEACHSTATE,PEACHSTATE,,84.55,,fee schedule,84.55,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,TRICARE,TRICARE,,106.88,,fee schedule,106.88,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,AETNA,AETNA,,610.74,87,percent of total billed charges,610.74,33.31,702,percent of total billed charges,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,610.74,87,percent of total billed charges,610.74,33.31,702,percent of total billed charges,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,UNITED HEALTHCARE,UNITED HEALTHCARE,,617.76,88,percent of total billed charges,617.76,33.31,702,percent of total billed charges,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,AETNA,AETNA,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,BEECH STREET,BEECH STREET,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CARESOURCE,CARESOURCE,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,MEDICAID,MEDICAID,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,NOVA NET,NOVA NET,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,PEACHSTATE,PEACHSTATE,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,SELFPAY,SELFPAY,,702,,fee schedule,702,33.31,702,fee schedule,
TRANSVAGINAL OB ULTRASOUN,76817,CPT,both,,,702,702,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,702,,fee schedule,702,33.31,702,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,31.04,,fee schedule,31.04,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,59.47,,fee schedule,59.47,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,90.52,,fee schedule,90.52,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,31.63,,fee schedule,31.63,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,60.6,,fee schedule,60.6,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,92.24,,fee schedule,92.24,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,29.56,,fee schedule,29.56,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,56.64,,fee schedule,56.64,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,86.21,,fee schedule,86.21,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,TRICARE,TRICARE,,106.88,,fee schedule,106.88,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,29.56,576,percent of total billed charges,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,29.56,576,percent of total billed charges,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,29.56,576,percent of total billed charges,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,29.56,576,fee schedule,
BIOPHYS PRO W/O NON-STRES,76819,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,31.04,,fee schedule,31.04,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,59.47,,fee schedule,59.47,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,90.52,,fee schedule,90.52,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,31.63,,fee schedule,31.63,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,60.6,,fee schedule,60.6,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,92.24,,fee schedule,92.24,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,29.56,,fee schedule,29.56,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,56.64,,fee schedule,56.64,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,86.21,,fee schedule,86.21,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,TRICARE,TRICARE,,106.88,,fee schedule,106.88,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,29.56,576,percent of total billed charges,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,29.56,576,percent of total billed charges,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,29.56,576,percent of total billed charges,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,29.56,576,fee schedule,
COMPLETE OB WITH BPP,76819,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,29.56,576,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,AMERIGROUP,AMERIGROUP,,87.24,,fee schedule,87.24,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,88.91,,fee schedule,88.91,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,83.09,,fee schedule,83.09,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,AETNA,AETNA,,588.12,87,percent of total billed charges,588.12,31.05,676,percent of total billed charges,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.12,87,percent of total billed charges,588.12,31.05,676,percent of total billed charges,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,UNITED HEALTHCARE,UNITED HEALTHCARE,,594.88,88,percent of total billed charges,594.88,31.05,676,percent of total billed charges,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,AETNA,AETNA,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,BEECH STREET,BEECH STREET,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,MEDICAID,MEDICAID,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,NOVA NET,NOVA NET,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,SELFPAY,SELFPAY,,676,,fee schedule,676,31.05,676,fee schedule,
TRANSVAGINAL-PELVIC ULTRA,76830,CPT,both,,,676,676,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,676,,fee schedule,676,31.05,676,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,AMERIGROUP,AMERIGROUP,,34.25,,fee schedule,34.25,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,AMERIGROUP,AMERIGROUP,,88.89,,fee schedule,88.89,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CARESOURCE,CARESOURCE,,34.9,,fee schedule,34.9,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CARESOURCE,CARESOURCE,,90.59,,fee schedule,90.59,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,PEACHSTATE,PEACHSTATE,,32.62,,fee schedule,32.62,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,PEACHSTATE,PEACHSTATE,,84.66,,fee schedule,84.66,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,TRICARE,TRICARE,,233.52,,fee schedule,233.52,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,AETNA,AETNA,,639.45,87,percent of total billed charges,639.45,32.62,735,percent of total billed charges,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,639.45,87,percent of total billed charges,639.45,32.62,735,percent of total billed charges,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,UNITED HEALTHCARE,UNITED HEALTHCARE,,646.8,88,percent of total billed charges,646.8,32.62,735,percent of total billed charges,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,AETNA,AETNA,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,BEECH STREET,BEECH STREET,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CARESOURCE,CARESOURCE,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,MEDICAID,MEDICAID,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,NOVA NET,NOVA NET,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,PEACHSTATE,PEACHSTATE,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,SELFPAY,SELFPAY,,735,,fee schedule,735,32.62,735,fee schedule,
SONOHYSTEROGRAPHY,76831,CPT,both,,,735,735,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,735,,fee schedule,735,32.62,735,fee schedule,
PELVIC,76856,CPT,both,,,748,748,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,AMERIGROUP,AMERIGROUP,,32.6,,fee schedule,32.6,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,AMERIGROUP,AMERIGROUP,,87.24,,fee schedule,87.24,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,CARESOURCE,CARESOURCE,,33.22,,fee schedule,33.22,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,CARESOURCE,CARESOURCE,,88.91,,fee schedule,88.91,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,PEACHSTATE,PEACHSTATE,,31.05,,fee schedule,31.05,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,PEACHSTATE,PEACHSTATE,,83.09,,fee schedule,83.09,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,TRICARE,TRICARE,,106.88,,fee schedule,106.88,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,AETNA,AETNA,,650.76,87,percent of total billed charges,650.76,31.05,748,percent of total billed charges,
PELVIC,76856,CPT,both,,,748,748,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,650.76,87,percent of total billed charges,650.76,31.05,748,percent of total billed charges,
PELVIC,76856,CPT,both,,,748,748,UNITED HEALTHCARE,UNITED HEALTHCARE,,658.24,88,percent of total billed charges,658.24,31.05,748,percent of total billed charges,
PELVIC,76856,CPT,both,,,748,748,AETNA,AETNA,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,BEECH STREET,BEECH STREET,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,CARESOURCE,CARESOURCE,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,MEDICAID,MEDICAID,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,NOVA NET,NOVA NET,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,PEACHSTATE,PEACHSTATE,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,SELFPAY,SELFPAY,,748,,fee schedule,748,31.05,748,fee schedule,
PELVIC,76856,CPT,both,,,748,748,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,748,,fee schedule,748,31.05,748,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,AMERIGROUP,AMERIGROUP,,18.1,,fee schedule,18.1,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,AMERIGROUP,AMERIGROUP,,37.88,,fee schedule,37.88,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,AMERIGROUP,AMERIGROUP,,56,,fee schedule,56,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,18.45,,fee schedule,18.45,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,38.61,,fee schedule,38.61,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,57.06,,fee schedule,57.06,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,17.24,,fee schedule,17.24,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,36.08,,fee schedule,36.08,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,53.33,,fee schedule,53.33,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,TRICARE,TRICARE,,106.88,,fee schedule,106.88,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,17.24,304,percent of total billed charges,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,17.24,304,percent of total billed charges,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,17.24,304,percent of total billed charges,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,17.24,304,fee schedule,
US PELVIV LIMITED US,76857,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,17.24,304,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,AMERIGROUP,AMERIGROUP,,30.28,,fee schedule,30.28,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,AMERIGROUP,AMERIGROUP,,84.92,,fee schedule,84.92,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,30.86,,fee schedule,30.86,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,86.54,,fee schedule,86.54,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,28.84,,fee schedule,28.84,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,80.88,,fee schedule,80.88,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,TRICARE,TRICARE,,106.88,,fee schedule,106.88,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,AETNA,AETNA,,564.63,87,percent of total billed charges,564.63,28.84,649,percent of total billed charges,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,564.63,87,percent of total billed charges,564.63,28.84,649,percent of total billed charges,
TESTICULAR SCAN,76870,CPT,both,,,649,649,UNITED HEALTHCARE,UNITED HEALTHCARE,,571.12,88,percent of total billed charges,571.12,28.84,649,percent of total billed charges,
TESTICULAR SCAN,76870,CPT,both,,,649,649,AETNA,AETNA,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,BEECH STREET,BEECH STREET,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,MEDICAID,MEDICAID,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,NOVA NET,NOVA NET,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,SELFPAY,SELFPAY,,649,,fee schedule,649,28.84,649,fee schedule,
TESTICULAR SCAN,76870,CPT,both,,,649,649,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,649,,fee schedule,649,28.84,649,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.12,,fee schedule,77.12,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,102.81,,fee schedule,102.81,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.59,,fee schedule,78.59,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,104.76,,fee schedule,104.76,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.45,,fee schedule,73.45,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,97.91,,fee schedule,97.91,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,24.46,613,percent of total billed charges,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE - SONOGRAM,76881,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.12,,fee schedule,77.12,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,102.81,,fee schedule,102.81,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.59,,fee schedule,78.59,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,104.76,,fee schedule,104.76,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.45,,fee schedule,73.45,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,97.91,,fee schedule,97.91,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
KNEE LEFT,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
KNEE LEFT,76881,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,24.46,613,percent of total billed charges,
KNEE LEFT,76881,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,24.46,613,fee schedule,
KNEE LEFT,76881,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.12,,fee schedule,77.12,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,102.81,,fee schedule,102.81,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.59,,fee schedule,78.59,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,104.76,,fee schedule,104.76,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.45,,fee schedule,73.45,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,97.91,,fee schedule,97.91,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
SHOULDER,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
SHOULDER,76881,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,24.46,613,percent of total billed charges,
SHOULDER,76881,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER,76881,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,25.68,,fee schedule,25.68,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,77.12,,fee schedule,77.12,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,102.81,,fee schedule,102.81,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.17,,fee schedule,26.17,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,78.59,,fee schedule,78.59,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,104.76,,fee schedule,104.76,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,24.46,,fee schedule,24.46,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,73.45,,fee schedule,73.45,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,97.91,,fee schedule,97.91,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
SHOULDER LEFT,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,24.46,613,percent of total billed charges,
SHOULDER LEFT,76881,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,24.46,613,percent of total billed charges,
SHOULDER LEFT,76881,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,24.46,613,fee schedule,
SHOULDER LEFT,76881,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,24.46,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,17.82,,fee schedule,17.82,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,9.07,,fee schedule,9.07,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.89,,fee schedule,26.89,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,18.16,,fee schedule,18.16,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,9.24,,fee schedule,9.24,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,27.4,,fee schedule,27.4,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,16.97,,fee schedule,16.97,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,8.64,,fee schedule,8.64,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.61,,fee schedule,25.61,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,8.64,613,percent of total billed charges,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,8.64,613,percent of total billed charges,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,8.64,613,percent of total billed charges,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,8.64,613,fee schedule,
EXTREMITY ULTRASOUND,76882,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,17.82,,fee schedule,17.82,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,9.07,,fee schedule,9.07,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.89,,fee schedule,26.89,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,18.16,,fee schedule,18.16,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,9.24,,fee schedule,9.24,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,27.4,,fee schedule,27.4,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,16.97,,fee schedule,16.97,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,8.64,,fee schedule,8.64,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.61,,fee schedule,25.61,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,8.64,613,percent of total billed charges,
FEMORAL LEFT,76882,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,8.64,613,percent of total billed charges,
FEMORAL LEFT,76882,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,8.64,613,percent of total billed charges,
FEMORAL LEFT,76882,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL LEFT,76882,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,17.82,,fee schedule,17.82,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,9.07,,fee schedule,9.07,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,26.89,,fee schedule,26.89,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,18.16,,fee schedule,18.16,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,9.24,,fee schedule,9.24,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,27.4,,fee schedule,27.4,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,16.97,,fee schedule,16.97,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,8.64,,fee schedule,8.64,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,25.61,,fee schedule,25.61,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,TRICARE,TRICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,8.64,613,percent of total billed charges,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,8.64,613,percent of total billed charges,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,8.64,613,percent of total billed charges,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,8.64,613,fee schedule,
FEMORAL ULTRASOUND,76882,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,8.64,613,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,AMERIGROUP,AMERIGROUP,,34.58,,fee schedule,34.58,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,AMERIGROUP,AMERIGROUP,,89.21,,fee schedule,89.21,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,CARESOURCE,CARESOURCE,,35.24,,fee schedule,35.24,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,CARESOURCE,CARESOURCE,,90.91,,fee schedule,90.91,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,PEACHSTATE,PEACHSTATE,,32.93,,fee schedule,32.93,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,PEACHSTATE,PEACHSTATE,,84.96,,fee schedule,84.96,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,TRICARE,TRICARE,,86.88,,fee schedule,86.88,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,AETNA,AETNA,,450.66,87,percent of total billed charges,450.66,32.93,518,percent of total billed charges,
BABY HIPS,76885,CPT,both,,,518,518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450.66,87,percent of total billed charges,450.66,32.93,518,percent of total billed charges,
BABY HIPS,76885,CPT,both,,,518,518,UNITED HEALTHCARE,UNITED HEALTHCARE,,455.84,88,percent of total billed charges,455.84,32.93,518,percent of total billed charges,
BABY HIPS,76885,CPT,both,,,518,518,AETNA,AETNA,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,BEECH STREET,BEECH STREET,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,CARESOURCE,CARESOURCE,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,MEDICAID,MEDICAID,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,NOVA NET,NOVA NET,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,PEACHSTATE,PEACHSTATE,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,SELFPAY,SELFPAY,,518,,fee schedule,518,32.93,518,fee schedule,
BABY HIPS,76885,CPT,both,,,518,518,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,518,,fee schedule,518,32.93,518,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,15.11,,fee schedule,15.11,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,16.16,,fee schedule,16.16,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,31.27,,fee schedule,31.27,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,15.4,,fee schedule,15.4,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,16.47,,fee schedule,16.47,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,31.86,,fee schedule,31.86,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,14.39,,fee schedule,14.39,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,15.39,,fee schedule,15.39,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,29.78,,fee schedule,29.78,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AETNA,AETNA,,636.84,87,percent of total billed charges,636.84,14.39,732,percent of total billed charges,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636.84,87,percent of total billed charges,636.84,14.39,732,percent of total billed charges,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,UNITED HEALTHCARE,UNITED HEALTHCARE,,644.16,88,percent of total billed charges,644.16,14.39,732,percent of total billed charges,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AETNA,AETNA,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,ALLIANT,ALLIANT,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMBETTER,AMBETTER,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,BEECH STREET,BEECH STREET,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,MEDICAID,MEDICAID,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,MEDICARE,MEDICARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,NOVA NET,NOVA NET,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,SELFPAY,SELFPAY,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,TRICARE,TRICARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,UHC MEDICARE,UHC MEDICARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,15.11,,fee schedule,15.11,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,16.16,,fee schedule,16.16,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,31.27,,fee schedule,31.27,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,15.4,,fee schedule,15.4,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,16.47,,fee schedule,16.47,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,31.86,,fee schedule,31.86,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,14.39,,fee schedule,14.39,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,15.39,,fee schedule,15.39,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,29.78,,fee schedule,29.78,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AETNA,AETNA,,636.84,87,percent of total billed charges,636.84,14.39,732,percent of total billed charges,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636.84,87,percent of total billed charges,636.84,14.39,732,percent of total billed charges,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,UNITED HEALTHCARE,UNITED HEALTHCARE,,644.16,88,percent of total billed charges,644.16,14.39,732,percent of total billed charges,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AETNA,AETNA,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,ALLIANT,ALLIANT,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,AMBETTER,AMBETTER,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,BEECH STREET,BEECH STREET,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,MEDICAID,MEDICAID,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,MEDICARE,MEDICARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,NOVA NET,NOVA NET,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,SELFPAY,SELFPAY,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,TRICARE,TRICARE,,732,,fee schedule,732,14.39,732,fee schedule,
US GUIDE VASCULAR ACCESS,76937,CPT,both,,,732,732,UHC MEDICARE,UHC MEDICARE,,732,,fee schedule,732,14.39,732,fee schedule,
BRWAL,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
BRWAL,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
BRWAL,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
BRWAL,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAL,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
BRWAR,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
BRWAR,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
BRWAR,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
BRWAR,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
PROSTATE ULTRASOUND,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
SITE RITE GUIDANCE,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,AETNA,AETNA,,1455.51,87,percent of total billed charges,1455.51,30.43,1673,percent of total billed charges,
THORACENTESIS,76942,CPT,both,,,1673,1673,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1455.51,87,percent of total billed charges,1455.51,30.43,1673,percent of total billed charges,
THORACENTESIS,76942,CPT,both,,,1673,1673,UNITED HEALTHCARE,UNITED HEALTHCARE,,1472.24,88,percent of total billed charges,1472.24,30.43,1673,percent of total billed charges,
THORACENTESIS,76942,CPT,both,,,1673,1673,AETNA,AETNA,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,ALLIANT,ALLIANT,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,AMBETTER,AMBETTER,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,BEECH STREET,BEECH STREET,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,CARESOURCE,CARESOURCE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,MEDICAID,MEDICAID,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,MEDICARE,MEDICARE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,NOVA NET,NOVA NET,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,PEACHSTATE,PEACHSTATE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,SELFPAY,SELFPAY,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,TRICARE,TRICARE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
THORACENTESIS,76942,CPT,both,,,1673,1673,UHC MEDICARE,UHC MEDICARE,,1673,,fee schedule,1673,30.43,1673,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASOUND GUID LOCAL DEV,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - LE,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US GUIDED NEEDLE LOC - RI,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,31.95,,fee schedule,31.95,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,54.63,,fee schedule,54.63,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMERIGROUP,AMERIGROUP,,86.57,,fee schedule,86.57,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,32.56,,fee schedule,32.56,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,55.67,,fee schedule,55.67,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,88.22,,fee schedule,88.22,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,30.43,,fee schedule,30.43,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,52.03,,fee schedule,52.03,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,82.45,,fee schedule,82.45,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AETNA,AETNA,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527.22,87,percent of total billed charges,527.22,30.43,606,percent of total billed charges,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,UNITED HEALTHCARE,UNITED HEALTHCARE,,533.28,88,percent of total billed charges,533.28,30.43,606,percent of total billed charges,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AETNA,AETNA,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,ALLIANT,ALLIANT,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,AMBETTER,AMBETTER,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,BEECH STREET,BEECH STREET,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CARESOURCE,CARESOURCE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,MEDICAID,MEDICAID,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,MEDICARE,MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,NOVA NET,NOVA NET,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,PEACHSTATE,PEACHSTATE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,SELFPAY,SELFPAY,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,TRICARE,TRICARE,,606,,fee schedule,606,30.43,606,fee schedule,
US NEEDLE PLACEMENT,76942,CPT,both,,,606,606,UHC MEDICARE,UHC MEDICARE,,606,,fee schedule,606,30.43,606,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,AMERIGROUP,AMERIGROUP,,198.86,,fee schedule,198.86,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,AMERIGROUP,AMERIGROUP,,279.22,,fee schedule,279.22,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CARESOURCE,CARESOURCE,,202.65,,fee schedule,202.65,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CARESOURCE,CARESOURCE,,284.53,,fee schedule,284.53,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,PEACHSTATE,PEACHSTATE,,189.39,,fee schedule,189.39,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,PEACHSTATE,PEACHSTATE,,265.92,,fee schedule,265.92,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,AETNA,AETNA,,656.85,87,percent of total billed charges,656.85,76.53,755,percent of total billed charges,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,656.85,87,percent of total billed charges,656.85,76.53,755,percent of total billed charges,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,UNITED HEALTHCARE,UNITED HEALTHCARE,,664.4,88,percent of total billed charges,664.4,76.53,755,percent of total billed charges,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,AETNA,AETNA,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,ALLIANT,ALLIANT,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,AMBETTER,AMBETTER,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,BEECH STREET,BEECH STREET,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CARESOURCE,CARESOURCE,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,MEDICAID,MEDICAID,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,MEDICARE,MEDICARE,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,NOVA NET,NOVA NET,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,PEACHSTATE,PEACHSTATE,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,SELFPAY,SELFPAY,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,TRICARE,TRICARE,,755,,fee schedule,755,76.53,755,fee schedule,
ULTRASONIC GUIDANCE,76965,CPT,both,,,755,755,UHC MEDICARE,UHC MEDICARE,,755,,fee schedule,755,76.53,755,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,AETNA,AETNA,,30698.19,87,percent of total billed charges,30698.19,30698.19,35285.28,percent of total billed charges,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30698.19,87,percent of total billed charges,30698.19,30698.19,35285.28,percent of total billed charges,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,31051.05,88,percent of total billed charges,31051.05,30698.19,35285.28,percent of total billed charges,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,AETNA,AETNA,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,ALLIANT,ALLIANT,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,AMBETTER,AMBETTER,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,BEECH STREET,BEECH STREET,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,CARESOURCE,CARESOURCE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,MEDICAID,MEDICAID,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,MEDICARE,MEDICARE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,NOVA NET,NOVA NET,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,PEACHSTATE,PEACHSTATE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,SELFPAY,SELFPAY,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,TRICARE,TRICARE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,DRG,inpatient,,,35285.28,35285.28,UHC MEDICARE,UHC MEDICARE,,35285.28,,fee schedule,35285.28,30698.19,35285.28,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,AMERIGROUP,AMERIGROUP,,15.89,,fee schedule,15.89,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,AMERIGROUP,AMERIGROUP,,74.75,,fee schedule,74.75,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,AMERIGROUP,AMERIGROUP,,58.86,,fee schedule,58.86,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,16.19,,fee schedule,16.19,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,76.17,,fee schedule,76.17,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,59.98,,fee schedule,59.98,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,15.13,,fee schedule,15.13,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,71.19,,fee schedule,71.19,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,56.06,,fee schedule,56.06,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,AETNA,AETNA,,542.01,87,percent of total billed charges,542.01,15.13,623,percent of total billed charges,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542.01,87,percent of total billed charges,542.01,15.13,623,percent of total billed charges,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,UNITED HEALTHCARE,UNITED HEALTHCARE,,548.24,88,percent of total billed charges,548.24,15.13,623,percent of total billed charges,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,AETNA,AETNA,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,ALLIANT,ALLIANT,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,AMBETTER,AMBETTER,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,BEECH STREET,BEECH STREET,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,MEDICAID,MEDICAID,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,MEDICARE,MEDICARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,NOVA NET,NOVA NET,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,SELFPAY,SELFPAY,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,TRICARE,TRICARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDANCE VENOUS,77001,CPT,both,,,623,623,UHC MEDICARE,UHC MEDICARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,AMERIGROUP,AMERIGROUP,,15.89,,fee schedule,15.89,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,AMERIGROUP,AMERIGROUP,,74.75,,fee schedule,74.75,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,AMERIGROUP,AMERIGROUP,,58.86,,fee schedule,58.86,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,16.19,,fee schedule,16.19,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,76.17,,fee schedule,76.17,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,59.98,,fee schedule,59.98,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,15.13,,fee schedule,15.13,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,71.19,,fee schedule,71.19,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,56.06,,fee schedule,56.06,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,AETNA,AETNA,,542.01,87,percent of total billed charges,542.01,15.13,623,percent of total billed charges,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542.01,87,percent of total billed charges,542.01,15.13,623,percent of total billed charges,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,UNITED HEALTHCARE,UNITED HEALTHCARE,,548.24,88,percent of total billed charges,548.24,15.13,623,percent of total billed charges,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,AETNA,AETNA,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,ALLIANT,ALLIANT,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,AMBETTER,AMBETTER,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,BEECH STREET,BEECH STREET,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CARESOURCE,CARESOURCE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,MEDICAID,MEDICAID,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,MEDICARE,MEDICARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,NOVA NET,NOVA NET,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,PEACHSTATE,PEACHSTATE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,SELFPAY,SELFPAY,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,TRICARE,TRICARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO GUIDE FOR VEIN DEVICE,77001,CPT,both,,,623,623,UHC MEDICARE,UHC MEDICARE,,623,,fee schedule,623,15.13,623,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,21.88,,fee schedule,21.88,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,67.27,,fee schedule,67.27,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,45.39,,fee schedule,45.39,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,22.3,,fee schedule,22.3,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,68.55,,fee schedule,68.55,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,46.26,,fee schedule,46.26,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,20.84,,fee schedule,20.84,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,64.07,,fee schedule,64.07,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,43.23,,fee schedule,43.23,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,AETNA,AETNA,,199.23,87,percent of total billed charges,199.23,20.84,229,percent of total billed charges,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,199.23,87,percent of total billed charges,199.23,20.84,229,percent of total billed charges,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,UNITED HEALTHCARE,UNITED HEALTHCARE,,201.52,88,percent of total billed charges,201.52,20.84,229,percent of total billed charges,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,AETNA,AETNA,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,ALLIANT,ALLIANT,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,AMBETTER,AMBETTER,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,BEECH STREET,BEECH STREET,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,MEDICAID,MEDICAID,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,MEDICARE,MEDICARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,NOVA NET,NOVA NET,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,SELFPAY,SELFPAY,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,TRICARE,TRICARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO IMAGE GUIDANCE,77002,CPT,both,,,229,229,UHC MEDICARE,UHC MEDICARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,21.88,,fee schedule,21.88,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,67.27,,fee schedule,67.27,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,45.39,,fee schedule,45.39,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,22.3,,fee schedule,22.3,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,68.55,,fee schedule,68.55,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,46.26,,fee schedule,46.26,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,20.84,,fee schedule,20.84,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,64.07,,fee schedule,64.07,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,43.23,,fee schedule,43.23,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,AETNA,AETNA,,199.23,87,percent of total billed charges,199.23,20.84,229,percent of total billed charges,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,199.23,87,percent of total billed charges,199.23,20.84,229,percent of total billed charges,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,UNITED HEALTHCARE,UNITED HEALTHCARE,,201.52,88,percent of total billed charges,201.52,20.84,229,percent of total billed charges,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,AETNA,AETNA,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,ALLIANT,ALLIANT,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,AMBETTER,AMBETTER,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,BEECH STREET,BEECH STREET,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,MEDICAID,MEDICAID,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,MEDICARE,MEDICARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,NOVA NET,NOVA NET,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,SELFPAY,SELFPAY,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,TRICARE,TRICARE,,229,,fee schedule,229,20.84,229,fee schedule,
FLUORO NEEDLE PLACEMENT,77002,CPT,both,,,229,229,UHC MEDICARE,UHC MEDICARE,,229,,fee schedule,229,20.84,229,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,AMERIGROUP,AMERIGROUP,,23.58,,fee schedule,23.58,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,AMERIGROUP,AMERIGROUP,,65.13,,fee schedule,65.13,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,AMERIGROUP,AMERIGROUP,,41.56,,fee schedule,41.56,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,CARESOURCE,CARESOURCE,,24.03,,fee schedule,24.03,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,CARESOURCE,CARESOURCE,,66.37,,fee schedule,66.37,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,CARESOURCE,CARESOURCE,,42.35,,fee schedule,42.35,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,PEACHSTATE,PEACHSTATE,,22.46,,fee schedule,22.46,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,PEACHSTATE,PEACHSTATE,,62.03,,fee schedule,62.03,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,PEACHSTATE,PEACHSTATE,,39.58,,fee schedule,39.58,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,AETNA,AETNA,,555.93,87,percent of total billed charges,555.93,22.46,639,percent of total billed charges,
INJECTION FLUORO,77003,CPT,both,,,639,639,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,555.93,87,percent of total billed charges,555.93,22.46,639,percent of total billed charges,
INJECTION FLUORO,77003,CPT,both,,,639,639,UNITED HEALTHCARE,UNITED HEALTHCARE,,562.32,88,percent of total billed charges,562.32,22.46,639,percent of total billed charges,
INJECTION FLUORO,77003,CPT,both,,,639,639,AETNA,AETNA,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,ALLIANT,ALLIANT,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,AMBETTER,AMBETTER,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,BEECH STREET,BEECH STREET,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,CARESOURCE,CARESOURCE,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,MEDICAID,MEDICAID,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,MEDICARE,MEDICARE,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,NOVA NET,NOVA NET,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,PEACHSTATE,PEACHSTATE,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,SELFPAY,SELFPAY,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,TRICARE,TRICARE,,639,,fee schedule,639,22.46,639,fee schedule,
INJECTION FLUORO,77003,CPT,both,,,639,639,UHC MEDICARE,UHC MEDICARE,,639,,fee schedule,639,22.46,639,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,AMERIGROUP,AMERIGROUP,,23.58,,fee schedule,23.58,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,AMERIGROUP,AMERIGROUP,,65.13,,fee schedule,65.13,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,AMERIGROUP,AMERIGROUP,,41.56,,fee schedule,41.56,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,24.03,,fee schedule,24.03,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,66.37,,fee schedule,66.37,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,42.35,,fee schedule,42.35,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,22.46,,fee schedule,22.46,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,62.03,,fee schedule,62.03,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,39.58,,fee schedule,39.58,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,AETNA,AETNA,,368.01,87,percent of total billed charges,368.01,22.46,423,percent of total billed charges,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.01,87,percent of total billed charges,368.01,22.46,423,percent of total billed charges,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,UNITED HEALTHCARE,UNITED HEALTHCARE,,372.24,88,percent of total billed charges,372.24,22.46,423,percent of total billed charges,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,AETNA,AETNA,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,ALLIANT,ALLIANT,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,AMBETTER,AMBETTER,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,BEECH STREET,BEECH STREET,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,MEDICAID,MEDICAID,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,MEDICARE,MEDICARE,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,NOVA NET,NOVA NET,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,SELFPAY,SELFPAY,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,TRICARE,TRICARE,,423,,fee schedule,423,22.46,423,fee schedule,
PERCUTANEOUS VERTEBROPLAS,77003,CPT,both,,,423,423,UHC MEDICARE,UHC MEDICARE,,423,,fee schedule,423,22.46,423,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF ABDOMEN MASS,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY OF NECK MASS,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BIOPSY RENAL RT,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT BONE BIOPSY,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LIVER BIOPSY,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,AETNA,AETNA,,2458.62,87,percent of total billed charges,2458.62,45.84,2826,percent of total billed charges,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2458.62,87,percent of total billed charges,2458.62,45.84,2826,percent of total billed charges,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,UNITED HEALTHCARE,UNITED HEALTHCARE,,2486.88,88,percent of total billed charges,2486.88,45.84,2826,percent of total billed charges,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,AETNA,AETNA,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,ALLIANT,ALLIANT,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,AMBETTER,AMBETTER,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,BEECH STREET,BEECH STREET,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,MEDICAID,MEDICAID,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,MEDICARE,MEDICARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,NOVA NET,NOVA NET,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,SELFPAY,SELFPAY,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,TRICARE,TRICARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LUNG BIOPSY,77012,CPT,both,,,2826,2826,UHC MEDICARE,UHC MEDICARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT LYMPH NODE BIOPSY,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT PANCREAS BIOPSY,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,AETNA,AETNA,,2458.62,87,percent of total billed charges,2458.62,45.84,2826,percent of total billed charges,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2458.62,87,percent of total billed charges,2458.62,45.84,2826,percent of total billed charges,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,UNITED HEALTHCARE,UNITED HEALTHCARE,,2486.88,88,percent of total billed charges,2486.88,45.84,2826,percent of total billed charges,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,AETNA,AETNA,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,ALLIANT,ALLIANT,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,AMBETTER,AMBETTER,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,BEECH STREET,BEECH STREET,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CARESOURCE,CARESOURCE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,MEDICAID,MEDICAID,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,MEDICARE,MEDICARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,NOVA NET,NOVA NET,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,PEACHSTATE,PEACHSTATE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,SELFPAY,SELFPAY,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,TRICARE,TRICARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL BIOPSY,77012,CPT,both,,,2826,2826,UHC MEDICARE,UHC MEDICARE,,2826,,fee schedule,2826,45.84,2826,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT RENAL CYST,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT RENAL CYST,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RENAL CYST,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT RIGHT LUNG BIOPSY,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,48.13,,fee schedule,48.13,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,292.93,,fee schedule,292.93,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,AMERIGROUP,AMERIGROUP,,244.8,,fee schedule,244.8,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,49.05,,fee schedule,49.05,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,298.51,,fee schedule,298.51,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,249.46,,fee schedule,249.46,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,45.84,,fee schedule,45.84,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,278.98,,fee schedule,278.98,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,233.14,,fee schedule,233.14,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,45.84,1648,percent of total billed charges,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,45.84,1648,percent of total billed charges,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
CT SOFT TISSUE BIOPSY,77012,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,45.84,1648,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,229.31,,fee schedule,229.31,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,66.16,,fee schedule,66.16,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,158.42,,fee schedule,158.42,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,233.68,,fee schedule,233.68,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,67.42,,fee schedule,67.42,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,161.44,,fee schedule,161.44,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,218.39,,fee schedule,218.39,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,63.01,,fee schedule,63.01,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,150.88,,fee schedule,150.88,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,TRICARE,TRICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,AETNA,AETNA,,642.93,87,percent of total billed charges,642.93,63.01,739,percent of total billed charges,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642.93,87,percent of total billed charges,642.93,63.01,739,percent of total billed charges,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,UNITED HEALTHCARE,UNITED HEALTHCARE,,650.32,88,percent of total billed charges,650.32,63.01,739,percent of total billed charges,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,AETNA,AETNA,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,BEECH STREET,BEECH STREET,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,MEDICAID,MEDICAID,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,NOVA NET,NOVA NET,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,SELFPAY,SELFPAY,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/CON,77046,CPT,both,,,739,739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,229.31,,fee schedule,229.31,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,66.16,,fee schedule,66.16,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,158.42,,fee schedule,158.42,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,233.68,,fee schedule,233.68,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,67.42,,fee schedule,67.42,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,161.44,,fee schedule,161.44,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,218.39,,fee schedule,218.39,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,63.01,,fee schedule,63.01,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,150.88,,fee schedule,150.88,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,TRICARE,TRICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,AETNA,AETNA,,642.93,87,percent of total billed charges,642.93,63.01,739,percent of total billed charges,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642.93,87,percent of total billed charges,642.93,63.01,739,percent of total billed charges,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,UNITED HEALTHCARE,UNITED HEALTHCARE,,650.32,88,percent of total billed charges,650.32,63.01,739,percent of total billed charges,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,AETNA,AETNA,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,BEECH STREET,BEECH STREET,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,MEDICAID,MEDICAID,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,NOVA NET,NOVA NET,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,SELFPAY,SELFPAY,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST LT W/O CON,77046,CPT,both,,,739,739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,229.31,,fee schedule,229.31,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,66.16,,fee schedule,66.16,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,AMERIGROUP,AMERIGROUP,,158.42,,fee schedule,158.42,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,233.68,,fee schedule,233.68,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,67.42,,fee schedule,67.42,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,161.44,,fee schedule,161.44,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,218.39,,fee schedule,218.39,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,63.01,,fee schedule,63.01,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,150.88,,fee schedule,150.88,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,TRICARE,TRICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,AETNA,AETNA,,642.93,87,percent of total billed charges,642.93,63.01,739,percent of total billed charges,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642.93,87,percent of total billed charges,642.93,63.01,739,percent of total billed charges,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,UNITED HEALTHCARE,UNITED HEALTHCARE,,650.32,88,percent of total billed charges,650.32,63.01,739,percent of total billed charges,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,AETNA,AETNA,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,BEECH STREET,BEECH STREET,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CARESOURCE,CARESOURCE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,MEDICAID,MEDICAID,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,NOVA NET,NOVA NET,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,PEACHSTATE,PEACHSTATE,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,SELFPAY,SELFPAY,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST RT W/O CON,77046,CPT,both,,,739,739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,739,,fee schedule,739,63.01,739,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,AMERIGROUP,AMERIGROUP,,230.69,,fee schedule,230.69,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,AMERIGROUP,AMERIGROUP,,73.23,,fee schedule,73.23,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,AMERIGROUP,AMERIGROUP,,157.47,,fee schedule,157.47,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CARESOURCE,CARESOURCE,,235.08,,fee schedule,235.08,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CARESOURCE,CARESOURCE,,74.62,,fee schedule,74.62,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CARESOURCE,CARESOURCE,,160.47,,fee schedule,160.47,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,PEACHSTATE,PEACHSTATE,,219.7,,fee schedule,219.7,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,PEACHSTATE,PEACHSTATE,,69.74,,fee schedule,69.74,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,PEACHSTATE,PEACHSTATE,,149.97,,fee schedule,149.97,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,TRICARE,TRICARE,,233.52,,fee schedule,233.52,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,AETNA,AETNA,,1284.12,87,percent of total billed charges,1284.12,69.74,1476,percent of total billed charges,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1284.12,87,percent of total billed charges,1284.12,69.74,1476,percent of total billed charges,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,UNITED HEALTHCARE,UNITED HEALTHCARE,,1298.88,88,percent of total billed charges,1298.88,69.74,1476,percent of total billed charges,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,AETNA,AETNA,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,BEECH STREET,BEECH STREET,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CARESOURCE,CARESOURCE,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,MEDICAID,MEDICAID,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,NOVA NET,NOVA NET,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,PEACHSTATE,PEACHSTATE,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,SELFPAY,SELFPAY,,1476,,fee schedule,1476,69.74,1476,fee schedule,
MR BREAST BI W/O CON,77047,CPT,both,,,1476,1476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1476,,fee schedule,1476,69.74,1476,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,89.61,103,percent of total billed charges,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS SINGLE,77061,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,89.61,103,percent of total billed charges,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,89.61,103,fee schedule,
TOMOSYNTHESIS,77062,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,49.97,,fee schedule,49.97,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,22.97,,fee schedule,22.97,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,50.92,,fee schedule,50.92,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,27.51,,fee schedule,27.51,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,23.41,,fee schedule,23.41,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,47.59,,fee schedule,47.59,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,25.71,,fee schedule,25.71,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,21.88,,fee schedule,21.88,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,TRICARE,TRICARE,,54.55,,fee schedule,54.55,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,21.88,348,percent of total billed charges,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,21.88,348,percent of total billed charges,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,21.88,348,percent of total billed charges,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,21.88,348,fee schedule,
MM TOMO SCREEN BI SELF REF,77063,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,21.88,348,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,49.97,,fee schedule,49.97,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,22.97,,fee schedule,22.97,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,50.92,,fee schedule,50.92,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,27.51,,fee schedule,27.51,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,23.41,,fee schedule,23.41,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,47.59,,fee schedule,47.59,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,25.71,,fee schedule,25.71,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,21.88,,fee schedule,21.88,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,TRICARE,TRICARE,,54.55,,fee schedule,54.55,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,21.88,170,percent of total billed charges,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,21.88,170,percent of total billed charges,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,21.88,170,percent of total billed charges,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING BI,77063,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,21.88,170,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,49.97,,fee schedule,49.97,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,22.97,,fee schedule,22.97,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,50.92,,fee schedule,50.92,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,27.51,,fee schedule,27.51,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,23.41,,fee schedule,23.41,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,47.59,,fee schedule,47.59,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,25.71,,fee schedule,25.71,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,21.88,,fee schedule,21.88,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,TRICARE,TRICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING LT,77063,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,49.97,,fee schedule,49.97,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,22.97,,fee schedule,22.97,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,50.92,,fee schedule,50.92,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,27.51,,fee schedule,27.51,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,23.41,,fee schedule,23.41,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,47.59,,fee schedule,47.59,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,25.71,,fee schedule,25.71,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,21.88,,fee schedule,21.88,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,TRICARE,TRICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,49.97,,fee schedule,49.97,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AMERIGROUP,AMERIGROUP,,22.97,,fee schedule,22.97,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,50.92,,fee schedule,50.92,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,27.51,,fee schedule,27.51,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,23.41,,fee schedule,23.41,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,47.59,,fee schedule,47.59,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,25.71,,fee schedule,25.71,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,21.88,,fee schedule,21.88,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,TRICARE,TRICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,21.88,325,percent of total billed charges,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING RT,77063,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,21.88,325,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,49.97,,fee schedule,49.97,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,22.97,,fee schedule,22.97,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,50.92,,fee schedule,50.92,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,27.51,,fee schedule,27.51,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,23.41,,fee schedule,23.41,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,47.59,,fee schedule,47.59,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,25.71,,fee schedule,25.71,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,21.88,,fee schedule,21.88,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,TRICARE,TRICARE,,54.55,,fee schedule,54.55,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,21.88,151,percent of total billed charges,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,21.88,151,percent of total billed charges,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,21.88,151,percent of total billed charges,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,21.88,151,fee schedule,
TOMOSYNTHESIS SCREENING SINGLE,77063,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,21.88,151,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,35.41,306,percent of total billed charges,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,35.41,306,fee schedule,
DIAGNOSTIC RIGHT,77065,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,35.41,217.39,percent of total billed charges,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,35.41,217.39,percent of total billed charges,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,35.41,217.39,percent of total billed charges,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,35.41,217.39,fee schedule,
DX MAMMO INCL CAD UNI,77065,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,35.41,217.39,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAG SPOT LEFT,77065,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,35.41,306,percent of total billed charges,
MAG SPOT LEFT,77065,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT LEFT,77065,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,35.41,306,percent of total billed charges,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,35.41,306,fee schedule,
MAG SPOT RIGHT,77065,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,35.41,306,percent of total billed charges,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAM - ADD'L VIEWS,77065,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,35.41,306,percent of total billed charges,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,35.41,306,percent of total billed charges,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,35.41,306,fee schedule,
MAMMOGRAMS UNILATERAL/DIG,77065,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,35.41,306,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,ALLIANT,ALLIANT,,217.39,,fee schedule,217.39,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,AMBETTER,AMBETTER,,171.28,,fee schedule,171.28,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,AMERIGROUP,AMERIGROUP,,122.38,,fee schedule,122.38,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,AMERIGROUP,AMERIGROUP,,37.18,,fee schedule,37.18,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,AMERIGROUP,AMERIGROUP,,85.2,,fee schedule,85.2,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,124.71,,fee schedule,124.71,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,37.89,,fee schedule,37.89,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,86.82,,fee schedule,86.82,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,MEDICARE,MEDICARE,,131.75,,fee schedule,131.75,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,116.55,,fee schedule,116.55,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,35.41,,fee schedule,35.41,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,81.14,,fee schedule,81.14,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,TRICARE,TRICARE,,131.75,,fee schedule,131.75,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,131.75,,fee schedule,131.75,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,35.41,264,percent of total billed charges,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,35.41,264,percent of total billed charges,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,35.41,264,percent of total billed charges,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,35.41,264,fee schedule,
STEREO BR BX CONF MAMMO,77065,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,35.41,264,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,ALLIANT,ALLIANT,,274.46,,fee schedule,274.46,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,AMBETTER,AMBETTER,,216.24,,fee schedule,216.24,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,154.63,,fee schedule,154.63,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,108.8,,fee schedule,108.8,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,45.82,,fee schedule,45.82,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,157.58,,fee schedule,157.58,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,110.87,,fee schedule,110.87,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,46.69,,fee schedule,46.69,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,MEDICARE,MEDICARE,,166.34,,fee schedule,166.34,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,147.27,,fee schedule,147.27,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,103.62,,fee schedule,103.62,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,43.64,,fee schedule,43.64,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,TRICARE,TRICARE,,166.34,,fee schedule,166.34,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,166.34,,fee schedule,166.34,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,43.64,301,percent of total billed charges,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,43.64,301,percent of total billed charges,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,43.64,301,percent of total billed charges,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,43.64,301,fee schedule,
DX MAMMO INCL CAD BI,77066,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,43.64,301,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,ALLIANT,ALLIANT,,274.46,,fee schedule,274.46,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,AMBETTER,AMBETTER,,216.24,,fee schedule,216.24,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,154.63,,fee schedule,154.63,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,108.8,,fee schedule,108.8,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,45.82,,fee schedule,45.82,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,157.58,,fee schedule,157.58,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,110.87,,fee schedule,110.87,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,46.69,,fee schedule,46.69,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,MEDICARE,MEDICARE,,166.34,,fee schedule,166.34,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,147.27,,fee schedule,147.27,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,103.62,,fee schedule,103.62,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,43.64,,fee schedule,43.64,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,TRICARE,TRICARE,,166.34,,fee schedule,166.34,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,UHC MEDICARE,UHC MEDICARE,,166.34,,fee schedule,166.34,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,AETNA,AETNA,,391.5,87,percent of total billed charges,391.5,43.64,450,percent of total billed charges,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391.5,87,percent of total billed charges,391.5,43.64,450,percent of total billed charges,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,UNITED HEALTHCARE,UNITED HEALTHCARE,,396,88,percent of total billed charges,396,43.64,450,percent of total billed charges,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,AETNA,AETNA,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,BEECH STREET,BEECH STREET,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,MEDICAID,MEDICAID,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,NOVA NET,NOVA NET,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,SELFPAY,SELFPAY,,450,,fee schedule,450,43.64,450,fee schedule,
MAMMOGRAMS BILATERAL,77066,CPT,both,,,450,450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,450,,fee schedule,450,43.64,450,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,ALLIANT,ALLIANT,,274.46,,fee schedule,274.46,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,AMBETTER,AMBETTER,,216.24,,fee schedule,216.24,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,154.63,,fee schedule,154.63,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,108.8,,fee schedule,108.8,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,45.82,,fee schedule,45.82,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,157.58,,fee schedule,157.58,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,110.87,,fee schedule,110.87,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,46.69,,fee schedule,46.69,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,MEDICARE,MEDICARE,,166.34,,fee schedule,166.34,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,147.27,,fee schedule,147.27,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,103.62,,fee schedule,103.62,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,43.64,,fee schedule,43.64,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,TRICARE,TRICARE,,166.34,,fee schedule,166.34,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,166.34,,fee schedule,166.34,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,43.64,306,percent of total billed charges,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,43.64,306,percent of total billed charges,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,43.64,306,percent of total billed charges,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,43.64,306,fee schedule,
MM Û BILATERAL MAG VIEWS,77066,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,43.64,306,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,AETNA,AETNA,,310.59,87,percent of total billed charges,310.59,32.94,357,percent of total billed charges,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310.59,87,percent of total billed charges,310.59,32.94,357,percent of total billed charges,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,UNITED HEALTHCARE,UNITED HEALTHCARE,,314.16,88,percent of total billed charges,314.16,32.94,357,percent of total billed charges,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,AETNA,AETNA,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,BEECH STREET,BEECH STREET,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,MEDICAID,MEDICAID,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,NOVA NET,NOVA NET,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,SELFPAY,SELFPAY,,357,,fee schedule,357,32.94,357,fee schedule,
BREASTEST DIG MAMMO HEALT,77067,CPT,both,,,357,357,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,357,,fee schedule,357,32.94,357,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,32.94,306,percent of total billed charges,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,32.94,306,percent of total billed charges,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,32.94,306,percent of total billed charges,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,32.94,306,fee schedule,
DIGITAL BASELINE MAMMOGRA,77067,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,32.94,306,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,32.94,222.85,percent of total billed charges,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,32.94,222.85,percent of total billed charges,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,32.94,222.85,percent of total billed charges,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,32.94,222.85,fee schedule,
POST/MASTECT DIGIT SCREEN,77067,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,32.94,222.85,percent of total billed charges,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,32.94,222.85,percent of total billed charges,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,32.94,222.85,percent of total billed charges,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,32.94,222.85,percent of total billed charges,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,32.94,222.85,percent of total billed charges,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,32.94,222.85,percent of total billed charges,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO BI INCL CAD,77067,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,32.94,222.85,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,32.94,301,percent of total billed charges,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,32.94,301,percent of total billed charges,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,32.94,301,percent of total billed charges,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,32.94,301,fee schedule,
SCR MAMMO INCL CAD SINGLE,77067,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,32.94,301,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,AETNA,AETNA,,275.79,87,percent of total billed charges,275.79,32.94,317,percent of total billed charges,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275.79,87,percent of total billed charges,275.79,32.94,317,percent of total billed charges,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.96,88,percent of total billed charges,278.96,32.94,317,percent of total billed charges,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,AETNA,AETNA,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,BEECH STREET,BEECH STREET,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,MEDICAID,MEDICAID,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,NOVA NET,NOVA NET,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,SELFPAY,SELFPAY,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMOGRAM - CC,77067,CPT,both,,,317,317,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,317,,fee schedule,317,32.94,317,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,ALLIANT,ALLIANT,,222.85,,fee schedule,222.85,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,AMBETTER,AMBETTER,,175.58,,fee schedule,175.58,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,124.58,,fee schedule,124.58,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,89.99,,fee schedule,89.99,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,34.59,,fee schedule,34.59,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,126.96,,fee schedule,126.96,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,91.7,,fee schedule,91.7,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,35.25,,fee schedule,35.25,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,MEDICARE,MEDICARE,,135.06,,fee schedule,135.06,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,118.65,,fee schedule,118.65,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,85.7,,fee schedule,85.7,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,32.94,,fee schedule,32.94,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,TRICARE,TRICARE,,135.06,,fee schedule,135.06,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,135.06,,fee schedule,135.06,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,32.94,297,percent of total billed charges,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,32.94,297,percent of total billed charges,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,32.94,297,percent of total billed charges,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,32.94,297,fee schedule,
SCREENING MAMMO-SELF REFE,77067,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,32.94,297,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,AMERIGROUP,AMERIGROUP,,25.25,,fee schedule,25.25,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,25.73,,fee schedule,25.73,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,24.05,,fee schedule,24.05,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,TRICARE,TRICARE,,86.88,,fee schedule,86.88,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,24.05,243,percent of total billed charges,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,24.05,243,percent of total billed charges,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,24.05,243,percent of total billed charges,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,24.05,243,fee schedule,
ANKLE STRESS RIGHT,77071,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,ALLIANT,ALLIANT,,143.35,,fee schedule,143.35,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,AMBETTER,AMBETTER,,112.94,,fee schedule,112.94,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,AMERIGROUP,AMERIGROUP,,25.25,,fee schedule,25.25,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,25.73,,fee schedule,25.73,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,MEDICARE,MEDICARE,,86.88,,fee schedule,86.88,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,24.05,,fee schedule,24.05,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,TRICARE,TRICARE,,86.88,,fee schedule,86.88,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,86.88,,fee schedule,86.88,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,24.05,243,percent of total billed charges,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,24.05,243,percent of total billed charges,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,24.05,243,percent of total billed charges,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,24.05,243,fee schedule,
STRESS VIEWS ANY JOINT,77071,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,24.05,243,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,7.57,,fee schedule,7.57,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,20.04,,fee schedule,20.04,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,12.47,,fee schedule,12.47,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,7.71,,fee schedule,7.71,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,20.43,,fee schedule,20.43,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,12.71,,fee schedule,12.71,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,7.21,,fee schedule,7.21,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,19.09,,fee schedule,19.09,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,11.88,,fee schedule,11.88,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,TRICARE,TRICARE,,106.88,,fee schedule,106.88,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,7.21,278,percent of total billed charges,
BONE AGE,77072,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,7.21,278,percent of total billed charges,
BONE AGE,77072,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,7.21,278,percent of total billed charges,
BONE AGE,77072,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,7.21,278,fee schedule,
BONE AGE,77072,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,7.21,278,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMERIGROUP,AMERIGROUP,,11.29,,fee schedule,11.29,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMERIGROUP,AMERIGROUP,,37.94,,fee schedule,37.94,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMERIGROUP,AMERIGROUP,,26.65,,fee schedule,26.65,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,11.5,,fee schedule,11.5,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,38.66,,fee schedule,38.66,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,27.16,,fee schedule,27.16,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,10.75,,fee schedule,10.75,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,36.13,,fee schedule,36.13,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,25.38,,fee schedule,25.38,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,AETNA,AETNA,,658.59,87,percent of total billed charges,658.59,10.75,757,percent of total billed charges,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,658.59,87,percent of total billed charges,658.59,10.75,757,percent of total billed charges,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,UNITED HEALTHCARE,UNITED HEALTHCARE,,666.16,88,percent of total billed charges,666.16,10.75,757,percent of total billed charges,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,AETNA,AETNA,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,BEECH STREET,BEECH STREET,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,MEDICAID,MEDICAID,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,NOVA NET,NOVA NET,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,SELFPAY,SELFPAY,,757,,fee schedule,757,10.75,757,fee schedule,
CT LEG LENGTH STUDY,77073,CPT,both,,,757,757,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMERIGROUP,AMERIGROUP,,11.29,,fee schedule,11.29,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMERIGROUP,AMERIGROUP,,37.94,,fee schedule,37.94,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,AMERIGROUP,AMERIGROUP,,26.65,,fee schedule,26.65,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,11.5,,fee schedule,11.5,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,38.66,,fee schedule,38.66,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,27.16,,fee schedule,27.16,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,10.75,,fee schedule,10.75,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,36.13,,fee schedule,36.13,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,25.38,,fee schedule,25.38,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,TRICARE,TRICARE,,106.88,,fee schedule,106.88,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,AETNA,AETNA,,658.59,87,percent of total billed charges,658.59,10.75,757,percent of total billed charges,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,658.59,87,percent of total billed charges,658.59,10.75,757,percent of total billed charges,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,UNITED HEALTHCARE,UNITED HEALTHCARE,,666.16,88,percent of total billed charges,666.16,10.75,757,percent of total billed charges,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,AETNA,AETNA,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,BEECH STREET,BEECH STREET,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CARESOURCE,CARESOURCE,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,MEDICAID,MEDICAID,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,NOVA NET,NOVA NET,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,PEACHSTATE,PEACHSTATE,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,SELFPAY,SELFPAY,,757,,fee schedule,757,10.75,757,fee schedule,
LEG LENGTH STUDY,77073,CPT,both,,,757,757,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,757,,fee schedule,757,10.75,757,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,AMERIGROUP,AMERIGROUP,,18.91,,fee schedule,18.91,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,AMERIGROUP,AMERIGROUP,,57.38,,fee schedule,57.38,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,AMERIGROUP,AMERIGROUP,,38.46,,fee schedule,38.46,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,19.27,,fee schedule,19.27,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,58.48,,fee schedule,58.48,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,39.19,,fee schedule,39.19,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,18.01,,fee schedule,18.01,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,54.65,,fee schedule,54.65,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,36.63,,fee schedule,36.63,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,TRICARE,TRICARE,,106.88,,fee schedule,106.88,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,AETNA,AETNA,,1002.24,87,percent of total billed charges,1002.24,18.01,1152,percent of total billed charges,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1002.24,87,percent of total billed charges,1002.24,18.01,1152,percent of total billed charges,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,UNITED HEALTHCARE,UNITED HEALTHCARE,,1013.76,88,percent of total billed charges,1013.76,18.01,1152,percent of total billed charges,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,AETNA,AETNA,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,BEECH STREET,BEECH STREET,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,MEDICAID,MEDICAID,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,NOVA NET,NOVA NET,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,SELFPAY,SELFPAY,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METABOLIC BONE SURVEY,77074,CPT,both,,,1152,1152,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,AMERIGROUP,AMERIGROUP,,18.91,,fee schedule,18.91,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,AMERIGROUP,AMERIGROUP,,57.38,,fee schedule,57.38,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,AMERIGROUP,AMERIGROUP,,38.46,,fee schedule,38.46,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,19.27,,fee schedule,19.27,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,58.48,,fee schedule,58.48,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,39.19,,fee schedule,39.19,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,18.01,,fee schedule,18.01,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,54.65,,fee schedule,54.65,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,36.63,,fee schedule,36.63,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,TRICARE,TRICARE,,106.88,,fee schedule,106.88,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,AETNA,AETNA,,1002.24,87,percent of total billed charges,1002.24,18.01,1152,percent of total billed charges,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1002.24,87,percent of total billed charges,1002.24,18.01,1152,percent of total billed charges,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,UNITED HEALTHCARE,UNITED HEALTHCARE,,1013.76,88,percent of total billed charges,1013.76,18.01,1152,percent of total billed charges,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,AETNA,AETNA,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,BEECH STREET,BEECH STREET,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,MEDICAID,MEDICAID,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,NOVA NET,NOVA NET,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,SELFPAY,SELFPAY,,1152,,fee schedule,1152,18.01,1152,fee schedule,
XR BONE SURVEY ARTHRITIC,77074,CPT,both,,,1152,1152,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1152,,fee schedule,1152,18.01,1152,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,AMERIGROUP,AMERIGROUP,,22.58,,fee schedule,22.58,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,AMERIGROUP,AMERIGROUP,,80.14,,fee schedule,80.14,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,AMERIGROUP,AMERIGROUP,,57.56,,fee schedule,57.56,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CARESOURCE,CARESOURCE,,23.01,,fee schedule,23.01,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CARESOURCE,CARESOURCE,,81.66,,fee schedule,81.66,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CARESOURCE,CARESOURCE,,58.66,,fee schedule,58.66,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,PEACHSTATE,PEACHSTATE,,21.5,,fee schedule,21.5,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,PEACHSTATE,PEACHSTATE,,76.32,,fee schedule,76.32,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,PEACHSTATE,PEACHSTATE,,54.82,,fee schedule,54.82,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,TRICARE,TRICARE,,106.88,,fee schedule,106.88,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,AETNA,AETNA,,914.37,87,percent of total billed charges,914.37,21.5,1051,percent of total billed charges,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914.37,87,percent of total billed charges,914.37,21.5,1051,percent of total billed charges,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,UNITED HEALTHCARE,UNITED HEALTHCARE,,924.88,88,percent of total billed charges,924.88,21.5,1051,percent of total billed charges,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,AETNA,AETNA,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,BEECH STREET,BEECH STREET,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CARESOURCE,CARESOURCE,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,MEDICAID,MEDICAID,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,NOVA NET,NOVA NET,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,PEACHSTATE,PEACHSTATE,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,SELFPAY,SELFPAY,,1051,,fee schedule,1051,21.5,1051,fee schedule,
METASTATIC BONE SURVEY,77075,CPT,both,,,1051,1051,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1051,,fee schedule,1051,21.5,1051,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,AMERIGROUP,AMERIGROUP,,28.92,,fee schedule,28.92,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,AMERIGROUP,AMERIGROUP,,64.64,,fee schedule,64.64,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,AMERIGROUP,AMERIGROUP,,35.71,,fee schedule,35.71,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,29.47,,fee schedule,29.47,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,65.87,,fee schedule,65.87,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,36.39,,fee schedule,36.39,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,27.54,,fee schedule,27.54,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,61.56,,fee schedule,61.56,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,34.01,,fee schedule,34.01,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,TRICARE,TRICARE,,106.88,,fee schedule,106.88,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,AETNA,AETNA,,684.69,87,percent of total billed charges,684.69,27.54,787,percent of total billed charges,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,684.69,87,percent of total billed charges,684.69,27.54,787,percent of total billed charges,
LONG BONE SURVEY,77076,CPT,both,,,787,787,UNITED HEALTHCARE,UNITED HEALTHCARE,,692.56,88,percent of total billed charges,692.56,27.54,787,percent of total billed charges,
LONG BONE SURVEY,77076,CPT,both,,,787,787,AETNA,AETNA,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,BEECH STREET,BEECH STREET,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,MEDICAID,MEDICAID,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,NOVA NET,NOVA NET,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,SELFPAY,SELFPAY,,787,,fee schedule,787,27.54,787,fee schedule,
LONG BONE SURVEY,77076,CPT,both,,,787,787,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,AMERIGROUP,AMERIGROUP,,28.92,,fee schedule,28.92,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,AMERIGROUP,AMERIGROUP,,64.64,,fee schedule,64.64,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,AMERIGROUP,AMERIGROUP,,35.71,,fee schedule,35.71,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,29.47,,fee schedule,29.47,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,65.87,,fee schedule,65.87,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,36.39,,fee schedule,36.39,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,27.54,,fee schedule,27.54,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,61.56,,fee schedule,61.56,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,34.01,,fee schedule,34.01,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,TRICARE,TRICARE,,106.88,,fee schedule,106.88,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,AETNA,AETNA,,684.69,87,percent of total billed charges,684.69,27.54,787,percent of total billed charges,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,684.69,87,percent of total billed charges,684.69,27.54,787,percent of total billed charges,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,UNITED HEALTHCARE,UNITED HEALTHCARE,,692.56,88,percent of total billed charges,692.56,27.54,787,percent of total billed charges,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,AETNA,AETNA,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,BEECH STREET,BEECH STREET,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CARESOURCE,CARESOURCE,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,MEDICAID,MEDICAID,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,NOVA NET,NOVA NET,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,PEACHSTATE,PEACHSTATE,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,SELFPAY,SELFPAY,,787,,fee schedule,787,27.54,787,fee schedule,
SKELETAL SURVEY ~ ABUSED,77076,CPT,both,,,787,787,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,787,,fee schedule,787,27.54,787,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,9.25,,fee schedule,9.25,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,101.65,,fee schedule,101.65,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,92.4,,fee schedule,92.4,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,9.43,,fee schedule,9.43,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,103.59,,fee schedule,103.59,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,94.16,,fee schedule,94.16,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,8.81,,fee schedule,8.81,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,96.81,,fee schedule,96.81,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,TRICARE,TRICARE,,106.88,,fee schedule,106.88,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,8.81,681,percent of total billed charges,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,8.81,681,percent of total billed charges,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,8.81,681,percent of total billed charges,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,8.81,681,fee schedule,
BONE DENSITY STUDY,77080,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,8.81,681,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,33.61,,fee schedule,33.61,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,123.76,,fee schedule,123.76,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,157.36,,fee schedule,157.36,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,34.25,,fee schedule,34.25,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,126.12,,fee schedule,126.12,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,160.36,,fee schedule,160.36,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,32.01,,fee schedule,32.01,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,117.87,,fee schedule,117.87,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,149.87,,fee schedule,149.87,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,TRICARE,TRICARE,,133.38,,fee schedule,133.38,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,32.01,294,percent of total billed charges,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,32.01,294,percent of total billed charges,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,32.01,294,percent of total billed charges,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,32.01,294,fee schedule,
SIMPLE SIMULATION,77280,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,32.01,294,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,AMERIGROUP,AMERIGROUP,,49.74,,fee schedule,49.74,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,AMERIGROUP,AMERIGROUP,,199.16,,fee schedule,199.16,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,AMERIGROUP,AMERIGROUP,,248.91,,fee schedule,248.91,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CARESOURCE,CARESOURCE,,50.69,,fee schedule,50.69,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CARESOURCE,CARESOURCE,,202.96,,fee schedule,202.96,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CARESOURCE,CARESOURCE,,253.65,,fee schedule,253.65,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,PEACHSTATE,PEACHSTATE,,47.37,,fee schedule,47.37,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,PEACHSTATE,PEACHSTATE,,189.68,,fee schedule,189.68,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,PEACHSTATE,PEACHSTATE,,237.06,,fee schedule,237.06,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,TRICARE,TRICARE,,358.72,,fee schedule,358.72,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,AETNA,AETNA,,760.38,87,percent of total billed charges,760.38,47.37,874,percent of total billed charges,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,760.38,87,percent of total billed charges,760.38,47.37,874,percent of total billed charges,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,UNITED HEALTHCARE,UNITED HEALTHCARE,,769.12,88,percent of total billed charges,769.12,47.37,874,percent of total billed charges,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,AETNA,AETNA,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,BEECH STREET,BEECH STREET,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CARESOURCE,CARESOURCE,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,MEDICAID,MEDICAID,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,NOVA NET,NOVA NET,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,PEACHSTATE,PEACHSTATE,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,SELFPAY,SELFPAY,,874,,fee schedule,874,47.37,874,fee schedule,
INTERMEDIATE SIMULATION,77285,CPT,both,,,874,874,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,874,,fee schedule,874,47.37,874,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,74.46,,fee schedule,74.46,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,232.71,,fee schedule,232.71,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,307.18,,fee schedule,307.18,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,75.87,,fee schedule,75.87,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,237.14,,fee schedule,237.14,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,313.03,,fee schedule,313.03,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,70.91,,fee schedule,70.91,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,221.63,,fee schedule,221.63,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,292.55,,fee schedule,292.55,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,TRICARE,TRICARE,,358.72,,fee schedule,358.72,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,70.91,774,percent of total billed charges,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,70.91,774,percent of total billed charges,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,70.91,774,percent of total billed charges,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,70.91,774,fee schedule,
COMPLEX SIMULATION,77290,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,70.91,774,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,AMERIGROUP,AMERIGROUP,,387.33,,fee schedule,387.33,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,AMERIGROUP,AMERIGROUP,,93,,fee schedule,93,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,AMERIGROUP,AMERIGROUP,,294.86,,fee schedule,294.86,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CARESOURCE,CARESOURCE,,394.71,,fee schedule,394.71,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CARESOURCE,CARESOURCE,,94.77,,fee schedule,94.77,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CARESOURCE,CARESOURCE,,300.48,,fee schedule,300.48,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,PEACHSTATE,PEACHSTATE,,368.89,,fee schedule,368.89,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,PEACHSTATE,PEACHSTATE,,88.57,,fee schedule,88.57,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,PEACHSTATE,PEACHSTATE,,280.82,,fee schedule,280.82,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,AETNA,AETNA,,809.1,87,percent of total billed charges,809.1,88.57,930,percent of total billed charges,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809.1,87,percent of total billed charges,809.1,88.57,930,percent of total billed charges,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,UNITED HEALTHCARE,UNITED HEALTHCARE,,818.4,88,percent of total billed charges,818.4,88.57,930,percent of total billed charges,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,AETNA,AETNA,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,ALLIANT,ALLIANT,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,AMBETTER,AMBETTER,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,BEECH STREET,BEECH STREET,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CARESOURCE,CARESOURCE,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,MEDICAID,MEDICAID,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,MEDICARE,MEDICARE,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,NOVA NET,NOVA NET,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,PEACHSTATE,PEACHSTATE,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,SELFPAY,SELFPAY,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,TRICARE,TRICARE,,930,,fee schedule,930,88.57,930,fee schedule,
RESPIRATORY MANAGEMENT,77293,CPT,both,,,930,930,UHC MEDICARE,UHC MEDICARE,,930,,fee schedule,930,88.57,930,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,ALLIANT,ALLIANT,,2212.11,,fee schedule,2212.11,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,AMBETTER,AMBETTER,,1742.87,,fee schedule,1742.87,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,AMERIGROUP,AMERIGROUP,,217.79,,fee schedule,217.79,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,AMERIGROUP,AMERIGROUP,,997.58,,fee schedule,997.58,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,AMERIGROUP,AMERIGROUP,,1215.38,,fee schedule,1215.38,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,221.94,,fee schedule,221.94,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,1016.59,,fee schedule,1016.59,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,1238.53,,fee schedule,1238.53,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,MEDICARE,MEDICARE,,1340.67,,fee schedule,1340.67,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,207.42,,fee schedule,207.42,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,950.08,,fee schedule,950.08,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,1157.5,,fee schedule,1157.5,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,TRICARE,TRICARE,,1340.67,,fee schedule,1340.67,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,UHC MEDICARE,UHC MEDICARE,,1340.67,,fee schedule,1340.67,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,AETNA,AETNA,,2499.51,87,percent of total billed charges,2499.51,207.42,2873,percent of total billed charges,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2499.51,87,percent of total billed charges,2499.51,207.42,2873,percent of total billed charges,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,UNITED HEALTHCARE,UNITED HEALTHCARE,,2528.24,88,percent of total billed charges,2528.24,207.42,2873,percent of total billed charges,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,AETNA,AETNA,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,BEECH STREET,BEECH STREET,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,MEDICAID,MEDICAID,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,NOVA NET,NOVA NET,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,SELFPAY,SELFPAY,,2873,,fee schedule,2873,207.42,2873,fee schedule,
3-D TREATMENT PLAN,77295,CPT,both,,,2873,2873,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2873,,fee schedule,2873,207.42,2873,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,29.33,,fee schedule,29.33,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,47.95,,fee schedule,47.95,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,77.28,,fee schedule,77.28,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,29.89,,fee schedule,29.89,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,48.87,,fee schedule,48.87,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,78.75,,fee schedule,78.75,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,27.93,,fee schedule,27.93,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,45.67,,fee schedule,45.67,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,73.6,,fee schedule,73.6,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,TRICARE,TRICARE,,133.38,,fee schedule,133.38,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,27.93,294,percent of total billed charges,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,27.93,294,percent of total billed charges,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,27.93,294,percent of total billed charges,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,27.93,294,fee schedule,
BASIC DOSE CALCULATIONS,77300,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,27.93,294,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,ALLIANT,ALLIANT,,2212.11,,fee schedule,2212.11,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,AMBETTER,AMBETTER,,1742.87,,fee schedule,1742.87,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,AMERIGROUP,AMERIGROUP,,414.48,,fee schedule,414.48,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,AMERIGROUP,AMERIGROUP,,1045.45,,fee schedule,1045.45,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,AMERIGROUP,AMERIGROUP,,1459.92,,fee schedule,1459.92,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,422.37,,fee schedule,422.37,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,1065.37,,fee schedule,1065.37,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,1487.73,,fee schedule,1487.73,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,MEDICARE,MEDICARE,,1340.67,,fee schedule,1340.67,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,394.74,,fee schedule,394.74,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,995.67,,fee schedule,995.67,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,1390.4,,fee schedule,1390.4,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,TRICARE,TRICARE,,1340.67,,fee schedule,1340.67,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,UHC MEDICARE,UHC MEDICARE,,1340.67,,fee schedule,1340.67,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,AETNA,AETNA,,2499.51,87,percent of total billed charges,2499.51,394.74,2873,percent of total billed charges,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2499.51,87,percent of total billed charges,2499.51,394.74,2873,percent of total billed charges,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,UNITED HEALTHCARE,UNITED HEALTHCARE,,2528.24,88,percent of total billed charges,2528.24,394.74,2873,percent of total billed charges,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,AETNA,AETNA,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,BEECH STREET,BEECH STREET,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CARESOURCE,CARESOURCE,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,MEDICAID,MEDICAID,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,NOVA NET,NOVA NET,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,PEACHSTATE,PEACHSTATE,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,SELFPAY,SELFPAY,,2873,,fee schedule,2873,394.74,2873,fee schedule,
IMRT TREATMENT PLANNING,77301,CPT,both,,,2873,2873,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2873,,fee schedule,2873,394.74,2873,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,253.73,,fee schedule,253.73,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,133.72,,fee schedule,133.72,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,120.02,,fee schedule,120.02,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,258.57,,fee schedule,258.57,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,136.26,,fee schedule,136.26,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,122.3,,fee schedule,122.3,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,241.65,,fee schedule,241.65,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,127.35,,fee schedule,127.35,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,114.3,,fee schedule,114.3,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,TRICARE,TRICARE,,358.72,,fee schedule,358.72,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,114.3,774,percent of total billed charges,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,114.3,774,percent of total billed charges,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,114.3,774,percent of total billed charges,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,114.3,774,fee schedule,
TELETHERAPY PLAN COMPLEX,77307,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,114.3,774,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,AMERIGROUP,AMERIGROUP,,314.38,,fee schedule,314.38,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,AMERIGROUP,AMERIGROUP,,133.72,,fee schedule,133.72,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,AMERIGROUP,AMERIGROUP,,180.66,,fee schedule,180.66,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CARESOURCE,CARESOURCE,,320.37,,fee schedule,320.37,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CARESOURCE,CARESOURCE,,136.26,,fee schedule,136.26,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CARESOURCE,CARESOURCE,,184.1,,fee schedule,184.1,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,PEACHSTATE,PEACHSTATE,,299.41,,fee schedule,299.41,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,PEACHSTATE,PEACHSTATE,,127.35,,fee schedule,127.35,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,PEACHSTATE,PEACHSTATE,,172.06,,fee schedule,172.06,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,TRICARE,TRICARE,,358.72,,fee schedule,358.72,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,AETNA,AETNA,,804.75,87,percent of total billed charges,804.75,127.35,925,percent of total billed charges,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,804.75,87,percent of total billed charges,804.75,127.35,925,percent of total billed charges,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,UNITED HEALTHCARE,UNITED HEALTHCARE,,814,88,percent of total billed charges,814,127.35,925,percent of total billed charges,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,AETNA,AETNA,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,BEECH STREET,BEECH STREET,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CARESOURCE,CARESOURCE,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,MEDICAID,MEDICAID,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,NOVA NET,NOVA NET,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,PEACHSTATE,PEACHSTATE,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,SELFPAY,SELFPAY,,925,,fee schedule,925,127.35,925,fee schedule,
BRACHYTX ISODOSE COMPLEX,77318,CPT,both,,,925,925,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,925,,fee schedule,925,127.35,925,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,45.47,,fee schedule,45.47,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,144.2,,fee schedule,144.2,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,189.66,,fee schedule,189.66,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,46.33,,fee schedule,46.33,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,146.94,,fee schedule,146.94,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,193.27,,fee schedule,193.27,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,43.3,,fee schedule,43.3,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,137.33,,fee schedule,137.33,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,180.63,,fee schedule,180.63,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,TRICARE,TRICARE,,358.72,,fee schedule,358.72,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,43.3,774,percent of total billed charges,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,43.3,774,percent of total billed charges,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,43.3,774,percent of total billed charges,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,43.3,774,fee schedule,
SPECIAL BEAM PLAN,77321,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,43.3,774,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,41.19,,fee schedule,41.19,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,59.3,,fee schedule,59.3,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,41.98,,fee schedule,41.98,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,60.43,,fee schedule,60.43,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,39.23,,fee schedule,39.23,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,56.48,,fee schedule,56.48,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,TRICARE,TRICARE,,133.38,,fee schedule,133.38,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,17.25,294,percent of total billed charges,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,17.25,294,percent of total billed charges,
MICRODOSIMETRY,77331,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,17.25,294,percent of total billed charges,
MICRODOSIMETRY,77331,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,17.25,294,fee schedule,
MICRODOSIMETRY,77331,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,17.25,294,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,41.19,,fee schedule,41.19,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,59.3,,fee schedule,59.3,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,41.98,,fee schedule,41.98,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,60.43,,fee schedule,60.43,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,39.23,,fee schedule,39.23,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,56.48,,fee schedule,56.48,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,TRICARE,TRICARE,,133.38,,fee schedule,133.38,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,17.25,220.08,percent of total billed charges,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,17.25,220.08,percent of total billed charges,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,17.25,220.08,percent of total billed charges,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,17.25,220.08,fee schedule,
SPECIAL DOSIMETRY,77331,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,17.25,220.08,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,25.7,,fee schedule,25.7,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,47.95,,fee schedule,47.95,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,73.65,,fee schedule,73.65,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,26.19,,fee schedule,26.19,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,48.87,,fee schedule,48.87,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,75.05,,fee schedule,75.05,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,24.48,,fee schedule,24.48,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,45.67,,fee schedule,45.67,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,70.14,,fee schedule,70.14,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,TRICARE,TRICARE,,133.38,,fee schedule,133.38,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,24.48,294,percent of total billed charges,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,24.48,294,percent of total billed charges,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,24.48,294,percent of total billed charges,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,24.48,294,fee schedule,
SIMPLE TREATMENT DEVICE,77332,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,24.48,294,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,AMERIGROUP,AMERIGROUP,,25.7,,fee schedule,25.7,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,AMERIGROUP,AMERIGROUP,,47.95,,fee schedule,47.95,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,AMERIGROUP,AMERIGROUP,,73.65,,fee schedule,73.65,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,26.19,,fee schedule,26.19,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,48.87,,fee schedule,48.87,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,75.05,,fee schedule,75.05,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,24.48,,fee schedule,24.48,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,45.67,,fee schedule,45.67,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,70.14,,fee schedule,70.14,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,TRICARE,TRICARE,,133.38,,fee schedule,133.38,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,AETNA,AETNA,,281.88,87,percent of total billed charges,281.88,24.48,324,percent of total billed charges,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.88,87,percent of total billed charges,281.88,24.48,324,percent of total billed charges,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,UNITED HEALTHCARE,UNITED HEALTHCARE,,285.12,88,percent of total billed charges,285.12,24.48,324,percent of total billed charges,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,AETNA,AETNA,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,BEECH STREET,BEECH STREET,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,MEDICAID,MEDICAID,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,NOVA NET,NOVA NET,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,SELFPAY,SELFPAY,,324,,fee schedule,324,24.48,324,fee schedule,
TREATMENT DEVICE SIMPLE,77332,CPT,both,,,324,324,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,324,,fee schedule,324,24.48,324,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,39.86,,fee schedule,39.86,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,67.73,,fee schedule,67.73,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,107.59,,fee schedule,107.59,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,40.62,,fee schedule,40.62,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,69.02,,fee schedule,69.02,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,109.64,,fee schedule,109.64,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,37.96,,fee schedule,37.96,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,64.5,,fee schedule,64.5,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,102.47,,fee schedule,102.47,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,TRICARE,TRICARE,,133.38,,fee schedule,133.38,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,37.96,774,percent of total billed charges,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,37.96,774,percent of total billed charges,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,37.96,774,percent of total billed charges,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,37.96,774,fee schedule,
INTERMDIATE TREATMENT DEVICE,77333,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,37.96,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,58.97,,fee schedule,58.97,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,115.71,,fee schedule,115.71,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,174.67,,fee schedule,174.67,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,60.09,,fee schedule,60.09,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,117.91,,fee schedule,117.91,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,177.99,,fee schedule,177.99,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,56.16,,fee schedule,56.16,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,110.2,,fee schedule,110.2,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,166.35,,fee schedule,166.35,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,TRICARE,TRICARE,,358.72,,fee schedule,358.72,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,56.16,774,percent of total billed charges,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,56.16,774,percent of total billed charges,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,56.16,774,percent of total billed charges,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,56.16,774,fee schedule,
COMPLEX TREATMENT DEVICE,77334,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,56.16,774,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,106.31,,fee schedule,106.31,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,108.34,,fee schedule,108.34,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,101.25,,fee schedule,101.25,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,TRICARE,TRICARE,,133.38,,fee schedule,133.38,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,101.25,294,percent of total billed charges,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,101.25,294,percent of total billed charges,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,101.25,294,percent of total billed charges,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,101.25,294,fee schedule,
CONTINUING PHYSICS CHECK,77336,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,101.25,294,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,ALLIANT,ALLIANT,,591.89,,fee schedule,591.89,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,AMBETTER,AMBETTER,,466.34,,fee schedule,466.34,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,158.48,,fee schedule,158.48,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,178.79,,fee schedule,178.79,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,337.27,,fee schedule,337.27,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,161.5,,fee schedule,161.5,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,182.2,,fee schedule,182.2,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,343.69,,fee schedule,343.69,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,MEDICARE,MEDICARE,,358.72,,fee schedule,358.72,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,150.93,,fee schedule,150.93,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,170.28,,fee schedule,170.28,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,321.21,,fee schedule,321.21,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,TRICARE,TRICARE,,358.72,,fee schedule,358.72,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,358.72,,fee schedule,358.72,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,150.93,774,percent of total billed charges,
MLC FOR IMRT,77338,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,150.93,774,percent of total billed charges,
MLC FOR IMRT,77338,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,150.93,774,percent of total billed charges,
MLC FOR IMRT,77338,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,150.93,774,fee schedule,
MLC FOR IMRT,77338,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,150.93,774,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,ALLIANT,ALLIANT,,220.08,,fee schedule,220.08,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,AMBETTER,AMBETTER,,173.39,,fee schedule,173.39,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,124.43,,fee schedule,124.43,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,126.8,,fee schedule,126.8,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,MEDICARE,MEDICARE,,133.38,,fee schedule,133.38,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,118.5,,fee schedule,118.5,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,TRICARE,TRICARE,,133.38,,fee schedule,133.38,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,133.38,,fee schedule,133.38,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,118.5,294,percent of total billed charges,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,118.5,294,percent of total billed charges,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,118.5,294,percent of total billed charges,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,118.5,294,fee schedule,
SPECIAL PHYSICS CONSULT,77370,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,118.5,294,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,ALLIANT,ALLIANT,,2916.29,,fee schedule,2916.29,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,AMBETTER,AMBETTER,,2297.69,,fee schedule,2297.69,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,AMERIGROUP,AMERIGROUP,,1500.54,,fee schedule,1500.54,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,CARESOURCE,CARESOURCE,,1529.13,,fee schedule,1529.13,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,MEDICARE,MEDICARE,,1767.45,,fee schedule,1767.45,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,PEACHSTATE,PEACHSTATE,,1429.09,,fee schedule,1429.09,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,TRICARE,TRICARE,,1767.45,,fee schedule,1767.45,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,UHC MEDICARE,UHC MEDICARE,,1767.45,,fee schedule,1767.45,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,AETNA,AETNA,,3548.73,87,percent of total billed charges,3548.73,1429.09,4079,percent of total billed charges,
SBRT,77373,CPT,both,,,4079,4079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3548.73,87,percent of total billed charges,3548.73,1429.09,4079,percent of total billed charges,
SBRT,77373,CPT,both,,,4079,4079,UNITED HEALTHCARE,UNITED HEALTHCARE,,3589.52,88,percent of total billed charges,3589.52,1429.09,4079,percent of total billed charges,
SBRT,77373,CPT,both,,,4079,4079,AETNA,AETNA,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,BEECH STREET,BEECH STREET,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,CARESOURCE,CARESOURCE,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,MEDICAID,MEDICAID,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,NOVA NET,NOVA NET,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,PEACHSTATE,PEACHSTATE,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,SELFPAY,SELFPAY,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
SBRT,77373,CPT,both,,,4079,4079,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4079,,fee schedule,4079,1429.09,4079,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,ALLIANT,ALLIANT,,944.58,,fee schedule,944.58,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,AMBETTER,AMBETTER,,744.21,,fee schedule,744.21,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,MEDICARE,MEDICARE,,572.47,,fee schedule,572.47,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,TRICARE,TRICARE,,572.47,,fee schedule,572.47,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,UHC MEDICARE,UHC MEDICARE,,572.47,,fee schedule,572.47,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,AETNA,AETNA,,1082.28,87,percent of total billed charges,1082.28,572.47,1244,percent of total billed charges,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1082.28,87,percent of total billed charges,1082.28,572.47,1244,percent of total billed charges,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,UNITED HEALTHCARE,UNITED HEALTHCARE,,1094.72,88,percent of total billed charges,1094.72,572.47,1244,percent of total billed charges,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,AETNA,AETNA,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,BEECH STREET,BEECH STREET,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,CARESOURCE,CARESOURCE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,MEDICAID,MEDICAID,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,NOVA NET,NOVA NET,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,PEACHSTATE,PEACHSTATE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,SELFPAY,SELFPAY,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT SIMPLE TREATMENT,77385,CPT,both,,,1244,1244,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,ALLIANT,ALLIANT,,944.58,,fee schedule,944.58,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,AMBETTER,AMBETTER,,744.21,,fee schedule,744.21,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,MEDICARE,MEDICARE,,572.47,,fee schedule,572.47,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,TRICARE,TRICARE,,572.47,,fee schedule,572.47,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,UHC MEDICARE,UHC MEDICARE,,572.47,,fee schedule,572.47,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,AETNA,AETNA,,1082.28,87,percent of total billed charges,1082.28,572.47,1244,percent of total billed charges,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1082.28,87,percent of total billed charges,1082.28,572.47,1244,percent of total billed charges,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,UNITED HEALTHCARE,UNITED HEALTHCARE,,1094.72,88,percent of total billed charges,1094.72,572.47,1244,percent of total billed charges,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,AETNA,AETNA,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,BEECH STREET,BEECH STREET,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,CARESOURCE,CARESOURCE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,MEDICAID,MEDICAID,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,NOVA NET,NOVA NET,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,PEACHSTATE,PEACHSTATE,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,SELFPAY,SELFPAY,,1244,,fee schedule,1244,572.47,1244,fee schedule,
IMRT COMPLEX TREATMENT,77386,CPT,both,,,1244,1244,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1244,,fee schedule,1244,572.47,1244,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,AETNA,AETNA,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,UNITED HEALTHCARE,UNITED HEALTHCARE,,241.12,88,percent of total billed charges,241.12,238.38,274,percent of total billed charges,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,AETNA,AETNA,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,ALLIANT,ALLIANT,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,AMBETTER,AMBETTER,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,BEECH STREET,BEECH STREET,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,MEDICAID,MEDICAID,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,MEDICARE,MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,NOVA NET,NOVA NET,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,SELFPAY,SELFPAY,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,TRICARE,TRICARE,,274,,fee schedule,274,238.38,274,fee schedule,
GUIDANCE FOR RADJ TX DLVR,77387,CPT,both,,,274,274,UHC MEDICARE,UHC MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,ALLIANT,ALLIANT,,433.83,,fee schedule,433.83,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,AMBETTER,AMBETTER,,341.81,,fee schedule,341.81,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,AMERIGROUP,AMERIGROUP,,83.49,,fee schedule,83.49,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,CARESOURCE,CARESOURCE,,85.08,,fee schedule,85.08,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,MEDICARE,MEDICARE,,262.93,,fee schedule,262.93,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,PEACHSTATE,PEACHSTATE,,79.51,,fee schedule,79.51,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,TRICARE,TRICARE,,262.93,,fee schedule,262.93,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,UHC MEDICARE,UHC MEDICARE,,262.93,,fee schedule,262.93,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,AETNA,AETNA,,475.02,87,percent of total billed charges,475.02,79.51,546,percent of total billed charges,
RAD TX > 1MEV,77412,CPT,both,,,546,546,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,475.02,87,percent of total billed charges,475.02,79.51,546,percent of total billed charges,
RAD TX > 1MEV,77412,CPT,both,,,546,546,UNITED HEALTHCARE,UNITED HEALTHCARE,,480.48,88,percent of total billed charges,480.48,79.51,546,percent of total billed charges,
RAD TX > 1MEV,77412,CPT,both,,,546,546,AETNA,AETNA,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,BEECH STREET,BEECH STREET,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,CARESOURCE,CARESOURCE,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,MEDICAID,MEDICAID,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,NOVA NET,NOVA NET,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,PEACHSTATE,PEACHSTATE,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,SELFPAY,SELFPAY,,546,,fee schedule,546,79.51,546,fee schedule,
RAD TX > 1MEV,77412,CPT,both,,,546,546,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,546,,fee schedule,546,79.51,546,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,21.12,,fee schedule,21.12,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,21.52,,fee schedule,21.52,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,20.11,,fee schedule,20.11,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,20.11,72,percent of total billed charges,
PORT FILM,77417,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,20.11,72,percent of total billed charges,
PORT FILM,77417,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,20.11,72,percent of total billed charges,
PORT FILM,77417,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,20.11,72,fee schedule,
PORT FILM,77417,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,20.11,72,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,ALLIANT,ALLIANT,,944.58,,fee schedule,944.58,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,AMBETTER,AMBETTER,,744.21,,fee schedule,744.21,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,AMERIGROUP,AMERIGROUP,,99.5,,fee schedule,99.5,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,AMERIGROUP,AMERIGROUP,,398.03,,fee schedule,398.03,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,AMERIGROUP,AMERIGROUP,,497.55,,fee schedule,497.55,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CARESOURCE,CARESOURCE,,101.39,,fee schedule,101.39,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CARESOURCE,CARESOURCE,,405.62,,fee schedule,405.62,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CARESOURCE,CARESOURCE,,507.03,,fee schedule,507.03,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,MEDICARE,MEDICARE,,572.47,,fee schedule,572.47,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,PEACHSTATE,PEACHSTATE,,94.76,,fee schedule,94.76,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,PEACHSTATE,PEACHSTATE,,379.08,,fee schedule,379.08,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,PEACHSTATE,PEACHSTATE,,473.86,,fee schedule,473.86,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,TRICARE,TRICARE,,572.47,,fee schedule,572.47,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,UHC MEDICARE,UHC MEDICARE,,572.47,,fee schedule,572.47,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,AETNA,AETNA,,1523.37,87,percent of total billed charges,1523.37,94.76,1751,percent of total billed charges,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1523.37,87,percent of total billed charges,1523.37,94.76,1751,percent of total billed charges,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,UNITED HEALTHCARE,UNITED HEALTHCARE,,1540.88,88,percent of total billed charges,1540.88,94.76,1751,percent of total billed charges,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,AETNA,AETNA,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,BEECH STREET,BEECH STREET,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CARESOURCE,CARESOURCE,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,MEDICAID,MEDICAID,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,NOVA NET,NOVA NET,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,PEACHSTATE,PEACHSTATE,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,SELFPAY,SELFPAY,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDU,77470,CPT,both,,,1751,1751,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1751,,fee schedule,1751,94.76,1751,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,ALLIANT,ALLIANT,,944.58,,fee schedule,944.58,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,AMBETTER,AMBETTER,,744.21,,fee schedule,744.21,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,AMERIGROUP,AMERIGROUP,,99.5,,fee schedule,99.5,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,AMERIGROUP,AMERIGROUP,,398.03,,fee schedule,398.03,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,AMERIGROUP,AMERIGROUP,,497.55,,fee schedule,497.55,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CARESOURCE,CARESOURCE,,101.39,,fee schedule,101.39,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CARESOURCE,CARESOURCE,,405.62,,fee schedule,405.62,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CARESOURCE,CARESOURCE,,507.03,,fee schedule,507.03,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,MEDICARE,MEDICARE,,572.47,,fee schedule,572.47,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,PEACHSTATE,PEACHSTATE,,94.76,,fee schedule,94.76,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,PEACHSTATE,PEACHSTATE,,379.08,,fee schedule,379.08,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,PEACHSTATE,PEACHSTATE,,473.86,,fee schedule,473.86,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,TRICARE,TRICARE,,572.47,,fee schedule,572.47,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,UHC MEDICARE,UHC MEDICARE,,572.47,,fee schedule,572.47,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,AETNA,AETNA,,1082.28,87,percent of total billed charges,1082.28,94.76,1244,percent of total billed charges,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1082.28,87,percent of total billed charges,1082.28,94.76,1244,percent of total billed charges,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,UNITED HEALTHCARE,UNITED HEALTHCARE,,1094.72,88,percent of total billed charges,1094.72,94.76,1244,percent of total billed charges,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,AETNA,AETNA,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,BEECH STREET,BEECH STREET,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CARESOURCE,CARESOURCE,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,MEDICAID,MEDICAID,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,NOVA NET,NOVA NET,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,PEACHSTATE,PEACHSTATE,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,SELFPAY,SELFPAY,,1244,,fee schedule,1244,94.76,1244,fee schedule,
SPECIAL TREATMENT PROCEDURE,77470,CPT,both,,,1244,1244,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1244,,fee schedule,1244,94.76,1244,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,AETNA,AETNA,,8499.92,87,percent of total billed charges,8499.92,8499.92,9770.02,percent of total billed charges,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8499.92,87,percent of total billed charges,8499.92,8499.92,9770.02,percent of total billed charges,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,8597.62,88,percent of total billed charges,8597.62,8499.92,9770.02,percent of total billed charges,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,AETNA,AETNA,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,ALLIANT,ALLIANT,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,AMBETTER,AMBETTER,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,BEECH STREET,BEECH STREET,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,CARESOURCE,CARESOURCE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,MEDICAID,MEDICAID,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,MEDICARE,MEDICARE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,NOVA NET,NOVA NET,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,PEACHSTATE,PEACHSTATE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,SELFPAY,SELFPAY,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,TRICARE,TRICARE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,776,DRG,inpatient,,,9770.02,9770.02,UHC MEDICARE,UHC MEDICARE,,9770.02,,fee schedule,9770.02,8499.92,9770.02,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,ALLIANT,ALLIANT,,1190.84,,fee schedule,1190.84,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,AMBETTER,AMBETTER,,938.24,,fee schedule,938.24,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,AMERIGROUP,AMERIGROUP,,526.3,,fee schedule,526.3,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,AMERIGROUP,AMERIGROUP,,183.44,,fee schedule,183.44,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,AMERIGROUP,AMERIGROUP,,709.74,,fee schedule,709.74,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,536.33,,fee schedule,536.33,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,186.93,,fee schedule,186.93,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,723.26,,fee schedule,723.26,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,MEDICARE,MEDICARE,,721.72,,fee schedule,721.72,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,501.24,,fee schedule,501.24,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,174.7,,fee schedule,174.7,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,675.94,,fee schedule,675.94,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,TRICARE,TRICARE,,721.72,,fee schedule,721.72,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,UHC MEDICARE,UHC MEDICARE,,721.72,,fee schedule,721.72,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,AETNA,AETNA,,763.86,87,percent of total billed charges,763.86,174.7,1190.84,percent of total billed charges,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,763.86,87,percent of total billed charges,763.86,174.7,1190.84,percent of total billed charges,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,UNITED HEALTHCARE,UNITED HEALTHCARE,,772.64,88,percent of total billed charges,772.64,174.7,1190.84,percent of total billed charges,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,AETNA,AETNA,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,BEECH STREET,BEECH STREET,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,MEDICAID,MEDICAID,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,NOVA NET,NOVA NET,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,SELFPAY,SELFPAY,,878,,fee schedule,878,174.7,1190.84,fee schedule,
INTERSTITIAL IMPLANT COM,77778,CPT,both,,,878,878,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,878,,fee schedule,878,174.7,1190.84,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,49.74,,fee schedule,49.74,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,67.86,,fee schedule,67.86,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,50.69,,fee schedule,50.69,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,69.15,,fee schedule,69.15,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,47.37,,fee schedule,47.37,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,64.63,,fee schedule,64.63,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,17.25,88,percent of total billed charges,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,17.25,88,percent of total billed charges,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,17.25,88,percent of total billed charges,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,ALLIANT,ALLIANT,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,AMBETTER,AMBETTER,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,MEDICARE,MEDICARE,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,TRICARE,TRICARE,,88,,fee schedule,88,17.25,88,fee schedule,
SUPERVISIONHANDLING & LO,77790,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,88,,fee schedule,88,17.25,88,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,AMERIGROUP,AMERIGROUP,,151.11,,fee schedule,151.11,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,AMERIGROUP,AMERIGROUP,,15.79,,fee schedule,15.79,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,AMERIGROUP,AMERIGROUP,,135.31,,fee schedule,135.31,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,153.98,,fee schedule,153.98,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,16.09,,fee schedule,16.09,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,137.89,,fee schedule,137.89,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,143.91,,fee schedule,143.91,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,15.04,,fee schedule,15.04,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,128.87,,fee schedule,128.87,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,TRICARE,TRICARE,,388.68,,fee schedule,388.68,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,AETNA,AETNA,,732.54,87,percent of total billed charges,732.54,15.04,842,percent of total billed charges,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,732.54,87,percent of total billed charges,732.54,15.04,842,percent of total billed charges,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,UNITED HEALTHCARE,UNITED HEALTHCARE,,740.96,88,percent of total billed charges,740.96,15.04,842,percent of total billed charges,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,AETNA,AETNA,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,BEECH STREET,BEECH STREET,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,MEDICAID,MEDICAID,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,NOVA NET,NOVA NET,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,SELFPAY,SELFPAY,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN-TC99M ONLY,78013,CPT,both,,,842,842,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,842,,fee schedule,842,15.04,842,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,AMERIGROUP,AMERIGROUP,,218.53,,fee schedule,218.53,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,AMERIGROUP,AMERIGROUP,,21.22,,fee schedule,21.22,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,AMERIGROUP,AMERIGROUP,,197.28,,fee schedule,197.28,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CARESOURCE,CARESOURCE,,222.69,,fee schedule,222.69,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CARESOURCE,CARESOURCE,,21.62,,fee schedule,21.62,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CARESOURCE,CARESOURCE,,201.04,,fee schedule,201.04,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,PEACHSTATE,PEACHSTATE,,208.12,,fee schedule,208.12,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,PEACHSTATE,PEACHSTATE,,20.21,,fee schedule,20.21,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,PEACHSTATE,PEACHSTATE,,187.89,,fee schedule,187.89,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,TRICARE,TRICARE,,388.68,,fee schedule,388.68,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,AETNA,AETNA,,1460.73,87,percent of total billed charges,1460.73,20.21,1679,percent of total billed charges,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1460.73,87,percent of total billed charges,1460.73,20.21,1679,percent of total billed charges,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,UNITED HEALTHCARE,UNITED HEALTHCARE,,1477.52,88,percent of total billed charges,1477.52,20.21,1679,percent of total billed charges,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,AETNA,AETNA,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,BEECH STREET,BEECH STREET,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CARESOURCE,CARESOURCE,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,MEDICAID,MEDICAID,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,NOVA NET,NOVA NET,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,PEACHSTATE,PEACHSTATE,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,SELFPAY,SELFPAY,,1679,,fee schedule,1679,20.21,1679,fee schedule,
THYROID SCAN AND UPTAKE,78014,CPT,both,,,1679,1679,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1679,,fee schedule,1679,20.21,1679,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,325.62,,fee schedule,325.62,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,50.36,,fee schedule,50.36,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,AMERIGROUP,AMERIGROUP,,275.26,,fee schedule,275.26,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,331.82,,fee schedule,331.82,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,51.32,,fee schedule,51.32,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,280.5,,fee schedule,280.5,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,310.11,,fee schedule,310.11,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,47.96,,fee schedule,47.96,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,262.15,,fee schedule,262.15,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,TRICARE,TRICARE,,388.68,,fee schedule,388.68,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,AETNA,AETNA,,584.64,87,percent of total billed charges,584.64,47.96,672,percent of total billed charges,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,584.64,87,percent of total billed charges,584.64,47.96,672,percent of total billed charges,
PARATHYROID SCAN,78071,CPT,both,,,672,672,UNITED HEALTHCARE,UNITED HEALTHCARE,,591.36,88,percent of total billed charges,591.36,47.96,672,percent of total billed charges,
PARATHYROID SCAN,78071,CPT,both,,,672,672,AETNA,AETNA,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,BEECH STREET,BEECH STREET,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,MEDICAID,MEDICAID,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,NOVA NET,NOVA NET,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,SELFPAY,SELFPAY,,672,,fee schedule,672,47.96,672,fee schedule,
PARATHYROID SCAN,78071,CPT,both,,,672,672,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,672,,fee schedule,672,47.96,672,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,AMERIGROUP,AMERIGROUP,,28.68,,fee schedule,28.68,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,AMERIGROUP,AMERIGROUP,,140.49,,fee schedule,140.49,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,AMERIGROUP,AMERIGROUP,,169.17,,fee schedule,169.17,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,CARESOURCE,CARESOURCE,,29.22,,fee schedule,29.22,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,CARESOURCE,CARESOURCE,,143.17,,fee schedule,143.17,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,CARESOURCE,CARESOURCE,,172.39,,fee schedule,172.39,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,PEACHSTATE,PEACHSTATE,,27.31,,fee schedule,27.31,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,PEACHSTATE,PEACHSTATE,,133.8,,fee schedule,133.8,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,PEACHSTATE,PEACHSTATE,,161.11,,fee schedule,161.11,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,TRICARE,TRICARE,,388.68,,fee schedule,388.68,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,AETNA,AETNA,,1258.89,87,percent of total billed charges,1258.89,27.31,1447,percent of total billed charges,
RBC TAG,78140,CPT,both,,,1447,1447,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1258.89,87,percent of total billed charges,1258.89,27.31,1447,percent of total billed charges,
RBC TAG,78140,CPT,both,,,1447,1447,UNITED HEALTHCARE,UNITED HEALTHCARE,,1273.36,88,percent of total billed charges,1273.36,27.31,1447,percent of total billed charges,
RBC TAG,78140,CPT,both,,,1447,1447,AETNA,AETNA,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,BEECH STREET,BEECH STREET,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,CARESOURCE,CARESOURCE,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,MEDICAID,MEDICAID,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,NOVA NET,NOVA NET,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,PEACHSTATE,PEACHSTATE,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,SELFPAY,SELFPAY,,1447,,fee schedule,1447,27.31,1447,fee schedule,
RBC TAG,78140,CPT,both,,,1447,1447,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1447,,fee schedule,1447,27.31,1447,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,AMERIGROUP,AMERIGROUP,,52.61,,fee schedule,52.61,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,AMERIGROUP,AMERIGROUP,,145.52,,fee schedule,145.52,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,AMERIGROUP,AMERIGROUP,,198.14,,fee schedule,198.14,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CARESOURCE,CARESOURCE,,53.61,,fee schedule,53.61,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CARESOURCE,CARESOURCE,,148.29,,fee schedule,148.29,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CARESOURCE,CARESOURCE,,201.91,,fee schedule,201.91,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,PEACHSTATE,PEACHSTATE,,50.1,,fee schedule,50.1,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,PEACHSTATE,PEACHSTATE,,138.59,,fee schedule,138.59,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,PEACHSTATE,PEACHSTATE,,188.7,,fee schedule,188.7,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,TRICARE,TRICARE,,504.5,,fee schedule,504.5,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,AETNA,AETNA,,1495.53,87,percent of total billed charges,1495.53,50.1,1719,percent of total billed charges,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1495.53,87,percent of total billed charges,1495.53,50.1,1719,percent of total billed charges,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,UNITED HEALTHCARE,UNITED HEALTHCARE,,1512.72,88,percent of total billed charges,1512.72,50.1,1719,percent of total billed charges,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,AETNA,AETNA,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,BEECH STREET,BEECH STREET,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CARESOURCE,CARESOURCE,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,MEDICAID,MEDICAID,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,NOVA NET,NOVA NET,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,PEACHSTATE,PEACHSTATE,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,SELFPAY,SELFPAY,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LYMOPHOSCINTIGRAPHY,78195,CPT,both,,,1719,1719,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1719,,fee schedule,1719,50.1,1719,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,AMERIGROUP,AMERIGROUP,,104.65,,fee schedule,104.65,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,AMERIGROUP,AMERIGROUP,,127.71,,fee schedule,127.71,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CARESOURCE,CARESOURCE,,106.65,,fee schedule,106.65,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CARESOURCE,CARESOURCE,,130.14,,fee schedule,130.14,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,PEACHSTATE,PEACHSTATE,,99.67,,fee schedule,99.67,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,PEACHSTATE,PEACHSTATE,,121.63,,fee schedule,121.63,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,TRICARE,TRICARE,,388.68,,fee schedule,388.68,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,AETNA,AETNA,,1485.09,87,percent of total billed charges,1485.09,21.97,1707,percent of total billed charges,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1485.09,87,percent of total billed charges,1485.09,21.97,1707,percent of total billed charges,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,UNITED HEALTHCARE,UNITED HEALTHCARE,,1502.16,88,percent of total billed charges,1502.16,21.97,1707,percent of total billed charges,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,AETNA,AETNA,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,BEECH STREET,BEECH STREET,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CARESOURCE,CARESOURCE,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,MEDICAID,MEDICAID,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,NOVA NET,NOVA NET,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,PEACHSTATE,PEACHSTATE,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,SELFPAY,SELFPAY,,1707,,fee schedule,1707,21.97,1707,fee schedule,
LIVER/SPLEEN SCAN,78215,CPT,both,,,1707,1707,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1707,,fee schedule,1707,21.97,1707,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,AMERIGROUP,AMERIGROUP,,31.26,,fee schedule,31.26,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,AMERIGROUP,AMERIGROUP,,264.62,,fee schedule,264.62,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,AMERIGROUP,AMERIGROUP,,295.88,,fee schedule,295.88,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,CARESOURCE,CARESOURCE,,31.85,,fee schedule,31.85,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,CARESOURCE,CARESOURCE,,269.66,,fee schedule,269.66,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,CARESOURCE,CARESOURCE,,301.52,,fee schedule,301.52,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,PEACHSTATE,PEACHSTATE,,29.77,,fee schedule,29.77,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,PEACHSTATE,PEACHSTATE,,252.02,,fee schedule,252.02,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,PEACHSTATE,PEACHSTATE,,281.79,,fee schedule,281.79,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,TRICARE,TRICARE,,388.68,,fee schedule,388.68,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,AETNA,AETNA,,1964.46,87,percent of total billed charges,1964.46,29.77,2258,percent of total billed charges,
HIDA SCAN,78226,CPT,both,,,2258,2258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1964.46,87,percent of total billed charges,1964.46,29.77,2258,percent of total billed charges,
HIDA SCAN,78226,CPT,both,,,2258,2258,UNITED HEALTHCARE,UNITED HEALTHCARE,,1987.04,88,percent of total billed charges,1987.04,29.77,2258,percent of total billed charges,
HIDA SCAN,78226,CPT,both,,,2258,2258,AETNA,AETNA,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,BEECH STREET,BEECH STREET,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,CARESOURCE,CARESOURCE,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,MEDICAID,MEDICAID,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,NOVA NET,NOVA NET,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,PEACHSTATE,PEACHSTATE,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,SELFPAY,SELFPAY,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA SCAN,78226,CPT,both,,,2258,2258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2258,,fee schedule,2258,29.77,2258,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,AMERIGROUP,AMERIGROUP,,37.64,,fee schedule,37.64,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,AMERIGROUP,AMERIGROUP,,264.62,,fee schedule,264.62,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,AMERIGROUP,AMERIGROUP,,302.26,,fee schedule,302.26,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CARESOURCE,CARESOURCE,,38.36,,fee schedule,38.36,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CARESOURCE,CARESOURCE,,269.66,,fee schedule,269.66,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CARESOURCE,CARESOURCE,,308.02,,fee schedule,308.02,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,PEACHSTATE,PEACHSTATE,,35.85,,fee schedule,35.85,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,PEACHSTATE,PEACHSTATE,,252.02,,fee schedule,252.02,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,PEACHSTATE,PEACHSTATE,,287.87,,fee schedule,287.87,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,TRICARE,TRICARE,,504.5,,fee schedule,504.5,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,AETNA,AETNA,,2322.03,87,percent of total billed charges,2322.03,35.85,2669,percent of total billed charges,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2322.03,87,percent of total billed charges,2322.03,35.85,2669,percent of total billed charges,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,UNITED HEALTHCARE,UNITED HEALTHCARE,,2348.72,88,percent of total billed charges,2348.72,35.85,2669,percent of total billed charges,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,AETNA,AETNA,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,BEECH STREET,BEECH STREET,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CARESOURCE,CARESOURCE,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,MEDICAID,MEDICAID,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,NOVA NET,NOVA NET,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,PEACHSTATE,PEACHSTATE,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,SELFPAY,SELFPAY,,2669,,fee schedule,2669,35.85,2669,fee schedule,
HIDA WITH EJECTION FRACTI,78227,CPT,both,,,2669,2669,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2669,,fee schedule,2669,35.85,2669,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,AMERIGROUP,AMERIGROUP,,34.91,,fee schedule,34.91,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,AMERIGROUP,AMERIGROUP,,102.64,,fee schedule,102.64,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,AMERIGROUP,AMERIGROUP,,137.54,,fee schedule,137.54,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CARESOURCE,CARESOURCE,,35.58,,fee schedule,35.58,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CARESOURCE,CARESOURCE,,104.59,,fee schedule,104.59,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CARESOURCE,CARESOURCE,,140.16,,fee schedule,140.16,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,PEACHSTATE,PEACHSTATE,,33.25,,fee schedule,33.25,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,PEACHSTATE,PEACHSTATE,,97.75,,fee schedule,97.75,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,PEACHSTATE,PEACHSTATE,,130.99,,fee schedule,130.99,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,TRICARE,TRICARE,,388.68,,fee schedule,388.68,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,AETNA,AETNA,,756.9,87,percent of total billed charges,756.9,33.25,870,percent of total billed charges,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,756.9,87,percent of total billed charges,756.9,33.25,870,percent of total billed charges,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,UNITED HEALTHCARE,UNITED HEALTHCARE,,765.6,88,percent of total billed charges,765.6,33.25,870,percent of total billed charges,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,AETNA,AETNA,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,BEECH STREET,BEECH STREET,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CARESOURCE,CARESOURCE,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,MEDICAID,MEDICAID,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,NOVA NET,NOVA NET,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,PEACHSTATE,PEACHSTATE,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,SELFPAY,SELFPAY,,870,,fee schedule,870,33.25,870,fee schedule,
ESOPHAGEAL TRANSIT,78258,CPT,both,,,870,870,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,870,,fee schedule,870,33.25,870,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,AMERIGROUP,AMERIGROUP,,36.89,,fee schedule,36.89,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,AMERIGROUP,AMERIGROUP,,147.54,,fee schedule,147.54,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,AMERIGROUP,AMERIGROUP,,184.42,,fee schedule,184.42,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CARESOURCE,CARESOURCE,,37.59,,fee schedule,37.59,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CARESOURCE,CARESOURCE,,150.35,,fee schedule,150.35,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CARESOURCE,CARESOURCE,,187.93,,fee schedule,187.93,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,PEACHSTATE,PEACHSTATE,,35.13,,fee schedule,35.13,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,PEACHSTATE,PEACHSTATE,,140.51,,fee schedule,140.51,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,PEACHSTATE,PEACHSTATE,,175.64,,fee schedule,175.64,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,TRICARE,TRICARE,,388.68,,fee schedule,388.68,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,AETNA,AETNA,,2115.84,87,percent of total billed charges,2115.84,35.13,2432,percent of total billed charges,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2115.84,87,percent of total billed charges,2115.84,35.13,2432,percent of total billed charges,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,UNITED HEALTHCARE,UNITED HEALTHCARE,,2140.16,88,percent of total billed charges,2140.16,35.13,2432,percent of total billed charges,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,AETNA,AETNA,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,BEECH STREET,BEECH STREET,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CARESOURCE,CARESOURCE,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,MEDICAID,MEDICAID,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,NOVA NET,NOVA NET,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,PEACHSTATE,PEACHSTATE,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,SELFPAY,SELFPAY,,2432,,fee schedule,2432,35.13,2432,fee schedule,
GASTRIC EMPTYING STUDY,78264,CPT,both,,,2432,2432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2432,,fee schedule,2432,35.13,2432,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,46.77,,fee schedule,46.77,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,174.05,,fee schedule,174.05,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,220.82,,fee schedule,220.82,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,47.66,,fee schedule,47.66,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,177.36,,fee schedule,177.36,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,225.02,,fee schedule,225.02,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,44.54,,fee schedule,44.54,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,165.76,,fee schedule,165.76,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,210.3,,fee schedule,210.3,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,TRICARE,TRICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,AETNA,AETNA,,1093.59,87,percent of total billed charges,1093.59,44.54,1257,percent of total billed charges,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1093.59,87,percent of total billed charges,1093.59,44.54,1257,percent of total billed charges,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,UNITED HEALTHCARE,UNITED HEALTHCARE,,1106.16,88,percent of total billed charges,1106.16,44.54,1257,percent of total billed charges,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,AETNA,AETNA,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,BEECH STREET,BEECH STREET,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,MEDICAID,MEDICAID,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,NOVA NET,NOVA NET,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,SELFPAY,SELFPAY,,1257,,fee schedule,1257,44.54,1257,fee schedule,
CERETEC WBC SCAN,78278,CPT,both,,,1257,1257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,46.77,,fee schedule,46.77,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,174.05,,fee schedule,174.05,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,220.82,,fee schedule,220.82,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,47.66,,fee schedule,47.66,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,177.36,,fee schedule,177.36,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,225.02,,fee schedule,225.02,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,44.54,,fee schedule,44.54,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,165.76,,fee schedule,165.76,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,210.3,,fee schedule,210.3,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,TRICARE,TRICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,AETNA,AETNA,,1093.59,87,percent of total billed charges,1093.59,44.54,1257,percent of total billed charges,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1093.59,87,percent of total billed charges,1093.59,44.54,1257,percent of total billed charges,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,UNITED HEALTHCARE,UNITED HEALTHCARE,,1106.16,88,percent of total billed charges,1106.16,44.54,1257,percent of total billed charges,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,AETNA,AETNA,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,BEECH STREET,BEECH STREET,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,MEDICAID,MEDICAID,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,NOVA NET,NOVA NET,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,SELFPAY,SELFPAY,,1257,,fee schedule,1257,44.54,1257,fee schedule,
GI BLEED SCAN,78278,CPT,both,,,1257,1257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,46.77,,fee schedule,46.77,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,174.05,,fee schedule,174.05,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,220.82,,fee schedule,220.82,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,47.66,,fee schedule,47.66,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,177.36,,fee schedule,177.36,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,225.02,,fee schedule,225.02,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,44.54,,fee schedule,44.54,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,165.76,,fee schedule,165.76,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,210.3,,fee schedule,210.3,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,TRICARE,TRICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,AETNA,AETNA,,1093.59,87,percent of total billed charges,1093.59,44.54,1257,percent of total billed charges,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1093.59,87,percent of total billed charges,1093.59,44.54,1257,percent of total billed charges,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,UNITED HEALTHCARE,UNITED HEALTHCARE,,1106.16,88,percent of total billed charges,1106.16,44.54,1257,percent of total billed charges,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,AETNA,AETNA,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,BEECH STREET,BEECH STREET,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,MEDICAID,MEDICAID,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,NOVA NET,NOVA NET,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,SELFPAY,SELFPAY,,1257,,fee schedule,1257,44.54,1257,fee schedule,
WBC TAG STUDY,78278,CPT,both,,,1257,1257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1257,,fee schedule,1257,44.54,1257,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,AMERIGROUP,AMERIGROUP,,32.27,,fee schedule,32.27,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,AMERIGROUP,AMERIGROUP,,108.68,,fee schedule,108.68,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,AMERIGROUP,AMERIGROUP,,140.94,,fee schedule,140.94,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,CARESOURCE,CARESOURCE,,32.88,,fee schedule,32.88,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,CARESOURCE,CARESOURCE,,110.75,,fee schedule,110.75,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,CARESOURCE,CARESOURCE,,143.63,,fee schedule,143.63,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,PEACHSTATE,PEACHSTATE,,30.73,,fee schedule,30.73,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,PEACHSTATE,PEACHSTATE,,103.5,,fee schedule,103.5,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,PEACHSTATE,PEACHSTATE,,134.23,,fee schedule,134.23,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,TRICARE,TRICARE,,388.68,,fee schedule,388.68,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,AETNA,AETNA,,829.98,87,percent of total billed charges,829.98,30.73,954,percent of total billed charges,
MECKLES SCAN,78290,CPT,both,,,954,954,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.98,87,percent of total billed charges,829.98,30.73,954,percent of total billed charges,
MECKLES SCAN,78290,CPT,both,,,954,954,UNITED HEALTHCARE,UNITED HEALTHCARE,,839.52,88,percent of total billed charges,839.52,30.73,954,percent of total billed charges,
MECKLES SCAN,78290,CPT,both,,,954,954,AETNA,AETNA,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,BEECH STREET,BEECH STREET,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,CARESOURCE,CARESOURCE,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,MEDICAID,MEDICAID,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,NOVA NET,NOVA NET,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,PEACHSTATE,PEACHSTATE,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,SELFPAY,SELFPAY,,954,,fee schedule,954,30.73,954,fee schedule,
MECKLES SCAN,78290,CPT,both,,,954,954,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,954,,fee schedule,954,30.73,954,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,AMERIGROUP,AMERIGROUP,,28.99,,fee schedule,28.99,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,AMERIGROUP,AMERIGROUP,,89.19,,fee schedule,89.19,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,AMERIGROUP,AMERIGROUP,,118.17,,fee schedule,118.17,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CARESOURCE,CARESOURCE,,29.54,,fee schedule,29.54,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CARESOURCE,CARESOURCE,,90.89,,fee schedule,90.89,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CARESOURCE,CARESOURCE,,120.42,,fee schedule,120.42,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,PEACHSTATE,PEACHSTATE,,27.61,,fee schedule,27.61,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,PEACHSTATE,PEACHSTATE,,84.94,,fee schedule,84.94,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,PEACHSTATE,PEACHSTATE,,112.54,,fee schedule,112.54,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,TRICARE,TRICARE,,388.68,,fee schedule,388.68,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,AETNA,AETNA,,1797.42,87,percent of total billed charges,1797.42,27.61,2066,percent of total billed charges,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1797.42,87,percent of total billed charges,1797.42,27.61,2066,percent of total billed charges,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,UNITED HEALTHCARE,UNITED HEALTHCARE,,1818.08,88,percent of total billed charges,1818.08,27.61,2066,percent of total billed charges,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,AETNA,AETNA,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,BEECH STREET,BEECH STREET,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CARESOURCE,CARESOURCE,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,MEDICAID,MEDICAID,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,NOVA NET,NOVA NET,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,PEACHSTATE,PEACHSTATE,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,SELFPAY,SELFPAY,,2066,,fee schedule,2066,27.61,2066,fee schedule,
LIMITED BONE SCAN,78300,CPT,both,,,2066,2066,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2066,,fee schedule,2066,27.61,2066,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,AMERIGROUP,AMERIGROUP,,40.18,,fee schedule,40.18,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,AMERIGROUP,AMERIGROUP,,152.59,,fee schedule,152.59,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,AMERIGROUP,AMERIGROUP,,192.77,,fee schedule,192.77,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,40.95,,fee schedule,40.95,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,155.49,,fee schedule,155.49,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,196.44,,fee schedule,196.44,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,38.27,,fee schedule,38.27,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,145.32,,fee schedule,145.32,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,183.59,,fee schedule,183.59,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,TRICARE,TRICARE,,388.68,,fee schedule,388.68,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,AETNA,AETNA,,2001.87,87,percent of total billed charges,2001.87,38.27,2301,percent of total billed charges,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2001.87,87,percent of total billed charges,2001.87,38.27,2301,percent of total billed charges,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,UNITED HEALTHCARE,UNITED HEALTHCARE,,2024.88,88,percent of total billed charges,2024.88,38.27,2301,percent of total billed charges,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,AETNA,AETNA,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,BEECH STREET,BEECH STREET,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,MEDICAID,MEDICAID,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,NOVA NET,NOVA NET,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,SELFPAY,SELFPAY,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY BONE,78306,CPT,both,,,2301,2301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,AMERIGROUP,AMERIGROUP,,40.18,,fee schedule,40.18,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,AMERIGROUP,AMERIGROUP,,152.59,,fee schedule,152.59,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,AMERIGROUP,AMERIGROUP,,192.77,,fee schedule,192.77,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,40.95,,fee schedule,40.95,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,155.49,,fee schedule,155.49,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,196.44,,fee schedule,196.44,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,38.27,,fee schedule,38.27,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,145.32,,fee schedule,145.32,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,183.59,,fee schedule,183.59,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,TRICARE,TRICARE,,388.68,,fee schedule,388.68,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,AETNA,AETNA,,2001.87,87,percent of total billed charges,2001.87,38.27,2301,percent of total billed charges,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2001.87,87,percent of total billed charges,2001.87,38.27,2301,percent of total billed charges,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,UNITED HEALTHCARE,UNITED HEALTHCARE,,2024.88,88,percent of total billed charges,2024.88,38.27,2301,percent of total billed charges,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,AETNA,AETNA,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,BEECH STREET,BEECH STREET,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,MEDICAID,MEDICAID,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,NOVA NET,NOVA NET,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,SELFPAY,SELFPAY,,2301,,fee schedule,2301,38.27,2301,fee schedule,
WHOLE BODY SCAN I131,78306,CPT,both,,,2301,2301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2301,,fee schedule,2301,38.27,2301,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,AMERIGROUP,AMERIGROUP,,47.75,,fee schedule,47.75,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,AMERIGROUP,AMERIGROUP,,170.68,,fee schedule,170.68,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,AMERIGROUP,AMERIGROUP,,218.42,,fee schedule,218.42,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,48.66,,fee schedule,48.66,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,173.93,,fee schedule,173.93,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,222.58,,fee schedule,222.58,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,45.48,,fee schedule,45.48,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,162.55,,fee schedule,162.55,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,208.02,,fee schedule,208.02,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,TRICARE,TRICARE,,388.68,,fee schedule,388.68,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,AETNA,AETNA,,2166.3,87,percent of total billed charges,2166.3,45.48,2490,percent of total billed charges,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2166.3,87,percent of total billed charges,2166.3,45.48,2490,percent of total billed charges,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,UNITED HEALTHCARE,UNITED HEALTHCARE,,2191.2,88,percent of total billed charges,2191.2,45.48,2490,percent of total billed charges,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,AETNA,AETNA,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,BEECH STREET,BEECH STREET,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,MEDICAID,MEDICAID,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,NOVA NET,NOVA NET,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,SELFPAY,SELFPAY,,2490,,fee schedule,2490,45.48,2490,fee schedule,
BONE SCAN TRIPLE PHASE,78315,CPT,both,,,2490,2490,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,AMERIGROUP,AMERIGROUP,,47.75,,fee schedule,47.75,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,AMERIGROUP,AMERIGROUP,,170.68,,fee schedule,170.68,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,AMERIGROUP,AMERIGROUP,,218.42,,fee schedule,218.42,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,48.66,,fee schedule,48.66,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,173.93,,fee schedule,173.93,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,222.58,,fee schedule,222.58,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,45.48,,fee schedule,45.48,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,162.55,,fee schedule,162.55,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,208.02,,fee schedule,208.02,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,TRICARE,TRICARE,,388.68,,fee schedule,388.68,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,AETNA,AETNA,,2166.3,87,percent of total billed charges,2166.3,45.48,2490,percent of total billed charges,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2166.3,87,percent of total billed charges,2166.3,45.48,2490,percent of total billed charges,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,UNITED HEALTHCARE,UNITED HEALTHCARE,,2191.2,88,percent of total billed charges,2191.2,45.48,2490,percent of total billed charges,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,AETNA,AETNA,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,BEECH STREET,BEECH STREET,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CARESOURCE,CARESOURCE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,MEDICAID,MEDICAID,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,NOVA NET,NOVA NET,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,PEACHSTATE,PEACHSTATE,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,SELFPAY,SELFPAY,,2490,,fee schedule,2490,45.48,2490,fee schedule,
MULTIPLE AREA BONE SCAN,78315,CPT,both,,,2490,2490,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2490,,fee schedule,2490,45.48,2490,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,ALLIANT,ALLIANT,,2190,,fee schedule,2190,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,AMERIGROUP,AMERIGROUP,,46.98,,fee schedule,46.98,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,AMERIGROUP,AMERIGROUP,,110.23,,fee schedule,110.23,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,AMERIGROUP,AMERIGROUP,,157.21,,fee schedule,157.21,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CARESOURCE,CARESOURCE,,47.87,,fee schedule,47.87,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CARESOURCE,CARESOURCE,,112.33,,fee schedule,112.33,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CARESOURCE,CARESOURCE,,160.2,,fee schedule,160.2,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,PEACHSTATE,PEACHSTATE,,44.74,,fee schedule,44.74,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,PEACHSTATE,PEACHSTATE,,104.98,,fee schedule,104.98,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,PEACHSTATE,PEACHSTATE,,149.72,,fee schedule,149.72,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,AETNA,AETNA,,2958.87,87,percent of total billed charges,2958.87,44.74,3401,percent of total billed charges,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2958.87,87,percent of total billed charges,2958.87,44.74,3401,percent of total billed charges,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,UNITED HEALTHCARE,UNITED HEALTHCARE,,2992.88,88,percent of total billed charges,2992.88,44.74,3401,percent of total billed charges,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,AETNA,AETNA,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,BEECH STREET,BEECH STREET,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CARESOURCE,CARESOURCE,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,MEDICAID,MEDICAID,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,NOVA NET,NOVA NET,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,PEACHSTATE,PEACHSTATE,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,SELFPAY,SELFPAY,,3401,,fee schedule,3401,44.74,3401,fee schedule,
CARDIOLITE SCAN-REST OR S,78451,CPT,both,,,3401,3401,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3401,,fee schedule,3401,44.74,3401,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,ALLIANT,ALLIANT,,2190,,fee schedule,2190,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,AMERIGROUP,AMERIGROUP,,55.6,,fee schedule,55.6,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,AMERIGROUP,AMERIGROUP,,213.08,,fee schedule,213.08,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,AMERIGROUP,AMERIGROUP,,268.68,,fee schedule,268.68,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,56.66,,fee schedule,56.66,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,217.14,,fee schedule,217.14,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,273.8,,fee schedule,273.8,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,52.95,,fee schedule,52.95,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,202.93,,fee schedule,202.93,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,255.89,,fee schedule,255.89,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,AETNA,AETNA,,6594.6,87,percent of total billed charges,6594.6,52.95,7580,percent of total billed charges,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6594.6,87,percent of total billed charges,6594.6,52.95,7580,percent of total billed charges,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,UNITED HEALTHCARE,UNITED HEALTHCARE,,6670.4,88,percent of total billed charges,6670.4,52.95,7580,percent of total billed charges,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,AETNA,AETNA,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,BEECH STREET,BEECH STREET,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,MEDICAID,MEDICAID,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,NOVA NET,NOVA NET,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,SELFPAY,SELFPAY,,7580,,fee schedule,7580,52.95,7580,fee schedule,
MYOCARDIAL SPECT MULTI STUDIES,78452,CPT,both,,,7580,7580,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,ALLIANT,ALLIANT,,2190,,fee schedule,2190,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,AMERIGROUP,AMERIGROUP,,55.6,,fee schedule,55.6,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,AMERIGROUP,AMERIGROUP,,213.08,,fee schedule,213.08,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,AMERIGROUP,AMERIGROUP,,268.68,,fee schedule,268.68,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,56.66,,fee schedule,56.66,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,217.14,,fee schedule,217.14,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,273.8,,fee schedule,273.8,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,52.95,,fee schedule,52.95,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,202.93,,fee schedule,202.93,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,255.89,,fee schedule,255.89,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,AETNA,AETNA,,6594.6,87,percent of total billed charges,6594.6,52.95,7580,percent of total billed charges,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6594.6,87,percent of total billed charges,6594.6,52.95,7580,percent of total billed charges,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,UNITED HEALTHCARE,UNITED HEALTHCARE,,6670.4,88,percent of total billed charges,6670.4,52.95,7580,percent of total billed charges,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,AETNA,AETNA,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,BEECH STREET,BEECH STREET,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CARESOURCE,CARESOURCE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,MEDICAID,MEDICAID,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,NOVA NET,NOVA NET,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,PEACHSTATE,PEACHSTATE,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,SELFPAY,SELFPAY,,7580,,fee schedule,7580,52.95,7580,fee schedule,
STRESS TEST PHARM W CARDI,78452,CPT,both,,,7580,7580,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7580,,fee schedule,7580,52.95,7580,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,ALLIANT,ALLIANT,,2190,,fee schedule,2190,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,AMERIGROUP,AMERIGROUP,,45.19,,fee schedule,45.19,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,AMERIGROUP,AMERIGROUP,,86.44,,fee schedule,86.44,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,AMERIGROUP,AMERIGROUP,,131.63,,fee schedule,131.63,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,46.05,,fee schedule,46.05,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,88.08,,fee schedule,88.08,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,134.14,,fee schedule,134.14,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,43.04,,fee schedule,43.04,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,82.32,,fee schedule,82.32,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,125.36,,fee schedule,125.36,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,AETNA,AETNA,,3530.46,87,percent of total billed charges,3530.46,43.04,4058,percent of total billed charges,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3530.46,87,percent of total billed charges,3530.46,43.04,4058,percent of total billed charges,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,UNITED HEALTHCARE,UNITED HEALTHCARE,,3571.04,88,percent of total billed charges,3571.04,43.04,4058,percent of total billed charges,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,AETNA,AETNA,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,BEECH STREET,BEECH STREET,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,MEDICAID,MEDICAID,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,NOVA NET,NOVA NET,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,SELFPAY,SELFPAY,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM PLANAR IMAGES,78454,CPT,both,,,4058,4058,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,ALLIANT,ALLIANT,,2190,,fee schedule,2190,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,AMERIGROUP,AMERIGROUP,,45.19,,fee schedule,45.19,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,AMERIGROUP,AMERIGROUP,,86.44,,fee schedule,86.44,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,AMERIGROUP,AMERIGROUP,,131.63,,fee schedule,131.63,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,46.05,,fee schedule,46.05,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,88.08,,fee schedule,88.08,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,134.14,,fee schedule,134.14,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,43.04,,fee schedule,43.04,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,82.32,,fee schedule,82.32,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,125.36,,fee schedule,125.36,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,AETNA,AETNA,,3530.46,87,percent of total billed charges,3530.46,43.04,4058,percent of total billed charges,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3530.46,87,percent of total billed charges,3530.46,43.04,4058,percent of total billed charges,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,UNITED HEALTHCARE,UNITED HEALTHCARE,,3571.04,88,percent of total billed charges,3571.04,43.04,4058,percent of total billed charges,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,AETNA,AETNA,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,BEECH STREET,BEECH STREET,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CARESOURCE,CARESOURCE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,MEDICAID,MEDICAID,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,NOVA NET,NOVA NET,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,PEACHSTATE,PEACHSTATE,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,SELFPAY,SELFPAY,,4058,,fee schedule,4058,43.04,4058,fee schedule,
THALLIUM SCAN,78454,CPT,both,,,4058,4058,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4058,,fee schedule,4058,43.04,4058,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,42.18,,fee schedule,42.18,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,143.54,,fee schedule,143.54,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,AMERIGROUP,AMERIGROUP,,185.7,,fee schedule,185.7,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,42.98,,fee schedule,42.98,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,146.27,,fee schedule,146.27,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,189.24,,fee schedule,189.24,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,40.17,,fee schedule,40.17,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,136.7,,fee schedule,136.7,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,176.86,,fee schedule,176.86,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,TRICARE,TRICARE,,388.68,,fee schedule,388.68,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,AETNA,AETNA,,704.7,87,percent of total billed charges,704.7,40.17,810,percent of total billed charges,
NM VENOGRAM,78458,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,704.7,87,percent of total billed charges,704.7,40.17,810,percent of total billed charges,
NM VENOGRAM,78458,CPT,both,,,810,810,UNITED HEALTHCARE,UNITED HEALTHCARE,,712.8,88,percent of total billed charges,712.8,40.17,810,percent of total billed charges,
NM VENOGRAM,78458,CPT,both,,,810,810,AETNA,AETNA,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,BEECH STREET,BEECH STREET,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,CARESOURCE,CARESOURCE,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,MEDICAID,MEDICAID,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,NOVA NET,NOVA NET,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,PEACHSTATE,PEACHSTATE,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,SELFPAY,SELFPAY,,810,,fee schedule,810,40.17,810,fee schedule,
NM VENOGRAM,78458,CPT,both,,,810,810,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,810,,fee schedule,810,40.17,810,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2190,,fee schedule,2190,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,1327.27,10367,percent of total billed charges,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,1327.27,10367,percent of total billed charges,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,1327.27,10367,percent of total billed charges,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
IMAG.META-MYOCARDIAL VIAB,78459,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2190,,fee schedule,2190,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,1327.27,10367,percent of total billed charges,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,1327.27,10367,percent of total billed charges,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,1327.27,10367,percent of total billed charges,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
MYOCARDIAL IMAGPET META,78459,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,1327.27,10367,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,AMERIGROUP,AMERIGROUP,,32.94,,fee schedule,32.94,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,AMERIGROUP,AMERIGROUP,,93.56,,fee schedule,93.56,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,AMERIGROUP,AMERIGROUP,,126.49,,fee schedule,126.49,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CARESOURCE,CARESOURCE,,33.57,,fee schedule,33.57,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CARESOURCE,CARESOURCE,,95.34,,fee schedule,95.34,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CARESOURCE,CARESOURCE,,128.9,,fee schedule,128.9,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,PEACHSTATE,PEACHSTATE,,31.37,,fee schedule,31.37,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,PEACHSTATE,PEACHSTATE,,89.1,,fee schedule,89.1,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,PEACHSTATE,PEACHSTATE,,120.47,,fee schedule,120.47,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,TRICARE,TRICARE,,388.68,,fee schedule,388.68,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,AETNA,AETNA,,1608.63,87,percent of total billed charges,1608.63,31.37,1849,percent of total billed charges,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1608.63,87,percent of total billed charges,1608.63,31.37,1849,percent of total billed charges,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,UNITED HEALTHCARE,UNITED HEALTHCARE,,1627.12,88,percent of total billed charges,1627.12,31.37,1849,percent of total billed charges,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,AETNA,AETNA,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,BEECH STREET,BEECH STREET,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CARESOURCE,CARESOURCE,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,MEDICAID,MEDICAID,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,NOVA NET,NOVA NET,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,PEACHSTATE,PEACHSTATE,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,SELFPAY,SELFPAY,,1849,,fee schedule,1849,31.37,1849,fee schedule,
CARDIAC (HEART) SCAN,78466,CPT,both,,,1849,1849,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1849,,fee schedule,1849,31.37,1849,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,AMERIGROUP,AMERIGROUP,,46.78,,fee schedule,46.78,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,AMERIGROUP,AMERIGROUP,,197.16,,fee schedule,197.16,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,AMERIGROUP,AMERIGROUP,,243.93,,fee schedule,243.93,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,CARESOURCE,CARESOURCE,,47.67,,fee schedule,47.67,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,CARESOURCE,CARESOURCE,,200.91,,fee schedule,200.91,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,CARESOURCE,CARESOURCE,,248.57,,fee schedule,248.57,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,PEACHSTATE,PEACHSTATE,,44.55,,fee schedule,44.55,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,PEACHSTATE,PEACHSTATE,,187.77,,fee schedule,187.77,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,PEACHSTATE,PEACHSTATE,,232.31,,fee schedule,232.31,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,TRICARE,TRICARE,,388.68,,fee schedule,388.68,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,AETNA,AETNA,,1838.31,87,percent of total billed charges,1838.31,44.55,2113,percent of total billed charges,
MUGA,78472,CPT,both,,,2113,2113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1838.31,87,percent of total billed charges,1838.31,44.55,2113,percent of total billed charges,
MUGA,78472,CPT,both,,,2113,2113,UNITED HEALTHCARE,UNITED HEALTHCARE,,1859.44,88,percent of total billed charges,1859.44,44.55,2113,percent of total billed charges,
MUGA,78472,CPT,both,,,2113,2113,AETNA,AETNA,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,BEECH STREET,BEECH STREET,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,CARESOURCE,CARESOURCE,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,MEDICAID,MEDICAID,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,NOVA NET,NOVA NET,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,PEACHSTATE,PEACHSTATE,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,SELFPAY,SELFPAY,,2113,,fee schedule,2113,44.55,2113,fee schedule,
MUGA,78472,CPT,both,,,2113,2113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2113,,fee schedule,2113,44.55,2113,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,AMERIGROUP,AMERIGROUP,,20.63,,fee schedule,20.63,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,AMERIGROUP,AMERIGROUP,,136.59,,fee schedule,136.59,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,AMERIGROUP,AMERIGROUP,,157.23,,fee schedule,157.23,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CARESOURCE,CARESOURCE,,21.03,,fee schedule,21.03,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CARESOURCE,CARESOURCE,,139.2,,fee schedule,139.2,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CARESOURCE,CARESOURCE,,160.22,,fee schedule,160.22,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,PEACHSTATE,PEACHSTATE,,19.65,,fee schedule,19.65,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,PEACHSTATE,PEACHSTATE,,130.09,,fee schedule,130.09,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,PEACHSTATE,PEACHSTATE,,149.74,,fee schedule,149.74,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,TRICARE,TRICARE,,388.68,,fee schedule,388.68,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,AETNA,AETNA,,1298.04,87,percent of total billed charges,1298.04,19.65,1492,percent of total billed charges,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1298.04,87,percent of total billed charges,1298.04,19.65,1492,percent of total billed charges,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,UNITED HEALTHCARE,UNITED HEALTHCARE,,1312.96,88,percent of total billed charges,1312.96,19.65,1492,percent of total billed charges,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,AETNA,AETNA,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,BEECH STREET,BEECH STREET,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CARESOURCE,CARESOURCE,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,MEDICAID,MEDICAID,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,NOVA NET,NOVA NET,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,PEACHSTATE,PEACHSTATE,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,SELFPAY,SELFPAY,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG VENTILATION,78579,CPT,both,,,1492,1492,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1492,,fee schedule,1492,19.65,1492,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,AMERIGROUP,AMERIGROUP,,34.91,,fee schedule,34.91,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,AMERIGROUP,AMERIGROUP,,122.41,,fee schedule,122.41,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,AMERIGROUP,AMERIGROUP,,157.32,,fee schedule,157.32,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CARESOURCE,CARESOURCE,,35.58,,fee schedule,35.58,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CARESOURCE,CARESOURCE,,124.74,,fee schedule,124.74,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CARESOURCE,CARESOURCE,,160.32,,fee schedule,160.32,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,PEACHSTATE,PEACHSTATE,,33.25,,fee schedule,33.25,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,PEACHSTATE,PEACHSTATE,,116.58,,fee schedule,116.58,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,PEACHSTATE,PEACHSTATE,,149.83,,fee schedule,149.83,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,TRICARE,TRICARE,,388.68,,fee schedule,388.68,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,AETNA,AETNA,,1134.48,87,percent of total billed charges,1134.48,33.25,1304,percent of total billed charges,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1134.48,87,percent of total billed charges,1134.48,33.25,1304,percent of total billed charges,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,UNITED HEALTHCARE,UNITED HEALTHCARE,,1147.52,88,percent of total billed charges,1147.52,33.25,1304,percent of total billed charges,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,AETNA,AETNA,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,BEECH STREET,BEECH STREET,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CARESOURCE,CARESOURCE,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,MEDICAID,MEDICAID,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,NOVA NET,NOVA NET,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,PEACHSTATE,PEACHSTATE,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,SELFPAY,SELFPAY,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG PERFUSION,78580,CPT,both,,,1304,1304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1304,,fee schedule,1304,33.25,1304,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,AMERIGROUP,AMERIGROUP,,44.61,,fee schedule,44.61,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,AMERIGROUP,AMERIGROUP,,245.27,,fee schedule,245.27,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,AMERIGROUP,AMERIGROUP,,289.89,,fee schedule,289.89,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CARESOURCE,CARESOURCE,,45.46,,fee schedule,45.46,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CARESOURCE,CARESOURCE,,249.94,,fee schedule,249.94,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CARESOURCE,CARESOURCE,,295.42,,fee schedule,295.42,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,PEACHSTATE,PEACHSTATE,,42.49,,fee schedule,42.49,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,PEACHSTATE,PEACHSTATE,,233.59,,fee schedule,233.59,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,PEACHSTATE,PEACHSTATE,,276.09,,fee schedule,276.09,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,TRICARE,TRICARE,,504.5,,fee schedule,504.5,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,AETNA,AETNA,,2001,87,percent of total billed charges,2001,42.49,2300,percent of total billed charges,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2001,87,percent of total billed charges,2001,42.49,2300,percent of total billed charges,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,UNITED HEALTHCARE,UNITED HEALTHCARE,,2024,88,percent of total billed charges,2024,42.49,2300,percent of total billed charges,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,AETNA,AETNA,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,BEECH STREET,BEECH STREET,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CARESOURCE,CARESOURCE,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,MEDICAID,MEDICAID,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,NOVA NET,NOVA NET,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,PEACHSTATE,PEACHSTATE,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,SELFPAY,SELFPAY,,2300,,fee schedule,2300,42.49,2300,fee schedule,
LUNG SCAN W/VENTILATION,78582,CPT,both,,,2300,2300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2300,,fee schedule,2300,42.49,2300,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,AETNA,AETNA,,57091.51,87,percent of total billed charges,57091.51,57091.51,65622.43,percent of total billed charges,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57091.51,87,percent of total billed charges,57091.51,57091.51,65622.43,percent of total billed charges,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,UNITED HEALTHCARE,UNITED HEALTHCARE,,57747.74,88,percent of total billed charges,57747.74,57091.51,65622.43,percent of total billed charges,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,AETNA,AETNA,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,ALLIANT,ALLIANT,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,AMBETTER,AMBETTER,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,BEECH STREET,BEECH STREET,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,CARESOURCE,CARESOURCE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,MEDICAID,MEDICAID,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,MEDICARE,MEDICARE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,NOVA NET,NOVA NET,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,PEACHSTATE,PEACHSTATE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,SELFPAY,SELFPAY,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,TRICARE,TRICARE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
CESAREAN SECTION W/O STERILIZATION W MCC,786,DRG,inpatient,,,65622.43,65622.43,UHC MEDICARE,UHC MEDICARE,,65622.43,,fee schedule,65622.43,57091.51,65622.43,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,1489.35,10367,percent of total billed charges,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,1489.35,10367,percent of total billed charges,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,1489.35,10367,percent of total billed charges,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGING PETMETABOL,78608,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,1489.35,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,9019.29,10367,percent of total billed charges,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,9019.29,10367,percent of total billed charges,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,9019.29,10367,percent of total billed charges,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,TRICARE,TRICARE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
BRAIN IMAGINGPETMETABOL,78609,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,10367,,fee schedule,10367,9019.29,10367,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,AMERIGROUP,AMERIGROUP,,32.27,,fee schedule,32.27,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,AMERIGROUP,AMERIGROUP,,180.06,,fee schedule,180.06,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,AMERIGROUP,AMERIGROUP,,212.34,,fee schedule,212.34,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CARESOURCE,CARESOURCE,,32.88,,fee schedule,32.88,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CARESOURCE,CARESOURCE,,183.49,,fee schedule,183.49,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CARESOURCE,CARESOURCE,,216.39,,fee schedule,216.39,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,PEACHSTATE,PEACHSTATE,,30.73,,fee schedule,30.73,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,PEACHSTATE,PEACHSTATE,,171.49,,fee schedule,171.49,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,PEACHSTATE,PEACHSTATE,,202.23,,fee schedule,202.23,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,TRICARE,TRICARE,,504.5,,fee schedule,504.5,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,AETNA,AETNA,,1377.21,87,percent of total billed charges,1377.21,30.73,1583,percent of total billed charges,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1377.21,87,percent of total billed charges,1377.21,30.73,1583,percent of total billed charges,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,UNITED HEALTHCARE,UNITED HEALTHCARE,,1393.04,88,percent of total billed charges,1393.04,30.73,1583,percent of total billed charges,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,AETNA,AETNA,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,BEECH STREET,BEECH STREET,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CARESOURCE,CARESOURCE,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,MEDICAID,MEDICAID,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,NOVA NET,NOVA NET,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,PEACHSTATE,PEACHSTATE,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,SELFPAY,SELFPAY,,1583,,fee schedule,1583,30.73,1583,fee schedule,
CISTERNOGRAPHY,78630,CPT,both,,,1583,1583,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1583,,fee schedule,1583,30.73,1583,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,AMERIGROUP,AMERIGROUP,,45.12,,fee schedule,45.12,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,AMERIGROUP,AMERIGROUP,,204.74,,fee schedule,204.74,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,AMERIGROUP,AMERIGROUP,,159.62,,fee schedule,159.62,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CARESOURCE,CARESOURCE,,45.98,,fee schedule,45.98,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CARESOURCE,CARESOURCE,,208.64,,fee schedule,208.64,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CARESOURCE,CARESOURCE,,162.66,,fee schedule,162.66,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,PEACHSTATE,PEACHSTATE,,42.97,,fee schedule,42.97,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,PEACHSTATE,PEACHSTATE,,194.99,,fee schedule,194.99,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,PEACHSTATE,PEACHSTATE,,152.02,,fee schedule,152.02,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,TRICARE,TRICARE,,504.5,,fee schedule,504.5,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,AETNA,AETNA,,1859.19,87,percent of total billed charges,1859.19,42.97,2137,percent of total billed charges,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1859.19,87,percent of total billed charges,1859.19,42.97,2137,percent of total billed charges,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,UNITED HEALTHCARE,UNITED HEALTHCARE,,1880.56,88,percent of total billed charges,1880.56,42.97,2137,percent of total billed charges,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,AETNA,AETNA,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,BEECH STREET,BEECH STREET,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CARESOURCE,CARESOURCE,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,MEDICAID,MEDICAID,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,NOVA NET,NOVA NET,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,PEACHSTATE,PEACHSTATE,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,SELFPAY,SELFPAY,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL SCAN MAG 3,78707,CPT,both,,,2137,2137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2137,,fee schedule,2137,42.97,2137,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,54.62,,fee schedule,54.62,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,159.63,,fee schedule,159.63,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,AMERIGROUP,AMERIGROUP,,214.25,,fee schedule,214.25,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,55.66,,fee schedule,55.66,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,162.67,,fee schedule,162.67,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,218.33,,fee schedule,218.33,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,52.02,,fee schedule,52.02,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,152.03,,fee schedule,152.03,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,204.05,,fee schedule,204.05,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,TRICARE,TRICARE,,504.5,,fee schedule,504.5,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,AETNA,AETNA,,1586.88,87,percent of total billed charges,1586.88,52.02,1824,percent of total billed charges,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.88,87,percent of total billed charges,1586.88,52.02,1824,percent of total billed charges,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,UNITED HEALTHCARE,UNITED HEALTHCARE,,1605.12,88,percent of total billed charges,1605.12,52.02,1824,percent of total billed charges,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,AETNA,AETNA,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,BEECH STREET,BEECH STREET,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CARESOURCE,CARESOURCE,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,MEDICAID,MEDICAID,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,NOVA NET,NOVA NET,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,PEACHSTATE,PEACHSTATE,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,SELFPAY,SELFPAY,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL WITH LASIX WASHOUT,78708,CPT,both,,,1824,1824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1824,,fee schedule,1824,52.02,1824,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,ALLIANT,ALLIANT,,832.43,,fee schedule,832.43,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,AMBETTER,AMBETTER,,655.85,,fee schedule,655.85,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,AMERIGROUP,AMERIGROUP,,62.18,,fee schedule,62.18,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,AMERIGROUP,AMERIGROUP,,159.62,,fee schedule,159.62,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,AMERIGROUP,AMERIGROUP,,221.79,,fee schedule,221.79,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CARESOURCE,CARESOURCE,,63.37,,fee schedule,63.37,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CARESOURCE,CARESOURCE,,162.66,,fee schedule,162.66,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CARESOURCE,CARESOURCE,,226.02,,fee schedule,226.02,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,MEDICARE,MEDICARE,,504.5,,fee schedule,504.5,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,PEACHSTATE,PEACHSTATE,,59.22,,fee schedule,59.22,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,PEACHSTATE,PEACHSTATE,,152.02,,fee schedule,152.02,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,PEACHSTATE,PEACHSTATE,,211.23,,fee schedule,211.23,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,TRICARE,TRICARE,,504.5,,fee schedule,504.5,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,UHC MEDICARE,UHC MEDICARE,,504.5,,fee schedule,504.5,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,AETNA,AETNA,,1782.63,87,percent of total billed charges,1782.63,59.22,2049,percent of total billed charges,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1782.63,87,percent of total billed charges,1782.63,59.22,2049,percent of total billed charges,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,UNITED HEALTHCARE,UNITED HEALTHCARE,,1803.12,88,percent of total billed charges,1803.12,59.22,2049,percent of total billed charges,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,AETNA,AETNA,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,BEECH STREET,BEECH STREET,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CARESOURCE,CARESOURCE,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,MEDICAID,MEDICAID,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,NOVA NET,NOVA NET,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,PEACHSTATE,PEACHSTATE,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,SELFPAY,SELFPAY,,2049,,fee schedule,2049,59.22,2049,fee schedule,
RENAL PRE/POST CAPTOPRIL,78709,CPT,both,,,2049,2049,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2049,,fee schedule,2049,59.22,2049,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,AMERIGROUP,AMERIGROUP,,31.28,,fee schedule,31.28,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,AMERIGROUP,AMERIGROUP,,121.4,,fee schedule,121.4,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,AMERIGROUP,AMERIGROUP,,152.68,,fee schedule,152.68,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,31.88,,fee schedule,31.88,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,123.71,,fee schedule,123.71,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,155.59,,fee schedule,155.59,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,29.79,,fee schedule,29.79,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,115.62,,fee schedule,115.62,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,145.41,,fee schedule,145.41,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,TRICARE,TRICARE,,388.68,,fee schedule,388.68,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,AETNA,AETNA,,2947.56,87,percent of total billed charges,2947.56,29.79,3388,percent of total billed charges,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2947.56,87,percent of total billed charges,2947.56,29.79,3388,percent of total billed charges,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,UNITED HEALTHCARE,UNITED HEALTHCARE,,2981.44,88,percent of total billed charges,2981.44,29.79,3388,percent of total billed charges,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,AETNA,AETNA,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,BEECH STREET,BEECH STREET,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,MEDICAID,MEDICAID,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,NOVA NET,NOVA NET,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,SELFPAY,SELFPAY,,3388,,fee schedule,3388,29.79,3388,fee schedule,
MIRALUMA BREAST SCAN,78800,CPT,both,,,3388,3388,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,AMERIGROUP,AMERIGROUP,,31.28,,fee schedule,31.28,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,AMERIGROUP,AMERIGROUP,,121.4,,fee schedule,121.4,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,AMERIGROUP,AMERIGROUP,,152.68,,fee schedule,152.68,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,31.88,,fee schedule,31.88,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,123.71,,fee schedule,123.71,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,155.59,,fee schedule,155.59,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,29.79,,fee schedule,29.79,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,115.62,,fee schedule,115.62,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,145.41,,fee schedule,145.41,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,TRICARE,TRICARE,,388.68,,fee schedule,388.68,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,AETNA,AETNA,,2947.56,87,percent of total billed charges,2947.56,29.79,3388,percent of total billed charges,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2947.56,87,percent of total billed charges,2947.56,29.79,3388,percent of total billed charges,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,UNITED HEALTHCARE,UNITED HEALTHCARE,,2981.44,88,percent of total billed charges,2981.44,29.79,3388,percent of total billed charges,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,AETNA,AETNA,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,BEECH STREET,BEECH STREET,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CARESOURCE,CARESOURCE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,MEDICAID,MEDICAID,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,NOVA NET,NOVA NET,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,PEACHSTATE,PEACHSTATE,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,SELFPAY,SELFPAY,,3388,,fee schedule,3388,29.79,3388,fee schedule,
OCTREOSCAN LIMITED AREA,78800,CPT,both,,,3388,3388,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3388,,fee schedule,3388,29.79,3388,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,ALLIANT,ALLIANT,,641.32,,fee schedule,641.32,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,AMBETTER,AMBETTER,,505.28,,fee schedule,505.28,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,AMERIGROUP,AMERIGROUP,,37.22,,fee schedule,37.22,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,AMERIGROUP,AMERIGROUP,,150.91,,fee schedule,150.91,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,AMERIGROUP,AMERIGROUP,,188.13,,fee schedule,188.13,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CARESOURCE,CARESOURCE,,37.93,,fee schedule,37.93,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CARESOURCE,CARESOURCE,,153.78,,fee schedule,153.78,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CARESOURCE,CARESOURCE,,191.71,,fee schedule,191.71,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,MEDICARE,MEDICARE,,388.68,,fee schedule,388.68,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,PEACHSTATE,PEACHSTATE,,35.45,,fee schedule,35.45,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,PEACHSTATE,PEACHSTATE,,143.72,,fee schedule,143.72,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,PEACHSTATE,PEACHSTATE,,179.17,,fee schedule,179.17,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,TRICARE,TRICARE,,388.68,,fee schedule,388.68,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,UHC MEDICARE,UHC MEDICARE,,388.68,,fee schedule,388.68,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,AETNA,AETNA,,1311.96,87,percent of total billed charges,1311.96,35.45,1508,percent of total billed charges,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1311.96,87,percent of total billed charges,1311.96,35.45,1508,percent of total billed charges,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,UNITED HEALTHCARE,UNITED HEALTHCARE,,1327.04,88,percent of total billed charges,1327.04,35.45,1508,percent of total billed charges,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,AETNA,AETNA,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,BEECH STREET,BEECH STREET,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CARESOURCE,CARESOURCE,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,MEDICAID,MEDICAID,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,NOVA NET,NOVA NET,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,PEACHSTATE,PEACHSTATE,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,SELFPAY,SELFPAY,,1508,,fee schedule,1508,35.45,1508,fee schedule,
TUMOR LOCALIZATION-MULTI,78801,CPT,both,,,1508,1508,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1508,,fee schedule,1508,35.45,1508,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,ALLIANT,ALLIANT,,2190,,fee schedule,2190,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,AMERIGROUP,AMERIGROUP,,51.4,,fee schedule,51.4,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,AMERIGROUP,AMERIGROUP,,234.39,,fee schedule,234.39,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,AMERIGROUP,AMERIGROUP,,285.78,,fee schedule,285.78,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CARESOURCE,CARESOURCE,,52.38,,fee schedule,52.38,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CARESOURCE,CARESOURCE,,238.86,,fee schedule,238.86,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CARESOURCE,CARESOURCE,,291.22,,fee schedule,291.22,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,PEACHSTATE,PEACHSTATE,,48.95,,fee schedule,48.95,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,PEACHSTATE,PEACHSTATE,,223.23,,fee schedule,223.23,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,PEACHSTATE,PEACHSTATE,,272.17,,fee schedule,272.17,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,AETNA,AETNA,,1795.68,87,percent of total billed charges,1795.68,48.95,2190,percent of total billed charges,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1795.68,87,percent of total billed charges,1795.68,48.95,2190,percent of total billed charges,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,UNITED HEALTHCARE,UNITED HEALTHCARE,,1816.32,88,percent of total billed charges,1816.32,48.95,2190,percent of total billed charges,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,AETNA,AETNA,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,BEECH STREET,BEECH STREET,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CARESOURCE,CARESOURCE,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,MEDICAID,MEDICAID,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,NOVA NET,NOVA NET,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,PEACHSTATE,PEACHSTATE,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,SELFPAY,SELFPAY,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BONE SCAN SPECT,78803,CPT,both,,,2064,2064,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2064,,fee schedule,2064,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,ALLIANT,ALLIANT,,2190,,fee schedule,2190,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,AMERIGROUP,AMERIGROUP,,51.4,,fee schedule,51.4,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,AMERIGROUP,AMERIGROUP,,234.39,,fee schedule,234.39,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,AMERIGROUP,AMERIGROUP,,285.78,,fee schedule,285.78,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CARESOURCE,CARESOURCE,,52.38,,fee schedule,52.38,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CARESOURCE,CARESOURCE,,238.86,,fee schedule,238.86,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CARESOURCE,CARESOURCE,,291.22,,fee schedule,291.22,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,PEACHSTATE,PEACHSTATE,,48.95,,fee schedule,48.95,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,PEACHSTATE,PEACHSTATE,,223.23,,fee schedule,223.23,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,PEACHSTATE,PEACHSTATE,,272.17,,fee schedule,272.17,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,AETNA,AETNA,,886.53,87,percent of total billed charges,886.53,48.95,2190,percent of total billed charges,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,886.53,87,percent of total billed charges,886.53,48.95,2190,percent of total billed charges,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,UNITED HEALTHCARE,UNITED HEALTHCARE,,896.72,88,percent of total billed charges,896.72,48.95,2190,percent of total billed charges,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,AETNA,AETNA,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,BEECH STREET,BEECH STREET,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CARESOURCE,CARESOURCE,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,MEDICAID,MEDICAID,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,NOVA NET,NOVA NET,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,PEACHSTATE,PEACHSTATE,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,SELFPAY,SELFPAY,,1019,,fee schedule,1019,48.95,2190,fee schedule,
BRAIN SCAN - SPECT,78803,CPT,both,,,1019,1019,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1019,,fee schedule,1019,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,ALLIANT,ALLIANT,,2190,,fee schedule,2190,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,AMBETTER,AMBETTER,,1725.45,,fee schedule,1725.45,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,AMERIGROUP,AMERIGROUP,,51.4,,fee schedule,51.4,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,AMERIGROUP,AMERIGROUP,,234.39,,fee schedule,234.39,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,AMERIGROUP,AMERIGROUP,,285.78,,fee schedule,285.78,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CARESOURCE,CARESOURCE,,52.38,,fee schedule,52.38,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CARESOURCE,CARESOURCE,,238.86,,fee schedule,238.86,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CARESOURCE,CARESOURCE,,291.22,,fee schedule,291.22,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,MEDICARE,MEDICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,PEACHSTATE,PEACHSTATE,,48.95,,fee schedule,48.95,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,PEACHSTATE,PEACHSTATE,,223.23,,fee schedule,223.23,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,PEACHSTATE,PEACHSTATE,,272.17,,fee schedule,272.17,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,TRICARE,TRICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,UHC MEDICARE,UHC MEDICARE,,1327.27,,fee schedule,1327.27,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,AETNA,AETNA,,712.53,87,percent of total billed charges,712.53,48.95,2190,percent of total billed charges,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,712.53,87,percent of total billed charges,712.53,48.95,2190,percent of total billed charges,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,UNITED HEALTHCARE,UNITED HEALTHCARE,,720.72,88,percent of total billed charges,720.72,48.95,2190,percent of total billed charges,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,AETNA,AETNA,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,BEECH STREET,BEECH STREET,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CARESOURCE,CARESOURCE,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,MEDICAID,MEDICAID,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,NOVA NET,NOVA NET,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,PEACHSTATE,PEACHSTATE,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,SELFPAY,SELFPAY,,819,,fee schedule,819,48.95,2190,fee schedule,
TUMOR LOCALIZATION (SPECT,78803,CPT,both,,,819,819,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,819,,fee schedule,819,48.95,2190,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CA RESTAGING (P,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
CERVICAL CANCER,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.COLORECTAL CAN.,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG.ESOPHAGEAL CAN.,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAG;NON-SMALL CELL,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS LYMPHOMA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
DIAGNOSIS MELANOMA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IMAG.META.PRE-SURG EVAL R,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT. STAGING;NSCLC,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. LYMPHOMA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG. MELANOMA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.COLORECTAL,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
INIT.STAG.ESOPHAGEAL,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
IS DIS.METSBREAST,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MEYLOMA CA RESTAGING (PS,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MON.TUMOR RESP-TRTMT;BR,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
MYELOMA PET SCAN,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CA RESTAGING (PS,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
OVARIAN CANCER,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CA RESTAGING,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PANCREATIC CANCER PET SCA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CA RESTAGING (P,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
PROSTATE CANCER,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGINIT.HEAD&NECK,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGRESTAG.HEAD&NECK,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
REGSING.PULM.NODULE,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.ESOPHAGEAL CA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAG.LOCOREG.RECUR BR,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING COLORECTAL,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RE-STAGING; NSCLC,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SINGLE PULM NODULE RESTA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SM CELL LUNG CA RESTAGIN,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SMALL CELL LUNG CANCER,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISS SARCOMA RESTAG,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
SOFT TISSUE SARCOMA,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CA RESTAGING,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TESTICULAR CANCER,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CA RESTAGING (PS,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
THYROID CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
THYROID CANCER,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
THYROID CANCER,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
THYROID CANCER,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,116.81,,fee schedule,116.81,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,AMERIGROUP,AMERIGROUP,,2233.85,,fee schedule,2233.85,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,119.04,,fee schedule,119.04,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,2276.4,,fee schedule,2276.4,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,111.25,,fee schedule,111.25,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,2127.48,,fee schedule,2127.48,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9019.29,87,percent of total billed charges,9019.29,111.25,10367,percent of total billed charges,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,UNITED HEALTHCARE,UNITED HEALTHCARE,,9122.96,88,percent of total billed charges,9122.96,111.25,10367,percent of total billed charges,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,AETNA,AETNA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,BEECH STREET,BEECH STREET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CARESOURCE,CARESOURCE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,MEDICAID,MEDICAID,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,NOVA NET,NOVA NET,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,PEACHSTATE,PEACHSTATE,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,SELFPAY,SELFPAY,,10367,,fee schedule,10367,111.25,10367,fee schedule,
TUMOR IMAGINGPETMETABOL,78815,CPT,both,,,10367,10367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10367,,fee schedule,10367,111.25,10367,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,ALLIANT,ALLIANT,,2457.43,,fee schedule,2457.43,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,AMBETTER,AMBETTER,,1936.16,,fee schedule,1936.16,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,AMERIGROUP,AMERIGROUP,,119.56,,fee schedule,119.56,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,AMERIGROUP,AMERIGROUP,,2117.04,,fee schedule,2117.04,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,AMERIGROUP,AMERIGROUP,,2236.5,,fee schedule,2236.5,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CARESOURCE,CARESOURCE,,121.84,,fee schedule,121.84,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CARESOURCE,CARESOURCE,,2157.37,,fee schedule,2157.37,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CARESOURCE,CARESOURCE,,2279.1,,fee schedule,2279.1,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,MEDICARE,MEDICARE,,1489.35,,fee schedule,1489.35,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,PEACHSTATE,PEACHSTATE,,113.87,,fee schedule,113.87,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,PEACHSTATE,PEACHSTATE,,2016.23,,fee schedule,2016.23,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,PEACHSTATE,PEACHSTATE,,2130,,fee schedule,2130,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,TRICARE,TRICARE,,1489.35,,fee schedule,1489.35,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,UHC MEDICARE,UHC MEDICARE,,1489.35,,fee schedule,1489.35,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,AETNA,AETNA,,8741.76,87,percent of total billed charges,8741.76,113.87,10048,percent of total billed charges,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8741.76,87,percent of total billed charges,8741.76,113.87,10048,percent of total billed charges,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,UNITED HEALTHCARE,UNITED HEALTHCARE,,8842.24,88,percent of total billed charges,8842.24,113.87,10048,percent of total billed charges,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,AETNA,AETNA,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,BEECH STREET,BEECH STREET,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CARESOURCE,CARESOURCE,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,MEDICAID,MEDICAID,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,NOVA NET,NOVA NET,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,PEACHSTATE,PEACHSTATE,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,SELFPAY,SELFPAY,,10048,,fee schedule,10048,113.87,10048,fee schedule,
RESTAGING MELANOMA,78816,CPT,both,,,10048,10048,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10048,,fee schedule,10048,113.87,10048,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,ALLIANT,ALLIANT,,412.05,,fee schedule,412.05,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,AMBETTER,AMBETTER,,324.65,,fee schedule,324.65,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,AMERIGROUP,AMERIGROUP,,85.42,,fee schedule,85.42,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,AMERIGROUP,AMERIGROUP,,99.33,,fee schedule,99.33,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,AMERIGROUP,AMERIGROUP,,184.76,,fee schedule,184.76,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,87.04,,fee schedule,87.04,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,101.22,,fee schedule,101.22,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,188.28,,fee schedule,188.28,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,MEDICARE,MEDICARE,,249.73,,fee schedule,249.73,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,81.35,,fee schedule,81.35,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,94.6,,fee schedule,94.6,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,175.96,,fee schedule,175.96,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,TRICARE,TRICARE,,249.73,,fee schedule,249.73,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,UHC MEDICARE,UHC MEDICARE,,249.73,,fee schedule,249.73,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,AETNA,AETNA,,1793.94,87,percent of total billed charges,1793.94,81.35,2062,percent of total billed charges,
ABLATION,79005,CPT,both,,,2062,2062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1793.94,87,percent of total billed charges,1793.94,81.35,2062,percent of total billed charges,
ABLATION,79005,CPT,both,,,2062,2062,UNITED HEALTHCARE,UNITED HEALTHCARE,,1814.56,88,percent of total billed charges,1814.56,81.35,2062,percent of total billed charges,
ABLATION,79005,CPT,both,,,2062,2062,AETNA,AETNA,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,BEECH STREET,BEECH STREET,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,MEDICAID,MEDICAID,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,NOVA NET,NOVA NET,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,SELFPAY,SELFPAY,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ABLATION,79005,CPT,both,,,2062,2062,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,ALLIANT,ALLIANT,,412.05,,fee schedule,412.05,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,AMBETTER,AMBETTER,,324.65,,fee schedule,324.65,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,AMERIGROUP,AMERIGROUP,,85.42,,fee schedule,85.42,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,AMERIGROUP,AMERIGROUP,,99.33,,fee schedule,99.33,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,AMERIGROUP,AMERIGROUP,,184.76,,fee schedule,184.76,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,87.04,,fee schedule,87.04,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,101.22,,fee schedule,101.22,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,188.28,,fee schedule,188.28,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,MEDICARE,MEDICARE,,249.73,,fee schedule,249.73,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,81.35,,fee schedule,81.35,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,94.6,,fee schedule,94.6,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,175.96,,fee schedule,175.96,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,TRICARE,TRICARE,,249.73,,fee schedule,249.73,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,UHC MEDICARE,UHC MEDICARE,,249.73,,fee schedule,249.73,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,AETNA,AETNA,,1793.94,87,percent of total billed charges,1793.94,81.35,2062,percent of total billed charges,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1793.94,87,percent of total billed charges,1793.94,81.35,2062,percent of total billed charges,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,UNITED HEALTHCARE,UNITED HEALTHCARE,,1814.56,88,percent of total billed charges,1814.56,81.35,2062,percent of total billed charges,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,AETNA,AETNA,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,BEECH STREET,BEECH STREET,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CARESOURCE,CARESOURCE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,MEDICAID,MEDICAID,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,NOVA NET,NOVA NET,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,PEACHSTATE,PEACHSTATE,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,SELFPAY,SELFPAY,,2062,,fee schedule,2062,81.35,2062,fee schedule,
I-131 THYROID RADIATION T,79005,CPT,both,,,2062,2062,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2062,,fee schedule,2062,81.35,2062,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,ALLIANT,ALLIANT,,412.05,,fee schedule,412.05,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,AMBETTER,AMBETTER,,324.65,,fee schedule,324.65,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,AMERIGROUP,AMERIGROUP,,85.42,,fee schedule,85.42,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,AMERIGROUP,AMERIGROUP,,99.33,,fee schedule,99.33,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,AMERIGROUP,AMERIGROUP,,184.76,,fee schedule,184.76,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CARESOURCE,CARESOURCE,,87.04,,fee schedule,87.04,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CARESOURCE,CARESOURCE,,101.22,,fee schedule,101.22,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CARESOURCE,CARESOURCE,,188.28,,fee schedule,188.28,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,MEDICARE,MEDICARE,,249.73,,fee schedule,249.73,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,PEACHSTATE,PEACHSTATE,,81.35,,fee schedule,81.35,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,PEACHSTATE,PEACHSTATE,,94.6,,fee schedule,94.6,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,PEACHSTATE,PEACHSTATE,,175.96,,fee schedule,175.96,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,TRICARE,TRICARE,,249.73,,fee schedule,249.73,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,UHC MEDICARE,UHC MEDICARE,,249.73,,fee schedule,249.73,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,AETNA,AETNA,,562.02,87,percent of total billed charges,562.02,81.35,646,percent of total billed charges,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562.02,87,percent of total billed charges,562.02,81.35,646,percent of total billed charges,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,UNITED HEALTHCARE,UNITED HEALTHCARE,,568.48,88,percent of total billed charges,568.48,81.35,646,percent of total billed charges,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,AETNA,AETNA,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,BEECH STREET,BEECH STREET,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CARESOURCE,CARESOURCE,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,MEDICAID,MEDICAID,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,NOVA NET,NOVA NET,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,PEACHSTATE,PEACHSTATE,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,SELFPAY,SELFPAY,,646,,fee schedule,646,81.35,646,fee schedule,
ORAL RADIOPHARM RX,79005,CPT,both,,,646,646,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,646,,fee schedule,646,81.35,646,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,ALLIANT,ALLIANT,,412.05,,fee schedule,412.05,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,AMBETTER,AMBETTER,,324.65,,fee schedule,324.65,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,AMERIGROUP,AMERIGROUP,,93.39,,fee schedule,93.39,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,AMERIGROUP,AMERIGROUP,,99.33,,fee schedule,99.33,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,AMERIGROUP,AMERIGROUP,,192.72,,fee schedule,192.72,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,95.17,,fee schedule,95.17,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,101.22,,fee schedule,101.22,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,196.39,,fee schedule,196.39,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,MEDICARE,MEDICARE,,249.73,,fee schedule,249.73,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,88.94,,fee schedule,88.94,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,94.6,,fee schedule,94.6,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,183.54,,fee schedule,183.54,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,TRICARE,TRICARE,,249.73,,fee schedule,249.73,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,UHC MEDICARE,UHC MEDICARE,,249.73,,fee schedule,249.73,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,AETNA,AETNA,,570.72,87,percent of total billed charges,570.72,88.94,656,percent of total billed charges,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570.72,87,percent of total billed charges,570.72,88.94,656,percent of total billed charges,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,UNITED HEALTHCARE,UNITED HEALTHCARE,,577.28,88,percent of total billed charges,577.28,88.94,656,percent of total billed charges,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,AETNA,AETNA,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,BEECH STREET,BEECH STREET,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,MEDICAID,MEDICAID,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,NOVA NET,NOVA NET,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,SELFPAY,SELFPAY,,656,,fee schedule,656,88.94,656,fee schedule,
IV RADIOPHARM RX,79101,CPT,both,,,656,656,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,656,,fee schedule,656,88.94,656,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,AETNA,AETNA,,41548.76,87,percent of total billed charges,41548.76,41548.76,47757.19,percent of total billed charges,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41548.76,87,percent of total billed charges,41548.76,41548.76,47757.19,percent of total billed charges,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,UNITED HEALTHCARE,UNITED HEALTHCARE,,42026.33,88,percent of total billed charges,42026.33,41548.76,47757.19,percent of total billed charges,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,AETNA,AETNA,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,ALLIANT,ALLIANT,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,AMBETTER,AMBETTER,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,BEECH STREET,BEECH STREET,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,CARESOURCE,CARESOURCE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,MEDICAID,MEDICAID,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,MEDICARE,MEDICARE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,NOVA NET,NOVA NET,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,PEACHSTATE,PEACHSTATE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,SELFPAY,SELFPAY,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,TRICARE,TRICARE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
PREMATURITY W/O MAJOR PROBLEMS,792,DRG,inpatient,,,47757.19,47757.19,UHC MEDICARE,UHC MEDICARE,,47757.19,,fee schedule,47757.19,41548.76,47757.19,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,AETNA,AETNA,,8621.69,87,percent of total billed charges,8621.69,8621.69,9909.99,percent of total billed charges,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8621.69,87,percent of total billed charges,8621.69,8621.69,9909.99,percent of total billed charges,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,8720.79,88,percent of total billed charges,8720.79,8621.69,9909.99,percent of total billed charges,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,AETNA,AETNA,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,ALLIANT,ALLIANT,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,AMBETTER,AMBETTER,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,BEECH STREET,BEECH STREET,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,CARESOURCE,CARESOURCE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,MEDICAID,MEDICAID,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,MEDICARE,MEDICARE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,NOVA NET,NOVA NET,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,PEACHSTATE,PEACHSTATE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,SELFPAY,SELFPAY,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,TRICARE,TRICARE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
FULL TERM NEONATE W MAJOR PROBLEMS,793,DRG,inpatient,,,9909.99,9909.99,UHC MEDICARE,UHC MEDICARE,,9909.99,,fee schedule,9909.99,8621.69,9909.99,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,AETNA,AETNA,,3340.57,87,percent of total billed charges,3340.57,3340.57,3839.73,percent of total billed charges,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3340.57,87,percent of total billed charges,3340.57,3340.57,3839.73,percent of total billed charges,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,UNITED HEALTHCARE,UNITED HEALTHCARE,,3378.96,88,percent of total billed charges,3378.96,3340.57,3839.73,percent of total billed charges,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,AETNA,AETNA,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,ALLIANT,ALLIANT,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,AMBETTER,AMBETTER,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,BEECH STREET,BEECH STREET,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,CARESOURCE,CARESOURCE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,MEDICAID,MEDICAID,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,MEDICARE,MEDICARE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,NOVA NET,NOVA NET,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,PEACHSTATE,PEACHSTATE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,SELFPAY,SELFPAY,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,TRICARE,TRICARE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NEONATE W OTHER SIGNIFICANT PROBLEMS,794,DRG,inpatient,,,3839.73,3839.73,UHC MEDICARE,UHC MEDICARE,,3839.73,,fee schedule,3839.73,3340.57,3839.73,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,AETNA,AETNA,,948.3,87,percent of total billed charges,948.3,948.3,1090,percent of total billed charges,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,948.3,87,percent of total billed charges,948.3,948.3,1090,percent of total billed charges,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,UNITED HEALTHCARE,UNITED HEALTHCARE,,959.2,88,percent of total billed charges,959.2,948.3,1090,percent of total billed charges,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,AETNA,AETNA,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,ALLIANT,ALLIANT,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,AMBETTER,AMBETTER,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,BEECH STREET,BEECH STREET,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,CARESOURCE,CARESOURCE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,MEDICAID,MEDICAID,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,MEDICARE,MEDICARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,NOVA NET,NOVA NET,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,PEACHSTATE,PEACHSTATE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,SELFPAY,SELFPAY,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,TRICARE,TRICARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
NORMAL NEWBORN,795,DRG,inpatient,,,1090,1090,UHC MEDICARE,UHC MEDICARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,AETNA,AETNA,,32875.98,87,percent of total billed charges,32875.98,32875.98,37788.48,percent of total billed charges,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32875.98,87,percent of total billed charges,32875.98,32875.98,37788.48,percent of total billed charges,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,33253.86,88,percent of total billed charges,33253.86,32875.98,37788.48,percent of total billed charges,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,AETNA,AETNA,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,ALLIANT,ALLIANT,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,AMBETTER,AMBETTER,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,BEECH STREET,BEECH STREET,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,CARESOURCE,CARESOURCE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,MEDICAID,MEDICAID,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,MEDICARE,MEDICARE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,NOVA NET,NOVA NET,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,PEACHSTATE,PEACHSTATE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,SELFPAY,SELFPAY,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,TRICARE,TRICARE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
SPLENECTOMY W MCC,799,DRG,inpatient,,,37788.48,37788.48,UHC MEDICARE,UHC MEDICARE,,37788.48,,fee schedule,37788.48,32875.98,37788.48,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,ALLIANT,ALLIANT,,22.65,,fee schedule,22.65,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,AMBETTER,AMBETTER,,17.85,,fee schedule,17.85,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,28.83,,fee schedule,28.83,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,29.38,,fee schedule,29.38,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,MEDICARE,MEDICARE,,13.73,,fee schedule,13.73,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,27.46,,fee schedule,27.46,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,TRICARE,TRICARE,,13.73,,fee schedule,13.73,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,13.73,,fee schedule,13.73,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,13.73,278,percent of total billed charges,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,13.73,278,percent of total billed charges,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,13.73,278,percent of total billed charges,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL POC,80047,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,13.73,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,ALLIANT,ALLIANT,,13.96,,fee schedule,13.96,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,AMBETTER,AMBETTER,,11,,fee schedule,11,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,11.18,,fee schedule,11.18,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,11.4,,fee schedule,11.4,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,MEDICARE,MEDICARE,,8.46,,fee schedule,8.46,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,10.65,,fee schedule,10.65,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,TRICARE,TRICARE,,8.46,,fee schedule,8.46,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,8.46,,fee schedule,8.46,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,8.46,278,percent of total billed charges,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,8.46,278,percent of total billed charges,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,8.46,278,percent of total billed charges,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL,80048,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,8.46,278,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,ALLIANT,ALLIANT,,13.96,,fee schedule,13.96,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,AMBETTER,AMBETTER,,11,,fee schedule,11,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,11.18,,fee schedule,11.18,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,11.4,,fee schedule,11.4,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,MEDICARE,MEDICARE,,8.46,,fee schedule,8.46,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,10.65,,fee schedule,10.65,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,TRICARE,TRICARE,,8.46,,fee schedule,8.46,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,8.46,,fee schedule,8.46,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,8.46,48,percent of total billed charges,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,8.46,48,percent of total billed charges,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,8.46,48,percent of total billed charges,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,8.46,48,fee schedule,
BASIC METABOLIC PANEL/AST,80048,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,8.46,48,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,ALLIANT,ALLIANT,,11.57,,fee schedule,11.57,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,AMBETTER,AMBETTER,,9.11,,fee schedule,9.11,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,9.26,,fee schedule,9.26,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,9.44,,fee schedule,9.44,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,MEDICARE,MEDICARE,,7.01,,fee schedule,7.01,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,8.82,,fee schedule,8.82,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,TRICARE,TRICARE,,7.01,,fee schedule,7.01,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,7.01,,fee schedule,7.01,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,7.01,45,percent of total billed charges,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,7.01,45,percent of total billed charges,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,7.01,45,percent of total billed charges,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTE PANEL,80051,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,7.01,45,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,ALLIANT,ALLIANT,,11.57,,fee schedule,11.57,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,AMBETTER,AMBETTER,,9.11,,fee schedule,9.11,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,9.26,,fee schedule,9.26,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,9.44,,fee schedule,9.44,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,MEDICARE,MEDICARE,,7.01,,fee schedule,7.01,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,8.82,,fee schedule,8.82,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,TRICARE,TRICARE,,7.01,,fee schedule,7.01,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,7.01,,fee schedule,7.01,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,7.01,172,percent of total billed charges,
ELECTROLYTES,80051,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,7.01,172,percent of total billed charges,
ELECTROLYTES,80051,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,7.01,172,percent of total billed charges,
ELECTROLYTES,80051,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,7.01,172,fee schedule,
ELECTROLYTES,80051,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,7.01,172,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,ALLIANT,ALLIANT,,17.42,,fee schedule,17.42,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,AMBETTER,AMBETTER,,13.73,,fee schedule,13.73,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,13.95,,fee schedule,13.95,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,14.22,,fee schedule,14.22,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,MEDICARE,MEDICARE,,10.56,,fee schedule,10.56,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,13.29,,fee schedule,13.29,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,TRICARE,TRICARE,,10.56,,fee schedule,10.56,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,10.56,,fee schedule,10.56,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,10.56,59,percent of total billed charges,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,10.56,59,percent of total billed charges,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,10.56,59,percent of total billed charges,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREH. METABOLIC PANEL/,80053,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,10.56,59,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,ALLIANT,ALLIANT,,17.42,,fee schedule,17.42,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,AMBETTER,AMBETTER,,13.73,,fee schedule,13.73,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,13.95,,fee schedule,13.95,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,14.22,,fee schedule,14.22,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,MEDICARE,MEDICARE,,10.56,,fee schedule,10.56,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,13.29,,fee schedule,13.29,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,TRICARE,TRICARE,,10.56,,fee schedule,10.56,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,10.56,,fee schedule,10.56,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,10.56,344,percent of total billed charges,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,10.56,344,percent of total billed charges,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,10.56,344,percent of total billed charges,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,10.56,344,fee schedule,
COMPREHENSIVE METABOLIC P,80053,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,10.56,344,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,ALLIANT,ALLIANT,,78.89,,fee schedule,78.89,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,AMBETTER,AMBETTER,,62.15,,fee schedule,62.15,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,29.48,,fee schedule,29.48,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,30.05,,fee schedule,30.05,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,MEDICARE,MEDICARE,,47.81,,fee schedule,47.81,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,28.08,,fee schedule,28.08,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,TRICARE,TRICARE,,47.81,,fee schedule,47.81,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,47.81,,fee schedule,47.81,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,28.08,133,percent of total billed charges,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,28.08,133,percent of total billed charges,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,28.08,133,percent of total billed charges,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,28.08,133,fee schedule,
OBSTETRIC PANEL,80055,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,28.08,133,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,ALLIANT,ALLIANT,,78.89,,fee schedule,78.89,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,AMBETTER,AMBETTER,,62.15,,fee schedule,62.15,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,29.48,,fee schedule,29.48,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,30.05,,fee schedule,30.05,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,MEDICARE,MEDICARE,,47.81,,fee schedule,47.81,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,28.08,,fee schedule,28.08,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,TRICARE,TRICARE,,47.81,,fee schedule,47.81,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,47.81,,fee schedule,47.81,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,28.08,100,percent of total billed charges,
PRENATAL PANEL,80055,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,28.08,100,percent of total billed charges,
PRENATAL PANEL,80055,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,28.08,100,percent of total billed charges,
PRENATAL PANEL,80055,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,28.08,100,fee schedule,
PRENATAL PANEL,80055,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,28.08,100,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,ALLIANT,ALLIANT,,22.09,,fee schedule,22.09,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,AMBETTER,AMBETTER,,17.41,,fee schedule,17.41,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,17.69,,fee schedule,17.69,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,18.03,,fee schedule,18.03,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,MEDICARE,MEDICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,16.85,,fee schedule,16.85,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,TRICARE,TRICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,13.39,262,percent of total billed charges,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,13.39,262,percent of total billed charges,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,13.39,262,percent of total billed charges,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,13.39,262,fee schedule,
EP66-LIPID PROFILE,80061,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,ALLIANT,ALLIANT,,22.09,,fee schedule,22.09,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,AMBETTER,AMBETTER,,17.41,,fee schedule,17.41,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,17.69,,fee schedule,17.69,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,18.03,,fee schedule,18.03,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,MEDICARE,MEDICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,16.85,,fee schedule,16.85,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,TRICARE,TRICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,13.39,262,percent of total billed charges,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,13.39,262,percent of total billed charges,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,13.39,262,percent of total billed charges,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,13.39,262,fee schedule,
EXE PROF D - LIPID PROFIL,80061,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,ALLIANT,ALLIANT,,22.09,,fee schedule,22.09,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,AMBETTER,AMBETTER,,17.41,,fee schedule,17.41,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,17.69,,fee schedule,17.69,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,18.03,,fee schedule,18.03,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,MEDICARE,MEDICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,16.85,,fee schedule,16.85,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,TRICARE,TRICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,13.39,,fee schedule,13.39,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,13.39,262,percent of total billed charges,
LIPID PROFILE,80061,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,13.39,262,percent of total billed charges,
LIPID PROFILE,80061,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,13.39,262,percent of total billed charges,
LIPID PROFILE,80061,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE,80061,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,13.39,262,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,ALLIANT,ALLIANT,,22.09,,fee schedule,22.09,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,AMBETTER,AMBETTER,,17.41,,fee schedule,17.41,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,17.69,,fee schedule,17.69,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,18.03,,fee schedule,18.03,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,MEDICARE,MEDICARE,,13.39,,fee schedule,13.39,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,16.85,,fee schedule,16.85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,TRICARE,TRICARE,,13.39,,fee schedule,13.39,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,13.39,,fee schedule,13.39,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,13.39,85,percent of total billed charges,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,13.39,85,percent of total billed charges,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,13.39,85,percent of total billed charges,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,13.39,85,fee schedule,
LIPID PROFILE PANEL,80061,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,13.39,85,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,ALLIANT,ALLIANT,,14.32,,fee schedule,14.32,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,AMBETTER,AMBETTER,,11.28,,fee schedule,11.28,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,11.47,,fee schedule,11.47,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,11.68,,fee schedule,11.68,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,MEDICARE,MEDICARE,,8.68,,fee schedule,8.68,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,10.92,,fee schedule,10.92,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,TRICARE,TRICARE,,8.68,,fee schedule,8.68,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,8.68,,fee schedule,8.68,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,8.68,289,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,8.68,289,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,8.68,289,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,8.68,289,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,ALLIANT,ALLIANT,,14.32,,fee schedule,14.32,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,AMBETTER,AMBETTER,,11.28,,fee schedule,11.28,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,11.47,,fee schedule,11.47,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,11.68,,fee schedule,11.68,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,MEDICARE,MEDICARE,,8.68,,fee schedule,8.68,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,10.92,,fee schedule,10.92,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,TRICARE,TRICARE,,8.68,,fee schedule,8.68,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,8.68,,fee schedule,8.68,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,8.68,43,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,8.68,43,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,8.68,43,percent of total billed charges,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,8.68,43,fee schedule,
RENAL FUNCTION PANEL,80069,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,8.68,43,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,ALLIANT,ALLIANT,,78.59,,fee schedule,78.59,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,AMBETTER,AMBETTER,,61.92,,fee schedule,61.92,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,AMERIGROUP,AMERIGROUP,,62.88,,fee schedule,62.88,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,CARESOURCE,CARESOURCE,,64.08,,fee schedule,64.08,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,MEDICARE,MEDICARE,,47.63,,fee schedule,47.63,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,PEACHSTATE,PEACHSTATE,,59.89,,fee schedule,59.89,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,TRICARE,TRICARE,,47.63,,fee schedule,47.63,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,UHC MEDICARE,UHC MEDICARE,,47.63,,fee schedule,47.63,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,AETNA,AETNA,,463.71,87,percent of total billed charges,463.71,47.63,533,percent of total billed charges,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,463.71,87,percent of total billed charges,463.71,47.63,533,percent of total billed charges,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,UNITED HEALTHCARE,UNITED HEALTHCARE,,469.04,88,percent of total billed charges,469.04,47.63,533,percent of total billed charges,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,AETNA,AETNA,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,BEECH STREET,BEECH STREET,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,CARESOURCE,CARESOURCE,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,MEDICAID,MEDICAID,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,NOVA NET,NOVA NET,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,PEACHSTATE,PEACHSTATE,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,SELFPAY,SELFPAY,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS ABC PROFILE,80074,CPT,both,,,533,533,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,533,,fee schedule,533,47.63,533,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,ALLIANT,ALLIANT,,78.59,,fee schedule,78.59,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,AMBETTER,AMBETTER,,61.92,,fee schedule,61.92,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,AMERIGROUP,AMERIGROUP,,62.88,,fee schedule,62.88,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,64.08,,fee schedule,64.08,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,MEDICARE,MEDICARE,,47.63,,fee schedule,47.63,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,59.89,,fee schedule,59.89,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,TRICARE,TRICARE,,47.63,,fee schedule,47.63,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,47.63,,fee schedule,47.63,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,47.63,135,percent of total billed charges,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,47.63,135,percent of total billed charges,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,47.63,135,percent of total billed charges,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATITIS PANEL I,80074,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,47.63,135,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,ALLIANT,ALLIANT,,13.48,,fee schedule,13.48,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,AMBETTER,AMBETTER,,10.62,,fee schedule,10.62,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,AMERIGROUP,AMERIGROUP,,10.79,,fee schedule,10.79,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,11,,fee schedule,11,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,MEDICARE,MEDICARE,,8.17,,fee schedule,8.17,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,10.28,,fee schedule,10.28,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,TRICARE,TRICARE,,8.17,,fee schedule,8.17,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,8.17,,fee schedule,8.17,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,8.17,225,percent of total billed charges,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,8.17,225,percent of total billed charges,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,8.17,225,percent of total billed charges,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL,80076,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,8.17,225,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,ALLIANT,ALLIANT,,13.48,,fee schedule,13.48,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,AMBETTER,AMBETTER,,10.62,,fee schedule,10.62,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,10.79,,fee schedule,10.79,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,11,,fee schedule,11,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,MEDICARE,MEDICARE,,8.17,,fee schedule,8.17,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,10.28,,fee schedule,10.28,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,TRICARE,TRICARE,,8.17,,fee schedule,8.17,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,8.17,,fee schedule,8.17,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,8.17,97,percent of total billed charges,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,8.17,97,percent of total billed charges,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,8.17,97,percent of total billed charges,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,8.17,97,fee schedule,
HEPATIC FUNCTION PANEL/LI,80076,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,8.17,97,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,ALLIANT,ALLIANT,,13.48,,fee schedule,13.48,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,AMBETTER,AMBETTER,,10.62,,fee schedule,10.62,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,10.79,,fee schedule,10.79,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,11,,fee schedule,11,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,MEDICARE,MEDICARE,,8.17,,fee schedule,8.17,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,10.28,,fee schedule,10.28,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,TRICARE,TRICARE,,8.17,,fee schedule,8.17,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,8.17,,fee schedule,8.17,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,8.17,49,percent of total billed charges,
LIVER PROFILE A,80076,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,8.17,49,percent of total billed charges,
LIVER PROFILE A,80076,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,8.17,49,percent of total billed charges,
LIVER PROFILE A,80076,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,8.17,49,fee schedule,
LIVER PROFILE A,80076,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,8.17,49,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,ALLIANT,ALLIANT,,63.64,,fee schedule,63.64,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,AMBETTER,AMBETTER,,50.14,,fee schedule,50.14,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,AMERIGROUP,AMERIGROUP,,32.4,,fee schedule,32.4,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,CARESOURCE,CARESOURCE,,33.02,,fee schedule,33.02,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,MEDICARE,MEDICARE,,38.57,,fee schedule,38.57,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,PEACHSTATE,PEACHSTATE,,30.86,,fee schedule,30.86,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,TRICARE,TRICARE,,38.57,,fee schedule,38.57,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,UHC MEDICARE,UHC MEDICARE,,38.57,,fee schedule,38.57,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,AETNA,AETNA,,448.92,87,percent of total billed charges,448.92,30.86,516,percent of total billed charges,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448.92,87,percent of total billed charges,448.92,30.86,516,percent of total billed charges,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,UNITED HEALTHCARE,UNITED HEALTHCARE,,454.08,88,percent of total billed charges,454.08,30.86,516,percent of total billed charges,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,AETNA,AETNA,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,BEECH STREET,BEECH STREET,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,CARESOURCE,CARESOURCE,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,MEDICAID,MEDICAID,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,NOVA NET,NOVA NET,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,PEACHSTATE,PEACHSTATE,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,SELFPAY,SELFPAY,,516,,fee schedule,516,30.86,516,fee schedule,
"DRUG ASSAY, ADALIMUMAB",80145,CPT,both,,,516,516,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,516,,fee schedule,516,30.86,516,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,15.08,123,percent of total billed charges,
AMIKACIN,80150,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,15.08,123,percent of total billed charges,
AMIKACIN,80150,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,15.08,123,percent of total billed charges,
AMIKACIN,80150,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN,80150,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,15.08,123,percent of total billed charges,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,15.08,123,percent of total billed charges,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,15.08,123,percent of total billed charges,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,15.08,123,fee schedule,
AMIKACIN - TROUGH,80150,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,15.08,123,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,ALLIANT,ALLIANT,,24.04,,fee schedule,24.04,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,AMBETTER,AMBETTER,,18.94,,fee schedule,18.94,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,AMERIGROUP,AMERIGROUP,,19.23,,fee schedule,19.23,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,19.59,,fee schedule,19.59,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,MEDICARE,MEDICARE,,14.57,,fee schedule,14.57,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,18.31,,fee schedule,18.31,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,TRICARE,TRICARE,,14.57,,fee schedule,14.57,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,14.57,,fee schedule,14.57,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,14.57,167,percent of total billed charges,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,14.57,167,percent of total billed charges,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,14.57,167,percent of total billed charges,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,14.57,167,fee schedule,
CARBAMAZEPINE QT.,80156,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,14.57,167,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,ALLIANT,ALLIANT,,24.04,,fee schedule,24.04,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,AMBETTER,AMBETTER,,18.94,,fee schedule,18.94,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,19.23,,fee schedule,19.23,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,19.59,,fee schedule,19.59,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,MEDICARE,MEDICARE,,14.57,,fee schedule,14.57,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,18.31,,fee schedule,18.31,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,TRICARE,TRICARE,,14.57,,fee schedule,14.57,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,14.57,,fee schedule,14.57,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,14.57,61,percent of total billed charges,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,14.57,61,percent of total billed charges,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,14.57,61,percent of total billed charges,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,14.57,61,fee schedule,
TEGRETOL LEVEL (CARBAMAZE,80156,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,14.57,61,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,13.13,,fee schedule,13.13,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,13.38,,fee schedule,13.38,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,12.5,,fee schedule,12.5,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,TRICARE,TRICARE,,13.25,,fee schedule,13.25,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,12.5,160,percent of total billed charges,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,12.5,160,percent of total billed charges,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,12.5,160,percent of total billed charges,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,12.5,160,fee schedule,
CARBAMAZEPINE FREE,80157,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,12.5,160,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,ALLIANT,ALLIANT,,29.78,,fee schedule,29.78,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,AMBETTER,AMBETTER,,23.47,,fee schedule,23.47,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,7.88,,fee schedule,7.88,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,8.03,,fee schedule,8.03,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,MEDICARE,MEDICARE,,18.05,,fee schedule,18.05,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,7.5,,fee schedule,7.5,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,TRICARE,TRICARE,,18.05,,fee schedule,18.05,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,18.05,,fee schedule,18.05,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,7.5,153,percent of total billed charges,
CYCLOSPORINE,80158,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,7.5,153,percent of total billed charges,
CYCLOSPORINE,80158,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,7.5,153,percent of total billed charges,
CYCLOSPORINE,80158,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,7.5,153,fee schedule,
CYCLOSPORINE,80158,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,7.5,153,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,ALLIANT,ALLIANT,,33.25,,fee schedule,33.25,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,AMBETTER,AMBETTER,,26.2,,fee schedule,26.2,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,AMERIGROUP,AMERIGROUP,,21.19,,fee schedule,21.19,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,21.59,,fee schedule,21.59,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,MEDICARE,MEDICARE,,20.15,,fee schedule,20.15,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,20.18,,fee schedule,20.18,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,TRICARE,TRICARE,,20.15,,fee schedule,20.15,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,20.15,,fee schedule,20.15,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,20.15,258,percent of total billed charges,
CLOZAPINE,80159,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,20.15,258,percent of total billed charges,
CLOZAPINE,80159,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,20.15,258,percent of total billed charges,
CLOZAPINE,80159,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,20.15,258,fee schedule,
CLOZAPINE,80159,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,20.15,258,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,ALLIANT,ALLIANT,,21.91,,fee schedule,21.91,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,AMBETTER,AMBETTER,,17.26,,fee schedule,17.26,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,17.54,,fee schedule,17.54,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,17.87,,fee schedule,17.87,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,MEDICARE,MEDICARE,,13.28,,fee schedule,13.28,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,16.7,,fee schedule,16.7,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,TRICARE,TRICARE,,13.28,,fee schedule,13.28,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,13.28,,fee schedule,13.28,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,13.28,59,percent of total billed charges,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,13.28,59,percent of total billed charges,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,13.28,59,percent of total billed charges,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN LEVEL,80162,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,13.28,59,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,ALLIANT,ALLIANT,,21.91,,fee schedule,21.91,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,AMBETTER,AMBETTER,,17.26,,fee schedule,17.26,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,17.54,,fee schedule,17.54,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,17.87,,fee schedule,17.87,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,MEDICARE,MEDICARE,,13.28,,fee schedule,13.28,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,16.7,,fee schedule,16.7,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,TRICARE,TRICARE,,13.28,,fee schedule,13.28,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,13.28,,fee schedule,13.28,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,13.28,118,percent of total billed charges,
DIGOXIN QT.,80162,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,13.28,118,percent of total billed charges,
DIGOXIN QT.,80162,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,13.28,118,percent of total billed charges,
DIGOXIN QT.,80162,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,13.28,118,fee schedule,
DIGOXIN QT.,80162,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,13.28,118,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,ALLIANT,ALLIANT,,22.34,,fee schedule,22.34,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,AMBETTER,AMBETTER,,17.6,,fee schedule,17.6,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,14.98,,fee schedule,14.98,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,15.27,,fee schedule,15.27,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,MEDICARE,MEDICARE,,13.54,,fee schedule,13.54,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,14.27,,fee schedule,14.27,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,TRICARE,TRICARE,,13.54,,fee schedule,13.54,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,13.54,,fee schedule,13.54,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,13.54,61,percent of total billed charges,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,13.54,61,percent of total billed charges,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,13.54,61,percent of total billed charges,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,13.54,61,fee schedule,
VALPORIC ACID LEVEL,80164,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,13.54,61,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,ALLIANT,ALLIANT,,22.34,,fee schedule,22.34,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,AMBETTER,AMBETTER,,17.6,,fee schedule,17.6,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,14.98,,fee schedule,14.98,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,15.27,,fee schedule,15.27,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,MEDICARE,MEDICARE,,13.54,,fee schedule,13.54,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,14.27,,fee schedule,14.27,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,TRICARE,TRICARE,,13.54,,fee schedule,13.54,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,13.54,,fee schedule,13.54,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,13.54,118,percent of total billed charges,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,13.54,118,percent of total billed charges,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,13.54,118,percent of total billed charges,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,13.54,118,fee schedule,
VALPROIC ACID QT.,80164,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,13.54,118,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,ALLIANT,ALLIANT,,26.96,,fee schedule,26.96,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,AMBETTER,AMBETTER,,21.24,,fee schedule,21.24,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,21.58,,fee schedule,21.58,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,21.99,,fee schedule,21.99,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,MEDICARE,MEDICARE,,16.34,,fee schedule,16.34,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,20.55,,fee schedule,20.55,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,TRICARE,TRICARE,,16.34,,fee schedule,16.34,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,16.34,,fee schedule,16.34,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,16.34,206,percent of total billed charges,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,16.34,206,percent of total billed charges,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,16.34,206,percent of total billed charges,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,16.34,206,fee schedule,
ETHOSUXIMIDE,80168,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,16.34,206,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,ALLIANT,ALLIANT,,27.03,,fee schedule,27.03,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,AMBETTER,AMBETTER,,21.29,,fee schedule,21.29,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,AMERIGROUP,AMERIGROUP,,21.64,,fee schedule,21.64,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,22.05,,fee schedule,22.05,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,MEDICARE,MEDICARE,,16.38,,fee schedule,16.38,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,20.61,,fee schedule,20.61,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,TRICARE,TRICARE,,16.38,,fee schedule,16.38,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,16.38,,fee schedule,16.38,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,16.38,169,percent of total billed charges,
GENTAMICIN QT.,80170,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,16.38,169,percent of total billed charges,
GENTAMICIN QT.,80170,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,16.38,169,percent of total billed charges,
GENTAMICIN QT.,80170,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,16.38,169,fee schedule,
GENTAMICIN QT.,80170,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,16.38,169,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,ALLIANT,ALLIANT,,26.04,,fee schedule,26.04,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,AMBETTER,AMBETTER,,20.51,,fee schedule,20.51,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,19.23,,fee schedule,19.23,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,19.59,,fee schedule,19.59,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,MEDICARE,MEDICARE,,15.78,,fee schedule,15.78,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,18.31,,fee schedule,18.31,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,TRICARE,TRICARE,,15.78,,fee schedule,15.78,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,15.78,,fee schedule,15.78,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,15.78,146,percent of total billed charges,
HALDOPERIDOL,80173,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,15.78,146,percent of total billed charges,
HALDOPERIDOL,80173,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,15.78,146,percent of total billed charges,
HALDOPERIDOL,80173,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,15.78,146,fee schedule,
HALDOPERIDOL,80173,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,15.78,146,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,ALLIANT,ALLIANT,,24.24,,fee schedule,24.24,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,AMBETTER,AMBETTER,,19.1,,fee schedule,19.1,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,19.39,,fee schedule,19.39,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,19.76,,fee schedule,19.76,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,MEDICARE,MEDICARE,,14.69,,fee schedule,14.69,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,18.47,,fee schedule,18.47,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,TRICARE,TRICARE,,14.69,,fee schedule,14.69,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,14.69,,fee schedule,14.69,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,14.69,106,percent of total billed charges,
LIDOCAINE QT,80176,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,14.69,106,percent of total billed charges,
LIDOCAINE QT,80176,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,14.69,106,percent of total billed charges,
LIDOCAINE QT,80176,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,14.69,106,fee schedule,
LIDOCAINE QT,80176,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,14.69,106,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.19,,fee schedule,15.19,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,15.48,,fee schedule,15.48,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,14.47,,fee schedule,14.47,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,13.25,187,percent of total billed charges,
LEVETIRACETAM,80177,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,13.25,187,percent of total billed charges,
LEVETIRACETAM,80177,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,13.25,187,percent of total billed charges,
LEVETIRACETAM,80177,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,13.25,187,fee schedule,
LEVETIRACETAM,80177,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,13.25,187,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,ALLIANT,ALLIANT,,10.91,,fee schedule,10.91,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,AMBETTER,AMBETTER,,8.59,,fee schedule,8.59,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,8.74,,fee schedule,8.74,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,8.9,,fee schedule,8.9,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,MEDICARE,MEDICARE,,6.61,,fee schedule,6.61,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,8.32,,fee schedule,8.32,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,TRICARE,TRICARE,,6.61,,fee schedule,6.61,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,6.61,,fee schedule,6.61,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,6.61,66,percent of total billed charges,
LITHIUM,80178,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,6.61,66,percent of total billed charges,
LITHIUM,80178,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,6.61,66,percent of total billed charges,
LITHIUM,80178,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM,80178,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,ALLIANT,ALLIANT,,10.91,,fee schedule,10.91,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,AMBETTER,AMBETTER,,8.59,,fee schedule,8.59,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,8.74,,fee schedule,8.74,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,8.9,,fee schedule,8.9,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,MEDICARE,MEDICARE,,6.61,,fee schedule,6.61,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,8.32,,fee schedule,8.32,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,TRICARE,TRICARE,,6.61,,fee schedule,6.61,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,6.61,,fee schedule,6.61,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,6.61,66,percent of total billed charges,
LITHIUM SERUM,80178,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,6.61,66,percent of total billed charges,
LITHIUM SERUM,80178,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,6.61,66,percent of total billed charges,
LITHIUM SERUM,80178,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,6.61,66,fee schedule,
LITHIUM SERUM,80178,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,6.61,66,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,ALLIANT,ALLIANT,,29.78,,fee schedule,29.78,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,AMBETTER,AMBETTER,,23.47,,fee schedule,23.47,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,6.83,,fee schedule,6.83,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,6.96,,fee schedule,6.96,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.05,,fee schedule,18.05,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,6.5,,fee schedule,6.5,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,TRICARE,TRICARE,,18.05,,fee schedule,18.05,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.05,,fee schedule,18.05,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,6.5,187,percent of total billed charges,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,6.5,187,percent of total billed charges,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,6.5,187,percent of total billed charges,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,6.5,187,fee schedule,
MYCOPHENOLIC ACID,80180,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,6.5,187,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,15.19,,fee schedule,15.19,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,15.48,,fee schedule,15.48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,14.47,,fee schedule,14.47,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,13.25,48,percent of total billed charges,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,13.25,48,percent of total billed charges,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,13.25,48,percent of total billed charges,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,13.25,48,fee schedule,
"OXCARBAZEPINE, QT",80183,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,13.25,48,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,AMERIGROUP,AMERIGROUP,,15.13,,fee schedule,15.13,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,15.42,,fee schedule,15.42,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,14.41,,fee schedule,14.41,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,TRICARE,TRICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,AETNA,AETNA,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,UNITED HEALTHCARE,UNITED HEALTHCARE,,122.32,88,percent of total billed charges,122.32,14.41,139,percent of total billed charges,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,AETNA,AETNA,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,BEECH STREET,BEECH STREET,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,MEDICAID,MEDICAID,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,NOVA NET,NOVA NET,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,SELFPAY,SELFPAY,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES UR QT. CONFI,80184,CPT,both,,,139,139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,15.13,,fee schedule,15.13,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,15.42,,fee schedule,15.42,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,14.41,,fee schedule,14.41,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,TRICARE,TRICARE,,15.3,,fee schedule,15.3,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,14.41,97,percent of total billed charges,
PHENOBARBITAL,80184,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,14.41,97,percent of total billed charges,
PHENOBARBITAL,80184,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,14.41,97,percent of total billed charges,
PHENOBARBITAL,80184,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL,80184,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,14.41,97,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,AMERIGROUP,AMERIGROUP,,15.13,,fee schedule,15.13,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,15.42,,fee schedule,15.42,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,14.41,,fee schedule,14.41,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,TRICARE,TRICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,AETNA,AETNA,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,UNITED HEALTHCARE,UNITED HEALTHCARE,,122.32,88,percent of total billed charges,122.32,14.41,139,percent of total billed charges,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,AETNA,AETNA,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,BEECH STREET,BEECH STREET,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,MEDICAID,MEDICAID,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,NOVA NET,NOVA NET,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,SELFPAY,SELFPAY,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL BOUND,80184,CPT,both,,,139,139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,AMERIGROUP,AMERIGROUP,,15.13,,fee schedule,15.13,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,15.42,,fee schedule,15.42,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,14.41,,fee schedule,14.41,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,TRICARE,TRICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,AETNA,AETNA,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,UNITED HEALTHCARE,UNITED HEALTHCARE,,122.32,88,percent of total billed charges,122.32,14.41,139,percent of total billed charges,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,AETNA,AETNA,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,BEECH STREET,BEECH STREET,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,MEDICAID,MEDICAID,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,NOVA NET,NOVA NET,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,SELFPAY,SELFPAY,,139,,fee schedule,139,14.41,139,fee schedule,
PHENOBARBITAL QT,80184,CPT,both,,,139,139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,17.5,,fee schedule,17.5,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,17.84,,fee schedule,17.84,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,16.67,,fee schedule,16.67,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,13.25,66,percent of total billed charges,
DILANTIN,80185,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,13.25,66,percent of total billed charges,
DILANTIN,80185,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,13.25,66,percent of total billed charges,
DILANTIN,80185,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN,80185,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,13.25,66,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,17.5,,fee schedule,17.5,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,17.84,,fee schedule,17.84,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,16.67,,fee schedule,16.67,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,13.25,339,percent of total billed charges,
DILANTIN PROFILE,80185,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,13.25,339,percent of total billed charges,
DILANTIN PROFILE,80185,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,13.25,339,percent of total billed charges,
DILANTIN PROFILE,80185,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,13.25,339,fee schedule,
DILANTIN PROFILE,80185,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,17.5,,fee schedule,17.5,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,17.84,,fee schedule,17.84,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,16.67,,fee schedule,16.67,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,13.25,339,percent of total billed charges,
FOSPHENYTOIN,80185,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,13.25,339,percent of total billed charges,
FOSPHENYTOIN,80185,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,13.25,339,percent of total billed charges,
FOSPHENYTOIN,80185,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,13.25,339,fee schedule,
FOSPHENYTOIN,80185,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,17.5,,fee schedule,17.5,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,17.84,,fee schedule,17.84,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,16.67,,fee schedule,16.67,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,13.25,339,percent of total billed charges,
PHENYTOIN QT.,80185,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,13.25,339,percent of total billed charges,
PHENYTOIN QT.,80185,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,13.25,339,percent of total billed charges,
PHENYTOIN QT.,80185,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN QT.,80185,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,13.25,339,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,ALLIANT,ALLIANT,,22.7,,fee schedule,22.7,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,AMBETTER,AMBETTER,,17.89,,fee schedule,17.89,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,18.18,,fee schedule,18.18,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,18.52,,fee schedule,18.52,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,MEDICARE,MEDICARE,,13.76,,fee schedule,13.76,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,17.31,,fee schedule,17.31,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,TRICARE,TRICARE,,13.76,,fee schedule,13.76,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,13.76,,fee schedule,13.76,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,13.76,66,percent of total billed charges,
PHENYTOIN FREE,80186,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,13.76,66,percent of total billed charges,
PHENYTOIN FREE,80186,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,13.76,66,percent of total billed charges,
PHENYTOIN FREE,80186,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,13.76,66,fee schedule,
PHENYTOIN FREE,80186,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,13.76,66,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,ALLIANT,ALLIANT,,27.37,,fee schedule,27.37,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,AMBETTER,AMBETTER,,21.57,,fee schedule,21.57,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,21.9,,fee schedule,21.9,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,22.32,,fee schedule,22.32,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,MEDICARE,MEDICARE,,16.59,,fee schedule,16.59,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,20.86,,fee schedule,20.86,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,TRICARE,TRICARE,,16.59,,fee schedule,16.59,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,16.59,,fee schedule,16.59,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,16.59,69,percent of total billed charges,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,16.59,69,percent of total billed charges,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,16.59,69,percent of total billed charges,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,16.59,69,fee schedule,
MYSOLINE PRIMIDONE LEVE,80188,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,16.59,69,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,ALLIANT,ALLIANT,,27.37,,fee schedule,27.37,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,AMBETTER,AMBETTER,,21.57,,fee schedule,21.57,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,21.9,,fee schedule,21.9,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,22.32,,fee schedule,22.32,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,MEDICARE,MEDICARE,,16.59,,fee schedule,16.59,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,20.86,,fee schedule,20.86,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,TRICARE,TRICARE,,16.59,,fee schedule,16.59,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,16.59,,fee schedule,16.59,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,16.59,118,percent of total billed charges,
PRIMIDONE QT.,80188,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,16.59,118,percent of total billed charges,
PRIMIDONE QT.,80188,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,16.59,118,percent of total billed charges,
PRIMIDONE QT.,80188,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,16.59,118,fee schedule,
PRIMIDONE QT.,80188,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,16.59,118,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,ALLIANT,ALLIANT,,99,,fee schedule,99,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,AMBETTER,AMBETTER,,78,,fee schedule,78,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,22.12,,fee schedule,22.12,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,22.54,,fee schedule,22.54,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,MEDICARE,MEDICARE,,60,,fee schedule,60,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,21.07,,fee schedule,21.07,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,TRICARE,TRICARE,,60,,fee schedule,60,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,21.07,173,percent of total billed charges,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,21.07,173,percent of total billed charges,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,21.07,173,percent of total billed charges,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,21.07,173,fee schedule,
PROCAINAMIDE QT,80190,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,21.07,173,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,ALLIANT,ALLIANT,,27.64,,fee schedule,27.64,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,AMBETTER,AMBETTER,,21.78,,fee schedule,21.78,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,AMERIGROUP,AMERIGROUP,,22.12,,fee schedule,22.12,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,22.54,,fee schedule,22.54,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,MEDICARE,MEDICARE,,16.75,,fee schedule,16.75,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,21.07,,fee schedule,21.07,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,TRICARE,TRICARE,,16.75,,fee schedule,16.75,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,16.75,,fee schedule,16.75,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,16.75,143,percent of total billed charges,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,16.75,143,percent of total billed charges,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,16.75,143,percent of total billed charges,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,16.75,143,fee schedule,
NAPA (N-ACETYL-PROCAINAMI,80192,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,16.75,143,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,ALLIANT,ALLIANT,,24.09,,fee schedule,24.09,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,AMBETTER,AMBETTER,,18.98,,fee schedule,18.98,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,19.27,,fee schedule,19.27,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,19.63,,fee schedule,19.63,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,MEDICARE,MEDICARE,,14.6,,fee schedule,14.6,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,18.35,,fee schedule,18.35,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,TRICARE,TRICARE,,14.6,,fee schedule,14.6,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,14.6,,fee schedule,14.6,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,14.6,127,percent of total billed charges,
QUINIDINE,80194,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,14.6,127,percent of total billed charges,
QUINIDINE,80194,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,14.6,127,percent of total billed charges,
QUINIDINE,80194,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE,80194,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,14.6,127,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,ALLIANT,ALLIANT,,24.09,,fee schedule,24.09,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,AMBETTER,AMBETTER,,18.98,,fee schedule,18.98,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,19.27,,fee schedule,19.27,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,19.63,,fee schedule,19.63,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,MEDICARE,MEDICARE,,14.6,,fee schedule,14.6,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,18.35,,fee schedule,18.35,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,TRICARE,TRICARE,,14.6,,fee schedule,14.6,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,14.6,,fee schedule,14.6,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,14.6,66,percent of total billed charges,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,14.6,66,percent of total billed charges,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,14.6,66,percent of total billed charges,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,14.6,66,fee schedule,
QUINIDINE LEVEL,80194,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,14.6,66,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,ALLIANT,ALLIANT,,22.65,,fee schedule,22.65,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,AMBETTER,AMBETTER,,17.85,,fee schedule,17.85,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,MEDICARE,MEDICARE,,13.73,,fee schedule,13.73,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,TRICARE,TRICARE,,13.73,,fee schedule,13.73,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,UHC MEDICARE,UHC MEDICARE,,13.73,,fee schedule,13.73,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,AETNA,AETNA,,357.57,87,percent of total billed charges,357.57,13.73,411,percent of total billed charges,
TACROLIMUS,80197,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357.57,87,percent of total billed charges,357.57,13.73,411,percent of total billed charges,
TACROLIMUS,80197,CPT,both,,,411,411,UNITED HEALTHCARE,UNITED HEALTHCARE,,361.68,88,percent of total billed charges,361.68,13.73,411,percent of total billed charges,
TACROLIMUS,80197,CPT,both,,,411,411,AETNA,AETNA,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,BEECH STREET,BEECH STREET,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,MEDICAID,MEDICAID,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,NOVA NET,NOVA NET,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,SELFPAY,SELFPAY,,411,,fee schedule,411,13.73,411,fee schedule,
TACROLIMUS,80197,CPT,both,,,411,411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,411,,fee schedule,411,13.73,411,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,ALLIANT,ALLIANT,,23.33,,fee schedule,23.33,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,AMBETTER,AMBETTER,,18.38,,fee schedule,18.38,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,18.68,,fee schedule,18.68,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,19.04,,fee schedule,19.04,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,MEDICARE,MEDICARE,,14.14,,fee schedule,14.14,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,17.79,,fee schedule,17.79,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,TRICARE,TRICARE,,14.14,,fee schedule,14.14,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,14.14,,fee schedule,14.14,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,14.14,97,percent of total billed charges,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,14.14,97,percent of total billed charges,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,14.14,97,percent of total billed charges,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLIN LEVEL,80198,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,14.14,97,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,ALLIANT,ALLIANT,,23.33,,fee schedule,23.33,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,AMBETTER,AMBETTER,,18.38,,fee schedule,18.38,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,18.68,,fee schedule,18.68,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,19.04,,fee schedule,19.04,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,MEDICARE,MEDICARE,,14.14,,fee schedule,14.14,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,17.79,,fee schedule,17.79,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,TRICARE,TRICARE,,14.14,,fee schedule,14.14,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,14.14,,fee schedule,14.14,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,14.14,134,percent of total billed charges,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,14.14,134,percent of total billed charges,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,14.14,134,percent of total billed charges,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,14.14,134,fee schedule,
THEOPHYLLINE QT.,80198,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,14.14,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,ALLIANT,ALLIANT,,26.61,,fee schedule,26.61,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,AMBETTER,AMBETTER,,20.97,,fee schedule,20.97,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,19.78,,fee schedule,19.78,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,20.16,,fee schedule,20.16,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,MEDICARE,MEDICARE,,16.13,,fee schedule,16.13,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,18.84,,fee schedule,18.84,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,TRICARE,TRICARE,,16.13,,fee schedule,16.13,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,16.13,,fee schedule,16.13,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,16.13,134,percent of total billed charges,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,16.13,134,percent of total billed charges,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,16.13,134,percent of total billed charges,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN - TROUGH,80200,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,ALLIANT,ALLIANT,,26.61,,fee schedule,26.61,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,AMBETTER,AMBETTER,,20.97,,fee schedule,20.97,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,19.78,,fee schedule,19.78,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,20.16,,fee schedule,20.16,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,MEDICARE,MEDICARE,,16.13,,fee schedule,16.13,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,18.84,,fee schedule,18.84,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,TRICARE,TRICARE,,16.13,,fee schedule,16.13,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,16.13,,fee schedule,16.13,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,16.13,134,percent of total billed charges,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,16.13,134,percent of total billed charges,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,16.13,134,percent of total billed charges,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,16.13,134,fee schedule,
TOBRAMYCIN QUANTITATIVE,80200,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,16.13,134,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,ALLIANT,ALLIANT,,19.67,,fee schedule,19.67,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,AMBETTER,AMBETTER,,15.5,,fee schedule,15.5,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,AMERIGROUP,AMERIGROUP,,15.74,,fee schedule,15.74,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,16.04,,fee schedule,16.04,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,MEDICARE,MEDICARE,,11.92,,fee schedule,11.92,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,14.99,,fee schedule,14.99,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,TRICARE,TRICARE,,11.92,,fee schedule,11.92,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,11.92,,fee schedule,11.92,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,11.92,225,percent of total billed charges,
TOPIRAMATE,80201,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,11.92,225,percent of total billed charges,
TOPIRAMATE,80201,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,11.92,225,percent of total billed charges,
TOPIRAMATE,80201,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,11.92,225,fee schedule,
TOPIRAMATE,80201,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,11.92,225,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,ALLIANT,ALLIANT,,22.34,,fee schedule,22.34,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,AMBETTER,AMBETTER,,17.6,,fee schedule,17.6,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,14.98,,fee schedule,14.98,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,15.27,,fee schedule,15.27,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,MEDICARE,MEDICARE,,13.54,,fee schedule,13.54,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,14.27,,fee schedule,14.27,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,TRICARE,TRICARE,,13.54,,fee schedule,13.54,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,13.54,,fee schedule,13.54,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,13.54,195,percent of total billed charges,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,13.54,195,percent of total billed charges,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,13.54,195,percent of total billed charges,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN QT.,80202,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,ALLIANT,ALLIANT,,22.34,,fee schedule,22.34,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,AMBETTER,AMBETTER,,17.6,,fee schedule,17.6,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,14.98,,fee schedule,14.98,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,15.27,,fee schedule,15.27,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,MEDICARE,MEDICARE,,13.54,,fee schedule,13.54,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,14.27,,fee schedule,14.27,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,TRICARE,TRICARE,,13.54,,fee schedule,13.54,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,13.54,,fee schedule,13.54,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,13.54,195,percent of total billed charges,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,13.54,195,percent of total billed charges,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,13.54,195,percent of total billed charges,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,13.54,195,fee schedule,
VANCOMYCIN TROUGH,80202,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,13.54,195,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,15.19,,fee schedule,15.19,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,15.48,,fee schedule,15.48,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,14.47,,fee schedule,14.47,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,13.25,347,percent of total billed charges,
ZONISAMIDE,80203,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,13.25,347,percent of total billed charges,
ZONISAMIDE,80203,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,13.25,347,percent of total billed charges,
ZONISAMIDE,80203,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,13.25,347,fee schedule,
ZONISAMIDE,80203,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,13.25,347,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,ALLIANT,ALLIANT,,63.64,,fee schedule,63.64,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,AMBETTER,AMBETTER,,50.14,,fee schedule,50.14,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,32.4,,fee schedule,32.4,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,33.02,,fee schedule,33.02,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,MEDICARE,MEDICARE,,38.57,,fee schedule,38.57,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,30.86,,fee schedule,30.86,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,TRICARE,TRICARE,,38.57,,fee schedule,38.57,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,38.57,,fee schedule,38.57,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,30.86,187,percent of total billed charges,
METHOTREXATE,80204,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,30.86,187,percent of total billed charges,
METHOTREXATE,80204,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,30.86,187,percent of total billed charges,
METHOTREXATE,80204,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,30.86,187,fee schedule,
METHOTREXATE,80204,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,30.86,187,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,15.66,,fee schedule,15.66,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,15.95,,fee schedule,15.95,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,14.91,,fee schedule,14.91,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,TRICARE,TRICARE,,18.64,,fee schedule,18.64,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,14.91,43,percent of total billed charges,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,14.91,43,percent of total billed charges,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,14.91,43,percent of total billed charges,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,14.91,43,fee schedule,
HYDROXYCHLOROQUINE ASSAY,80220,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,14.91,43,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,ALLIANT,ALLIANT,,63.64,,fee schedule,63.64,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,AMBETTER,AMBETTER,,50.14,,fee schedule,50.14,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,32.4,,fee schedule,32.4,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,33.02,,fee schedule,33.02,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,MEDICARE,MEDICARE,,38.57,,fee schedule,38.57,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,30.86,,fee schedule,30.86,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,TRICARE,TRICARE,,38.57,,fee schedule,38.57,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,38.57,,fee schedule,38.57,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,30.86,339,percent of total billed charges,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,30.86,339,percent of total billed charges,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,30.86,339,percent of total billed charges,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,30.86,339,fee schedule,
DRUG ASSAY INFLIXIMAB,80230,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,30.86,339,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,ALLIANT,ALLIANT,,44.73,,fee schedule,44.73,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,AMBETTER,AMBETTER,,35.24,,fee schedule,35.24,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,22.77,,fee schedule,22.77,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,23.21,,fee schedule,23.21,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,MEDICARE,MEDICARE,,27.11,,fee schedule,27.11,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,21.69,,fee schedule,21.69,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,TRICARE,TRICARE,,27.11,,fee schedule,27.11,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,27.11,,fee schedule,27.11,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,21.69,187,percent of total billed charges,
LACOSAMIDE,80235,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,21.69,187,percent of total billed charges,
LACOSAMIDE,80235,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,21.69,187,percent of total billed charges,
LACOSAMIDE,80235,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,21.69,187,fee schedule,
LACOSAMIDE,80235,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,21.69,187,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,ALLIANT,ALLIANT,,63.64,,fee schedule,63.64,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,AMBETTER,AMBETTER,,50.14,,fee schedule,50.14,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,32.4,,fee schedule,32.4,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,33.02,,fee schedule,33.02,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,MEDICARE,MEDICARE,,38.57,,fee schedule,38.57,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,30.86,,fee schedule,30.86,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,TRICARE,TRICARE,,38.57,,fee schedule,38.57,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,38.57,,fee schedule,38.57,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,30.86,102,percent of total billed charges,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,30.86,102,percent of total billed charges,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,30.86,102,percent of total billed charges,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,30.86,102,fee schedule,
DRUG LEVEL VEDOLIZUMAB,80280,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,30.86,102,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
BIOTIN LEVEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
BIOTIN LEVEL,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
BIOTIN LEVEL,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
BIOTIN LEVEL,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
CAFFEINE SERUM,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
CAFFEINE SERUM,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
CAFFEINE SERUM,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
CAFFEINE SERUM,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
CLOMIPRAMINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
CLOMIPRAMINE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
CLOMIPRAMINE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
CLOMIPRAMINE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
DESETHYL - AMIODARONE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
DISOPYRAMIDE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
DISOPYRAMIDE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
DISOPYRAMIDE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
DISOPYRAMIDE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
FELBANATE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
FELBANATE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
FELBANATE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
FELBANATE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
FLECAINIDE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
FLECAINIDE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
FLECAINIDE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
FLECAINIDE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
ISONIAZID,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
ISONIAZID,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
ISONIAZID,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
ISONIAZID,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
LAMOTRIGINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
LAMOTRIGINE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
LAMOTRIGINE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
LAMOTRIGINE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
LEFLINOMIDE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
LEFLINOMIDE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
LEFLINOMIDE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
LEFLINOMIDE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
LEXAPRO (ESCITALOPRAM),80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
MERCAPTOPURINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
MERCAPTOPURINE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
MERCAPTOPURINE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
MERCAPTOPURINE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
METHOCARBAMOL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
METHOCARBAMOL,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
METHOCARBAMOL,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
METHOCARBAMOL,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
MEXILETINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
MEXILETINE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
MEXILETINE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
MEXILETINE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
NEURONTIN,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
NEURONTIN,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
NEURONTIN,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
NEURONTIN,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
NORPACE QT.,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
NORPACE QT.,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
NORPACE QT.,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
NORPACE QT.,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
PREGABALIN,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
PREGABALIN,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
PREGABALIN,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
PREGABALIN,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,15.14,35,percent of total billed charges,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,15.14,35,percent of total billed charges,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,15.14,35,percent of total billed charges,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,15.14,35,fee schedule,
QUAN. OF DRUG NOT ELSEWHE,80299,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,15.14,35,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
QUANT OF DRUG NOT SPECIFI,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
RAPAMYCIN,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
RAPAMYCIN,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
RAPAMYCIN,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
RAPAMYCIN,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
SEROQUEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
SEROQUEL,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
SEROQUEL,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
SEROQUEL,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
SIROLIMUS MONITOR,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
THIN LAYER ANALYTE,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
THIOPURINE METABOLITES,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
VORICONAZOLE LEVEL,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
ZOLOFT,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
ZOLOFT,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
ZOLOFT,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLOFT,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,ALLIANT,ALLIANT,,30.76,,fee schedule,30.76,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,AMBETTER,AMBETTER,,24.23,,fee schedule,24.23,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,15.9,,fee schedule,15.9,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,16.2,,fee schedule,16.2,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,MEDICARE,MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,15.14,,fee schedule,15.14,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,TRICARE,TRICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,18.64,,fee schedule,18.64,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,15.14,187,percent of total billed charges,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,15.14,187,percent of total billed charges,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,15.14,187,fee schedule,
ZOLPIDEM SERUM LEVEL,80299,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,15.14,187,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,ALLIANT,ALLIANT,,20.79,,fee schedule,20.79,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,AMBETTER,AMBETTER,,16.38,,fee schedule,16.38,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,12.04,,fee schedule,12.04,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,12.27,,fee schedule,12.27,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,MEDICARE,MEDICARE,,12.6,,fee schedule,12.6,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,11.47,,fee schedule,11.47,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,TRICARE,TRICARE,,12.6,,fee schedule,12.6,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,12.6,,fee schedule,12.6,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,11.47,37,percent of total billed charges,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,11.47,37,percent of total billed charges,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,11.47,37,percent of total billed charges,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,11.47,37,fee schedule,
DRUG SCREEN CONFIRMATION,80305,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,11.47,37,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,ALLIANT,ALLIANT,,20.79,,fee schedule,20.79,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,AMBETTER,AMBETTER,,16.38,,fee schedule,16.38,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,12.04,,fee schedule,12.04,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,12.27,,fee schedule,12.27,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,MEDICARE,MEDICARE,,12.6,,fee schedule,12.6,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,11.47,,fee schedule,11.47,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,TRICARE,TRICARE,,12.6,,fee schedule,12.6,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,12.6,,fee schedule,12.6,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,11.47,39,percent of total billed charges,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,11.47,39,percent of total billed charges,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,11.47,39,percent of total billed charges,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,11.47,39,fee schedule,
QUICKTOX MULT DRUG DIPCAR,80305,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,11.47,39,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,ALLIANT,ALLIANT,,20.79,,fee schedule,20.79,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,AMBETTER,AMBETTER,,16.38,,fee schedule,16.38,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,12.04,,fee schedule,12.04,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,12.27,,fee schedule,12.27,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,MEDICARE,MEDICARE,,12.6,,fee schedule,12.6,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,11.47,,fee schedule,11.47,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,TRICARE,TRICARE,,12.6,,fee schedule,12.6,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,12.6,,fee schedule,12.6,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,11.47,46,percent of total billed charges,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,11.47,46,percent of total billed charges,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,11.47,46,percent of total billed charges,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,11.47,46,fee schedule,
SINGLE DRUG CLASSEACH DR,80305,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,11.47,46,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,61.16,102.53,percent of total billed charges,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,61.16,102.53,percent of total billed charges,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,61.16,102.53,percent of total billed charges,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN LEVEL,80307,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,61.16,102.53,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
ACETAMINOPHEN QT.,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL (ETHANOL) QT.,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,61.16,102.53,percent of total billed charges,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,61.16,102.53,percent of total billed charges,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,61.16,102.53,percent of total billed charges,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,61.16,102.53,fee schedule,
BLOOD ALCOHOL LEVEL (ETHA,80307,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,61.16,102.53,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
CANNABINOIDS CONFIRMATION,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
CARISOPRODOL URINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
CODEINE QL.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
CODEINE QL.,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
CODEINE QL.,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
CODEINE QL.,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG ANALYSIS SERUM QUA,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN HAIR FOLLICL,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN MECONIUM,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN METHAQUALONE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN QUAL SERUM/U,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN RAPID 6 PANEL,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREEN URINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
"DRUG SCREEN, SERUM QT",80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENAMPHETAMINE U,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBARBITURATES,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENBENZO URINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENCOCAINE URINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENMETHADONE URI,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENOPIATES URINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPHENCYCLIDINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENPROPOXYPHENE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG SCREENTHC URINE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST PRESUMPTIVE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,61.16,249,percent of total billed charges,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,61.16,249,percent of total billed charges,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,61.16,249,percent of total billed charges,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,61.16,249,fee schedule,
DRUG TEST(S) PRESUMPTIVE,80307,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,61.16,249,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
METHADONE QUAL.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
METHADONE QUAL.,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
METHADONE QUAL.,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
METHADONE QUAL.,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE METABOLITE,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
NICOTINE SERUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
NICOTINE SERUM,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
NICOTINE SERUM,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
NICOTINE SERUM,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
PROPOXYPHENE QUAL,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SALICYLATES SERUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SALICYLATES SERUM,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SALICYLATES SERUM,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SALICYLATES SERUM,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SINGLE DRUG CLASS SERUM,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
SULFONYLUREA DRUG SCREEN,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,ALLIANT,ALLIANT,,102.53,,fee schedule,102.53,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,AMBETTER,AMBETTER,,80.78,,fee schedule,80.78,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,64.22,,fee schedule,64.22,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,65.44,,fee schedule,65.44,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,MEDICARE,MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,61.16,,fee schedule,61.16,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,TRICARE,TRICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,62.14,,fee schedule,62.14,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,61.16,276,percent of total billed charges,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,61.16,276,percent of total billed charges,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,61.16,276,fee schedule,
TRICYCLIC ANTIDEPRESSANT,80307,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,61.16,276,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,14.27,,fee schedule,14.27,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,14.54,,fee schedule,14.54,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,13.59,,fee schedule,13.59,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,13.59,47,percent of total billed charges,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,13.59,47,percent of total billed charges,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,13.59,47,percent of total billed charges,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL CONFIRMATION,80320,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,14.27,,fee schedule,14.27,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,14.54,,fee schedule,14.54,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,13.59,,fee schedule,13.59,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,13.59,47,percent of total billed charges,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,13.59,47,percent of total billed charges,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,13.59,47,percent of total billed charges,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,13.59,47,fee schedule,
"DEFINITIVE DRUG CLASS, ALCOHOL",80320,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,14.27,,fee schedule,14.27,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,14.54,,fee schedule,14.54,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,13.59,,fee schedule,13.59,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,13.59,252,percent of total billed charges,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,13.59,252,percent of total billed charges,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,13.59,252,percent of total billed charges,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,ALLIANT,ALLIANT,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,AMBETTER,AMBETTER,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,MEDICARE,MEDICARE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,TRICARE,TRICARE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOL BIOMARKERS 1 OR 2,80321,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,252,,fee schedule,252,13.59,252,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,14.27,,fee schedule,14.27,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,14.54,,fee schedule,14.54,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,13.59,,fee schedule,13.59,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,13.59,47,percent of total billed charges,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,13.59,47,percent of total billed charges,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,13.59,47,percent of total billed charges,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,13.59,47,fee schedule,
ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,13.59,47,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,39.64,,fee schedule,39.64,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,40.39,,fee schedule,40.39,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,37.75,,fee schedule,37.75,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,40.39,percent of total billed charges,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,40.39,percent of total billed charges,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,40.39,percent of total billed charges,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,40.39,fee schedule,
COTININE (NICOTINE) METABOLITE,80323,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,40.39,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,20.53,,fee schedule,20.53,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,20.92,,fee schedule,20.92,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,19.55,,fee schedule,19.55,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,19.55,47,percent of total billed charges,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,19.55,47,percent of total billed charges,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,19.55,47,percent of total billed charges,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 1 OR 2,80324,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,20.53,,fee schedule,20.53,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,20.92,,fee schedule,20.92,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,19.55,,fee schedule,19.55,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,19.55,286,percent of total billed charges,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,19.55,286,percent of total billed charges,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,19.55,286,percent of total billed charges,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,ALLIANT,ALLIANT,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,AMBETTER,AMBETTER,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,MEDICARE,MEDICARE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,TRICARE,TRICARE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES CONFIRM URI,80324,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,286,,fee schedule,286,19.55,286,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,20.53,,fee schedule,20.53,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,20.92,,fee schedule,20.92,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,19.55,,fee schedule,19.55,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,19.55,47,percent of total billed charges,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,19.55,47,percent of total billed charges,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,19.55,47,percent of total billed charges,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,19.55,47,fee schedule,
AMPHETAMINES 3 OR 4,80325,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,19.55,47,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,AMERIGROUP,AMERIGROUP,,34.08,,fee schedule,34.08,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,CARESOURCE,CARESOURCE,,34.73,,fee schedule,34.73,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,PEACHSTATE,PEACHSTATE,,32.46,,fee schedule,32.46,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,AETNA,AETNA,,311.46,87,percent of total billed charges,311.46,32.46,358,percent of total billed charges,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,311.46,87,percent of total billed charges,311.46,32.46,358,percent of total billed charges,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,UNITED HEALTHCARE,UNITED HEALTHCARE,,315.04,88,percent of total billed charges,315.04,32.46,358,percent of total billed charges,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,AETNA,AETNA,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,ALLIANT,ALLIANT,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,AMBETTER,AMBETTER,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,BEECH STREET,BEECH STREET,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,CARESOURCE,CARESOURCE,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,MEDICAID,MEDICAID,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,MEDICARE,MEDICARE,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,NOVA NET,NOVA NET,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,PEACHSTATE,PEACHSTATE,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,SELFPAY,SELFPAY,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,TRICARE,TRICARE,,358,,fee schedule,358,32.46,358,fee schedule,
DYHYDROTESTOSTERONE,80327,CPT,both,,,358,358,UHC MEDICARE,UHC MEDICARE,,358,,fee schedule,358,32.46,358,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS SEROTON 1-2,80332,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,23.64,,fee schedule,23.64,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,24.09,,fee schedule,24.09,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,22.51,,fee schedule,22.51,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,22.51,47,percent of total billed charges,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,22.51,47,percent of total billed charges,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,22.51,47,percent of total billed charges,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 1-2,80335,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,22.51,47,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,23.64,,fee schedule,23.64,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,24.09,,fee schedule,24.09,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,22.51,,fee schedule,22.51,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,22.51,129,percent of total billed charges,
DOXEPIN QT.,80335,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,22.51,129,percent of total billed charges,
DOXEPIN QT.,80335,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,22.51,129,percent of total billed charges,
DOXEPIN QT.,80335,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,22.51,129,fee schedule,
DOXEPIN QT.,80335,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,23.64,,fee schedule,23.64,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,24.09,,fee schedule,24.09,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,22.51,,fee schedule,22.51,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,22.51,129,percent of total billed charges,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,22.51,129,percent of total billed charges,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,22.51,129,percent of total billed charges,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,22.51,129,fee schedule,
IMIPRAMINE QT.,80335,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,23.64,,fee schedule,23.64,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,24.09,,fee schedule,24.09,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,22.51,,fee schedule,22.51,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,22.51,129,percent of total billed charges,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,22.51,129,percent of total billed charges,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,22.51,129,percent of total billed charges,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,22.51,129,fee schedule,
NORTRIPTYLINE QT.,80335,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,22.51,129,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,23.64,,fee schedule,23.64,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,24.09,,fee schedule,24.09,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,22.51,,fee schedule,22.51,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,22.51,47,percent of total billed charges,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,22.51,47,percent of total billed charges,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,22.51,47,percent of total billed charges,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS TRICYCLIC 6+,80337,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,22.51,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ANTI-DEPRESSANTS CONFIRM NOS,80338,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,18.28,,fee schedule,18.28,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,18.63,,fee schedule,18.63,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,17.41,,fee schedule,17.41,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,17.41,278,percent of total billed charges,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,17.41,278,percent of total billed charges,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,17.41,278,percent of total billed charges,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,ALLIANT,ALLIANT,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,AMBETTER,AMBETTER,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,MEDICARE,MEDICARE,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,TRICARE,TRICARE,,278,,fee schedule,278,17.41,278,fee schedule,
CLOBAZAMSERUM,80339,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,278,,fee schedule,278,17.41,278,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,20.56,,fee schedule,20.56,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,20.95,,fee schedule,20.95,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,19.58,,fee schedule,19.58,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,19.58,133,percent of total billed charges,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,19.58,133,percent of total billed charges,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,19.58,133,percent of total billed charges,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,ALLIANT,ALLIANT,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,AMBETTER,AMBETTER,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,MEDICARE,MEDICARE,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,TRICARE,TRICARE,,133,,fee schedule,133,19.58,133,fee schedule,
"ANTIPSYCHOTICS, NOS",80342,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,133,,fee schedule,133,19.58,133,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,15.13,,fee schedule,15.13,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,15.42,,fee schedule,15.42,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,14.41,,fee schedule,14.41,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,14.41,47,percent of total billed charges,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,14.41,47,percent of total billed charges,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,14.41,47,percent of total billed charges,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATE CONFIRMATION,80345,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,14.41,47,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,AMERIGROUP,AMERIGROUP,,15.13,,fee schedule,15.13,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,15.42,,fee schedule,15.42,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,14.41,,fee schedule,14.41,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,AETNA,AETNA,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
BARBITURATES QT.,80345,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.93,87,percent of total billed charges,120.93,14.41,139,percent of total billed charges,
BARBITURATES QT.,80345,CPT,both,,,139,139,UNITED HEALTHCARE,UNITED HEALTHCARE,,122.32,88,percent of total billed charges,122.32,14.41,139,percent of total billed charges,
BARBITURATES QT.,80345,CPT,both,,,139,139,AETNA,AETNA,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,ALLIANT,ALLIANT,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,AMBETTER,AMBETTER,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,BEECH STREET,BEECH STREET,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,MEDICAID,MEDICAID,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,MEDICARE,MEDICARE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,NOVA NET,NOVA NET,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,SELFPAY,SELFPAY,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,TRICARE,TRICARE,,139,,fee schedule,139,14.41,139,fee schedule,
BARBITURATES QT.,80345,CPT,both,,,139,139,UHC MEDICARE,UHC MEDICARE,,139,,fee schedule,139,14.41,139,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,23.26,47,percent of total billed charges,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,23.26,47,percent of total billed charges,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,23.26,47,percent of total billed charges,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE CFM 1-12,80346,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,23.26,47,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,AETNA,AETNA,,292.32,87,percent of total billed charges,292.32,23.26,336,percent of total billed charges,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,292.32,87,percent of total billed charges,292.32,23.26,336,percent of total billed charges,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,UNITED HEALTHCARE,UNITED HEALTHCARE,,295.68,88,percent of total billed charges,295.68,23.26,336,percent of total billed charges,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,AETNA,AETNA,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,ALLIANT,ALLIANT,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,AMBETTER,AMBETTER,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,BEECH STREET,BEECH STREET,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,MEDICAID,MEDICAID,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,MEDICARE,MEDICARE,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,NOVA NET,NOVA NET,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,SELFPAY,SELFPAY,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,TRICARE,TRICARE,,336,,fee schedule,336,23.26,336,fee schedule,
BENZODIAZEPINE SERUM CONF,80346,CPT,both,,,336,336,UHC MEDICARE,UHC MEDICARE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,AETNA,AETNA,,292.32,87,percent of total billed charges,292.32,23.26,336,percent of total billed charges,
CLONOPIN,80346,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,292.32,87,percent of total billed charges,292.32,23.26,336,percent of total billed charges,
CLONOPIN,80346,CPT,both,,,336,336,UNITED HEALTHCARE,UNITED HEALTHCARE,,295.68,88,percent of total billed charges,295.68,23.26,336,percent of total billed charges,
CLONOPIN,80346,CPT,both,,,336,336,AETNA,AETNA,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,ALLIANT,ALLIANT,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,AMBETTER,AMBETTER,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,BEECH STREET,BEECH STREET,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,MEDICAID,MEDICAID,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,MEDICARE,MEDICARE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,NOVA NET,NOVA NET,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,SELFPAY,SELFPAY,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,TRICARE,TRICARE,,336,,fee schedule,336,23.26,336,fee schedule,
CLONOPIN,80346,CPT,both,,,336,336,UHC MEDICARE,UHC MEDICARE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,AETNA,AETNA,,292.32,87,percent of total billed charges,292.32,23.26,336,percent of total billed charges,
LORAZEPAM,80346,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,292.32,87,percent of total billed charges,292.32,23.26,336,percent of total billed charges,
LORAZEPAM,80346,CPT,both,,,336,336,UNITED HEALTHCARE,UNITED HEALTHCARE,,295.68,88,percent of total billed charges,295.68,23.26,336,percent of total billed charges,
LORAZEPAM,80346,CPT,both,,,336,336,AETNA,AETNA,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,ALLIANT,ALLIANT,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,AMBETTER,AMBETTER,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,BEECH STREET,BEECH STREET,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,MEDICAID,MEDICAID,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,MEDICARE,MEDICARE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,NOVA NET,NOVA NET,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,SELFPAY,SELFPAY,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,TRICARE,TRICARE,,336,,fee schedule,336,23.26,336,fee schedule,
LORAZEPAM,80346,CPT,both,,,336,336,UHC MEDICARE,UHC MEDICARE,,336,,fee schedule,336,23.26,336,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
BUPRENORPHINE CONFIRMATION,80348,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOIDS NATURAL,80349,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
CANNABINOID SYNTHETIC 1-3,80350,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,12.66,,fee schedule,12.66,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,12.9,,fee schedule,12.9,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.06,,fee schedule,12.06,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,12.06,134,percent of total billed charges,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,12.06,134,fee schedule,
BENZOYLECGONINE URINE CON,80353,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,12.66,,fee schedule,12.66,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,12.9,,fee schedule,12.9,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.06,,fee schedule,12.06,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,12.06,134,percent of total billed charges,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAETHYLENE URINE CONF,80353,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,12.66,,fee schedule,12.66,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,12.9,,fee schedule,12.9,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,12.06,,fee schedule,12.06,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,12.06,47,percent of total billed charges,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,12.06,47,percent of total billed charges,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,12.06,47,percent of total billed charges,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE CONFIRMATION,80353,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,12.06,47,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,12.66,,fee schedule,12.66,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,12.9,,fee schedule,12.9,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,12.06,,fee schedule,12.06,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,12.06,347,percent of total billed charges,
COCAINE URINE CONF,80353,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,12.06,347,percent of total billed charges,
COCAINE URINE CONF,80353,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,12.06,347,percent of total billed charges,
COCAINE URINE CONF,80353,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,ALLIANT,ALLIANT,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,AMBETTER,AMBETTER,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,MEDICARE,MEDICARE,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,TRICARE,TRICARE,,347,,fee schedule,347,12.06,347,fee schedule,
COCAINE URINE CONF,80353,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,347,,fee schedule,347,12.06,347,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,12.66,,fee schedule,12.66,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,12.9,,fee schedule,12.9,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.06,,fee schedule,12.06,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,12.06,134,percent of total billed charges,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,12.06,134,fee schedule,
ECGONINE METHYLESTER URN,80353,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,12.66,,fee schedule,12.66,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,12.9,,fee schedule,12.9,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.06,,fee schedule,12.06,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,12.06,134,percent of total billed charges,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,12.06,134,percent of total billed charges,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,12.06,134,fee schedule,
HYDROXYBENZOYLECGONINE CO,80353,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,12.06,134,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL CONFIRMATION,80354,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
GABAPENTIN NON BLOOD CFM,80355,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
HEROIN CONFIRMATION,80356,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
KETAMINE/NORKETAMINE CFM,80357,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,AMERIGROUP,AMERIGROUP,,21.56,,fee schedule,21.56,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,21.97,,fee schedule,21.97,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,20.53,,fee schedule,20.53,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,AETNA,AETNA,,292.32,87,percent of total billed charges,292.32,20.53,336,percent of total billed charges,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,292.32,87,percent of total billed charges,292.32,20.53,336,percent of total billed charges,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,UNITED HEALTHCARE,UNITED HEALTHCARE,,295.68,88,percent of total billed charges,295.68,20.53,336,percent of total billed charges,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,AETNA,AETNA,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,ALLIANT,ALLIANT,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,AMBETTER,AMBETTER,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,BEECH STREET,BEECH STREET,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,MEDICAID,MEDICAID,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,MEDICARE,MEDICARE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,NOVA NET,NOVA NET,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,SELFPAY,SELFPAY,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,TRICARE,TRICARE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE  QUANTITATIVE,80358,CPT,both,,,336,336,UHC MEDICARE,UHC MEDICARE,,336,,fee schedule,336,20.53,336,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,21.56,,fee schedule,21.56,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,21.97,,fee schedule,21.97,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,20.53,,fee schedule,20.53,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,20.53,47,percent of total billed charges,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,20.53,47,percent of total billed charges,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,20.53,47,percent of total billed charges,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,20.53,47,fee schedule,
METHADONE CONFIRMATION,80358,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,20.53,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
MDMA/MDEA/MDA CONFIRMATION,80359,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
FENTANYL SERUM,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
FENTANYL SERUM,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
FENTANYL SERUM,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL SERUM,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
FENTANYL URINE,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
FENTANYL URINE,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
FENTANYL URINE,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
FENTANYL URINE,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
HYDROCODONE LEVEL,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
MORPHINE SERUM,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
MORPHINE SERUM,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
MORPHINE SERUM,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
MORPHINE SERUM,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATE CONFIRMATION,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,25.97,47,percent of total billed charges,
OPIATES 1-2,80361,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,25.97,47,percent of total billed charges,
OPIATES 1-2,80361,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,25.97,47,percent of total billed charges,
OPIATES 1-2,80361,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,25.97,47,fee schedule,
OPIATES 1-2,80361,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,25.97,47,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
OXYCODONE,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
OXYCODONE,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
OXYCODONE,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,27.27,,fee schedule,27.27,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,27.79,,fee schedule,27.79,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,25.97,,fee schedule,25.97,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,25.97,279,percent of total billed charges,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,25.97,279,percent of total billed charges,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,25.97,279,fee schedule,
OXYCODONE METABOLITE,80361,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,25.97,279,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,24.47,47,percent of total billed charges,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,24.47,47,fee schedule,
NALOXONE CONFIRMATION,80363,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,24.47,97,percent of total billed charges,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,24.47,97,percent of total billed charges,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,24.47,97,percent of total billed charges,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIATES UR QT CONFIRM,80363,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,24.47,97,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,24.47,47,percent of total billed charges,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3 OR 4,80363,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
OPIOIDS 3-4,80363,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
OPIOIDS 3-4,80363,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,24.47,47,percent of total billed charges,
OPIOIDS 3-4,80363,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 3-4,80363,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,25.69,,fee schedule,25.69,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,26.18,,fee schedule,26.18,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,24.47,,fee schedule,24.47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
OPIOIDS 5+,80364,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,24.47,47,percent of total billed charges,
OPIOIDS 5+,80364,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,24.47,47,percent of total billed charges,
OPIOIDS 5+,80364,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OPIOIDS 5+,80364,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,24.47,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
OXYCODONE CONFIRMATION,80365,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
PREGABALIN CONFIRMATION,80366,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
PROPOXYPHENE CONFIRMATION,80367,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,23.28,,fee schedule,23.28,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,23.72,,fee schedule,23.72,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,22.17,,fee schedule,22.17,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,22.17,331,percent of total billed charges,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,22.17,331,percent of total billed charges,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,22.17,331,percent of total billed charges,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,ALLIANT,ALLIANT,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,AMBETTER,AMBETTER,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,MEDICARE,MEDICARE,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,TRICARE,TRICARE,,331,,fee schedule,331,22.17,331,fee schedule,
CARISOPRODOL SERUM,80369,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,331,,fee schedule,331,22.17,331,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,23.28,,fee schedule,23.28,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,23.72,,fee schedule,23.72,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,22.17,,fee schedule,22.17,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,22.17,47,percent of total billed charges,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,22.17,47,percent of total billed charges,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,22.17,47,percent of total billed charges,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAX 1-2,80369,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,23.28,,fee schedule,23.28,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,23.72,,fee schedule,23.72,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,22.17,,fee schedule,22.17,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,22.17,47,percent of total billed charges,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,22.17,47,percent of total billed charges,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,22.17,47,percent of total billed charges,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,22.17,47,fee schedule,
MUSCLE RELAXANT 3+,80370,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,22.17,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
TAPENTADOL CONFIRMATION,80372,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
TRAMADOL CONFIRMATION,80373,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
STEREOISOMER ANALYSIS,80374,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,18.25,301,percent of total billed charges,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,18.25,301,percent of total billed charges,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,18.25,301,percent of total billed charges,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,ALLIANT,ALLIANT,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,AMBETTER,AMBETTER,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,MEDICARE,MEDICARE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,TRICARE,TRICARE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG LEVEL NOT SPECIFIED,80375,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,301,,fee schedule,301,18.25,301,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,18.25,47,percent of total billed charges,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,18.25,47,percent of total billed charges,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,18.25,47,percent of total billed charges,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,18.25,47,fee schedule,
DRUG/SUBSTANCE NOS 1-3,80375,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,18.25,47,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,21.65,,fee schedule,21.65,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,22.06,,fee schedule,22.06,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,20.62,,fee schedule,20.62,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,TRICARE,TRICARE,,50.14,,fee schedule,50.14,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,20.62,173,percent of total billed charges,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,20.62,173,percent of total billed charges,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,20.62,173,percent of total billed charges,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,20.62,173,fee schedule,
GENOTYPE/PHENOTYPE REVIEW,80503,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,20.62,173,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,AETNA,AETNA,,4107.69,87,percent of total billed charges,4107.69,4107.69,4721.48,percent of total billed charges,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4107.69,87,percent of total billed charges,4107.69,4107.69,4721.48,percent of total billed charges,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,UNITED HEALTHCARE,UNITED HEALTHCARE,,4154.9,88,percent of total billed charges,4154.9,4107.69,4721.48,percent of total billed charges,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,AETNA,AETNA,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,ALLIANT,ALLIANT,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,AMBETTER,AMBETTER,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,BEECH STREET,BEECH STREET,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,CARESOURCE,CARESOURCE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,MEDICAID,MEDICAID,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,MEDICARE,MEDICARE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,NOVA NET,NOVA NET,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,PEACHSTATE,PEACHSTATE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,SELFPAY,SELFPAY,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,TRICARE,TRICARE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,807,DRG,inpatient,,,4721.48,4721.48,UHC MEDICARE,UHC MEDICARE,,4721.48,,fee schedule,4721.48,4107.69,4721.48,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,AETNA,AETNA,,20435.52,87,percent of total billed charges,20435.52,20435.52,23489.1,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20435.52,87,percent of total billed charges,20435.52,20435.52,23489.1,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,UNITED HEALTHCARE,UNITED HEALTHCARE,,20670.41,88,percent of total billed charges,20670.41,20435.52,23489.1,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,AETNA,AETNA,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,ALLIANT,ALLIANT,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,AMBETTER,AMBETTER,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,BEECH STREET,BEECH STREET,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,CARESOURCE,CARESOURCE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,MEDICAID,MEDICAID,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,MEDICARE,MEDICARE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,NOVA NET,NOVA NET,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,PEACHSTATE,PEACHSTATE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,SELFPAY,SELFPAY,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,TRICARE,TRICARE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,808,DRG,inpatient,,,23489.1,23489.1,UHC MEDICARE,UHC MEDICARE,,23489.1,,fee schedule,23489.1,20435.52,23489.1,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,AETNA,AETNA,,27563.63,87,percent of total billed charges,27563.63,27563.63,31682.33,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27563.63,87,percent of total billed charges,27563.63,27563.63,31682.33,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,27880.45,88,percent of total billed charges,27880.45,27563.63,31682.33,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,AETNA,AETNA,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,ALLIANT,ALLIANT,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,AMBETTER,AMBETTER,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,BEECH STREET,BEECH STREET,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,CARESOURCE,CARESOURCE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,MEDICAID,MEDICAID,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,MEDICARE,MEDICARE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,NOVA NET,NOVA NET,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,PEACHSTATE,PEACHSTATE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,SELFPAY,SELFPAY,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,TRICARE,TRICARE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,809,DRG,inpatient,,,31682.33,31682.33,UHC MEDICARE,UHC MEDICARE,,31682.33,,fee schedule,31682.33,27563.63,31682.33,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,AETNA,AETNA,,8513.38,87,percent of total billed charges,8513.38,8513.38,9785.49,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8513.38,87,percent of total billed charges,8513.38,8513.38,9785.49,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,UNITED HEALTHCARE,UNITED HEALTHCARE,,8611.23,88,percent of total billed charges,8611.23,8513.38,9785.49,percent of total billed charges,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,AETNA,AETNA,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,ALLIANT,ALLIANT,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,AMBETTER,AMBETTER,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,BEECH STREET,BEECH STREET,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,CARESOURCE,CARESOURCE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,MEDICAID,MEDICAID,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,MEDICARE,MEDICARE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,NOVA NET,NOVA NET,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,PEACHSTATE,PEACHSTATE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,SELFPAY,SELFPAY,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,TRICARE,TRICARE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,810,DRG,inpatient,,,9785.49,9785.49,UHC MEDICARE,UHC MEDICARE,,9785.49,,fee schedule,9785.49,8513.38,9785.49,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,ALLIANT,ALLIANT,,6.63,,fee schedule,6.63,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,AMBETTER,AMBETTER,,5.23,,fee schedule,5.23,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,MEDICARE,MEDICARE,,4.02,,fee schedule,4.02,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,TRICARE,TRICARE,,4.02,,fee schedule,4.02,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,4.02,,fee schedule,4.02,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,3.99,35,percent of total billed charges,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,3.99,35,percent of total billed charges,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,3.99,35,percent of total billed charges,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,3.99,35,fee schedule,
URINALYSIS WITH MICRO,81000,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,3.99,35,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,ALLIANT,ALLIANT,,5.23,,fee schedule,5.23,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,AMBETTER,AMBETTER,,4.12,,fee schedule,4.12,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,MEDICARE,MEDICARE,,3.17,,fee schedule,3.17,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,TRICARE,TRICARE,,3.17,,fee schedule,3.17,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,3.17,,fee schedule,3.17,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,3.17,116,percent of total billed charges,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,3.17,116,percent of total billed charges,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,3.17,116,percent of total billed charges,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,3.17,116,fee schedule,
ROUTINE UA PRENATAL PROFI,81001,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,ALLIANT,ALLIANT,,5.23,,fee schedule,5.23,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,AMBETTER,AMBETTER,,4.12,,fee schedule,4.12,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,MEDICARE,MEDICARE,,3.17,,fee schedule,3.17,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,TRICARE,TRICARE,,3.17,,fee schedule,3.17,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,3.17,,fee schedule,3.17,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,3.17,116,percent of total billed charges,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,3.17,116,percent of total billed charges,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,3.17,116,percent of total billed charges,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,3.17,116,fee schedule,
URINALYSIS WITH MICROSCOP,81001,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,3.17,116,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,ALLIANT,ALLIANT,,5.74,,fee schedule,5.74,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,AMBETTER,AMBETTER,,4.52,,fee schedule,4.52,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,AMERIGROUP,AMERIGROUP,,3.37,,fee schedule,3.37,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,3.43,,fee schedule,3.43,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,MEDICARE,MEDICARE,,3.48,,fee schedule,3.48,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,3.21,,fee schedule,3.21,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,TRICARE,TRICARE,,3.48,,fee schedule,3.48,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,3.48,,fee schedule,3.48,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,3.21,128,percent of total billed charges,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,3.21,128,percent of total billed charges,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,3.21,128,percent of total billed charges,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,3.21,128,fee schedule,
KETONE BODIES: URINE,81002,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,3.21,128,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,ALLIANT,ALLIANT,,5.74,,fee schedule,5.74,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,AMBETTER,AMBETTER,,4.52,,fee schedule,4.52,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,3.37,,fee schedule,3.37,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,3.43,,fee schedule,3.43,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,MEDICARE,MEDICARE,,3.48,,fee schedule,3.48,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,3.21,,fee schedule,3.21,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,TRICARE,TRICARE,,3.48,,fee schedule,3.48,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,3.48,,fee schedule,3.48,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,3.21,27,percent of total billed charges,
URINALYSIS,81002,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,3.21,27,percent of total billed charges,
URINALYSIS,81002,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,3.21,27,percent of total billed charges,
URINALYSIS,81002,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS,81002,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,ALLIANT,ALLIANT,,5.74,,fee schedule,5.74,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,AMBETTER,AMBETTER,,4.52,,fee schedule,4.52,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,3.37,,fee schedule,3.37,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,3.43,,fee schedule,3.43,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,MEDICARE,MEDICARE,,3.48,,fee schedule,3.48,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,3.21,,fee schedule,3.21,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,TRICARE,TRICARE,,3.48,,fee schedule,3.48,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,3.48,,fee schedule,3.48,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,3.21,27,percent of total billed charges,
URINALYSIS-MCR,81002,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,3.21,27,percent of total billed charges,
URINALYSIS-MCR,81002,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,3.21,27,percent of total billed charges,
URINALYSIS-MCR,81002,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,3.21,27,fee schedule,
URINALYSIS-MCR,81002,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,3.21,27,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,ALLIANT,ALLIANT,,3.71,,fee schedule,3.71,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,AMBETTER,AMBETTER,,2.93,,fee schedule,2.93,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,2.97,,fee schedule,2.97,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,3.03,,fee schedule,3.03,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,MEDICARE,MEDICARE,,2.25,,fee schedule,2.25,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,2.83,,fee schedule,2.83,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,TRICARE,TRICARE,,2.25,,fee schedule,2.25,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,2.25,,fee schedule,2.25,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,2.25,47,percent of total billed charges,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,2.25,47,percent of total billed charges,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,2.25,47,percent of total billed charges,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,2.25,47,fee schedule,
SPECIFIC GRAVITY,81003,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,2.25,47,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,ALLIANT,ALLIANT,,3.71,,fee schedule,3.71,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,AMBETTER,AMBETTER,,2.93,,fee schedule,2.93,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,2.97,,fee schedule,2.97,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,3.03,,fee schedule,3.03,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,MEDICARE,MEDICARE,,2.25,,fee schedule,2.25,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,2.83,,fee schedule,2.83,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,TRICARE,TRICARE,,2.25,,fee schedule,2.25,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,2.25,,fee schedule,2.25,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,2.25,70,percent of total billed charges,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,2.25,70,percent of total billed charges,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,2.25,70,percent of total billed charges,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,2.25,70,fee schedule,
URINALYSIS W/O MICROSCOPY,81003,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,2.25,70,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,ALLIANT,ALLIANT,,3.58,,fee schedule,3.58,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,AMBETTER,AMBETTER,,2.82,,fee schedule,2.82,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,2.87,,fee schedule,2.87,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,2.92,,fee schedule,2.92,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,MEDICARE,MEDICARE,,2.17,,fee schedule,2.17,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,2.73,,fee schedule,2.73,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,TRICARE,TRICARE,,2.17,,fee schedule,2.17,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,2.17,,fee schedule,2.17,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,2.17,116,percent of total billed charges,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,2.17,116,percent of total billed charges,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,2.17,116,percent of total billed charges,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,2.17,116,fee schedule,
REDUCING SUBSTANCES,81005,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,2.17,116,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,ALLIANT,ALLIANT,,5.03,,fee schedule,5.03,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,AMBETTER,AMBETTER,,3.97,,fee schedule,3.97,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,4.09,,fee schedule,4.09,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,MEDICARE,MEDICARE,,3.05,,fee schedule,3.05,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,TRICARE,TRICARE,,3.05,,fee schedule,3.05,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,3.05,,fee schedule,3.05,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,3.05,39,percent of total billed charges,
URINE MICROSCOPY,81015,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,3.05,39,percent of total billed charges,
URINE MICROSCOPY,81015,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,3.05,39,percent of total billed charges,
URINE MICROSCOPY,81015,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,3.05,39,fee schedule,
URINE MICROSCOPY,81015,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,3.05,39,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,8.36,,fee schedule,8.36,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,8.52,,fee schedule,8.52,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,7.96,,fee schedule,7.96,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,TRICARE,TRICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,7.96,46,percent of total billed charges,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,7.96,46,percent of total billed charges,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,7.96,46,percent of total billed charges,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,7.96,46,fee schedule,
PREG TEST:URINE-FAMILY PL,81025,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,8.36,,fee schedule,8.36,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,8.52,,fee schedule,8.52,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,7.96,,fee schedule,7.96,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,TRICARE,TRICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,8.36,,fee schedule,8.36,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,8.52,,fee schedule,8.52,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,7.96,,fee schedule,7.96,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,TRICARE,TRICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,8.36,,fee schedule,8.36,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,8.52,,fee schedule,8.52,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,7.96,,fee schedule,7.96,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,TRICARE,TRICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,7.96,46,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,7.96,46,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,7.96,46,percent of total billed charges,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE,81025,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,7.96,46,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,8.36,,fee schedule,8.36,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,8.52,,fee schedule,8.52,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,7.96,,fee schedule,7.96,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,TRICARE,TRICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,7.96,112,percent of total billed charges,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,7.96,112,fee schedule,
PREGNANCY TEST URINE (HC,81025,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,7.96,112,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,8.36,,fee schedule,8.36,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,8.52,,fee schedule,8.52,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,7.96,,fee schedule,7.96,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,TRICARE,TRICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,7.96,46,percent of total billed charges,
URINE PREG-MCR,81025,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,7.96,46,percent of total billed charges,
URINE PREG-MCR,81025,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,7.96,46,percent of total billed charges,
URINE PREG-MCR,81025,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,7.96,46,fee schedule,
URINE PREG-MCR,81025,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,7.96,46,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,AETNA,AETNA,,25992.62,87,percent of total billed charges,25992.62,25992.62,29876.57,percent of total billed charges,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25992.62,87,percent of total billed charges,25992.62,25992.62,29876.57,percent of total billed charges,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,UNITED HEALTHCARE,UNITED HEALTHCARE,,26291.38,88,percent of total billed charges,26291.38,25992.62,29876.57,percent of total billed charges,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,AETNA,AETNA,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,ALLIANT,ALLIANT,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,AMBETTER,AMBETTER,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,BEECH STREET,BEECH STREET,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,CARESOURCE,CARESOURCE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,MEDICAID,MEDICAID,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,MEDICARE,MEDICARE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,NOVA NET,NOVA NET,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,PEACHSTATE,PEACHSTATE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,SELFPAY,SELFPAY,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,TRICARE,TRICARE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
RED BLOOD CELL DISORDERS W MCC,811,DRG,inpatient,,,29876.57,29876.57,UHC MEDICARE,UHC MEDICARE,,29876.57,,fee schedule,29876.57,25992.62,29876.57,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,ALLIANT,ALLIANT,,3011.05,,fee schedule,3011.05,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,AMBETTER,AMBETTER,,2372.34,,fee schedule,2372.34,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,AMERIGROUP,AMERIGROUP,,2088.12,,fee schedule,2088.12,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,CARESOURCE,CARESOURCE,,2127.9,,fee schedule,2127.9,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,MEDICARE,MEDICARE,,1824.88,,fee schedule,1824.88,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,PEACHSTATE,PEACHSTATE,,1988.69,,fee schedule,1988.69,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,TRICARE,TRICARE,,1824.88,,fee schedule,1824.88,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,UHC MEDICARE,UHC MEDICARE,,1824.88,,fee schedule,1824.88,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,AETNA,AETNA,,5895.12,87,percent of total billed charges,5895.12,1824.88,6776,percent of total billed charges,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5895.12,87,percent of total billed charges,5895.12,1824.88,6776,percent of total billed charges,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,UNITED HEALTHCARE,UNITED HEALTHCARE,,5962.88,88,percent of total billed charges,5962.88,1824.88,6776,percent of total billed charges,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,AETNA,AETNA,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,BEECH STREET,BEECH STREET,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,CARESOURCE,CARESOURCE,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,MEDICAID,MEDICAID,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,NOVA NET,NOVA NET,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,PEACHSTATE,PEACHSTATE,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,SELFPAY,SELFPAY,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA 1&2 GENE FULL SEQUENCE,81162,CPT,both,,,6776,6776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6776,,fee schedule,6776,1824.88,6776,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,ALLIANT,ALLIANT,,963.98,,fee schedule,963.98,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,AMBETTER,AMBETTER,,759.5,,fee schedule,759.5,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,AMERIGROUP,AMERIGROUP,,490.75,,fee schedule,490.75,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,CARESOURCE,CARESOURCE,,500.1,,fee schedule,500.1,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,MEDICARE,MEDICARE,,584.23,,fee schedule,584.23,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,PEACHSTATE,PEACHSTATE,,467.38,,fee schedule,467.38,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,TRICARE,TRICARE,,584.23,,fee schedule,584.23,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,UHC MEDICARE,UHC MEDICARE,,584.23,,fee schedule,584.23,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,AETNA,AETNA,,888.27,87,percent of total billed charges,888.27,467.38,1021,percent of total billed charges,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,888.27,87,percent of total billed charges,888.27,467.38,1021,percent of total billed charges,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,UNITED HEALTHCARE,UNITED HEALTHCARE,,898.48,88,percent of total billed charges,898.48,467.38,1021,percent of total billed charges,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,AETNA,AETNA,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,BEECH STREET,BEECH STREET,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,CARESOURCE,CARESOURCE,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,MEDICAID,MEDICAID,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,NOVA NET,NOVA NET,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,PEACHSTATE,PEACHSTATE,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,SELFPAY,SELFPAY,,1021,,fee schedule,1021,467.38,1021,fee schedule,
BCRA1 & BCRA2 GENE ANALYSIS,81164,CPT,both,,,1021,1021,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1021,,fee schedule,1021,467.38,1021,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,ALLIANT,ALLIANT,,495,,fee schedule,495,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,AMBETTER,AMBETTER,,390,,fee schedule,390,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,AMERIGROUP,AMERIGROUP,,276.79,,fee schedule,276.79,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,282.06,,fee schedule,282.06,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,MEDICARE,MEDICARE,,300,,fee schedule,300,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,263.61,,fee schedule,263.61,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,TRICARE,TRICARE,,300,,fee schedule,300,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,UHC MEDICARE,UHC MEDICARE,,300,,fee schedule,300,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,AETNA,AETNA,,536.79,87,percent of total billed charges,536.79,263.61,617,percent of total billed charges,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,536.79,87,percent of total billed charges,536.79,263.61,617,percent of total billed charges,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.96,88,percent of total billed charges,542.96,263.61,617,percent of total billed charges,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,AETNA,AETNA,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,BEECH STREET,BEECH STREET,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,MEDICAID,MEDICAID,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,NOVA NET,NOVA NET,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,SELFPAY,SELFPAY,,617,,fee schedule,617,263.61,617,fee schedule,
ABL KINASE DOMAIN MUTATION,81170,CPT,both,,,617,617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,617,,fee schedule,617,263.61,617,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,AETNA,AETNA,,15759.27,87,percent of total billed charges,15759.27,15759.27,18114.1,percent of total billed charges,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15759.27,87,percent of total billed charges,15759.27,15759.27,18114.1,percent of total billed charges,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,UNITED HEALTHCARE,UNITED HEALTHCARE,,15940.41,88,percent of total billed charges,15940.41,15759.27,18114.1,percent of total billed charges,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,AETNA,AETNA,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,ALLIANT,ALLIANT,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,AMBETTER,AMBETTER,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,BEECH STREET,BEECH STREET,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,CARESOURCE,CARESOURCE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,MEDICAID,MEDICAID,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,MEDICARE,MEDICARE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,NOVA NET,NOVA NET,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,PEACHSTATE,PEACHSTATE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,SELFPAY,SELFPAY,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,TRICARE,TRICARE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
RED BLOOD CELL DISORDERS W/O MCC,812,DRG,inpatient,,,18114.1,18114.1,UHC MEDICARE,UHC MEDICARE,,18114.1,,fee schedule,18114.1,15759.27,18114.1,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,ALLIANT,ALLIANT,,1287,,fee schedule,1287,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,AMBETTER,AMBETTER,,1014,,fee schedule,1014,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,MEDICARE,MEDICARE,,780,,fee schedule,780,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,TRICARE,TRICARE,,780,,fee schedule,780,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,UHC MEDICARE,UHC MEDICARE,,780,,fee schedule,780,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,AETNA,AETNA,,1821.78,87,percent of total billed charges,1821.78,98.4,2094,percent of total billed charges,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1821.78,87,percent of total billed charges,1821.78,98.4,2094,percent of total billed charges,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,UNITED HEALTHCARE,UNITED HEALTHCARE,,1842.72,88,percent of total billed charges,1842.72,98.4,2094,percent of total billed charges,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,AETNA,AETNA,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,BEECH STREET,BEECH STREET,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,CARESOURCE,CARESOURCE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,MEDICAID,MEDICAID,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,NOVA NET,NOVA NET,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,PEACHSTATE,PEACHSTATE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,SELFPAY,SELFPAY,,2094,,fee schedule,2094,98.4,2094,fee schedule,
APC GENE ANALYSIS,81201,CPT,both,,,2094,2094,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,ALLIANT,ALLIANT,,330,,fee schedule,330,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,AMBETTER,AMBETTER,,260,,fee schedule,260,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,MEDICARE,MEDICARE,,200,,fee schedule,200,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,TRICARE,TRICARE,,200,,fee schedule,200,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,UHC MEDICARE,UHC MEDICARE,,200,,fee schedule,200,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,AETNA,AETNA,,1821.78,87,percent of total billed charges,1821.78,98.4,2094,percent of total billed charges,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1821.78,87,percent of total billed charges,1821.78,98.4,2094,percent of total billed charges,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,UNITED HEALTHCARE,UNITED HEALTHCARE,,1842.72,88,percent of total billed charges,1842.72,98.4,2094,percent of total billed charges,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,AETNA,AETNA,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,BEECH STREET,BEECH STREET,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,CARESOURCE,CARESOURCE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,MEDICAID,MEDICAID,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,NOVA NET,NOVA NET,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,PEACHSTATE,PEACHSTATE,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,SELFPAY,SELFPAY,,2094,,fee schedule,2094,98.4,2094,fee schedule,
DUPLICATION/DELETION VARIENTS,81203,CPT,both,,,2094,2094,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2094,,fee schedule,2094,98.4,2094,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,ALLIANT,ALLIANT,,270.53,,fee schedule,270.53,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,AMBETTER,AMBETTER,,213.15,,fee schedule,213.15,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,MEDICARE,MEDICARE,,163.96,,fee schedule,163.96,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,TRICARE,TRICARE,,163.96,,fee schedule,163.96,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,UHC MEDICARE,UHC MEDICARE,,163.96,,fee schedule,163.96,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,AETNA,AETNA,,507.21,87,percent of total billed charges,507.21,98.4,583,percent of total billed charges,
BCR-ABL QT,81206,CPT,both,,,583,583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,507.21,87,percent of total billed charges,507.21,98.4,583,percent of total billed charges,
BCR-ABL QT,81206,CPT,both,,,583,583,UNITED HEALTHCARE,UNITED HEALTHCARE,,513.04,88,percent of total billed charges,513.04,98.4,583,percent of total billed charges,
BCR-ABL QT,81206,CPT,both,,,583,583,AETNA,AETNA,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,BEECH STREET,BEECH STREET,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,CARESOURCE,CARESOURCE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,MEDICAID,MEDICAID,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,NOVA NET,NOVA NET,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,PEACHSTATE,PEACHSTATE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,SELFPAY,SELFPAY,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT,81206,CPT,both,,,583,583,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,ALLIANT,ALLIANT,,270.53,,fee schedule,270.53,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,AMBETTER,AMBETTER,,213.15,,fee schedule,213.15,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,MEDICARE,MEDICARE,,163.96,,fee schedule,163.96,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,TRICARE,TRICARE,,163.96,,fee schedule,163.96,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,UHC MEDICARE,UHC MEDICARE,,163.96,,fee schedule,163.96,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,AETNA,AETNA,,507.21,87,percent of total billed charges,507.21,98.4,583,percent of total billed charges,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,507.21,87,percent of total billed charges,507.21,98.4,583,percent of total billed charges,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,UNITED HEALTHCARE,UNITED HEALTHCARE,,513.04,88,percent of total billed charges,513.04,98.4,583,percent of total billed charges,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,AETNA,AETNA,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,BEECH STREET,BEECH STREET,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,CARESOURCE,CARESOURCE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,MEDICAID,MEDICAID,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,NOVA NET,NOVA NET,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,PEACHSTATE,PEACHSTATE,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,SELFPAY,SELFPAY,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT-TC,81206,CPT,both,,,583,583,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,583,,fee schedule,583,98.4,583,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,ALLIANT,ALLIANT,,238.99,,fee schedule,238.99,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,AMBETTER,AMBETTER,,188.29,,fee schedule,188.29,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,MEDICARE,MEDICARE,,144.84,,fee schedule,144.84,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,TRICARE,TRICARE,,144.84,,fee schedule,144.84,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,144.84,,fee schedule,144.84,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,98.4,238.99,percent of total billed charges,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,98.4,238.99,percent of total billed charges,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,98.4,238.99,percent of total billed charges,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPO,81207,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,ALLIANT,ALLIANT,,238.99,,fee schedule,238.99,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,AMBETTER,AMBETTER,,188.29,,fee schedule,188.29,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,MEDICARE,MEDICARE,,144.84,,fee schedule,144.84,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,TRICARE,TRICARE,,144.84,,fee schedule,144.84,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,144.84,,fee schedule,144.84,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,98.4,238.99,percent of total billed charges,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,98.4,238.99,percent of total billed charges,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,98.4,238.99,percent of total billed charges,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,98.4,238.99,fee schedule,
BCR-ABL QT MINOR BREAKPOINT,81207,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,98.4,238.99,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,ALLIANT,ALLIANT,,289.41,,fee schedule,289.41,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,AMBETTER,AMBETTER,,228.02,,fee schedule,228.02,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,MEDICARE,MEDICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,TRICARE,TRICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,98.4,681,percent of total billed charges,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,98.4,681,percent of total billed charges,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,98.4,681,percent of total billed charges,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION - TC,81210,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,ALLIANT,ALLIANT,,289.41,,fee schedule,289.41,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,AMBETTER,AMBETTER,,228.02,,fee schedule,228.02,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,MEDICARE,MEDICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,TRICARE,TRICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,98.4,681,percent of total billed charges,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,98.4,681,percent of total billed charges,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,98.4,681,percent of total billed charges,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,98.4,681,fee schedule,
BRAF MUTATION ANALYSIS,81210,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,ALLIANT,ALLIANT,,289.41,,fee schedule,289.41,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,AMBETTER,AMBETTER,,228.02,,fee schedule,228.02,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,MEDICARE,MEDICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,TRICARE,TRICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,175.4,,fee schedule,175.4,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,98.4,681,percent of total billed charges,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,98.4,681,percent of total billed charges,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,98.4,681,percent of total billed charges,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,98.4,681,fee schedule,
MOL81210 BRAF MUTATION ANALYSI,81210,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,98.4,681,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,ALLIANT,ALLIANT,,200.69,,fee schedule,200.69,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,AMBETTER,AMBETTER,,158.12,,fee schedule,158.12,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,AMERIGROUP,AMERIGROUP,,139.17,,fee schedule,139.17,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,141.82,,fee schedule,141.82,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,MEDICARE,MEDICARE,,121.63,,fee schedule,121.63,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,132.54,,fee schedule,132.54,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,TRICARE,TRICARE,,121.63,,fee schedule,121.63,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,UHC MEDICARE,UHC MEDICARE,,121.63,,fee schedule,121.63,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,AETNA,AETNA,,629.01,87,percent of total billed charges,629.01,121.63,723,percent of total billed charges,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629.01,87,percent of total billed charges,629.01,121.63,723,percent of total billed charges,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,UNITED HEALTHCARE,UNITED HEALTHCARE,,636.24,88,percent of total billed charges,636.24,121.63,723,percent of total billed charges,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,AETNA,AETNA,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,BEECH STREET,BEECH STREET,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,MEDICAID,MEDICAID,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,NOVA NET,NOVA NET,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,SELFPAY,SELFPAY,,723,,fee schedule,723,121.63,723,fee schedule,
CALRETICULIN MUTATION AN,81219,CPT,both,,,723,723,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,723,,fee schedule,723,121.63,723,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,ALLIANT,ALLIANT,,200.69,,fee schedule,200.69,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,AMBETTER,AMBETTER,,158.12,,fee schedule,158.12,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,AMERIGROUP,AMERIGROUP,,139.17,,fee schedule,139.17,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,CARESOURCE,CARESOURCE,,141.82,,fee schedule,141.82,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,MEDICARE,MEDICARE,,121.63,,fee schedule,121.63,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,PEACHSTATE,PEACHSTATE,,132.54,,fee schedule,132.54,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,TRICARE,TRICARE,,121.63,,fee schedule,121.63,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,UHC MEDICARE,UHC MEDICARE,,121.63,,fee schedule,121.63,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,AETNA,AETNA,,284.49,87,percent of total billed charges,284.49,121.63,327,percent of total billed charges,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,284.49,87,percent of total billed charges,284.49,121.63,327,percent of total billed charges,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,UNITED HEALTHCARE,UNITED HEALTHCARE,,287.76,88,percent of total billed charges,287.76,121.63,327,percent of total billed charges,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,AETNA,AETNA,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,BEECH STREET,BEECH STREET,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,CARESOURCE,CARESOURCE,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,MEDICAID,MEDICAID,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,NOVA NET,NOVA NET,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,PEACHSTATE,PEACHSTATE,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,SELFPAY,SELFPAY,,327,,fee schedule,327,121.63,327,fee schedule,
MOLCALR.EXTRFL CALR MUT ANALYS,81219,CPT,both,,,327,327,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,327,,fee schedule,327,121.63,327,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,ALLIANT,ALLIANT,,918.39,,fee schedule,918.39,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,AMBETTER,AMBETTER,,723.58,,fee schedule,723.58,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,1008,,fee schedule,1008,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,1027.2,,fee schedule,1027.2,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,MEDICARE,MEDICARE,,556.6,,fee schedule,556.6,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,960,,fee schedule,960,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,TRICARE,TRICARE,,556.6,,fee schedule,556.6,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,556.6,,fee schedule,556.6,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,252.3,1027.2,percent of total billed charges,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,252.3,1027.2,percent of total billed charges,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,252.3,1027.2,percent of total billed charges,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,252.3,1027.2,fee schedule,
CYSTIC FIBROSIS SCREEN,81220,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,ALLIANT,ALLIANT,,918.39,,fee schedule,918.39,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,AMBETTER,AMBETTER,,723.58,,fee schedule,723.58,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,1008,,fee schedule,1008,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,1027.2,,fee schedule,1027.2,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,MEDICARE,MEDICARE,,556.6,,fee schedule,556.6,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,960,,fee schedule,960,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,TRICARE,TRICARE,,556.6,,fee schedule,556.6,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,556.6,,fee schedule,556.6,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,252.3,1027.2,percent of total billed charges,
PYRUVATE KINASE,81220,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,252.3,1027.2,percent of total billed charges,
PYRUVATE KINASE,81220,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,252.3,1027.2,percent of total billed charges,
PYRUVATE KINASE,81220,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,252.3,1027.2,fee schedule,
PYRUVATE KINASE,81220,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,252.3,1027.2,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,ALLIANT,ALLIANT,,1914,,fee schedule,1914,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,AMBETTER,AMBETTER,,1508,,fee schedule,1508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,AMERIGROUP,AMERIGROUP,,2436,,fee schedule,2436,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,CARESOURCE,CARESOURCE,,2482.4,,fee schedule,2482.4,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,MEDICARE,MEDICARE,,1160,,fee schedule,1160,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,PEACHSTATE,PEACHSTATE,,2320,,fee schedule,2320,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,TRICARE,TRICARE,,1160,,fee schedule,1160,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,UHC MEDICARE,UHC MEDICARE,,1160,,fee schedule,1160,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,AETNA,AETNA,,441.96,87,percent of total billed charges,441.96,441.96,2482.4,percent of total billed charges,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,441.96,87,percent of total billed charges,441.96,441.96,2482.4,percent of total billed charges,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,UNITED HEALTHCARE,UNITED HEALTHCARE,,447.04,88,percent of total billed charges,447.04,441.96,2482.4,percent of total billed charges,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,AETNA,AETNA,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,BEECH STREET,BEECH STREET,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,CARESOURCE,CARESOURCE,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,MEDICAID,MEDICAID,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,NOVA NET,NOVA NET,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,PEACHSTATE,PEACHSTATE,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,SELFPAY,SELFPAY,,508,,fee schedule,508,441.96,2482.4,fee schedule,
SNP VARIANT FOR CHROMOSOM,81229,CPT,both,,,508,508,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,508,,fee schedule,508,441.96,2482.4,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,ALLIANT,ALLIANT,,288.44,,fee schedule,288.44,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,AMBETTER,AMBETTER,,227.25,,fee schedule,227.25,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,AMERIGROUP,AMERIGROUP,,146.84,,fee schedule,146.84,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,CARESOURCE,CARESOURCE,,149.64,,fee schedule,149.64,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,MEDICARE,MEDICARE,,174.81,,fee schedule,174.81,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,PEACHSTATE,PEACHSTATE,,139.85,,fee schedule,139.85,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,TRICARE,TRICARE,,174.81,,fee schedule,174.81,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,UHC MEDICARE,UHC MEDICARE,,174.81,,fee schedule,174.81,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,AETNA,AETNA,,524.61,87,percent of total billed charges,524.61,139.85,603,percent of total billed charges,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,524.61,87,percent of total billed charges,524.61,139.85,603,percent of total billed charges,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,UNITED HEALTHCARE,UNITED HEALTHCARE,,530.64,88,percent of total billed charges,530.64,139.85,603,percent of total billed charges,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,AETNA,AETNA,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,BEECH STREET,BEECH STREET,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,CARESOURCE,CARESOURCE,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,MEDICAID,MEDICAID,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,NOVA NET,NOVA NET,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,PEACHSTATE,PEACHSTATE,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,SELFPAY,SELFPAY,,603,,fee schedule,603,139.85,603,fee schedule,
DPYD GENE ANALYSIS,81232,CPT,both,,,603,603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,603,,fee schedule,603,139.85,603,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,ALLIANT,ALLIANT,,535.56,,fee schedule,535.56,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,AMBETTER,AMBETTER,,421.95,,fee schedule,421.95,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,MEDICARE,MEDICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,TRICARE,TRICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,UHC MEDICARE,UHC MEDICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,AETNA,AETNA,,536.79,87,percent of total billed charges,536.79,98.4,617,percent of total billed charges,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,536.79,87,percent of total billed charges,536.79,98.4,617,percent of total billed charges,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.96,88,percent of total billed charges,542.96,98.4,617,percent of total billed charges,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,AETNA,AETNA,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,BEECH STREET,BEECH STREET,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,MEDICAID,MEDICAID,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,NOVA NET,NOVA NET,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,SELFPAY,SELFPAY,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION - TC,81235,CPT,both,,,617,617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,ALLIANT,ALLIANT,,535.56,,fee schedule,535.56,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AMBETTER,AMBETTER,,421.95,,fee schedule,421.95,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,MEDICARE,MEDICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,TRICARE,TRICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,UHC MEDICARE,UHC MEDICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AETNA,AETNA,,536.79,87,percent of total billed charges,536.79,98.4,617,percent of total billed charges,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,536.79,87,percent of total billed charges,536.79,98.4,617,percent of total billed charges,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.96,88,percent of total billed charges,542.96,98.4,617,percent of total billed charges,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AETNA,AETNA,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,BEECH STREET,BEECH STREET,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,MEDICAID,MEDICAID,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,NOVA NET,NOVA NET,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,SELFPAY,SELFPAY,,617,,fee schedule,617,98.4,617,fee schedule,
EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,ALLIANT,ALLIANT,,535.56,,fee schedule,535.56,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AMBETTER,AMBETTER,,421.95,,fee schedule,421.95,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,MEDICARE,MEDICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,TRICARE,TRICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,UHC MEDICARE,UHC MEDICARE,,324.58,,fee schedule,324.58,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AETNA,AETNA,,536.79,87,percent of total billed charges,536.79,98.4,617,percent of total billed charges,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,536.79,87,percent of total billed charges,536.79,98.4,617,percent of total billed charges,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.96,88,percent of total billed charges,542.96,98.4,617,percent of total billed charges,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,AETNA,AETNA,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,BEECH STREET,BEECH STREET,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,MEDICAID,MEDICAID,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,NOVA NET,NOVA NET,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,SELFPAY,SELFPAY,,617,,fee schedule,617,98.4,617,fee schedule,
MOLEGFR EGFR MUTATION ANALYSIS,81235,CPT,both,,,617,617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,617,,fee schedule,617,98.4,617,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,ALLIANT,ALLIANT,,108.39,,fee schedule,108.39,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,AMBETTER,AMBETTER,,85.4,,fee schedule,85.4,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,MEDICARE,MEDICARE,,65.69,,fee schedule,65.69,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,TRICARE,TRICARE,,65.69,,fee schedule,65.69,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,UHC MEDICARE,UHC MEDICARE,,65.69,,fee schedule,65.69,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,AETNA,AETNA,,860.43,87,percent of total billed charges,860.43,40,989,percent of total billed charges,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,860.43,87,percent of total billed charges,860.43,40,989,percent of total billed charges,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,UNITED HEALTHCARE,UNITED HEALTHCARE,,870.32,88,percent of total billed charges,870.32,40,989,percent of total billed charges,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,AETNA,AETNA,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,BEECH STREET,BEECH STREET,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,CARESOURCE,CARESOURCE,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,MEDICAID,MEDICAID,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,NOVA NET,NOVA NET,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,PEACHSTATE,PEACHSTATE,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,SELFPAY,SELFPAY,,989,,fee schedule,989,40,989,fee schedule,
PROTHROMBIN GENE MUTATION,81240,CPT,both,,,989,989,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,989,,fee schedule,989,40,989,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,ALLIANT,ALLIANT,,121.06,,fee schedule,121.06,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,AMBETTER,AMBETTER,,95.38,,fee schedule,95.38,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,MEDICARE,MEDICARE,,73.37,,fee schedule,73.37,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,TRICARE,TRICARE,,73.37,,fee schedule,73.37,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,73.37,,fee schedule,73.37,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,40,322,percent of total billed charges,
FACTOR V MUTATION,81241,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,40,322,percent of total billed charges,
FACTOR V MUTATION,81241,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,40,322,percent of total billed charges,
FACTOR V MUTATION,81241,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,40,322,fee schedule,
FACTOR V MUTATION,81241,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,40,322,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,ALLIANT,ALLIANT,,94.12,,fee schedule,94.12,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,AMBETTER,AMBETTER,,74.15,,fee schedule,74.15,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,367.51,,fee schedule,367.51,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,374.51,,fee schedule,374.51,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,MEDICARE,MEDICARE,,57.04,,fee schedule,57.04,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,350.01,,fee schedule,350.01,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,TRICARE,TRICARE,,57.04,,fee schedule,57.04,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,57.04,,fee schedule,57.04,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,57.04,374.51,percent of total billed charges,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,57.04,374.51,percent of total billed charges,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,57.04,374.51,percent of total billed charges,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,57.04,374.51,fee schedule,
GENE ANALYSIS (33678),81243,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,57.04,374.51,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,ALLIANT,ALLIANT,,74.07,,fee schedule,74.07,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,AMBETTER,AMBETTER,,58.36,,fee schedule,58.36,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,MEDICARE,MEDICARE,,44.89,,fee schedule,44.89,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,TRICARE,TRICARE,,44.89,,fee schedule,44.89,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,44.89,,fee schedule,44.89,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,44.89,212,percent of total billed charges,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,44.89,212,percent of total billed charges,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,44.89,212,percent of total billed charges,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,44.89,212,fee schedule,
CHARACTER OF ALLELES (336,81244,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,44.89,212,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,ALLIANT,ALLIANT,,273.09,,fee schedule,273.09,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,AMBETTER,AMBETTER,,215.16,,fee schedule,215.16,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,MEDICARE,MEDICARE,,165.51,,fee schedule,165.51,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,TRICARE,TRICARE,,165.51,,fee schedule,165.51,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,165.51,,fee schedule,165.51,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,98.4,361,percent of total billed charges,
FLT3 MUTATION,81245,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,98.4,361,percent of total billed charges,
FLT3 MUTATION,81245,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,98.4,361,percent of total billed charges,
FLT3 MUTATION,81245,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION,81245,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,98.4,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,ALLIANT,ALLIANT,,136.95,,fee schedule,136.95,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,AMBETTER,AMBETTER,,107.9,,fee schedule,107.9,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,MEDICARE,MEDICARE,,83,,fee schedule,83,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,TRICARE,TRICARE,,83,,fee schedule,83,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,83,,fee schedule,83,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,83,361,percent of total billed charges,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,83,361,percent of total billed charges,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,83,361,percent of total billed charges,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,83,361,fee schedule,
FLT3 MUTATION~TKD VARIANT,81246,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,83,361,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,ALLIANT,ALLIANT,,84.89,,fee schedule,84.89,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,AMBETTER,AMBETTER,,66.89,,fee schedule,66.89,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,MEDICARE,MEDICARE,,51.45,,fee schedule,51.45,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,TRICARE,TRICARE,,51.45,,fee schedule,51.45,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,UHC MEDICARE,UHC MEDICARE,,51.45,,fee schedule,51.45,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,AETNA,AETNA,,310.59,87,percent of total billed charges,310.59,51.45,357,percent of total billed charges,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310.59,87,percent of total billed charges,310.59,51.45,357,percent of total billed charges,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,UNITED HEALTHCARE,UNITED HEALTHCARE,,314.16,88,percent of total billed charges,314.16,51.45,357,percent of total billed charges,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,AETNA,AETNA,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,BEECH STREET,BEECH STREET,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,MEDICAID,MEDICAID,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,NOVA NET,NOVA NET,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,SELFPAY,SELFPAY,,357,,fee schedule,357,51.45,357,fee schedule,
TAY-SACHS DISEASE MUTATIO,81255,CPT,both,,,357,357,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,357,,fee schedule,357,51.45,357,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,ALLIANT,ALLIANT,,107.84,,fee schedule,107.84,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,AMBETTER,AMBETTER,,84.97,,fee schedule,84.97,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,MEDICARE,MEDICARE,,65.36,,fee schedule,65.36,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,TRICARE,TRICARE,,65.36,,fee schedule,65.36,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,65.36,,fee schedule,65.36,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,40,287,percent of total billed charges,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,40,287,percent of total billed charges,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,40,287,percent of total billed charges,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,40,287,fee schedule,
HEMOCHROMOATOSIS DNA,81256,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,40,287,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,ALLIANT,ALLIANT,,168.73,,fee schedule,168.73,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,AMBETTER,AMBETTER,,132.94,,fee schedule,132.94,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,MEDICARE,MEDICARE,,102.26,,fee schedule,102.26,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,TRICARE,TRICARE,,102.26,,fee schedule,102.26,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,UHC MEDICARE,UHC MEDICARE,,102.26,,fee schedule,102.26,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,AETNA,AETNA,,1197.12,87,percent of total billed charges,1197.12,102.26,1376,percent of total billed charges,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1197.12,87,percent of total billed charges,1197.12,102.26,1376,percent of total billed charges,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,UNITED HEALTHCARE,UNITED HEALTHCARE,,1210.88,88,percent of total billed charges,1210.88,102.26,1376,percent of total billed charges,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,AETNA,AETNA,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,BEECH STREET,BEECH STREET,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,CARESOURCE,CARESOURCE,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,MEDICAID,MEDICAID,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,NOVA NET,NOVA NET,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,PEACHSTATE,PEACHSTATE,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,SELFPAY,SELFPAY,,1376,,fee schedule,1376,102.26,1376,fee schedule,
ALPHA-GLOBIN MUTATION ANA,81257,CPT,both,,,1376,1376,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1376,,fee schedule,1376,102.26,1376,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,ALLIANT,ALLIANT,,990,,fee schedule,990,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,AMBETTER,AMBETTER,,780,,fee schedule,780,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,AMERIGROUP,AMERIGROUP,,504,,fee schedule,504,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,513.6,,fee schedule,513.6,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,MEDICARE,MEDICARE,,600,,fee schedule,600,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,480,,fee schedule,480,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,TRICARE,TRICARE,,600,,fee schedule,600,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,UHC MEDICARE,UHC MEDICARE,,600,,fee schedule,600,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,AETNA,AETNA,,1093.59,87,percent of total billed charges,1093.59,480,1257,percent of total billed charges,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1093.59,87,percent of total billed charges,1093.59,480,1257,percent of total billed charges,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,UNITED HEALTHCARE,UNITED HEALTHCARE,,1106.16,88,percent of total billed charges,1106.16,480,1257,percent of total billed charges,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,AETNA,AETNA,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,BEECH STREET,BEECH STREET,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,CARESOURCE,CARESOURCE,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,MEDICAID,MEDICAID,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,NOVA NET,NOVA NET,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,PEACHSTATE,PEACHSTATE,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,SELFPAY,SELFPAY,,1257,,fee schedule,1257,480,1257,fee schedule,
HBA1/HBA2 FULL GENE SEQUENCE,81259,CPT,both,,,1257,1257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1257,,fee schedule,1257,480,1257,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,ALLIANT,ALLIANT,,326.68,,fee schedule,326.68,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,AMBETTER,AMBETTER,,257.39,,fee schedule,257.39,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,256.2,,fee schedule,256.2,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,261.08,,fee schedule,261.08,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,MEDICARE,MEDICARE,,197.99,,fee schedule,197.99,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,244,,fee schedule,244,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,TRICARE,TRICARE,,197.99,,fee schedule,197.99,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,197.99,,fee schedule,197.99,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,197.99,326.68,percent of total billed charges,
B-CELL CLONALITY,81261,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,197.99,326.68,percent of total billed charges,
B-CELL CLONALITY,81261,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,197.99,326.68,percent of total billed charges,
B-CELL CLONALITY,81261,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,197.99,326.68,fee schedule,
B-CELL CLONALITY,81261,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,197.99,326.68,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,ALLIANT,ALLIANT,,485.96,,fee schedule,485.96,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AMBETTER,AMBETTER,,382.88,,fee schedule,382.88,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,MEDICARE,MEDICARE,,294.52,,fee schedule,294.52,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,TRICARE,TRICARE,,294.52,,fee schedule,294.52,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,UHC MEDICARE,UHC MEDICARE,,294.52,,fee schedule,294.52,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AETNA,AETNA,,588.12,87,percent of total billed charges,588.12,98.4,676,percent of total billed charges,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.12,87,percent of total billed charges,588.12,98.4,676,percent of total billed charges,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,UNITED HEALTHCARE,UNITED HEALTHCARE,,594.88,88,percent of total billed charges,594.88,98.4,676,percent of total billed charges,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AETNA,AETNA,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,BEECH STREET,BEECH STREET,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,MEDICAID,MEDICAID,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,NOVA NET,NOVA NET,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,SELFPAY,SELFPAY,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,ALLIANT,ALLIANT,,485.96,,fee schedule,485.96,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AMBETTER,AMBETTER,,382.88,,fee schedule,382.88,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,MEDICARE,MEDICARE,,294.52,,fee schedule,294.52,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,TRICARE,TRICARE,,294.52,,fee schedule,294.52,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,UHC MEDICARE,UHC MEDICARE,,294.52,,fee schedule,294.52,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AETNA,AETNA,,588.12,87,percent of total billed charges,588.12,98.4,676,percent of total billed charges,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.12,87,percent of total billed charges,588.12,98.4,676,percent of total billed charges,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,UNITED HEALTHCARE,UNITED HEALTHCARE,,594.88,88,percent of total billed charges,594.88,98.4,676,percent of total billed charges,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,AETNA,AETNA,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,BEECH STREET,BEECH STREET,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,MEDICAID,MEDICAID,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,NOVA NET,NOVA NET,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,SELFPAY,SELFPAY,,676,,fee schedule,676,98.4,676,fee schedule,
IGVH MUTATION PCR,81263,CPT,both,,,676,676,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,676,,fee schedule,676,98.4,676,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,ALLIANT,ALLIANT,,333.96,,fee schedule,333.96,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,AMBETTER,AMBETTER,,263.12,,fee schedule,263.12,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,AMERIGROUP,AMERIGROUP,,170.02,,fee schedule,170.02,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,CARESOURCE,CARESOURCE,,173.25,,fee schedule,173.25,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,MEDICARE,MEDICARE,,202.4,,fee schedule,202.4,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,PEACHSTATE,PEACHSTATE,,161.92,,fee schedule,161.92,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,TRICARE,TRICARE,,202.4,,fee schedule,202.4,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,UHC MEDICARE,UHC MEDICARE,,202.4,,fee schedule,202.4,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,AETNA,AETNA,,475.89,87,percent of total billed charges,475.89,161.92,547,percent of total billed charges,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,475.89,87,percent of total billed charges,475.89,161.92,547,percent of total billed charges,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,UNITED HEALTHCARE,UNITED HEALTHCARE,,481.36,88,percent of total billed charges,481.36,161.92,547,percent of total billed charges,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,AETNA,AETNA,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,BEECH STREET,BEECH STREET,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,CARESOURCE,CARESOURCE,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,MEDICAID,MEDICAID,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,NOVA NET,NOVA NET,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,PEACHSTATE,PEACHSTATE,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,SELFPAY,SELFPAY,,547,,fee schedule,547,161.92,547,fee schedule,
ALPHA-GLOBULIN GENE DELETE/DUP,81269,CPT,both,,,547,547,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,547,,fee schedule,547,161.92,547,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,ALLIANT,ALLIANT,,151.24,,fee schedule,151.24,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AMBETTER,AMBETTER,,119.16,,fee schedule,119.16,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,75.6,,fee schedule,75.6,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,77.04,,fee schedule,77.04,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,MEDICARE,MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,TRICARE,TRICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,ALLIANT,ALLIANT,,151.24,,fee schedule,151.24,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AMBETTER,AMBETTER,,119.16,,fee schedule,119.16,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,75.6,,fee schedule,75.6,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,77.04,,fee schedule,77.04,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,MEDICARE,MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,TRICARE,TRICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,ALLIANT,ALLIANT,,151.24,,fee schedule,151.24,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AMBETTER,AMBETTER,,119.16,,fee schedule,119.16,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,75.6,,fee schedule,75.6,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,77.04,,fee schedule,77.04,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,MEDICARE,MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,TRICARE,TRICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,72,890,percent of total billed charges,
JAK-2 MUTATION,81270,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,72,890,fee schedule,
JAK-2 MUTATION,81270,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,ALLIANT,ALLIANT,,151.24,,fee schedule,151.24,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,AMBETTER,AMBETTER,,119.16,,fee schedule,119.16,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,75.6,,fee schedule,75.6,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,77.04,,fee schedule,77.04,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,MEDICARE,MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,TRICARE,TRICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,72,890,percent of total billed charges,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,72,890,fee schedule,
JAK2 MUTATION - TC,81270,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,ALLIANT,ALLIANT,,151.24,,fee schedule,151.24,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,AMBETTER,AMBETTER,,119.16,,fee schedule,119.16,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,AMERIGROUP,AMERIGROUP,,75.6,,fee schedule,75.6,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,77.04,,fee schedule,77.04,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,MEDICARE,MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,TRICARE,TRICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,UHC MEDICARE,UHC MEDICARE,,91.66,,fee schedule,91.66,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,AETNA,AETNA,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774.3,87,percent of total billed charges,774.3,72,890,percent of total billed charges,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,UNITED HEALTHCARE,UNITED HEALTHCARE,,783.2,88,percent of total billed charges,783.2,72,890,percent of total billed charges,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,AETNA,AETNA,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,BEECH STREET,BEECH STREET,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,CARESOURCE,CARESOURCE,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,MEDICAID,MEDICAID,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,NOVA NET,NOVA NET,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,PEACHSTATE,PEACHSTATE,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,SELFPAY,SELFPAY,,890,,fee schedule,890,72,890,fee schedule,
MOLMPNRF MPN STAND REFLEX PAN,81270,CPT,both,,,890,890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,890,,fee schedule,890,72,890,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,ALLIANT,ALLIANT,,226.05,,fee schedule,226.05,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,AMBETTER,AMBETTER,,178.1,,fee schedule,178.1,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,AMERIGROUP,AMERIGROUP,,115.08,,fee schedule,115.08,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,117.27,,fee schedule,117.27,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,MEDICARE,MEDICARE,,137,,fee schedule,137,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,109.6,,fee schedule,109.6,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,TRICARE,TRICARE,,137,,fee schedule,137,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,AETNA,AETNA,,333.21,87,percent of total billed charges,333.21,109.6,383,percent of total billed charges,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333.21,87,percent of total billed charges,333.21,109.6,383,percent of total billed charges,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,UNITED HEALTHCARE,UNITED HEALTHCARE,,337.04,88,percent of total billed charges,337.04,109.6,383,percent of total billed charges,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,AETNA,AETNA,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,BEECH STREET,BEECH STREET,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,MEDICAID,MEDICAID,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,NOVA NET,NOVA NET,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,SELFPAY,SELFPAY,,383,,fee schedule,383,109.6,383,fee schedule,
"GENE ANALYSIS, HUNTINGTON DIS",81271,CPT,both,,,383,383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,383,,fee schedule,383,109.6,383,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,ALLIANT,ALLIANT,,206.04,,fee schedule,206.04,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,AMBETTER,AMBETTER,,162.33,,fee schedule,162.33,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,AMERIGROUP,AMERIGROUP,,104.9,,fee schedule,104.9,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,CARESOURCE,CARESOURCE,,106.89,,fee schedule,106.89,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,MEDICARE,MEDICARE,,124.87,,fee schedule,124.87,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,PEACHSTATE,PEACHSTATE,,99.9,,fee schedule,99.9,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,TRICARE,TRICARE,,124.87,,fee schedule,124.87,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,UHC MEDICARE,UHC MEDICARE,,124.87,,fee schedule,124.87,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,AETNA,AETNA,,858.69,87,percent of total billed charges,858.69,99.9,987,percent of total billed charges,
KIT MUTATION,81273,CPT,both,,,987,987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,858.69,87,percent of total billed charges,858.69,99.9,987,percent of total billed charges,
KIT MUTATION,81273,CPT,both,,,987,987,UNITED HEALTHCARE,UNITED HEALTHCARE,,868.56,88,percent of total billed charges,868.56,99.9,987,percent of total billed charges,
KIT MUTATION,81273,CPT,both,,,987,987,AETNA,AETNA,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,BEECH STREET,BEECH STREET,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,CARESOURCE,CARESOURCE,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,MEDICAID,MEDICAID,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,NOVA NET,NOVA NET,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,PEACHSTATE,PEACHSTATE,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,SELFPAY,SELFPAY,,987,,fee schedule,987,99.9,987,fee schedule,
KIT MUTATION,81273,CPT,both,,,987,987,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,987,,fee schedule,987,99.9,987,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,ALLIANT,ALLIANT,,318.86,,fee schedule,318.86,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,AMBETTER,AMBETTER,,251.23,,fee schedule,251.23,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,MEDICARE,MEDICARE,,193.25,,fee schedule,193.25,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,TRICARE,TRICARE,,193.25,,fee schedule,193.25,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,193.25,,fee schedule,193.25,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,188,318.86,percent of total billed charges,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,188,318.86,percent of total billed charges,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,188,318.86,percent of total billed charges,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS GENE ANALYSIS,81275,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,ALLIANT,ALLIANT,,318.86,,fee schedule,318.86,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,AMBETTER,AMBETTER,,251.23,,fee schedule,251.23,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,MEDICARE,MEDICARE,,193.25,,fee schedule,193.25,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,TRICARE,TRICARE,,193.25,,fee schedule,193.25,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,193.25,,fee schedule,193.25,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,188,318.86,percent of total billed charges,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,188,318.86,percent of total billed charges,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,188,318.86,percent of total billed charges,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS MUJTATION - TC,81275,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,188,318.86,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,ALLIANT,ALLIANT,,318.86,,fee schedule,318.86,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,AMBETTER,AMBETTER,,251.23,,fee schedule,251.23,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,AMERIGROUP,AMERIGROUP,,165.64,,fee schedule,165.64,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,CARESOURCE,CARESOURCE,,168.79,,fee schedule,168.79,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,MEDICARE,MEDICARE,,193.25,,fee schedule,193.25,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,PEACHSTATE,PEACHSTATE,,157.75,,fee schedule,157.75,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,TRICARE,TRICARE,,193.25,,fee schedule,193.25,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,UHC MEDICARE,UHC MEDICARE,,193.25,,fee schedule,193.25,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,AETNA,AETNA,,641.19,87,percent of total billed charges,641.19,157.75,737,percent of total billed charges,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,641.19,87,percent of total billed charges,641.19,157.75,737,percent of total billed charges,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,UNITED HEALTHCARE,UNITED HEALTHCARE,,648.56,88,percent of total billed charges,648.56,157.75,737,percent of total billed charges,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,AETNA,AETNA,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,BEECH STREET,BEECH STREET,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,CARESOURCE,CARESOURCE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,MEDICAID,MEDICAID,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,NOVA NET,NOVA NET,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,PEACHSTATE,PEACHSTATE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,SELFPAY,SELFPAY,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS ADDITIONAL VARIANT,81276,CPT,both,,,737,737,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,ALLIANT,ALLIANT,,318.86,,fee schedule,318.86,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,AMBETTER,AMBETTER,,251.23,,fee schedule,251.23,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,AMERIGROUP,AMERIGROUP,,165.64,,fee schedule,165.64,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,CARESOURCE,CARESOURCE,,168.79,,fee schedule,168.79,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,MEDICARE,MEDICARE,,193.25,,fee schedule,193.25,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,PEACHSTATE,PEACHSTATE,,157.75,,fee schedule,157.75,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,TRICARE,TRICARE,,193.25,,fee schedule,193.25,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,UHC MEDICARE,UHC MEDICARE,,193.25,,fee schedule,193.25,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,AETNA,AETNA,,641.19,87,percent of total billed charges,641.19,157.75,737,percent of total billed charges,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,641.19,87,percent of total billed charges,641.19,157.75,737,percent of total billed charges,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,UNITED HEALTHCARE,UNITED HEALTHCARE,,648.56,88,percent of total billed charges,648.56,157.75,737,percent of total billed charges,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,AETNA,AETNA,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,BEECH STREET,BEECH STREET,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,CARESOURCE,CARESOURCE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,MEDICAID,MEDICAID,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,NOVA NET,NOVA NET,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,PEACHSTATE,PEACHSTATE,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,SELFPAY,SELFPAY,,737,,fee schedule,737,157.75,737,fee schedule,
KRAS GENE ANALYSIS - TC,81276,CPT,both,,,737,737,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,737,,fee schedule,737,157.75,737,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,ALLIANT,ALLIANT,,305.58,,fee schedule,305.58,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,AMBETTER,AMBETTER,,240.76,,fee schedule,240.76,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,AMERIGROUP,AMERIGROUP,,155.57,,fee schedule,155.57,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,CARESOURCE,CARESOURCE,,158.53,,fee schedule,158.53,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,MEDICARE,MEDICARE,,185.2,,fee schedule,185.2,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,PEACHSTATE,PEACHSTATE,,148.16,,fee schedule,148.16,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,TRICARE,TRICARE,,185.2,,fee schedule,185.2,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,UHC MEDICARE,UHC MEDICARE,,185.2,,fee schedule,185.2,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,AETNA,AETNA,,597.69,87,percent of total billed charges,597.69,148.16,687,percent of total billed charges,
"JAK2, EXON 12",81279,CPT,both,,,687,687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,597.69,87,percent of total billed charges,597.69,148.16,687,percent of total billed charges,
"JAK2, EXON 12",81279,CPT,both,,,687,687,UNITED HEALTHCARE,UNITED HEALTHCARE,,604.56,88,percent of total billed charges,604.56,148.16,687,percent of total billed charges,
"JAK2, EXON 12",81279,CPT,both,,,687,687,AETNA,AETNA,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,BEECH STREET,BEECH STREET,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,CARESOURCE,CARESOURCE,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,MEDICAID,MEDICAID,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,NOVA NET,NOVA NET,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,PEACHSTATE,PEACHSTATE,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,SELFPAY,SELFPAY,,687,,fee schedule,687,148.16,687,fee schedule,
"JAK2, EXON 12",81279,CPT,both,,,687,687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,687,,fee schedule,687,148.16,687,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,ALLIANT,ALLIANT,,107.81,,fee schedule,107.81,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,AMBETTER,AMBETTER,,84.94,,fee schedule,84.94,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,MEDICARE,MEDICARE,,65.34,,fee schedule,65.34,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,TRICARE,TRICARE,,65.34,,fee schedule,65.34,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,UHC MEDICARE,UHC MEDICARE,,65.34,,fee schedule,65.34,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,AETNA,AETNA,,495.9,87,percent of total billed charges,495.9,40,570,percent of total billed charges,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,495.9,87,percent of total billed charges,495.9,40,570,percent of total billed charges,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,UNITED HEALTHCARE,UNITED HEALTHCARE,,501.6,88,percent of total billed charges,501.6,40,570,percent of total billed charges,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,AETNA,AETNA,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,BEECH STREET,BEECH STREET,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,CARESOURCE,CARESOURCE,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,MEDICAID,MEDICAID,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,NOVA NET,NOVA NET,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,PEACHSTATE,PEACHSTATE,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,SELFPAY,SELFPAY,,570,,fee schedule,570,40,570,fee schedule,
METHYLENETETRAHYDROFOLATE,81291,CPT,both,,,570,570,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,570,,fee schedule,570,40,570,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,ALLIANT,ALLIANT,,1114.41,,fee schedule,1114.41,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,AMBETTER,AMBETTER,,878.02,,fee schedule,878.02,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,AMERIGROUP,AMERIGROUP,,546,,fee schedule,546,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,556.4,,fee schedule,556.4,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,MEDICARE,MEDICARE,,675.4,,fee schedule,675.4,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,TRICARE,TRICARE,,675.4,,fee schedule,675.4,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,UHC MEDICARE,UHC MEDICARE,,675.4,,fee schedule,675.4,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,AETNA,AETNA,,833.46,87,percent of total billed charges,833.46,520,1114.41,percent of total billed charges,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,833.46,87,percent of total billed charges,833.46,520,1114.41,percent of total billed charges,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,UNITED HEALTHCARE,UNITED HEALTHCARE,,843.04,88,percent of total billed charges,843.04,520,1114.41,percent of total billed charges,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,AETNA,AETNA,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,BEECH STREET,BEECH STREET,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,MEDICAID,MEDICAID,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,NOVA NET,NOVA NET,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,SELFPAY,SELFPAY,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE FULL SEQUENCE,81292,CPT,both,,,958,958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,958,,fee schedule,958,520,1114.41,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,ALLIANT,ALLIANT,,333.96,,fee schedule,333.96,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,AMBETTER,AMBETTER,,263.12,,fee schedule,263.12,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,AMERIGROUP,AMERIGROUP,,378,,fee schedule,378,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,CARESOURCE,CARESOURCE,,385.2,,fee schedule,385.2,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,MEDICARE,MEDICARE,,202.4,,fee schedule,202.4,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,PEACHSTATE,PEACHSTATE,,360,,fee schedule,360,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,TRICARE,TRICARE,,202.4,,fee schedule,202.4,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,UHC MEDICARE,UHC MEDICARE,,202.4,,fee schedule,202.4,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,AETNA,AETNA,,365.4,87,percent of total billed charges,365.4,202.4,420,percent of total billed charges,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365.4,87,percent of total billed charges,365.4,202.4,420,percent of total billed charges,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,UNITED HEALTHCARE,UNITED HEALTHCARE,,369.6,88,percent of total billed charges,369.6,202.4,420,percent of total billed charges,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,AETNA,AETNA,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,BEECH STREET,BEECH STREET,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,CARESOURCE,CARESOURCE,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,MEDICAID,MEDICAID,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,NOVA NET,NOVA NET,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,PEACHSTATE,PEACHSTATE,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,SELFPAY,SELFPAY,,420,,fee schedule,420,202.4,420,fee schedule,
MLH1 GENE DUP/DELETE VARIANT,81294,CPT,both,,,420,420,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,420,,fee schedule,420,202.4,420,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,ALLIANT,ALLIANT,,629.81,,fee schedule,629.81,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,AMBETTER,AMBETTER,,496.21,,fee schedule,496.21,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,AMERIGROUP,AMERIGROUP,,546,,fee schedule,546,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,CARESOURCE,CARESOURCE,,556.4,,fee schedule,556.4,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,MEDICARE,MEDICARE,,381.7,,fee schedule,381.7,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,TRICARE,TRICARE,,381.7,,fee schedule,381.7,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,UHC MEDICARE,UHC MEDICARE,,381.7,,fee schedule,381.7,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,AETNA,AETNA,,496.77,87,percent of total billed charges,496.77,381.7,629.81,percent of total billed charges,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,496.77,87,percent of total billed charges,496.77,381.7,629.81,percent of total billed charges,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,UNITED HEALTHCARE,UNITED HEALTHCARE,,502.48,88,percent of total billed charges,502.48,381.7,629.81,percent of total billed charges,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,AETNA,AETNA,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,BEECH STREET,BEECH STREET,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,CARESOURCE,CARESOURCE,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,MEDICAID,MEDICAID,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,NOVA NET,NOVA NET,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,PEACHSTATE,PEACHSTATE,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,SELFPAY,SELFPAY,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE FULL SEQUENCE,81295,CPT,both,,,571,571,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,571,,fee schedule,571,381.7,629.81,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,ALLIANT,ALLIANT,,351.95,,fee schedule,351.95,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,AMBETTER,AMBETTER,,277.29,,fee schedule,277.29,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,AMERIGROUP,AMERIGROUP,,378,,fee schedule,378,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,385.2,,fee schedule,385.2,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,MEDICARE,MEDICARE,,213.3,,fee schedule,213.3,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,360,,fee schedule,360,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,TRICARE,TRICARE,,213.3,,fee schedule,213.3,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,UHC MEDICARE,UHC MEDICARE,,213.3,,fee schedule,213.3,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,AETNA,AETNA,,376.71,87,percent of total billed charges,376.71,213.3,433,percent of total billed charges,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,376.71,87,percent of total billed charges,376.71,213.3,433,percent of total billed charges,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.04,88,percent of total billed charges,381.04,213.3,433,percent of total billed charges,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,AETNA,AETNA,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,BEECH STREET,BEECH STREET,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,MEDICAID,MEDICAID,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,NOVA NET,NOVA NET,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,SELFPAY,SELFPAY,,433,,fee schedule,433,213.3,433,fee schedule,
MSH2 GENE DUP/DELETE VARIANT,81297,CPT,both,,,433,433,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,433,,fee schedule,433,213.3,433,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,ALLIANT,ALLIANT,,1059.05,,fee schedule,1059.05,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,AMBETTER,AMBETTER,,834.41,,fee schedule,834.41,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,AMERIGROUP,AMERIGROUP,,1008,,fee schedule,1008,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,1027.2,,fee schedule,1027.2,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,MEDICARE,MEDICARE,,641.85,,fee schedule,641.85,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,960,,fee schedule,960,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,TRICARE,TRICARE,,641.85,,fee schedule,641.85,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,UHC MEDICARE,UHC MEDICARE,,641.85,,fee schedule,641.85,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,AETNA,AETNA,,833.46,87,percent of total billed charges,833.46,641.85,1059.05,percent of total billed charges,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,833.46,87,percent of total billed charges,833.46,641.85,1059.05,percent of total billed charges,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,UNITED HEALTHCARE,UNITED HEALTHCARE,,843.04,88,percent of total billed charges,843.04,641.85,1059.05,percent of total billed charges,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,AETNA,AETNA,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,BEECH STREET,BEECH STREET,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,MEDICAID,MEDICAID,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,NOVA NET,NOVA NET,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,SELFPAY,SELFPAY,,958,,fee schedule,958,641.85,1059.05,fee schedule,
MSH6 GENE FULL SEQUENCE,81298,CPT,both,,,958,958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,958,,fee schedule,958,641.85,1059.05,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,AETNA,AETNA,,14375.94,87,percent of total billed charges,14375.94,14375.94,16524.07,percent of total billed charges,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14375.94,87,percent of total billed charges,14375.94,14375.94,16524.07,percent of total billed charges,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,14541.18,88,percent of total billed charges,14541.18,14375.94,16524.07,percent of total billed charges,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,AETNA,AETNA,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,ALLIANT,ALLIANT,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,AMBETTER,AMBETTER,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,BEECH STREET,BEECH STREET,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,CARESOURCE,CARESOURCE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,MEDICAID,MEDICAID,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,MEDICARE,MEDICARE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,NOVA NET,NOVA NET,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,PEACHSTATE,PEACHSTATE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,SELFPAY,SELFPAY,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,TRICARE,TRICARE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
COAGULATION DISORDERS,813,DRG,inpatient,,,16524.07,16524.07,UHC MEDICARE,UHC MEDICARE,,16524.07,,fee schedule,16524.07,14375.94,16524.07,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,ALLIANT,ALLIANT,,392.7,,fee schedule,392.7,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,AMBETTER,AMBETTER,,309.4,,fee schedule,309.4,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,MEDICARE,MEDICARE,,238,,fee schedule,238,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,TRICARE,TRICARE,,238,,fee schedule,238,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,UHC MEDICARE,UHC MEDICARE,,238,,fee schedule,238,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,AETNA,AETNA,,469.8,87,percent of total billed charges,469.8,40,540,percent of total billed charges,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,469.8,87,percent of total billed charges,469.8,40,540,percent of total billed charges,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,UNITED HEALTHCARE,UNITED HEALTHCARE,,475.2,88,percent of total billed charges,475.2,40,540,percent of total billed charges,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,AETNA,AETNA,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,BEECH STREET,BEECH STREET,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,CARESOURCE,CARESOURCE,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,MEDICAID,MEDICAID,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,NOVA NET,NOVA NET,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,PEACHSTATE,PEACHSTATE,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,SELFPAY,SELFPAY,,540,,fee schedule,540,40,540,fee schedule,
MSH6 GENE DUP/DELETE VARIANT,81300,CPT,both,,,540,540,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,540,,fee schedule,540,40,540,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,ALLIANT,ALLIANT,,575.12,,fee schedule,575.12,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,AMBETTER,AMBETTER,,453.13,,fee schedule,453.13,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,MEDICARE,MEDICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,TRICARE,TRICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,UHC MEDICARE,UHC MEDICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,AETNA,AETNA,,429.78,87,percent of total billed charges,429.78,188,575.12,percent of total billed charges,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,429.78,87,percent of total billed charges,429.78,188,575.12,percent of total billed charges,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,UNITED HEALTHCARE,UNITED HEALTHCARE,,434.72,88,percent of total billed charges,434.72,188,575.12,percent of total billed charges,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,AETNA,AETNA,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,BEECH STREET,BEECH STREET,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,MEDICAID,MEDICAID,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,NOVA NET,NOVA NET,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,SELFPAY,SELFPAY,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATELLITE INSTABE HNPCC,81301,CPT,both,,,494,494,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,ALLIANT,ALLIANT,,575.12,,fee schedule,575.12,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AMBETTER,AMBETTER,,453.13,,fee schedule,453.13,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,MEDICARE,MEDICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,TRICARE,TRICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,UHC MEDICARE,UHC MEDICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AETNA,AETNA,,429.78,87,percent of total billed charges,429.78,188,575.12,percent of total billed charges,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,429.78,87,percent of total billed charges,429.78,188,575.12,percent of total billed charges,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,UNITED HEALTHCARE,UNITED HEALTHCARE,,434.72,88,percent of total billed charges,434.72,188,575.12,percent of total billed charges,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AETNA,AETNA,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,BEECH STREET,BEECH STREET,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,MEDICAID,MEDICAID,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,NOVA NET,NOVA NET,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,SELFPAY,SELFPAY,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,ALLIANT,ALLIANT,,575.12,,fee schedule,575.12,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AMBETTER,AMBETTER,,453.13,,fee schedule,453.13,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,MEDICARE,MEDICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,TRICARE,TRICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,UHC MEDICARE,UHC MEDICARE,,348.56,,fee schedule,348.56,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AETNA,AETNA,,429.78,87,percent of total billed charges,429.78,188,575.12,percent of total billed charges,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,429.78,87,percent of total billed charges,429.78,188,575.12,percent of total billed charges,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,UNITED HEALTHCARE,UNITED HEALTHCARE,,434.72,88,percent of total billed charges,434.72,188,575.12,percent of total billed charges,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,AETNA,AETNA,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,BEECH STREET,BEECH STREET,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,MEDICAID,MEDICAID,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,NOVA NET,NOVA NET,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,SELFPAY,SELFPAY,,494,,fee schedule,494,188,575.12,fee schedule,
MICROSATILLITE INSTABILIT,81301,CPT,both,,,494,494,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,494,,fee schedule,494,188,575.12,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,ALLIANT,ALLIANT,,406.76,,fee schedule,406.76,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,AMBETTER,AMBETTER,,320.48,,fee schedule,320.48,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,MEDICARE,MEDICARE,,246.52,,fee schedule,246.52,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,TRICARE,TRICARE,,246.52,,fee schedule,246.52,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,UHC MEDICARE,UHC MEDICARE,,246.52,,fee schedule,246.52,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,AETNA,AETNA,,574.2,87,percent of total billed charges,574.2,40,660,percent of total billed charges,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,574.2,87,percent of total billed charges,574.2,40,660,percent of total billed charges,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,UNITED HEALTHCARE,UNITED HEALTHCARE,,580.8,88,percent of total billed charges,580.8,40,660,percent of total billed charges,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,AETNA,AETNA,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,BEECH STREET,BEECH STREET,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,MEDICAID,MEDICAID,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,NOVA NET,NOVA NET,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,SELFPAY,SELFPAY,,660,,fee schedule,660,40,660,fee schedule,
HLA-B 5701 TYPING,81310,CPT,both,,,660,660,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,ALLIANT,ALLIANT,,406.76,,fee schedule,406.76,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,AMBETTER,AMBETTER,,320.48,,fee schedule,320.48,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,MEDICARE,MEDICARE,,246.52,,fee schedule,246.52,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,TRICARE,TRICARE,,246.52,,fee schedule,246.52,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,UHC MEDICARE,UHC MEDICARE,,246.52,,fee schedule,246.52,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,AETNA,AETNA,,574.2,87,percent of total billed charges,574.2,40,660,percent of total billed charges,
NPM MUTATION,81310,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,574.2,87,percent of total billed charges,574.2,40,660,percent of total billed charges,
NPM MUTATION,81310,CPT,both,,,660,660,UNITED HEALTHCARE,UNITED HEALTHCARE,,580.8,88,percent of total billed charges,580.8,40,660,percent of total billed charges,
NPM MUTATION,81310,CPT,both,,,660,660,AETNA,AETNA,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,BEECH STREET,BEECH STREET,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,MEDICAID,MEDICAID,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,NOVA NET,NOVA NET,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,SELFPAY,SELFPAY,,660,,fee schedule,660,40,660,fee schedule,
NPM MUTATION,81310,CPT,both,,,660,660,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,660,,fee schedule,660,40,660,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,ALLIANT,ALLIANT,,488.05,,fee schedule,488.05,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,AMBETTER,AMBETTER,,384.53,,fee schedule,384.53,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,248.46,,fee schedule,248.46,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,253.19,,fee schedule,253.19,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,MEDICARE,MEDICARE,,295.79,,fee schedule,295.79,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,236.63,,fee schedule,236.63,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,TRICARE,TRICARE,,295.79,,fee schedule,295.79,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,295.79,,fee schedule,295.79,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,236.63,695,percent of total billed charges,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,236.63,695,percent of total billed charges,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,236.63,695,percent of total billed charges,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS GENE ANALYSIS - TC,81311,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,ALLIANT,ALLIANT,,488.05,,fee schedule,488.05,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,AMBETTER,AMBETTER,,384.53,,fee schedule,384.53,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,248.46,,fee schedule,248.46,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,253.19,,fee schedule,253.19,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,MEDICARE,MEDICARE,,295.79,,fee schedule,295.79,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,236.63,,fee schedule,236.63,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,TRICARE,TRICARE,,295.79,,fee schedule,295.79,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,295.79,,fee schedule,295.79,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,236.63,695,percent of total billed charges,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,236.63,695,percent of total billed charges,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,236.63,695,percent of total billed charges,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,236.63,695,fee schedule,
NRAS MUTATION ANALYSIS,81311,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,236.63,695,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,ALLIANT,ALLIANT,,543.69,,fee schedule,543.69,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,AMBETTER,AMBETTER,,428.36,,fee schedule,428.36,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,AMERIGROUP,AMERIGROUP,,276.79,,fee schedule,276.79,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,CARESOURCE,CARESOURCE,,282.06,,fee schedule,282.06,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,MEDICARE,MEDICARE,,329.51,,fee schedule,329.51,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,PEACHSTATE,PEACHSTATE,,263.61,,fee schedule,263.61,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,TRICARE,TRICARE,,329.51,,fee schedule,329.51,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,UHC MEDICARE,UHC MEDICARE,,329.51,,fee schedule,329.51,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,AETNA,AETNA,,858.69,87,percent of total billed charges,858.69,263.61,987,percent of total billed charges,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,858.69,87,percent of total billed charges,858.69,263.61,987,percent of total billed charges,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,UNITED HEALTHCARE,UNITED HEALTHCARE,,868.56,88,percent of total billed charges,868.56,263.61,987,percent of total billed charges,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,AETNA,AETNA,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,BEECH STREET,BEECH STREET,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,CARESOURCE,CARESOURCE,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,MEDICAID,MEDICAID,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,NOVA NET,NOVA NET,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,PEACHSTATE,PEACHSTATE,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,SELFPAY,SELFPAY,,987,,fee schedule,987,263.61,987,fee schedule,
PDGFRA MUTATION ANALYSIS,81314,CPT,both,,,987,987,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,987,,fee schedule,987,263.61,987,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,ALLIANT,ALLIANT,,1116.23,,fee schedule,1116.23,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,AMBETTER,AMBETTER,,879.45,,fee schedule,879.45,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,AMERIGROUP,AMERIGROUP,,1008,,fee schedule,1008,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,CARESOURCE,CARESOURCE,,1027.2,,fee schedule,1027.2,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,MEDICARE,MEDICARE,,676.5,,fee schedule,676.5,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,PEACHSTATE,PEACHSTATE,,960,,fee schedule,960,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,TRICARE,TRICARE,,676.5,,fee schedule,676.5,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,UHC MEDICARE,UHC MEDICARE,,676.5,,fee schedule,676.5,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,AETNA,AETNA,,859.56,87,percent of total billed charges,859.56,676.5,1116.23,percent of total billed charges,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,859.56,87,percent of total billed charges,859.56,676.5,1116.23,percent of total billed charges,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,UNITED HEALTHCARE,UNITED HEALTHCARE,,869.44,88,percent of total billed charges,869.44,676.5,1116.23,percent of total billed charges,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,AETNA,AETNA,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,BEECH STREET,BEECH STREET,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,CARESOURCE,CARESOURCE,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,MEDICAID,MEDICAID,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,NOVA NET,NOVA NET,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,PEACHSTATE,PEACHSTATE,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,SELFPAY,SELFPAY,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE FULL SEQUENCE,81317,CPT,both,,,988,988,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,988,,fee schedule,988,676.5,1116.23,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,ALLIANT,ALLIANT,,335.78,,fee schedule,335.78,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,AMBETTER,AMBETTER,,264.55,,fee schedule,264.55,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,MEDICARE,MEDICARE,,203.5,,fee schedule,203.5,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,TRICARE,TRICARE,,203.5,,fee schedule,203.5,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,UHC MEDICARE,UHC MEDICARE,,203.5,,fee schedule,203.5,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,AETNA,AETNA,,365.4,87,percent of total billed charges,365.4,40,420,percent of total billed charges,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365.4,87,percent of total billed charges,365.4,40,420,percent of total billed charges,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,UNITED HEALTHCARE,UNITED HEALTHCARE,,369.6,88,percent of total billed charges,369.6,40,420,percent of total billed charges,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,AETNA,AETNA,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,BEECH STREET,BEECH STREET,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,CARESOURCE,CARESOURCE,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,MEDICAID,MEDICAID,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,NOVA NET,NOVA NET,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,PEACHSTATE,PEACHSTATE,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,SELFPAY,SELFPAY,,420,,fee schedule,420,40,420,fee schedule,
PMS2 GENE DUP/DELETE VARIANT,81319,CPT,both,,,420,420,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,420,,fee schedule,420,40,420,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,ALLIANT,ALLIANT,,72.02,,fee schedule,72.02,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,AMBETTER,AMBETTER,,56.75,,fee schedule,56.75,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,MEDICARE,MEDICARE,,43.65,,fee schedule,43.65,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,TRICARE,TRICARE,,43.65,,fee schedule,43.65,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,UHC MEDICARE,UHC MEDICARE,,43.65,,fee schedule,43.65,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,AETNA,AETNA,,122.67,87,percent of total billed charges,122.67,40,141,percent of total billed charges,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122.67,87,percent of total billed charges,122.67,40,141,percent of total billed charges,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.08,88,percent of total billed charges,124.08,40,141,percent of total billed charges,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,AETNA,AETNA,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,BEECH STREET,BEECH STREET,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,MEDICAID,MEDICAID,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,NOVA NET,NOVA NET,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,SELFPAY,SELFPAY,,141,,fee schedule,141,40,141,fee schedule,
"SERPINA 1, GENE ANALYSIS",81332,CPT,both,,,141,141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,141,,fee schedule,141,40,141,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,ALLIANT,ALLIANT,,305.58,,fee schedule,305.58,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,AMBETTER,AMBETTER,,240.76,,fee schedule,240.76,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,AMERIGROUP,AMERIGROUP,,155.57,,fee schedule,155.57,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,CARESOURCE,CARESOURCE,,158.53,,fee schedule,158.53,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,MEDICARE,MEDICARE,,185.2,,fee schedule,185.2,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,PEACHSTATE,PEACHSTATE,,148.16,,fee schedule,148.16,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,TRICARE,TRICARE,,185.2,,fee schedule,185.2,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,UHC MEDICARE,UHC MEDICARE,,185.2,,fee schedule,185.2,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,AETNA,AETNA,,597.69,87,percent of total billed charges,597.69,148.16,687,percent of total billed charges,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,597.69,87,percent of total billed charges,597.69,148.16,687,percent of total billed charges,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,UNITED HEALTHCARE,UNITED HEALTHCARE,,604.56,88,percent of total billed charges,604.56,148.16,687,percent of total billed charges,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,AETNA,AETNA,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,BEECH STREET,BEECH STREET,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,CARESOURCE,CARESOURCE,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,MEDICAID,MEDICAID,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,NOVA NET,NOVA NET,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,PEACHSTATE,PEACHSTATE,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,SELFPAY,SELFPAY,,687,,fee schedule,687,148.16,687,fee schedule,
MPL GENE ANALYSIS,81339,CPT,both,,,687,687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,687,,fee schedule,687,148.16,687,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,ALLIANT,ALLIANT,,344.72,,fee schedule,344.72,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,AMBETTER,AMBETTER,,271.6,,fee schedule,271.6,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,MEDICARE,MEDICARE,,208.92,,fee schedule,208.92,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,TRICARE,TRICARE,,208.92,,fee schedule,208.92,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,UHC MEDICARE,UHC MEDICARE,,208.92,,fee schedule,208.92,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,AETNA,AETNA,,295.8,87,percent of total billed charges,295.8,40,344.72,percent of total billed charges,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295.8,87,percent of total billed charges,295.8,40,344.72,percent of total billed charges,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,UNITED HEALTHCARE,UNITED HEALTHCARE,,299.2,88,percent of total billed charges,299.2,40,344.72,percent of total billed charges,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,AETNA,AETNA,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,BEECH STREET,BEECH STREET,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,CARESOURCE,CARESOURCE,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,MEDICAID,MEDICAID,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,NOVA NET,NOVA NET,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,PEACHSTATE,PEACHSTATE,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,SELFPAY,SELFPAY,,340,,fee schedule,340,40,344.72,fee schedule,
"T-CELL AG RECEPTOR, BETA",81340,CPT,both,,,340,340,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,340,,fee schedule,340,40,344.72,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,ALLIANT,ALLIANT,,344.72,,fee schedule,344.72,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,AMBETTER,AMBETTER,,271.6,,fee schedule,271.6,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,MEDICARE,MEDICARE,,208.92,,fee schedule,208.92,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,TRICARE,TRICARE,,208.92,,fee schedule,208.92,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,208.92,,fee schedule,208.92,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,40,697,percent of total billed charges,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,40,697,percent of total billed charges,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,40,697,percent of total billed charges,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,40,697,fee schedule,
T-CELL RECEPTOR BETA GENE,81340,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,40,697,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,ALLIANT,ALLIANT,,332.48,,fee schedule,332.48,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,AMBETTER,AMBETTER,,261.95,,fee schedule,261.95,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,MEDICARE,MEDICARE,,201.5,,fee schedule,201.5,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,TRICARE,TRICARE,,201.5,,fee schedule,201.5,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,201.5,,fee schedule,201.5,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,164,332.48,percent of total billed charges,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,164,332.48,percent of total billed charges,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,164,332.48,percent of total billed charges,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL AG RECEPTOR - TC,81342,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,164,332.48,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,ALLIANT,ALLIANT,,332.48,,fee schedule,332.48,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,AMBETTER,AMBETTER,,261.95,,fee schedule,261.95,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,MEDICARE,MEDICARE,,201.5,,fee schedule,201.5,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,TRICARE,TRICARE,,201.5,,fee schedule,201.5,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,UHC MEDICARE,UHC MEDICARE,,201.5,,fee schedule,201.5,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,AETNA,AETNA,,295.8,87,percent of total billed charges,295.8,164,340,percent of total billed charges,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295.8,87,percent of total billed charges,295.8,164,340,percent of total billed charges,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,UNITED HEALTHCARE,UNITED HEALTHCARE,,299.2,88,percent of total billed charges,299.2,164,340,percent of total billed charges,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,AETNA,AETNA,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,BEECH STREET,BEECH STREET,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,CARESOURCE,CARESOURCE,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,MEDICAID,MEDICAID,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,NOVA NET,NOVA NET,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,PEACHSTATE,PEACHSTATE,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,SELFPAY,SELFPAY,,340,,fee schedule,340,164,340,fee schedule,
"T-CELL AG RECEPTOR, GAMMA",81342,CPT,both,,,340,340,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,340,,fee schedule,340,164,340,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,ALLIANT,ALLIANT,,332.48,,fee schedule,332.48,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,AMBETTER,AMBETTER,,261.95,,fee schedule,261.95,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,MEDICARE,MEDICARE,,201.5,,fee schedule,201.5,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,TRICARE,TRICARE,,201.5,,fee schedule,201.5,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,201.5,,fee schedule,201.5,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,164,332.48,percent of total billed charges,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,164,332.48,percent of total billed charges,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,164,332.48,percent of total billed charges,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,164,332.48,fee schedule,
T-CELL RECEPTOR GAMMA GENE,81342,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,164,332.48,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,ALLIANT,ALLIANT,,333.96,,fee schedule,333.96,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,AMBETTER,AMBETTER,,263.12,,fee schedule,263.12,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,AMERIGROUP,AMERIGROUP,,170.02,,fee schedule,170.02,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,CARESOURCE,CARESOURCE,,173.25,,fee schedule,173.25,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,MEDICARE,MEDICARE,,202.4,,fee schedule,202.4,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,PEACHSTATE,PEACHSTATE,,161.92,,fee schedule,161.92,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,TRICARE,TRICARE,,202.4,,fee schedule,202.4,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,UHC MEDICARE,UHC MEDICARE,,202.4,,fee schedule,202.4,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,AETNA,AETNA,,908.28,87,percent of total billed charges,908.28,161.92,1044,percent of total billed charges,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,908.28,87,percent of total billed charges,908.28,161.92,1044,percent of total billed charges,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,UNITED HEALTHCARE,UNITED HEALTHCARE,,918.72,88,percent of total billed charges,918.72,161.92,1044,percent of total billed charges,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,AETNA,AETNA,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,BEECH STREET,BEECH STREET,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,CARESOURCE,CARESOURCE,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,MEDICAID,MEDICAID,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,NOVA NET,NOVA NET,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,PEACHSTATE,PEACHSTATE,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,SELFPAY,SELFPAY,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HBB GENE DUPLICATE/DELETION VA,81363,CPT,both,,,1044,1044,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1044,,fee schedule,1044,161.92,1044,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,ALLIANT,ALLIANT,,663.5,,fee schedule,663.5,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,AMBETTER,AMBETTER,,522.76,,fee schedule,522.76,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,MEDICARE,MEDICARE,,402.12,,fee schedule,402.12,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,TRICARE,TRICARE,,402.12,,fee schedule,402.12,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,UHC MEDICARE,UHC MEDICARE,,402.12,,fee schedule,402.12,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,AETNA,AETNA,,505.47,87,percent of total billed charges,505.47,98.4,663.5,percent of total billed charges,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,505.47,87,percent of total billed charges,505.47,98.4,663.5,percent of total billed charges,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,UNITED HEALTHCARE,UNITED HEALTHCARE,,511.28,88,percent of total billed charges,511.28,98.4,663.5,percent of total billed charges,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,AETNA,AETNA,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,BEECH STREET,BEECH STREET,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,CARESOURCE,CARESOURCE,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,MEDICAID,MEDICAID,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,NOVA NET,NOVA NET,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,PEACHSTATE,PEACHSTATE,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,SELFPAY,SELFPAY,,581,,fee schedule,581,98.4,663.5,fee schedule,
HLA ANTIGEN TYPING,81370,CPT,both,,,581,581,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,581,,fee schedule,581,98.4,663.5,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,ALLIANT,ALLIANT,,122.64,,fee schedule,122.64,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,AMBETTER,AMBETTER,,96.63,,fee schedule,96.63,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,MEDICARE,MEDICARE,,74.33,,fee schedule,74.33,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,TRICARE,TRICARE,,74.33,,fee schedule,74.33,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,UHC MEDICARE,UHC MEDICARE,,74.33,,fee schedule,74.33,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,AETNA,AETNA,,401.07,87,percent of total billed charges,401.07,74.33,461,percent of total billed charges,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.07,87,percent of total billed charges,401.07,74.33,461,percent of total billed charges,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,UNITED HEALTHCARE,UNITED HEALTHCARE,,405.68,88,percent of total billed charges,405.68,74.33,461,percent of total billed charges,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,AETNA,AETNA,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,BEECH STREET,BEECH STREET,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,MEDICAID,MEDICAID,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,NOVA NET,NOVA NET,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,SELFPAY,SELFPAY,,461,,fee schedule,461,74.33,461,fee schedule,
"HLA 1 TYPING, 1 ANTIGEN",81374,CPT,both,,,461,461,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,461,,fee schedule,461,74.33,461,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,ALLIANT,ALLIANT,,201.66,,fee schedule,201.66,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,AMBETTER,AMBETTER,,158.89,,fee schedule,158.89,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,MEDICARE,MEDICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,TRICARE,TRICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,UHC MEDICARE,UHC MEDICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,AETNA,AETNA,,391.5,87,percent of total billed charges,391.5,40,450,percent of total billed charges,
HLA-DQA1,81376,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391.5,87,percent of total billed charges,391.5,40,450,percent of total billed charges,
HLA-DQA1,81376,CPT,both,,,450,450,UNITED HEALTHCARE,UNITED HEALTHCARE,,396,88,percent of total billed charges,396,40,450,percent of total billed charges,
HLA-DQA1,81376,CPT,both,,,450,450,AETNA,AETNA,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,BEECH STREET,BEECH STREET,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,MEDICAID,MEDICAID,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,NOVA NET,NOVA NET,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,SELFPAY,SELFPAY,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQA1,81376,CPT,both,,,450,450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,ALLIANT,ALLIANT,,201.66,,fee schedule,201.66,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,AMBETTER,AMBETTER,,158.89,,fee schedule,158.89,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,MEDICARE,MEDICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,TRICARE,TRICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,UHC MEDICARE,UHC MEDICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,AETNA,AETNA,,391.5,87,percent of total billed charges,391.5,40,450,percent of total billed charges,
HLA-DQB1,81376,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391.5,87,percent of total billed charges,391.5,40,450,percent of total billed charges,
HLA-DQB1,81376,CPT,both,,,450,450,UNITED HEALTHCARE,UNITED HEALTHCARE,,396,88,percent of total billed charges,396,40,450,percent of total billed charges,
HLA-DQB1,81376,CPT,both,,,450,450,AETNA,AETNA,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,BEECH STREET,BEECH STREET,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,MEDICAID,MEDICAID,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,NOVA NET,NOVA NET,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,SELFPAY,SELFPAY,,450,,fee schedule,450,40,450,fee schedule,
HLA-DQB1,81376,CPT,both,,,450,450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,ALLIANT,ALLIANT,,201.66,,fee schedule,201.66,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,AMBETTER,AMBETTER,,158.89,,fee schedule,158.89,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,MEDICARE,MEDICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,TRICARE,TRICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,UHC MEDICARE,UHC MEDICARE,,122.22,,fee schedule,122.22,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,AETNA,AETNA,,391.5,87,percent of total billed charges,391.5,40,450,percent of total billed charges,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391.5,87,percent of total billed charges,391.5,40,450,percent of total billed charges,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,UNITED HEALTHCARE,UNITED HEALTHCARE,,396,88,percent of total billed charges,396,40,450,percent of total billed charges,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,AETNA,AETNA,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,BEECH STREET,BEECH STREET,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,MEDICAID,MEDICAID,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,NOVA NET,NOVA NET,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,SELFPAY,SELFPAY,,450,,fee schedule,450,40,450,fee schedule,
HLA-DR TYPING (DRB1),81376,CPT,both,,,450,450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,450,,fee schedule,450,40,450,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,ALLIANT,ALLIANT,,156.32,,fee schedule,156.32,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AMBETTER,AMBETTER,,123.16,,fee schedule,123.16,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,MEDICARE,MEDICARE,,94.74,,fee schedule,94.74,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,TRICARE,TRICARE,,94.74,,fee schedule,94.74,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,94.74,,fee schedule,94.74,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,40,156.32,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,40,156.32,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,40,156.32,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,ALLIANT,ALLIANT,,156.32,,fee schedule,156.32,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AMBETTER,AMBETTER,,123.16,,fee schedule,123.16,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,MEDICARE,MEDICARE,,94.74,,fee schedule,94.74,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,TRICARE,TRICARE,,94.74,,fee schedule,94.74,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,94.74,,fee schedule,94.74,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,40,156.32,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,40,156.32,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,40,156.32,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,40,156.32,fee schedule,
CELIAC HLA TYPING HLA-DQ,81377,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,40,156.32,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,ALLIANT,ALLIANT,,292.46,,fee schedule,292.46,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,AMBETTER,AMBETTER,,230.43,,fee schedule,230.43,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,MEDICARE,MEDICARE,,177.25,,fee schedule,177.25,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,TRICARE,TRICARE,,177.25,,fee schedule,177.25,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,177.25,,fee schedule,177.25,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,164,655,percent of total billed charges,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,164,655,percent of total billed charges,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,164,655,percent of total billed charges,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,164,655,fee schedule,
HLA B HIGH RESOLUTION,81380,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,164,655,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,ALLIANT,ALLIANT,,280.34,,fee schedule,280.34,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,AMBETTER,AMBETTER,,220.87,,fee schedule,220.87,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,AMERIGROUP,AMERIGROUP,,42,,fee schedule,42,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,CARESOURCE,CARESOURCE,,42.8,,fee schedule,42.8,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,MEDICARE,MEDICARE,,169.9,,fee schedule,169.9,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,PEACHSTATE,PEACHSTATE,,40,,fee schedule,40,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,TRICARE,TRICARE,,169.9,,fee schedule,169.9,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,UHC MEDICARE,UHC MEDICARE,,169.9,,fee schedule,169.9,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,AETNA,AETNA,,345.39,87,percent of total billed charges,345.39,40,397,percent of total billed charges,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345.39,87,percent of total billed charges,345.39,40,397,percent of total billed charges,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,UNITED HEALTHCARE,UNITED HEALTHCARE,,349.36,88,percent of total billed charges,349.36,40,397,percent of total billed charges,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,AETNA,AETNA,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,BEECH STREET,BEECH STREET,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,CARESOURCE,CARESOURCE,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,MEDICAID,MEDICAID,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,NOVA NET,NOVA NET,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,PEACHSTATE,PEACHSTATE,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,SELFPAY,SELFPAY,,397,,fee schedule,397,40,397,fee schedule,
"HLA 1 TYPING, 1 ALLELE",81381,CPT,both,,,397,397,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,397,,fee schedule,397,40,397,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,ALLIANT,ALLIANT,,204.07,,fee schedule,204.07,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,AMBETTER,AMBETTER,,160.78,,fee schedule,160.78,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,MEDICARE,MEDICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,TRICARE,TRICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,UHC MEDICARE,UHC MEDICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,AETNA,AETNA,,576.81,87,percent of total billed charges,576.81,123.68,663,percent of total billed charges,
CELIAC GENETICS,81382,CPT,both,,,663,663,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576.81,87,percent of total billed charges,576.81,123.68,663,percent of total billed charges,
CELIAC GENETICS,81382,CPT,both,,,663,663,UNITED HEALTHCARE,UNITED HEALTHCARE,,583.44,88,percent of total billed charges,583.44,123.68,663,percent of total billed charges,
CELIAC GENETICS,81382,CPT,both,,,663,663,AETNA,AETNA,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,BEECH STREET,BEECH STREET,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,CARESOURCE,CARESOURCE,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,MEDICAID,MEDICAID,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,NOVA NET,NOVA NET,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,PEACHSTATE,PEACHSTATE,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,SELFPAY,SELFPAY,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC GENETICS,81382,CPT,both,,,663,663,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,ALLIANT,ALLIANT,,204.07,,fee schedule,204.07,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,AMBETTER,AMBETTER,,160.78,,fee schedule,160.78,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,MEDICARE,MEDICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,TRICARE,TRICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,UHC MEDICARE,UHC MEDICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,AETNA,AETNA,,576.81,87,percent of total billed charges,576.81,123.68,663,percent of total billed charges,
HLA-DQ2,81382,CPT,both,,,663,663,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576.81,87,percent of total billed charges,576.81,123.68,663,percent of total billed charges,
HLA-DQ2,81382,CPT,both,,,663,663,UNITED HEALTHCARE,UNITED HEALTHCARE,,583.44,88,percent of total billed charges,583.44,123.68,663,percent of total billed charges,
HLA-DQ2,81382,CPT,both,,,663,663,AETNA,AETNA,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,BEECH STREET,BEECH STREET,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,CARESOURCE,CARESOURCE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,MEDICAID,MEDICAID,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,NOVA NET,NOVA NET,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,PEACHSTATE,PEACHSTATE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,SELFPAY,SELFPAY,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ2,81382,CPT,both,,,663,663,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,ALLIANT,ALLIANT,,204.07,,fee schedule,204.07,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,AMBETTER,AMBETTER,,160.78,,fee schedule,160.78,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,MEDICARE,MEDICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,TRICARE,TRICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,UHC MEDICARE,UHC MEDICARE,,123.68,,fee schedule,123.68,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,AETNA,AETNA,,576.81,87,percent of total billed charges,576.81,123.68,663,percent of total billed charges,
HLA-DQ8,81382,CPT,both,,,663,663,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576.81,87,percent of total billed charges,576.81,123.68,663,percent of total billed charges,
HLA-DQ8,81382,CPT,both,,,663,663,UNITED HEALTHCARE,UNITED HEALTHCARE,,583.44,88,percent of total billed charges,583.44,123.68,663,percent of total billed charges,
HLA-DQ8,81382,CPT,both,,,663,663,AETNA,AETNA,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,BEECH STREET,BEECH STREET,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,CARESOURCE,CARESOURCE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,MEDICAID,MEDICAID,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,NOVA NET,NOVA NET,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,PEACHSTATE,PEACHSTATE,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,SELFPAY,SELFPAY,,663,,fee schedule,663,123.68,663,fee schedule,
HLA-DQ8,81382,CPT,both,,,663,663,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,663,,fee schedule,663,123.68,663,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,ALLIANT,ALLIANT,,180.06,,fee schedule,180.06,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AMBETTER,AMBETTER,,141.87,,fee schedule,141.87,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,MEDICARE,MEDICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,TRICARE,TRICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,109.13,382,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,109.13,382,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,109.13,382,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,ALLIANT,ALLIANT,,180.06,,fee schedule,180.06,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AMBETTER,AMBETTER,,141.87,,fee schedule,141.87,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,MEDICARE,MEDICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,TRICARE,TRICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,109.13,382,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,109.13,382,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,109.13,382,percent of total billed charges,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,109.13,382,fee schedule,
CELIAC HLA TYPING HLA-DQ,81383,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,ALLIANT,ALLIANT,,180.06,,fee schedule,180.06,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,AMBETTER,AMBETTER,,141.87,,fee schedule,141.87,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,MEDICARE,MEDICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,TRICARE,TRICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,109.13,,fee schedule,109.13,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,109.13,382,percent of total billed charges,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,109.13,382,percent of total billed charges,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,109.13,382,percent of total billed charges,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,109.13,382,fee schedule,
HLA-DQB1 TYPING,81383,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,109.13,382,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,AETNA,AETNA,,12850.47,87,percent of total billed charges,12850.47,12850.47,14770.65,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12850.47,87,percent of total billed charges,12850.47,12850.47,14770.65,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,UNITED HEALTHCARE,UNITED HEALTHCARE,,12998.17,88,percent of total billed charges,12998.17,12850.47,14770.65,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,AETNA,AETNA,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,ALLIANT,ALLIANT,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,AMBETTER,AMBETTER,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,BEECH STREET,BEECH STREET,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,CARESOURCE,CARESOURCE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,MEDICAID,MEDICAID,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,MEDICARE,MEDICARE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,NOVA NET,NOVA NET,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,PEACHSTATE,PEACHSTATE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,SELFPAY,SELFPAY,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,TRICARE,TRICARE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC,814,DRG,inpatient,,,14770.65,14770.65,UHC MEDICARE,UHC MEDICARE,,14770.65,,fee schedule,14770.65,12850.47,14770.65,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,ALLIANT,ALLIANT,,105.53,,fee schedule,105.53,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,AMBETTER,AMBETTER,,83.15,,fee schedule,83.15,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,MEDICARE,MEDICARE,,63.96,,fee schedule,63.96,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,TRICARE,TRICARE,,63.96,,fee schedule,63.96,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,UHC MEDICARE,UHC MEDICARE,,63.96,,fee schedule,63.96,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,AETNA,AETNA,,943.95,87,percent of total billed charges,943.95,63.96,1085,percent of total billed charges,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,943.95,87,percent of total billed charges,943.95,63.96,1085,percent of total billed charges,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,UNITED HEALTHCARE,UNITED HEALTHCARE,,954.8,88,percent of total billed charges,954.8,63.96,1085,percent of total billed charges,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,AETNA,AETNA,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,BEECH STREET,BEECH STREET,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,CARESOURCE,CARESOURCE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,MEDICAID,MEDICAID,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,NOVA NET,NOVA NET,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,PEACHSTATE,PEACHSTATE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,SELFPAY,SELFPAY,,1085,,fee schedule,1085,63.96,1085,fee schedule,
ATROPHY DELETION ANALYSIS,81400,CPT,both,,,1085,1085,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,ALLIANT,ALLIANT,,105.53,,fee schedule,105.53,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,AMBETTER,AMBETTER,,83.15,,fee schedule,83.15,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,AMERIGROUP,AMERIGROUP,,103.32,,fee schedule,103.32,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,CARESOURCE,CARESOURCE,,105.29,,fee schedule,105.29,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,MEDICARE,MEDICARE,,63.96,,fee schedule,63.96,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,PEACHSTATE,PEACHSTATE,,98.4,,fee schedule,98.4,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,TRICARE,TRICARE,,63.96,,fee schedule,63.96,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,UHC MEDICARE,UHC MEDICARE,,63.96,,fee schedule,63.96,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,AETNA,AETNA,,943.95,87,percent of total billed charges,943.95,63.96,1085,percent of total billed charges,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,943.95,87,percent of total billed charges,943.95,63.96,1085,percent of total billed charges,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,UNITED HEALTHCARE,UNITED HEALTHCARE,,954.8,88,percent of total billed charges,954.8,63.96,1085,percent of total billed charges,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,AETNA,AETNA,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,BEECH STREET,BEECH STREET,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,CARESOURCE,CARESOURCE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,MEDICAID,MEDICAID,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,NOVA NET,NOVA NET,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,PEACHSTATE,PEACHSTATE,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,SELFPAY,SELFPAY,,1085,,fee schedule,1085,63.96,1085,fee schedule,
MOLECULAR PATH PROCEDURE LV 1,81400,CPT,both,,,1085,1085,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1085,,fee schedule,1085,63.96,1085,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,ALLIANT,ALLIANT,,226.05,,fee schedule,226.05,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,AMBETTER,AMBETTER,,178.1,,fee schedule,178.1,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,AMERIGROUP,AMERIGROUP,,117.6,,fee schedule,117.6,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,119.84,,fee schedule,119.84,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,MEDICARE,MEDICARE,,137,,fee schedule,137,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,TRICARE,TRICARE,,137,,fee schedule,137,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,112,953,percent of total billed charges,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,112,953,percent of total billed charges,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,112,953,percent of total billed charges,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,112,953,fee schedule,
HUNTINGTON DISEASE MUTATI,81401,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,ALLIANT,ALLIANT,,226.05,,fee schedule,226.05,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,AMBETTER,AMBETTER,,178.1,,fee schedule,178.1,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,AMERIGROUP,AMERIGROUP,,117.6,,fee schedule,117.6,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,119.84,,fee schedule,119.84,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,MEDICARE,MEDICARE,,137,,fee schedule,137,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,TRICARE,TRICARE,,137,,fee schedule,137,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,112,953,percent of total billed charges,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,112,953,percent of total billed charges,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,112,953,percent of total billed charges,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,112,953,fee schedule,
SMA CARRIER SCREEN,81401,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,ALLIANT,ALLIANT,,226.05,,fee schedule,226.05,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,AMBETTER,AMBETTER,,178.1,,fee schedule,178.1,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,AMERIGROUP,AMERIGROUP,,117.6,,fee schedule,117.6,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,119.84,,fee schedule,119.84,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,MEDICARE,MEDICARE,,137,,fee schedule,137,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,TRICARE,TRICARE,,137,,fee schedule,137,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,112,953,percent of total billed charges,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,112,953,percent of total billed charges,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,112,953,percent of total billed charges,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,112,953,fee schedule,
THIOPURINE (TPMT) GENOTYP,81401,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,112,953,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,ALLIANT,ALLIANT,,248.04,,fee schedule,248.04,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,AMBETTER,AMBETTER,,195.43,,fee schedule,195.43,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,MEDICARE,MEDICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,TRICARE,TRICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,150.33,598,percent of total billed charges,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,150.33,598,percent of total billed charges,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,150.33,598,percent of total billed charges,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,150.33,598,fee schedule,
BCL-2 TRANSLOCATION - TC,81402,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,ALLIANT,ALLIANT,,248.04,,fee schedule,248.04,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AMBETTER,AMBETTER,,195.43,,fee schedule,195.43,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,MEDICARE,MEDICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,TRICARE,TRICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,150.33,598,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,150.33,598,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,150.33,598,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,ALLIANT,ALLIANT,,248.04,,fee schedule,248.04,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AMBETTER,AMBETTER,,195.43,,fee schedule,195.43,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,172.2,,fee schedule,172.2,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,175.48,,fee schedule,175.48,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,MEDICARE,MEDICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,TRICARE,TRICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,150.33,,fee schedule,150.33,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,150.33,598,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,150.33,598,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,150.33,598,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 3,81402,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,150.33,598,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,ALLIANT,ALLIANT,,305.58,,fee schedule,305.58,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AMBETTER,AMBETTER,,240.76,,fee schedule,240.76,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,MEDICARE,MEDICARE,,185.2,,fee schedule,185.2,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,TRICARE,TRICARE,,185.2,,fee schedule,185.2,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,UHC MEDICARE,UHC MEDICARE,,185.2,,fee schedule,185.2,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AETNA,AETNA,,625.53,87,percent of total billed charges,625.53,185.2,719,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,625.53,87,percent of total billed charges,625.53,185.2,719,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,UNITED HEALTHCARE,UNITED HEALTHCARE,,632.72,88,percent of total billed charges,632.72,185.2,719,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AETNA,AETNA,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,BEECH STREET,BEECH STREET,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CARESOURCE,CARESOURCE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,MEDICAID,MEDICAID,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,NOVA NET,NOVA NET,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,PEACHSTATE,PEACHSTATE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,SELFPAY,SELFPAY,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,ALLIANT,ALLIANT,,305.58,,fee schedule,305.58,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AMBETTER,AMBETTER,,240.76,,fee schedule,240.76,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AMERIGROUP,AMERIGROUP,,197.4,,fee schedule,197.4,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CARESOURCE,CARESOURCE,,201.16,,fee schedule,201.16,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,MEDICARE,MEDICARE,,185.2,,fee schedule,185.2,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,TRICARE,TRICARE,,185.2,,fee schedule,185.2,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,UHC MEDICARE,UHC MEDICARE,,185.2,,fee schedule,185.2,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AETNA,AETNA,,625.53,87,percent of total billed charges,625.53,185.2,719,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,625.53,87,percent of total billed charges,625.53,185.2,719,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,UNITED HEALTHCARE,UNITED HEALTHCARE,,632.72,88,percent of total billed charges,632.72,185.2,719,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,AETNA,AETNA,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,BEECH STREET,BEECH STREET,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CARESOURCE,CARESOURCE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,MEDICAID,MEDICAID,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,NOVA NET,NOVA NET,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,PEACHSTATE,PEACHSTATE,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,SELFPAY,SELFPAY,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 4,81403,CPT,both,,,719,719,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,719,,fee schedule,719,185.2,719,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,ALLIANT,ALLIANT,,453.47,,fee schedule,453.47,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,AMBETTER,AMBETTER,,357.28,,fee schedule,357.28,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,AMERIGROUP,AMERIGROUP,,256.2,,fee schedule,256.2,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,261.08,,fee schedule,261.08,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,MEDICARE,MEDICARE,,274.83,,fee schedule,274.83,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,244,,fee schedule,244,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,TRICARE,TRICARE,,274.83,,fee schedule,274.83,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,UHC MEDICARE,UHC MEDICARE,,274.83,,fee schedule,274.83,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,AETNA,AETNA,,536.79,87,percent of total billed charges,536.79,244,617,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,536.79,87,percent of total billed charges,536.79,244,617,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.96,88,percent of total billed charges,542.96,244,617,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,AETNA,AETNA,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,BEECH STREET,BEECH STREET,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,MEDICAID,MEDICAID,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,NOVA NET,NOVA NET,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,SELFPAY,SELFPAY,,617,,fee schedule,617,244,617,fee schedule,
MOLECULAR PATH PROC LEVEL 5,81404,CPT,both,,,617,617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,617,,fee schedule,617,244,617,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,ALLIANT,ALLIANT,,497.23,,fee schedule,497.23,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,AMBETTER,AMBETTER,,391.76,,fee schedule,391.76,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,AMERIGROUP,AMERIGROUP,,378,,fee schedule,378,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,CARESOURCE,CARESOURCE,,385.2,,fee schedule,385.2,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,MEDICARE,MEDICARE,,301.35,,fee schedule,301.35,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,PEACHSTATE,PEACHSTATE,,360,,fee schedule,360,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,TRICARE,TRICARE,,301.35,,fee schedule,301.35,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,UHC MEDICARE,UHC MEDICARE,,301.35,,fee schedule,301.35,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,AETNA,AETNA,,469.8,87,percent of total billed charges,469.8,301.35,540,percent of total billed charges,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,469.8,87,percent of total billed charges,469.8,301.35,540,percent of total billed charges,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,UNITED HEALTHCARE,UNITED HEALTHCARE,,475.2,88,percent of total billed charges,475.2,301.35,540,percent of total billed charges,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,AETNA,AETNA,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,BEECH STREET,BEECH STREET,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,CARESOURCE,CARESOURCE,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,MEDICAID,MEDICAID,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,NOVA NET,NOVA NET,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,PEACHSTATE,PEACHSTATE,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,SELFPAY,SELFPAY,,540,,fee schedule,540,301.35,540,fee schedule,
TP53 GENE FULL SEQUENCE,81405,CPT,both,,,540,540,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,540,,fee schedule,540,301.35,540,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,ALLIANT,ALLIANT,,466.75,,fee schedule,466.75,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,AMBETTER,AMBETTER,,367.74,,fee schedule,367.74,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,AMERIGROUP,AMERIGROUP,,546,,fee schedule,546,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,CARESOURCE,CARESOURCE,,556.4,,fee schedule,556.4,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,MEDICARE,MEDICARE,,282.88,,fee schedule,282.88,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,TRICARE,TRICARE,,282.88,,fee schedule,282.88,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,UHC MEDICARE,UHC MEDICARE,,282.88,,fee schedule,282.88,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,AETNA,AETNA,,2220.24,87,percent of total billed charges,2220.24,282.88,2552,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2220.24,87,percent of total billed charges,2220.24,282.88,2552,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,UNITED HEALTHCARE,UNITED HEALTHCARE,,2245.76,88,percent of total billed charges,2245.76,282.88,2552,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,AETNA,AETNA,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,BEECH STREET,BEECH STREET,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,CARESOURCE,CARESOURCE,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,MEDICAID,MEDICAID,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,NOVA NET,NOVA NET,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,PEACHSTATE,PEACHSTATE,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,SELFPAY,SELFPAY,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 7,81406,CPT,both,,,2552,2552,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2552,,fee schedule,2552,282.88,2552,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,ALLIANT,ALLIANT,,3300,,fee schedule,3300,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,AMBETTER,AMBETTER,,2600,,fee schedule,2600,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,AMERIGROUP,AMERIGROUP,,2436,,fee schedule,2436,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,CARESOURCE,CARESOURCE,,2482.4,,fee schedule,2482.4,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,MEDICARE,MEDICARE,,2000,,fee schedule,2000,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,PEACHSTATE,PEACHSTATE,,2320,,fee schedule,2320,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,TRICARE,TRICARE,,2000,,fee schedule,2000,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,UHC MEDICARE,UHC MEDICARE,,2000,,fee schedule,2000,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,AETNA,AETNA,,2235.9,87,percent of total billed charges,2235.9,2000,3300,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2235.9,87,percent of total billed charges,2235.9,2000,3300,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,UNITED HEALTHCARE,UNITED HEALTHCARE,,2261.6,88,percent of total billed charges,2261.6,2000,3300,percent of total billed charges,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,AETNA,AETNA,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,BEECH STREET,BEECH STREET,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,CARESOURCE,CARESOURCE,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,MEDICAID,MEDICAID,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,NOVA NET,NOVA NET,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,PEACHSTATE,PEACHSTATE,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,SELFPAY,SELFPAY,,2570,,fee schedule,2570,2000,3300,fee schedule,
MOLECULAR PATH PROC LEVEL 9,81408,CPT,both,,,2570,2570,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2570,,fee schedule,2570,2000,3300,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,ALLIANT,ALLIANT,,4040.12,,fee schedule,4040.12,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,AMBETTER,AMBETTER,,3183.13,,fee schedule,3183.13,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,AMERIGROUP,AMERIGROUP,,2056.79,,fee schedule,2056.79,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,CARESOURCE,CARESOURCE,,2095.97,,fee schedule,2095.97,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,MEDICARE,MEDICARE,,2448.56,,fee schedule,2448.56,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,PEACHSTATE,PEACHSTATE,,1958.85,,fee schedule,1958.85,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,TRICARE,TRICARE,,2448.56,,fee schedule,2448.56,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,UHC MEDICARE,UHC MEDICARE,,2448.56,,fee schedule,2448.56,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,AETNA,AETNA,,2240.25,87,percent of total billed charges,2240.25,1958.85,4040.12,percent of total billed charges,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2240.25,87,percent of total billed charges,2240.25,1958.85,4040.12,percent of total billed charges,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,UNITED HEALTHCARE,UNITED HEALTHCARE,,2266,88,percent of total billed charges,2266,1958.85,4040.12,percent of total billed charges,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,AETNA,AETNA,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,BEECH STREET,BEECH STREET,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,CARESOURCE,CARESOURCE,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,MEDICAID,MEDICAID,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,NOVA NET,NOVA NET,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,PEACHSTATE,PEACHSTATE,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,SELFPAY,SELFPAY,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE PANEL,81443,CPT,both,,,2575,2575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2575,,fee schedule,2575,1958.85,4040.12,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,ALLIANT,ALLIANT,,1253.22,,fee schedule,1253.22,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,AMBETTER,AMBETTER,,987.39,,fee schedule,987.39,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,MEDICARE,MEDICARE,,759.53,,fee schedule,759.53,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,TRICARE,TRICARE,,759.53,,fee schedule,759.53,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,UHC MEDICARE,UHC MEDICARE,,759.53,,fee schedule,759.53,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,AETNA,AETNA,,2598.69,87,percent of total billed charges,2598.69,759.53,2987,percent of total billed charges,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2598.69,87,percent of total billed charges,2598.69,759.53,2987,percent of total billed charges,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,UNITED HEALTHCARE,UNITED HEALTHCARE,,2628.56,88,percent of total billed charges,2628.56,759.53,2987,percent of total billed charges,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,AETNA,AETNA,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,BEECH STREET,BEECH STREET,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,CARESOURCE,CARESOURCE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,MEDICAID,MEDICAID,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,NOVA NET,NOVA NET,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,PEACHSTATE,PEACHSTATE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,SELFPAY,SELFPAY,,2987,,fee schedule,2987,759.53,2987,fee schedule,
GENOMIC SEQUENCE ANALYSIS PANE,81450,CPT,both,,,2987,2987,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,ALLIANT,ALLIANT,,1253.22,,fee schedule,1253.22,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,AMBETTER,AMBETTER,,987.39,,fee schedule,987.39,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,MEDICARE,MEDICARE,,759.53,,fee schedule,759.53,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,TRICARE,TRICARE,,759.53,,fee schedule,759.53,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,UHC MEDICARE,UHC MEDICARE,,759.53,,fee schedule,759.53,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,AETNA,AETNA,,2598.69,87,percent of total billed charges,2598.69,759.53,2987,percent of total billed charges,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2598.69,87,percent of total billed charges,2598.69,759.53,2987,percent of total billed charges,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,UNITED HEALTHCARE,UNITED HEALTHCARE,,2628.56,88,percent of total billed charges,2628.56,759.53,2987,percent of total billed charges,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,AETNA,AETNA,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,BEECH STREET,BEECH STREET,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,CARESOURCE,CARESOURCE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,MEDICAID,MEDICAID,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,NOVA NET,NOVA NET,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,PEACHSTATE,PEACHSTATE,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,SELFPAY,SELFPAY,,2987,,fee schedule,2987,759.53,2987,fee schedule,
NEOTYPE MDS/CMML PROFILE,81450,CPT,both,,,2987,2987,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2987,,fee schedule,2987,759.53,2987,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,AMERIGROUP,AMERIGROUP,,934.58,,fee schedule,934.58,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,952.39,,fee schedule,952.39,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,890.08,,fee schedule,890.08,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,AETNA,AETNA,,629.01,87,percent of total billed charges,629.01,629.01,952.39,percent of total billed charges,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629.01,87,percent of total billed charges,629.01,629.01,952.39,percent of total billed charges,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,UNITED HEALTHCARE,UNITED HEALTHCARE,,636.24,88,percent of total billed charges,636.24,629.01,952.39,percent of total billed charges,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,AETNA,AETNA,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,ALLIANT,ALLIANT,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,AMBETTER,AMBETTER,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,BEECH STREET,BEECH STREET,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,MEDICAID,MEDICAID,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,MEDICARE,MEDICARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,NOVA NET,NOVA NET,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,SELFPAY,SELFPAY,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,TRICARE,TRICARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
CALRETICULIN MUTATION AN,81479,CPT,both,,,723,723,UHC MEDICARE,UHC MEDICARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,AMERIGROUP,AMERIGROUP,,934.58,,fee schedule,934.58,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,CARESOURCE,CARESOURCE,,952.39,,fee schedule,952.39,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,PEACHSTATE,PEACHSTATE,,890.08,,fee schedule,890.08,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,AETNA,AETNA,,3506.97,87,percent of total billed charges,3506.97,890.08,4031,percent of total billed charges,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3506.97,87,percent of total billed charges,3506.97,890.08,4031,percent of total billed charges,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,UNITED HEALTHCARE,UNITED HEALTHCARE,,3547.28,88,percent of total billed charges,3547.28,890.08,4031,percent of total billed charges,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,AETNA,AETNA,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,ALLIANT,ALLIANT,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,AMBETTER,AMBETTER,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,BEECH STREET,BEECH STREET,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,CARESOURCE,CARESOURCE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,MEDICAID,MEDICAID,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,MEDICARE,MEDICARE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,NOVA NET,NOVA NET,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,PEACHSTATE,PEACHSTATE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,SELFPAY,SELFPAY,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,TRICARE,TRICARE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
MOLDCRABL BCR-ABL1,81479,CPT,both,,,4031,4031,UHC MEDICARE,UHC MEDICARE,,4031,,fee schedule,4031,890.08,4031,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,AMERIGROUP,AMERIGROUP,,934.58,,fee schedule,934.58,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,952.39,,fee schedule,952.39,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,890.08,,fee schedule,890.08,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,AETNA,AETNA,,629.01,87,percent of total billed charges,629.01,629.01,952.39,percent of total billed charges,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629.01,87,percent of total billed charges,629.01,629.01,952.39,percent of total billed charges,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,UNITED HEALTHCARE,UNITED HEALTHCARE,,636.24,88,percent of total billed charges,636.24,629.01,952.39,percent of total billed charges,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,AETNA,AETNA,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,ALLIANT,ALLIANT,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,AMBETTER,AMBETTER,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,BEECH STREET,BEECH STREET,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,CARESOURCE,CARESOURCE,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,MEDICAID,MEDICAID,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,MEDICARE,MEDICARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,NOVA NET,NOVA NET,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,PEACHSTATE,PEACHSTATE,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,SELFPAY,SELFPAY,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,TRICARE,TRICARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
UNLISTED MOLECULAR PATH PROC,81479,CPT,both,,,723,723,UHC MEDICARE,UHC MEDICARE,,723,,fee schedule,723,629.01,952.39,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,AETNA,AETNA,,26248.27,87,percent of total billed charges,26248.27,26248.27,30170.42,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26248.27,87,percent of total billed charges,26248.27,26248.27,30170.42,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,UNITED HEALTHCARE,UNITED HEALTHCARE,,26549.97,88,percent of total billed charges,26549.97,26248.27,30170.42,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,AETNA,AETNA,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,ALLIANT,ALLIANT,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,AMBETTER,AMBETTER,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,BEECH STREET,BEECH STREET,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,CARESOURCE,CARESOURCE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,MEDICAID,MEDICAID,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,MEDICARE,MEDICARE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,NOVA NET,NOVA NET,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,PEACHSTATE,PEACHSTATE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,SELFPAY,SELFPAY,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,TRICARE,TRICARE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,815,DRG,inpatient,,,30170.42,30170.42,UHC MEDICARE,UHC MEDICARE,,30170.42,,fee schedule,30170.42,26248.27,30170.42,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,ALLIANT,ALLIANT,,1480.05,,fee schedule,1480.05,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,AMBETTER,AMBETTER,,1166.1,,fee schedule,1166.1,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,AMERIGROUP,AMERIGROUP,,753.48,,fee schedule,753.48,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,CARESOURCE,CARESOURCE,,767.83,,fee schedule,767.83,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,MEDICARE,MEDICARE,,897,,fee schedule,897,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,PEACHSTATE,PEACHSTATE,,717.6,,fee schedule,717.6,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,TRICARE,TRICARE,,897,,fee schedule,897,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,UHC MEDICARE,UHC MEDICARE,,897,,fee schedule,897,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,AETNA,AETNA,,1197.12,87,percent of total billed charges,1197.12,717.6,1480.05,percent of total billed charges,
OVA 1,81503,CPT,both,,,1376,1376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1197.12,87,percent of total billed charges,1197.12,717.6,1480.05,percent of total billed charges,
OVA 1,81503,CPT,both,,,1376,1376,UNITED HEALTHCARE,UNITED HEALTHCARE,,1210.88,88,percent of total billed charges,1210.88,717.6,1480.05,percent of total billed charges,
OVA 1,81503,CPT,both,,,1376,1376,AETNA,AETNA,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,BEECH STREET,BEECH STREET,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,CARESOURCE,CARESOURCE,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,MEDICAID,MEDICAID,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,NOVA NET,NOVA NET,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,PEACHSTATE,PEACHSTATE,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,SELFPAY,SELFPAY,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
OVA 1,81503,CPT,both,,,1376,1376,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1376,,fee schedule,1376,717.6,1480.05,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,ALLIANT,ALLIANT,,119.11,,fee schedule,119.11,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,AMBETTER,AMBETTER,,93.85,,fee schedule,93.85,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,60.64,,fee schedule,60.64,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,61.79,,fee schedule,61.79,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,MEDICARE,MEDICARE,,72.19,,fee schedule,72.19,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,57.75,,fee schedule,57.75,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,TRICARE,TRICARE,,72.19,,fee schedule,72.19,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,72.19,,fee schedule,72.19,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,57.75,711,percent of total billed charges,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,57.75,711,percent of total billed charges,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,57.75,711,percent of total billed charges,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,57.75,711,fee schedule,
INFEC DISEASE CHRONIC HCV PANE,81596,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,57.75,711,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,AETNA,AETNA,,20584.46,87,percent of total billed charges,20584.46,20584.46,23660.3,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20584.46,87,percent of total billed charges,20584.46,20584.46,23660.3,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,UNITED HEALTHCARE,UNITED HEALTHCARE,,20821.06,88,percent of total billed charges,20821.06,20584.46,23660.3,percent of total billed charges,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,AETNA,AETNA,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,ALLIANT,ALLIANT,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,AMBETTER,AMBETTER,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,BEECH STREET,BEECH STREET,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,CARESOURCE,CARESOURCE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,MEDICAID,MEDICAID,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,MEDICARE,MEDICARE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,NOVA NET,NOVA NET,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,PEACHSTATE,PEACHSTATE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,SELFPAY,SELFPAY,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,TRICARE,TRICARE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC,816,DRG,inpatient,,,23660.3,23660.3,UHC MEDICARE,UHC MEDICARE,,23660.3,,fee schedule,23660.3,20584.46,23660.3,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,AETNA,AETNA,,9069.34,87,percent of total billed charges,9069.34,9069.34,10424.53,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9069.34,87,percent of total billed charges,9069.34,9069.34,10424.53,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,UNITED HEALTHCARE,UNITED HEALTHCARE,,9173.59,88,percent of total billed charges,9173.59,9069.34,10424.53,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,AETNA,AETNA,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,ALLIANT,ALLIANT,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,AMBETTER,AMBETTER,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,BEECH STREET,BEECH STREET,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,CARESOURCE,CARESOURCE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,MEDICAID,MEDICAID,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,MEDICARE,MEDICARE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,NOVA NET,NOVA NET,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,PEACHSTATE,PEACHSTATE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,SELFPAY,SELFPAY,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,TRICARE,TRICARE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC,817,DRG,inpatient,,,10424.53,10424.53,UHC MEDICARE,UHC MEDICARE,,10424.53,,fee schedule,10424.53,9069.34,10424.53,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,AETNA,AETNA,,16830.49,87,percent of total billed charges,16830.49,16830.49,19345.39,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16830.49,87,percent of total billed charges,16830.49,16830.49,19345.39,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,UNITED HEALTHCARE,UNITED HEALTHCARE,,17023.94,88,percent of total billed charges,17023.94,16830.49,19345.39,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,AETNA,AETNA,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,ALLIANT,ALLIANT,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,AMBETTER,AMBETTER,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,BEECH STREET,BEECH STREET,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,CARESOURCE,CARESOURCE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,MEDICAID,MEDICAID,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,MEDICARE,MEDICARE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,NOVA NET,NOVA NET,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,PEACHSTATE,PEACHSTATE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,SELFPAY,SELFPAY,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,TRICARE,TRICARE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,819,DRG,inpatient,,,19345.39,19345.39,UHC MEDICARE,UHC MEDICARE,,19345.39,,fee schedule,19345.39,16830.49,19345.39,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,4.34,,fee schedule,4.34,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,4.42,,fee schedule,4.42,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,4.13,,fee schedule,4.13,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,4.13,103,percent of total billed charges,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,4.13,103,percent of total billed charges,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,4.13,103,percent of total billed charges,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES: SERUM,82009,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,4.13,103,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,4.34,,fee schedule,4.34,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,4.42,,fee schedule,4.42,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,4.13,,fee schedule,4.13,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,4.13,39,percent of total billed charges,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,4.13,39,percent of total billed charges,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,4.13,39,percent of total billed charges,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,4.13,39,fee schedule,
KETONE BODIES; SERUM,82009,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,4.13,39,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,ALLIANT,ALLIANT,,13.48,,fee schedule,13.48,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,AMBETTER,AMBETTER,,10.62,,fee schedule,10.62,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,10.79,,fee schedule,10.79,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,11,,fee schedule,11,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,MEDICARE,MEDICARE,,8.17,,fee schedule,8.17,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,10.28,,fee schedule,10.28,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,TRICARE,TRICARE,,8.17,,fee schedule,8.17,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,8.17,,fee schedule,8.17,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,8.17,55,percent of total billed charges,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,8.17,55,percent of total billed charges,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,8.17,55,percent of total billed charges,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,8.17,55,fee schedule,
BETA HYDROXYBUTYRATE,82010,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,8.17,55,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,ALLIANT,ALLIANT,,20.28,,fee schedule,20.28,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,AMBETTER,AMBETTER,,15.98,,fee schedule,15.98,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,AMERIGROUP,AMERIGROUP,,14.75,,fee schedule,14.75,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,15.03,,fee schedule,15.03,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,MEDICARE,MEDICARE,,12.29,,fee schedule,12.29,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,14.05,,fee schedule,14.05,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,TRICARE,TRICARE,,12.29,,fee schedule,12.29,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,12.29,,fee schedule,12.29,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,12.29,243,percent of total billed charges,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,12.29,243,percent of total billed charges,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,12.29,243,percent of total billed charges,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,12.29,243,fee schedule,
ACETYLCHOLINESTERASE,82013,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,12.29,243,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,ALLIANT,ALLIANT,,27.84,,fee schedule,27.84,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,AMBETTER,AMBETTER,,21.93,,fee schedule,21.93,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,MEDICARE,MEDICARE,,16.87,,fee schedule,16.87,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,TRICARE,TRICARE,,16.87,,fee schedule,16.87,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,UHC MEDICARE,UHC MEDICARE,,16.87,,fee schedule,16.87,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,AETNA,AETNA,,428.04,87,percent of total billed charges,428.04,16.87,492,percent of total billed charges,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,428.04,87,percent of total billed charges,428.04,16.87,492,percent of total billed charges,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,UNITED HEALTHCARE,UNITED HEALTHCARE,,432.96,88,percent of total billed charges,432.96,16.87,492,percent of total billed charges,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,AETNA,AETNA,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,BEECH STREET,BEECH STREET,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,CARESOURCE,CARESOURCE,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,MEDICAID,MEDICAID,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,NOVA NET,NOVA NET,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,PEACHSTATE,PEACHSTATE,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,SELFPAY,SELFPAY,,492,,fee schedule,492,16.87,492,fee schedule,
"ACYLCARNITINES,PLASMA",82017,CPT,both,,,492,492,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,492,,fee schedule,492,16.87,492,fee schedule,
ACTH,82024,CPT,both,,,476,476,ALLIANT,ALLIANT,,63.72,,fee schedule,63.72,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,AMBETTER,AMBETTER,,50.21,,fee schedule,50.21,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,51,,fee schedule,51,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,51.97,,fee schedule,51.97,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,MEDICARE,MEDICARE,,38.62,,fee schedule,38.62,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,48.57,,fee schedule,48.57,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,TRICARE,TRICARE,,38.62,,fee schedule,38.62,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,38.62,,fee schedule,38.62,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,38.62,476,percent of total billed charges,
ACTH,82024,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,38.62,476,percent of total billed charges,
ACTH,82024,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,38.62,476,percent of total billed charges,
ACTH,82024,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,38.62,476,fee schedule,
ACTH,82024,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,38.62,476,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,ALLIANT,ALLIANT,,8.17,,fee schedule,8.17,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AMBETTER,AMBETTER,,6.44,,fee schedule,6.44,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,3.8,,fee schedule,3.8,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,3.87,,fee schedule,3.87,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,MEDICARE,MEDICARE,,4.95,,fee schedule,4.95,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,3.62,,fee schedule,3.62,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,TRICARE,TRICARE,,4.95,,fee schedule,4.95,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,4.95,,fee schedule,4.95,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,3.62,48,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,3.62,48,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,3.62,48,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,ALLIANT,ALLIANT,,8.17,,fee schedule,8.17,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AMBETTER,AMBETTER,,6.44,,fee schedule,6.44,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,3.8,,fee schedule,3.8,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,3.87,,fee schedule,3.87,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,MEDICARE,MEDICARE,,4.95,,fee schedule,4.95,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,3.62,,fee schedule,3.62,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,TRICARE,TRICARE,,4.95,,fee schedule,4.95,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,4.95,,fee schedule,4.95,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,3.62,48,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,3.62,48,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,3.62,48,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,3.62,48,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,ALLIANT,ALLIANT,,8.17,,fee schedule,8.17,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,AMBETTER,AMBETTER,,6.44,,fee schedule,6.44,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,3.8,,fee schedule,3.8,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,3.87,,fee schedule,3.87,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,MEDICARE,MEDICARE,,4.95,,fee schedule,4.95,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,3.62,,fee schedule,3.62,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,TRICARE,TRICARE,,4.95,,fee schedule,4.95,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,4.95,,fee schedule,4.95,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,3.62,31,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,3.62,31,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,3.62,31,percent of total billed charges,
ALBUMIN SERUM,82040,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,3.62,31,fee schedule,
ALBUMIN SERUM,82040,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,3.62,31,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,ALLIANT,ALLIANT,,12.84,,fee schedule,12.84,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,AMBETTER,AMBETTER,,10.11,,fee schedule,10.11,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,MEDICARE,MEDICARE,,7.78,,fee schedule,7.78,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,TRICARE,TRICARE,,7.78,,fee schedule,7.78,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,7.78,,fee schedule,7.78,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,6.51,48,percent of total billed charges,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,6.51,48,percent of total billed charges,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,6.51,48,percent of total billed charges,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,6.51,48,fee schedule,
"ALBUMIN, OTHER SOURCE",82042,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,6.51,48,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,ALLIANT,ALLIANT,,9.54,,fee schedule,9.54,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,AMBETTER,AMBETTER,,7.51,,fee schedule,7.51,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,7.64,,fee schedule,7.64,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,7.79,,fee schedule,7.79,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,MEDICARE,MEDICARE,,5.78,,fee schedule,5.78,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,7.28,,fee schedule,7.28,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,TRICARE,TRICARE,,5.78,,fee schedule,5.78,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,5.78,,fee schedule,5.78,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,5.78,106,percent of total billed charges,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,5.78,106,percent of total billed charges,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,5.78,106,percent of total billed charges,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,5.78,106,fee schedule,
24 HR URINE MICROALBUMIN,82043,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,5.78,106,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,ALLIANT,ALLIANT,,10.28,,fee schedule,10.28,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,AMBETTER,AMBETTER,,8.1,,fee schedule,8.1,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,6.04,,fee schedule,6.04,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,6.15,,fee schedule,6.15,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,MEDICARE,MEDICARE,,6.23,,fee schedule,6.23,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,5.75,,fee schedule,5.75,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,TRICARE,TRICARE,,6.23,,fee schedule,6.23,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,6.23,,fee schedule,6.23,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,5.75,116,percent of total billed charges,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,5.75,116,percent of total billed charges,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,5.75,116,percent of total billed charges,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE,82044,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,5.75,116,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,ALLIANT,ALLIANT,,10.28,,fee schedule,10.28,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,AMBETTER,AMBETTER,,8.1,,fee schedule,8.1,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,6.04,,fee schedule,6.04,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,6.15,,fee schedule,6.15,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,MEDICARE,MEDICARE,,6.23,,fee schedule,6.23,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,5.75,,fee schedule,5.75,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,TRICARE,TRICARE,,6.23,,fee schedule,6.23,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,6.23,,fee schedule,6.23,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,5.75,21,percent of total billed charges,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,5.75,21,percent of total billed charges,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,5.75,21,percent of total billed charges,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,5.75,21,fee schedule,
MICROALBUMIN URINE (STRI,82044,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,5.75,21,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,ALLIANT,ALLIANT,,16.02,,fee schedule,16.02,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,AMBETTER,AMBETTER,,12.62,,fee schedule,12.62,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,AMERIGROUP,AMERIGROUP,,12.81,,fee schedule,12.81,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,13.05,,fee schedule,13.05,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,MEDICARE,MEDICARE,,9.71,,fee schedule,9.71,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,12.2,,fee schedule,12.2,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,TRICARE,TRICARE,,9.71,,fee schedule,9.71,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,9.71,,fee schedule,9.71,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,9.71,126,percent of total billed charges,
ALDOLASE,82085,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,9.71,126,percent of total billed charges,
ALDOLASE,82085,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,9.71,126,percent of total billed charges,
ALDOLASE,82085,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,9.71,126,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,ALLIANT,ALLIANT,,16.02,,fee schedule,16.02,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,AMBETTER,AMBETTER,,12.62,,fee schedule,12.62,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,AMERIGROUP,AMERIGROUP,,12.81,,fee schedule,12.81,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,13.05,,fee schedule,13.05,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,MEDICARE,MEDICARE,,9.71,,fee schedule,9.71,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,12.2,,fee schedule,12.2,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,TRICARE,TRICARE,,9.71,,fee schedule,9.71,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,9.71,,fee schedule,9.71,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,9.71,57,percent of total billed charges,
ALDOLASE,82085,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,9.71,57,percent of total billed charges,
ALDOLASE,82085,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,9.71,57,percent of total billed charges,
ALDOLASE,82085,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE,82085,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,9.71,57,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,ALLIANT,ALLIANT,,16.02,,fee schedule,16.02,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,AMBETTER,AMBETTER,,12.62,,fee schedule,12.62,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,12.81,,fee schedule,12.81,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,13.05,,fee schedule,13.05,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,MEDICARE,MEDICARE,,9.71,,fee schedule,9.71,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,12.2,,fee schedule,12.2,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,TRICARE,TRICARE,,9.71,,fee schedule,9.71,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,9.71,,fee schedule,9.71,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,9.71,58,percent of total billed charges,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,9.71,58,percent of total billed charges,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,9.71,58,percent of total billed charges,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOLASE LEVEL,82085,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,9.71,58,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,ALLIANT,ALLIANT,,67.24,,fee schedule,67.24,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,AMBETTER,AMBETTER,,52.98,,fee schedule,52.98,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,53.81,,fee schedule,53.81,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,54.84,,fee schedule,54.84,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,MEDICARE,MEDICARE,,40.75,,fee schedule,40.75,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,51.25,,fee schedule,51.25,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,TRICARE,TRICARE,,40.75,,fee schedule,40.75,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,40.75,,fee schedule,40.75,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,40.75,375,percent of total billed charges,
ALDOSTERONE,82088,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,40.75,375,percent of total billed charges,
ALDOSTERONE,82088,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,40.75,375,percent of total billed charges,
ALDOSTERONE,82088,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,40.75,375,fee schedule,
ALDOSTERONE,82088,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,40.75,375,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,ALLIANT,ALLIANT,,22.18,,fee schedule,22.18,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,AMBETTER,AMBETTER,,17.47,,fee schedule,17.47,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,17.73,,fee schedule,17.73,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,18.07,,fee schedule,18.07,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,MEDICARE,MEDICARE,,13.44,,fee schedule,13.44,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,16.89,,fee schedule,16.89,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,TRICARE,TRICARE,,13.44,,fee schedule,13.44,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,13.44,,fee schedule,13.44,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,13.44,286,percent of total billed charges,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,13.44,286,percent of total billed charges,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,13.44,286,percent of total billed charges,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN,82103,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,13.44,286,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,ALLIANT,ALLIANT,,23.86,,fee schedule,23.86,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,AMBETTER,AMBETTER,,18.8,,fee schedule,18.8,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,19.09,,fee schedule,19.09,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,19.45,,fee schedule,19.45,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,MEDICARE,MEDICARE,,14.46,,fee schedule,14.46,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,18.18,,fee schedule,18.18,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,TRICARE,TRICARE,,14.46,,fee schedule,14.46,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,14.46,,fee schedule,14.46,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,14.46,61,percent of total billed charges,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,14.46,61,percent of total billed charges,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,14.46,61,percent of total billed charges,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1 ANTITRYPSIN PHE,82104,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,14.46,61,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,ALLIANT,ALLIANT,,23.86,,fee schedule,23.86,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,AMBETTER,AMBETTER,,18.8,,fee schedule,18.8,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,AMERIGROUP,AMERIGROUP,,19.09,,fee schedule,19.09,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,CARESOURCE,CARESOURCE,,19.45,,fee schedule,19.45,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,MEDICARE,MEDICARE,,14.46,,fee schedule,14.46,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,PEACHSTATE,PEACHSTATE,,18.18,,fee schedule,18.18,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,TRICARE,TRICARE,,14.46,,fee schedule,14.46,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,UHC MEDICARE,UHC MEDICARE,,14.46,,fee schedule,14.46,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,AETNA,AETNA,,213.15,87,percent of total billed charges,213.15,14.46,245,percent of total billed charges,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,213.15,87,percent of total billed charges,213.15,14.46,245,percent of total billed charges,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,UNITED HEALTHCARE,UNITED HEALTHCARE,,215.6,88,percent of total billed charges,215.6,14.46,245,percent of total billed charges,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,AETNA,AETNA,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,BEECH STREET,BEECH STREET,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,CARESOURCE,CARESOURCE,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,MEDICAID,MEDICAID,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,NOVA NET,NOVA NET,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,PEACHSTATE,PEACHSTATE,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,SELFPAY,SELFPAY,,245,,fee schedule,245,14.46,245,fee schedule,
ALPHA-1ANTITRYPSINPHEN,82104,CPT,both,,,245,245,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,245,,fee schedule,245,14.46,245,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,ALLIANT,ALLIANT,,27.67,,fee schedule,27.67,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,AMBETTER,AMBETTER,,21.8,,fee schedule,21.8,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,22.16,,fee schedule,22.16,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,22.58,,fee schedule,22.58,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,MEDICARE,MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,21.1,,fee schedule,21.1,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,TRICARE,TRICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,16.77,238,percent of total billed charges,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,16.77,238,fee schedule,
AFP MATERNAL SERUM,82105,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,ALLIANT,ALLIANT,,27.67,,fee schedule,27.67,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,AMBETTER,AMBETTER,,21.8,,fee schedule,21.8,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,22.16,,fee schedule,22.16,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,22.58,,fee schedule,22.58,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,MEDICARE,MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,21.1,,fee schedule,21.1,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,TRICARE,TRICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,16.77,238,percent of total billed charges,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,ALLIANT,ALLIANT,,27.67,,fee schedule,27.67,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,AMBETTER,AMBETTER,,21.8,,fee schedule,21.8,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,22.16,,fee schedule,22.16,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,22.58,,fee schedule,22.58,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,MEDICARE,MEDICARE,,16.77,,fee schedule,16.77,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,21.1,,fee schedule,21.1,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,TRICARE,TRICARE,,16.77,,fee schedule,16.77,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,16.77,,fee schedule,16.77,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,16.77,72,percent of total billed charges,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,16.77,72,percent of total billed charges,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,16.77,72,percent of total billed charges,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,16.77,72,fee schedule,
AFP TUMOR SERUM,82105,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,16.77,72,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,ALLIANT,ALLIANT,,27.67,,fee schedule,27.67,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,AMBETTER,AMBETTER,,21.8,,fee schedule,21.8,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,22.16,,fee schedule,22.16,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,22.58,,fee schedule,22.58,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,MEDICARE,MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,21.1,,fee schedule,21.1,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,TRICARE,TRICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,16.77,238,percent of total billed charges,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,16.77,238,fee schedule,
QUAD SCREEN AFP,82105,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,ALLIANT,ALLIANT,,27.67,,fee schedule,27.67,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,AMBETTER,AMBETTER,,21.8,,fee schedule,21.8,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,22.16,,fee schedule,22.16,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,22.58,,fee schedule,22.58,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,MEDICARE,MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,21.1,,fee schedule,21.1,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,TRICARE,TRICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,16.77,,fee schedule,16.77,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,16.77,238,percent of total billed charges,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,16.77,238,percent of total billed charges,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,16.77,238,fee schedule,
TRIPLE MARKER - AFP,82105,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,16.77,238,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,ALLIANT,ALLIANT,,28.05,,fee schedule,28.05,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,AMBETTER,AMBETTER,,22.1,,fee schedule,22.1,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,AMERIGROUP,AMERIGROUP,,22.16,,fee schedule,22.16,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,22.58,,fee schedule,22.58,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,MEDICARE,MEDICARE,,17,,fee schedule,17,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,21.1,,fee schedule,21.1,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,TRICARE,TRICARE,,17,,fee schedule,17,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,17,,fee schedule,17,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,17,219,percent of total billed charges,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,17,219,percent of total billed charges,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,17,219,percent of total billed charges,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,17,219,fee schedule,
AFP AMNIOTIC FLUID,82106,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,17,219,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,ALLIANT,ALLIANT,,42.04,,fee schedule,42.04,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AMBETTER,AMBETTER,,33.12,,fee schedule,33.12,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,22.26,,fee schedule,22.26,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,22.68,,fee schedule,22.68,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,MEDICARE,MEDICARE,,25.48,,fee schedule,25.48,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,21.2,,fee schedule,21.2,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,TRICARE,TRICARE,,25.48,,fee schedule,25.48,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,25.48,,fee schedule,25.48,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,21.2,151,percent of total billed charges,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,21.2,151,percent of total billed charges,
ALUMINUM SERUM,82108,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,21.2,151,percent of total billed charges,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,ALLIANT,ALLIANT,,42.04,,fee schedule,42.04,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AMBETTER,AMBETTER,,33.12,,fee schedule,33.12,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,22.26,,fee schedule,22.26,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,22.68,,fee schedule,22.68,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,MEDICARE,MEDICARE,,25.48,,fee schedule,25.48,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,21.2,,fee schedule,21.2,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,TRICARE,TRICARE,,25.48,,fee schedule,25.48,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,25.48,,fee schedule,25.48,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,21.2,151,percent of total billed charges,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,21.2,151,percent of total billed charges,
ALUMINUM SERUM,82108,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,21.2,151,percent of total billed charges,
ALUMINUM SERUM,82108,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,21.2,151,fee schedule,
ALUMINUM SERUM,82108,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,21.2,151,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,ALLIANT,ALLIANT,,23.4,,fee schedule,23.4,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,AMBETTER,AMBETTER,,18.43,,fee schedule,18.43,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,18.3,,fee schedule,18.3,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,18.65,,fee schedule,18.65,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,MEDICARE,MEDICARE,,14.18,,fee schedule,14.18,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,17.43,,fee schedule,17.43,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,TRICARE,TRICARE,,14.18,,fee schedule,14.18,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,14.18,,fee schedule,14.18,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,14.18,160,percent of total billed charges,
GLUTAMINE,82127,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,14.18,160,percent of total billed charges,
GLUTAMINE,82127,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,14.18,160,percent of total billed charges,
GLUTAMINE,82127,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,14.18,160,fee schedule,
GLUTAMINE,82127,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,14.18,160,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,ALLIANT,ALLIANT,,22.89,,fee schedule,22.89,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,AMBETTER,AMBETTER,,18.03,,fee schedule,18.03,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,AMERIGROUP,AMERIGROUP,,18.3,,fee schedule,18.3,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,18.65,,fee schedule,18.65,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,MEDICARE,MEDICARE,,13.87,,fee schedule,13.87,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,17.43,,fee schedule,17.43,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,TRICARE,TRICARE,,13.87,,fee schedule,13.87,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,UHC MEDICARE,UHC MEDICARE,,13.87,,fee schedule,13.87,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,AETNA,AETNA,,588.99,87,percent of total billed charges,588.99,13.87,677,percent of total billed charges,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.99,87,percent of total billed charges,588.99,13.87,677,percent of total billed charges,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,UNITED HEALTHCARE,UNITED HEALTHCARE,,595.76,88,percent of total billed charges,595.76,13.87,677,percent of total billed charges,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,AETNA,AETNA,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,BEECH STREET,BEECH STREET,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,MEDICAID,MEDICAID,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,NOVA NET,NOVA NET,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,SELFPAY,SELFPAY,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREEN QL. UR,82128,CPT,both,,,677,677,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,ALLIANT,ALLIANT,,22.89,,fee schedule,22.89,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,AMBETTER,AMBETTER,,18.03,,fee schedule,18.03,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,AMERIGROUP,AMERIGROUP,,18.3,,fee schedule,18.3,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,18.65,,fee schedule,18.65,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,MEDICARE,MEDICARE,,13.87,,fee schedule,13.87,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,17.43,,fee schedule,17.43,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,TRICARE,TRICARE,,13.87,,fee schedule,13.87,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,UHC MEDICARE,UHC MEDICARE,,13.87,,fee schedule,13.87,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,AETNA,AETNA,,588.99,87,percent of total billed charges,588.99,13.87,677,percent of total billed charges,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.99,87,percent of total billed charges,588.99,13.87,677,percent of total billed charges,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,UNITED HEALTHCARE,UNITED HEALTHCARE,,595.76,88,percent of total billed charges,595.76,13.87,677,percent of total billed charges,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,AETNA,AETNA,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,BEECH STREET,BEECH STREET,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,MEDICAID,MEDICAID,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,NOVA NET,NOVA NET,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,SELFPAY,SELFPAY,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID SCREENQUAL.,82128,CPT,both,,,677,677,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,677,,fee schedule,677,13.87,677,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,ALLIANT,ALLIANT,,37.92,,fee schedule,37.92,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,AMBETTER,AMBETTER,,29.87,,fee schedule,29.87,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,MEDICARE,MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,TRICARE,TRICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,21.21,803,percent of total billed charges,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID ANALYSISLC/MS,82131,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,ALLIANT,ALLIANT,,37.92,,fee schedule,37.92,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,AMBETTER,AMBETTER,,29.87,,fee schedule,29.87,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,MEDICARE,MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,TRICARE,TRICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,21.21,803,percent of total billed charges,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,21.21,803,fee schedule,
AMINO ACID INDIVIDUAL,82131,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,ALLIANT,ALLIANT,,37.92,,fee schedule,37.92,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,AMBETTER,AMBETTER,,29.87,,fee schedule,29.87,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,MEDICARE,MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,TRICARE,TRICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,21.21,803,percent of total billed charges,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,21.21,803,fee schedule,
HOMOCYSTEINE URINE,82131,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,ALLIANT,ALLIANT,,37.92,,fee schedule,37.92,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,AMBETTER,AMBETTER,,29.87,,fee schedule,29.87,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,MEDICARE,MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,TRICARE,TRICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,22.98,,fee schedule,22.98,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
TRYPTOPHAN,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,21.21,803,percent of total billed charges,
TRYPTOPHAN,82131,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,21.21,803,percent of total billed charges,
TRYPTOPHAN,82131,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,21.21,803,fee schedule,
TRYPTOPHAN,82131,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,21.21,803,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,ALLIANT,ALLIANT,,27.14,,fee schedule,27.14,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,AMBETTER,AMBETTER,,21.39,,fee schedule,21.39,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,MEDICARE,MEDICARE,,16.45,,fee schedule,16.45,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,TRICARE,TRICARE,,16.45,,fee schedule,16.45,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,16.45,,fee schedule,16.45,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,16.45,175,percent of total billed charges,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,16.45,175,percent of total billed charges,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,16.45,175,percent of total billed charges,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,16.45,175,fee schedule,
AMINOLEVULINIC ACID,82135,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,16.45,175,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,ALLIANT,ALLIANT,,27.84,,fee schedule,27.84,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,AMBETTER,AMBETTER,,21.93,,fee schedule,21.93,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,MEDICARE,MEDICARE,,16.87,,fee schedule,16.87,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,TRICARE,TRICARE,,16.87,,fee schedule,16.87,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,UHC MEDICARE,UHC MEDICARE,,16.87,,fee schedule,16.87,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,AETNA,AETNA,,959.61,87,percent of total billed charges,959.61,16.87,1103,percent of total billed charges,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,959.61,87,percent of total billed charges,959.61,16.87,1103,percent of total billed charges,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,UNITED HEALTHCARE,UNITED HEALTHCARE,,970.64,88,percent of total billed charges,970.64,16.87,1103,percent of total billed charges,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,AETNA,AETNA,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,BEECH STREET,BEECH STREET,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,CARESOURCE,CARESOURCE,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,MEDICAID,MEDICAID,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,NOVA NET,NOVA NET,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,PEACHSTATE,PEACHSTATE,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,SELFPAY,SELFPAY,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMINO ACID QUANT.,82139,CPT,both,,,1103,1103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1103,,fee schedule,1103,16.87,1103,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,ALLIANT,ALLIANT,,24.04,,fee schedule,24.04,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,AMBETTER,AMBETTER,,18.94,,fee schedule,18.94,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,AMERIGROUP,AMERIGROUP,,13.06,,fee schedule,13.06,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,13.31,,fee schedule,13.31,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,MEDICARE,MEDICARE,,14.57,,fee schedule,14.57,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,12.44,,fee schedule,12.44,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,TRICARE,TRICARE,,14.57,,fee schedule,14.57,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,UHC MEDICARE,UHC MEDICARE,,14.57,,fee schedule,14.57,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,AETNA,AETNA,,101.79,87,percent of total billed charges,101.79,12.44,117,percent of total billed charges,
AMMONIA,82140,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101.79,87,percent of total billed charges,101.79,12.44,117,percent of total billed charges,
AMMONIA,82140,CPT,both,,,117,117,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.96,88,percent of total billed charges,102.96,12.44,117,percent of total billed charges,
AMMONIA,82140,CPT,both,,,117,117,AETNA,AETNA,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,BEECH STREET,BEECH STREET,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,MEDICAID,MEDICAID,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,NOVA NET,NOVA NET,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,SELFPAY,SELFPAY,,117,,fee schedule,117,12.44,117,fee schedule,
AMMONIA,82140,CPT,both,,,117,117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,ALLIANT,ALLIANT,,24.04,,fee schedule,24.04,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,AMBETTER,AMBETTER,,18.94,,fee schedule,18.94,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,AMERIGROUP,AMERIGROUP,,13.06,,fee schedule,13.06,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,13.31,,fee schedule,13.31,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,MEDICARE,MEDICARE,,14.57,,fee schedule,14.57,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,12.44,,fee schedule,12.44,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,TRICARE,TRICARE,,14.57,,fee schedule,14.57,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,UHC MEDICARE,UHC MEDICARE,,14.57,,fee schedule,14.57,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,AETNA,AETNA,,101.79,87,percent of total billed charges,101.79,12.44,117,percent of total billed charges,
URINE AMMONIUM,82140,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101.79,87,percent of total billed charges,101.79,12.44,117,percent of total billed charges,
URINE AMMONIUM,82140,CPT,both,,,117,117,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.96,88,percent of total billed charges,102.96,12.44,117,percent of total billed charges,
URINE AMMONIUM,82140,CPT,both,,,117,117,AETNA,AETNA,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,BEECH STREET,BEECH STREET,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,MEDICAID,MEDICAID,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,NOVA NET,NOVA NET,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,SELFPAY,SELFPAY,,117,,fee schedule,117,12.44,117,fee schedule,
URINE AMMONIUM,82140,CPT,both,,,117,117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,117,,fee schedule,117,12.44,117,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,ALLIANT,ALLIANT,,10.69,,fee schedule,10.69,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,AMBETTER,AMBETTER,,8.42,,fee schedule,8.42,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,MEDICARE,MEDICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,TRICARE,TRICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,6.48,136,percent of total billed charges,
AMYLASE,82150,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,6.48,136,percent of total billed charges,
AMYLASE,82150,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,6.48,136,percent of total billed charges,
AMYLASE,82150,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,ALLIANT,ALLIANT,,10.69,,fee schedule,10.69,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,AMBETTER,AMBETTER,,8.42,,fee schedule,8.42,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,MEDICARE,MEDICARE,,6.48,,fee schedule,6.48,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,TRICARE,TRICARE,,6.48,,fee schedule,6.48,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,6.48,,fee schedule,6.48,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,6.48,45,percent of total billed charges,
AMYLASE,82150,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,6.48,45,percent of total billed charges,
AMYLASE,82150,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,6.48,45,percent of total billed charges,
AMYLASE,82150,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE,82150,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,6.48,45,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,ALLIANT,ALLIANT,,10.69,,fee schedule,10.69,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,AMBETTER,AMBETTER,,8.42,,fee schedule,8.42,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,MEDICARE,MEDICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,TRICARE,TRICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,6.48,136,percent of total billed charges,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,6.48,136,percent of total billed charges,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,6.48,136,percent of total billed charges,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE ISOENZYMES,82150,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,ALLIANT,ALLIANT,,10.69,,fee schedule,10.69,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,AMBETTER,AMBETTER,,8.42,,fee schedule,8.42,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,MEDICARE,MEDICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,TRICARE,TRICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,6.48,,fee schedule,6.48,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,6.48,136,percent of total billed charges,
AMYLASE URINE,82150,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,6.48,136,percent of total billed charges,
AMYLASE URINE,82150,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,6.48,136,percent of total billed charges,
AMYLASE URINE,82150,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,6.48,136,fee schedule,
AMYLASE URINE,82150,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,6.48,136,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,ALLIANT,ALLIANT,,48.31,,fee schedule,48.31,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,AMBETTER,AMBETTER,,38.06,,fee schedule,38.06,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,AMERIGROUP,AMERIGROUP,,38.65,,fee schedule,38.65,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,CARESOURCE,CARESOURCE,,39.39,,fee schedule,39.39,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,MEDICARE,MEDICARE,,29.28,,fee schedule,29.28,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,PEACHSTATE,PEACHSTATE,,36.81,,fee schedule,36.81,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,TRICARE,TRICARE,,29.28,,fee schedule,29.28,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,UHC MEDICARE,UHC MEDICARE,,29.28,,fee schedule,29.28,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,AETNA,AETNA,,323.64,87,percent of total billed charges,323.64,29.28,372,percent of total billed charges,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323.64,87,percent of total billed charges,323.64,29.28,372,percent of total billed charges,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,UNITED HEALTHCARE,UNITED HEALTHCARE,,327.36,88,percent of total billed charges,327.36,29.28,372,percent of total billed charges,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,AETNA,AETNA,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,BEECH STREET,BEECH STREET,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,CARESOURCE,CARESOURCE,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,MEDICAID,MEDICAID,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,NOVA NET,NOVA NET,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,PEACHSTATE,PEACHSTATE,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,SELFPAY,SELFPAY,,372,,fee schedule,372,29.28,372,fee schedule,
ANDROSTENEDIONE,82157,CPT,both,,,372,372,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,372,,fee schedule,372,29.28,372,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,ALLIANT,ALLIANT,,24.09,,fee schedule,24.09,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,AMBETTER,AMBETTER,,18.98,,fee schedule,18.98,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,19.27,,fee schedule,19.27,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,19.63,,fee schedule,19.63,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,MEDICARE,MEDICARE,,14.6,,fee schedule,14.6,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,18.35,,fee schedule,18.35,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,TRICARE,TRICARE,,14.6,,fee schedule,14.6,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,14.6,,fee schedule,14.6,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,14.6,205,percent of total billed charges,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,14.6,205,percent of total billed charges,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,14.6,205,percent of total billed charges,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,14.6,205,fee schedule,
ACE (ANGIOTENSIN CONV EN),82164,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,14.6,205,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,ALLIANT,ALLIANT,,24.09,,fee schedule,24.09,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,AMBETTER,AMBETTER,,18.98,,fee schedule,18.98,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,19.27,,fee schedule,19.27,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,19.63,,fee schedule,19.63,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,MEDICARE,MEDICARE,,14.6,,fee schedule,14.6,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,18.35,,fee schedule,18.35,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,TRICARE,TRICARE,,14.6,,fee schedule,14.6,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,14.6,,fee schedule,14.6,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,14.6,85,percent of total billed charges,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,14.6,85,percent of total billed charges,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,14.6,85,percent of total billed charges,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,14.6,85,fee schedule,
ANGIOTENSIN CONVERTING EN,82164,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,14.6,85,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,ALLIANT,ALLIANT,,34.8,,fee schedule,34.8,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,AMBETTER,AMBETTER,,27.42,,fee schedule,27.42,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,20.46,,fee schedule,20.46,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,20.85,,fee schedule,20.85,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,MEDICARE,MEDICARE,,21.09,,fee schedule,21.09,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,19.49,,fee schedule,19.49,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,TRICARE,TRICARE,,21.09,,fee schedule,21.09,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,21.09,,fee schedule,21.09,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,19.49,73,percent of total billed charges,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,19.49,73,percent of total billed charges,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,19.49,73,percent of total billed charges,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,19.49,73,fee schedule,
APOLIPOPROTEIN,82172,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,19.49,73,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,ALLIANT,ALLIANT,,31.3,,fee schedule,31.3,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,AMBETTER,AMBETTER,,24.66,,fee schedule,24.66,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,25.05,,fee schedule,25.05,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,25.53,,fee schedule,25.53,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,MEDICARE,MEDICARE,,18.97,,fee schedule,18.97,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,23.86,,fee schedule,23.86,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,TRICARE,TRICARE,,18.97,,fee schedule,18.97,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,18.97,,fee schedule,18.97,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.97,237,percent of total billed charges,
ARSENIC,82175,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.97,237,percent of total billed charges,
ARSENIC,82175,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.97,237,percent of total billed charges,
ARSENIC,82175,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC,82175,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,ALLIANT,ALLIANT,,31.3,,fee schedule,31.3,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,AMBETTER,AMBETTER,,24.66,,fee schedule,24.66,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,25.05,,fee schedule,25.05,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,25.53,,fee schedule,25.53,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,MEDICARE,MEDICARE,,18.97,,fee schedule,18.97,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,23.86,,fee schedule,23.86,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,TRICARE,TRICARE,,18.97,,fee schedule,18.97,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,18.97,,fee schedule,18.97,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.97,237,percent of total billed charges,
ARSENIC QT,82175,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.97,237,percent of total billed charges,
ARSENIC QT,82175,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.97,237,percent of total billed charges,
ARSENIC QT,82175,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.97,237,fee schedule,
ARSENIC QT,82175,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.97,237,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,ALLIANT,ALLIANT,,16.32,,fee schedule,16.32,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,AMBETTER,AMBETTER,,12.86,,fee schedule,12.86,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,11.67,,fee schedule,11.67,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,11.89,,fee schedule,11.89,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,MEDICARE,MEDICARE,,9.89,,fee schedule,9.89,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,11.11,,fee schedule,11.11,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,TRICARE,TRICARE,,9.89,,fee schedule,9.89,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,9.89,,fee schedule,9.89,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,9.89,146,percent of total billed charges,
ASCORBIC ACID,82180,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,9.89,146,percent of total billed charges,
ASCORBIC ACID,82180,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,9.89,146,percent of total billed charges,
ASCORBIC ACID,82180,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,9.89,146,fee schedule,
ASCORBIC ACID,82180,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,ALLIANT,ALLIANT,,16.32,,fee schedule,16.32,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,AMBETTER,AMBETTER,,12.86,,fee schedule,12.86,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,11.67,,fee schedule,11.67,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,11.89,,fee schedule,11.89,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,MEDICARE,MEDICARE,,9.89,,fee schedule,9.89,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,11.11,,fee schedule,11.11,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,TRICARE,TRICARE,,9.89,,fee schedule,9.89,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,9.89,,fee schedule,9.89,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,9.89,146,percent of total billed charges,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,9.89,146,percent of total billed charges,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,9.89,146,percent of total billed charges,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,9.89,146,fee schedule,
VITAMIN C (ABSORBIC ACID),82180,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,9.89,146,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,ALLIANT,ALLIANT,,26.7,,fee schedule,26.7,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,AMBETTER,AMBETTER,,21.03,,fee schedule,21.03,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,21.37,,fee schedule,21.37,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,21.77,,fee schedule,21.77,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,MEDICARE,MEDICARE,,16.18,,fee schedule,16.18,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,20.35,,fee schedule,20.35,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,TRICARE,TRICARE,,16.18,,fee schedule,16.18,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,16.18,,fee schedule,16.18,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,16.18,85,percent of total billed charges,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,16.18,85,percent of total billed charges,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,16.18,85,percent of total billed charges,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,16.18,85,fee schedule,
BETA 2-MICROGLOBULIN SER,82232,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,16.18,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,ALLIANT,ALLIANT,,28.25,,fee schedule,28.25,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,AMBETTER,AMBETTER,,22.26,,fee schedule,22.26,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,22.63,,fee schedule,22.63,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,23.06,,fee schedule,23.06,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,MEDICARE,MEDICARE,,17.12,,fee schedule,17.12,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,21.55,,fee schedule,21.55,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,TRICARE,TRICARE,,17.12,,fee schedule,17.12,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,17.12,,fee schedule,17.12,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,17.12,85,percent of total billed charges,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,17.12,85,percent of total billed charges,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,17.12,85,percent of total billed charges,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,17.12,85,fee schedule,
BILE ACIDS (CHOLYLGLYCINE,82239,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,17.12,85,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,ALLIANT,ALLIANT,,8.28,,fee schedule,8.28,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,AMBETTER,AMBETTER,,6.53,,fee schedule,6.53,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,6.64,,fee schedule,6.64,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,6.76,,fee schedule,6.76,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,MEDICARE,MEDICARE,,5.02,,fee schedule,5.02,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,6.32,,fee schedule,6.32,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,TRICARE,TRICARE,,5.02,,fee schedule,5.02,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,5.02,,fee schedule,5.02,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,5.02,70,percent of total billed charges,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,5.02,70,percent of total billed charges,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,5.02,70,percent of total billed charges,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN TOTAL,82247,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,5.02,70,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,ALLIANT,ALLIANT,,8.28,,fee schedule,8.28,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,AMBETTER,AMBETTER,,6.53,,fee schedule,6.53,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,6.64,,fee schedule,6.64,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,6.76,,fee schedule,6.76,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,MEDICARE,MEDICARE,,5.02,,fee schedule,5.02,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,6.32,,fee schedule,6.32,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,TRICARE,TRICARE,,5.02,,fee schedule,5.02,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,5.02,,fee schedule,5.02,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,5.02,37,percent of total billed charges,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,5.02,37,percent of total billed charges,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,5.02,37,percent of total billed charges,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-TOTAL,82247,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,ALLIANT,ALLIANT,,8.28,,fee schedule,8.28,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,AMBETTER,AMBETTER,,6.53,,fee schedule,6.53,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,6.64,,fee schedule,6.64,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,6.76,,fee schedule,6.76,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,MEDICARE,MEDICARE,,5.02,,fee schedule,5.02,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,6.32,,fee schedule,6.32,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,TRICARE,TRICARE,,5.02,,fee schedule,5.02,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,5.02,,fee schedule,5.02,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,5.02,82,percent of total billed charges,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,5.02,82,percent of total billed charges,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,5.02,82,percent of total billed charges,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN DIRECT,82248,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,5.02,82,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,ALLIANT,ALLIANT,,8.28,,fee schedule,8.28,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,AMBETTER,AMBETTER,,6.53,,fee schedule,6.53,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,6.64,,fee schedule,6.64,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,6.76,,fee schedule,6.76,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,MEDICARE,MEDICARE,,5.02,,fee schedule,5.02,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,6.32,,fee schedule,6.32,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,TRICARE,TRICARE,,5.02,,fee schedule,5.02,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,5.02,,fee schedule,5.02,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,5.02,37,percent of total billed charges,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,5.02,37,percent of total billed charges,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,5.02,37,percent of total billed charges,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,5.02,37,fee schedule,
BILIRUBIN-DIRECT,82248,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,5.02,37,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,ALLIANT,ALLIANT,,27.84,,fee schedule,27.84,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,AMBETTER,AMBETTER,,21.93,,fee schedule,21.93,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,MEDICARE,MEDICARE,,16.87,,fee schedule,16.87,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,TRICARE,TRICARE,,16.87,,fee schedule,16.87,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,UHC MEDICARE,UHC MEDICARE,,16.87,,fee schedule,16.87,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,AETNA,AETNA,,364.53,87,percent of total billed charges,364.53,16.87,419,percent of total billed charges,
BIOTINIDASE,82261,CPT,both,,,419,419,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364.53,87,percent of total billed charges,364.53,16.87,419,percent of total billed charges,
BIOTINIDASE,82261,CPT,both,,,419,419,UNITED HEALTHCARE,UNITED HEALTHCARE,,368.72,88,percent of total billed charges,368.72,16.87,419,percent of total billed charges,
BIOTINIDASE,82261,CPT,both,,,419,419,AETNA,AETNA,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,BEECH STREET,BEECH STREET,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,CARESOURCE,CARESOURCE,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,MEDICAID,MEDICAID,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,NOVA NET,NOVA NET,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,PEACHSTATE,PEACHSTATE,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,SELFPAY,SELFPAY,,419,,fee schedule,419,16.87,419,fee schedule,
BIOTINIDASE,82261,CPT,both,,,419,419,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,419,,fee schedule,419,16.87,419,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,ALLIANT,ALLIANT,,7.23,,fee schedule,7.23,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,AMBETTER,AMBETTER,,5.69,,fee schedule,5.69,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,4.24,,fee schedule,4.24,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,4.32,,fee schedule,4.32,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,MEDICARE,MEDICARE,,4.38,,fee schedule,4.38,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,4.04,,fee schedule,4.04,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,TRICARE,TRICARE,,4.38,,fee schedule,4.38,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,4.38,,fee schedule,4.38,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,4.04,19,percent of total billed charges,
HEMOCCULT,82270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,4.04,19,percent of total billed charges,
HEMOCCULT,82270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,4.04,19,percent of total billed charges,
HEMOCCULT,82270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT,82270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,ALLIANT,ALLIANT,,7.23,,fee schedule,7.23,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,AMBETTER,AMBETTER,,5.69,,fee schedule,5.69,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,4.24,,fee schedule,4.24,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,4.32,,fee schedule,4.32,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,MEDICARE,MEDICARE,,4.38,,fee schedule,4.38,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,4.04,,fee schedule,4.04,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,TRICARE,TRICARE,,4.38,,fee schedule,4.38,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,4.38,,fee schedule,4.38,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,4.04,19,percent of total billed charges,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,4.04,19,percent of total billed charges,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,4.04,19,percent of total billed charges,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,4.04,19,fee schedule,
HEMOCCULT-MCR,82270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,4.04,19,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,ALLIANT,ALLIANT,,6.98,,fee schedule,6.98,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,AMBETTER,AMBETTER,,5.5,,fee schedule,5.5,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,4.24,,fee schedule,4.24,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,4.32,,fee schedule,4.32,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.23,,fee schedule,4.23,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,4.04,,fee schedule,4.04,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,TRICARE,TRICARE,,4.23,,fee schedule,4.23,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.23,,fee schedule,4.23,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.04,56,percent of total billed charges,
OCCULT BLOOD,82272,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.04,56,percent of total billed charges,
OCCULT BLOOD,82272,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.04,56,percent of total billed charges,
OCCULT BLOOD,82272,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.04,56,fee schedule,
OCCULT BLOOD,82272,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.04,56,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,ALLIANT,ALLIANT,,39.01,,fee schedule,39.01,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,AMBETTER,AMBETTER,,30.73,,fee schedule,30.73,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,30.56,,fee schedule,30.56,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,31.14,,fee schedule,31.14,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,MEDICARE,MEDICARE,,23.64,,fee schedule,23.64,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,29.1,,fee schedule,29.1,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,TRICARE,TRICARE,,23.64,,fee schedule,23.64,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,23.64,,fee schedule,23.64,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,23.64,156,percent of total billed charges,
CADMIUM LEVEL,82300,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,23.64,156,percent of total billed charges,
CADMIUM LEVEL,82300,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,23.64,156,percent of total billed charges,
CADMIUM LEVEL,82300,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,23.64,156,fee schedule,
CADMIUM LEVEL,82300,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,23.64,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,ALLIANT,ALLIANT,,48.84,,fee schedule,48.84,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,AMBETTER,AMBETTER,,38.48,,fee schedule,38.48,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,39.08,,fee schedule,39.08,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,39.83,,fee schedule,39.83,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,MEDICARE,MEDICARE,,29.6,,fee schedule,29.6,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,37.22,,fee schedule,37.22,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,TRICARE,TRICARE,,29.6,,fee schedule,29.6,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,29.6,,fee schedule,29.6,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,29.6,156,percent of total billed charges,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,29.6,156,percent of total billed charges,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,29.6,156,percent of total billed charges,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,29.6,156,fee schedule,
VITAMIN D (25-HYDROXY),82306,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,29.6,156,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,ALLIANT,ALLIANT,,44.2,,fee schedule,44.2,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,AMBETTER,AMBETTER,,34.83,,fee schedule,34.83,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,35.35,,fee schedule,35.35,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,36.03,,fee schedule,36.03,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,MEDICARE,MEDICARE,,26.79,,fee schedule,26.79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,33.67,,fee schedule,33.67,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,TRICARE,TRICARE,,26.79,,fee schedule,26.79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,26.79,,fee schedule,26.79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,26.79,79,percent of total billed charges,
CALCITIONIN,82308,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,26.79,79,percent of total billed charges,
CALCITIONIN,82308,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,26.79,79,percent of total billed charges,
CALCITIONIN,82308,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,26.79,79,fee schedule,
CALCITIONIN,82308,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,26.79,79,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,ALLIANT,ALLIANT,,8.51,,fee schedule,8.51,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,AMBETTER,AMBETTER,,6.71,,fee schedule,6.71,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,MEDICARE,MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,TRICARE,TRICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM SERUM,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM SERUM,82310,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,5.16,73,percent of total billed charges,
CALCIUM SERUM,82310,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,ALLIANT,ALLIANT,,8.51,,fee schedule,8.51,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,AMBETTER,AMBETTER,,6.71,,fee schedule,6.71,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,MEDICARE,MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,TRICARE,TRICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM SERUM,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM SERUM,82310,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,5.16,73,percent of total billed charges,
CALCIUM SERUM,82310,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM SERUM,82310,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,ALLIANT,ALLIANT,,8.51,,fee schedule,8.51,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,AMBETTER,AMBETTER,,6.71,,fee schedule,6.71,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,MEDICARE,MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,TRICARE,TRICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM URINE,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM URINE,82310,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,5.16,73,percent of total billed charges,
CALCIUM URINE,82310,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM URINE,82310,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,ALLIANT,ALLIANT,,8.51,,fee schedule,8.51,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,AMBETTER,AMBETTER,,6.71,,fee schedule,6.71,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,MEDICARE,MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,TRICARE,TRICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,5.16,,fee schedule,5.16,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,5.16,73,percent of total billed charges,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,5.16,73,percent of total billed charges,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,5.16,73,fee schedule,
CALCIUM: TOTAL,82310,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,5.16,73,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,ALLIANT,ALLIANT,,8.51,,fee schedule,8.51,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,AMBETTER,AMBETTER,,6.71,,fee schedule,6.71,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,MEDICARE,MEDICARE,,5.16,,fee schedule,5.16,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,TRICARE,TRICARE,,5.16,,fee schedule,5.16,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,5.16,,fee schedule,5.16,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,5.16,30,percent of total billed charges,
TOTAL CALCIUM,82310,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,5.16,30,percent of total billed charges,
TOTAL CALCIUM,82310,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,5.16,30,percent of total billed charges,
TOTAL CALCIUM,82310,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,5.16,30,fee schedule,
TOTAL CALCIUM,82310,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,5.16,30,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,ALLIANT,ALLIANT,,22.57,,fee schedule,22.57,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,AMBETTER,AMBETTER,,17.78,,fee schedule,17.78,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,18.04,,fee schedule,18.04,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,18.38,,fee schedule,18.38,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,MEDICARE,MEDICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,17.18,,fee schedule,17.18,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,TRICARE,TRICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,13.68,106,percent of total billed charges,
CALCIUM,82330,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,13.68,106,percent of total billed charges,
CALCIUM,82330,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,13.68,106,percent of total billed charges,
CALCIUM,82330,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM,82330,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,ALLIANT,ALLIANT,,22.57,,fee schedule,22.57,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AMBETTER,AMBETTER,,17.78,,fee schedule,17.78,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,18.04,,fee schedule,18.04,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,18.38,,fee schedule,18.38,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,MEDICARE,MEDICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,17.18,,fee schedule,17.18,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,TRICARE,TRICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,13.68,106,percent of total billed charges,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,13.68,106,percent of total billed charges,
CALCIUM IONIZED,82330,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,13.68,106,percent of total billed charges,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,ALLIANT,ALLIANT,,22.57,,fee schedule,22.57,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AMBETTER,AMBETTER,,17.78,,fee schedule,17.78,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,18.04,,fee schedule,18.04,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,18.38,,fee schedule,18.38,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,MEDICARE,MEDICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,17.18,,fee schedule,17.18,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,TRICARE,TRICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,13.68,,fee schedule,13.68,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,13.68,106,percent of total billed charges,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,13.68,106,percent of total billed charges,
CALCIUM IONIZED,82330,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,13.68,106,percent of total billed charges,
CALCIUM IONIZED,82330,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,13.68,106,fee schedule,
CALCIUM IONIZED,82330,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,13.68,106,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,ALLIANT,ALLIANT,,22.57,,fee schedule,22.57,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,AMBETTER,AMBETTER,,17.78,,fee schedule,17.78,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,18.04,,fee schedule,18.04,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,18.38,,fee schedule,18.38,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,MEDICARE,MEDICARE,,13.68,,fee schedule,13.68,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,17.18,,fee schedule,17.18,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,TRICARE,TRICARE,,13.68,,fee schedule,13.68,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,13.68,,fee schedule,13.68,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,13.68,76,percent of total billed charges,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,13.68,76,percent of total billed charges,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,13.68,76,percent of total billed charges,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,13.68,76,fee schedule,
CALICUM LEVEL - IONIZED,82330,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,13.68,76,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,ALLIANT,ALLIANT,,22.57,,fee schedule,22.57,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,AMBETTER,AMBETTER,,17.78,,fee schedule,17.78,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,18.04,,fee schedule,18.04,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,18.38,,fee schedule,18.38,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,MEDICARE,MEDICARE,,13.68,,fee schedule,13.68,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,17.18,,fee schedule,17.18,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,TRICARE,TRICARE,,13.68,,fee schedule,13.68,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,13.68,,fee schedule,13.68,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,13.68,67,percent of total billed charges,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,13.68,67,percent of total billed charges,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,13.68,67,percent of total billed charges,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,13.68,67,fee schedule,
IONIZED CALCIUM LEVEL,82330,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,13.68,67,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,ALLIANT,ALLIANT,,9.95,,fee schedule,9.95,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,AMBETTER,AMBETTER,,7.84,,fee schedule,7.84,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,7.97,,fee schedule,7.97,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,8.12,,fee schedule,8.12,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,MEDICARE,MEDICARE,,6.03,,fee schedule,6.03,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,7.59,,fee schedule,7.59,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,TRICARE,TRICARE,,6.03,,fee schedule,6.03,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,6.03,,fee schedule,6.03,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,6.03,127,percent of total billed charges,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,6.03,127,percent of total billed charges,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,6.03,127,percent of total billed charges,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,6.03,127,fee schedule,
CALCIUM 24 HOUR URINE,82340,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,ALLIANT,ALLIANT,,9.95,,fee schedule,9.95,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,AMBETTER,AMBETTER,,7.84,,fee schedule,7.84,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,7.97,,fee schedule,7.97,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,8.12,,fee schedule,8.12,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,MEDICARE,MEDICARE,,6.03,,fee schedule,6.03,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,7.59,,fee schedule,7.59,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,TRICARE,TRICARE,,6.03,,fee schedule,6.03,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,6.03,,fee schedule,6.03,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,6.03,127,percent of total billed charges,
URINE CALCIUM,82340,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,6.03,127,percent of total billed charges,
URINE CALCIUM,82340,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,6.03,127,percent of total billed charges,
URINE CALCIUM,82340,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,6.03,127,fee schedule,
URINE CALCIUM,82340,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,6.03,127,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,ALLIANT,ALLIANT,,21.29,,fee schedule,21.29,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,AMBETTER,AMBETTER,,16.77,,fee schedule,16.77,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,17.02,,fee schedule,17.02,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,17.34,,fee schedule,17.34,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,MEDICARE,MEDICARE,,12.9,,fee schedule,12.9,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,16.21,,fee schedule,16.21,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,TRICARE,TRICARE,,12.9,,fee schedule,12.9,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,12.9,,fee schedule,12.9,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,12.9,82,percent of total billed charges,
CALCULI URINARY,82365,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,12.9,82,percent of total billed charges,
CALCULI URINARY,82365,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,12.9,82,percent of total billed charges,
CALCULI URINARY,82365,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI URINARY,82365,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,12.9,82,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,ALLIANT,ALLIANT,,21.29,,fee schedule,21.29,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,AMBETTER,AMBETTER,,16.77,,fee schedule,16.77,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,17.02,,fee schedule,17.02,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,17.34,,fee schedule,17.34,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,MEDICARE,MEDICARE,,12.9,,fee schedule,12.9,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,16.21,,fee schedule,16.21,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,TRICARE,TRICARE,,12.9,,fee schedule,12.9,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,12.9,,fee schedule,12.9,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,12.9,69,percent of total billed charges,
CALCULI-URINARY,82365,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,12.9,69,percent of total billed charges,
CALCULI-URINARY,82365,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,12.9,69,percent of total billed charges,
CALCULI-URINARY,82365,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,12.9,69,fee schedule,
CALCULI-URINARY,82365,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,12.9,69,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,ALLIANT,ALLIANT,,20.66,,fee schedule,20.66,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,AMBETTER,AMBETTER,,16.28,,fee schedule,16.28,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,16.55,,fee schedule,16.55,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,16.86,,fee schedule,16.86,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,MEDICARE,MEDICARE,,12.52,,fee schedule,12.52,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,15.76,,fee schedule,15.76,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,TRICARE,TRICARE,,12.52,,fee schedule,12.52,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,12.52,,fee schedule,12.52,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,12.52,62,percent of total billed charges,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,12.52,62,percent of total billed charges,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,12.52,62,percent of total billed charges,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULI ANALYSIS,82370,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,12.52,62,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,ALLIANT,ALLIANT,,20.66,,fee schedule,20.66,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,AMBETTER,AMBETTER,,16.28,,fee schedule,16.28,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,16.55,,fee schedule,16.55,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,16.86,,fee schedule,16.86,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,MEDICARE,MEDICARE,,12.52,,fee schedule,12.52,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,15.76,,fee schedule,15.76,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,TRICARE,TRICARE,,12.52,,fee schedule,12.52,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,12.52,,fee schedule,12.52,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,12.52,69,percent of total billed charges,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,12.52,69,percent of total billed charges,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,12.52,69,percent of total billed charges,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,12.52,69,fee schedule,
URINARY CALCULISTONE ANA,82370,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,12.52,69,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,ALLIANT,ALLIANT,,29.8,,fee schedule,29.8,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,AMBETTER,AMBETTER,,23.48,,fee schedule,23.48,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,MEDICARE,MEDICARE,,18.06,,fee schedule,18.06,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,TRICARE,TRICARE,,18.06,,fee schedule,18.06,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,18.06,,fee schedule,18.06,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,7.55,75,percent of total billed charges,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,7.55,75,percent of total billed charges,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,7.55,75,percent of total billed charges,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,7.55,75,fee schedule,
CARBOHYDRATE DEFICIENT TRANSF,82373,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,7.55,75,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,ALLIANT,ALLIANT,,8.05,,fee schedule,8.05,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AMBETTER,AMBETTER,,6.34,,fee schedule,6.34,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,6.46,,fee schedule,6.46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,6.58,,fee schedule,6.58,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,MEDICARE,MEDICARE,,4.88,,fee schedule,4.88,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,6.15,,fee schedule,6.15,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,TRICARE,TRICARE,,4.88,,fee schedule,4.88,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,4.88,,fee schedule,4.88,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,4.88,46,percent of total billed charges,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,4.88,46,percent of total billed charges,
CARBON DIOXIDE,82374,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,4.88,46,percent of total billed charges,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,ALLIANT,ALLIANT,,8.05,,fee schedule,8.05,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AMBETTER,AMBETTER,,6.34,,fee schedule,6.34,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,6.46,,fee schedule,6.46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,6.58,,fee schedule,6.58,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,MEDICARE,MEDICARE,,4.88,,fee schedule,4.88,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,6.15,,fee schedule,6.15,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,TRICARE,TRICARE,,4.88,,fee schedule,4.88,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,4.88,,fee schedule,4.88,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,4.88,46,percent of total billed charges,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,4.88,46,percent of total billed charges,
CARBON DIOXIDE,82374,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,4.88,46,percent of total billed charges,
CARBON DIOXIDE,82374,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,4.88,46,fee schedule,
CARBON DIOXIDE,82374,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,4.88,46,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,ALLIANT,ALLIANT,,8.05,,fee schedule,8.05,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,AMBETTER,AMBETTER,,6.34,,fee schedule,6.34,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,6.46,,fee schedule,6.46,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,6.58,,fee schedule,6.58,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,MEDICARE,MEDICARE,,4.88,,fee schedule,4.88,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,6.15,,fee schedule,6.15,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,TRICARE,TRICARE,,4.88,,fee schedule,4.88,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,4.88,,fee schedule,4.88,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,4.88,31,percent of total billed charges,
SERUM BICARBONATE,82374,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,4.88,31,percent of total billed charges,
SERUM BICARBONATE,82374,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,4.88,31,percent of total billed charges,
SERUM BICARBONATE,82374,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,4.88,31,fee schedule,
SERUM BICARBONATE,82374,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,4.88,31,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,ALLIANT,ALLIANT,,20.33,,fee schedule,20.33,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,AMBETTER,AMBETTER,,16.02,,fee schedule,16.02,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,3.8,,fee schedule,3.8,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,3.87,,fee schedule,3.87,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,MEDICARE,MEDICARE,,12.32,,fee schedule,12.32,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,3.62,,fee schedule,3.62,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,TRICARE,TRICARE,,12.32,,fee schedule,12.32,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,12.32,,fee schedule,12.32,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,3.62,20.33,percent of total billed charges,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,3.62,20.33,percent of total billed charges,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,3.62,20.33,percent of total billed charges,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARBOXBYHEMOGLOBIN,82375,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,3.62,20.33,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,ALLIANT,ALLIANT,,31.28,,fee schedule,31.28,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,AMBETTER,AMBETTER,,24.65,,fee schedule,24.65,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,25.05,,fee schedule,25.05,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,25.53,,fee schedule,25.53,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,MEDICARE,MEDICARE,,18.96,,fee schedule,18.96,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,23.86,,fee schedule,23.86,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,TRICARE,TRICARE,,18.96,,fee schedule,18.96,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,18.96,,fee schedule,18.96,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,18.96,205,percent of total billed charges,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,18.96,205,percent of total billed charges,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,18.96,205,percent of total billed charges,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,18.96,205,fee schedule,
CARCINOEMBRYONIC ANTIGEN,82378,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,18.96,205,fee schedule,
CEA,82378,CPT,both,,,59,59,ALLIANT,ALLIANT,,31.28,,fee schedule,31.28,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,AMBETTER,AMBETTER,,24.65,,fee schedule,24.65,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,25.05,,fee schedule,25.05,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,25.53,,fee schedule,25.53,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,MEDICARE,MEDICARE,,18.96,,fee schedule,18.96,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,23.86,,fee schedule,23.86,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,TRICARE,TRICARE,,18.96,,fee schedule,18.96,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,18.96,,fee schedule,18.96,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,18.96,59,percent of total billed charges,
CEA,82378,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,18.96,59,percent of total billed charges,
CEA,82378,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,18.96,59,percent of total billed charges,
CEA,82378,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,18.96,59,fee schedule,
CEA,82378,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,18.96,59,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,ALLIANT,ALLIANT,,27.84,,fee schedule,27.84,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,AMBETTER,AMBETTER,,21.93,,fee schedule,21.93,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,MEDICARE,MEDICARE,,16.87,,fee schedule,16.87,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,TRICARE,TRICARE,,16.87,,fee schedule,16.87,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,16.87,,fee schedule,16.87,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,16.87,576,percent of total billed charges,
CARNITINE,82379,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,16.87,576,percent of total billed charges,
CARNITINE,82379,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,16.87,576,percent of total billed charges,
CARNITINE,82379,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,16.87,576,fee schedule,
CARNITINE,82379,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,16.87,576,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,ALLIANT,ALLIANT,,15.21,,fee schedule,15.21,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,AMBETTER,AMBETTER,,11.99,,fee schedule,11.99,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,12.18,,fee schedule,12.18,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,12.41,,fee schedule,12.41,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,MEDICARE,MEDICARE,,9.22,,fee schedule,9.22,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,11.6,,fee schedule,11.6,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,TRICARE,TRICARE,,9.22,,fee schedule,9.22,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,9.22,,fee schedule,9.22,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,9.22,156,percent of total billed charges,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,9.22,156,percent of total billed charges,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,9.22,156,percent of total billed charges,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,9.22,156,fee schedule,
CAROTENE ALPHA/BETA,82380,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,9.22,156,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,ALLIANT,ALLIANT,,45.05,,fee schedule,45.05,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,AMBETTER,AMBETTER,,35.49,,fee schedule,35.49,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,22.7,,fee schedule,22.7,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,23.13,,fee schedule,23.13,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,MEDICARE,MEDICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,21.62,,fee schedule,21.62,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,TRICARE,TRICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,21.62,286,percent of total billed charges,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,21.62,286,percent of total billed charges,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,21.62,286,percent of total billed charges,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES & PROFILE,82382,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,ALLIANT,ALLIANT,,45.05,,fee schedule,45.05,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,AMBETTER,AMBETTER,,35.49,,fee schedule,35.49,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,22.7,,fee schedule,22.7,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,23.13,,fee schedule,23.13,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,MEDICARE,MEDICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,21.62,,fee schedule,21.62,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,TRICARE,TRICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,21.62,286,percent of total billed charges,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,21.62,286,percent of total billed charges,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,21.62,286,percent of total billed charges,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FREE,82382,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,ALLIANT,ALLIANT,,45.05,,fee schedule,45.05,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,AMBETTER,AMBETTER,,35.49,,fee schedule,35.49,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,22.7,,fee schedule,22.7,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,23.13,,fee schedule,23.13,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,MEDICARE,MEDICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,21.62,,fee schedule,21.62,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,TRICARE,TRICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,27.3,,fee schedule,27.3,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,21.62,286,percent of total billed charges,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,21.62,286,percent of total billed charges,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,21.62,286,percent of total billed charges,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES URINE TOT,82382,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,21.62,286,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,ALLIANT,ALLIANT,,41.66,,fee schedule,41.66,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,AMBETTER,AMBETTER,,32.83,,fee schedule,32.83,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,33.34,,fee schedule,33.34,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,33.97,,fee schedule,33.97,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,MEDICARE,MEDICARE,,25.25,,fee schedule,25.25,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,31.75,,fee schedule,31.75,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,TRICARE,TRICARE,,25.25,,fee schedule,25.25,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,25.25,,fee schedule,25.25,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,25.25,209,percent of total billed charges,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,25.25,209,percent of total billed charges,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,25.25,209,percent of total billed charges,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,25.25,209,fee schedule,
CATECHOLAMINES FRACTIONA,82384,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,25.25,209,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,AETNA,AETNA,,120.93,87,percent of total billed charges,120.93,10.74,139,percent of total billed charges,
CERULOPLASMIN,82390,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.93,87,percent of total billed charges,120.93,10.74,139,percent of total billed charges,
CERULOPLASMIN,82390,CPT,both,,,139,139,UNITED HEALTHCARE,UNITED HEALTHCARE,,122.32,88,percent of total billed charges,122.32,10.74,139,percent of total billed charges,
CERULOPLASMIN,82390,CPT,both,,,139,139,AETNA,AETNA,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,BEECH STREET,BEECH STREET,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,MEDICAID,MEDICAID,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,NOVA NET,NOVA NET,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,SELFPAY,SELFPAY,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,139,139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139,,fee schedule,139,10.74,139,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,10.74,32,percent of total billed charges,
CERULOPLASMIN,82390,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,10.74,32,percent of total billed charges,
CERULOPLASMIN,82390,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,10.74,32,percent of total billed charges,
CERULOPLASMIN,82390,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,10.74,32,fee schedule,
CERULOPLASMIN,82390,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,10.74,32,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,ALLIANT,ALLIANT,,23.3,,fee schedule,23.3,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,AMBETTER,AMBETTER,,18.36,,fee schedule,18.36,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,AMERIGROUP,AMERIGROUP,,18.66,,fee schedule,18.66,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,19.01,,fee schedule,19.01,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,MEDICARE,MEDICARE,,14.12,,fee schedule,14.12,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,17.77,,fee schedule,17.77,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,TRICARE,TRICARE,,14.12,,fee schedule,14.12,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,UHC MEDICARE,UHC MEDICARE,,14.12,,fee schedule,14.12,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,AETNA,AETNA,,361.05,87,percent of total billed charges,361.05,14.12,415,percent of total billed charges,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361.05,87,percent of total billed charges,361.05,14.12,415,percent of total billed charges,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,UNITED HEALTHCARE,UNITED HEALTHCARE,,365.2,88,percent of total billed charges,365.2,14.12,415,percent of total billed charges,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,AETNA,AETNA,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,BEECH STREET,BEECH STREET,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,MEDICAID,MEDICAID,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,NOVA NET,NOVA NET,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,SELFPAY,SELFPAY,,415,,fee schedule,415,14.12,415,fee schedule,
CHEMILUMINESCENT ASSAY,82397,CPT,both,,,415,415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,ALLIANT,ALLIANT,,23.3,,fee schedule,23.3,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,AMBETTER,AMBETTER,,18.36,,fee schedule,18.36,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,AMERIGROUP,AMERIGROUP,,18.66,,fee schedule,18.66,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,19.01,,fee schedule,19.01,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,MEDICARE,MEDICARE,,14.12,,fee schedule,14.12,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,17.77,,fee schedule,17.77,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,TRICARE,TRICARE,,14.12,,fee schedule,14.12,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,UHC MEDICARE,UHC MEDICARE,,14.12,,fee schedule,14.12,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,AETNA,AETNA,,361.05,87,percent of total billed charges,361.05,14.12,415,percent of total billed charges,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361.05,87,percent of total billed charges,361.05,14.12,415,percent of total billed charges,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,UNITED HEALTHCARE,UNITED HEALTHCARE,,365.2,88,percent of total billed charges,365.2,14.12,415,percent of total billed charges,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,AETNA,AETNA,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,BEECH STREET,BEECH STREET,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,MEDICAID,MEDICAID,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,NOVA NET,NOVA NET,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,SELFPAY,SELFPAY,,415,,fee schedule,415,14.12,415,fee schedule,
CTX-COLLAGEN TYPE 1,82397,CPT,both,,,415,415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,415,,fee schedule,415,14.12,415,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,ALLIANT,ALLIANT,,7.59,,fee schedule,7.59,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AMBETTER,AMBETTER,,5.98,,fee schedule,5.98,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.07,,fee schedule,6.07,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.18,,fee schedule,6.18,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,MEDICARE,MEDICARE,,4.6,,fee schedule,4.6,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,5.78,,fee schedule,5.78,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,TRICARE,TRICARE,,4.6,,fee schedule,4.6,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,4.6,,fee schedule,4.6,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,4.6,43,percent of total billed charges,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,4.6,43,percent of total billed charges,
CHLORIDE SERUM,82435,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,4.6,43,percent of total billed charges,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,ALLIANT,ALLIANT,,7.59,,fee schedule,7.59,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AMBETTER,AMBETTER,,5.98,,fee schedule,5.98,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.07,,fee schedule,6.07,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.18,,fee schedule,6.18,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,MEDICARE,MEDICARE,,4.6,,fee schedule,4.6,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,5.78,,fee schedule,5.78,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,TRICARE,TRICARE,,4.6,,fee schedule,4.6,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,4.6,,fee schedule,4.6,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,4.6,43,percent of total billed charges,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,4.6,43,percent of total billed charges,
CHLORIDE SERUM,82435,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,4.6,43,percent of total billed charges,
CHLORIDE SERUM,82435,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE SERUM,82435,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,4.6,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,ALLIANT,ALLIANT,,9.49,,fee schedule,9.49,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,AMBETTER,AMBETTER,,7.48,,fee schedule,7.48,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.64,,fee schedule,6.64,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.76,,fee schedule,6.76,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,MEDICARE,MEDICARE,,5.75,,fee schedule,5.75,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,6.32,,fee schedule,6.32,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,TRICARE,TRICARE,,5.75,,fee schedule,5.75,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,5.75,,fee schedule,5.75,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,5.75,43,percent of total billed charges,
CHLORIDE URINE,82436,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,5.75,43,percent of total billed charges,
CHLORIDE URINE,82436,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,5.75,43,percent of total billed charges,
CHLORIDE URINE,82436,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,5.75,43,fee schedule,
CHLORIDE URINE,82436,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,5.75,43,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,ALLIANT,ALLIANT,,7.18,,fee schedule,7.18,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,AMBETTER,AMBETTER,,5.66,,fee schedule,5.66,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,5.74,,fee schedule,5.74,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,5.85,,fee schedule,5.85,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,MEDICARE,MEDICARE,,4.35,,fee schedule,4.35,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,5.47,,fee schedule,5.47,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,TRICARE,TRICARE,,4.35,,fee schedule,4.35,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,4.35,,fee schedule,4.35,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,4.35,22,percent of total billed charges,
CHOLESTEROL,82465,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,4.35,22,percent of total billed charges,
CHOLESTEROL,82465,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,4.35,22,percent of total billed charges,
CHOLESTEROL,82465,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL,82465,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,4.35,22,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,ALLIANT,ALLIANT,,7.18,,fee schedule,7.18,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,AMBETTER,AMBETTER,,5.66,,fee schedule,5.66,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,5.74,,fee schedule,5.74,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,5.85,,fee schedule,5.85,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,MEDICARE,MEDICARE,,4.35,,fee schedule,4.35,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,5.47,,fee schedule,5.47,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,TRICARE,TRICARE,,4.35,,fee schedule,4.35,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,4.35,,fee schedule,4.35,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,4.35,114,percent of total billed charges,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,4.35,114,percent of total billed charges,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,4.35,114,percent of total billed charges,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLESTEROL TOTAL,82465,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,4.35,114,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,ALLIANT,ALLIANT,,12.99,,fee schedule,12.99,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,AMBETTER,AMBETTER,,10.23,,fee schedule,10.23,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,10.41,,fee schedule,10.41,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,10.6,,fee schedule,10.6,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,MEDICARE,MEDICARE,,7.87,,fee schedule,7.87,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,9.91,,fee schedule,9.91,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,TRICARE,TRICARE,,7.87,,fee schedule,7.87,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,7.87,,fee schedule,7.87,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,7.87,82,percent of total billed charges,
CHOLINESTERASE,82480,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,7.87,82,percent of total billed charges,
CHOLINESTERASE,82480,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,7.87,82,percent of total billed charges,
CHOLINESTERASE,82480,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE,82480,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,7.87,82,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,ALLIANT,ALLIANT,,16.19,,fee schedule,16.19,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,AMBETTER,AMBETTER,,12.75,,fee schedule,12.75,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,10.15,,fee schedule,10.15,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,10.35,,fee schedule,10.35,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,MEDICARE,MEDICARE,,9.81,,fee schedule,9.81,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,9.67,,fee schedule,9.67,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,TRICARE,TRICARE,,9.81,,fee schedule,9.81,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,9.81,,fee schedule,9.81,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,9.67,61,percent of total billed charges,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,9.67,61,percent of total billed charges,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,9.67,61,percent of total billed charges,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,9.67,61,fee schedule,
CHOLINESTERASE:RBC/DIB NO,82482,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,9.67,61,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,ALLIANT,ALLIANT,,33.46,,fee schedule,33.46,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,AMBETTER,AMBETTER,,26.36,,fee schedule,26.36,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,AMERIGROUP,AMERIGROUP,,26.79,,fee schedule,26.79,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,27.3,,fee schedule,27.3,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,MEDICARE,MEDICARE,,20.28,,fee schedule,20.28,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,25.51,,fee schedule,25.51,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,TRICARE,TRICARE,,20.28,,fee schedule,20.28,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,UHC MEDICARE,UHC MEDICARE,,20.28,,fee schedule,20.28,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,AETNA,AETNA,,148.77,87,percent of total billed charges,148.77,20.28,171,percent of total billed charges,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148.77,87,percent of total billed charges,148.77,20.28,171,percent of total billed charges,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,UNITED HEALTHCARE,UNITED HEALTHCARE,,150.48,88,percent of total billed charges,150.48,20.28,171,percent of total billed charges,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,AETNA,AETNA,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,BEECH STREET,BEECH STREET,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,MEDICAID,MEDICAID,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,NOVA NET,NOVA NET,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,SELFPAY,SELFPAY,,171,,fee schedule,171,20.28,171,fee schedule,
CHROMIUM QT BLOOD,82495,CPT,both,,,171,171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,171,,fee schedule,171,20.28,171,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,ALLIANT,ALLIANT,,45.87,,fee schedule,45.87,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,AMBETTER,AMBETTER,,36.14,,fee schedule,36.14,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,36.72,,fee schedule,36.72,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,37.42,,fee schedule,37.42,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,MEDICARE,MEDICARE,,27.8,,fee schedule,27.8,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,34.97,,fee schedule,34.97,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,TRICARE,TRICARE,,27.8,,fee schedule,27.8,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,27.8,,fee schedule,27.8,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,27.8,262,percent of total billed charges,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,27.8,262,percent of total billed charges,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,27.8,262,percent of total billed charges,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,27.8,262,fee schedule,
CITRIC ACID (CITRATE),82507,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,ALLIANT,ALLIANT,,45.87,,fee schedule,45.87,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,AMBETTER,AMBETTER,,36.14,,fee schedule,36.14,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,36.72,,fee schedule,36.72,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,37.42,,fee schedule,37.42,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,MEDICARE,MEDICARE,,27.8,,fee schedule,27.8,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,34.97,,fee schedule,34.97,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,TRICARE,TRICARE,,27.8,,fee schedule,27.8,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,27.8,,fee schedule,27.8,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,27.8,262,percent of total billed charges,
URINE CITRATE,82507,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,27.8,262,percent of total billed charges,
URINE CITRATE,82507,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,27.8,262,percent of total billed charges,
URINE CITRATE,82507,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,27.8,262,fee schedule,
URINE CITRATE,82507,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,27.8,262,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,ALLIANT,ALLIANT,,30.82,,fee schedule,30.82,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,AMBETTER,AMBETTER,,24.28,,fee schedule,24.28,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,AMERIGROUP,AMERIGROUP,,24.68,,fee schedule,24.68,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,CARESOURCE,CARESOURCE,,25.15,,fee schedule,25.15,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,MEDICARE,MEDICARE,,18.68,,fee schedule,18.68,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,PEACHSTATE,PEACHSTATE,,23.5,,fee schedule,23.5,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,TRICARE,TRICARE,,18.68,,fee schedule,18.68,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,UHC MEDICARE,UHC MEDICARE,,18.68,,fee schedule,18.68,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,AETNA,AETNA,,526.35,87,percent of total billed charges,526.35,18.68,605,percent of total billed charges,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,526.35,87,percent of total billed charges,526.35,18.68,605,percent of total billed charges,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,UNITED HEALTHCARE,UNITED HEALTHCARE,,532.4,88,percent of total billed charges,532.4,18.68,605,percent of total billed charges,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,AETNA,AETNA,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,BEECH STREET,BEECH STREET,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,CARESOURCE,CARESOURCE,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,MEDICAID,MEDICAID,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,NOVA NET,NOVA NET,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,PEACHSTATE,PEACHSTATE,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,SELFPAY,SELFPAY,,605,,fee schedule,605,18.68,605,fee schedule,
N-TELOPEPTIDE,82523,CPT,both,,,605,605,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,605,,fee schedule,605,18.68,605,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,ALLIANT,ALLIANT,,20.48,,fee schedule,20.48,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,AMBETTER,AMBETTER,,16.13,,fee schedule,16.13,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,16.39,,fee schedule,16.39,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,16.7,,fee schedule,16.7,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,MEDICARE,MEDICARE,,12.41,,fee schedule,12.41,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,15.61,,fee schedule,15.61,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,TRICARE,TRICARE,,12.41,,fee schedule,12.41,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,12.41,,fee schedule,12.41,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,12.41,112,percent of total billed charges,
COPPER SERUM,82525,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,12.41,112,percent of total billed charges,
COPPER SERUM,82525,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,12.41,112,percent of total billed charges,
COPPER SERUM,82525,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER SERUM,82525,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,ALLIANT,ALLIANT,,20.48,,fee schedule,20.48,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,AMBETTER,AMBETTER,,16.13,,fee schedule,16.13,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,16.39,,fee schedule,16.39,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,16.7,,fee schedule,16.7,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,MEDICARE,MEDICARE,,12.41,,fee schedule,12.41,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,15.61,,fee schedule,15.61,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,TRICARE,TRICARE,,12.41,,fee schedule,12.41,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,12.41,,fee schedule,12.41,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,12.41,112,percent of total billed charges,
COPPER URINE,82525,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,12.41,112,percent of total billed charges,
COPPER URINE,82525,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,12.41,112,percent of total billed charges,
COPPER URINE,82525,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,12.41,112,fee schedule,
COPPER URINE,82525,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,12.41,112,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,ALLIANT,ALLIANT,,27.57,,fee schedule,27.57,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,AMBETTER,AMBETTER,,21.72,,fee schedule,21.72,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,AMERIGROUP,AMERIGROUP,,22.07,,fee schedule,22.07,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,CARESOURCE,CARESOURCE,,22.49,,fee schedule,22.49,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,MEDICARE,MEDICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,PEACHSTATE,PEACHSTATE,,21.02,,fee schedule,21.02,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,TRICARE,TRICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,UHC MEDICARE,UHC MEDICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,AETNA,AETNA,,478.5,87,percent of total billed charges,478.5,16.71,550,percent of total billed charges,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,478.5,87,percent of total billed charges,478.5,16.71,550,percent of total billed charges,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,UNITED HEALTHCARE,UNITED HEALTHCARE,,484,88,percent of total billed charges,484,16.71,550,percent of total billed charges,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,AETNA,AETNA,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,BEECH STREET,BEECH STREET,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,CARESOURCE,CARESOURCE,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,MEDICAID,MEDICAID,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,NOVA NET,NOVA NET,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,PEACHSTATE,PEACHSTATE,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,SELFPAY,SELFPAY,,550,,fee schedule,550,16.71,550,fee schedule,
24 HR. URINE CORTISOL,82530,CPT,both,,,550,550,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,ALLIANT,ALLIANT,,27.57,,fee schedule,27.57,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,AMBETTER,AMBETTER,,21.72,,fee schedule,21.72,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,AMERIGROUP,AMERIGROUP,,22.07,,fee schedule,22.07,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,CARESOURCE,CARESOURCE,,22.49,,fee schedule,22.49,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,MEDICARE,MEDICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,PEACHSTATE,PEACHSTATE,,21.02,,fee schedule,21.02,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,TRICARE,TRICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,UHC MEDICARE,UHC MEDICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,AETNA,AETNA,,478.5,87,percent of total billed charges,478.5,16.71,550,percent of total billed charges,
CORTISOL FREE,82530,CPT,both,,,550,550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,478.5,87,percent of total billed charges,478.5,16.71,550,percent of total billed charges,
CORTISOL FREE,82530,CPT,both,,,550,550,UNITED HEALTHCARE,UNITED HEALTHCARE,,484,88,percent of total billed charges,484,16.71,550,percent of total billed charges,
CORTISOL FREE,82530,CPT,both,,,550,550,AETNA,AETNA,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,BEECH STREET,BEECH STREET,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,CARESOURCE,CARESOURCE,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,MEDICAID,MEDICAID,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,NOVA NET,NOVA NET,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,PEACHSTATE,PEACHSTATE,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,SELFPAY,SELFPAY,,550,,fee schedule,550,16.71,550,fee schedule,
CORTISOL FREE,82530,CPT,both,,,550,550,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,ALLIANT,ALLIANT,,27.57,,fee schedule,27.57,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,AMBETTER,AMBETTER,,21.72,,fee schedule,21.72,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,AMERIGROUP,AMERIGROUP,,22.07,,fee schedule,22.07,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,CARESOURCE,CARESOURCE,,22.49,,fee schedule,22.49,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,MEDICARE,MEDICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,PEACHSTATE,PEACHSTATE,,21.02,,fee schedule,21.02,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,TRICARE,TRICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,UHC MEDICARE,UHC MEDICARE,,16.71,,fee schedule,16.71,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,AETNA,AETNA,,478.5,87,percent of total billed charges,478.5,16.71,550,percent of total billed charges,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,478.5,87,percent of total billed charges,478.5,16.71,550,percent of total billed charges,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,UNITED HEALTHCARE,UNITED HEALTHCARE,,484,88,percent of total billed charges,484,16.71,550,percent of total billed charges,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,AETNA,AETNA,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,BEECH STREET,BEECH STREET,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,CARESOURCE,CARESOURCE,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,MEDICAID,MEDICAID,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,NOVA NET,NOVA NET,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,PEACHSTATE,PEACHSTATE,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,SELFPAY,SELFPAY,,550,,fee schedule,550,16.71,550,fee schedule,
URINARY FREE CORTISOL,82530,CPT,both,,,550,550,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,550,,fee schedule,550,16.71,550,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,ALLIANT,ALLIANT,,26.9,,fee schedule,26.9,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,AMBETTER,AMBETTER,,21.19,,fee schedule,21.19,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,21.53,,fee schedule,21.53,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,21.94,,fee schedule,21.94,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,MEDICARE,MEDICARE,,16.3,,fee schedule,16.3,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,20.5,,fee schedule,20.5,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,TRICARE,TRICARE,,16.3,,fee schedule,16.3,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,16.3,,fee schedule,16.3,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,16.3,73,percent of total billed charges,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,16.3,73,percent of total billed charges,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,16.3,73,percent of total billed charges,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,16.3,73,fee schedule,
CORTESOL LEVEL; TOTAL,82533,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,16.3,73,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,ALLIANT,ALLIANT,,26.9,,fee schedule,26.9,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,AMBETTER,AMBETTER,,21.19,,fee schedule,21.19,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,AMERIGROUP,AMERIGROUP,,21.53,,fee schedule,21.53,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,21.94,,fee schedule,21.94,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,MEDICARE,MEDICARE,,16.3,,fee schedule,16.3,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,20.5,,fee schedule,20.5,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,TRICARE,TRICARE,,16.3,,fee schedule,16.3,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,UHC MEDICARE,UHC MEDICARE,,16.3,,fee schedule,16.3,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,AETNA,AETNA,,358.44,87,percent of total billed charges,358.44,16.3,412,percent of total billed charges,
CORTISOL,82533,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358.44,87,percent of total billed charges,358.44,16.3,412,percent of total billed charges,
CORTISOL,82533,CPT,both,,,412,412,UNITED HEALTHCARE,UNITED HEALTHCARE,,362.56,88,percent of total billed charges,362.56,16.3,412,percent of total billed charges,
CORTISOL,82533,CPT,both,,,412,412,AETNA,AETNA,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,BEECH STREET,BEECH STREET,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,MEDICAID,MEDICAID,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,NOVA NET,NOVA NET,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,SELFPAY,SELFPAY,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL,82533,CPT,both,,,412,412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,ALLIANT,ALLIANT,,26.9,,fee schedule,26.9,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,AMBETTER,AMBETTER,,21.19,,fee schedule,21.19,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,AMERIGROUP,AMERIGROUP,,21.53,,fee schedule,21.53,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,21.94,,fee schedule,21.94,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,MEDICARE,MEDICARE,,16.3,,fee schedule,16.3,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,20.5,,fee schedule,20.5,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,TRICARE,TRICARE,,16.3,,fee schedule,16.3,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,UHC MEDICARE,UHC MEDICARE,,16.3,,fee schedule,16.3,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,AETNA,AETNA,,358.44,87,percent of total billed charges,358.44,16.3,412,percent of total billed charges,
CORTISOL SALIVA,82533,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358.44,87,percent of total billed charges,358.44,16.3,412,percent of total billed charges,
CORTISOL SALIVA,82533,CPT,both,,,412,412,UNITED HEALTHCARE,UNITED HEALTHCARE,,362.56,88,percent of total billed charges,362.56,16.3,412,percent of total billed charges,
CORTISOL SALIVA,82533,CPT,both,,,412,412,AETNA,AETNA,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,BEECH STREET,BEECH STREET,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,MEDICAID,MEDICAID,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,NOVA NET,NOVA NET,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,SELFPAY,SELFPAY,,412,,fee schedule,412,16.3,412,fee schedule,
CORTISOL SALIVA,82533,CPT,both,,,412,412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,412,,fee schedule,412,16.3,412,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,ALLIANT,ALLIANT,,7.66,,fee schedule,7.66,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,AMBETTER,AMBETTER,,6.03,,fee schedule,6.03,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.12,,fee schedule,6.12,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,6.24,,fee schedule,6.24,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,MEDICARE,MEDICARE,,4.64,,fee schedule,4.64,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,5.83,,fee schedule,5.83,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,TRICARE,TRICARE,,4.64,,fee schedule,4.64,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,4.64,,fee schedule,4.64,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,4.64,69,percent of total billed charges,
CREATINE URINE,82540,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,4.64,69,percent of total billed charges,
CREATINE URINE,82540,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,4.64,69,percent of total billed charges,
CREATINE URINE,82540,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,4.64,69,fee schedule,
CREATINE URINE,82540,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,4.64,69,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,ALLIANT,ALLIANT,,39.75,,fee schedule,39.75,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,AMBETTER,AMBETTER,,31.32,,fee schedule,31.32,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,MEDICARE,MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,TRICARE,TRICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
AMIODARONE,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
AMIODARONE,82542,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,7.55,353,percent of total billed charges,
AMIODARONE,82542,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,7.55,353,fee schedule,
AMIODARONE,82542,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,ALLIANT,ALLIANT,,39.75,,fee schedule,39.75,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,AMBETTER,AMBETTER,,31.32,,fee schedule,31.32,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,MEDICARE,MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,TRICARE,TRICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,7.55,353,percent of total billed charges,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,7.55,353,fee schedule,
"COL CHROMATOGRAPHY, QU/QT",82542,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,ALLIANT,ALLIANT,,39.75,,fee schedule,39.75,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,AMBETTER,AMBETTER,,31.32,,fee schedule,31.32,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,MEDICARE,MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,TRICARE,TRICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,7.55,353,percent of total billed charges,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,7.55,353,fee schedule,
NOREPINEPHRINE PLASMA,82542,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,ALLIANT,ALLIANT,,39.75,,fee schedule,39.75,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,AMBETTER,AMBETTER,,31.32,,fee schedule,31.32,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,MEDICARE,MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,TRICARE,TRICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
OXCARBAZEPINE,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
OXCARBAZEPINE,82542,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,7.55,353,percent of total billed charges,
OXCARBAZEPINE,82542,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,7.55,353,fee schedule,
OXCARBAZEPINE,82542,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,ALLIANT,ALLIANT,,39.75,,fee schedule,39.75,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,AMBETTER,AMBETTER,,31.32,,fee schedule,31.32,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,MEDICARE,MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,TRICARE,TRICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,24.09,,fee schedule,24.09,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,7.55,353,percent of total billed charges,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,7.55,353,percent of total billed charges,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,7.55,353,fee schedule,
PHENTERMINE QUAD,82542,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,7.55,353,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,ALLIANT,ALLIANT,,10.74,,fee schedule,10.74,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.46,,fee schedule,8.46,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,TRICARE,TRICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.35,114,percent of total billed charges,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.35,114,percent of total billed charges,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.35,114,percent of total billed charges,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.35,114,fee schedule,
CARDIAC CPK - PROFILE,82550,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,ALLIANT,ALLIANT,,10.74,,fee schedule,10.74,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.46,,fee schedule,8.46,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,TRICARE,TRICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.35,114,percent of total billed charges,
CK TOTAL,82550,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.35,114,percent of total billed charges,
CK TOTAL,82550,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.35,114,percent of total billed charges,
CK TOTAL,82550,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.35,114,fee schedule,
CK TOTAL,82550,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,ALLIANT,ALLIANT,,10.74,,fee schedule,10.74,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.46,,fee schedule,8.46,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,TRICARE,TRICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.51,,fee schedule,6.51,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.35,114,percent of total billed charges,
CPK PROFILE,82550,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.35,114,percent of total billed charges,
CPK PROFILE,82550,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.35,114,percent of total billed charges,
CPK PROFILE,82550,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.35,114,fee schedule,
CPK PROFILE,82550,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.35,114,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,ALLIANT,ALLIANT,,10.74,,fee schedule,10.74,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,AMBETTER,AMBETTER,,8.46,,fee schedule,8.46,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,MEDICARE,MEDICARE,,6.51,,fee schedule,6.51,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,TRICARE,TRICARE,,6.51,,fee schedule,6.51,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,6.51,,fee schedule,6.51,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,6.35,43,percent of total billed charges,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,6.35,43,percent of total billed charges,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,6.35,43,percent of total billed charges,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,6.35,43,fee schedule,
CREATINE KINASE; TOTAL,82550,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,6.35,43,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,ALLIANT,ALLIANT,,22.09,,fee schedule,22.09,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,AMBETTER,AMBETTER,,17.41,,fee schedule,17.41,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,17.68,,fee schedule,17.68,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,18.02,,fee schedule,18.02,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,MEDICARE,MEDICARE,,13.39,,fee schedule,13.39,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,16.84,,fee schedule,16.84,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,TRICARE,TRICARE,,13.39,,fee schedule,13.39,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,13.39,,fee schedule,13.39,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,13.39,70,percent of total billed charges,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,13.39,70,percent of total billed charges,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,13.39,70,percent of total billed charges,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,13.39,70,fee schedule,
CARDIAC CPK ISO,82552,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,13.39,70,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,ALLIANT,ALLIANT,,22.09,,fee schedule,22.09,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,AMBETTER,AMBETTER,,17.41,,fee schedule,17.41,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,17.68,,fee schedule,17.68,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,18.02,,fee schedule,18.02,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,MEDICARE,MEDICARE,,13.39,,fee schedule,13.39,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,16.84,,fee schedule,16.84,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,TRICARE,TRICARE,,13.39,,fee schedule,13.39,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,13.39,,fee schedule,13.39,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,13.39,50,percent of total billed charges,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,13.39,50,percent of total billed charges,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,13.39,50,percent of total billed charges,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,13.39,50,fee schedule,
CREATINE KINASE; ISOENZYM,82552,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,13.39,50,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,ALLIANT,ALLIANT,,19.06,,fee schedule,19.06,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,AMBETTER,AMBETTER,,15.02,,fee schedule,15.02,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,15.25,,fee schedule,15.25,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,15.54,,fee schedule,15.54,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,MEDICARE,MEDICARE,,11.55,,fee schedule,11.55,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,14.52,,fee schedule,14.52,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,TRICARE,TRICARE,,11.55,,fee schedule,11.55,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,11.55,,fee schedule,11.55,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,11.55,230,percent of total billed charges,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,11.55,230,percent of total billed charges,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,11.55,230,percent of total billed charges,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,11.55,230,fee schedule,
CARDIAC CK-MB - PROFILE,82553,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,ALLIANT,ALLIANT,,19.06,,fee schedule,19.06,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,AMBETTER,AMBETTER,,15.02,,fee schedule,15.02,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,15.25,,fee schedule,15.25,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,15.54,,fee schedule,15.54,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,MEDICARE,MEDICARE,,11.55,,fee schedule,11.55,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,14.52,,fee schedule,14.52,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,TRICARE,TRICARE,,11.55,,fee schedule,11.55,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,11.55,,fee schedule,11.55,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,11.55,230,percent of total billed charges,
CKMB,82553,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,11.55,230,percent of total billed charges,
CKMB,82553,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,11.55,230,percent of total billed charges,
CKMB,82553,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,11.55,230,fee schedule,
CKMB,82553,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,11.55,230,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,ALLIANT,ALLIANT,,19.06,,fee schedule,19.06,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,AMBETTER,AMBETTER,,15.02,,fee schedule,15.02,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,15.25,,fee schedule,15.25,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,15.54,,fee schedule,15.54,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,MEDICARE,MEDICARE,,11.55,,fee schedule,11.55,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,14.52,,fee schedule,14.52,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,TRICARE,TRICARE,,11.55,,fee schedule,11.55,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,11.55,,fee schedule,11.55,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,11.55,48,percent of total billed charges,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,11.55,48,percent of total billed charges,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,11.55,48,percent of total billed charges,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,11.55,48,fee schedule,
CREATINE KINASE; MB FRAC.,82553,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,11.55,48,fee schedule,
CREATININE,82565,CPT,both,,,84,84,ALLIANT,ALLIANT,,8.45,,fee schedule,8.45,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,AMBETTER,AMBETTER,,6.66,,fee schedule,6.66,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,MEDICARE,MEDICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,TRICARE,TRICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,5.12,84,percent of total billed charges,
CREATININE,82565,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,5.12,84,percent of total billed charges,
CREATININE,82565,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,5.12,84,percent of total billed charges,
CREATININE,82565,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE,82565,CPT,both,,,21,21,ALLIANT,ALLIANT,,8.45,,fee schedule,8.45,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,AMBETTER,AMBETTER,,6.66,,fee schedule,6.66,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,MEDICARE,MEDICARE,,5.12,,fee schedule,5.12,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,TRICARE,TRICARE,,5.12,,fee schedule,5.12,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,5.12,,fee schedule,5.12,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,5.12,21,percent of total billed charges,
CREATININE,82565,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,5.12,21,percent of total billed charges,
CREATININE,82565,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,5.12,21,percent of total billed charges,
CREATININE,82565,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE,82565,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,5.12,21,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,ALLIANT,ALLIANT,,8.45,,fee schedule,8.45,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,AMBETTER,AMBETTER,,6.66,,fee schedule,6.66,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,MEDICARE,MEDICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,TRICARE,TRICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,5.12,84,percent of total billed charges,
CREATININE SERUM,82565,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,5.12,84,percent of total billed charges,
CREATININE SERUM,82565,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,5.12,84,percent of total billed charges,
CREATININE SERUM,82565,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,ALLIANT,ALLIANT,,8.45,,fee schedule,8.45,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,AMBETTER,AMBETTER,,6.66,,fee schedule,6.66,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,MEDICARE,MEDICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,TRICARE,TRICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,5.12,,fee schedule,5.12,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,5.12,84,percent of total billed charges,
CREATININE SERUM,82565,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,5.12,84,percent of total billed charges,
CREATININE SERUM,82565,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,5.12,84,percent of total billed charges,
CREATININE SERUM,82565,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,5.12,84,fee schedule,
CREATININE SERUM,82565,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,5.12,84,fee schedule,
CREATINE,82570,CPT,both,,,47,47,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,5.18,47,percent of total billed charges,
CREATINE,82570,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,5.18,47,percent of total billed charges,
CREATINE,82570,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,5.18,47,percent of total billed charges,
CREATINE,82570,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,5.18,47,fee schedule,
CREATINE,82570,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,5.18,47,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,5.18,102,percent of total billed charges,
CREATININE URINE,82570,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,5.18,102,percent of total billed charges,
CREATININE URINE,82570,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,5.18,102,percent of total billed charges,
CREATININE URINE,82570,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE URINE,82570,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,5.18,102,percent of total billed charges,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,5.18,102,percent of total billed charges,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,5.18,102,percent of total billed charges,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,5.18,102,fee schedule,
"CREATININE, OTHER SOURCE",82570,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,5.18,102,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,ALLIANT,ALLIANT,,15.61,,fee schedule,15.61,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,AMBETTER,AMBETTER,,12.3,,fee schedule,12.3,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,12.47,,fee schedule,12.47,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,12.71,,fee schedule,12.71,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,MEDICARE,MEDICARE,,9.46,,fee schedule,9.46,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,11.88,,fee schedule,11.88,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,TRICARE,TRICARE,,9.46,,fee schedule,9.46,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,9.46,,fee schedule,9.46,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,9.46,157,percent of total billed charges,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,9.46,157,percent of total billed charges,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,9.46,157,percent of total billed charges,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,9.46,157,fee schedule,
CREATININE CLEARANCE,82575,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,9.46,157,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,ALLIANT,ALLIANT,,23.33,,fee schedule,23.33,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,AMBETTER,AMBETTER,,18.38,,fee schedule,18.38,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,11.32,,fee schedule,11.32,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,11.53,,fee schedule,11.53,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,MEDICARE,MEDICARE,,14.14,,fee schedule,14.14,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,10.78,,fee schedule,10.78,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,TRICARE,TRICARE,,14.14,,fee schedule,14.14,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,14.14,,fee schedule,14.14,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,10.78,55,percent of total billed charges,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,10.78,55,percent of total billed charges,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,10.78,55,percent of total billed charges,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOFIBRINOGEN,82585,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,10.78,55,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,6.47,49,percent of total billed charges,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,6.47,49,percent of total billed charges,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,6.47,49,percent of total billed charges,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,6.47,49,fee schedule,
CRYOGLOBULINS QL.,82595,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,6.47,49,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,ALLIANT,ALLIANT,,32.01,,fee schedule,32.01,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,AMBETTER,AMBETTER,,25.22,,fee schedule,25.22,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,25.62,,fee schedule,25.62,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,26.11,,fee schedule,26.11,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,MEDICARE,MEDICARE,,19.4,,fee schedule,19.4,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,24.4,,fee schedule,24.4,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,TRICARE,TRICARE,,19.4,,fee schedule,19.4,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,19.4,,fee schedule,19.4,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,19.4,102,percent of total billed charges,
CYANIDEBLOOD,82600,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,19.4,102,percent of total billed charges,
CYANIDEBLOOD,82600,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,19.4,102,percent of total billed charges,
CYANIDEBLOOD,82600,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,19.4,102,fee schedule,
CYANIDEBLOOD,82600,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,19.4,102,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,15.08,217,percent of total billed charges,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,15.08,217,percent of total billed charges,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,15.08,217,percent of total billed charges,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,15.08,217,fee schedule,
ANEMIA PROFILE II - B-12,82607,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,15.08,217,percent of total billed charges,
VITAMIN B-12,82607,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,15.08,217,percent of total billed charges,
VITAMIN B-12,82607,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,15.08,217,percent of total billed charges,
VITAMIN B-12,82607,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12,82607,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,15.08,217,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,15.08,81,percent of total billed charges,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,15.08,81,percent of total billed charges,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,15.08,81,percent of total billed charges,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 LEVEL,82607,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,15.08,81,percent of total billed charges,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,15.08,81,percent of total billed charges,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,15.08,81,percent of total billed charges,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,15.08,81,fee schedule,
VITAMIN B-12 PROFILE,82607,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,15.08,81,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,ALLIANT,ALLIANT,,23.63,,fee schedule,23.63,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,AMBETTER,AMBETTER,,18.62,,fee schedule,18.62,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,18.91,,fee schedule,18.91,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,19.27,,fee schedule,19.27,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,MEDICARE,MEDICARE,,14.32,,fee schedule,14.32,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,18.01,,fee schedule,18.01,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,TRICARE,TRICARE,,14.32,,fee schedule,14.32,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,14.32,,fee schedule,14.32,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,14.32,342,percent of total billed charges,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,14.32,342,percent of total billed charges,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,14.32,342,percent of total billed charges,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,14.32,342,fee schedule,
VIT B12 BINDING CAPACITY,82608,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,14.32,342,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,ALLIANT,ALLIANT,,30.56,,fee schedule,30.56,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,AMBETTER,AMBETTER,,24.08,,fee schedule,24.08,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,MEDICARE,MEDICARE,,18.52,,fee schedule,18.52,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,TRICARE,TRICARE,,18.52,,fee schedule,18.52,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,18.52,,fee schedule,18.52,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,17.1,94,percent of total billed charges,
CYSTATIN C,82610,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,17.1,94,percent of total billed charges,
CYSTATIN C,82610,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,17.1,94,percent of total billed charges,
CYSTATIN C,82610,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,17.1,94,fee schedule,
CYSTATIN C,82610,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,17.1,94,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,ALLIANT,ALLIANT,,41.7,,fee schedule,41.7,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,AMBETTER,AMBETTER,,32.85,,fee schedule,32.85,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,AMERIGROUP,AMERIGROUP,,33.37,,fee schedule,33.37,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,CARESOURCE,CARESOURCE,,34,,fee schedule,34,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,MEDICARE,MEDICARE,,25.27,,fee schedule,25.27,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,PEACHSTATE,PEACHSTATE,,31.78,,fee schedule,31.78,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,TRICARE,TRICARE,,25.27,,fee schedule,25.27,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,UHC MEDICARE,UHC MEDICARE,,25.27,,fee schedule,25.27,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,AETNA,AETNA,,308.85,87,percent of total billed charges,308.85,25.27,355,percent of total billed charges,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,308.85,87,percent of total billed charges,308.85,25.27,355,percent of total billed charges,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,UNITED HEALTHCARE,UNITED HEALTHCARE,,312.4,88,percent of total billed charges,312.4,25.27,355,percent of total billed charges,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,AETNA,AETNA,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,BEECH STREET,BEECH STREET,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,CARESOURCE,CARESOURCE,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,MEDICAID,MEDICAID,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,NOVA NET,NOVA NET,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,PEACHSTATE,PEACHSTATE,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,SELFPAY,SELFPAY,,355,,fee schedule,355,25.27,355,fee schedule,
DEHYDROEPIANDROSTERONE UR,82626,CPT,both,,,355,355,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,ALLIANT,ALLIANT,,41.7,,fee schedule,41.7,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,AMBETTER,AMBETTER,,32.85,,fee schedule,32.85,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,AMERIGROUP,AMERIGROUP,,33.37,,fee schedule,33.37,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,CARESOURCE,CARESOURCE,,34,,fee schedule,34,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,MEDICARE,MEDICARE,,25.27,,fee schedule,25.27,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,PEACHSTATE,PEACHSTATE,,31.78,,fee schedule,31.78,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,TRICARE,TRICARE,,25.27,,fee schedule,25.27,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,UHC MEDICARE,UHC MEDICARE,,25.27,,fee schedule,25.27,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,AETNA,AETNA,,308.85,87,percent of total billed charges,308.85,25.27,355,percent of total billed charges,
DHEA SERUM,82626,CPT,both,,,355,355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,308.85,87,percent of total billed charges,308.85,25.27,355,percent of total billed charges,
DHEA SERUM,82626,CPT,both,,,355,355,UNITED HEALTHCARE,UNITED HEALTHCARE,,312.4,88,percent of total billed charges,312.4,25.27,355,percent of total billed charges,
DHEA SERUM,82626,CPT,both,,,355,355,AETNA,AETNA,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,BEECH STREET,BEECH STREET,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,CARESOURCE,CARESOURCE,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,MEDICAID,MEDICAID,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,NOVA NET,NOVA NET,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,PEACHSTATE,PEACHSTATE,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,SELFPAY,SELFPAY,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,355,355,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,355,,fee schedule,355,25.27,355,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,ALLIANT,ALLIANT,,41.7,,fee schedule,41.7,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,AMBETTER,AMBETTER,,32.85,,fee schedule,32.85,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,33.37,,fee schedule,33.37,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,34,,fee schedule,34,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,MEDICARE,MEDICARE,,25.27,,fee schedule,25.27,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,31.78,,fee schedule,31.78,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,TRICARE,TRICARE,,25.27,,fee schedule,25.27,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,25.27,,fee schedule,25.27,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,25.27,76,percent of total billed charges,
DHEA SERUM,82626,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,25.27,76,percent of total billed charges,
DHEA SERUM,82626,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,25.27,76,percent of total billed charges,
DHEA SERUM,82626,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA SERUM,82626,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,25.27,76,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,ALLIANT,ALLIANT,,36.68,,fee schedule,36.68,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,AMBETTER,AMBETTER,,28.9,,fee schedule,28.9,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,29.36,,fee schedule,29.36,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,29.92,,fee schedule,29.92,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,MEDICARE,MEDICARE,,22.23,,fee schedule,22.23,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,27.96,,fee schedule,27.96,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,TRICARE,TRICARE,,22.23,,fee schedule,22.23,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,22.23,,fee schedule,22.23,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,22.23,172,percent of total billed charges,
DHEA-S,82627,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,22.23,172,percent of total billed charges,
DHEA-S,82627,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,22.23,172,percent of total billed charges,
DHEA-S,82627,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,22.23,172,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,ALLIANT,ALLIANT,,36.68,,fee schedule,36.68,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,AMBETTER,AMBETTER,,28.9,,fee schedule,28.9,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,29.36,,fee schedule,29.36,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,29.92,,fee schedule,29.92,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,MEDICARE,MEDICARE,,22.23,,fee schedule,22.23,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,27.96,,fee schedule,27.96,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,TRICARE,TRICARE,,22.23,,fee schedule,22.23,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,22.23,,fee schedule,22.23,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,22.23,61,percent of total billed charges,
DHEA-S,82627,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,22.23,61,percent of total billed charges,
DHEA-S,82627,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,22.23,61,percent of total billed charges,
DHEA-S,82627,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,22.23,61,fee schedule,
DHEA-S,82627,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,22.23,61,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,ALLIANT,ALLIANT,,20.21,,fee schedule,20.21,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,AMBETTER,AMBETTER,,15.93,,fee schedule,15.93,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,16.17,,fee schedule,16.17,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,16.48,,fee schedule,16.48,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,MEDICARE,MEDICARE,,12.25,,fee schedule,12.25,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,15.4,,fee schedule,15.4,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,TRICARE,TRICARE,,12.25,,fee schedule,12.25,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,12.25,,fee schedule,12.25,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,12.25,131,percent of total billed charges,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,12.25,131,percent of total billed charges,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,12.25,131,percent of total billed charges,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,12.25,131,fee schedule,
DIBUCAINE NUMBER,82638,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,12.25,131,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,ALLIANT,ALLIANT,,48.31,,fee schedule,48.31,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,AMBETTER,AMBETTER,,38.06,,fee schedule,38.06,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,AMERIGROUP,AMERIGROUP,,27.32,,fee schedule,27.32,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,CARESOURCE,CARESOURCE,,27.84,,fee schedule,27.84,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,MEDICARE,MEDICARE,,29.28,,fee schedule,29.28,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,PEACHSTATE,PEACHSTATE,,26.02,,fee schedule,26.02,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,TRICARE,TRICARE,,29.28,,fee schedule,29.28,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,UHC MEDICARE,UHC MEDICARE,,29.28,,fee schedule,29.28,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,AETNA,AETNA,,95.7,87,percent of total billed charges,95.7,26.02,110,percent of total billed charges,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95.7,87,percent of total billed charges,95.7,26.02,110,percent of total billed charges,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,UNITED HEALTHCARE,UNITED HEALTHCARE,,96.8,88,percent of total billed charges,96.8,26.02,110,percent of total billed charges,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,AETNA,AETNA,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,BEECH STREET,BEECH STREET,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,CARESOURCE,CARESOURCE,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,MEDICAID,MEDICAID,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,NOVA NET,NOVA NET,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,PEACHSTATE,PEACHSTATE,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,SELFPAY,SELFPAY,,110,,fee schedule,110,26.02,110,fee schedule,
DIHYDROTESTOSTERONE,82642,CPT,both,,,110,110,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,110,,fee schedule,110,26.02,110,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,ALLIANT,ALLIANT,,63.53,,fee schedule,63.53,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,AMBETTER,AMBETTER,,50.05,,fee schedule,50.05,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,50.82,,fee schedule,50.82,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,51.79,,fee schedule,51.79,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,MEDICARE,MEDICARE,,38.5,,fee schedule,38.5,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,48.4,,fee schedule,48.4,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,TRICARE,TRICARE,,38.5,,fee schedule,38.5,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,38.5,,fee schedule,38.5,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,38.5,131,percent of total billed charges,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,38.5,131,percent of total billed charges,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,38.5,131,percent of total billed charges,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,38.5,131,fee schedule,
VITAMIN D125-DIHYDROXY,82652,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,38.5,131,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,11.53,306,percent of total billed charges,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,11.53,306,percent of total billed charges,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,11.53,306,percent of total billed charges,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,11.53,306,fee schedule,
PANCREATIC ELASTASE-1,82656,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,11.53,306,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,ALLIANT,ALLIANT,,36.58,,fee schedule,36.58,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,AMBETTER,AMBETTER,,28.82,,fee schedule,28.82,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,MEDICARE,MEDICARE,,22.17,,fee schedule,22.17,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,TRICARE,TRICARE,,22.17,,fee schedule,22.17,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,22.17,,fee schedule,22.17,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,7.55,299,percent of total billed charges,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,7.55,299,percent of total billed charges,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,7.55,299,percent of total billed charges,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,7.55,299,fee schedule,
ENZYME CELL ACTIVITY,82657,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,7.55,299,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,ALLIANT,ALLIANT,,31,,fee schedule,31,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,AMBETTER,AMBETTER,,24.43,,fee schedule,24.43,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,24.81,,fee schedule,24.81,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,25.28,,fee schedule,25.28,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,MEDICARE,MEDICARE,,18.79,,fee schedule,18.79,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,23.63,,fee schedule,23.63,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,TRICARE,TRICARE,,18.79,,fee schedule,18.79,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,UHC MEDICARE,UHC MEDICARE,,18.79,,fee schedule,18.79,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,AETNA,AETNA,,214.89,87,percent of total billed charges,214.89,18.79,247,percent of total billed charges,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.89,87,percent of total billed charges,214.89,18.79,247,percent of total billed charges,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,UNITED HEALTHCARE,UNITED HEALTHCARE,,217.36,88,percent of total billed charges,217.36,18.79,247,percent of total billed charges,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,AETNA,AETNA,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,BEECH STREET,BEECH STREET,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,MEDICAID,MEDICAID,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,NOVA NET,NOVA NET,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,SELFPAY,SELFPAY,,247,,fee schedule,247,18.79,247,fee schedule,
ERYTHROPOIETIN,82668,CPT,both,,,247,247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,247,,fee schedule,247,18.79,247,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,ALLIANT,ALLIANT,,46.1,,fee schedule,46.1,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,AMBETTER,AMBETTER,,36.32,,fee schedule,36.32,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,36.9,,fee schedule,36.9,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,37.6,,fee schedule,37.6,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,MEDICARE,MEDICARE,,27.94,,fee schedule,27.94,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,35.14,,fee schedule,35.14,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,TRICARE,TRICARE,,27.94,,fee schedule,27.94,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,27.94,,fee schedule,27.94,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,27.94,100,percent of total billed charges,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,27.94,100,percent of total billed charges,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,27.94,100,percent of total billed charges,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIAL PANEL,82670,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,27.94,100,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,ALLIANT,ALLIANT,,46.1,,fee schedule,46.1,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,AMBETTER,AMBETTER,,36.32,,fee schedule,36.32,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,AMERIGROUP,AMERIGROUP,,36.9,,fee schedule,36.9,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,37.6,,fee schedule,37.6,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,MEDICARE,MEDICARE,,27.94,,fee schedule,27.94,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,35.14,,fee schedule,35.14,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,TRICARE,TRICARE,,27.94,,fee schedule,27.94,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,UHC MEDICARE,UHC MEDICARE,,27.94,,fee schedule,27.94,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,AETNA,AETNA,,290.58,87,percent of total billed charges,290.58,27.94,334,percent of total billed charges,
ESTRADIOL (E2),82670,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290.58,87,percent of total billed charges,290.58,27.94,334,percent of total billed charges,
ESTRADIOL (E2),82670,CPT,both,,,334,334,UNITED HEALTHCARE,UNITED HEALTHCARE,,293.92,88,percent of total billed charges,293.92,27.94,334,percent of total billed charges,
ESTRADIOL (E2),82670,CPT,both,,,334,334,AETNA,AETNA,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,BEECH STREET,BEECH STREET,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,CARESOURCE,CARESOURCE,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,MEDICAID,MEDICAID,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,NOVA NET,NOVA NET,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,PEACHSTATE,PEACHSTATE,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,SELFPAY,SELFPAY,,334,,fee schedule,334,27.94,334,fee schedule,
ESTRADIOL (E2),82670,CPT,both,,,334,334,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,334,,fee schedule,334,27.94,334,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,ALLIANT,ALLIANT,,53.3,,fee schedule,53.3,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,AMBETTER,AMBETTER,,41.99,,fee schedule,41.99,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,42.65,,fee schedule,42.65,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,43.46,,fee schedule,43.46,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,MEDICARE,MEDICARE,,32.3,,fee schedule,32.3,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,40.62,,fee schedule,40.62,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,TRICARE,TRICARE,,32.3,,fee schedule,32.3,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,32.3,,fee schedule,32.3,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,32.3,344,percent of total billed charges,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,32.3,344,percent of total billed charges,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,32.3,344,percent of total billed charges,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGENS FRACTIONATED S,82671,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,32.3,344,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,ALLIANT,ALLIANT,,35.81,,fee schedule,35.81,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,AMBETTER,AMBETTER,,28.21,,fee schedule,28.21,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,21.99,,fee schedule,21.99,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,22.41,,fee schedule,22.41,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,MEDICARE,MEDICARE,,21.7,,fee schedule,21.7,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,20.94,,fee schedule,20.94,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,TRICARE,TRICARE,,21.7,,fee schedule,21.7,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,21.7,,fee schedule,21.7,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,20.94,134,percent of total billed charges,
ESTROGEN PANEL,82672,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,20.94,134,percent of total billed charges,
ESTROGEN PANEL,82672,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,20.94,134,percent of total billed charges,
ESTROGEN PANEL,82672,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGEN PANEL,82672,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,20.94,134,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,ALLIANT,ALLIANT,,35.81,,fee schedule,35.81,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,AMBETTER,AMBETTER,,28.21,,fee schedule,28.21,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,AMERIGROUP,AMERIGROUP,,21.99,,fee schedule,21.99,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,22.41,,fee schedule,22.41,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,MEDICARE,MEDICARE,,21.7,,fee schedule,21.7,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,20.94,,fee schedule,20.94,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,TRICARE,TRICARE,,21.7,,fee schedule,21.7,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,UHC MEDICARE,UHC MEDICARE,,21.7,,fee schedule,21.7,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,AETNA,AETNA,,306.24,87,percent of total billed charges,306.24,20.94,352,percent of total billed charges,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306.24,87,percent of total billed charges,306.24,20.94,352,percent of total billed charges,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,UNITED HEALTHCARE,UNITED HEALTHCARE,,309.76,88,percent of total billed charges,309.76,20.94,352,percent of total billed charges,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,AETNA,AETNA,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,BEECH STREET,BEECH STREET,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,MEDICAID,MEDICAID,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,NOVA NET,NOVA NET,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,SELFPAY,SELFPAY,,352,,fee schedule,352,20.94,352,fee schedule,
ESTROGENS-TOTAL (SERUM),82672,CPT,both,,,352,352,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,352,,fee schedule,352,20.94,352,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,ALLIANT,ALLIANT,,39.9,,fee schedule,39.9,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,AMBETTER,AMBETTER,,31.43,,fee schedule,31.43,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,31.93,,fee schedule,31.93,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,32.54,,fee schedule,32.54,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,MEDICARE,MEDICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,30.41,,fee schedule,30.41,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,TRICARE,TRICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,24.18,127,percent of total billed charges,
ESTRIOL (E3),82677,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,24.18,127,percent of total billed charges,
ESTRIOL (E3),82677,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,24.18,127,percent of total billed charges,
ESTRIOL (E3),82677,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRIOL (E3),82677,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,ALLIANT,ALLIANT,,39.9,,fee schedule,39.9,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,AMBETTER,AMBETTER,,31.43,,fee schedule,31.43,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,31.93,,fee schedule,31.93,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,32.54,,fee schedule,32.54,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,MEDICARE,MEDICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,30.41,,fee schedule,30.41,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,TRICARE,TRICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,24.18,127,percent of total billed charges,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,24.18,127,percent of total billed charges,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,24.18,127,percent of total billed charges,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,24.18,127,fee schedule,
QUAD SCREEN ESTRIOL,82677,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,ALLIANT,ALLIANT,,39.9,,fee schedule,39.9,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,AMBETTER,AMBETTER,,31.43,,fee schedule,31.43,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,31.93,,fee schedule,31.93,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,32.54,,fee schedule,32.54,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,MEDICARE,MEDICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,30.41,,fee schedule,30.41,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,TRICARE,TRICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,24.18,,fee schedule,24.18,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,24.18,127,percent of total billed charges,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,24.18,127,percent of total billed charges,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,24.18,127,percent of total billed charges,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,24.18,127,fee schedule,
TRIPLE MARKER - ESTRIOL,82677,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,24.18,127,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,ALLIANT,ALLIANT,,41.17,,fee schedule,41.17,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,AMBETTER,AMBETTER,,32.44,,fee schedule,32.44,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,32.96,,fee schedule,32.96,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,33.59,,fee schedule,33.59,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,MEDICARE,MEDICARE,,24.95,,fee schedule,24.95,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,31.39,,fee schedule,31.39,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,TRICARE,TRICARE,,24.95,,fee schedule,24.95,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,24.95,,fee schedule,24.95,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,24.95,101,percent of total billed charges,
ESTRONE,82679,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,24.95,101,percent of total billed charges,
ESTRONE,82679,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,24.95,101,percent of total billed charges,
ESTRONE,82679,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,24.95,101,fee schedule,
ESTRONE,82679,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,24.95,101,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,ALLIANT,ALLIANT,,24.59,,fee schedule,24.59,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,AMBETTER,AMBETTER,,19.37,,fee schedule,19.37,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,19.68,,fee schedule,19.68,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,20.05,,fee schedule,20.05,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,MEDICARE,MEDICARE,,14.9,,fee schedule,14.9,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,18.74,,fee schedule,18.74,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,TRICARE,TRICARE,,14.9,,fee schedule,14.9,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,14.9,,fee schedule,14.9,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,14.9,170,percent of total billed charges,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,14.9,170,percent of total billed charges,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,14.9,170,percent of total billed charges,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,14.9,170,fee schedule,
ETHYLENE GLYCOL,82693,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,14.9,170,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,ALLIANT,ALLIANT,,8.42,,fee schedule,8.42,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,AMBETTER,AMBETTER,,6.63,,fee schedule,6.63,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,6.72,,fee schedule,6.72,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,6.85,,fee schedule,6.85,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,MEDICARE,MEDICARE,,5.1,,fee schedule,5.1,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,6.4,,fee schedule,6.4,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,TRICARE,TRICARE,,5.1,,fee schedule,5.1,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,5.1,,fee schedule,5.1,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,5.1,184,percent of total billed charges,
FECAL FAT QL.,82705,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,5.1,184,percent of total billed charges,
FECAL FAT QL.,82705,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,5.1,184,percent of total billed charges,
FECAL FAT QL.,82705,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QL.,82705,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,5.1,184,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,ALLIANT,ALLIANT,,27.72,,fee schedule,27.72,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,AMBETTER,AMBETTER,,21.84,,fee schedule,21.84,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,22.18,,fee schedule,22.18,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,22.6,,fee schedule,22.6,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,MEDICARE,MEDICARE,,16.8,,fee schedule,16.8,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,21.12,,fee schedule,21.12,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,TRICARE,TRICARE,,16.8,,fee schedule,16.8,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,16.8,,fee schedule,16.8,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,16.8,161,percent of total billed charges,
FECAL FAT QT.,82710,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,16.8,161,percent of total billed charges,
FECAL FAT QT.,82710,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,16.8,161,percent of total billed charges,
FECAL FAT QT.,82710,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,16.8,161,fee schedule,
FECAL FAT QT.,82710,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,16.8,161,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,ALLIANT,ALLIANT,,30.97,,fee schedule,30.97,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,AMBETTER,AMBETTER,,24.4,,fee schedule,24.4,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,17.58,,fee schedule,17.58,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,17.91,,fee schedule,17.91,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,MEDICARE,MEDICARE,,18.77,,fee schedule,18.77,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,16.74,,fee schedule,16.74,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,TRICARE,TRICARE,,18.77,,fee schedule,18.77,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,18.77,,fee schedule,18.77,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,16.74,67,percent of total billed charges,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,16.74,67,percent of total billed charges,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,16.74,67,percent of total billed charges,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,16.74,67,fee schedule,
ASSAY OF FATTY ACIDS,82725,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,16.74,67,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,ALLIANT,ALLIANT,,32.59,,fee schedule,32.59,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,AMBETTER,AMBETTER,,25.68,,fee schedule,25.68,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,MEDICARE,MEDICARE,,19.75,,fee schedule,19.75,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,TRICARE,TRICARE,,19.75,,fee schedule,19.75,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,19.75,,fee schedule,19.75,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,7.55,32.59,percent of total billed charges,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,7.55,32.59,percent of total billed charges,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,7.55,32.59,percent of total billed charges,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,7.55,32.59,fee schedule,
VERY LONG CHAIN FATTY ACI,82726,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,7.55,32.59,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,ALLIANT,ALLIANT,,22.49,,fee schedule,22.49,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,AMBETTER,AMBETTER,,17.72,,fee schedule,17.72,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,AMERIGROUP,AMERIGROUP,,17.99,,fee schedule,17.99,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,18.33,,fee schedule,18.33,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,MEDICARE,MEDICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,17.13,,fee schedule,17.13,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,TRICARE,TRICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,13.63,169,percent of total billed charges,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,13.63,169,percent of total billed charges,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,13.63,169,percent of total billed charges,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,13.63,169,fee schedule,
ANEMIA PROF II - FERRITIN,82728,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,ALLIANT,ALLIANT,,22.49,,fee schedule,22.49,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,AMBETTER,AMBETTER,,17.72,,fee schedule,17.72,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,AMERIGROUP,AMERIGROUP,,17.99,,fee schedule,17.99,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,18.33,,fee schedule,18.33,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,MEDICARE,MEDICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,17.13,,fee schedule,17.13,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,TRICARE,TRICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,13.63,169,percent of total billed charges,
FERRITIN,82728,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,13.63,169,percent of total billed charges,
FERRITIN,82728,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,13.63,169,percent of total billed charges,
FERRITIN,82728,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,ALLIANT,ALLIANT,,22.49,,fee schedule,22.49,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,AMBETTER,AMBETTER,,17.72,,fee schedule,17.72,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,AMERIGROUP,AMERIGROUP,,17.99,,fee schedule,17.99,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,18.33,,fee schedule,18.33,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,MEDICARE,MEDICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,17.13,,fee schedule,17.13,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,TRICARE,TRICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,13.63,,fee schedule,13.63,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,13.63,169,percent of total billed charges,
FERRITIN,82728,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,13.63,169,percent of total billed charges,
FERRITIN,82728,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,13.63,169,percent of total billed charges,
FERRITIN,82728,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,13.63,169,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,ALLIANT,ALLIANT,,22.49,,fee schedule,22.49,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,AMBETTER,AMBETTER,,17.72,,fee schedule,17.72,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,17.99,,fee schedule,17.99,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,18.33,,fee schedule,18.33,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,MEDICARE,MEDICARE,,13.63,,fee schedule,13.63,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,17.13,,fee schedule,17.13,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,TRICARE,TRICARE,,13.63,,fee schedule,13.63,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,13.63,,fee schedule,13.63,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,13.63,94,percent of total billed charges,
FERRITIN,82728,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,13.63,94,percent of total billed charges,
FERRITIN,82728,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,13.63,94,percent of total billed charges,
FERRITIN,82728,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,13.63,94,fee schedule,
FERRITIN,82728,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,13.63,94,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,ALLIANT,ALLIANT,,106.28,,fee schedule,106.28,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,AMBETTER,AMBETTER,,83.73,,fee schedule,83.73,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,85.04,,fee schedule,85.04,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,86.66,,fee schedule,86.66,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,MEDICARE,MEDICARE,,64.41,,fee schedule,64.41,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,80.99,,fee schedule,80.99,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,TRICARE,TRICARE,,64.41,,fee schedule,64.41,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,UHC MEDICARE,UHC MEDICARE,,64.41,,fee schedule,64.41,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,AETNA,AETNA,,534.18,87,percent of total billed charges,534.18,64.41,614,percent of total billed charges,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534.18,87,percent of total billed charges,534.18,64.41,614,percent of total billed charges,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,UNITED HEALTHCARE,UNITED HEALTHCARE,,540.32,88,percent of total billed charges,540.32,64.41,614,percent of total billed charges,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,AETNA,AETNA,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,BEECH STREET,BEECH STREET,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,MEDICAID,MEDICAID,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,NOVA NET,NOVA NET,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,SELFPAY,SELFPAY,,614,,fee schedule,614,64.41,614,fee schedule,
FETAL FIBRONECTIN,82731,CPT,both,,,614,614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,614,,fee schedule,614,64.41,614,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,ALLIANT,ALLIANT,,30.59,,fee schedule,30.59,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,AMBETTER,AMBETTER,,24.1,,fee schedule,24.1,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,AMERIGROUP,AMERIGROUP,,24.49,,fee schedule,24.49,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,24.95,,fee schedule,24.95,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,MEDICARE,MEDICARE,,18.54,,fee schedule,18.54,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,23.32,,fee schedule,23.32,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,TRICARE,TRICARE,,18.54,,fee schedule,18.54,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,UHC MEDICARE,UHC MEDICARE,,18.54,,fee schedule,18.54,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,AETNA,AETNA,,153.12,87,percent of total billed charges,153.12,18.54,176,percent of total billed charges,
FLUORIDE,82735,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153.12,87,percent of total billed charges,153.12,18.54,176,percent of total billed charges,
FLUORIDE,82735,CPT,both,,,176,176,UNITED HEALTHCARE,UNITED HEALTHCARE,,154.88,88,percent of total billed charges,154.88,18.54,176,percent of total billed charges,
FLUORIDE,82735,CPT,both,,,176,176,AETNA,AETNA,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,BEECH STREET,BEECH STREET,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,MEDICAID,MEDICAID,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,NOVA NET,NOVA NET,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,SELFPAY,SELFPAY,,176,,fee schedule,176,18.54,176,fee schedule,
FLUORIDE,82735,CPT,both,,,176,176,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,176,,fee schedule,176,18.54,176,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,ALLIANT,ALLIANT,,24.26,,fee schedule,24.26,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,AMBETTER,AMBETTER,,19.11,,fee schedule,19.11,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,19.41,,fee schedule,19.41,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,19.78,,fee schedule,19.78,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,MEDICARE,MEDICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,18.49,,fee schedule,18.49,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,TRICARE,TRICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,14.7,133,percent of total billed charges,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,14.7,133,percent of total billed charges,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,14.7,133,percent of total billed charges,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,14.7,133,fee schedule,
ANEMIA PROFILE II - FOLAT,82746,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,ALLIANT,ALLIANT,,24.26,,fee schedule,24.26,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,AMBETTER,AMBETTER,,19.11,,fee schedule,19.11,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,19.41,,fee schedule,19.41,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,19.78,,fee schedule,19.78,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,MEDICARE,MEDICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,18.49,,fee schedule,18.49,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,TRICARE,TRICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,14.7,133,percent of total billed charges,
FOLATES PROFILE,82746,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,14.7,133,percent of total billed charges,
FOLATES PROFILE,82746,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,14.7,133,percent of total billed charges,
FOLATES PROFILE,82746,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES PROFILE,82746,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,ALLIANT,ALLIANT,,24.26,,fee schedule,24.26,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,AMBETTER,AMBETTER,,19.11,,fee schedule,19.11,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,19.41,,fee schedule,19.41,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,19.78,,fee schedule,19.78,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,MEDICARE,MEDICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,18.49,,fee schedule,18.49,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,TRICARE,TRICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,14.7,,fee schedule,14.7,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,14.7,133,percent of total billed charges,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,14.7,133,percent of total billed charges,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,14.7,133,percent of total billed charges,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,14.7,133,fee schedule,
FOLATES RBC PROFILE,82746,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,14.7,133,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,ALLIANT,ALLIANT,,24.26,,fee schedule,24.26,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,AMBETTER,AMBETTER,,19.11,,fee schedule,19.11,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,19.41,,fee schedule,19.41,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,19.78,,fee schedule,19.78,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,MEDICARE,MEDICARE,,14.7,,fee schedule,14.7,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,18.49,,fee schedule,18.49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,TRICARE,TRICARE,,14.7,,fee schedule,14.7,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,14.7,,fee schedule,14.7,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,14.7,49,percent of total billed charges,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,14.7,49,percent of total billed charges,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,14.7,49,percent of total billed charges,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM,82746,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,14.7,49,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,ALLIANT,ALLIANT,,29.12,,fee schedule,29.12,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,AMBETTER,AMBETTER,,22.95,,fee schedule,22.95,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,22.87,,fee schedule,22.87,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,23.3,,fee schedule,23.3,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,MEDICARE,MEDICARE,,17.65,,fee schedule,17.65,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,21.78,,fee schedule,21.78,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,TRICARE,TRICARE,,17.65,,fee schedule,17.65,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,17.65,,fee schedule,17.65,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,17.65,84,percent of total billed charges,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,17.65,84,percent of total billed charges,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,17.65,84,percent of total billed charges,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,17.65,84,fee schedule,
FOLIC ACID; SERUM INRBCIN,82747,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,17.65,84,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,ALLIANT,ALLIANT,,28.61,,fee schedule,28.61,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,AMBETTER,AMBETTER,,22.54,,fee schedule,22.54,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,22.91,,fee schedule,22.91,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,23.35,,fee schedule,23.35,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,MEDICARE,MEDICARE,,17.34,,fee schedule,17.34,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,21.82,,fee schedule,21.82,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,TRICARE,TRICARE,,17.34,,fee schedule,17.34,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,17.34,,fee schedule,17.34,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,17.34,162,percent of total billed charges,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,17.34,162,percent of total billed charges,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,17.34,162,percent of total billed charges,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,17.34,162,fee schedule,
FRUCTOSE SEMEN,82757,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,17.34,162,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,ALLIANT,ALLIANT,,18.48,,fee schedule,18.48,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,AMBETTER,AMBETTER,,14.56,,fee schedule,14.56,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,AMERIGROUP,AMERIGROUP,,14.78,,fee schedule,14.78,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,CARESOURCE,CARESOURCE,,15.07,,fee schedule,15.07,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,MEDICARE,MEDICARE,,11.2,,fee schedule,11.2,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,PEACHSTATE,PEACHSTATE,,14.08,,fee schedule,14.08,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,TRICARE,TRICARE,,11.2,,fee schedule,11.2,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,UHC MEDICARE,UHC MEDICARE,,11.2,,fee schedule,11.2,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,AETNA,AETNA,,359.31,87,percent of total billed charges,359.31,11.2,413,percent of total billed charges,
GALACTOSE,82760,CPT,both,,,413,413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,359.31,87,percent of total billed charges,359.31,11.2,413,percent of total billed charges,
GALACTOSE,82760,CPT,both,,,413,413,UNITED HEALTHCARE,UNITED HEALTHCARE,,363.44,88,percent of total billed charges,363.44,11.2,413,percent of total billed charges,
GALACTOSE,82760,CPT,both,,,413,413,AETNA,AETNA,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,BEECH STREET,BEECH STREET,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,CARESOURCE,CARESOURCE,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,MEDICAID,MEDICAID,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,NOVA NET,NOVA NET,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,PEACHSTATE,PEACHSTATE,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,SELFPAY,SELFPAY,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE,82760,CPT,both,,,413,413,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,413,,fee schedule,413,11.2,413,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,ALLIANT,ALLIANT,,34.77,,fee schedule,34.77,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,AMBETTER,AMBETTER,,27.39,,fee schedule,27.39,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,AMERIGROUP,AMERIGROUP,,27.81,,fee schedule,27.81,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,28.34,,fee schedule,28.34,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,MEDICARE,MEDICARE,,21.07,,fee schedule,21.07,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,26.49,,fee schedule,26.49,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,TRICARE,TRICARE,,21.07,,fee schedule,21.07,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,UHC MEDICARE,UHC MEDICARE,,21.07,,fee schedule,21.07,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,AETNA,AETNA,,380.19,87,percent of total billed charges,380.19,21.07,437,percent of total billed charges,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380.19,87,percent of total billed charges,380.19,21.07,437,percent of total billed charges,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,UNITED HEALTHCARE,UNITED HEALTHCARE,,384.56,88,percent of total billed charges,384.56,21.07,437,percent of total billed charges,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,AETNA,AETNA,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,BEECH STREET,BEECH STREET,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,MEDICAID,MEDICAID,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,NOVA NET,NOVA NET,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,SELFPAY,SELFPAY,,437,,fee schedule,437,21.07,437,fee schedule,
GALACTOSE-1-PHOS URIDYL,82775,CPT,both,,,437,437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,437,,fee schedule,437,21.07,437,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN - SERUM,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
GAMMAGLOBULIN CSF,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGA QT,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGA QT,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IGA QT,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IGA QT,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGD QT,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGD QT,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IGD QT,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IGD QT,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGG INDEX CSF,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGG INDEX CSF,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IGG INDEX CSF,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IGG INDEX CSF,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGG PROFILE,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGG PROFILE,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IGG PROFILE,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IGG PROFILE,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGG QT.,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGG QT.,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IGG QT.,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IGG QT.,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGM QT.,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IGM QT.,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IGM QT.,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IGM QT.,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN A,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN G,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,ALLIANT,ALLIANT,,15.35,,fee schedule,15.35,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,AMBETTER,AMBETTER,,12.09,,fee schedule,12.09,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,12.27,,fee schedule,12.27,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,12.51,,fee schedule,12.51,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,MEDICARE,MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,11.69,,fee schedule,11.69,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,TRICARE,TRICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,9.3,,fee schedule,9.3,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,9.3,307,percent of total billed charges,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,9.3,307,fee schedule,
IMMUNOGLOBULIN M,82784,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,9.3,307,fee schedule,
IGE,82785,CPT,both,,,88,88,ALLIANT,ALLIANT,,27.16,,fee schedule,27.16,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,AMBETTER,AMBETTER,,21.4,,fee schedule,21.4,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,21.75,,fee schedule,21.75,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,22.16,,fee schedule,22.16,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,MEDICARE,MEDICARE,,16.46,,fee schedule,16.46,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,20.71,,fee schedule,20.71,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,TRICARE,TRICARE,,16.46,,fee schedule,16.46,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,16.46,,fee schedule,16.46,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,16.46,88,percent of total billed charges,
IGE,82785,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,16.46,88,percent of total billed charges,
IGE,82785,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,16.46,88,percent of total billed charges,
IGE,82785,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,16.46,88,fee schedule,
IGE,82785,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,16.46,88,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,ALLIANT,ALLIANT,,27.16,,fee schedule,27.16,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,AMBETTER,AMBETTER,,21.4,,fee schedule,21.4,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,21.75,,fee schedule,21.75,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,22.16,,fee schedule,22.16,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,MEDICARE,MEDICARE,,16.46,,fee schedule,16.46,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,20.71,,fee schedule,20.71,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,TRICARE,TRICARE,,16.46,,fee schedule,16.46,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,16.46,,fee schedule,16.46,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,16.46,209,percent of total billed charges,
IGE QT.,82785,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,16.46,209,percent of total billed charges,
IGE QT.,82785,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,16.46,209,percent of total billed charges,
IGE QT.,82785,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,16.46,209,fee schedule,
IGE QT.,82785,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,16.46,209,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,ALLIANT,ALLIANT,,13.23,,fee schedule,13.23,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,AMBETTER,AMBETTER,,10.43,,fee schedule,10.43,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,AMERIGROUP,AMERIGROUP,,10.58,,fee schedule,10.58,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,10.79,,fee schedule,10.79,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,MEDICARE,MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,10.08,,fee schedule,10.08,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,TRICARE,TRICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,8.02,185,percent of total billed charges,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (1),82787,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,ALLIANT,ALLIANT,,13.23,,fee schedule,13.23,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,AMBETTER,AMBETTER,,10.43,,fee schedule,10.43,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,AMERIGROUP,AMERIGROUP,,10.58,,fee schedule,10.58,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,10.79,,fee schedule,10.79,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,MEDICARE,MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,10.08,,fee schedule,10.08,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,TRICARE,TRICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,8.02,185,percent of total billed charges,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (2),82787,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,ALLIANT,ALLIANT,,13.23,,fee schedule,13.23,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,AMBETTER,AMBETTER,,10.43,,fee schedule,10.43,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,AMERIGROUP,AMERIGROUP,,10.58,,fee schedule,10.58,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,10.79,,fee schedule,10.79,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,MEDICARE,MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,10.08,,fee schedule,10.08,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,TRICARE,TRICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,8.02,185,percent of total billed charges,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (3),82787,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,ALLIANT,ALLIANT,,13.23,,fee schedule,13.23,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,AMBETTER,AMBETTER,,10.43,,fee schedule,10.43,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,AMERIGROUP,AMERIGROUP,,10.58,,fee schedule,10.58,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,10.79,,fee schedule,10.79,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,MEDICARE,MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,10.08,,fee schedule,10.08,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,TRICARE,TRICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,8.02,,fee schedule,8.02,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,8.02,185,percent of total billed charges,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,8.02,185,percent of total billed charges,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,8.02,185,fee schedule,
IGGSUBCLASS (4),82787,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,8.02,185,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,ALLIANT,ALLIANT,,18.15,,fee schedule,18.15,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,AMBETTER,AMBETTER,,14.3,,fee schedule,14.3,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,11.18,,fee schedule,11.18,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,11.4,,fee schedule,11.4,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,MEDICARE,MEDICARE,,11,,fee schedule,11,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,10.65,,fee schedule,10.65,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,TRICARE,TRICARE,,11,,fee schedule,11,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,10.65,102,percent of total billed charges,
PH ONLY,82800,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,10.65,102,percent of total billed charges,
PH ONLY,82800,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,10.65,102,percent of total billed charges,
PH ONLY,82800,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,10.65,102,fee schedule,
PH ONLY,82800,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,10.65,102,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,ALLIANT,ALLIANT,,43.02,,fee schedule,43.02,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,AMBETTER,AMBETTER,,33.89,,fee schedule,33.89,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,AMERIGROUP,AMERIGROUP,,25.56,,fee schedule,25.56,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,26.04,,fee schedule,26.04,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,MEDICARE,MEDICARE,,26.07,,fee schedule,26.07,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,24.34,,fee schedule,24.34,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,TRICARE,TRICARE,,26.07,,fee schedule,26.07,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,26.07,,fee schedule,26.07,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,24.34,243,percent of total billed charges,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,24.34,243,percent of total billed charges,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,24.34,243,percent of total billed charges,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,24.34,243,fee schedule,
"BLOOD GAS, VENOUS",82803,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,24.34,243,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,ALLIANT,ALLIANT,,129.97,,fee schedule,129.97,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,AMBETTER,AMBETTER,,102.4,,fee schedule,102.4,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,AMERIGROUP,AMERIGROUP,,37.47,,fee schedule,37.47,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,CARESOURCE,CARESOURCE,,38.19,,fee schedule,38.19,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,MEDICARE,MEDICARE,,78.77,,fee schedule,78.77,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,PEACHSTATE,PEACHSTATE,,35.69,,fee schedule,35.69,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,TRICARE,TRICARE,,78.77,,fee schedule,78.77,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,UHC MEDICARE,UHC MEDICARE,,78.77,,fee schedule,78.77,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,AETNA,AETNA,,291.45,87,percent of total billed charges,291.45,35.69,335,percent of total billed charges,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,291.45,87,percent of total billed charges,291.45,35.69,335,percent of total billed charges,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,UNITED HEALTHCARE,UNITED HEALTHCARE,,294.8,88,percent of total billed charges,294.8,35.69,335,percent of total billed charges,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,AETNA,AETNA,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,BEECH STREET,BEECH STREET,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,CARESOURCE,CARESOURCE,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,MEDICAID,MEDICAID,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,NOVA NET,NOVA NET,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,PEACHSTATE,PEACHSTATE,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,SELFPAY,SELFPAY,,335,,fee schedule,335,35.69,335,fee schedule,
ARTERIAL BLOOD GAS STUDY,82805,CPT,both,,,335,335,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,335,,fee schedule,335,35.69,335,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,ALLIANT,ALLIANT,,16.12,,fee schedule,16.12,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,AMBETTER,AMBETTER,,12.7,,fee schedule,12.7,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,11.53,,fee schedule,11.53,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,11.75,,fee schedule,11.75,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,MEDICARE,MEDICARE,,9.77,,fee schedule,9.77,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,10.98,,fee schedule,10.98,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,TRICARE,TRICARE,,9.77,,fee schedule,9.77,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,9.77,,fee schedule,9.77,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,9.77,43,percent of total billed charges,
PO2 LEVEL,82810,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,9.77,43,percent of total billed charges,
PO2 LEVEL,82810,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,9.77,43,percent of total billed charges,
PO2 LEVEL,82810,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,9.77,43,fee schedule,
PO2 LEVEL,82810,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,9.77,43,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,ALLIANT,ALLIANT,,29.09,,fee schedule,29.09,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,AMBETTER,AMBETTER,,22.92,,fee schedule,22.92,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,23.29,,fee schedule,23.29,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,23.73,,fee schedule,23.73,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,MEDICARE,MEDICARE,,17.63,,fee schedule,17.63,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,22.18,,fee schedule,22.18,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,TRICARE,TRICARE,,17.63,,fee schedule,17.63,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,17.63,,fee schedule,17.63,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,17.63,172,percent of total billed charges,
GASTRIN,82941,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,17.63,172,percent of total billed charges,
GASTRIN,82941,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,17.63,172,percent of total billed charges,
GASTRIN,82941,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN,82941,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,17.63,172,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,ALLIANT,ALLIANT,,29.09,,fee schedule,29.09,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,AMBETTER,AMBETTER,,22.92,,fee schedule,22.92,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,23.29,,fee schedule,23.29,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,23.73,,fee schedule,23.73,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,MEDICARE,MEDICARE,,17.63,,fee schedule,17.63,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,22.18,,fee schedule,22.18,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,TRICARE,TRICARE,,17.63,,fee schedule,17.63,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,17.63,,fee schedule,17.63,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,17.63,146,percent of total billed charges,
GASTRIN LEVEL,82941,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,17.63,146,percent of total billed charges,
GASTRIN LEVEL,82941,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,17.63,146,percent of total billed charges,
GASTRIN LEVEL,82941,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,17.63,146,fee schedule,
GASTRIN LEVEL,82941,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,17.63,146,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,ALLIANT,ALLIANT,,23.58,,fee schedule,23.58,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,AMBETTER,AMBETTER,,18.58,,fee schedule,18.58,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,18.87,,fee schedule,18.87,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,19.23,,fee schedule,19.23,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,MEDICARE,MEDICARE,,14.29,,fee schedule,14.29,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,17.97,,fee schedule,17.97,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,TRICARE,TRICARE,,14.29,,fee schedule,14.29,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,14.29,,fee schedule,14.29,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,14.29,159,percent of total billed charges,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,14.29,159,percent of total billed charges,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,14.29,159,percent of total billed charges,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,14.29,159,fee schedule,
GLUCAGON LEVEL,82943,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,14.29,159,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,ALLIANT,ALLIANT,,6.48,,fee schedule,6.48,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,AMBETTER,AMBETTER,,5.11,,fee schedule,5.11,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,MEDICARE,MEDICARE,,3.93,,fee schedule,3.93,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,TRICARE,TRICARE,,3.93,,fee schedule,3.93,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,3.93,,fee schedule,3.93,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,3.93,137,percent of total billed charges,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,3.93,137,percent of total billed charges,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,3.93,137,percent of total billed charges,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,3.93,137,fee schedule,
"GLUCOSE BODY FLUID, OTHER",82945,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,ALLIANT,ALLIANT,,6.48,,fee schedule,6.48,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,AMBETTER,AMBETTER,,5.11,,fee schedule,5.11,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,MEDICARE,MEDICARE,,3.93,,fee schedule,3.93,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,TRICARE,TRICARE,,3.93,,fee schedule,3.93,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,3.93,,fee schedule,3.93,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,3.93,137,percent of total billed charges,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,3.93,137,percent of total billed charges,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,3.93,137,percent of total billed charges,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,3.93,137,fee schedule,
GTT GLUCOSE URINE,82945,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,3.93,137,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,ALLIANT,ALLIANT,,6.48,,fee schedule,6.48,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AMBETTER,AMBETTER,,5.11,,fee schedule,5.11,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,MEDICARE,MEDICARE,,3.93,,fee schedule,3.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,TRICARE,TRICARE,,3.93,,fee schedule,3.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,3.93,,fee schedule,3.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,3.93,58,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,3.93,58,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,3.93,58,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,ALLIANT,ALLIANT,,6.48,,fee schedule,6.48,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AMBETTER,AMBETTER,,5.11,,fee schedule,5.11,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,MEDICARE,MEDICARE,,3.93,,fee schedule,3.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,TRICARE,TRICARE,,3.93,,fee schedule,3.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,3.93,,fee schedule,3.93,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,3.93,58,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,3.93,58,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,3.93,58,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,3.93,58,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,ALLIANT,ALLIANT,,6.48,,fee schedule,6.48,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,AMBETTER,AMBETTER,,5.11,,fee schedule,5.11,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,MEDICARE,MEDICARE,,3.93,,fee schedule,3.93,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,TRICARE,TRICARE,,3.93,,fee schedule,3.93,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,3.93,,fee schedule,3.93,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,3.93,46,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,3.93,46,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,3.93,46,percent of total billed charges,
GLUCOSE SERUM,82947,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,3.93,46,fee schedule,
GLUCOSE SERUM,82947,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,3.93,46,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,ALLIANT,ALLIANT,,8.32,,fee schedule,8.32,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,AMBETTER,AMBETTER,,6.55,,fee schedule,6.55,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,MEDICARE,MEDICARE,,5.04,,fee schedule,5.04,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,TRICARE,TRICARE,,5.04,,fee schedule,5.04,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,5.04,,fee schedule,5.04,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,3.99,19,percent of total billed charges,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,3.99,19,percent of total billed charges,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,3.99,19,percent of total billed charges,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD GLUCOSE-MCR,82948,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,ALLIANT,ALLIANT,,8.32,,fee schedule,8.32,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,AMBETTER,AMBETTER,,6.55,,fee schedule,6.55,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,MEDICARE,MEDICARE,,5.04,,fee schedule,5.04,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,TRICARE,TRICARE,,5.04,,fee schedule,5.04,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,5.04,,fee schedule,5.04,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,3.99,19,percent of total billed charges,
BLOOD SUGAR,82948,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,3.99,19,percent of total billed charges,
BLOOD SUGAR,82948,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,3.99,19,percent of total billed charges,
BLOOD SUGAR,82948,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,3.99,19,fee schedule,
BLOOD SUGAR,82948,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,3.99,19,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,ALLIANT,ALLIANT,,8.32,,fee schedule,8.32,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,AMBETTER,AMBETTER,,6.55,,fee schedule,6.55,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,MEDICARE,MEDICARE,,5.04,,fee schedule,5.04,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,TRICARE,TRICARE,,5.04,,fee schedule,5.04,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,5.04,,fee schedule,5.04,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,3.99,31,percent of total billed charges,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,3.99,31,percent of total billed charges,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,3.99,31,percent of total billed charges,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,3.99,31,fee schedule,
FINGER STICK BLOOD SUGAR,82948,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,ALLIANT,ALLIANT,,8.32,,fee schedule,8.32,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,AMBETTER,AMBETTER,,6.55,,fee schedule,6.55,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,4.19,,fee schedule,4.19,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,4.27,,fee schedule,4.27,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,MEDICARE,MEDICARE,,5.04,,fee schedule,5.04,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,3.99,,fee schedule,3.99,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,TRICARE,TRICARE,,5.04,,fee schedule,5.04,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,5.04,,fee schedule,5.04,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,3.99,31,percent of total billed charges,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,3.99,31,percent of total billed charges,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,3.99,31,percent of total billed charges,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,3.99,31,fee schedule,
PRE-TX BLOOD SUGAR,82948,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,3.99,31,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,ALLIANT,ALLIANT,,7.84,,fee schedule,7.84,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,AMBETTER,AMBETTER,,6.18,,fee schedule,6.18,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,MEDICARE,MEDICARE,,4.75,,fee schedule,4.75,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,TRICARE,TRICARE,,4.75,,fee schedule,4.75,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,4.75,,fee schedule,4.75,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,4.75,67,percent of total billed charges,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,4.75,67,percent of total billed charges,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,4.75,67,percent of total billed charges,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 1 HOUR POSTPRAND,82950,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,ALLIANT,ALLIANT,,7.84,,fee schedule,7.84,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,AMBETTER,AMBETTER,,6.18,,fee schedule,6.18,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,MEDICARE,MEDICARE,,4.75,,fee schedule,4.75,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,TRICARE,TRICARE,,4.75,,fee schedule,4.75,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,4.75,,fee schedule,4.75,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,4.75,67,percent of total billed charges,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,4.75,67,percent of total billed charges,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,4.75,67,percent of total billed charges,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE 2 HOUR POSTPRAND,82950,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,4.75,67,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,17,,fee schedule,17,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,17.32,,fee schedule,17.32,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,16.19,,fee schedule,16.19,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.87,88,percent of total billed charges,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.87,88,percent of total billed charges,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.87,88,percent of total billed charges,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.87,88,fee schedule,
GLUCOSE TOLERANCE TEST (G,82951,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.87,88,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,17,,fee schedule,17,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,17.32,,fee schedule,17.32,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,16.19,,fee schedule,16.19,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,12.87,91,percent of total billed charges,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,12.87,91,percent of total billed charges,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,12.87,91,percent of total billed charges,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 3 SPECIMENS,82951,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,12.87,91,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,ALLIANT,ALLIANT,,6.47,,fee schedule,6.47,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,AMBETTER,AMBETTER,,5.1,,fee schedule,5.1,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,MEDICARE,MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,TRICARE,TRICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,3.92,92,percent of total billed charges,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 2 HR,82952,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,ALLIANT,ALLIANT,,6.47,,fee schedule,6.47,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,AMBETTER,AMBETTER,,5.1,,fee schedule,5.1,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,MEDICARE,MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,TRICARE,TRICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,3.92,92,percent of total billed charges,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 3 HR,82952,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,ALLIANT,ALLIANT,,6.47,,fee schedule,6.47,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,AMBETTER,AMBETTER,,5.1,,fee schedule,5.1,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,MEDICARE,MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,TRICARE,TRICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,3.92,92,percent of total billed charges,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 4 HR,82952,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,ALLIANT,ALLIANT,,6.47,,fee schedule,6.47,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,AMBETTER,AMBETTER,,5.1,,fee schedule,5.1,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,5.18,,fee schedule,5.18,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,5.28,,fee schedule,5.28,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,MEDICARE,MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,4.93,,fee schedule,4.93,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,TRICARE,TRICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,3.92,,fee schedule,3.92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,3.92,92,percent of total billed charges,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,3.92,92,percent of total billed charges,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,3.92,92,fee schedule,
GTT GLUCOSE 5 HR,82952,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,3.92,92,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,ALLIANT,ALLIANT,,16.01,,fee schedule,16.01,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,AMBETTER,AMBETTER,,12.61,,fee schedule,12.61,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,10.31,,fee schedule,10.31,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,10.51,,fee schedule,10.51,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,MEDICARE,MEDICARE,,9.7,,fee schedule,9.7,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,9.82,,fee schedule,9.82,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,TRICARE,TRICARE,,9.7,,fee schedule,9.7,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,9.7,,fee schedule,9.7,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,9.7,134,percent of total billed charges,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,9.7,134,percent of total billed charges,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,9.7,134,percent of total billed charges,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,9.7,134,fee schedule,
GLUCOSE-6 PHOSPHATE DEHYD,82955,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,9.7,134,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,ALLIANT,ALLIANT,,9.98,,fee schedule,9.98,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,AMBETTER,AMBETTER,,7.87,,fee schedule,7.87,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,8,,fee schedule,8,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,8.15,,fee schedule,8.15,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,MEDICARE,MEDICARE,,6.05,,fee schedule,6.05,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,7.62,,fee schedule,7.62,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,TRICARE,TRICARE,,6.05,,fee schedule,6.05,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,6.05,,fee schedule,6.05,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,6.05,100,percent of total billed charges,
G-6-PD SCREEN,82960,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,6.05,100,percent of total billed charges,
G-6-PD SCREEN,82960,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,6.05,100,percent of total billed charges,
G-6-PD SCREEN,82960,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,6.05,100,fee schedule,
G-6-PD SCREEN,82960,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,6.05,100,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,3.09,,fee schedule,3.09,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.94,,fee schedule,2.94,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,TRICARE,TRICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,3.09,,fee schedule,3.09,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.94,,fee schedule,2.94,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,TRICARE,TRICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,3.09,,fee schedule,3.09,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.94,,fee schedule,2.94,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,TRICARE,TRICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,3.09,,fee schedule,3.09,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.94,,fee schedule,2.94,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,TRICARE,TRICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,3.09,,fee schedule,3.09,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.94,,fee schedule,2.94,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,TRICARE,TRICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.94,12,percent of total billed charges,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE FINGERSTICK,82962,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,3.09,,fee schedule,3.09,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.94,,fee schedule,2.94,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,TRICARE,TRICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE POC,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.94,12,percent of total billed charges,
GLUCOSE POC,82962,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.94,12,percent of total billed charges,
GLUCOSE POC,82962,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.94,12,fee schedule,
GLUCOSE POC,82962,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.94,12,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,ALLIANT,ALLIANT,,11.88,,fee schedule,11.88,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,AMBETTER,AMBETTER,,9.36,,fee schedule,9.36,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,MEDICARE,MEDICARE,,7.2,,fee schedule,7.2,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,TRICARE,TRICARE,,7.2,,fee schedule,7.2,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,7.2,,fee schedule,7.2,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,6.35,70,percent of total billed charges,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,6.35,70,percent of total billed charges,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,6.35,70,percent of total billed charges,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,6.35,70,fee schedule,
GAMMA GLUTAMYLTRANSFERASE,82977,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,6.35,70,fee schedule,
GGT,82977,CPT,both,,,41,41,ALLIANT,ALLIANT,,11.88,,fee schedule,11.88,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,AMBETTER,AMBETTER,,9.36,,fee schedule,9.36,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,MEDICARE,MEDICARE,,7.2,,fee schedule,7.2,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,TRICARE,TRICARE,,7.2,,fee schedule,7.2,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,7.2,,fee schedule,7.2,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,6.35,41,percent of total billed charges,
GGT,82977,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,6.35,41,percent of total billed charges,
GGT,82977,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,6.35,41,percent of total billed charges,
GGT,82977,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,6.35,41,fee schedule,
GGT,82977,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,6.35,41,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,ALLIANT,ALLIANT,,25.49,,fee schedule,25.49,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,AMBETTER,AMBETTER,,20.09,,fee schedule,20.09,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,18.82,,fee schedule,18.82,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,19.17,,fee schedule,19.17,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,MEDICARE,MEDICARE,,15.45,,fee schedule,15.45,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,17.92,,fee schedule,17.92,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,TRICARE,TRICARE,,15.45,,fee schedule,15.45,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,15.45,,fee schedule,15.45,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,15.45,67,percent of total billed charges,
GLUTATHIONE,82978,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,15.45,67,percent of total billed charges,
GLUTATHIONE,82978,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,15.45,67,percent of total billed charges,
GLUTATHIONE,82978,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,15.45,67,fee schedule,
GLUTATHIONE,82978,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,15.45,67,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,ALLIANT,ALLIANT,,27.65,,fee schedule,27.65,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,AMBETTER,AMBETTER,,21.79,,fee schedule,21.79,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,MEDICARE,MEDICARE,,16.76,,fee schedule,16.76,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,TRICARE,TRICARE,,16.76,,fee schedule,16.76,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,16.76,,fee schedule,16.76,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,16.76,128,percent of total billed charges,
FRUCTOSAMINE,82985,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,16.76,128,percent of total billed charges,
FRUCTOSAMINE,82985,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,16.76,128,percent of total billed charges,
FRUCTOSAMINE,82985,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,16.76,128,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,ALLIANT,ALLIANT,,27.65,,fee schedule,27.65,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,AMBETTER,AMBETTER,,21.79,,fee schedule,21.79,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,MEDICARE,MEDICARE,,16.76,,fee schedule,16.76,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,TRICARE,TRICARE,,16.76,,fee schedule,16.76,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,16.76,,fee schedule,16.76,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,16.76,43,percent of total billed charges,
FRUCTOSAMINE,82985,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,16.76,43,percent of total billed charges,
FRUCTOSAMINE,82985,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,16.76,43,percent of total billed charges,
FRUCTOSAMINE,82985,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,16.76,43,fee schedule,
FRUCTOSAMINE,82985,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,16.76,43,fee schedule,
FSH,83001,CPT,both,,,114,114,ALLIANT,ALLIANT,,30.66,,fee schedule,30.66,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,AMBETTER,AMBETTER,,24.15,,fee schedule,24.15,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,24.54,,fee schedule,24.54,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,25.01,,fee schedule,25.01,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,MEDICARE,MEDICARE,,18.58,,fee schedule,18.58,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,23.37,,fee schedule,23.37,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,TRICARE,TRICARE,,18.58,,fee schedule,18.58,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,18.58,,fee schedule,18.58,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,18.58,114,percent of total billed charges,
FSH,83001,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,18.58,114,percent of total billed charges,
FSH,83001,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,18.58,114,percent of total billed charges,
FSH,83001,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,18.58,114,fee schedule,
FSH,83001,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,18.58,114,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,ALLIANT,ALLIANT,,30.66,,fee schedule,30.66,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,AMBETTER,AMBETTER,,24.15,,fee schedule,24.15,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,AMERIGROUP,AMERIGROUP,,24.54,,fee schedule,24.54,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,25.01,,fee schedule,25.01,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,MEDICARE,MEDICARE,,18.58,,fee schedule,18.58,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,23.37,,fee schedule,23.37,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,TRICARE,TRICARE,,18.58,,fee schedule,18.58,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,UHC MEDICARE,UHC MEDICARE,,18.58,,fee schedule,18.58,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,AETNA,AETNA,,182.7,87,percent of total billed charges,182.7,18.58,210,percent of total billed charges,
FSH  SERUM,83001,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182.7,87,percent of total billed charges,182.7,18.58,210,percent of total billed charges,
FSH  SERUM,83001,CPT,both,,,210,210,UNITED HEALTHCARE,UNITED HEALTHCARE,,184.8,88,percent of total billed charges,184.8,18.58,210,percent of total billed charges,
FSH  SERUM,83001,CPT,both,,,210,210,AETNA,AETNA,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,BEECH STREET,BEECH STREET,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,MEDICAID,MEDICAID,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,NOVA NET,NOVA NET,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,SELFPAY,SELFPAY,,210,,fee schedule,210,18.58,210,fee schedule,
FSH  SERUM,83001,CPT,both,,,210,210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,ALLIANT,ALLIANT,,30.66,,fee schedule,30.66,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,AMBETTER,AMBETTER,,24.15,,fee schedule,24.15,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,AMERIGROUP,AMERIGROUP,,24.54,,fee schedule,24.54,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,25.01,,fee schedule,25.01,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,MEDICARE,MEDICARE,,18.58,,fee schedule,18.58,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,23.37,,fee schedule,23.37,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,TRICARE,TRICARE,,18.58,,fee schedule,18.58,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,UHC MEDICARE,UHC MEDICARE,,18.58,,fee schedule,18.58,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,AETNA,AETNA,,182.7,87,percent of total billed charges,182.7,18.58,210,percent of total billed charges,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182.7,87,percent of total billed charges,182.7,18.58,210,percent of total billed charges,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,UNITED HEALTHCARE,UNITED HEALTHCARE,,184.8,88,percent of total billed charges,184.8,18.58,210,percent of total billed charges,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,AETNA,AETNA,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,BEECH STREET,BEECH STREET,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,MEDICAID,MEDICAID,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,NOVA NET,NOVA NET,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,SELFPAY,SELFPAY,,210,,fee schedule,210,18.58,210,fee schedule,
FSH SERUM OR URINE PROFI,83001,CPT,both,,,210,210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,210,,fee schedule,210,18.58,210,fee schedule,
LH,83002,CPT,both,,,82,82,ALLIANT,ALLIANT,,30.56,,fee schedule,30.56,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,AMBETTER,AMBETTER,,24.08,,fee schedule,24.08,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,24.45,,fee schedule,24.45,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,24.92,,fee schedule,24.92,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,MEDICARE,MEDICARE,,18.52,,fee schedule,18.52,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,23.29,,fee schedule,23.29,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,TRICARE,TRICARE,,18.52,,fee schedule,18.52,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,18.52,,fee schedule,18.52,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,18.52,82,percent of total billed charges,
LH,83002,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,18.52,82,percent of total billed charges,
LH,83002,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,18.52,82,percent of total billed charges,
LH,83002,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,18.52,82,fee schedule,
LH,83002,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,18.52,82,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,ALLIANT,ALLIANT,,30.56,,fee schedule,30.56,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,AMBETTER,AMBETTER,,24.08,,fee schedule,24.08,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,24.45,,fee schedule,24.45,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,24.92,,fee schedule,24.92,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,MEDICARE,MEDICARE,,18.52,,fee schedule,18.52,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,23.29,,fee schedule,23.29,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,TRICARE,TRICARE,,18.52,,fee schedule,18.52,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,UHC MEDICARE,UHC MEDICARE,,18.52,,fee schedule,18.52,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,AETNA,AETNA,,214.89,87,percent of total billed charges,214.89,18.52,247,percent of total billed charges,
LH SERUM,83002,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.89,87,percent of total billed charges,214.89,18.52,247,percent of total billed charges,
LH SERUM,83002,CPT,both,,,247,247,UNITED HEALTHCARE,UNITED HEALTHCARE,,217.36,88,percent of total billed charges,217.36,18.52,247,percent of total billed charges,
LH SERUM,83002,CPT,both,,,247,247,AETNA,AETNA,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,BEECH STREET,BEECH STREET,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,MEDICAID,MEDICAID,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,NOVA NET,NOVA NET,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,SELFPAY,SELFPAY,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM,83002,CPT,both,,,247,247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,ALLIANT,ALLIANT,,30.56,,fee schedule,30.56,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,AMBETTER,AMBETTER,,24.08,,fee schedule,24.08,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,24.45,,fee schedule,24.45,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,24.92,,fee schedule,24.92,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,MEDICARE,MEDICARE,,18.52,,fee schedule,18.52,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,23.29,,fee schedule,23.29,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,TRICARE,TRICARE,,18.52,,fee schedule,18.52,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,UHC MEDICARE,UHC MEDICARE,,18.52,,fee schedule,18.52,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,AETNA,AETNA,,214.89,87,percent of total billed charges,214.89,18.52,247,percent of total billed charges,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.89,87,percent of total billed charges,214.89,18.52,247,percent of total billed charges,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,UNITED HEALTHCARE,UNITED HEALTHCARE,,217.36,88,percent of total billed charges,217.36,18.52,247,percent of total billed charges,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,AETNA,AETNA,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,BEECH STREET,BEECH STREET,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,MEDICAID,MEDICAID,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,NOVA NET,NOVA NET,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,SELFPAY,SELFPAY,,247,,fee schedule,247,18.52,247,fee schedule,
LH SERUM OR URINE PROFIL,83002,CPT,both,,,247,247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,247,,fee schedule,247,18.52,247,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,ALLIANT,ALLIANT,,27.51,,fee schedule,27.51,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,AMBETTER,AMBETTER,,21.67,,fee schedule,21.67,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,18.8,,fee schedule,18.8,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,19.15,,fee schedule,19.15,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,MEDICARE,MEDICARE,,16.67,,fee schedule,16.67,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,17.9,,fee schedule,17.9,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,TRICARE,TRICARE,,16.67,,fee schedule,16.67,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,16.67,,fee schedule,16.67,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,16.67,192,percent of total billed charges,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,16.67,192,percent of total billed charges,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,16.67,192,percent of total billed charges,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,16.67,192,fee schedule,
GROWTH HORMONE (HGH),83003,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,16.67,192,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,ALLIANT,ALLIANT,,20.76,,fee schedule,20.76,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,AMBETTER,AMBETTER,,16.35,,fee schedule,16.35,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,4.92,,fee schedule,4.92,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,5.02,,fee schedule,5.02,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,MEDICARE,MEDICARE,,12.58,,fee schedule,12.58,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,4.69,,fee schedule,4.69,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,TRICARE,TRICARE,,12.58,,fee schedule,12.58,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,12.58,,fee schedule,12.58,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,4.69,137,percent of total billed charges,
HAPTOGLOBIN,83010,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,4.69,137,percent of total billed charges,
HAPTOGLOBIN,83010,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,4.69,137,percent of total billed charges,
HAPTOGLOBIN,83010,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,4.69,137,fee schedule,
HAPTOGLOBIN,83010,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,4.69,137,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,ALLIANT,ALLIANT,,111.14,,fee schedule,111.14,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,AMBETTER,AMBETTER,,87.57,,fee schedule,87.57,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,AMERIGROUP,AMERIGROUP,,69.86,,fee schedule,69.86,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,CARESOURCE,CARESOURCE,,71.19,,fee schedule,71.19,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,MEDICARE,MEDICARE,,67.36,,fee schedule,67.36,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,PEACHSTATE,PEACHSTATE,,66.53,,fee schedule,66.53,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,TRICARE,TRICARE,,67.36,,fee schedule,67.36,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,UHC MEDICARE,UHC MEDICARE,,67.36,,fee schedule,67.36,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,AETNA,AETNA,,161.82,87,percent of total billed charges,161.82,66.53,186,percent of total billed charges,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161.82,87,percent of total billed charges,161.82,66.53,186,percent of total billed charges,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,UNITED HEALTHCARE,UNITED HEALTHCARE,,163.68,88,percent of total billed charges,163.68,66.53,186,percent of total billed charges,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,AETNA,AETNA,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,BEECH STREET,BEECH STREET,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,CARESOURCE,CARESOURCE,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,MEDICAID,MEDICAID,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,NOVA NET,NOVA NET,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,PEACHSTATE,PEACHSTATE,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,SELFPAY,SELFPAY,,186,,fee schedule,186,66.53,186,fee schedule,
"UREASE BREATH TEST, H. PYLORI",83013,CPT,both,,,186,186,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,186,,fee schedule,186,66.53,186,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,ALLIANT,ALLIANT,,36.23,,fee schedule,36.23,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,AMBETTER,AMBETTER,,28.55,,fee schedule,28.55,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,28.99,,fee schedule,28.99,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,29.54,,fee schedule,29.54,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,MEDICARE,MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,27.61,,fee schedule,27.61,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,TRICARE,TRICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
COBALT LEVEL,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
COBALT LEVEL,83018,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,21.96,149,percent of total billed charges,
COBALT LEVEL,83018,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,21.96,149,fee schedule,
COBALT LEVEL,83018,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,ALLIANT,ALLIANT,,36.23,,fee schedule,36.23,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,AMBETTER,AMBETTER,,28.55,,fee schedule,28.55,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,AMERIGROUP,AMERIGROUP,,28.99,,fee schedule,28.99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,CARESOURCE,CARESOURCE,,29.54,,fee schedule,29.54,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,MEDICARE,MEDICARE,,21.96,,fee schedule,21.96,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,PEACHSTATE,PEACHSTATE,,27.61,,fee schedule,27.61,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,TRICARE,TRICARE,,21.96,,fee schedule,21.96,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,UHC MEDICARE,UHC MEDICARE,,21.96,,fee schedule,21.96,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,AETNA,AETNA,,86.13,87,percent of total billed charges,86.13,21.96,99,percent of total billed charges,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,86.13,87,percent of total billed charges,86.13,21.96,99,percent of total billed charges,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,UNITED HEALTHCARE,UNITED HEALTHCARE,,87.12,88,percent of total billed charges,87.12,21.96,99,percent of total billed charges,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,AETNA,AETNA,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,BEECH STREET,BEECH STREET,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,CARESOURCE,CARESOURCE,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,MEDICAID,MEDICAID,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,NOVA NET,NOVA NET,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,PEACHSTATE,PEACHSTATE,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,SELFPAY,SELFPAY,,99,,fee schedule,99,21.96,99,fee schedule,
"HEAVY METAL, QUANTITATIVE",83018,CPT,both,,,99,99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,99,,fee schedule,99,21.96,99,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,ALLIANT,ALLIANT,,36.23,,fee schedule,36.23,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,AMBETTER,AMBETTER,,28.55,,fee schedule,28.55,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,28.99,,fee schedule,28.99,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,29.54,,fee schedule,29.54,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,MEDICARE,MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,27.61,,fee schedule,27.61,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,TRICARE,TRICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,21.96,149,percent of total billed charges,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,21.96,149,fee schedule,
MOLYBDENUM WHOLE BLOOD,83018,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,ALLIANT,ALLIANT,,36.23,,fee schedule,36.23,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,AMBETTER,AMBETTER,,28.55,,fee schedule,28.55,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,28.99,,fee schedule,28.99,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,29.54,,fee schedule,29.54,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,MEDICARE,MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,27.61,,fee schedule,27.61,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,TRICARE,TRICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
TITANIUM,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
TITANIUM,83018,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,21.96,149,percent of total billed charges,
TITANIUM,83018,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,21.96,149,fee schedule,
TITANIUM,83018,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,ALLIANT,ALLIANT,,36.23,,fee schedule,36.23,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,AMBETTER,AMBETTER,,28.55,,fee schedule,28.55,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,28.99,,fee schedule,28.99,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,29.54,,fee schedule,29.54,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,MEDICARE,MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,27.61,,fee schedule,27.61,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,TRICARE,TRICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,21.96,,fee schedule,21.96,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
ZIRCONIUM,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,21.96,149,percent of total billed charges,
ZIRCONIUM,83018,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,21.96,149,percent of total billed charges,
ZIRCONIUM,83018,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,21.96,149,fee schedule,
ZIRCONIUM,83018,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,21.96,149,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,12.9,,fee schedule,12.9,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,13.15,,fee schedule,13.15,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,12.29,,fee schedule,12.29,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,AETNA,AETNA,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,UNITED HEALTHCARE,UNITED HEALTHCARE,,157.52,88,percent of total billed charges,157.52,12.29,179,percent of total billed charges,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,AETNA,AETNA,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,BEECH STREET,BEECH STREET,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,MEDICAID,MEDICAID,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,NOVA NET,NOVA NET,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,SELFPAY,SELFPAY,,179,,fee schedule,179,12.29,179,fee schedule,
ELECTROPHORESIS HEMOGLOBI,83020,CPT,both,,,179,179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,12.9,,fee schedule,12.9,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,13.15,,fee schedule,13.15,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,12.29,,fee schedule,12.29,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,AETNA,AETNA,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
HEMOGLOBIN,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
HEMOGLOBIN,83020,CPT,both,,,179,179,UNITED HEALTHCARE,UNITED HEALTHCARE,,157.52,88,percent of total billed charges,157.52,12.29,179,percent of total billed charges,
HEMOGLOBIN,83020,CPT,both,,,179,179,AETNA,AETNA,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,BEECH STREET,BEECH STREET,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,MEDICAID,MEDICAID,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,NOVA NET,NOVA NET,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,SELFPAY,SELFPAY,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN,83020,CPT,both,,,179,179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,12.9,,fee schedule,12.9,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,13.15,,fee schedule,13.15,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,12.29,,fee schedule,12.29,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,AETNA,AETNA,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,UNITED HEALTHCARE,UNITED HEALTHCARE,,157.52,88,percent of total billed charges,157.52,12.29,179,percent of total billed charges,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,AETNA,AETNA,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,BEECH STREET,BEECH STREET,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,MEDICAID,MEDICAID,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,NOVA NET,NOVA NET,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,SELFPAY,SELFPAY,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN A2 QT,83020,CPT,both,,,179,179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,12.9,,fee schedule,12.9,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,13.15,,fee schedule,13.15,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,12.29,,fee schedule,12.29,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,AETNA,AETNA,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155.73,87,percent of total billed charges,155.73,12.29,179,percent of total billed charges,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,UNITED HEALTHCARE,UNITED HEALTHCARE,,157.52,88,percent of total billed charges,157.52,12.29,179,percent of total billed charges,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,AETNA,AETNA,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,BEECH STREET,BEECH STREET,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,MEDICAID,MEDICAID,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,NOVA NET,NOVA NET,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,SELFPAY,SELFPAY,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN FRACT. PED. SC,83020,CPT,both,,,179,179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,179,,fee schedule,179,12.29,179,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,12.9,,fee schedule,12.9,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,13.15,,fee schedule,13.15,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,12.29,,fee schedule,12.29,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,12.29,59,percent of total billed charges,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,12.29,59,percent of total billed charges,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,12.29,59,percent of total billed charges,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,12.29,59,fee schedule,
HEMOGLOBIN-ELECTROPHORESI,83020,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,12.29,59,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,ALLIANT,ALLIANT,,29.8,,fee schedule,29.8,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,AMBETTER,AMBETTER,,23.48,,fee schedule,23.48,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,MEDICARE,MEDICARE,,18.06,,fee schedule,18.06,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,TRICARE,TRICARE,,18.06,,fee schedule,18.06,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,18.06,,fee schedule,18.06,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,7.55,53,percent of total billed charges,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,7.55,53,percent of total billed charges,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,7.55,53,percent of total billed charges,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,7.55,53,fee schedule,
"HGB FRACTIONATION,CHROMATOGRA",83021,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,7.55,53,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,10.92,,fee schedule,10.92,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,11.13,,fee schedule,11.13,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,10.4,,fee schedule,10.4,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,10.4,131,percent of total billed charges,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,10.4,131,percent of total billed charges,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,10.4,131,percent of total billed charges,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,10.4,131,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,AMERIGROUP,AMERIGROUP,,10.92,,fee schedule,10.92,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,11.13,,fee schedule,11.13,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,10.4,,fee schedule,10.4,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,10.4,57,percent of total billed charges,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,10.4,57,percent of total billed charges,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,10.4,57,percent of total billed charges,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,10.4,57,fee schedule,
FETAL HEMOGLOBIN,83030,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,10.4,57,fee schedule,
APT TEST,83033,CPT,both,,,64,64,ALLIANT,ALLIANT,,13.2,,fee schedule,13.2,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,AMBETTER,AMBETTER,,10.4,,fee schedule,10.4,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,7.88,,fee schedule,7.88,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,8.03,,fee schedule,8.03,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,MEDICARE,MEDICARE,,8,,fee schedule,8,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,7.5,,fee schedule,7.5,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,TRICARE,TRICARE,,8,,fee schedule,8,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,8,,fee schedule,8,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,7.5,64,percent of total billed charges,
APT TEST,83033,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,7.5,64,percent of total billed charges,
APT TEST,83033,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,7.5,64,percent of total billed charges,
APT TEST,83033,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,7.5,64,fee schedule,
APT TEST,83033,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,7.5,64,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,ALLIANT,ALLIANT,,16.02,,fee schedule,16.02,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,AMBETTER,AMBETTER,,12.62,,fee schedule,12.62,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,12.81,,fee schedule,12.81,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,13.05,,fee schedule,13.05,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,MEDICARE,MEDICARE,,9.71,,fee schedule,9.71,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,12.2,,fee schedule,12.2,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,TRICARE,TRICARE,,9.71,,fee schedule,9.71,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,9.71,,fee schedule,9.71,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,9.71,116,percent of total billed charges,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,9.71,116,percent of total billed charges,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,9.71,116,percent of total billed charges,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN,83036,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,9.71,116,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,ALLIANT,ALLIANT,,16.02,,fee schedule,16.02,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,AMBETTER,AMBETTER,,12.62,,fee schedule,12.62,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,12.81,,fee schedule,12.81,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,13.05,,fee schedule,13.05,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,MEDICARE,MEDICARE,,9.71,,fee schedule,9.71,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,12.2,,fee schedule,12.2,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,TRICARE,TRICARE,,9.71,,fee schedule,9.71,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,9.71,,fee schedule,9.71,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,9.71,48,percent of total billed charges,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,9.71,48,percent of total billed charges,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,9.71,48,percent of total billed charges,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,9.71,48,fee schedule,
GLYCOHEMOGLOBIN (AIC),83036,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,9.71,48,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,ALLIANT,ALLIANT,,13.53,,fee schedule,13.53,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,AMBETTER,AMBETTER,,10.66,,fee schedule,10.66,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,9.67,,fee schedule,9.67,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,9.85,,fee schedule,9.85,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,MEDICARE,MEDICARE,,8.2,,fee schedule,8.2,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,9.21,,fee schedule,9.21,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,TRICARE,TRICARE,,8.2,,fee schedule,8.2,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,8.2,,fee schedule,8.2,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,8.2,161,percent of total billed charges,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,8.2,161,percent of total billed charges,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,8.2,161,percent of total billed charges,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,8.2,161,fee schedule,
METHEMOGLOBIN QT,83050,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,ALLIANT,ALLIANT,,13.53,,fee schedule,13.53,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,AMBETTER,AMBETTER,,10.66,,fee schedule,10.66,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,9.67,,fee schedule,9.67,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,9.85,,fee schedule,9.85,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,MEDICARE,MEDICARE,,8.2,,fee schedule,8.2,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,9.21,,fee schedule,9.21,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,TRICARE,TRICARE,,8.2,,fee schedule,8.2,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,8.2,,fee schedule,8.2,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,8.2,161,percent of total billed charges,
METHMOGLOBIN,83050,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,8.2,161,percent of total billed charges,
METHMOGLOBIN,83050,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,8.2,161,percent of total billed charges,
METHMOGLOBIN,83050,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,8.2,161,fee schedule,
METHMOGLOBIN,83050,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,8.2,161,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,ALLIANT,ALLIANT,,14.52,,fee schedule,14.52,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,AMBETTER,AMBETTER,,11.44,,fee schedule,11.44,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,10.92,,fee schedule,10.92,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,11.13,,fee schedule,11.13,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,MEDICARE,MEDICARE,,8.8,,fee schedule,8.8,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,10.4,,fee schedule,10.4,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,TRICARE,TRICARE,,8.8,,fee schedule,8.8,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,8.8,,fee schedule,8.8,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,8.8,134,percent of total billed charges,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,8.8,134,percent of total billed charges,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,8.8,134,percent of total billed charges,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,8.8,134,fee schedule,
SULFHEMOGLOBIN QT,83060,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,8.8,134,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,ALLIANT,ALLIANT,,7.84,,fee schedule,7.84,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,AMBETTER,AMBETTER,,6.18,,fee schedule,6.18,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,MEDICARE,MEDICARE,,4.75,,fee schedule,4.75,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,TRICARE,TRICARE,,4.75,,fee schedule,4.75,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,4.75,,fee schedule,4.75,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,4.75,164,percent of total billed charges,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,4.75,164,percent of total billed charges,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,4.75,164,percent of total billed charges,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,4.75,164,fee schedule,
HEMOSIDERIN STAINURINE,83070,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,4.75,164,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,ALLIANT,ALLIANT,,48.72,,fee schedule,48.72,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,AMBETTER,AMBETTER,,38.39,,fee schedule,38.39,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,AMERIGROUP,AMERIGROUP,,38.99,,fee schedule,38.99,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,39.73,,fee schedule,39.73,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,MEDICARE,MEDICARE,,29.53,,fee schedule,29.53,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,37.13,,fee schedule,37.13,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,TRICARE,TRICARE,,29.53,,fee schedule,29.53,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,29.53,,fee schedule,29.53,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,29.53,258,percent of total billed charges,
HISTAMINE,83088,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,29.53,258,percent of total billed charges,
HISTAMINE,83088,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,29.53,258,percent of total billed charges,
HISTAMINE,83088,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,29.53,258,fee schedule,
HISTAMINE,83088,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,29.53,258,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,ALLIANT,ALLIANT,,29.57,,fee schedule,29.57,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,AMBETTER,AMBETTER,,23.3,,fee schedule,23.3,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,AMERIGROUP,AMERIGROUP,,22.27,,fee schedule,22.27,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,22.69,,fee schedule,22.69,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,MEDICARE,MEDICARE,,17.92,,fee schedule,17.92,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,21.21,,fee schedule,21.21,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,TRICARE,TRICARE,,17.92,,fee schedule,17.92,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,UHC MEDICARE,UHC MEDICARE,,17.92,,fee schedule,17.92,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,AETNA,AETNA,,247.95,87,percent of total billed charges,247.95,17.92,285,percent of total billed charges,
HOMOCYSTEINE,83090,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.95,87,percent of total billed charges,247.95,17.92,285,percent of total billed charges,
HOMOCYSTEINE,83090,CPT,both,,,285,285,UNITED HEALTHCARE,UNITED HEALTHCARE,,250.8,88,percent of total billed charges,250.8,17.92,285,percent of total billed charges,
HOMOCYSTEINE,83090,CPT,both,,,285,285,AETNA,AETNA,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,BEECH STREET,BEECH STREET,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,MEDICAID,MEDICAID,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,NOVA NET,NOVA NET,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,SELFPAY,SELFPAY,,285,,fee schedule,285,17.92,285,fee schedule,
HOMOCYSTEINE,83090,CPT,both,,,285,285,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,285,,fee schedule,285,17.92,285,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,AETNA,AETNA,,9435.67,87,percent of total billed charges,9435.67,9435.67,10845.6,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9435.67,87,percent of total billed charges,9435.67,9435.67,10845.6,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,UNITED HEALTHCARE,UNITED HEALTHCARE,,9544.13,88,percent of total billed charges,9544.13,9435.67,10845.6,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,AETNA,AETNA,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,ALLIANT,ALLIANT,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,AMBETTER,AMBETTER,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,BEECH STREET,BEECH STREET,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,CARESOURCE,CARESOURCE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,MEDICAID,MEDICAID,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,MEDICARE,MEDICARE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,NOVA NET,NOVA NET,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,PEACHSTATE,PEACHSTATE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,SELFPAY,SELFPAY,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,TRICARE,TRICARE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,831,DRG,inpatient,,,10845.6,10845.6,UHC MEDICARE,UHC MEDICARE,,10845.6,,fee schedule,10845.6,9435.67,10845.6,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,ALLIANT,ALLIANT,,36.98,,fee schedule,36.98,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,AMBETTER,AMBETTER,,29.13,,fee schedule,29.13,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,25.56,,fee schedule,25.56,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,26.04,,fee schedule,26.04,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,MEDICARE,MEDICARE,,22.41,,fee schedule,22.41,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,24.34,,fee schedule,24.34,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,TRICARE,TRICARE,,22.41,,fee schedule,22.41,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,22.41,,fee schedule,22.41,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,22.41,307,percent of total billed charges,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,22.41,307,percent of total billed charges,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,22.41,307,percent of total billed charges,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,22.41,307,fee schedule,
HOMOVANILLIC ACID,83150,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,22.41,307,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,AETNA,AETNA,,11448.13,87,percent of total billed charges,11448.13,11448.13,13158.77,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11448.13,87,percent of total billed charges,11448.13,11448.13,13158.77,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,11579.72,88,percent of total billed charges,11579.72,11448.13,13158.77,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,AETNA,AETNA,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,ALLIANT,ALLIANT,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,AMBETTER,AMBETTER,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,BEECH STREET,BEECH STREET,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,CARESOURCE,CARESOURCE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,MEDICAID,MEDICAID,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,MEDICARE,MEDICARE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,NOVA NET,NOVA NET,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,PEACHSTATE,PEACHSTATE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,SELFPAY,SELFPAY,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,TRICARE,TRICARE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,832,DRG,inpatient,,,13158.77,13158.77,UHC MEDICARE,UHC MEDICARE,,13158.77,,fee schedule,13158.77,11448.13,13158.77,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,AETNA,AETNA,,20538.37,87,percent of total billed charges,20538.37,20538.37,23607.32,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20538.37,87,percent of total billed charges,20538.37,20538.37,23607.32,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,UNITED HEALTHCARE,UNITED HEALTHCARE,,20774.44,88,percent of total billed charges,20774.44,20538.37,23607.32,percent of total billed charges,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,AETNA,AETNA,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,ALLIANT,ALLIANT,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,AMBETTER,AMBETTER,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,BEECH STREET,BEECH STREET,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,CARESOURCE,CARESOURCE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,MEDICAID,MEDICAID,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,MEDICARE,MEDICARE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,NOVA NET,NOVA NET,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,PEACHSTATE,PEACHSTATE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,SELFPAY,SELFPAY,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,TRICARE,TRICARE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,833,DRG,inpatient,,,23607.32,23607.32,UHC MEDICARE,UHC MEDICARE,,23607.32,,fee schedule,23607.32,20538.37,23607.32,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,ALLIANT,ALLIANT,,29.54,,fee schedule,29.54,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,AMBETTER,AMBETTER,,23.27,,fee schedule,23.27,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,AMERIGROUP,AMERIGROUP,,23.12,,fee schedule,23.12,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,CARESOURCE,CARESOURCE,,23.56,,fee schedule,23.56,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,MEDICARE,MEDICARE,,17.9,,fee schedule,17.9,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,PEACHSTATE,PEACHSTATE,,22.02,,fee schedule,22.02,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,TRICARE,TRICARE,,17.9,,fee schedule,17.9,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,UHC MEDICARE,UHC MEDICARE,,17.9,,fee schedule,17.9,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,AETNA,AETNA,,319.29,87,percent of total billed charges,319.29,17.9,367,percent of total billed charges,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,319.29,87,percent of total billed charges,319.29,17.9,367,percent of total billed charges,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,UNITED HEALTHCARE,UNITED HEALTHCARE,,322.96,88,percent of total billed charges,322.96,17.9,367,percent of total billed charges,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,AETNA,AETNA,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,BEECH STREET,BEECH STREET,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,CARESOURCE,CARESOURCE,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,MEDICAID,MEDICAID,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,NOVA NET,NOVA NET,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,PEACHSTATE,PEACHSTATE,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,SELFPAY,SELFPAY,,367,,fee schedule,367,17.9,367,fee schedule,
HYDROXYCORTICORSTEROID-17,83491,CPT,both,,,367,367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,ALLIANT,ALLIANT,,29.54,,fee schedule,29.54,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,AMBETTER,AMBETTER,,23.27,,fee schedule,23.27,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,AMERIGROUP,AMERIGROUP,,23.12,,fee schedule,23.12,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,CARESOURCE,CARESOURCE,,23.56,,fee schedule,23.56,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,MEDICARE,MEDICARE,,17.9,,fee schedule,17.9,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,PEACHSTATE,PEACHSTATE,,22.02,,fee schedule,22.02,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,TRICARE,TRICARE,,17.9,,fee schedule,17.9,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,UHC MEDICARE,UHC MEDICARE,,17.9,,fee schedule,17.9,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,AETNA,AETNA,,319.29,87,percent of total billed charges,319.29,17.9,367,percent of total billed charges,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,319.29,87,percent of total billed charges,319.29,17.9,367,percent of total billed charges,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,UNITED HEALTHCARE,UNITED HEALTHCARE,,322.96,88,percent of total billed charges,322.96,17.9,367,percent of total billed charges,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,AETNA,AETNA,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,BEECH STREET,BEECH STREET,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,CARESOURCE,CARESOURCE,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,MEDICAID,MEDICAID,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,NOVA NET,NOVA NET,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,PEACHSTATE,PEACHSTATE,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,SELFPAY,SELFPAY,,367,,fee schedule,367,17.9,367,fee schedule,
KETOSTEROIDS-17 URINE,83491,CPT,both,,,367,367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,367,,fee schedule,367,17.9,367,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,ALLIANT,ALLIANT,,21.29,,fee schedule,21.29,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,AMBETTER,AMBETTER,,16.77,,fee schedule,16.77,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,AMERIGROUP,AMERIGROUP,,17.02,,fee schedule,17.02,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,17.34,,fee schedule,17.34,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,MEDICARE,MEDICARE,,12.9,,fee schedule,12.9,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,16.21,,fee schedule,16.21,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,TRICARE,TRICARE,,12.9,,fee schedule,12.9,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,UHC MEDICARE,UHC MEDICARE,,12.9,,fee schedule,12.9,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,AETNA,AETNA,,148.77,87,percent of total billed charges,148.77,12.9,171,percent of total billed charges,
HIAA-5,83497,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148.77,87,percent of total billed charges,148.77,12.9,171,percent of total billed charges,
HIAA-5,83497,CPT,both,,,171,171,UNITED HEALTHCARE,UNITED HEALTHCARE,,150.48,88,percent of total billed charges,150.48,12.9,171,percent of total billed charges,
HIAA-5,83497,CPT,both,,,171,171,AETNA,AETNA,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,BEECH STREET,BEECH STREET,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,MEDICAID,MEDICAID,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,NOVA NET,NOVA NET,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,SELFPAY,SELFPAY,,171,,fee schedule,171,12.9,171,fee schedule,
HIAA-5,83497,CPT,both,,,171,171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,171,,fee schedule,171,12.9,171,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,ALLIANT,ALLIANT,,44.83,,fee schedule,44.83,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,AMBETTER,AMBETTER,,35.32,,fee schedule,35.32,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,35.87,,fee schedule,35.87,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,36.55,,fee schedule,36.55,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,MEDICARE,MEDICARE,,27.17,,fee schedule,27.17,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,34.16,,fee schedule,34.16,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,TRICARE,TRICARE,,27.17,,fee schedule,27.17,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,27.17,,fee schedule,27.17,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,27.17,76,percent of total billed charges,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,27.17,76,percent of total billed charges,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,27.17,76,percent of total billed charges,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,27.17,76,fee schedule,
HYD. PROGESTERONE,83498,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,27.17,76,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,ALLIANT,ALLIANT,,44.83,,fee schedule,44.83,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,AMBETTER,AMBETTER,,35.32,,fee schedule,35.32,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,35.87,,fee schedule,35.87,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,36.55,,fee schedule,36.55,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,MEDICARE,MEDICARE,,27.17,,fee schedule,27.17,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,34.16,,fee schedule,34.16,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,TRICARE,TRICARE,,27.17,,fee schedule,27.17,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,27.17,,fee schedule,27.17,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,27.17,323,percent of total billed charges,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,27.17,323,percent of total billed charges,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,27.17,323,percent of total billed charges,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROGESTERONE-17,83498,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,27.17,323,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,ALLIANT,ALLIANT,,40.1,,fee schedule,40.1,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,AMBETTER,AMBETTER,,31.59,,fee schedule,31.59,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,AMERIGROUP,AMERIGROUP,,32.09,,fee schedule,32.09,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,CARESOURCE,CARESOURCE,,32.7,,fee schedule,32.7,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,MEDICARE,MEDICARE,,24.3,,fee schedule,24.3,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,PEACHSTATE,PEACHSTATE,,30.56,,fee schedule,30.56,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,TRICARE,TRICARE,,24.3,,fee schedule,24.3,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,UHC MEDICARE,UHC MEDICARE,,24.3,,fee schedule,24.3,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,AETNA,AETNA,,610.74,87,percent of total billed charges,610.74,24.3,702,percent of total billed charges,
HYDROXYPROLINE,83505,CPT,both,,,702,702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,610.74,87,percent of total billed charges,610.74,24.3,702,percent of total billed charges,
HYDROXYPROLINE,83505,CPT,both,,,702,702,UNITED HEALTHCARE,UNITED HEALTHCARE,,617.76,88,percent of total billed charges,617.76,24.3,702,percent of total billed charges,
HYDROXYPROLINE,83505,CPT,both,,,702,702,AETNA,AETNA,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,BEECH STREET,BEECH STREET,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,CARESOURCE,CARESOURCE,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,MEDICAID,MEDICAID,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,NOVA NET,NOVA NET,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,PEACHSTATE,PEACHSTATE,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,SELFPAY,SELFPAY,,702,,fee schedule,702,24.3,702,fee schedule,
HYDROXYPROLINE,83505,CPT,both,,,702,702,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,702,,fee schedule,702,24.3,702,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
ACTIN IGG ABS,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
ACTIN IGG ABS,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
ACTIN IGG ABS,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
ACTIN IGG ABS,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
AMA-M2 EP (MIT3) IGG ABS,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
AMPHIPHYSIN AB,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
AQP4 (NMO-IGG) AUTOANTIBO,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
EJ AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
GAD65 AB,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
GAD65 AB,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
GAD65 AB,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
GAD65 AB,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
GLIADIN ABY,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
GLIADIN ABY,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
GLIADIN ABY,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
GLIADIN ABY,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
HISTONE ANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
"IMMUNOASSAY, NONANTIBODY",83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
KU AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
LC-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
LKM-1 IGG AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
OJ AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
PL-12 AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
PL-7 AUTOANTIBODIES,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
TISSUE TRANSGLUTAMINASE A,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,11.53,341,percent of total billed charges,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,11.53,341,percent of total billed charges,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,11.53,341,fee schedule,
TRANSGLUTAMINASE IGA AUTO,83516,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,11.53,341,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
21-HYDROXYLASE AB,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE BLOCKING AB,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
ACETYLCHOLINE MODULATING,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
ACHR BINDING AUTOANTIBODI,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
ALPHA SUBUNIT,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
IGF BINDING PROTEIN-3,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
IMMUNOASSAY RIA,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
INTERLEUKIN 1-ALPHA,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
MELATONIN,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
MELATONIN,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
MELATONIN,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
MELATONIN,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
MUSK ANTIBODY,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
MUSK ANTIBODY,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
MUSK ANTIBODY,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
MUSK ANTIBODY,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
PANCREATIC POLYPEPTIDE,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PREDNISOLONE,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PREDNISOLONE,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
PREDNISOLONE,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
PREDNISOLONE,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
PROCOLLAGEN TYPE 1 INTACT,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
PTH-RELATED PROTEIN,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
THYROTROPIN RECEPTOR ABS,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
TRYPSIN,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
TRYPSIN,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
TRYPSIN,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
TRYPSIN,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
TSH ANTIBODY,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
TSH ANTIBODY,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
TSH ANTIBODY,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
TSH ANTIBODY,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
VGCC ANTIBODY,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
VGCC ANTIBODY,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
VGCC ANTIBODY,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
VGCC ANTIBODY,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,ALLIANT,ALLIANT,,30.36,,fee schedule,30.36,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,AMBETTER,AMBETTER,,23.92,,fee schedule,23.92,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,AMERIGROUP,AMERIGROUP,,17.84,,fee schedule,17.84,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,18.18,,fee schedule,18.18,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,MEDICARE,MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,16.99,,fee schedule,16.99,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,TRICARE,TRICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,18.4,,fee schedule,18.4,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,16.99,432,percent of total billed charges,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,16.99,432,percent of total billed charges,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,16.99,432,fee schedule,
VON WILLEBRAND 2B BINDING,83519,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,16.99,432,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
ANTIBODY SPECIFIC BIO-MAR,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,16.28,102,percent of total billed charges,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,16.28,102,percent of total billed charges,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,16.28,102,percent of total billed charges,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-CBIR1 IGA,83520,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,16.28,102,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-GM1,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-GM1,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
ANTI-GM1,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM1,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-GM2,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-GM2,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
ANTI-GM2,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-GM2,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-IGE IGG,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-IGE IGG,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
ANTI-IGE IGG,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-IGE IGG,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
ANTI-MULLERIAN HORMONE,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
BULLOUS PEMPHIGOID BP 180,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
GANGLIOSIDE ANTIBODY,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
GLOMERULA BASEMENT MEMB.,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
HSP70 AUTOANTIBODIES,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
IGA FIBRONECTIN,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
IMMUNOASSAY QUANT NOS NONAB,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
INHIBIN B,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
INHIBIN B,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
INHIBIN B,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
INHIBIN B,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
INTERLEUKIN-6,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
INTERLEUKIN-6,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
INTERLEUKIN-6,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
INTERLEUKIN-6,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
MYELIN-ASSOC GLYCOPROTEIN,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
NEOPTERIN SERUM,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
PLATELET FACTOR 4,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
RHEUMATOID FACTOR IGM ABS,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
RNA POLYMERASE III AB,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
SULFATIDE ANTIBODIES,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
TAU/T-TAU/AB42 PROFILE CSF,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
TRYPTASE,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
TRYPTASE,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
TRYPTASE,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
TRYPTASE,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,ALLIANT,ALLIANT,,28.5,,fee schedule,28.5,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,AMBETTER,AMBETTER,,22.45,,fee schedule,22.45,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,MEDICARE,MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,TRICARE,TRICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,17.27,,fee schedule,17.27,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,16.28,440,percent of total billed charges,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,16.28,440,percent of total billed charges,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,16.28,440,fee schedule,
TUMOR NECROSIS FACTOR-ALPHA HS,83520,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,16.28,440,fee schedule,
INSULIN,83525,CPT,both,,,164,164,ALLIANT,ALLIANT,,18.86,,fee schedule,18.86,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,AMBETTER,AMBETTER,,14.86,,fee schedule,14.86,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,15.1,,fee schedule,15.1,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,15.39,,fee schedule,15.39,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,MEDICARE,MEDICARE,,11.43,,fee schedule,11.43,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,14.38,,fee schedule,14.38,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,TRICARE,TRICARE,,11.43,,fee schedule,11.43,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,11.43,,fee schedule,11.43,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,11.43,164,percent of total billed charges,
INSULIN,83525,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,11.43,164,percent of total billed charges,
INSULIN,83525,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,11.43,164,percent of total billed charges,
INSULIN,83525,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN,83525,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,11.43,164,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,ALLIANT,ALLIANT,,18.86,,fee schedule,18.86,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,AMBETTER,AMBETTER,,14.86,,fee schedule,14.86,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,15.1,,fee schedule,15.1,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,15.39,,fee schedule,15.39,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,MEDICARE,MEDICARE,,11.43,,fee schedule,11.43,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,14.38,,fee schedule,14.38,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,TRICARE,TRICARE,,11.43,,fee schedule,11.43,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,11.43,,fee schedule,11.43,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,11.43,79,percent of total billed charges,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,11.43,79,percent of total billed charges,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,11.43,79,percent of total billed charges,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN; TOTAL SERUM,83525,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,11.43,79,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,ALLIANT,ALLIANT,,21.37,,fee schedule,21.37,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,AMBETTER,AMBETTER,,16.84,,fee schedule,16.84,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,MEDICARE,MEDICARE,,12.95,,fee schedule,12.95,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,TRICARE,TRICARE,,12.95,,fee schedule,12.95,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,12.95,,fee schedule,12.95,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,12.95,187,percent of total billed charges,
INSULIN FREE,83527,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,12.95,187,percent of total billed charges,
INSULIN FREE,83527,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,12.95,187,percent of total billed charges,
INSULIN FREE,83527,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,12.95,187,fee schedule,
INSULIN FREE,83527,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,12.95,187,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,6.47,76,percent of total billed charges,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,6.47,76,percent of total billed charges,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,6.47,76,percent of total billed charges,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROFILE II - TOTAL,83540,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,6.47,76,fee schedule,
IRON,83540,CPT,both,,,39,39,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,6.47,39,percent of total billed charges,
IRON,83540,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,6.47,39,percent of total billed charges,
IRON,83540,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,6.47,39,percent of total billed charges,
IRON,83540,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,6.47,39,fee schedule,
IRON,83540,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,6.47,39,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,6.47,76,percent of total billed charges,
IRON TOTAL,83540,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,6.47,76,percent of total billed charges,
IRON TOTAL,83540,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,6.47,76,percent of total billed charges,
IRON TOTAL,83540,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,8.56,,fee schedule,8.56,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,8.72,,fee schedule,8.72,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,8.15,,fee schedule,8.15,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,6.47,76,percent of total billed charges,
IRON TOTAL,83540,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,6.47,76,percent of total billed charges,
IRON TOTAL,83540,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,6.47,76,percent of total billed charges,
IRON TOTAL,83540,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,6.47,76,fee schedule,
IRON TOTAL,83540,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,6.47,76,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,ALLIANT,ALLIANT,,14.42,,fee schedule,14.42,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,AMBETTER,AMBETTER,,11.36,,fee schedule,11.36,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,MEDICARE,MEDICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,TRICARE,TRICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,8.74,91,percent of total billed charges,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,8.74,91,percent of total billed charges,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,8.74,91,percent of total billed charges,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,8.74,91,fee schedule,
ANEMIA PROF II - IRON BIN,83550,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,ALLIANT,ALLIANT,,14.42,,fee schedule,14.42,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AMBETTER,AMBETTER,,11.36,,fee schedule,11.36,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,MEDICARE,MEDICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,TRICARE,TRICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,8.74,91,percent of total billed charges,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,8.74,91,percent of total billed charges,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,8.74,91,percent of total billed charges,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,ALLIANT,ALLIANT,,14.42,,fee schedule,14.42,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AMBETTER,AMBETTER,,11.36,,fee schedule,11.36,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,MEDICARE,MEDICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,TRICARE,TRICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,8.74,,fee schedule,8.74,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,8.74,91,percent of total billed charges,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,8.74,91,percent of total billed charges,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,8.74,91,percent of total billed charges,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY,83550,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,8.74,91,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,ALLIANT,ALLIANT,,14.42,,fee schedule,14.42,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,AMBETTER,AMBETTER,,11.36,,fee schedule,11.36,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,MEDICARE,MEDICARE,,8.74,,fee schedule,8.74,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,TRICARE,TRICARE,,8.74,,fee schedule,8.74,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,8.74,,fee schedule,8.74,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,8.74,49,percent of total billed charges,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,8.74,49,percent of total billed charges,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,8.74,49,percent of total billed charges,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,8.74,49,fee schedule,
IRON BINDING CAPACITY TI,83550,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,8.74,49,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,ALLIANT,ALLIANT,,25.53,,fee schedule,25.53,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,AMBETTER,AMBETTER,,20.11,,fee schedule,20.11,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,18.71,,fee schedule,18.71,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,19.07,,fee schedule,19.07,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,MEDICARE,MEDICARE,,15.47,,fee schedule,15.47,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,17.82,,fee schedule,17.82,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,TRICARE,TRICARE,,15.47,,fee schedule,15.47,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,15.47,,fee schedule,15.47,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,15.47,105,percent of total billed charges,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,15.47,105,percent of total billed charges,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,15.47,105,percent of total billed charges,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,15.47,105,fee schedule,
KETOGENIC-17 STEROIDS,83582,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,15.47,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,ALLIANT,ALLIANT,,19.09,,fee schedule,19.09,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,AMBETTER,AMBETTER,,15.04,,fee schedule,15.04,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,14.1,,fee schedule,14.1,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,14.37,,fee schedule,14.37,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,MEDICARE,MEDICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,13.43,,fee schedule,13.43,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,TRICARE,TRICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,11.57,105,percent of total billed charges,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,11.57,105,percent of total billed charges,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,11.57,105,percent of total billed charges,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,11.57,105,fee schedule,
I STAT LACTIC ACID,83605,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,ALLIANT,ALLIANT,,19.09,,fee schedule,19.09,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,AMBETTER,AMBETTER,,15.04,,fee schedule,15.04,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,14.1,,fee schedule,14.1,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,14.37,,fee schedule,14.37,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,MEDICARE,MEDICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,13.43,,fee schedule,13.43,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,TRICARE,TRICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,11.57,105,percent of total billed charges,
I-STAT LACTATE,83605,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,11.57,105,percent of total billed charges,
I-STAT LACTATE,83605,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,11.57,105,percent of total billed charges,
I-STAT LACTATE,83605,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,11.57,105,fee schedule,
I-STAT LACTATE,83605,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,ALLIANT,ALLIANT,,19.09,,fee schedule,19.09,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,AMBETTER,AMBETTER,,15.04,,fee schedule,15.04,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,14.1,,fee schedule,14.1,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,14.37,,fee schedule,14.37,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,MEDICARE,MEDICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,13.43,,fee schedule,13.43,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,TRICARE,TRICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,11.57,,fee schedule,11.57,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,11.57,105,percent of total billed charges,
LACTIC ACID,83605,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,11.57,105,percent of total billed charges,
LACTIC ACID,83605,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,11.57,105,percent of total billed charges,
LACTIC ACID,83605,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,11.57,105,fee schedule,
LACTIC ACID,83605,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,11.57,105,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,ALLIANT,ALLIANT,,9.97,,fee schedule,9.97,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,AMBETTER,AMBETTER,,7.85,,fee schedule,7.85,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,MEDICARE,MEDICARE,,6.04,,fee schedule,6.04,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,TRICARE,TRICARE,,6.04,,fee schedule,6.04,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,6.04,,fee schedule,6.04,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,6.04,101,percent of total billed charges,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,6.04,101,percent of total billed charges,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,6.04,101,percent of total billed charges,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,6.04,101,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,ALLIANT,ALLIANT,,9.97,,fee schedule,9.97,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,AMBETTER,AMBETTER,,7.85,,fee schedule,7.85,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,MEDICARE,MEDICARE,,6.04,,fee schedule,6.04,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,TRICARE,TRICARE,,6.04,,fee schedule,6.04,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,6.04,,fee schedule,6.04,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,6.04,43,percent of total billed charges,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,6.04,43,percent of total billed charges,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,6.04,43,percent of total billed charges,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,6.04,43,fee schedule,
LACTATE DEHYDROGENASE,83615,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,6.04,43,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,ALLIANT,ALLIANT,,9.97,,fee schedule,9.97,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,AMBETTER,AMBETTER,,7.85,,fee schedule,7.85,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,MEDICARE,MEDICARE,,6.04,,fee schedule,6.04,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,TRICARE,TRICARE,,6.04,,fee schedule,6.04,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,6.04,,fee schedule,6.04,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,6.04,101,percent of total billed charges,
LDH PROFILE,83615,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,6.04,101,percent of total billed charges,
LDH PROFILE,83615,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,6.04,101,percent of total billed charges,
LDH PROFILE,83615,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,6.04,101,fee schedule,
LDH PROFILE,83615,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,6.04,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,ALLIANT,ALLIANT,,21.1,,fee schedule,21.1,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,AMBETTER,AMBETTER,,16.63,,fee schedule,16.63,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,15.28,,fee schedule,15.28,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,15.57,,fee schedule,15.57,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,MEDICARE,MEDICARE,,12.79,,fee schedule,12.79,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,14.55,,fee schedule,14.55,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,TRICARE,TRICARE,,12.79,,fee schedule,12.79,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,12.79,,fee schedule,12.79,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,12.79,101,percent of total billed charges,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,12.79,101,percent of total billed charges,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,12.79,101,percent of total billed charges,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,12.79,101,fee schedule,
LDH - ISOENZYMES PROFILE,83625,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,12.79,101,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,ALLIANT,ALLIANT,,32.51,,fee schedule,32.51,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,AMBETTER,AMBETTER,,25.61,,fee schedule,25.61,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,AMERIGROUP,AMERIGROUP,,14.12,,fee schedule,14.12,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,14.39,,fee schedule,14.39,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,MEDICARE,MEDICARE,,19.7,,fee schedule,19.7,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,13.45,,fee schedule,13.45,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,TRICARE,TRICARE,,19.7,,fee schedule,19.7,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,UHC MEDICARE,UHC MEDICARE,,19.7,,fee schedule,19.7,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,AETNA,AETNA,,334.95,87,percent of total billed charges,334.95,13.45,385,percent of total billed charges,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334.95,87,percent of total billed charges,334.95,13.45,385,percent of total billed charges,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,UNITED HEALTHCARE,UNITED HEALTHCARE,,338.8,88,percent of total billed charges,338.8,13.45,385,percent of total billed charges,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,AETNA,AETNA,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,BEECH STREET,BEECH STREET,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,MEDICAID,MEDICAID,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,NOVA NET,NOVA NET,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,SELFPAY,SELFPAY,,385,,fee schedule,385,13.45,385,fee schedule,
FECAL LACTOFERRIN,83630,CPT,both,,,385,385,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,385,,fee schedule,385,13.45,385,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,ALLIANT,ALLIANT,,32.39,,fee schedule,32.39,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,AMBETTER,AMBETTER,,25.52,,fee schedule,25.52,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,25.91,,fee schedule,25.91,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,26.41,,fee schedule,26.41,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,MEDICARE,MEDICARE,,19.63,,fee schedule,19.63,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,24.68,,fee schedule,24.68,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,TRICARE,TRICARE,,19.63,,fee schedule,19.63,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,19.63,,fee schedule,19.63,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,19.63,249,percent of total billed charges,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,19.63,249,percent of total billed charges,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,19.63,249,percent of total billed charges,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,19.63,249,fee schedule,
LACTOFERRIN QUANT. STOOL,83631,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,19.63,249,fee schedule,
LEAD,83655,CPT,both,,,48,48,ALLIANT,ALLIANT,,19.98,,fee schedule,19.98,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,AMBETTER,AMBETTER,,15.74,,fee schedule,15.74,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,MEDICARE,MEDICARE,,12.11,,fee schedule,12.11,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,TRICARE,TRICARE,,12.11,,fee schedule,12.11,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,12.11,,fee schedule,12.11,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,10,48,percent of total billed charges,
LEAD,83655,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,10,48,percent of total billed charges,
LEAD,83655,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,10,48,percent of total billed charges,
LEAD,83655,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,10,48,fee schedule,
LEAD,83655,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,10,48,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,ALLIANT,ALLIANT,,19.98,,fee schedule,19.98,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,AMBETTER,AMBETTER,,15.74,,fee schedule,15.74,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,MEDICARE,MEDICARE,,12.11,,fee schedule,12.11,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,TRICARE,TRICARE,,12.11,,fee schedule,12.11,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,12.11,,fee schedule,12.11,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,10,206,percent of total billed charges,
LEAD QT,83655,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,10,206,percent of total billed charges,
LEAD QT,83655,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,10,206,percent of total billed charges,
LEAD QT,83655,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,10,206,fee schedule,
LEAD QT,83655,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,10,206,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,ALLIANT,ALLIANT,,36.28,,fee schedule,36.28,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,AMBETTER,AMBETTER,,28.59,,fee schedule,28.59,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,29.02,,fee schedule,29.02,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,29.57,,fee schedule,29.57,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,MEDICARE,MEDICARE,,21.99,,fee schedule,21.99,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,27.64,,fee schedule,27.64,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,TRICARE,TRICARE,,21.99,,fee schedule,21.99,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,21.99,,fee schedule,21.99,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,21.99,153,percent of total billed charges,
FLM - L/S RATIO,83661,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,21.99,153,percent of total billed charges,
FLM - L/S RATIO,83661,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,21.99,153,percent of total billed charges,
FLM - L/S RATIO,83661,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,21.99,153,fee schedule,
FLM - L/S RATIO,83661,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,ALLIANT,ALLIANT,,36.28,,fee schedule,36.28,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,AMBETTER,AMBETTER,,28.59,,fee schedule,28.59,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,29.02,,fee schedule,29.02,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,29.57,,fee schedule,29.57,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,MEDICARE,MEDICARE,,21.99,,fee schedule,21.99,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,27.64,,fee schedule,27.64,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,TRICARE,TRICARE,,21.99,,fee schedule,21.99,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,21.99,,fee schedule,21.99,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,21.99,153,percent of total billed charges,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,21.99,153,percent of total billed charges,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,21.99,153,percent of total billed charges,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,21.99,153,fee schedule,
L/S RATIO PROFILE,83661,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,21.99,153,fee schedule,
LIPASE,83690,CPT,both,,,88,88,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,AMBETTER,AMBETTER,,8.96,,fee schedule,8.96,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,9.09,,fee schedule,9.09,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,9.27,,fee schedule,9.27,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,MEDICARE,MEDICARE,,6.89,,fee schedule,6.89,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,8.66,,fee schedule,8.66,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,TRICARE,TRICARE,,6.89,,fee schedule,6.89,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,6.89,,fee schedule,6.89,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,6.89,88,percent of total billed charges,
LIPASE,83690,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,6.89,88,percent of total billed charges,
LIPASE,83690,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,6.89,88,percent of total billed charges,
LIPASE,83690,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,6.89,88,fee schedule,
LIPASE,83690,CPT,both,,,31,31,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,AMBETTER,AMBETTER,,8.96,,fee schedule,8.96,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,9.09,,fee schedule,9.09,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,9.27,,fee schedule,9.27,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,MEDICARE,MEDICARE,,6.89,,fee schedule,6.89,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,8.66,,fee schedule,8.66,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,TRICARE,TRICARE,,6.89,,fee schedule,6.89,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,6.89,,fee schedule,6.89,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,6.89,31,percent of total billed charges,
LIPASE,83690,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,6.89,31,percent of total billed charges,
LIPASE,83690,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,6.89,31,percent of total billed charges,
LIPASE,83690,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,6.89,31,fee schedule,
LIPASE,83690,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,6.89,31,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,ALLIANT,ALLIANT,,23.63,,fee schedule,23.63,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,AMBETTER,AMBETTER,,18.62,,fee schedule,18.62,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,MEDICARE,MEDICARE,,14.32,,fee schedule,14.32,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,TRICARE,TRICARE,,14.32,,fee schedule,14.32,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,14.32,,fee schedule,14.32,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,14.32,106,percent of total billed charges,
LIPOPROTEIN A,83695,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,14.32,106,percent of total billed charges,
LIPOPROTEIN A,83695,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,14.32,106,percent of total billed charges,
LIPOPROTEIN A,83695,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEIN A,83695,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,14.32,106,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,ALLIANT,ALLIANT,,55.87,,fee schedule,55.87,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,AMBETTER,AMBETTER,,44.02,,fee schedule,44.02,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,32.77,,fee schedule,32.77,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,33.39,,fee schedule,33.39,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,MEDICARE,MEDICARE,,33.86,,fee schedule,33.86,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,31.21,,fee schedule,31.21,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,TRICARE,TRICARE,,33.86,,fee schedule,33.86,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,33.86,,fee schedule,33.86,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,31.21,76,percent of total billed charges,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,31.21,76,percent of total billed charges,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,31.21,76,percent of total billed charges,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,31.21,76,fee schedule,
LIPOPROTEINS HIGH RES,83701,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,31.21,76,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,ALLIANT,ALLIANT,,56.41,,fee schedule,56.41,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,AMBETTER,AMBETTER,,44.45,,fee schedule,44.45,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,AMERIGROUP,AMERIGROUP,,41.65,,fee schedule,41.65,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,42.45,,fee schedule,42.45,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,MEDICARE,MEDICARE,,34.19,,fee schedule,34.19,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,39.67,,fee schedule,39.67,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,TRICARE,TRICARE,,34.19,,fee schedule,34.19,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,UHC MEDICARE,UHC MEDICARE,,34.19,,fee schedule,34.19,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,AETNA,AETNA,,320.16,87,percent of total billed charges,320.16,34.19,368,percent of total billed charges,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320.16,87,percent of total billed charges,320.16,34.19,368,percent of total billed charges,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,UNITED HEALTHCARE,UNITED HEALTHCARE,,323.84,88,percent of total billed charges,323.84,34.19,368,percent of total billed charges,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,AETNA,AETNA,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,BEECH STREET,BEECH STREET,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,MEDICAID,MEDICAID,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,NOVA NET,NOVA NET,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,SELFPAY,SELFPAY,,368,,fee schedule,368,34.19,368,fee schedule,
NRM LIPO-PROFILE,83704,CPT,both,,,368,368,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,368,,fee schedule,368,34.19,368,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,ALLIANT,ALLIANT,,13.51,,fee schedule,13.51,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,AMBETTER,AMBETTER,,10.65,,fee schedule,10.65,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,10.82,,fee schedule,10.82,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,11.02,,fee schedule,11.02,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,MEDICARE,MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,10.3,,fee schedule,10.3,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,TRICARE,TRICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,8.19,121,percent of total billed charges,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,8.19,121,fee schedule,
DIAGNOSTIC MULTI CHEM HDL,83718,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,ALLIANT,ALLIANT,,13.51,,fee schedule,13.51,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,AMBETTER,AMBETTER,,10.65,,fee schedule,10.65,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,10.82,,fee schedule,10.82,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,11.02,,fee schedule,11.02,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,MEDICARE,MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,10.3,,fee schedule,10.3,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,TRICARE,TRICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
EXE PROF C - HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
EXE PROF C - HDL,83718,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,8.19,121,percent of total billed charges,
EXE PROF C - HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF C - HDL,83718,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,ALLIANT,ALLIANT,,13.51,,fee schedule,13.51,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,AMBETTER,AMBETTER,,10.65,,fee schedule,10.65,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,10.82,,fee schedule,10.82,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,11.02,,fee schedule,11.02,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,MEDICARE,MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,10.3,,fee schedule,10.3,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,TRICARE,TRICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
EXE PROF E - HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
EXE PROF E - HDL,83718,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,8.19,121,percent of total billed charges,
EXE PROF E - HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,8.19,121,fee schedule,
EXE PROF E - HDL,83718,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,ALLIANT,ALLIANT,,13.51,,fee schedule,13.51,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,AMBETTER,AMBETTER,,10.65,,fee schedule,10.65,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,10.82,,fee schedule,10.82,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,11.02,,fee schedule,11.02,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,MEDICARE,MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,10.3,,fee schedule,10.3,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,TRICARE,TRICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,8.19,,fee schedule,8.19,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,8.19,121,percent of total billed charges,
HDL,83718,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,8.19,121,percent of total billed charges,
HDL,83718,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,8.19,121,fee schedule,
HDL,83718,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,8.19,121,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,ALLIANT,ALLIANT,,17.33,,fee schedule,17.33,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,AMBETTER,AMBETTER,,13.65,,fee schedule,13.65,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,12.6,,fee schedule,12.6,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,12.84,,fee schedule,12.84,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,MEDICARE,MEDICARE,,10.5,,fee schedule,10.5,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,TRICARE,TRICARE,,10.5,,fee schedule,10.5,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,10.5,,fee schedule,10.5,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,10.5,289,percent of total billed charges,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,10.5,289,percent of total billed charges,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,10.5,289,percent of total billed charges,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,10.5,289,fee schedule,
LDL CHOLESTEROL DIRECT,83721,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,ALLIANT,ALLIANT,,17.33,,fee schedule,17.33,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,AMBETTER,AMBETTER,,13.65,,fee schedule,13.65,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,12.6,,fee schedule,12.6,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,12.84,,fee schedule,12.84,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,MEDICARE,MEDICARE,,10.5,,fee schedule,10.5,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,TRICARE,TRICARE,,10.5,,fee schedule,10.5,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,10.5,,fee schedule,10.5,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,10.5,289,percent of total billed charges,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,10.5,289,percent of total billed charges,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,10.5,289,percent of total billed charges,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,10.5,289,fee schedule,
LOW DENSITY LIPOPROTEIN S,83721,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,10.5,289,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,ALLIANT,ALLIANT,,11.06,,fee schedule,11.06,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,AMBETTER,AMBETTER,,8.71,,fee schedule,8.71,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,8.84,,fee schedule,8.84,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,9.01,,fee schedule,9.01,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,MEDICARE,MEDICARE,,6.7,,fee schedule,6.7,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,8.42,,fee schedule,8.42,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,TRICARE,TRICARE,,6.7,,fee schedule,6.7,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,6.7,,fee schedule,6.7,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,6.7,27,percent of total billed charges,
MAGNESIUM,83735,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,6.7,27,percent of total billed charges,
MAGNESIUM,83735,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,6.7,27,percent of total billed charges,
MAGNESIUM,83735,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM,83735,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,6.7,27,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,ALLIANT,ALLIANT,,11.06,,fee schedule,11.06,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,AMBETTER,AMBETTER,,8.71,,fee schedule,8.71,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,8.84,,fee schedule,8.84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,9.01,,fee schedule,9.01,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,MEDICARE,MEDICARE,,6.7,,fee schedule,6.7,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,8.42,,fee schedule,8.42,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,TRICARE,TRICARE,,6.7,,fee schedule,6.7,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,6.7,,fee schedule,6.7,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,6.7,84,percent of total billed charges,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,6.7,84,percent of total billed charges,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,6.7,84,percent of total billed charges,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM ASSAY,83735,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,6.7,84,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,ALLIANT,ALLIANT,,11.06,,fee schedule,11.06,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,AMBETTER,AMBETTER,,8.71,,fee schedule,8.71,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,8.84,,fee schedule,8.84,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,9.01,,fee schedule,9.01,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,MEDICARE,MEDICARE,,6.7,,fee schedule,6.7,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,8.42,,fee schedule,8.42,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,TRICARE,TRICARE,,6.7,,fee schedule,6.7,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,6.7,,fee schedule,6.7,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,6.7,289,percent of total billed charges,
MAGNESIUM URINE,83735,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,6.7,289,percent of total billed charges,
MAGNESIUM URINE,83735,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,6.7,289,percent of total billed charges,
MAGNESIUM URINE,83735,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,6.7,289,fee schedule,
MAGNESIUM URINE,83735,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,ALLIANT,ALLIANT,,11.06,,fee schedule,11.06,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,AMBETTER,AMBETTER,,8.71,,fee schedule,8.71,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,8.84,,fee schedule,8.84,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,9.01,,fee schedule,9.01,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,MEDICARE,MEDICARE,,6.7,,fee schedule,6.7,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,8.42,,fee schedule,8.42,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,TRICARE,TRICARE,,6.7,,fee schedule,6.7,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,6.7,,fee schedule,6.7,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,6.7,289,percent of total billed charges,
URINE MAGNESIUM,83735,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,6.7,289,percent of total billed charges,
URINE MAGNESIUM,83735,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,6.7,289,percent of total billed charges,
URINE MAGNESIUM,83735,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,6.7,289,fee schedule,
URINE MAGNESIUM,83735,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,6.7,289,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,ALLIANT,ALLIANT,,43.97,,fee schedule,43.97,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,AMBETTER,AMBETTER,,34.65,,fee schedule,34.65,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,32.47,,fee schedule,32.47,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,33.08,,fee schedule,33.08,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,MEDICARE,MEDICARE,,26.65,,fee schedule,26.65,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,30.92,,fee schedule,30.92,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,TRICARE,TRICARE,,26.65,,fee schedule,26.65,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,26.65,,fee schedule,26.65,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,26.65,113,percent of total billed charges,
MANGANESE LEVEL,83785,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,26.65,113,percent of total billed charges,
MANGANESE LEVEL,83785,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,26.65,113,percent of total billed charges,
MANGANESE LEVEL,83785,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,26.65,113,fee schedule,
MANGANESE LEVEL,83785,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,26.65,113,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,ALLIANT,ALLIANT,,39.78,,fee schedule,39.78,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,AMBETTER,AMBETTER,,31.34,,fee schedule,31.34,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,AMERIGROUP,AMERIGROUP,,7.93,,fee schedule,7.93,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,8.08,,fee schedule,8.08,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,MEDICARE,MEDICARE,,24.11,,fee schedule,24.11,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,7.55,,fee schedule,7.55,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,TRICARE,TRICARE,,24.11,,fee schedule,24.11,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,24.11,,fee schedule,24.11,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,7.55,258,percent of total billed charges,
IODINE SERUM,83789,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,7.55,258,percent of total billed charges,
IODINE SERUM,83789,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,7.55,258,percent of total billed charges,
IODINE SERUM,83789,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,7.55,258,fee schedule,
IODINE SERUM,83789,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,7.55,258,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,ALLIANT,ALLIANT,,26.83,,fee schedule,26.83,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,AMBETTER,AMBETTER,,21.14,,fee schedule,21.14,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,AMERIGROUP,AMERIGROUP,,21.47,,fee schedule,21.47,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,21.88,,fee schedule,21.88,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,MEDICARE,MEDICARE,,16.26,,fee schedule,16.26,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,20.45,,fee schedule,20.45,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,TRICARE,TRICARE,,16.26,,fee schedule,16.26,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,16.26,,fee schedule,16.26,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,16.26,191,percent of total billed charges,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,16.26,191,percent of total billed charges,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,16.26,191,percent of total billed charges,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY LEVEL URINE,83825,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,ALLIANT,ALLIANT,,26.83,,fee schedule,26.83,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,AMBETTER,AMBETTER,,21.14,,fee schedule,21.14,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,AMERIGROUP,AMERIGROUP,,21.47,,fee schedule,21.47,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,21.88,,fee schedule,21.88,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,MEDICARE,MEDICARE,,16.26,,fee schedule,16.26,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,20.45,,fee schedule,20.45,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,TRICARE,TRICARE,,16.26,,fee schedule,16.26,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,16.26,,fee schedule,16.26,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,16.26,191,percent of total billed charges,
MERCURY QT,83825,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,16.26,191,percent of total billed charges,
MERCURY QT,83825,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,16.26,191,percent of total billed charges,
MERCURY QT,83825,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,16.26,191,fee schedule,
MERCURY QT,83825,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,16.26,191,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,ALLIANT,ALLIANT,,27.95,,fee schedule,27.95,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,AMBETTER,AMBETTER,,22.02,,fee schedule,22.02,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,AMERIGROUP,AMERIGROUP,,22.37,,fee schedule,22.37,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,22.79,,fee schedule,22.79,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,MEDICARE,MEDICARE,,16.94,,fee schedule,16.94,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,21.3,,fee schedule,21.3,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,TRICARE,TRICARE,,16.94,,fee schedule,16.94,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,UHC MEDICARE,UHC MEDICARE,,16.94,,fee schedule,16.94,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,AETNA,AETNA,,286.23,87,percent of total billed charges,286.23,16.94,329,percent of total billed charges,
METANEPHRINES QT.,83835,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286.23,87,percent of total billed charges,286.23,16.94,329,percent of total billed charges,
METANEPHRINES QT.,83835,CPT,both,,,329,329,UNITED HEALTHCARE,UNITED HEALTHCARE,,289.52,88,percent of total billed charges,289.52,16.94,329,percent of total billed charges,
METANEPHRINES QT.,83835,CPT,both,,,329,329,AETNA,AETNA,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,BEECH STREET,BEECH STREET,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,MEDICAID,MEDICAID,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,NOVA NET,NOVA NET,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,SELFPAY,SELFPAY,,329,,fee schedule,329,16.94,329,fee schedule,
METANEPHRINES QT.,83835,CPT,both,,,329,329,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,329,,fee schedule,329,16.94,329,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,ALLIANT,ALLIANT,,28.38,,fee schedule,28.38,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,AMBETTER,AMBETTER,,22.36,,fee schedule,22.36,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,22.72,,fee schedule,22.72,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,23.15,,fee schedule,23.15,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,MEDICARE,MEDICARE,,17.2,,fee schedule,17.2,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,21.64,,fee schedule,21.64,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,TRICARE,TRICARE,,17.2,,fee schedule,17.2,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,17.2,,fee schedule,17.2,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,17.2,149,percent of total billed charges,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,17.2,149,percent of total billed charges,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,17.2,149,percent of total billed charges,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,17.2,149,fee schedule,
M.S.-MYCLIN PROTEIN,83873,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,ALLIANT,ALLIANT,,28.38,,fee schedule,28.38,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,AMBETTER,AMBETTER,,22.36,,fee schedule,22.36,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,22.72,,fee schedule,22.72,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,23.15,,fee schedule,23.15,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,MEDICARE,MEDICARE,,17.2,,fee schedule,17.2,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,21.64,,fee schedule,21.64,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,TRICARE,TRICARE,,17.2,,fee schedule,17.2,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,17.2,,fee schedule,17.2,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,17.2,149,percent of total billed charges,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,17.2,149,percent of total billed charges,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,17.2,149,percent of total billed charges,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,17.2,149,fee schedule,
MYELIN BASIC PROTEIN,83873,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,17.2,149,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,ALLIANT,ALLIANT,,21.32,,fee schedule,21.32,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,AMBETTER,AMBETTER,,16.8,,fee schedule,16.8,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,17.05,,fee schedule,17.05,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,17.38,,fee schedule,17.38,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,MEDICARE,MEDICARE,,12.92,,fee schedule,12.92,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,16.24,,fee schedule,16.24,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,TRICARE,TRICARE,,12.92,,fee schedule,12.92,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,12.92,,fee schedule,12.92,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,12.92,162,percent of total billed charges,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,12.92,162,percent of total billed charges,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,12.92,162,percent of total billed charges,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN SERUM,83874,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,ALLIANT,ALLIANT,,21.32,,fee schedule,21.32,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,AMBETTER,AMBETTER,,16.8,,fee schedule,16.8,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,17.05,,fee schedule,17.05,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,17.38,,fee schedule,17.38,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,MEDICARE,MEDICARE,,12.92,,fee schedule,12.92,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,16.24,,fee schedule,16.24,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,TRICARE,TRICARE,,12.92,,fee schedule,12.92,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,12.92,,fee schedule,12.92,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,12.92,162,percent of total billed charges,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,12.92,162,percent of total billed charges,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,12.92,162,percent of total billed charges,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,12.92,162,fee schedule,
MYOGLOBIN URINE,83874,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,12.92,162,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,ALLIANT,ALLIANT,,64.78,,fee schedule,64.78,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,AMBETTER,AMBETTER,,51.04,,fee schedule,51.04,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,44.82,,fee schedule,44.82,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,45.68,,fee schedule,45.68,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,MEDICARE,MEDICARE,,39.26,,fee schedule,39.26,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,42.69,,fee schedule,42.69,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,TRICARE,TRICARE,,39.26,,fee schedule,39.26,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,39.26,,fee schedule,39.26,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,39.26,173,percent of total billed charges,
PRO-BNP,83880,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,39.26,173,percent of total billed charges,
PRO-BNP,83880,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,39.26,173,percent of total billed charges,
PRO-BNP,83880,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,39.26,173,fee schedule,
PRO-BNP,83880,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,39.26,173,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,ALLIANT,ALLIANT,,22.44,,fee schedule,22.44,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,AMBETTER,AMBETTER,,17.68,,fee schedule,17.68,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,MEDICARE,MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,TRICARE,TRICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,13.6,418,percent of total billed charges,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,13.6,418,fee schedule,
ALPHA 2-MACROGLOBULINS,83883,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,ALLIANT,ALLIANT,,22.44,,fee schedule,22.44,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,AMBETTER,AMBETTER,,17.68,,fee schedule,17.68,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,MEDICARE,MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,TRICARE,TRICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,13.6,418,percent of total billed charges,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,13.6,418,fee schedule,
"ASSAY, NEPHELOMETRY, NOS",83883,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,ALLIANT,ALLIANT,,22.44,,fee schedule,22.44,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,AMBETTER,AMBETTER,,17.68,,fee schedule,17.68,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,MEDICARE,MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,TRICARE,TRICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,13.6,418,percent of total billed charges,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA FREE LIGHT CHAIN S,83883,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,ALLIANT,ALLIANT,,22.44,,fee schedule,22.44,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,AMBETTER,AMBETTER,,17.68,,fee schedule,17.68,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,MEDICARE,MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,TRICARE,TRICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,13.6,418,percent of total billed charges,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,13.6,418,fee schedule,
KAPPA/LAMBDA LIGHT CHAIN,83883,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,ALLIANT,ALLIANT,,22.44,,fee schedule,22.44,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,AMBETTER,AMBETTER,,17.68,,fee schedule,17.68,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,MEDICARE,MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,TRICARE,TRICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,13.6,418,percent of total billed charges,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,13.6,418,fee schedule,
LAMBDA FREE LIGHT CHAIN,83883,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,ALLIANT,ALLIANT,,22.44,,fee schedule,22.44,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,AMBETTER,AMBETTER,,17.68,,fee schedule,17.68,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,17.96,,fee schedule,17.96,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,18.3,,fee schedule,18.3,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,MEDICARE,MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,17.1,,fee schedule,17.1,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,TRICARE,TRICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,13.6,,fee schedule,13.6,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,13.6,418,percent of total billed charges,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,13.6,418,percent of total billed charges,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,13.6,418,fee schedule,
RETINOL BINDING PROTEIN,83883,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,13.6,418,fee schedule,
NICKEL,83885,CPT,both,,,134,134,ALLIANT,ALLIANT,,40.44,,fee schedule,40.44,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,AMBETTER,AMBETTER,,31.86,,fee schedule,31.86,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,32.35,,fee schedule,32.35,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,32.97,,fee schedule,32.97,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,MEDICARE,MEDICARE,,24.51,,fee schedule,24.51,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,30.81,,fee schedule,30.81,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,TRICARE,TRICARE,,24.51,,fee schedule,24.51,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,24.51,,fee schedule,24.51,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,24.51,134,percent of total billed charges,
NICKEL,83885,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,24.51,134,percent of total billed charges,
NICKEL,83885,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,24.51,134,percent of total billed charges,
NICKEL,83885,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,24.51,134,fee schedule,
NICKEL,83885,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,24.51,134,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,ALLIANT,ALLIANT,,18.4,,fee schedule,18.4,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,AMBETTER,AMBETTER,,14.5,,fee schedule,14.5,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,14.72,,fee schedule,14.72,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,15,,fee schedule,15,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,MEDICARE,MEDICARE,,11.15,,fee schedule,11.15,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,14.02,,fee schedule,14.02,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,TRICARE,TRICARE,,11.15,,fee schedule,11.15,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,11.15,,fee schedule,11.15,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,11.15,88,percent of total billed charges,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,11.15,88,percent of total billed charges,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,11.15,88,percent of total billed charges,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,11.15,88,fee schedule,
NUCLEOTIDASE-5,83915,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,11.15,88,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,ALLIANT,ALLIANT,,45.19,,fee schedule,45.19,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,AMBETTER,AMBETTER,,35.61,,fee schedule,35.61,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,AMERIGROUP,AMERIGROUP,,26.54,,fee schedule,26.54,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,27.05,,fee schedule,27.05,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,MEDICARE,MEDICARE,,27.39,,fee schedule,27.39,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,25.28,,fee schedule,25.28,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,TRICARE,TRICARE,,27.39,,fee schedule,27.39,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,UHC MEDICARE,UHC MEDICARE,,27.39,,fee schedule,27.39,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,AETNA,AETNA,,186.18,87,percent of total billed charges,186.18,25.28,214,percent of total billed charges,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,186.18,87,percent of total billed charges,186.18,25.28,214,percent of total billed charges,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,UNITED HEALTHCARE,UNITED HEALTHCARE,,188.32,88,percent of total billed charges,188.32,25.28,214,percent of total billed charges,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,AETNA,AETNA,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,BEECH STREET,BEECH STREET,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,MEDICAID,MEDICAID,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,NOVA NET,NOVA NET,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,SELFPAY,SELFPAY,,214,,fee schedule,214,25.28,214,fee schedule,
M.S.-OLIGOCLONAL BANDS,83916,CPT,both,,,214,214,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,ALLIANT,ALLIANT,,45.19,,fee schedule,45.19,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,AMBETTER,AMBETTER,,35.61,,fee schedule,35.61,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,AMERIGROUP,AMERIGROUP,,26.54,,fee schedule,26.54,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,27.05,,fee schedule,27.05,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,MEDICARE,MEDICARE,,27.39,,fee schedule,27.39,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,25.28,,fee schedule,25.28,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,TRICARE,TRICARE,,27.39,,fee schedule,27.39,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,UHC MEDICARE,UHC MEDICARE,,27.39,,fee schedule,27.39,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,AETNA,AETNA,,186.18,87,percent of total billed charges,186.18,25.28,214,percent of total billed charges,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,186.18,87,percent of total billed charges,186.18,25.28,214,percent of total billed charges,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,UNITED HEALTHCARE,UNITED HEALTHCARE,,188.32,88,percent of total billed charges,188.32,25.28,214,percent of total billed charges,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,AETNA,AETNA,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,BEECH STREET,BEECH STREET,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,MEDICAID,MEDICAID,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,NOVA NET,NOVA NET,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,SELFPAY,SELFPAY,,214,,fee schedule,214,25.28,214,fee schedule,
OLIGOCLONAL BANDING,83916,CPT,both,,,214,214,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,214,,fee schedule,214,25.28,214,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,ALLIANT,ALLIANT,,38.94,,fee schedule,38.94,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,AMBETTER,AMBETTER,,30.68,,fee schedule,30.68,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,MEDICARE,MEDICARE,,23.6,,fee schedule,23.6,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,TRICARE,TRICARE,,23.6,,fee schedule,23.6,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,23.6,,fee schedule,23.6,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,20.7,102,percent of total billed charges,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,20.7,102,percent of total billed charges,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,20.7,102,percent of total billed charges,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,20.7,102,fee schedule,
ANTI-OMPC IGA,83918,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,20.7,102,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,ALLIANT,ALLIANT,,38.94,,fee schedule,38.94,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,AMBETTER,AMBETTER,,30.68,,fee schedule,30.68,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,MEDICARE,MEDICARE,,23.6,,fee schedule,23.6,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,TRICARE,TRICARE,,23.6,,fee schedule,23.6,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,23.6,,fee schedule,23.6,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,20.7,522,percent of total billed charges,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,20.7,522,percent of total billed charges,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,20.7,522,percent of total billed charges,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,20.7,522,fee schedule,
"ORGANIC ACIDS, QT",83918,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,20.7,522,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,ALLIANT,ALLIANT,,35,,fee schedule,35,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,AMBETTER,AMBETTER,,27.57,,fee schedule,27.57,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,MEDICARE,MEDICARE,,21.21,,fee schedule,21.21,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,TRICARE,TRICARE,,21.21,,fee schedule,21.21,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,UHC MEDICARE,UHC MEDICARE,,21.21,,fee schedule,21.21,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,AETNA,AETNA,,422.82,87,percent of total billed charges,422.82,20.7,486,percent of total billed charges,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,422.82,87,percent of total billed charges,422.82,20.7,486,percent of total billed charges,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,UNITED HEALTHCARE,UNITED HEALTHCARE,,427.68,88,percent of total billed charges,427.68,20.7,486,percent of total billed charges,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,AETNA,AETNA,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,BEECH STREET,BEECH STREET,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,MEDICAID,MEDICAID,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,NOVA NET,NOVA NET,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,SELFPAY,SELFPAY,,486,,fee schedule,486,20.7,486,fee schedule,
METHYLMALONIC ACID,83921,CPT,both,,,486,486,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,ALLIANT,ALLIANT,,35,,fee schedule,35,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,AMBETTER,AMBETTER,,27.57,,fee schedule,27.57,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,AMERIGROUP,AMERIGROUP,,21.74,,fee schedule,21.74,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,22.15,,fee schedule,22.15,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,MEDICARE,MEDICARE,,21.21,,fee schedule,21.21,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,20.7,,fee schedule,20.7,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,TRICARE,TRICARE,,21.21,,fee schedule,21.21,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,UHC MEDICARE,UHC MEDICARE,,21.21,,fee schedule,21.21,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,AETNA,AETNA,,422.82,87,percent of total billed charges,422.82,20.7,486,percent of total billed charges,
OROTIC ACID,83921,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,422.82,87,percent of total billed charges,422.82,20.7,486,percent of total billed charges,
OROTIC ACID,83921,CPT,both,,,486,486,UNITED HEALTHCARE,UNITED HEALTHCARE,,427.68,88,percent of total billed charges,427.68,20.7,486,percent of total billed charges,
OROTIC ACID,83921,CPT,both,,,486,486,AETNA,AETNA,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,BEECH STREET,BEECH STREET,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,MEDICAID,MEDICAID,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,NOVA NET,NOVA NET,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,SELFPAY,SELFPAY,,486,,fee schedule,486,20.7,486,fee schedule,
OROTIC ACID,83921,CPT,both,,,486,486,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,486,,fee schedule,486,20.7,486,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,ALLIANT,ALLIANT,,10.91,,fee schedule,10.91,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,AMBETTER,AMBETTER,,8.59,,fee schedule,8.59,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,8.74,,fee schedule,8.74,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,8.9,,fee schedule,8.9,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,MEDICARE,MEDICARE,,6.61,,fee schedule,6.61,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,8.32,,fee schedule,8.32,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,TRICARE,TRICARE,,6.61,,fee schedule,6.61,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,6.61,,fee schedule,6.61,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,6.61,88,percent of total billed charges,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,6.61,88,percent of total billed charges,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,6.61,88,percent of total billed charges,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY SERUM,83930,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,6.61,88,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,ALLIANT,ALLIANT,,10.91,,fee schedule,10.91,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,AMBETTER,AMBETTER,,8.59,,fee schedule,8.59,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,AMERIGROUP,AMERIGROUP,,8.74,,fee schedule,8.74,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,8.9,,fee schedule,8.9,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,MEDICARE,MEDICARE,,6.61,,fee schedule,6.61,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,8.32,,fee schedule,8.32,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,TRICARE,TRICARE,,6.61,,fee schedule,6.61,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,6.61,,fee schedule,6.61,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,6.61,53,percent of total billed charges,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,6.61,53,percent of total billed charges,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,6.61,53,percent of total billed charges,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY; SERUM,83930,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,6.61,53,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,ALLIANT,ALLIANT,,11.25,,fee schedule,11.25,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,AMBETTER,AMBETTER,,8.87,,fee schedule,8.87,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,9,,fee schedule,9,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,9.17,,fee schedule,9.17,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,MEDICARE,MEDICARE,,6.82,,fee schedule,6.82,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,8.57,,fee schedule,8.57,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,TRICARE,TRICARE,,6.82,,fee schedule,6.82,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,6.82,,fee schedule,6.82,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,6.82,88,percent of total billed charges,
OSMOLALITY URINE,83935,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,6.82,88,percent of total billed charges,
OSMOLALITY URINE,83935,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,6.82,88,percent of total billed charges,
OSMOLALITY URINE,83935,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,6.82,88,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,ALLIANT,ALLIANT,,11.25,,fee schedule,11.25,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,AMBETTER,AMBETTER,,8.87,,fee schedule,8.87,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,9,,fee schedule,9,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,9.17,,fee schedule,9.17,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,MEDICARE,MEDICARE,,6.82,,fee schedule,6.82,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,8.57,,fee schedule,8.57,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,TRICARE,TRICARE,,6.82,,fee schedule,6.82,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,6.82,,fee schedule,6.82,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,6.82,31,percent of total billed charges,
OSMOLALITY URINE,83935,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,6.82,31,percent of total billed charges,
OSMOLALITY URINE,83935,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,6.82,31,percent of total billed charges,
OSMOLALITY URINE,83935,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,6.82,31,fee schedule,
OSMOLALITY URINE,83935,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,6.82,31,fee schedule,
OXALATES,83945,CPT,both,,,161,161,ALLIANT,ALLIANT,,23.84,,fee schedule,23.84,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,AMBETTER,AMBETTER,,18.79,,fee schedule,18.79,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,17,,fee schedule,17,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,17.32,,fee schedule,17.32,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,MEDICARE,MEDICARE,,14.45,,fee schedule,14.45,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,16.19,,fee schedule,16.19,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,TRICARE,TRICARE,,14.45,,fee schedule,14.45,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,14.45,,fee schedule,14.45,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,14.45,161,percent of total billed charges,
OXALATES,83945,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,14.45,161,percent of total billed charges,
OXALATES,83945,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,14.45,161,percent of total billed charges,
OXALATES,83945,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,14.45,161,fee schedule,
OXALATES,83945,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,ALLIANT,ALLIANT,,23.84,,fee schedule,23.84,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,AMBETTER,AMBETTER,,18.79,,fee schedule,18.79,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,17,,fee schedule,17,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,17.32,,fee schedule,17.32,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,MEDICARE,MEDICARE,,14.45,,fee schedule,14.45,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,16.19,,fee schedule,16.19,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,TRICARE,TRICARE,,14.45,,fee schedule,14.45,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,14.45,,fee schedule,14.45,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,14.45,161,percent of total billed charges,
URINE OXALATE,83945,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,14.45,161,percent of total billed charges,
URINE OXALATE,83945,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,14.45,161,percent of total billed charges,
URINE OXALATE,83945,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,14.45,161,fee schedule,
URINE OXALATE,83945,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,14.45,161,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,ALLIANT,ALLIANT,,106.28,,fee schedule,106.28,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,AMBETTER,AMBETTER,,83.73,,fee schedule,83.73,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,78.99,,fee schedule,78.99,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,80.5,,fee schedule,80.5,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,MEDICARE,MEDICARE,,64.41,,fee schedule,64.41,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,75.23,,fee schedule,75.23,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,TRICARE,TRICARE,,64.41,,fee schedule,64.41,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,64.41,,fee schedule,64.41,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,64.41,232,percent of total billed charges,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,64.41,232,percent of total billed charges,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,64.41,232,percent of total billed charges,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,64.41,232,fee schedule,
ONCOPROTEIN DCP,83951,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,64.41,232,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,ALLIANT,ALLIANT,,68.11,,fee schedule,68.11,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AMBETTER,AMBETTER,,53.66,,fee schedule,53.66,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,54.5,,fee schedule,54.5,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,55.53,,fee schedule,55.53,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,MEDICARE,MEDICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,51.9,,fee schedule,51.9,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,TRICARE,TRICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,41.28,215,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,41.28,215,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,41.28,215,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,ALLIANT,ALLIANT,,68.11,,fee schedule,68.11,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AMBETTER,AMBETTER,,53.66,,fee schedule,53.66,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,54.5,,fee schedule,54.5,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,55.53,,fee schedule,55.53,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,MEDICARE,MEDICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,51.9,,fee schedule,51.9,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,TRICARE,TRICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,41.28,215,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,41.28,215,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,41.28,215,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,ALLIANT,ALLIANT,,68.11,,fee schedule,68.11,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,AMBETTER,AMBETTER,,53.66,,fee schedule,53.66,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,54.5,,fee schedule,54.5,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,55.53,,fee schedule,55.53,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,MEDICARE,MEDICARE,,41.28,,fee schedule,41.28,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,51.9,,fee schedule,51.9,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,TRICARE,TRICARE,,41.28,,fee schedule,41.28,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,41.28,,fee schedule,41.28,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,41.28,181,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,41.28,181,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,41.28,181,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,41.28,181,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,ALLIANT,ALLIANT,,68.11,,fee schedule,68.11,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,AMBETTER,AMBETTER,,53.66,,fee schedule,53.66,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,54.5,,fee schedule,54.5,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,55.53,,fee schedule,55.53,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,MEDICARE,MEDICARE,,41.28,,fee schedule,41.28,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,51.9,,fee schedule,51.9,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,TRICARE,TRICARE,,41.28,,fee schedule,41.28,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,41.28,,fee schedule,41.28,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,41.28,113,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,41.28,113,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,41.28,113,percent of total billed charges,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID HORMONE (PTH),83970,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,41.28,113,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,ALLIANT,ALLIANT,,68.11,,fee schedule,68.11,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,AMBETTER,AMBETTER,,53.66,,fee schedule,53.66,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,AMERIGROUP,AMERIGROUP,,54.5,,fee schedule,54.5,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,55.53,,fee schedule,55.53,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,MEDICARE,MEDICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,51.9,,fee schedule,51.9,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,TRICARE,TRICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,41.28,,fee schedule,41.28,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,41.28,215,percent of total billed charges,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,41.28,215,percent of total billed charges,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,41.28,215,percent of total billed charges,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,41.28,215,fee schedule,
PARATHYROID PROFILE C,83970,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,41.28,215,fee schedule,
PH TEST,83986,CPT,both,,,109,109,ALLIANT,ALLIANT,,5.91,,fee schedule,5.91,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,AMBETTER,AMBETTER,,4.65,,fee schedule,4.65,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,4.73,,fee schedule,4.73,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,4.82,,fee schedule,4.82,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,MEDICARE,MEDICARE,,3.58,,fee schedule,3.58,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,4.5,,fee schedule,4.5,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,TRICARE,TRICARE,,3.58,,fee schedule,3.58,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,3.58,,fee schedule,3.58,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,3.58,109,percent of total billed charges,
PH TEST,83986,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,3.58,109,percent of total billed charges,
PH TEST,83986,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,3.58,109,percent of total billed charges,
PH TEST,83986,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,3.58,109,fee schedule,
PH TEST,83986,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,3.58,109,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,ALLIANT,ALLIANT,,5.91,,fee schedule,5.91,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,AMBETTER,AMBETTER,,4.65,,fee schedule,4.65,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,4.73,,fee schedule,4.73,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,4.82,,fee schedule,4.82,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,MEDICARE,MEDICARE,,3.58,,fee schedule,3.58,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,4.5,,fee schedule,4.5,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,TRICARE,TRICARE,,3.58,,fee schedule,3.58,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,3.58,,fee schedule,3.58,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,3.58,47,percent of total billed charges,
PH TESTING,83986,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,3.58,47,percent of total billed charges,
PH TESTING,83986,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,3.58,47,percent of total billed charges,
PH TESTING,83986,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,3.58,47,fee schedule,
PH TESTING,83986,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,3.58,47,fee schedule,
URINE PH,83986,CPT,both,,,109,109,ALLIANT,ALLIANT,,5.91,,fee schedule,5.91,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,AMBETTER,AMBETTER,,4.65,,fee schedule,4.65,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,4.73,,fee schedule,4.73,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,4.82,,fee schedule,4.82,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,MEDICARE,MEDICARE,,3.58,,fee schedule,3.58,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,4.5,,fee schedule,4.5,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,TRICARE,TRICARE,,3.58,,fee schedule,3.58,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,3.58,,fee schedule,3.58,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,3.58,109,percent of total billed charges,
URINE PH,83986,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,3.58,109,percent of total billed charges,
URINE PH,83986,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,3.58,109,percent of total billed charges,
URINE PH,83986,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,3.58,109,fee schedule,
URINE PH,83986,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,3.58,109,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,19.41,,fee schedule,19.41,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,19.78,,fee schedule,19.78,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,18.49,,fee schedule,18.49,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,18.49,47,percent of total billed charges,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,18.49,47,percent of total billed charges,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,18.49,47,percent of total billed charges,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE CONFIRMATION,83992,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,18.49,47,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,19.41,,fee schedule,19.41,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,19.78,,fee schedule,19.78,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,18.49,,fee schedule,18.49,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,18.49,97,percent of total billed charges,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,18.49,97,percent of total billed charges,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,18.49,97,percent of total billed charges,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,18.49,97,fee schedule,
PHENCYCLIDINE UR CONFIRM,83992,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,18.49,97,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,ALLIANT,ALLIANT,,32.39,,fee schedule,32.39,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,AMBETTER,AMBETTER,,25.52,,fee schedule,25.52,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,25.91,,fee schedule,25.91,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,26.41,,fee schedule,26.41,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,MEDICARE,MEDICARE,,19.63,,fee schedule,19.63,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,24.68,,fee schedule,24.68,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,TRICARE,TRICARE,,19.63,,fee schedule,19.63,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,19.63,,fee schedule,19.63,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,19.63,297,percent of total billed charges,
CALPROTECTIN,83993,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,19.63,297,percent of total billed charges,
CALPROTECTIN,83993,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,19.63,297,percent of total billed charges,
CALPROTECTIN,83993,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,19.63,297,fee schedule,
CALPROTECTIN,83993,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,19.63,297,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,AETNA,AETNA,,27638.63,87,percent of total billed charges,27638.63,27638.63,31768.54,percent of total billed charges,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27638.63,87,percent of total billed charges,27638.63,27638.63,31768.54,percent of total billed charges,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,UNITED HEALTHCARE,UNITED HEALTHCARE,,27956.32,88,percent of total billed charges,27956.32,27638.63,31768.54,percent of total billed charges,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,AETNA,AETNA,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,ALLIANT,ALLIANT,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,AMBETTER,AMBETTER,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,BEECH STREET,BEECH STREET,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,CARESOURCE,CARESOURCE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,MEDICAID,MEDICAID,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,MEDICARE,MEDICARE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,NOVA NET,NOVA NET,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,PEACHSTATE,PEACHSTATE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,SELFPAY,SELFPAY,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,TRICARE,TRICARE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,840,DRG,inpatient,,,31768.54,31768.54,UHC MEDICARE,UHC MEDICARE,,31768.54,,fee schedule,31768.54,27638.63,31768.54,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,ALLIANT,ALLIANT,,9.08,,fee schedule,9.08,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,AMBETTER,AMBETTER,,7.15,,fee schedule,7.15,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,7.27,,fee schedule,7.27,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,7.4,,fee schedule,7.4,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,MEDICARE,MEDICARE,,5.5,,fee schedule,5.5,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,6.92,,fee schedule,6.92,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,TRICARE,TRICARE,,5.5,,fee schedule,5.5,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,5.5,,fee schedule,5.5,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,5.5,218,percent of total billed charges,
PHENYLALANINE,84030,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,5.5,218,percent of total billed charges,
PHENYLALANINE,84030,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,5.5,218,percent of total billed charges,
PHENYLALANINE,84030,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,5.5,218,fee schedule,
PHENYLALANINE,84030,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,5.5,218,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,ALLIANT,ALLIANT,,12.61,,fee schedule,12.61,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,AMBETTER,AMBETTER,,9.93,,fee schedule,9.93,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,AMERIGROUP,AMERIGROUP,,9.75,,fee schedule,9.75,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,9.94,,fee schedule,9.94,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,MEDICARE,MEDICARE,,7.64,,fee schedule,7.64,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,9.29,,fee schedule,9.29,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,TRICARE,TRICARE,,7.64,,fee schedule,7.64,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,7.64,,fee schedule,7.64,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,7.64,126,percent of total billed charges,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,7.64,126,percent of total billed charges,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,7.64,126,percent of total billed charges,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,7.64,126,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,ALLIANT,ALLIANT,,12.61,,fee schedule,12.61,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,AMBETTER,AMBETTER,,9.93,,fee schedule,9.93,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,9.75,,fee schedule,9.75,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,9.94,,fee schedule,9.94,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,MEDICARE,MEDICARE,,7.64,,fee schedule,7.64,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,9.29,,fee schedule,9.29,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,TRICARE,TRICARE,,7.64,,fee schedule,7.64,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,7.64,,fee schedule,7.64,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,7.64,46,percent of total billed charges,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,7.64,46,percent of total billed charges,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,7.64,46,percent of total billed charges,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE,84060,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,7.64,46,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,ALLIANT,ALLIANT,,15.94,,fee schedule,15.94,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,AMBETTER,AMBETTER,,12.56,,fee schedule,12.56,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,12.76,,fee schedule,12.76,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,13,,fee schedule,13,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,MEDICARE,MEDICARE,,9.66,,fee schedule,9.66,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,12.15,,fee schedule,12.15,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,TRICARE,TRICARE,,9.66,,fee schedule,9.66,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,9.66,,fee schedule,9.66,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,9.66,87,percent of total billed charges,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,9.66,87,percent of total billed charges,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,9.66,87,percent of total billed charges,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,9.66,87,fee schedule,
ACID PHOSPHATASE PROSTAT,84066,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,9.66,87,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,5.18,48,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,5.18,48,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,5.18,48,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,5.18,48,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,5.18,48,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,5.18,48,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,5.18,48,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,5.18,37,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,5.18,37,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,5.18,37,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE,84075,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,5.18,37,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,ALLIANT,ALLIANT,,13.63,,fee schedule,13.63,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,AMBETTER,AMBETTER,,10.74,,fee schedule,10.74,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,9.64,,fee schedule,9.64,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,9.82,,fee schedule,9.82,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,MEDICARE,MEDICARE,,8.26,,fee schedule,8.26,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,9.18,,fee schedule,9.18,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,TRICARE,TRICARE,,8.26,,fee schedule,8.26,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,8.26,,fee schedule,8.26,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,8.26,149,percent of total billed charges,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,8.26,149,percent of total billed charges,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,8.26,149,percent of total billed charges,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOSPHATASE BON,84078,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,8.26,149,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,ALLIANT,ALLIANT,,24.39,,fee schedule,24.39,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,AMBETTER,AMBETTER,,19.21,,fee schedule,19.21,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,MEDICARE,MEDICARE,,14.78,,fee schedule,14.78,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,TRICARE,TRICARE,,14.78,,fee schedule,14.78,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,14.78,,fee schedule,14.78,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,14.78,106,percent of total billed charges,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,14.78,106,percent of total billed charges,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,14.78,106,percent of total billed charges,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOS. ISOENZYMES,84080,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,14.78,106,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,ALLIANT,ALLIANT,,24.39,,fee schedule,24.39,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,AMBETTER,AMBETTER,,19.21,,fee schedule,19.21,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,MEDICARE,MEDICARE,,14.78,,fee schedule,14.78,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,TRICARE,TRICARE,,14.78,,fee schedule,14.78,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,14.78,,fee schedule,14.78,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,14.78,43,percent of total billed charges,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,14.78,43,percent of total billed charges,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,14.78,43,percent of total billed charges,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,14.78,43,fee schedule,
ALKALINE PHOSPHATES ISOEN,84080,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,14.78,43,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,ALLIANT,ALLIANT,,27.26,,fee schedule,27.26,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,AMBETTER,AMBETTER,,21.48,,fee schedule,21.48,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,21.82,,fee schedule,21.82,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,22.23,,fee schedule,22.23,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,MEDICARE,MEDICARE,,16.52,,fee schedule,16.52,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,20.78,,fee schedule,20.78,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,TRICARE,TRICARE,,16.52,,fee schedule,16.52,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,16.52,,fee schedule,16.52,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,16.52,153,percent of total billed charges,
FLM - PG,84081,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,16.52,153,percent of total billed charges,
FLM - PG,84081,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,16.52,153,percent of total billed charges,
FLM - PG,84081,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,16.52,153,fee schedule,
FLM - PG,84081,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,ALLIANT,ALLIANT,,27.26,,fee schedule,27.26,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,AMBETTER,AMBETTER,,21.48,,fee schedule,21.48,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,21.82,,fee schedule,21.82,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,22.23,,fee schedule,22.23,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,MEDICARE,MEDICARE,,16.52,,fee schedule,16.52,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,20.78,,fee schedule,20.78,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,TRICARE,TRICARE,,16.52,,fee schedule,16.52,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,16.52,,fee schedule,16.52,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,16.52,153,percent of total billed charges,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,16.52,153,percent of total billed charges,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,16.52,153,percent of total billed charges,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATYDLGLYCEROL PROFI,84081,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,16.52,153,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,ALLIANT,ALLIANT,,7.82,,fee schedule,7.82,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,AMBETTER,AMBETTER,,6.16,,fee schedule,6.16,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,6.27,,fee schedule,6.27,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,6.39,,fee schedule,6.39,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,MEDICARE,MEDICARE,,4.74,,fee schedule,4.74,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,5.97,,fee schedule,5.97,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,TRICARE,TRICARE,,4.74,,fee schedule,4.74,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,4.74,,fee schedule,4.74,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,4.74,35,percent of total billed charges,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,4.74,35,percent of total billed charges,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,4.74,35,percent of total billed charges,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHATE LEVEL,84100,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,4.74,35,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,ALLIANT,ALLIANT,,7.82,,fee schedule,7.82,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AMBETTER,AMBETTER,,6.16,,fee schedule,6.16,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.27,,fee schedule,6.27,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.39,,fee schedule,6.39,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,MEDICARE,MEDICARE,,4.74,,fee schedule,4.74,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,5.97,,fee schedule,5.97,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,TRICARE,TRICARE,,4.74,,fee schedule,4.74,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,4.74,,fee schedule,4.74,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,4.74,43,percent of total billed charges,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,4.74,43,percent of total billed charges,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,4.74,43,percent of total billed charges,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,ALLIANT,ALLIANT,,7.82,,fee schedule,7.82,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AMBETTER,AMBETTER,,6.16,,fee schedule,6.16,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.27,,fee schedule,6.27,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.39,,fee schedule,6.39,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,MEDICARE,MEDICARE,,4.74,,fee schedule,4.74,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,5.97,,fee schedule,5.97,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,TRICARE,TRICARE,,4.74,,fee schedule,4.74,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,4.74,,fee schedule,4.74,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,4.74,43,percent of total billed charges,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,4.74,43,percent of total billed charges,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,4.74,43,percent of total billed charges,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,4.74,43,fee schedule,
PHOSPHORUS SERUM,84100,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,4.74,43,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,ALLIANT,ALLIANT,,7.82,,fee schedule,7.82,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,AMBETTER,AMBETTER,,6.16,,fee schedule,6.16,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,AMERIGROUP,AMERIGROUP,,6.27,,fee schedule,6.27,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,6.39,,fee schedule,6.39,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,MEDICARE,MEDICARE,,4.74,,fee schedule,4.74,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,5.97,,fee schedule,5.97,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,TRICARE,TRICARE,,4.74,,fee schedule,4.74,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,4.74,,fee schedule,4.74,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,4.74,30,percent of total billed charges,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,4.74,30,percent of total billed charges,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,4.74,30,percent of total billed charges,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,4.74,30,fee schedule,
SERUM PHOSPHORUS,84100,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,4.74,30,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,ALLIANT,ALLIANT,,9.54,,fee schedule,9.54,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,AMBETTER,AMBETTER,,7.51,,fee schedule,7.51,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,MEDICARE,MEDICARE,,5.78,,fee schedule,5.78,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,TRICARE,TRICARE,,5.78,,fee schedule,5.78,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,5.78,,fee schedule,5.78,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,5.78,45,percent of total billed charges,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,5.78,45,percent of total billed charges,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,5.78,45,percent of total billed charges,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,5.78,45,fee schedule,
PHOSPHORUS URINE,84105,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,ALLIANT,ALLIANT,,9.54,,fee schedule,9.54,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,AMBETTER,AMBETTER,,7.51,,fee schedule,7.51,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,MEDICARE,MEDICARE,,5.78,,fee schedule,5.78,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,TRICARE,TRICARE,,5.78,,fee schedule,5.78,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,5.78,,fee schedule,5.78,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,5.78,45,percent of total billed charges,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,5.78,45,percent of total billed charges,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,5.78,45,percent of total billed charges,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,5.78,45,fee schedule,
URINE PHOSPHORUS,84105,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,5.78,45,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,ALLIANT,ALLIANT,,9.6,,fee schedule,9.6,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,AMBETTER,AMBETTER,,7.57,,fee schedule,7.57,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,5.66,,fee schedule,5.66,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,5.77,,fee schedule,5.77,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,MEDICARE,MEDICARE,,5.82,,fee schedule,5.82,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,5.39,,fee schedule,5.39,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,TRICARE,TRICARE,,5.82,,fee schedule,5.82,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,5.82,,fee schedule,5.82,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,5.39,78,percent of total billed charges,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,5.39,78,percent of total billed charges,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,5.39,78,percent of total billed charges,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN (PBG) QL.,84106,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,5.39,78,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,ALLIANT,ALLIANT,,13.93,,fee schedule,13.93,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,AMBETTER,AMBETTER,,10.97,,fee schedule,10.97,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,11.15,,fee schedule,11.15,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,11.36,,fee schedule,11.36,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,MEDICARE,MEDICARE,,8.44,,fee schedule,8.44,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,10.62,,fee schedule,10.62,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,TRICARE,TRICARE,,8.44,,fee schedule,8.44,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,8.44,,fee schedule,8.44,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,8.44,218,percent of total billed charges,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,8.44,218,percent of total billed charges,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,8.44,218,percent of total billed charges,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,8.44,218,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,ALLIANT,ALLIANT,,13.93,,fee schedule,13.93,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,AMBETTER,AMBETTER,,10.97,,fee schedule,10.97,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,11.15,,fee schedule,11.15,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,11.36,,fee schedule,11.36,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,MEDICARE,MEDICARE,,8.44,,fee schedule,8.44,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,10.62,,fee schedule,10.62,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,TRICARE,TRICARE,,8.44,,fee schedule,8.44,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,8.44,,fee schedule,8.44,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,8.44,59,percent of total billed charges,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,8.44,59,percent of total billed charges,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,8.44,59,percent of total billed charges,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,8.44,59,fee schedule,
PORPHOBILINOGEN RANDOM UR,84110,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,8.44,59,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,ALLIANT,ALLIANT,,161.88,,fee schedule,161.88,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,AMBETTER,AMBETTER,,127.54,,fee schedule,127.54,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,76.14,,fee schedule,76.14,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,77.59,,fee schedule,77.59,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,MEDICARE,MEDICARE,,98.11,,fee schedule,98.11,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,72.51,,fee schedule,72.51,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,TRICARE,TRICARE,,98.11,,fee schedule,98.11,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,98.11,,fee schedule,98.11,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,72.51,164,percent of total billed charges,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,72.51,164,percent of total billed charges,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,72.51,164,percent of total billed charges,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,72.51,164,fee schedule,
AMNIOTIC FLUID EVALUATION,84112,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,72.51,164,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,ALLIANT,ALLIANT,,24.27,,fee schedule,24.27,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,AMBETTER,AMBETTER,,19.12,,fee schedule,19.12,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,19.43,,fee schedule,19.43,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,19.8,,fee schedule,19.8,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,MEDICARE,MEDICARE,,14.71,,fee schedule,14.71,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,18.5,,fee schedule,18.5,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,TRICARE,TRICARE,,14.71,,fee schedule,14.71,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,14.71,,fee schedule,14.71,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,14.71,133,percent of total billed charges,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,14.71,133,percent of total billed charges,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,14.71,133,percent of total billed charges,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,14.71,133,fee schedule,
PORPHYRINSQT (URO & COPR,84120,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,14.71,133,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,ALLIANT,ALLIANT,,7.85,,fee schedule,7.85,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,AMBETTER,AMBETTER,,6.19,,fee schedule,6.19,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,6.07,,fee schedule,6.07,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,6.18,,fee schedule,6.18,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,MEDICARE,MEDICARE,,4.76,,fee schedule,4.76,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,5.78,,fee schedule,5.78,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,TRICARE,TRICARE,,4.76,,fee schedule,4.76,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,4.76,,fee schedule,4.76,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,4.76,29,percent of total billed charges,
K+ POTASSIUM,84132,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,4.76,29,percent of total billed charges,
K+ POTASSIUM,84132,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,4.76,29,percent of total billed charges,
K+ POTASSIUM,84132,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,4.76,29,fee schedule,
K+ POTASSIUM,84132,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,4.76,29,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,ALLIANT,ALLIANT,,7.85,,fee schedule,7.85,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,AMBETTER,AMBETTER,,6.19,,fee schedule,6.19,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.07,,fee schedule,6.07,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.18,,fee schedule,6.18,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,5.78,,fee schedule,5.78,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,TRICARE,TRICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.76,56,percent of total billed charges,
POTASSIUM,84132,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.76,56,percent of total billed charges,
POTASSIUM,84132,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.76,56,percent of total billed charges,
POTASSIUM,84132,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM,84132,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,ALLIANT,ALLIANT,,7.85,,fee schedule,7.85,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AMBETTER,AMBETTER,,6.19,,fee schedule,6.19,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.07,,fee schedule,6.07,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.18,,fee schedule,6.18,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,5.78,,fee schedule,5.78,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,TRICARE,TRICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.76,56,percent of total billed charges,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.76,56,percent of total billed charges,
POTASSIUM SERUM,84132,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.76,56,percent of total billed charges,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,ALLIANT,ALLIANT,,7.85,,fee schedule,7.85,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AMBETTER,AMBETTER,,6.19,,fee schedule,6.19,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.07,,fee schedule,6.07,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.18,,fee schedule,6.18,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,5.78,,fee schedule,5.78,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,TRICARE,TRICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.76,,fee schedule,4.76,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.76,56,percent of total billed charges,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.76,56,percent of total billed charges,
POTASSIUM SERUM,84132,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.76,56,percent of total billed charges,
POTASSIUM SERUM,84132,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM SERUM,84132,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.76,56,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,ALLIANT,ALLIANT,,7.8,,fee schedule,7.8,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,AMBETTER,AMBETTER,,6.15,,fee schedule,6.15,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,5.68,,fee schedule,5.68,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,5.79,,fee schedule,5.79,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,MEDICARE,MEDICARE,,4.73,,fee schedule,4.73,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,5.41,,fee schedule,5.41,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,TRICARE,TRICARE,,4.73,,fee schedule,4.73,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,4.73,,fee schedule,4.73,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,4.73,48,percent of total billed charges,
POTASSIUM URINE,84133,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,4.73,48,percent of total billed charges,
POTASSIUM URINE,84133,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,4.73,48,percent of total billed charges,
POTASSIUM URINE,84133,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,4.73,48,fee schedule,
POTASSIUM URINE,84133,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,4.73,48,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,ALLIANT,ALLIANT,,24.07,,fee schedule,24.07,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,AMBETTER,AMBETTER,,18.97,,fee schedule,18.97,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,19.26,,fee schedule,19.26,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,19.62,,fee schedule,19.62,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,MEDICARE,MEDICARE,,14.59,,fee schedule,14.59,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,18.34,,fee schedule,18.34,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,TRICARE,TRICARE,,14.59,,fee schedule,14.59,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,14.59,,fee schedule,14.59,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,14.59,78,percent of total billed charges,
PREALBUMIN,84134,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,14.59,78,percent of total billed charges,
PREALBUMIN,84134,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,14.59,78,percent of total billed charges,
PREALBUMIN,84134,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,14.59,78,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,ALLIANT,ALLIANT,,24.07,,fee schedule,24.07,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,AMBETTER,AMBETTER,,18.97,,fee schedule,18.97,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,19.26,,fee schedule,19.26,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,19.62,,fee schedule,19.62,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,MEDICARE,MEDICARE,,14.59,,fee schedule,14.59,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,18.34,,fee schedule,18.34,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,TRICARE,TRICARE,,14.59,,fee schedule,14.59,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,14.59,,fee schedule,14.59,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,14.59,95,percent of total billed charges,
PREALBUMIN,84134,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,14.59,95,percent of total billed charges,
PREALBUMIN,84134,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,14.59,95,percent of total billed charges,
PREALBUMIN,84134,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,14.59,95,fee schedule,
PREALBUMIN,84134,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,14.59,95,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,ALLIANT,ALLIANT,,34.11,,fee schedule,34.11,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,AMBETTER,AMBETTER,,26.87,,fee schedule,26.87,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,27.3,,fee schedule,27.3,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,27.82,,fee schedule,27.82,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,MEDICARE,MEDICARE,,20.67,,fee schedule,20.67,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,TRICARE,TRICARE,,20.67,,fee schedule,20.67,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,20.67,,fee schedule,20.67,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,20.67,221,percent of total billed charges,
PREGNENOLONE,84140,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,20.67,221,percent of total billed charges,
PREGNENOLONE,84140,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,20.67,221,percent of total billed charges,
PREGNENOLONE,84140,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,20.67,221,fee schedule,
PREGNENOLONE,84140,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,20.67,221,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,ALLIANT,ALLIANT,,34.42,,fee schedule,34.42,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,AMBETTER,AMBETTER,,27.12,,fee schedule,27.12,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,26.89,,fee schedule,26.89,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,27.4,,fee schedule,27.4,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,MEDICARE,MEDICARE,,20.86,,fee schedule,20.86,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,25.61,,fee schedule,25.61,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,TRICARE,TRICARE,,20.86,,fee schedule,20.86,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,20.86,,fee schedule,20.86,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,20.86,178,percent of total billed charges,
PROGESTERONE,84144,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,20.86,178,percent of total billed charges,
PROGESTERONE,84144,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,20.86,178,percent of total billed charges,
PROGESTERONE,84144,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE,84144,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,20.86,178,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,ALLIANT,ALLIANT,,34.42,,fee schedule,34.42,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,AMBETTER,AMBETTER,,27.12,,fee schedule,27.12,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,26.89,,fee schedule,26.89,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,27.4,,fee schedule,27.4,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,MEDICARE,MEDICARE,,20.86,,fee schedule,20.86,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,25.61,,fee schedule,25.61,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,TRICARE,TRICARE,,20.86,,fee schedule,20.86,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,20.86,,fee schedule,20.86,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,20.86,56,percent of total billed charges,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,20.86,56,percent of total billed charges,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,20.86,56,percent of total billed charges,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,20.86,56,fee schedule,
PROGESTERONE LEVEL,84144,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,20.86,56,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,ALLIANT,ALLIANT,,44.91,,fee schedule,44.91,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,AMBETTER,AMBETTER,,35.39,,fee schedule,35.39,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,AMERIGROUP,AMERIGROUP,,25.26,,fee schedule,25.26,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,CARESOURCE,CARESOURCE,,25.74,,fee schedule,25.74,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,MEDICARE,MEDICARE,,27.22,,fee schedule,27.22,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,PEACHSTATE,PEACHSTATE,,24.06,,fee schedule,24.06,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,TRICARE,TRICARE,,27.22,,fee schedule,27.22,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,UHC MEDICARE,UHC MEDICARE,,27.22,,fee schedule,27.22,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,AETNA,AETNA,,330.6,87,percent of total billed charges,330.6,24.06,380,percent of total billed charges,
PROCALCITONIN,84145,CPT,both,,,380,380,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,330.6,87,percent of total billed charges,330.6,24.06,380,percent of total billed charges,
PROCALCITONIN,84145,CPT,both,,,380,380,UNITED HEALTHCARE,UNITED HEALTHCARE,,334.4,88,percent of total billed charges,334.4,24.06,380,percent of total billed charges,
PROCALCITONIN,84145,CPT,both,,,380,380,AETNA,AETNA,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,BEECH STREET,BEECH STREET,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,CARESOURCE,CARESOURCE,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,MEDICAID,MEDICAID,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,NOVA NET,NOVA NET,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,PEACHSTATE,PEACHSTATE,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,SELFPAY,SELFPAY,,380,,fee schedule,380,24.06,380,fee schedule,
PROCALCITONIN,84145,CPT,both,,,380,380,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,380,,fee schedule,380,24.06,380,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,ALLIANT,ALLIANT,,31.98,,fee schedule,31.98,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,AMBETTER,AMBETTER,,25.19,,fee schedule,25.19,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,AMERIGROUP,AMERIGROUP,,25.59,,fee schedule,25.59,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,26.08,,fee schedule,26.08,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,MEDICARE,MEDICARE,,19.38,,fee schedule,19.38,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,24.37,,fee schedule,24.37,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,TRICARE,TRICARE,,19.38,,fee schedule,19.38,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,UHC MEDICARE,UHC MEDICARE,,19.38,,fee schedule,19.38,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,AETNA,AETNA,,269.7,87,percent of total billed charges,269.7,19.38,310,percent of total billed charges,
PROLACTIN,84146,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,269.7,87,percent of total billed charges,269.7,19.38,310,percent of total billed charges,
PROLACTIN,84146,CPT,both,,,310,310,UNITED HEALTHCARE,UNITED HEALTHCARE,,272.8,88,percent of total billed charges,272.8,19.38,310,percent of total billed charges,
PROLACTIN,84146,CPT,both,,,310,310,AETNA,AETNA,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,BEECH STREET,BEECH STREET,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,MEDICAID,MEDICAID,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,NOVA NET,NOVA NET,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,SELFPAY,SELFPAY,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,310,310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,310,,fee schedule,310,19.38,310,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,ALLIANT,ALLIANT,,31.98,,fee schedule,31.98,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,AMBETTER,AMBETTER,,25.19,,fee schedule,25.19,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,25.59,,fee schedule,25.59,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,26.08,,fee schedule,26.08,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,MEDICARE,MEDICARE,,19.38,,fee schedule,19.38,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,24.37,,fee schedule,24.37,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,TRICARE,TRICARE,,19.38,,fee schedule,19.38,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,19.38,,fee schedule,19.38,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,19.38,76,percent of total billed charges,
PROLACTIN,84146,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,19.38,76,percent of total billed charges,
PROLACTIN,84146,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,19.38,76,percent of total billed charges,
PROLACTIN,84146,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,19.38,76,fee schedule,
PROLACTIN,84146,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,19.38,76,fee schedule,
PSA,84153,CPT,both,,,91,91,ALLIANT,ALLIANT,,30.34,,fee schedule,30.34,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,AMBETTER,AMBETTER,,23.91,,fee schedule,23.91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,24.29,,fee schedule,24.29,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,24.75,,fee schedule,24.75,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,MEDICARE,MEDICARE,,18.39,,fee schedule,18.39,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,23.13,,fee schedule,23.13,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,TRICARE,TRICARE,,18.39,,fee schedule,18.39,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,18.39,,fee schedule,18.39,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,18.39,91,percent of total billed charges,
PSA,84153,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,18.39,91,percent of total billed charges,
PSA,84153,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,18.39,91,percent of total billed charges,
PSA,84153,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,18.39,91,fee schedule,
PSA,84153,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,18.39,91,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,ALLIANT,ALLIANT,,30.34,,fee schedule,30.34,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,AMBETTER,AMBETTER,,23.91,,fee schedule,23.91,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,24.29,,fee schedule,24.29,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,24.75,,fee schedule,24.75,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,MEDICARE,MEDICARE,,18.39,,fee schedule,18.39,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,23.13,,fee schedule,23.13,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,TRICARE,TRICARE,,18.39,,fee schedule,18.39,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,18.39,,fee schedule,18.39,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,18.39,72,percent of total billed charges,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,18.39,72,percent of total billed charges,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,18.39,72,percent of total billed charges,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,18.39,72,fee schedule,
PSA (PROSTATE SPECIFIC AN,84153,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,18.39,72,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,ALLIANT,ALLIANT,,30.34,,fee schedule,30.34,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,AMBETTER,AMBETTER,,23.91,,fee schedule,23.91,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,24.29,,fee schedule,24.29,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,24.75,,fee schedule,24.75,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,MEDICARE,MEDICARE,,18.39,,fee schedule,18.39,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,23.13,,fee schedule,23.13,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,TRICARE,TRICARE,,18.39,,fee schedule,18.39,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,18.39,,fee schedule,18.39,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,18.39,232,percent of total billed charges,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,18.39,232,percent of total billed charges,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,18.39,232,percent of total billed charges,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,18.39,232,fee schedule,
PSA ANNUAL SCREEN,84153,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,18.39,232,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,ALLIANT,ALLIANT,,30.34,,fee schedule,30.34,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,AMBETTER,AMBETTER,,23.91,,fee schedule,23.91,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,24.29,,fee schedule,24.29,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,24.75,,fee schedule,24.75,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,MEDICARE,MEDICARE,,18.39,,fee schedule,18.39,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,23.13,,fee schedule,23.13,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,TRICARE,TRICARE,,18.39,,fee schedule,18.39,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,18.39,,fee schedule,18.39,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,18.39,100,percent of total billed charges,
FREE PSA,84154,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,18.39,100,percent of total billed charges,
FREE PSA,84154,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,18.39,100,percent of total billed charges,
FREE PSA,84154,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,18.39,100,fee schedule,
FREE PSA,84154,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,18.39,100,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,ALLIANT,ALLIANT,,30.34,,fee schedule,30.34,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,AMBETTER,AMBETTER,,23.91,,fee schedule,23.91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,24.29,,fee schedule,24.29,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,24.75,,fee schedule,24.75,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,MEDICARE,MEDICARE,,18.39,,fee schedule,18.39,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,23.13,,fee schedule,23.13,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,TRICARE,TRICARE,,18.39,,fee schedule,18.39,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,18.39,,fee schedule,18.39,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,18.39,91,percent of total billed charges,
PSA FREE,84154,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,18.39,91,percent of total billed charges,
PSA FREE,84154,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,18.39,91,percent of total billed charges,
PSA FREE,84154,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,18.39,91,fee schedule,
PSA FREE,84154,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,18.39,91,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,ALLIANT,ALLIANT,,6.06,,fee schedule,6.06,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,AMBETTER,AMBETTER,,4.77,,fee schedule,4.77,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,4.84,,fee schedule,4.84,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,4.93,,fee schedule,4.93,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,MEDICARE,MEDICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,4.61,,fee schedule,4.61,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,TRICARE,TRICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,3.67,151,percent of total billed charges,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,3.67,151,percent of total billed charges,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,3.67,151,percent of total billed charges,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,3.67,151,fee schedule,
BENCE-JONES PROTEIN,84155,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,ALLIANT,ALLIANT,,6.06,,fee schedule,6.06,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AMBETTER,AMBETTER,,4.77,,fee schedule,4.77,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,4.84,,fee schedule,4.84,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,4.93,,fee schedule,4.93,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,MEDICARE,MEDICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,4.61,,fee schedule,4.61,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,TRICARE,TRICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,3.67,151,percent of total billed charges,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,3.67,151,percent of total billed charges,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,3.67,151,percent of total billed charges,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,ALLIANT,ALLIANT,,6.06,,fee schedule,6.06,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AMBETTER,AMBETTER,,4.77,,fee schedule,4.77,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,4.84,,fee schedule,4.84,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,4.93,,fee schedule,4.93,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,MEDICARE,MEDICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,4.61,,fee schedule,4.61,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,TRICARE,TRICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,3.67,,fee schedule,3.67,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,3.67,151,percent of total billed charges,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,3.67,151,percent of total billed charges,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,3.67,151,percent of total billed charges,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN TOTAL SERUM,84155,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,3.67,151,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,ALLIANT,ALLIANT,,6.06,,fee schedule,6.06,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,AMBETTER,AMBETTER,,4.77,,fee schedule,4.77,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,4.84,,fee schedule,4.84,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,4.93,,fee schedule,4.93,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,MEDICARE,MEDICARE,,3.67,,fee schedule,3.67,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,4.61,,fee schedule,4.61,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,TRICARE,TRICARE,,3.67,,fee schedule,3.67,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,3.67,,fee schedule,3.67,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,3.67,82,percent of total billed charges,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,3.67,82,percent of total billed charges,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,3.67,82,percent of total billed charges,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,3.67,82,fee schedule,
PROTEIN URINE TOTAL,84156,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,3.67,82,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,ALLIANT,ALLIANT,,6.6,,fee schedule,6.6,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,AMBETTER,AMBETTER,,5.2,,fee schedule,5.2,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,4.84,,fee schedule,4.84,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,4.93,,fee schedule,4.93,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,MEDICARE,MEDICARE,,4,,fee schedule,4,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,4.61,,fee schedule,4.61,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,TRICARE,TRICARE,,4,,fee schedule,4,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,4,,fee schedule,4,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,4,48,percent of total billed charges,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,4,48,percent of total billed charges,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,4,48,percent of total billed charges,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,4,48,fee schedule,
"TOTAL PROTEIN, OTHER SOURCE",84157,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,4,48,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,TRICARE,TRICARE,,15.05,,fee schedule,15.05,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,8.07,227,percent of total billed charges,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,8.07,227,percent of total billed charges,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,8.07,227,percent of total billed charges,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,8.07,227,fee schedule,
PREGN-ASSOC PLASMA PROTEI,84163,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,8.07,227,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,10.74,32,percent of total billed charges,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,10.74,32,percent of total billed charges,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,10.74,32,percent of total billed charges,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,10.74,32,fee schedule,
PROTEIN ELECTROPHORESIS S,84165,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,10.74,32,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,10.74,116,percent of total billed charges,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,10.74,116,percent of total billed charges,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,10.74,116,percent of total billed charges,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,10.74,116,fee schedule,
SERUM PROTEIN ELECTROPHORESIS,84165,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,10.74,116,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,ALLIANT,ALLIANT,,29.42,,fee schedule,29.42,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,AMBETTER,AMBETTER,,23.18,,fee schedule,23.18,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,AMERIGROUP,AMERIGROUP,,23.55,,fee schedule,23.55,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,24,,fee schedule,24,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,MEDICARE,MEDICARE,,17.83,,fee schedule,17.83,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,22.43,,fee schedule,22.43,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,TRICARE,TRICARE,,17.83,,fee schedule,17.83,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,17.83,,fee schedule,17.83,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,17.83,167,percent of total billed charges,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,17.83,167,percent of total billed charges,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,17.83,167,percent of total billed charges,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,17.83,167,fee schedule,
PROTEIN ELECTROPHORESIS U,84166,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,17.83,167,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,18.42,,fee schedule,18.42,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,18.77,,fee schedule,18.77,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,17.54,,fee schedule,17.54,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,AETNA,AETNA,,316.68,87,percent of total billed charges,316.68,17.03,364,percent of total billed charges,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316.68,87,percent of total billed charges,316.68,17.03,364,percent of total billed charges,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,UNITED HEALTHCARE,UNITED HEALTHCARE,,320.32,88,percent of total billed charges,320.32,17.03,364,percent of total billed charges,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,AETNA,AETNA,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,BEECH STREET,BEECH STREET,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,MEDICAID,MEDICAID,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,NOVA NET,NOVA NET,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,SELFPAY,SELFPAY,,364,,fee schedule,364,17.03,364,fee schedule,
ANTI-HU ANTIBODIES,84181,CPT,both,,,364,364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,18.42,,fee schedule,18.42,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,18.77,,fee schedule,18.77,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,17.54,,fee schedule,17.54,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,AETNA,AETNA,,316.68,87,percent of total billed charges,316.68,17.03,364,percent of total billed charges,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316.68,87,percent of total billed charges,316.68,17.03,364,percent of total billed charges,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,UNITED HEALTHCARE,UNITED HEALTHCARE,,320.32,88,percent of total billed charges,320.32,17.03,364,percent of total billed charges,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,AETNA,AETNA,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,BEECH STREET,BEECH STREET,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,MEDICAID,MEDICAID,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,NOVA NET,NOVA NET,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,SELFPAY,SELFPAY,,364,,fee schedule,364,17.03,364,fee schedule,
PARANEOPLASTIC SYNDROME E,84181,CPT,both,,,364,364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,AMERIGROUP,AMERIGROUP,,18.42,,fee schedule,18.42,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,18.77,,fee schedule,18.77,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,17.54,,fee schedule,17.54,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,AETNA,AETNA,,316.68,87,percent of total billed charges,316.68,17.03,364,percent of total billed charges,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316.68,87,percent of total billed charges,316.68,17.03,364,percent of total billed charges,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,UNITED HEALTHCARE,UNITED HEALTHCARE,,320.32,88,percent of total billed charges,320.32,17.03,364,percent of total billed charges,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,AETNA,AETNA,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,BEECH STREET,BEECH STREET,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,MEDICAID,MEDICAID,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,NOVA NET,NOVA NET,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,SELFPAY,SELFPAY,,364,,fee schedule,364,17.03,364,fee schedule,
PURKINJIE CELL (YO) ABY,84181,CPT,both,,,364,364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,364,,fee schedule,364,17.03,364,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX CV2 AUTOAB,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX HU AUTOAB,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX MATA AUTOAB,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX RI AUTOAB,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX YO AUTOAB,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
RECOMBX ZIC4 AB,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,ALLIANT,ALLIANT,,48.2,,fee schedule,48.2,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AMBETTER,AMBETTER,,37.97,,fee schedule,37.97,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,23.77,,fee schedule,23.77,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,24.22,,fee schedule,24.22,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,MEDICARE,MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,22.64,,fee schedule,22.64,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,TRICARE,TRICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,UHC MEDICARE,UHC MEDICARE,,29.21,,fee schedule,29.21,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AETNA,AETNA,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,561.15,87,percent of total billed charges,561.15,18.59,645,percent of total billed charges,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,UNITED HEALTHCARE,UNITED HEALTHCARE,,567.6,88,percent of total billed charges,567.6,18.59,645,percent of total billed charges,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,AETNA,AETNA,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,BEECH STREET,BEECH STREET,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CARESOURCE,CARESOURCE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,MEDICAID,MEDICAID,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,NOVA NET,NOVA NET,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,PEACHSTATE,PEACHSTATE,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,SELFPAY,SELFPAY,,645,,fee schedule,645,18.59,645,fee schedule,
WESTERN BLOT BAND ID,84182,CPT,both,,,645,645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,645,,fee schedule,645,18.59,645,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,AETNA,AETNA,,12684.63,87,percent of total billed charges,12684.63,12684.63,14580.04,percent of total billed charges,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12684.63,87,percent of total billed charges,12684.63,12684.63,14580.04,percent of total billed charges,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,UNITED HEALTHCARE,UNITED HEALTHCARE,,12830.44,88,percent of total billed charges,12830.44,12684.63,14580.04,percent of total billed charges,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,AETNA,AETNA,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,ALLIANT,ALLIANT,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,AMBETTER,AMBETTER,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,BEECH STREET,BEECH STREET,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,CARESOURCE,CARESOURCE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,MEDICAID,MEDICAID,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,MEDICARE,MEDICARE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,NOVA NET,NOVA NET,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,PEACHSTATE,PEACHSTATE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,SELFPAY,SELFPAY,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,TRICARE,TRICARE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,842,DRG,inpatient,,,14580.04,14580.04,UHC MEDICARE,UHC MEDICARE,,14580.04,,fee schedule,14580.04,12684.63,14580.04,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,ALLIANT,ALLIANT,,23.68,,fee schedule,23.68,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,AMBETTER,AMBETTER,,18.66,,fee schedule,18.66,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,18.95,,fee schedule,18.95,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,19.31,,fee schedule,19.31,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,MEDICARE,MEDICARE,,14.35,,fee schedule,14.35,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,18.05,,fee schedule,18.05,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,TRICARE,TRICARE,,14.35,,fee schedule,14.35,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,14.35,,fee schedule,14.35,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,14.35,92,percent of total billed charges,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,14.35,92,percent of total billed charges,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,14.35,92,percent of total billed charges,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,14.35,92,fee schedule,
ERYTHROCYTE PROTOPORPHYRI,84202,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,ALLIANT,ALLIANT,,23.68,,fee schedule,23.68,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,AMBETTER,AMBETTER,,18.66,,fee schedule,18.66,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,18.95,,fee schedule,18.95,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,19.31,,fee schedule,19.31,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,MEDICARE,MEDICARE,,14.35,,fee schedule,14.35,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,18.05,,fee schedule,18.05,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,TRICARE,TRICARE,,14.35,,fee schedule,14.35,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,14.35,,fee schedule,14.35,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,14.35,92,percent of total billed charges,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,14.35,92,percent of total billed charges,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,14.35,92,percent of total billed charges,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,14.35,92,fee schedule,
ZINC PROTOPORHYRIN,84202,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,14.35,92,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,ALLIANT,ALLIANT,,44.04,,fee schedule,44.04,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,AMBETTER,AMBETTER,,34.7,,fee schedule,34.7,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,AMERIGROUP,AMERIGROUP,,23.52,,fee schedule,23.52,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,23.97,,fee schedule,23.97,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,MEDICARE,MEDICARE,,26.69,,fee schedule,26.69,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,22.4,,fee schedule,22.4,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,TRICARE,TRICARE,,26.69,,fee schedule,26.69,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,26.69,,fee schedule,26.69,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,22.4,135,percent of total billed charges,
PROINSULIN,84206,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,22.4,135,percent of total billed charges,
PROINSULIN,84206,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,22.4,135,percent of total billed charges,
PROINSULIN,84206,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,22.4,135,fee schedule,
PROINSULIN,84206,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,22.4,135,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,ALLIANT,ALLIANT,,46.37,,fee schedule,46.37,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,AMBETTER,AMBETTER,,36.53,,fee schedule,36.53,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,AMERIGROUP,AMERIGROUP,,37.1,,fee schedule,37.1,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,CARESOURCE,CARESOURCE,,37.8,,fee schedule,37.8,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,MEDICARE,MEDICARE,,28.1,,fee schedule,28.1,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,PEACHSTATE,PEACHSTATE,,35.33,,fee schedule,35.33,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,TRICARE,TRICARE,,28.1,,fee schedule,28.1,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,UHC MEDICARE,UHC MEDICARE,,28.1,,fee schedule,28.1,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,AETNA,AETNA,,174.87,87,percent of total billed charges,174.87,28.1,201,percent of total billed charges,
VITAMIN B6,84207,CPT,both,,,201,201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174.87,87,percent of total billed charges,174.87,28.1,201,percent of total billed charges,
VITAMIN B6,84207,CPT,both,,,201,201,UNITED HEALTHCARE,UNITED HEALTHCARE,,176.88,88,percent of total billed charges,176.88,28.1,201,percent of total billed charges,
VITAMIN B6,84207,CPT,both,,,201,201,AETNA,AETNA,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,BEECH STREET,BEECH STREET,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,CARESOURCE,CARESOURCE,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,MEDICAID,MEDICAID,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,NOVA NET,NOVA NET,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,PEACHSTATE,PEACHSTATE,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,SELFPAY,SELFPAY,,201,,fee schedule,201,28.1,201,fee schedule,
VITAMIN B6,84207,CPT,both,,,201,201,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,201,,fee schedule,201,28.1,201,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,ALLIANT,ALLIANT,,23.89,,fee schedule,23.89,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,AMBETTER,AMBETTER,,18.82,,fee schedule,18.82,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,14.33,,fee schedule,14.33,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,14.61,,fee schedule,14.61,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,MEDICARE,MEDICARE,,14.48,,fee schedule,14.48,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,13.65,,fee schedule,13.65,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,TRICARE,TRICARE,,14.48,,fee schedule,14.48,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,14.48,,fee schedule,14.48,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,13.65,113,percent of total billed charges,
PYRUVATE,84210,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,13.65,113,percent of total billed charges,
PYRUVATE,84210,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,13.65,113,percent of total billed charges,
PYRUVATE,84210,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,13.65,113,fee schedule,
PYRUVATE,84210,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,13.65,113,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,ALLIANT,ALLIANT,,145,,fee schedule,145,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,AMBETTER,AMBETTER,,114.24,,fee schedule,114.24,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,AMERIGROUP,AMERIGROUP,,85.04,,fee schedule,85.04,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,86.66,,fee schedule,86.66,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,MEDICARE,MEDICARE,,87.88,,fee schedule,87.88,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,80.99,,fee schedule,80.99,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,TRICARE,TRICARE,,87.88,,fee schedule,87.88,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,UHC MEDICARE,UHC MEDICARE,,87.88,,fee schedule,87.88,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,AETNA,AETNA,,503.73,87,percent of total billed charges,503.73,80.99,579,percent of total billed charges,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503.73,87,percent of total billed charges,503.73,80.99,579,percent of total billed charges,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,UNITED HEALTHCARE,UNITED HEALTHCARE,,509.52,88,percent of total billed charges,509.52,80.99,579,percent of total billed charges,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,AETNA,AETNA,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,BEECH STREET,BEECH STREET,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,MEDICAID,MEDICAID,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,NOVA NET,NOVA NET,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,SELFPAY,SELFPAY,,579,,fee schedule,579,80.99,579,fee schedule,
ERA/PRA ESTROGEN ASSAY,84233,CPT,both,,,579,579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,ALLIANT,ALLIANT,,145,,fee schedule,145,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,AMBETTER,AMBETTER,,114.24,,fee schedule,114.24,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,AMERIGROUP,AMERIGROUP,,85.04,,fee schedule,85.04,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,86.66,,fee schedule,86.66,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,MEDICARE,MEDICARE,,87.88,,fee schedule,87.88,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,80.99,,fee schedule,80.99,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,TRICARE,TRICARE,,87.88,,fee schedule,87.88,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,UHC MEDICARE,UHC MEDICARE,,87.88,,fee schedule,87.88,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,AETNA,AETNA,,503.73,87,percent of total billed charges,503.73,80.99,579,percent of total billed charges,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503.73,87,percent of total billed charges,503.73,80.99,579,percent of total billed charges,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,UNITED HEALTHCARE,UNITED HEALTHCARE,,509.52,88,percent of total billed charges,509.52,80.99,579,percent of total billed charges,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,AETNA,AETNA,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,BEECH STREET,BEECH STREET,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,CARESOURCE,CARESOURCE,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,MEDICAID,MEDICAID,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,NOVA NET,NOVA NET,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,PEACHSTATE,PEACHSTATE,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,SELFPAY,SELFPAY,,579,,fee schedule,579,80.99,579,fee schedule,
PRA/ERA RECEPT ASSAYS,84233,CPT,both,,,579,579,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,579,,fee schedule,579,80.99,579,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,ALLIANT,ALLIANT,,60.34,,fee schedule,60.34,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,AMBETTER,AMBETTER,,47.54,,fee schedule,47.54,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,AMERIGROUP,AMERIGROUP,,48.28,,fee schedule,48.28,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,49.2,,fee schedule,49.2,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,MEDICARE,MEDICARE,,36.57,,fee schedule,36.57,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,45.98,,fee schedule,45.98,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,TRICARE,TRICARE,,36.57,,fee schedule,36.57,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,UHC MEDICARE,UHC MEDICARE,,36.57,,fee schedule,36.57,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,AETNA,AETNA,,300.15,87,percent of total billed charges,300.15,36.57,345,percent of total billed charges,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300.15,87,percent of total billed charges,300.15,36.57,345,percent of total billed charges,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,UNITED HEALTHCARE,UNITED HEALTHCARE,,303.6,88,percent of total billed charges,303.6,36.57,345,percent of total billed charges,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,AETNA,AETNA,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,BEECH STREET,BEECH STREET,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,MEDICAID,MEDICAID,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,NOVA NET,NOVA NET,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,SELFPAY,SELFPAY,,345,,fee schedule,345,36.57,345,fee schedule,
EPIDERMAL GROWTH FACTOR R,84238,CPT,both,,,345,345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,ALLIANT,ALLIANT,,60.34,,fee schedule,60.34,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,AMBETTER,AMBETTER,,47.54,,fee schedule,47.54,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,AMERIGROUP,AMERIGROUP,,48.28,,fee schedule,48.28,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,49.2,,fee schedule,49.2,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,MEDICARE,MEDICARE,,36.57,,fee schedule,36.57,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,45.98,,fee schedule,45.98,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,TRICARE,TRICARE,,36.57,,fee schedule,36.57,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,UHC MEDICARE,UHC MEDICARE,,36.57,,fee schedule,36.57,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,AETNA,AETNA,,300.15,87,percent of total billed charges,300.15,36.57,345,percent of total billed charges,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300.15,87,percent of total billed charges,300.15,36.57,345,percent of total billed charges,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,UNITED HEALTHCARE,UNITED HEALTHCARE,,303.6,88,percent of total billed charges,303.6,36.57,345,percent of total billed charges,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,AETNA,AETNA,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,BEECH STREET,BEECH STREET,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,MEDICAID,MEDICAID,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,NOVA NET,NOVA NET,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,SELFPAY,SELFPAY,,345,,fee schedule,345,36.57,345,fee schedule,
TRANSFERRIN RECEPTOR SOL,84238,CPT,both,,,345,345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,345,,fee schedule,345,36.57,345,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,ALLIANT,ALLIANT,,36.28,,fee schedule,36.28,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,AMBETTER,AMBETTER,,28.59,,fee schedule,28.59,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,29.04,,fee schedule,29.04,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,29.6,,fee schedule,29.6,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,MEDICARE,MEDICARE,,21.99,,fee schedule,21.99,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,27.66,,fee schedule,27.66,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,TRICARE,TRICARE,,21.99,,fee schedule,21.99,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,21.99,,fee schedule,21.99,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,21.99,438,percent of total billed charges,
RENIN ACTIVITY,84244,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,21.99,438,percent of total billed charges,
RENIN ACTIVITY,84244,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,21.99,438,percent of total billed charges,
RENIN ACTIVITY,84244,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN ACTIVITY,84244,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,21.99,438,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,ALLIANT,ALLIANT,,36.28,,fee schedule,36.28,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,AMBETTER,AMBETTER,,28.59,,fee schedule,28.59,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,29.04,,fee schedule,29.04,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,29.6,,fee schedule,29.6,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,MEDICARE,MEDICARE,,21.99,,fee schedule,21.99,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,27.66,,fee schedule,27.66,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,TRICARE,TRICARE,,21.99,,fee schedule,21.99,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,21.99,,fee schedule,21.99,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,21.99,137,percent of total billed charges,
RENIN LEVEL,84244,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,21.99,137,percent of total billed charges,
RENIN LEVEL,84244,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,21.99,137,percent of total billed charges,
RENIN LEVEL,84244,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,21.99,137,fee schedule,
RENIN LEVEL,84244,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,21.99,137,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,ALLIANT,ALLIANT,,33.4,,fee schedule,33.4,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,AMBETTER,AMBETTER,,26.31,,fee schedule,26.31,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,26.72,,fee schedule,26.72,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,27.23,,fee schedule,27.23,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,MEDICARE,MEDICARE,,20.24,,fee schedule,20.24,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,25.45,,fee schedule,25.45,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,TRICARE,TRICARE,,20.24,,fee schedule,20.24,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,20.24,,fee schedule,20.24,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,20.24,102,percent of total billed charges,
VITAMIN B2,84252,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,20.24,102,percent of total billed charges,
VITAMIN B2,84252,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,20.24,102,percent of total billed charges,
VITAMIN B2,84252,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,20.24,102,fee schedule,
VITAMIN B2,84252,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,20.24,102,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,ALLIANT,ALLIANT,,42.12,,fee schedule,42.12,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,AMBETTER,AMBETTER,,33.19,,fee schedule,33.19,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,AMERIGROUP,AMERIGROUP,,33.71,,fee schedule,33.71,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,34.35,,fee schedule,34.35,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,MEDICARE,MEDICARE,,25.53,,fee schedule,25.53,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,32.1,,fee schedule,32.1,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,TRICARE,TRICARE,,25.53,,fee schedule,25.53,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,25.53,,fee schedule,25.53,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,25.53,140,percent of total billed charges,
SELENIUM BLOOD,84255,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,25.53,140,percent of total billed charges,
SELENIUM BLOOD,84255,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,25.53,140,percent of total billed charges,
SELENIUM BLOOD,84255,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,25.53,140,fee schedule,
SELENIUM BLOOD,84255,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,25.53,140,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,ALLIANT,ALLIANT,,51.12,,fee schedule,51.12,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,AMBETTER,AMBETTER,,40.27,,fee schedule,40.27,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,MEDICARE,MEDICARE,,30.98,,fee schedule,30.98,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,TRICARE,TRICARE,,30.98,,fee schedule,30.98,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,30.98,,fee schedule,30.98,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,30.98,316,percent of total billed charges,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,30.98,316,percent of total billed charges,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,30.98,316,percent of total billed charges,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN 24HR URINE,84260,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,ALLIANT,ALLIANT,,51.12,,fee schedule,51.12,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,AMBETTER,AMBETTER,,40.27,,fee schedule,40.27,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,MEDICARE,MEDICARE,,30.98,,fee schedule,30.98,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,TRICARE,TRICARE,,30.98,,fee schedule,30.98,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,30.98,,fee schedule,30.98,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,30.98,316,percent of total billed charges,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,30.98,316,percent of total billed charges,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,30.98,316,percent of total billed charges,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,30.98,316,fee schedule,
SEROTONIN--SERUM,84260,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,30.98,316,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,ALLIANT,ALLIANT,,35.85,,fee schedule,35.85,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,AMBETTER,AMBETTER,,28.25,,fee schedule,28.25,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,28.69,,fee schedule,28.69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,29.23,,fee schedule,29.23,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,MEDICARE,MEDICARE,,21.73,,fee schedule,21.73,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,27.32,,fee schedule,27.32,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,TRICARE,TRICARE,,21.73,,fee schedule,21.73,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,21.73,,fee schedule,21.73,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,21.73,69,percent of total billed charges,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,21.73,69,percent of total billed charges,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,21.73,69,percent of total billed charges,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,21.73,69,fee schedule,
SEX HORMONE BINDING GLOBU,84270,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,21.73,69,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,ALLIANT,ALLIANT,,7.94,,fee schedule,7.94,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,AMBETTER,AMBETTER,,6.25,,fee schedule,6.25,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,6.35,,fee schedule,6.35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,6.47,,fee schedule,6.47,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,MEDICARE,MEDICARE,,4.81,,fee schedule,4.81,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,6.05,,fee schedule,6.05,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,TRICARE,TRICARE,,4.81,,fee schedule,4.81,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,4.81,,fee schedule,4.81,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,4.81,35,percent of total billed charges,
NA+ (SODIUM),84295,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,4.81,35,percent of total billed charges,
NA+ (SODIUM),84295,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,4.81,35,percent of total billed charges,
NA+ (SODIUM),84295,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,4.81,35,fee schedule,
NA+ (SODIUM),84295,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,4.81,35,fee schedule,
SODIUM,84295,CPT,both,,,56,56,ALLIANT,ALLIANT,,7.94,,fee schedule,7.94,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,AMBETTER,AMBETTER,,6.25,,fee schedule,6.25,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.35,,fee schedule,6.35,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.47,,fee schedule,6.47,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,6.05,,fee schedule,6.05,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,TRICARE,TRICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.81,56,percent of total billed charges,
SODIUM,84295,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.81,56,percent of total billed charges,
SODIUM,84295,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.81,56,percent of total billed charges,
SODIUM,84295,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM,84295,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,ALLIANT,ALLIANT,,7.94,,fee schedule,7.94,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,AMBETTER,AMBETTER,,6.25,,fee schedule,6.25,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.35,,fee schedule,6.35,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.47,,fee schedule,6.47,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,6.05,,fee schedule,6.05,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,TRICARE,TRICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.81,56,percent of total billed charges,
SODIUM SERUM,84295,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.81,56,percent of total billed charges,
SODIUM SERUM,84295,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.81,56,percent of total billed charges,
SODIUM SERUM,84295,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,ALLIANT,ALLIANT,,7.94,,fee schedule,7.94,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,AMBETTER,AMBETTER,,6.25,,fee schedule,6.25,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.35,,fee schedule,6.35,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.47,,fee schedule,6.47,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,MEDICARE,MEDICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,6.05,,fee schedule,6.05,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,TRICARE,TRICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,4.81,,fee schedule,4.81,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,4.81,56,percent of total billed charges,
SODIUM SERUM,84295,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,4.81,56,percent of total billed charges,
SODIUM SERUM,84295,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,4.81,56,percent of total billed charges,
SODIUM SERUM,84295,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM SERUM,84295,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,4.81,56,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,ALLIANT,ALLIANT,,8.35,,fee schedule,8.35,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,AMBETTER,AMBETTER,,6.58,,fee schedule,6.58,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,4.57,,fee schedule,4.57,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,4.65,,fee schedule,4.65,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,MEDICARE,MEDICARE,,5.06,,fee schedule,5.06,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,4.35,,fee schedule,4.35,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,TRICARE,TRICARE,,5.06,,fee schedule,5.06,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,5.06,,fee schedule,5.06,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,4.35,33,percent of total billed charges,
SODIUM URINE,84300,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,4.35,33,percent of total billed charges,
SODIUM URINE,84300,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,4.35,33,percent of total billed charges,
SODIUM URINE,84300,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM URINE,84300,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,ALLIANT,ALLIANT,,8.35,,fee schedule,8.35,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,AMBETTER,AMBETTER,,6.58,,fee schedule,6.58,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,4.57,,fee schedule,4.57,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,4.65,,fee schedule,4.65,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,MEDICARE,MEDICARE,,5.06,,fee schedule,5.06,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,4.35,,fee schedule,4.35,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,TRICARE,TRICARE,,5.06,,fee schedule,5.06,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,5.06,,fee schedule,5.06,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,4.35,33,percent of total billed charges,
URINE SODIUM,84300,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,4.35,33,percent of total billed charges,
URINE SODIUM,84300,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,4.35,33,percent of total billed charges,
URINE SODIUM,84300,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,4.35,33,fee schedule,
URINE SODIUM,84300,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,4.35,33,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,ALLIANT,ALLIANT,,8.02,,fee schedule,8.02,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,AMBETTER,AMBETTER,,6.32,,fee schedule,6.32,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,AMERIGROUP,AMERIGROUP,,4.57,,fee schedule,4.57,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,4.65,,fee schedule,4.65,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,MEDICARE,MEDICARE,,4.86,,fee schedule,4.86,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,4.35,,fee schedule,4.35,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,TRICARE,TRICARE,,4.86,,fee schedule,4.86,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,4.86,,fee schedule,4.86,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,4.35,168,percent of total billed charges,
SODIUM FECAL,84302,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,4.35,168,percent of total billed charges,
SODIUM FECAL,84302,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,4.35,168,percent of total billed charges,
SODIUM FECAL,84302,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,4.35,168,fee schedule,
SODIUM FECAL,84302,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,4.35,168,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,ALLIANT,ALLIANT,,35.08,,fee schedule,35.08,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,AMBETTER,AMBETTER,,27.64,,fee schedule,27.64,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,28.07,,fee schedule,28.07,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,28.6,,fee schedule,28.6,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,MEDICARE,MEDICARE,,21.26,,fee schedule,21.26,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,26.73,,fee schedule,26.73,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,TRICARE,TRICARE,,21.26,,fee schedule,21.26,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,21.26,,fee schedule,21.26,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,21.26,456,percent of total billed charges,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,21.26,456,percent of total billed charges,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,21.26,456,percent of total billed charges,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,21.26,456,fee schedule,
INSULIN LIKE GROWTH FACTO,84305,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,ALLIANT,ALLIANT,,35.08,,fee schedule,35.08,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,AMBETTER,AMBETTER,,27.64,,fee schedule,27.64,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,AMERIGROUP,AMERIGROUP,,28.07,,fee schedule,28.07,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,28.6,,fee schedule,28.6,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,MEDICARE,MEDICARE,,21.26,,fee schedule,21.26,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,26.73,,fee schedule,26.73,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,TRICARE,TRICARE,,21.26,,fee schedule,21.26,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,21.26,,fee schedule,21.26,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,21.26,456,percent of total billed charges,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,21.26,456,percent of total billed charges,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,21.26,456,percent of total billed charges,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOMEDIN-C,84305,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,21.26,456,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,ALLIANT,ALLIANT,,30.16,,fee schedule,30.16,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,AMBETTER,AMBETTER,,23.76,,fee schedule,23.76,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,AMERIGROUP,AMERIGROUP,,24.14,,fee schedule,24.14,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,CARESOURCE,CARESOURCE,,24.6,,fee schedule,24.6,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,MEDICARE,MEDICARE,,18.28,,fee schedule,18.28,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,PEACHSTATE,PEACHSTATE,,22.99,,fee schedule,22.99,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,TRICARE,TRICARE,,18.28,,fee schedule,18.28,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,UHC MEDICARE,UHC MEDICARE,,18.28,,fee schedule,18.28,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,AETNA,AETNA,,276.66,87,percent of total billed charges,276.66,18.28,318,percent of total billed charges,
SOMATOSTATIN,84307,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276.66,87,percent of total billed charges,276.66,18.28,318,percent of total billed charges,
SOMATOSTATIN,84307,CPT,both,,,318,318,UNITED HEALTHCARE,UNITED HEALTHCARE,,279.84,88,percent of total billed charges,279.84,18.28,318,percent of total billed charges,
SOMATOSTATIN,84307,CPT,both,,,318,318,AETNA,AETNA,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,BEECH STREET,BEECH STREET,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,CARESOURCE,CARESOURCE,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,MEDICAID,MEDICAID,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,NOVA NET,NOVA NET,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,PEACHSTATE,PEACHSTATE,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,SELFPAY,SELFPAY,,318,,fee schedule,318,18.28,318,fee schedule,
SOMATOSTATIN,84307,CPT,both,,,318,318,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,318,,fee schedule,318,18.28,318,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,ALLIANT,ALLIANT,,13.37,,fee schedule,13.37,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,AMBETTER,AMBETTER,,10.53,,fee schedule,10.53,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,MEDICARE,MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,TRICARE,TRICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,8.1,184,percent of total billed charges,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,8.1,184,fee schedule,
CHYMOTRYPSIN STOOL,84311,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,ALLIANT,ALLIANT,,13.37,,fee schedule,13.37,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,AMBETTER,AMBETTER,,10.53,,fee schedule,10.53,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,MEDICARE,MEDICARE,,8.1,,fee schedule,8.1,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,TRICARE,TRICARE,,8.1,,fee schedule,8.1,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,8.1,,fee schedule,8.1,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,8.1,47,percent of total billed charges,
OXIDANT,84311,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,8.1,47,percent of total billed charges,
OXIDANT,84311,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,8.1,47,percent of total billed charges,
OXIDANT,84311,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,8.1,47,fee schedule,
OXIDANT,84311,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,8.1,47,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,ALLIANT,ALLIANT,,13.37,,fee schedule,13.37,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,AMBETTER,AMBETTER,,10.53,,fee schedule,10.53,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,MEDICARE,MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,TRICARE,TRICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
POTASSIUM FECAL,84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
POTASSIUM FECAL,84311,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,8.1,184,percent of total billed charges,
POTASSIUM FECAL,84311,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECAL,84311,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,ALLIANT,ALLIANT,,13.37,,fee schedule,13.37,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,AMBETTER,AMBETTER,,10.53,,fee schedule,10.53,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,MEDICARE,MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,TRICARE,TRICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
POTASSIUM FECES,84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
POTASSIUM FECES,84311,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,8.1,184,percent of total billed charges,
POTASSIUM FECES,84311,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,8.1,184,fee schedule,
POTASSIUM FECES,84311,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,ALLIANT,ALLIANT,,13.37,,fee schedule,13.37,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,AMBETTER,AMBETTER,,10.53,,fee schedule,10.53,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,MEDICARE,MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,TRICARE,TRICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,8.1,,fee schedule,8.1,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,8.1,184,percent of total billed charges,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,8.1,184,percent of total billed charges,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,8.1,184,fee schedule,
"SPECTROPHOTOMETRY, NES",84311,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,8.1,184,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,ALLIANT,ALLIANT,,5.41,,fee schedule,5.41,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,AMBETTER,AMBETTER,,4.26,,fee schedule,4.26,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,3.31,,fee schedule,3.31,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,3.37,,fee schedule,3.37,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,MEDICARE,MEDICARE,,3.28,,fee schedule,3.28,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,3.15,,fee schedule,3.15,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,TRICARE,TRICARE,,3.28,,fee schedule,3.28,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,3.28,,fee schedule,3.28,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,3.15,46,percent of total billed charges,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,3.15,46,percent of total billed charges,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,3.15,46,percent of total billed charges,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,3.15,46,fee schedule,
SPECIFIC GRAVITY,84315,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,3.15,46,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,AMERIGROUP,AMERIGROUP,,15.21,,fee schedule,15.21,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,15.5,,fee schedule,15.5,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,14.49,,fee schedule,14.49,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,AETNA,AETNA,,300.15,87,percent of total billed charges,300.15,11.53,345,percent of total billed charges,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300.15,87,percent of total billed charges,300.15,11.53,345,percent of total billed charges,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,UNITED HEALTHCARE,UNITED HEALTHCARE,,303.6,88,percent of total billed charges,303.6,11.53,345,percent of total billed charges,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,AETNA,AETNA,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,BEECH STREET,BEECH STREET,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,MEDICAID,MEDICAID,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,NOVA NET,NOVA NET,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,SELFPAY,SELFPAY,,345,,fee schedule,345,11.53,345,fee schedule,
GALACTOSE-1-PHOSPHATE,84378,CPT,both,,,345,345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,AMERIGROUP,AMERIGROUP,,15.21,,fee schedule,15.21,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,15.5,,fee schedule,15.5,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,14.49,,fee schedule,14.49,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,AETNA,AETNA,,300.15,87,percent of total billed charges,300.15,11.53,345,percent of total billed charges,
GLYCOMARK,84378,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300.15,87,percent of total billed charges,300.15,11.53,345,percent of total billed charges,
GLYCOMARK,84378,CPT,both,,,345,345,UNITED HEALTHCARE,UNITED HEALTHCARE,,303.6,88,percent of total billed charges,303.6,11.53,345,percent of total billed charges,
GLYCOMARK,84378,CPT,both,,,345,345,AETNA,AETNA,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,BEECH STREET,BEECH STREET,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,MEDICAID,MEDICAID,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,NOVA NET,NOVA NET,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,SELFPAY,SELFPAY,,345,,fee schedule,345,11.53,345,fee schedule,
GLYCOMARK,84378,CPT,both,,,345,345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,345,,fee schedule,345,11.53,345,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,ALLIANT,ALLIANT,,9.06,,fee schedule,9.06,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,AMBETTER,AMBETTER,,7.14,,fee schedule,7.14,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,MEDICARE,MEDICARE,,5.49,,fee schedule,5.49,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,TRICARE,TRICARE,,5.49,,fee schedule,5.49,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,5.49,,fee schedule,5.49,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,5.49,20,percent of total billed charges,
URINE SULFATE,84392,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,5.49,20,percent of total billed charges,
URINE SULFATE,84392,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,5.49,20,percent of total billed charges,
URINE SULFATE,84392,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,5.49,20,fee schedule,
URINE SULFATE,84392,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,5.49,20,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,AETNA,AETNA,,35543.83,87,percent of total billed charges,35543.83,35543.83,40854.98,percent of total billed charges,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35543.83,87,percent of total billed charges,35543.83,35543.83,40854.98,percent of total billed charges,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,35952.38,88,percent of total billed charges,35952.38,35543.83,40854.98,percent of total billed charges,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,AETNA,AETNA,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,ALLIANT,ALLIANT,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,AMBETTER,AMBETTER,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,BEECH STREET,BEECH STREET,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,CARESOURCE,CARESOURCE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,MEDICAID,MEDICAID,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,MEDICARE,MEDICARE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,NOVA NET,NOVA NET,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,PEACHSTATE,PEACHSTATE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,SELFPAY,SELFPAY,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,TRICARE,TRICARE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC,844,DRG,inpatient,,,40854.98,40854.98,UHC MEDICARE,UHC MEDICARE,,40854.98,,fee schedule,40854.98,35543.83,40854.98,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,ALLIANT,ALLIANT,,42.03,,fee schedule,42.03,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,AMBETTER,AMBETTER,,33.11,,fee schedule,33.11,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,33.61,,fee schedule,33.61,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,34.25,,fee schedule,34.25,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,MEDICARE,MEDICARE,,25.47,,fee schedule,25.47,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,32.01,,fee schedule,32.01,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,TRICARE,TRICARE,,25.47,,fee schedule,25.47,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,25.47,,fee schedule,25.47,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,25.47,297,percent of total billed charges,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,25.47,297,percent of total billed charges,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,25.47,297,percent of total billed charges,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE FREE,84402,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,25.47,297,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,ALLIANT,ALLIANT,,42.03,,fee schedule,42.03,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,AMBETTER,AMBETTER,,33.11,,fee schedule,33.11,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,33.61,,fee schedule,33.61,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,34.25,,fee schedule,34.25,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,MEDICARE,MEDICARE,,25.47,,fee schedule,25.47,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,32.01,,fee schedule,32.01,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,TRICARE,TRICARE,,25.47,,fee schedule,25.47,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,25.47,,fee schedule,25.47,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,25.47,146,percent of total billed charges,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,25.47,146,percent of total billed charges,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,25.47,146,percent of total billed charges,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE PROFILE,84402,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,25.47,146,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,ALLIANT,ALLIANT,,42.59,,fee schedule,42.59,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,AMBETTER,AMBETTER,,33.55,,fee schedule,33.55,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,34.09,,fee schedule,34.09,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,34.74,,fee schedule,34.74,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,MEDICARE,MEDICARE,,25.81,,fee schedule,25.81,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,32.47,,fee schedule,32.47,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,TRICARE,TRICARE,,25.81,,fee schedule,25.81,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,25.81,,fee schedule,25.81,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,25.81,109,percent of total billed charges,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,25.81,109,percent of total billed charges,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,25.81,109,percent of total billed charges,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE LEVEL,84403,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,25.81,109,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,ALLIANT,ALLIANT,,42.59,,fee schedule,42.59,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,AMBETTER,AMBETTER,,33.55,,fee schedule,33.55,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,34.09,,fee schedule,34.09,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,34.74,,fee schedule,34.74,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,MEDICARE,MEDICARE,,25.81,,fee schedule,25.81,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,32.47,,fee schedule,32.47,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,TRICARE,TRICARE,,25.81,,fee schedule,25.81,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,UHC MEDICARE,UHC MEDICARE,,25.81,,fee schedule,25.81,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,AETNA,AETNA,,339.3,87,percent of total billed charges,339.3,25.81,390,percent of total billed charges,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339.3,87,percent of total billed charges,339.3,25.81,390,percent of total billed charges,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,UNITED HEALTHCARE,UNITED HEALTHCARE,,343.2,88,percent of total billed charges,343.2,25.81,390,percent of total billed charges,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,AETNA,AETNA,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,BEECH STREET,BEECH STREET,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,MEDICAID,MEDICAID,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,NOVA NET,NOVA NET,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,SELFPAY,SELFPAY,,390,,fee schedule,390,25.81,390,fee schedule,
TESTOSTERONE TOTAL,84403,CPT,both,,,390,390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,390,,fee schedule,390,25.81,390,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,ALLIANT,ALLIANT,,35.03,,fee schedule,35.03,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,AMBETTER,AMBETTER,,27.6,,fee schedule,27.6,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,AMERIGROUP,AMERIGROUP,,28.04,,fee schedule,28.04,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,28.57,,fee schedule,28.57,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,MEDICARE,MEDICARE,,21.23,,fee schedule,21.23,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,26.7,,fee schedule,26.7,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,TRICARE,TRICARE,,21.23,,fee schedule,21.23,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,UHC MEDICARE,UHC MEDICARE,,21.23,,fee schedule,21.23,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,AETNA,AETNA,,403.68,87,percent of total billed charges,403.68,21.23,464,percent of total billed charges,
TRANSKETOLASE,84425,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,403.68,87,percent of total billed charges,403.68,21.23,464,percent of total billed charges,
TRANSKETOLASE,84425,CPT,both,,,464,464,UNITED HEALTHCARE,UNITED HEALTHCARE,,408.32,88,percent of total billed charges,408.32,21.23,464,percent of total billed charges,
TRANSKETOLASE,84425,CPT,both,,,464,464,AETNA,AETNA,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,BEECH STREET,BEECH STREET,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,MEDICAID,MEDICAID,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,NOVA NET,NOVA NET,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,SELFPAY,SELFPAY,,464,,fee schedule,464,21.23,464,fee schedule,
TRANSKETOLASE,84425,CPT,both,,,464,464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,ALLIANT,ALLIANT,,35.03,,fee schedule,35.03,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,AMBETTER,AMBETTER,,27.6,,fee schedule,27.6,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,AMERIGROUP,AMERIGROUP,,28.04,,fee schedule,28.04,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,28.57,,fee schedule,28.57,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,MEDICARE,MEDICARE,,21.23,,fee schedule,21.23,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,26.7,,fee schedule,26.7,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,TRICARE,TRICARE,,21.23,,fee schedule,21.23,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,UHC MEDICARE,UHC MEDICARE,,21.23,,fee schedule,21.23,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,AETNA,AETNA,,403.68,87,percent of total billed charges,403.68,21.23,464,percent of total billed charges,
VITAMIN B1,84425,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,403.68,87,percent of total billed charges,403.68,21.23,464,percent of total billed charges,
VITAMIN B1,84425,CPT,both,,,464,464,UNITED HEALTHCARE,UNITED HEALTHCARE,,408.32,88,percent of total billed charges,408.32,21.23,464,percent of total billed charges,
VITAMIN B1,84425,CPT,both,,,464,464,AETNA,AETNA,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,BEECH STREET,BEECH STREET,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,MEDICAID,MEDICAID,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,NOVA NET,NOVA NET,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,SELFPAY,SELFPAY,,464,,fee schedule,464,21.23,464,fee schedule,
VITAMIN B1,84425,CPT,both,,,464,464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,464,,fee schedule,464,21.23,464,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,ALLIANT,ALLIANT,,19.19,,fee schedule,19.19,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,AMBETTER,AMBETTER,,15.12,,fee schedule,15.12,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,AMERIGROUP,AMERIGROUP,,7.61,,fee schedule,7.61,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,7.76,,fee schedule,7.76,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,MEDICARE,MEDICARE,,11.63,,fee schedule,11.63,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,7.25,,fee schedule,7.25,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,TRICARE,TRICARE,,11.63,,fee schedule,11.63,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,UHC MEDICARE,UHC MEDICARE,,11.63,,fee schedule,11.63,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,AETNA,AETNA,,265.35,87,percent of total billed charges,265.35,7.25,305,percent of total billed charges,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,265.35,87,percent of total billed charges,265.35,7.25,305,percent of total billed charges,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,UNITED HEALTHCARE,UNITED HEALTHCARE,,268.4,88,percent of total billed charges,268.4,7.25,305,percent of total billed charges,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,AETNA,AETNA,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,BEECH STREET,BEECH STREET,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,MEDICAID,MEDICAID,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,NOVA NET,NOVA NET,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,SELFPAY,SELFPAY,,305,,fee schedule,305,7.25,305,fee schedule,
THIOCYANTATE SERUM,84430,CPT,both,,,305,305,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,305,,fee schedule,305,7.25,305,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,ALLIANT,ALLIANT,,26.5,,fee schedule,26.5,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,AMBETTER,AMBETTER,,20.88,,fee schedule,20.88,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,MEDICARE,MEDICARE,,16.06,,fee schedule,16.06,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,TRICARE,TRICARE,,16.06,,fee schedule,16.06,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,16.06,,fee schedule,16.06,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,16.06,101,percent of total billed charges,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,16.06,101,percent of total billed charges,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,16.06,101,percent of total billed charges,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,16.06,101,fee schedule,
THYROGLOBULIN SERUM,84432,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,16.06,101,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,ALLIANT,ALLIANT,,11.34,,fee schedule,11.34,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,AMBETTER,AMBETTER,,8.93,,fee schedule,8.93,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,AMERIGROUP,AMERIGROUP,,9.08,,fee schedule,9.08,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,9.26,,fee schedule,9.26,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,MEDICARE,MEDICARE,,6.87,,fee schedule,6.87,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,8.65,,fee schedule,8.65,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,TRICARE,TRICARE,,6.87,,fee schedule,6.87,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,UHC MEDICARE,UHC MEDICARE,,6.87,,fee schedule,6.87,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,AETNA,AETNA,,113.1,87,percent of total billed charges,113.1,6.87,130,percent of total billed charges,
T4 (THYROXINE),84436,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.1,87,percent of total billed charges,113.1,6.87,130,percent of total billed charges,
T4 (THYROXINE),84436,CPT,both,,,130,130,UNITED HEALTHCARE,UNITED HEALTHCARE,,114.4,88,percent of total billed charges,114.4,6.87,130,percent of total billed charges,
T4 (THYROXINE),84436,CPT,both,,,130,130,AETNA,AETNA,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,BEECH STREET,BEECH STREET,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,MEDICAID,MEDICAID,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,NOVA NET,NOVA NET,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,SELFPAY,SELFPAY,,130,,fee schedule,130,6.87,130,fee schedule,
T4 (THYROXINE),84436,CPT,both,,,130,130,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,130,,fee schedule,130,6.87,130,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,ALLIANT,ALLIANT,,11.34,,fee schedule,11.34,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,AMBETTER,AMBETTER,,8.93,,fee schedule,8.93,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,AMERIGROUP,AMERIGROUP,,9.08,,fee schedule,9.08,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,9.26,,fee schedule,9.26,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,MEDICARE,MEDICARE,,6.87,,fee schedule,6.87,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,8.65,,fee schedule,8.65,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,TRICARE,TRICARE,,6.87,,fee schedule,6.87,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,6.87,,fee schedule,6.87,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,6.87,60,percent of total billed charges,
THYROID T4,84436,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,6.87,60,percent of total billed charges,
THYROID T4,84436,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,6.87,60,percent of total billed charges,
THYROID T4,84436,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,6.87,60,fee schedule,
THYROID T4,84436,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,6.87,60,fee schedule,
FREE T4,84439,CPT,both,,,192,192,ALLIANT,ALLIANT,,14.88,,fee schedule,14.88,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,AMBETTER,AMBETTER,,11.73,,fee schedule,11.73,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,11.91,,fee schedule,11.91,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,12.13,,fee schedule,12.13,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,MEDICARE,MEDICARE,,9.02,,fee schedule,9.02,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,11.34,,fee schedule,11.34,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,TRICARE,TRICARE,,9.02,,fee schedule,9.02,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,9.02,,fee schedule,9.02,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,9.02,192,percent of total billed charges,
FREE T4,84439,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,9.02,192,percent of total billed charges,
FREE T4,84439,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,9.02,192,percent of total billed charges,
FREE T4,84439,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,9.02,192,fee schedule,
FREE T4,84439,CPT,both,,,61,61,ALLIANT,ALLIANT,,14.88,,fee schedule,14.88,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,AMBETTER,AMBETTER,,11.73,,fee schedule,11.73,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,11.91,,fee schedule,11.91,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,12.13,,fee schedule,12.13,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,MEDICARE,MEDICARE,,9.02,,fee schedule,9.02,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,11.34,,fee schedule,11.34,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,TRICARE,TRICARE,,9.02,,fee schedule,9.02,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,9.02,,fee schedule,9.02,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,9.02,61,percent of total billed charges,
FREE T4,84439,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,9.02,61,percent of total billed charges,
FREE T4,84439,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,9.02,61,percent of total billed charges,
FREE T4,84439,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,9.02,61,fee schedule,
FREE T4,84439,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,9.02,61,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,ALLIANT,ALLIANT,,14.88,,fee schedule,14.88,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,AMBETTER,AMBETTER,,11.73,,fee schedule,11.73,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,11.91,,fee schedule,11.91,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,12.13,,fee schedule,12.13,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,MEDICARE,MEDICARE,,9.02,,fee schedule,9.02,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,11.34,,fee schedule,11.34,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,TRICARE,TRICARE,,9.02,,fee schedule,9.02,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,9.02,,fee schedule,9.02,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,9.02,192,percent of total billed charges,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,9.02,192,percent of total billed charges,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,9.02,192,percent of total billed charges,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,9.02,192,fee schedule,
"T4, FREE, DIRECT DIALYSIS",84439,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,9.02,192,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,ALLIANT,ALLIANT,,24.39,,fee schedule,24.39,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,AMBETTER,AMBETTER,,19.21,,fee schedule,19.21,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,MEDICARE,MEDICARE,,14.78,,fee schedule,14.78,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,TRICARE,TRICARE,,14.78,,fee schedule,14.78,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,14.78,,fee schedule,14.78,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,14.63,134,percent of total billed charges,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,14.63,134,percent of total billed charges,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,14.63,134,percent of total billed charges,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,14.63,134,fee schedule,
THYROXIN BINDING GLOBULIN,84442,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,14.63,134,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,ALLIANT,ALLIANT,,27.72,,fee schedule,27.72,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,AMBETTER,AMBETTER,,21.84,,fee schedule,21.84,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,AMERIGROUP,AMERIGROUP,,22.18,,fee schedule,22.18,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,22.6,,fee schedule,22.6,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,MEDICARE,MEDICARE,,16.8,,fee schedule,16.8,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,21.12,,fee schedule,21.12,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,TRICARE,TRICARE,,16.8,,fee schedule,16.8,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,16.8,,fee schedule,16.8,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,16.8,57,percent of total billed charges,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,16.8,57,percent of total billed charges,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,16.8,57,percent of total billed charges,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,16.8,57,fee schedule,
THYROID STIMULATING HORMO,84443,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,16.8,57,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,ALLIANT,ALLIANT,,27.72,,fee schedule,27.72,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,AMBETTER,AMBETTER,,21.84,,fee schedule,21.84,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,AMERIGROUP,AMERIGROUP,,22.18,,fee schedule,22.18,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,22.6,,fee schedule,22.6,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,MEDICARE,MEDICARE,,16.8,,fee schedule,16.8,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,21.12,,fee schedule,21.12,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,TRICARE,TRICARE,,16.8,,fee schedule,16.8,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,16.8,,fee schedule,16.8,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,16.8,253,percent of total billed charges,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,16.8,253,percent of total billed charges,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,16.8,253,percent of total billed charges,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,16.8,253,fee schedule,
TSH (THYROID STIM HORMONE,84443,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,16.8,253,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,ALLIANT,ALLIANT,,83.92,,fee schedule,83.92,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,AMBETTER,AMBETTER,,66.12,,fee schedule,66.12,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,AMERIGROUP,AMERIGROUP,,11.18,,fee schedule,11.18,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,11.4,,fee schedule,11.4,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,MEDICARE,MEDICARE,,50.86,,fee schedule,50.86,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,10.65,,fee schedule,10.65,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,TRICARE,TRICARE,,50.86,,fee schedule,50.86,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,UHC MEDICARE,UHC MEDICARE,,50.86,,fee schedule,50.86,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,AETNA,AETNA,,269.7,87,percent of total billed charges,269.7,10.65,310,percent of total billed charges,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,269.7,87,percent of total billed charges,269.7,10.65,310,percent of total billed charges,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,UNITED HEALTHCARE,UNITED HEALTHCARE,,272.8,88,percent of total billed charges,272.8,10.65,310,percent of total billed charges,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,AETNA,AETNA,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,BEECH STREET,BEECH STREET,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,MEDICAID,MEDICAID,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,NOVA NET,NOVA NET,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,SELFPAY,SELFPAY,,310,,fee schedule,310,10.65,310,fee schedule,
THYROID STIMULATING IMMUN,84445,CPT,both,,,310,310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,310,,fee schedule,310,10.65,310,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,ALLIANT,ALLIANT,,23.4,,fee schedule,23.4,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,AMBETTER,AMBETTER,,18.43,,fee schedule,18.43,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,18.72,,fee schedule,18.72,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,19.08,,fee schedule,19.08,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,MEDICARE,MEDICARE,,14.18,,fee schedule,14.18,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,17.83,,fee schedule,17.83,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,TRICARE,TRICARE,,14.18,,fee schedule,14.18,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,14.18,,fee schedule,14.18,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,14.18,134,percent of total billed charges,
VITAMIN E,84446,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,14.18,134,percent of total billed charges,
VITAMIN E,84446,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,14.18,134,percent of total billed charges,
VITAMIN E,84446,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,14.18,134,fee schedule,
VITAMIN E,84446,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,14.18,134,fee schedule,
SGOT,84450,CPT,both,,,30,30,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,5.18,30,percent of total billed charges,
SGOT,84450,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,5.18,30,percent of total billed charges,
SGOT,84450,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,5.18,30,percent of total billed charges,
SGOT,84450,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT,84450,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,5.18,30,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,5.18,95,percent of total billed charges,
SGOT (AST),84450,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,5.18,95,percent of total billed charges,
SGOT (AST),84450,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,5.18,95,percent of total billed charges,
SGOT (AST),84450,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,5.18,95,percent of total billed charges,
SGOT (AST),84450,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,5.18,95,percent of total billed charges,
SGOT (AST),84450,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,5.18,95,percent of total billed charges,
SGOT (AST),84450,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,5.18,95,fee schedule,
SGOT (AST),84450,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,5.18,95,fee schedule,
SGPT,84460,CPT,both,,,35,35,ALLIANT,ALLIANT,,8.75,,fee schedule,8.75,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,AMBETTER,AMBETTER,,6.89,,fee schedule,6.89,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,MEDICARE,MEDICARE,,5.3,,fee schedule,5.3,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,TRICARE,TRICARE,,5.3,,fee schedule,5.3,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,5.3,,fee schedule,5.3,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,5.3,35,percent of total billed charges,
SGPT,84460,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,5.3,35,percent of total billed charges,
SGPT,84460,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,5.3,35,percent of total billed charges,
SGPT,84460,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT,84460,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,5.3,35,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,ALLIANT,ALLIANT,,8.75,,fee schedule,8.75,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,AMBETTER,AMBETTER,,6.89,,fee schedule,6.89,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,MEDICARE,MEDICARE,,5.3,,fee schedule,5.3,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,TRICARE,TRICARE,,5.3,,fee schedule,5.3,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,5.3,,fee schedule,5.3,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,5.3,91,percent of total billed charges,
SGPT (ALT),84460,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,5.3,91,percent of total billed charges,
SGPT (ALT),84460,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,5.3,91,percent of total billed charges,
SGPT (ALT),84460,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,5.3,91,fee schedule,
SGPT (ALT),84460,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,5.3,91,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,ALLIANT,ALLIANT,,21.05,,fee schedule,21.05,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,AMBETTER,AMBETTER,,16.59,,fee schedule,16.59,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,16.86,,fee schedule,16.86,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,17.18,,fee schedule,17.18,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,MEDICARE,MEDICARE,,12.76,,fee schedule,12.76,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,16.06,,fee schedule,16.06,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,TRICARE,TRICARE,,12.76,,fee schedule,12.76,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,12.76,,fee schedule,12.76,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,12.76,129,percent of total billed charges,
TRANSFERRIN,84466,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,12.76,129,percent of total billed charges,
TRANSFERRIN,84466,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,12.76,129,percent of total billed charges,
TRANSFERRIN,84466,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,12.76,129,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,ALLIANT,ALLIANT,,21.05,,fee schedule,21.05,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,AMBETTER,AMBETTER,,16.59,,fee schedule,16.59,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,16.86,,fee schedule,16.86,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,17.18,,fee schedule,17.18,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,MEDICARE,MEDICARE,,12.76,,fee schedule,12.76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,16.06,,fee schedule,16.06,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,TRICARE,TRICARE,,12.76,,fee schedule,12.76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,12.76,,fee schedule,12.76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,12.76,76,percent of total billed charges,
TRANSFERRIN,84466,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,12.76,76,percent of total billed charges,
TRANSFERRIN,84466,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,12.76,76,percent of total billed charges,
TRANSFERRIN,84466,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,12.76,76,fee schedule,
TRANSFERRIN,84466,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,12.76,76,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,ALLIANT,ALLIANT,,9.47,,fee schedule,9.47,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,AMBETTER,AMBETTER,,7.46,,fee schedule,7.46,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,MEDICARE,MEDICARE,,5.74,,fee schedule,5.74,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,TRICARE,TRICARE,,5.74,,fee schedule,5.74,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,5.74,,fee schedule,5.74,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,5.74,101,percent of total billed charges,
TRIGLYCERIDE,84478,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,5.74,101,percent of total billed charges,
TRIGLYCERIDE,84478,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,5.74,101,percent of total billed charges,
TRIGLYCERIDE,84478,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDE,84478,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,ALLIANT,ALLIANT,,9.47,,fee schedule,9.47,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,AMBETTER,AMBETTER,,7.46,,fee schedule,7.46,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,MEDICARE,MEDICARE,,5.74,,fee schedule,5.74,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,TRICARE,TRICARE,,5.74,,fee schedule,5.74,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,5.74,,fee schedule,5.74,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,5.74,101,percent of total billed charges,
TRIGLYCERIDES,84478,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,5.74,101,percent of total billed charges,
TRIGLYCERIDES,84478,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,5.74,101,percent of total billed charges,
TRIGLYCERIDES,84478,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,5.74,101,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,ALLIANT,ALLIANT,,9.47,,fee schedule,9.47,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,AMBETTER,AMBETTER,,7.46,,fee schedule,7.46,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.67,,fee schedule,6.67,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.79,,fee schedule,6.79,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,MEDICARE,MEDICARE,,5.74,,fee schedule,5.74,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,6.35,,fee schedule,6.35,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,TRICARE,TRICARE,,5.74,,fee schedule,5.74,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,5.74,,fee schedule,5.74,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,5.74,43,percent of total billed charges,
TRIGLYCERIDES,84478,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,5.74,43,percent of total billed charges,
TRIGLYCERIDES,84478,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,5.74,43,percent of total billed charges,
TRIGLYCERIDES,84478,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,5.74,43,fee schedule,
TRIGLYCERIDES,84478,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,5.74,43,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,6.47,95,percent of total billed charges,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,6.47,95,percent of total billed charges,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,6.47,95,percent of total billed charges,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,6.47,95,fee schedule,
T3 RESIN UPTAKE (T3 RU),84479,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,6.47,95,percent of total billed charges,
T3 UPTAKE,84479,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,6.47,95,percent of total billed charges,
T3 UPTAKE,84479,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,6.47,95,percent of total billed charges,
T3 UPTAKE,84479,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,6.47,95,fee schedule,
T3 UPTAKE,84479,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,6.47,95,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,6.47,43,percent of total billed charges,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,6.47,43,percent of total billed charges,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,6.47,43,percent of total billed charges,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,6.47,43,fee schedule,
THYROID PROFILE A (T3 ONL,84479,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,6.47,43,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,ALLIANT,ALLIANT,,23.4,,fee schedule,23.4,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,AMBETTER,AMBETTER,,18.43,,fee schedule,18.43,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,AMERIGROUP,AMERIGROUP,,16.83,,fee schedule,16.83,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,CARESOURCE,CARESOURCE,,17.15,,fee schedule,17.15,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,MEDICARE,MEDICARE,,14.18,,fee schedule,14.18,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,PEACHSTATE,PEACHSTATE,,16.03,,fee schedule,16.03,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,TRICARE,TRICARE,,14.18,,fee schedule,14.18,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,UHC MEDICARE,UHC MEDICARE,,14.18,,fee schedule,14.18,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,AETNA,AETNA,,158.34,87,percent of total billed charges,158.34,14.18,182,percent of total billed charges,
T3 TOTAL,84480,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,158.34,87,percent of total billed charges,158.34,14.18,182,percent of total billed charges,
T3 TOTAL,84480,CPT,both,,,182,182,UNITED HEALTHCARE,UNITED HEALTHCARE,,160.16,88,percent of total billed charges,160.16,14.18,182,percent of total billed charges,
T3 TOTAL,84480,CPT,both,,,182,182,AETNA,AETNA,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,BEECH STREET,BEECH STREET,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,CARESOURCE,CARESOURCE,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,MEDICAID,MEDICAID,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,NOVA NET,NOVA NET,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,PEACHSTATE,PEACHSTATE,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,SELFPAY,SELFPAY,,182,,fee schedule,182,14.18,182,fee schedule,
T3 TOTAL,84480,CPT,both,,,182,182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,182,,fee schedule,182,14.18,182,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,ALLIANT,ALLIANT,,27.95,,fee schedule,27.95,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,AMBETTER,AMBETTER,,22.02,,fee schedule,22.02,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,AMERIGROUP,AMERIGROUP,,22.37,,fee schedule,22.37,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,22.79,,fee schedule,22.79,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,MEDICARE,MEDICARE,,16.94,,fee schedule,16.94,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,21.3,,fee schedule,21.3,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,TRICARE,TRICARE,,16.94,,fee schedule,16.94,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,16.94,,fee schedule,16.94,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,16.94,138,percent of total billed charges,
FREE T-3,84481,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,16.94,138,percent of total billed charges,
FREE T-3,84481,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,16.94,138,percent of total billed charges,
FREE T-3,84481,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,16.94,138,fee schedule,
FREE T-3,84481,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,16.94,138,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,ALLIANT,ALLIANT,,27.95,,fee schedule,27.95,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,AMBETTER,AMBETTER,,22.02,,fee schedule,22.02,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,22.37,,fee schedule,22.37,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,22.79,,fee schedule,22.79,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,MEDICARE,MEDICARE,,16.94,,fee schedule,16.94,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,21.3,,fee schedule,21.3,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,TRICARE,TRICARE,,16.94,,fee schedule,16.94,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,16.94,,fee schedule,16.94,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,16.94,307,percent of total billed charges,
T3 FREE,84481,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,16.94,307,percent of total billed charges,
T3 FREE,84481,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,16.94,307,percent of total billed charges,
T3 FREE,84481,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,16.94,307,fee schedule,
T3 FREE,84481,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,16.94,307,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,ALLIANT,ALLIANT,,26,,fee schedule,26,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,AMBETTER,AMBETTER,,20.49,,fee schedule,20.49,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,20.81,,fee schedule,20.81,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,21.21,,fee schedule,21.21,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,MEDICARE,MEDICARE,,15.76,,fee schedule,15.76,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,19.82,,fee schedule,19.82,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,TRICARE,TRICARE,,15.76,,fee schedule,15.76,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,UHC MEDICARE,UHC MEDICARE,,15.76,,fee schedule,15.76,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,AETNA,AETNA,,293.19,87,percent of total billed charges,293.19,15.76,337,percent of total billed charges,
REVERSE T3,84482,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,293.19,87,percent of total billed charges,293.19,15.76,337,percent of total billed charges,
REVERSE T3,84482,CPT,both,,,337,337,UNITED HEALTHCARE,UNITED HEALTHCARE,,296.56,88,percent of total billed charges,296.56,15.76,337,percent of total billed charges,
REVERSE T3,84482,CPT,both,,,337,337,AETNA,AETNA,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,BEECH STREET,BEECH STREET,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,MEDICAID,MEDICAID,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,NOVA NET,NOVA NET,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,SELFPAY,SELFPAY,,337,,fee schedule,337,15.76,337,fee schedule,
REVERSE T3,84482,CPT,both,,,337,337,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,337,,fee schedule,337,15.76,337,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,ALLIANT,ALLIANT,,20.58,,fee schedule,20.58,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,AMBETTER,AMBETTER,,16.21,,fee schedule,16.21,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,AMERIGROUP,AMERIGROUP,,13,,fee schedule,13,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,CARESOURCE,CARESOURCE,,13.25,,fee schedule,13.25,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,MEDICARE,MEDICARE,,12.47,,fee schedule,12.47,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,PEACHSTATE,PEACHSTATE,,12.38,,fee schedule,12.38,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,TRICARE,TRICARE,,12.47,,fee schedule,12.47,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,UHC MEDICARE,UHC MEDICARE,,12.47,,fee schedule,12.47,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,AETNA,AETNA,,213.15,87,percent of total billed charges,213.15,12.38,245,percent of total billed charges,
TROPONIN I,84484,CPT,both,,,245,245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,213.15,87,percent of total billed charges,213.15,12.38,245,percent of total billed charges,
TROPONIN I,84484,CPT,both,,,245,245,UNITED HEALTHCARE,UNITED HEALTHCARE,,215.6,88,percent of total billed charges,215.6,12.38,245,percent of total billed charges,
TROPONIN I,84484,CPT,both,,,245,245,AETNA,AETNA,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,BEECH STREET,BEECH STREET,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,CARESOURCE,CARESOURCE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,MEDICAID,MEDICAID,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,NOVA NET,NOVA NET,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,PEACHSTATE,PEACHSTATE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,SELFPAY,SELFPAY,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN I,84484,CPT,both,,,245,245,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,ALLIANT,ALLIANT,,20.58,,fee schedule,20.58,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,AMBETTER,AMBETTER,,16.21,,fee schedule,16.21,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,AMERIGROUP,AMERIGROUP,,13,,fee schedule,13,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,CARESOURCE,CARESOURCE,,13.25,,fee schedule,13.25,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,MEDICARE,MEDICARE,,12.47,,fee schedule,12.47,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,PEACHSTATE,PEACHSTATE,,12.38,,fee schedule,12.38,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,TRICARE,TRICARE,,12.47,,fee schedule,12.47,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,UHC MEDICARE,UHC MEDICARE,,12.47,,fee schedule,12.47,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,AETNA,AETNA,,213.15,87,percent of total billed charges,213.15,12.38,245,percent of total billed charges,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,213.15,87,percent of total billed charges,213.15,12.38,245,percent of total billed charges,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,UNITED HEALTHCARE,UNITED HEALTHCARE,,215.6,88,percent of total billed charges,215.6,12.38,245,percent of total billed charges,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,AETNA,AETNA,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,BEECH STREET,BEECH STREET,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,CARESOURCE,CARESOURCE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,MEDICAID,MEDICAID,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,NOVA NET,NOVA NET,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,PEACHSTATE,PEACHSTATE,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,SELFPAY,SELFPAY,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,245,245,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,245,,fee schedule,245,12.38,245,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,ALLIANT,ALLIANT,,20.58,,fee schedule,20.58,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,AMBETTER,AMBETTER,,16.21,,fee schedule,16.21,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,13,,fee schedule,13,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,13.25,,fee schedule,13.25,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,MEDICARE,MEDICARE,,12.47,,fee schedule,12.47,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,12.38,,fee schedule,12.38,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,TRICARE,TRICARE,,12.47,,fee schedule,12.47,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,12.47,,fee schedule,12.47,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,12.38,118,percent of total billed charges,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,12.38,118,percent of total billed charges,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,12.38,118,percent of total billed charges,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN T QUANTITATIVE,84484,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,12.38,118,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,ALLIANT,ALLIANT,,16.65,,fee schedule,16.65,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,AMBETTER,AMBETTER,,13.12,,fee schedule,13.12,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,9.74,,fee schedule,9.74,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,9.93,,fee schedule,9.93,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,MEDICARE,MEDICARE,,10.09,,fee schedule,10.09,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,9.28,,fee schedule,9.28,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,TRICARE,TRICARE,,10.09,,fee schedule,10.09,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,10.09,,fee schedule,10.09,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,9.28,205,percent of total billed charges,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,9.28,205,percent of total billed charges,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,9.28,205,percent of total billed charges,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,9.28,205,fee schedule,
TROPONIN-T QUAL,84512,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,9.28,205,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,ALLIANT,ALLIANT,,6.52,,fee schedule,6.52,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,AMBETTER,AMBETTER,,5.14,,fee schedule,5.14,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,5.21,,fee schedule,5.21,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,5.31,,fee schedule,5.31,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,MEDICARE,MEDICARE,,3.95,,fee schedule,3.95,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,4.96,,fee schedule,4.96,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,TRICARE,TRICARE,,3.95,,fee schedule,3.95,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,3.95,,fee schedule,3.95,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,3.95,59,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,3.95,59,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,3.95,59,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,3.95,59,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,ALLIANT,ALLIANT,,6.52,,fee schedule,6.52,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AMBETTER,AMBETTER,,5.14,,fee schedule,5.14,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,5.21,,fee schedule,5.21,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,5.31,,fee schedule,5.31,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,MEDICARE,MEDICARE,,3.95,,fee schedule,3.95,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,4.96,,fee schedule,4.96,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,TRICARE,TRICARE,,3.95,,fee schedule,3.95,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,3.95,,fee schedule,3.95,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,3.95,26,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,3.95,26,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,3.95,26,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,ALLIANT,ALLIANT,,6.52,,fee schedule,6.52,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AMBETTER,AMBETTER,,5.14,,fee schedule,5.14,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,5.21,,fee schedule,5.21,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,5.31,,fee schedule,5.31,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,MEDICARE,MEDICARE,,3.95,,fee schedule,3.95,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,4.96,,fee schedule,4.96,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,TRICARE,TRICARE,,3.95,,fee schedule,3.95,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,3.95,,fee schedule,3.95,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,3.95,26,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,3.95,26,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,3.95,26,percent of total billed charges,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,3.95,26,fee schedule,
BLOOD UREA NITROGEN (BUN),84520,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,3.95,26,fee schedule,
BUN,84520,CPT,both,,,22,22,ALLIANT,ALLIANT,,6.52,,fee schedule,6.52,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,AMBETTER,AMBETTER,,5.14,,fee schedule,5.14,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,5.21,,fee schedule,5.21,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,5.31,,fee schedule,5.31,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,MEDICARE,MEDICARE,,3.95,,fee schedule,3.95,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,4.96,,fee schedule,4.96,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,TRICARE,TRICARE,,3.95,,fee schedule,3.95,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,3.95,,fee schedule,3.95,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,3.95,22,percent of total billed charges,
BUN,84520,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,3.95,22,percent of total billed charges,
BUN,84520,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,3.95,22,percent of total billed charges,
BUN,84520,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,3.95,22,fee schedule,
BUN,84520,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,3.95,22,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,ALLIANT,ALLIANT,,9.17,,fee schedule,9.17,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,AMBETTER,AMBETTER,,7.23,,fee schedule,7.23,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,MEDICARE,MEDICARE,,5.56,,fee schedule,5.56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,TRICARE,TRICARE,,5.56,,fee schedule,5.56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,5.56,,fee schedule,5.56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,5.56,56,percent of total billed charges,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,5.56,56,percent of total billed charges,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,5.56,56,percent of total billed charges,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,5.56,56,fee schedule,
"UREA NITROGEN, URINE",84540,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,5.56,56,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,ALLIANT,ALLIANT,,11.88,,fee schedule,11.88,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,AMBETTER,AMBETTER,,9.36,,fee schedule,9.36,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,8.73,,fee schedule,8.73,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,8.89,,fee schedule,8.89,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,MEDICARE,MEDICARE,,7.2,,fee schedule,7.2,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,8.31,,fee schedule,8.31,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,TRICARE,TRICARE,,7.2,,fee schedule,7.2,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,7.2,,fee schedule,7.2,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,7.2,103,percent of total billed charges,
UREA CLEARANCE,84545,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,7.2,103,percent of total billed charges,
UREA CLEARANCE,84545,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,7.2,103,percent of total billed charges,
UREA CLEARANCE,84545,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,7.2,103,fee schedule,
UREA CLEARANCE,84545,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,ALLIANT,ALLIANT,,11.88,,fee schedule,11.88,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,AMBETTER,AMBETTER,,9.36,,fee schedule,9.36,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,8.73,,fee schedule,8.73,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,8.89,,fee schedule,8.89,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,MEDICARE,MEDICARE,,7.2,,fee schedule,7.2,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,8.31,,fee schedule,8.31,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,TRICARE,TRICARE,,7.2,,fee schedule,7.2,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,7.2,,fee schedule,7.2,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,7.2,103,percent of total billed charges,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,7.2,103,percent of total billed charges,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,7.2,103,percent of total billed charges,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,7.2,103,fee schedule,
UREA NITROGEN CLEARANCE,84545,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,7.2,103,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,5.96,,fee schedule,5.96,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,6.08,,fee schedule,6.08,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,5.68,,fee schedule,5.68,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,4.52,100,percent of total billed charges,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,4.52,100,percent of total billed charges,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,4.52,100,percent of total billed charges,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,4.52,100,fee schedule,
RHEUMATOID PROF B - URIC,84550,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,5.96,,fee schedule,5.96,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,6.08,,fee schedule,6.08,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,5.68,,fee schedule,5.68,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,4.52,22,percent of total billed charges,
URIC ACID,84550,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,4.52,22,percent of total billed charges,
URIC ACID,84550,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,4.52,22,percent of total billed charges,
URIC ACID,84550,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID,84550,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,5.96,,fee schedule,5.96,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,6.08,,fee schedule,6.08,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,5.68,,fee schedule,5.68,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,4.52,27,percent of total billed charges,
URIC ACID BLOOD,84550,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,4.52,27,percent of total billed charges,
URIC ACID BLOOD,84550,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,4.52,27,percent of total billed charges,
URIC ACID BLOOD,84550,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID BLOOD,84550,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,4.52,27,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,5.96,,fee schedule,5.96,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,6.08,,fee schedule,6.08,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,5.68,,fee schedule,5.68,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,4.52,100,percent of total billed charges,
URIC ACID SERUM,84550,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,4.52,100,percent of total billed charges,
URIC ACID SERUM,84550,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,4.52,100,percent of total billed charges,
URIC ACID SERUM,84550,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID SERUM,84550,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,4.52,100,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,ALLIANT,ALLIANT,,7.46,,fee schedule,7.46,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,AMBETTER,AMBETTER,,5.88,,fee schedule,5.88,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,5.96,,fee schedule,5.96,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,6.08,,fee schedule,6.08,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,MEDICARE,MEDICARE,,4.52,,fee schedule,4.52,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,5.68,,fee schedule,5.68,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,TRICARE,TRICARE,,4.52,,fee schedule,4.52,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,4.52,,fee schedule,4.52,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,4.52,22,percent of total billed charges,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,4.52,22,percent of total billed charges,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,4.52,22,percent of total billed charges,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID; BLOOD,84550,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,4.52,22,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,ALLIANT,ALLIANT,,8.38,,fee schedule,8.38,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,AMBETTER,AMBETTER,,6.6,,fee schedule,6.6,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,MEDICARE,MEDICARE,,5.08,,fee schedule,5.08,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,TRICARE,TRICARE,,5.08,,fee schedule,5.08,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,5.08,,fee schedule,5.08,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,5.08,91,percent of total billed charges,
URIC ACID URINE,84560,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,5.08,91,percent of total billed charges,
URIC ACID URINE,84560,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,5.08,91,percent of total billed charges,
URIC ACID URINE,84560,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,5.08,91,fee schedule,
URIC ACID URINE,84560,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,ALLIANT,ALLIANT,,8.38,,fee schedule,8.38,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,AMBETTER,AMBETTER,,6.6,,fee schedule,6.6,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,MEDICARE,MEDICARE,,5.08,,fee schedule,5.08,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,TRICARE,TRICARE,,5.08,,fee schedule,5.08,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,5.08,,fee schedule,5.08,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,5.08,91,percent of total billed charges,
URINE URIC ACID,84560,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,5.08,91,percent of total billed charges,
URINE URIC ACID,84560,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,5.08,91,percent of total billed charges,
URINE URIC ACID,84560,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,5.08,91,fee schedule,
URINE URIC ACID,84560,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,5.08,91,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,ALLIANT,ALLIANT,,9.98,,fee schedule,9.98,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,AMBETTER,AMBETTER,,7.87,,fee schedule,7.87,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,6.64,,fee schedule,6.64,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,6.76,,fee schedule,6.76,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,MEDICARE,MEDICARE,,6.05,,fee schedule,6.05,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,6.32,,fee schedule,6.32,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,TRICARE,TRICARE,,6.05,,fee schedule,6.05,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,6.05,,fee schedule,6.05,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,6.05,46,percent of total billed charges,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,6.05,46,percent of total billed charges,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,6.05,46,percent of total billed charges,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,6.05,46,fee schedule,
UROBILINOGEN QT.,84583,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,6.05,46,fee schedule,
VMA,84585,CPT,both,,,175,175,ALLIANT,ALLIANT,,25.58,,fee schedule,25.58,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,AMBETTER,AMBETTER,,20.15,,fee schedule,20.15,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,20.46,,fee schedule,20.46,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,20.85,,fee schedule,20.85,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,MEDICARE,MEDICARE,,15.5,,fee schedule,15.5,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,19.49,,fee schedule,19.49,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,TRICARE,TRICARE,,15.5,,fee schedule,15.5,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,15.5,,fee schedule,15.5,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,15.5,175,percent of total billed charges,
VMA,84585,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,15.5,175,percent of total billed charges,
VMA,84585,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,15.5,175,percent of total billed charges,
VMA,84585,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,15.5,175,fee schedule,
VMA,84585,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,ALLIANT,ALLIANT,,25.58,,fee schedule,25.58,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,AMBETTER,AMBETTER,,20.15,,fee schedule,20.15,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,20.46,,fee schedule,20.46,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,20.85,,fee schedule,20.85,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,MEDICARE,MEDICARE,,15.5,,fee schedule,15.5,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,19.49,,fee schedule,19.49,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,TRICARE,TRICARE,,15.5,,fee schedule,15.5,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,15.5,,fee schedule,15.5,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,15.5,175,percent of total billed charges,
VMA PROFILE,84585,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,15.5,175,percent of total billed charges,
VMA PROFILE,84585,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,15.5,175,percent of total billed charges,
VMA PROFILE,84585,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,15.5,175,fee schedule,
VMA PROFILE,84585,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,15.5,175,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,ALLIANT,ALLIANT,,58.29,,fee schedule,58.29,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,AMBETTER,AMBETTER,,45.93,,fee schedule,45.93,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,46.65,,fee schedule,46.65,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,47.54,,fee schedule,47.54,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,MEDICARE,MEDICARE,,35.33,,fee schedule,35.33,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,44.43,,fee schedule,44.43,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,TRICARE,TRICARE,,35.33,,fee schedule,35.33,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,35.33,,fee schedule,35.33,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,35.33,477,percent of total billed charges,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,35.33,477,percent of total billed charges,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,35.33,477,percent of total billed charges,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,35.33,477,fee schedule,
VASOACTIVE INTESTINAL POL,84586,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,35.33,477,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,ALLIANT,ALLIANT,,56,,fee schedule,56,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,AMBETTER,AMBETTER,,44.12,,fee schedule,44.12,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,44.82,,fee schedule,44.82,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,45.68,,fee schedule,45.68,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,MEDICARE,MEDICARE,,33.94,,fee schedule,33.94,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,42.69,,fee schedule,42.69,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,TRICARE,TRICARE,,33.94,,fee schedule,33.94,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,33.94,,fee schedule,33.94,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,33.94,286,percent of total billed charges,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,33.94,286,percent of total billed charges,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,33.94,286,percent of total billed charges,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,33.94,286,fee schedule,
ANTI DIURETIC HORMONE,84588,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,33.94,286,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,ALLIANT,ALLIANT,,19.16,,fee schedule,19.16,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,AMBETTER,AMBETTER,,15.09,,fee schedule,15.09,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,15.31,,fee schedule,15.31,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,15.6,,fee schedule,15.6,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,MEDICARE,MEDICARE,,11.61,,fee schedule,11.61,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,14.58,,fee schedule,14.58,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,TRICARE,TRICARE,,11.61,,fee schedule,11.61,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,11.61,,fee schedule,11.61,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,11.61,173,percent of total billed charges,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,11.61,173,percent of total billed charges,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,11.61,173,percent of total billed charges,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN A (RETINOL),84590,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,11.61,173,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,ALLIANT,ALLIANT,,28.15,,fee schedule,28.15,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,AMBETTER,AMBETTER,,22.18,,fee schedule,22.18,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,15.31,,fee schedule,15.31,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,15.6,,fee schedule,15.6,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,MEDICARE,MEDICARE,,17.06,,fee schedule,17.06,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,14.58,,fee schedule,14.58,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,TRICARE,TRICARE,,17.06,,fee schedule,17.06,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,17.06,,fee schedule,17.06,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,14.58,255,percent of total billed charges,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,14.58,255,percent of total billed charges,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,14.58,255,percent of total billed charges,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN B5 (PANTOTHENIC A,84591,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,ALLIANT,ALLIANT,,28.15,,fee schedule,28.15,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,AMBETTER,AMBETTER,,22.18,,fee schedule,22.18,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,15.31,,fee schedule,15.31,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,15.6,,fee schedule,15.6,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,MEDICARE,MEDICARE,,17.06,,fee schedule,17.06,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,14.58,,fee schedule,14.58,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,TRICARE,TRICARE,,17.06,,fee schedule,17.06,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,17.06,,fee schedule,17.06,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,14.58,255,percent of total billed charges,
"VITAMIN, NOS",84591,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,14.58,255,percent of total billed charges,
"VITAMIN, NOS",84591,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,14.58,255,percent of total billed charges,
"VITAMIN, NOS",84591,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,14.58,255,fee schedule,
"VITAMIN, NOS",84591,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,14.58,255,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,ALLIANT,ALLIANT,,22.64,,fee schedule,22.64,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,AMBETTER,AMBETTER,,17.84,,fee schedule,17.84,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,18.1,,fee schedule,18.1,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,18.45,,fee schedule,18.45,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,MEDICARE,MEDICARE,,13.72,,fee schedule,13.72,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,17.24,,fee schedule,17.24,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,TRICARE,TRICARE,,13.72,,fee schedule,13.72,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,13.72,,fee schedule,13.72,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,13.72,195,percent of total billed charges,
VITAMIN K,84597,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,13.72,195,percent of total billed charges,
VITAMIN K,84597,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,13.72,195,percent of total billed charges,
VITAMIN K,84597,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,13.72,195,fee schedule,
VITAMIN K,84597,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,13.72,195,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,ALLIANT,ALLIANT,,28.23,,fee schedule,28.23,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,AMBETTER,AMBETTER,,22.24,,fee schedule,22.24,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,AMERIGROUP,AMERIGROUP,,21.22,,fee schedule,21.22,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,21.62,,fee schedule,21.62,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,MEDICARE,MEDICARE,,17.11,,fee schedule,17.11,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,20.21,,fee schedule,20.21,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,TRICARE,TRICARE,,17.11,,fee schedule,17.11,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,17.11,,fee schedule,17.11,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,17.11,253,percent of total billed charges,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,17.11,253,percent of total billed charges,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,17.11,253,percent of total billed charges,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOL ISOPROPYL,84600,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,ALLIANT,ALLIANT,,28.23,,fee schedule,28.23,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,AMBETTER,AMBETTER,,22.24,,fee schedule,22.24,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,AMERIGROUP,AMERIGROUP,,21.22,,fee schedule,21.22,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,21.62,,fee schedule,21.62,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,MEDICARE,MEDICARE,,17.11,,fee schedule,17.11,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,20.21,,fee schedule,20.21,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,TRICARE,TRICARE,,17.11,,fee schedule,17.11,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,17.11,,fee schedule,17.11,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,17.11,253,percent of total billed charges,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,17.11,253,percent of total billed charges,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,17.11,253,percent of total billed charges,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,17.11,253,fee schedule,
ALCOHOLMETHYL,84600,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,17.11,253,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,ALLIANT,ALLIANT,,18.79,,fee schedule,18.79,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,AMBETTER,AMBETTER,,14.81,,fee schedule,14.81,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.04,,fee schedule,15.04,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.32,,fee schedule,15.32,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.39,,fee schedule,11.39,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.32,,fee schedule,14.32,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,TRICARE,TRICARE,,11.39,,fee schedule,11.39,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.39,,fee schedule,11.39,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.39,121,percent of total billed charges,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.39,121,percent of total billed charges,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.39,121,percent of total billed charges,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.39,121,fee schedule,
ZINCSERUM OR PLASMA,84630,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.39,121,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,20.98,,fee schedule,20.98,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,21.38,,fee schedule,21.38,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,19.98,,fee schedule,19.98,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,TRICARE,TRICARE,,20.81,,fee schedule,20.81,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,19.98,48,percent of total billed charges,
C-PEPTIDE,84681,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,19.98,48,percent of total billed charges,
C-PEPTIDE,84681,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,19.98,48,percent of total billed charges,
C-PEPTIDE,84681,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE,84681,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,19.98,48,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,20.98,,fee schedule,20.98,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,21.38,,fee schedule,21.38,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,19.98,,fee schedule,19.98,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,TRICARE,TRICARE,,20.81,,fee schedule,20.81,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,19.98,231,percent of total billed charges,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,19.98,231,percent of total billed charges,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,19.98,231,percent of total billed charges,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,19.98,231,fee schedule,
C-PEPTIDE SERUM,84681,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,19.98,231,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,TRICARE,TRICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,AETNA,AETNA,,207.93,87,percent of total billed charges,207.93,8.07,239,percent of total billed charges,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.93,87,percent of total billed charges,207.93,8.07,239,percent of total billed charges,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,UNITED HEALTHCARE,UNITED HEALTHCARE,,210.32,88,percent of total billed charges,210.32,8.07,239,percent of total billed charges,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,AETNA,AETNA,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,BEECH STREET,BEECH STREET,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,MEDICAID,MEDICAID,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,NOVA NET,NOVA NET,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,SELFPAY,SELFPAY,,239,,fee schedule,239,8.07,239,fee schedule,
BETA-CHAIN (HCG) QT. SER,84702,CPT,both,,,239,239,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,TRICARE,TRICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,AETNA,AETNA,,207.93,87,percent of total billed charges,207.93,8.07,239,percent of total billed charges,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.93,87,percent of total billed charges,207.93,8.07,239,percent of total billed charges,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,UNITED HEALTHCARE,UNITED HEALTHCARE,,210.32,88,percent of total billed charges,210.32,8.07,239,percent of total billed charges,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,AETNA,AETNA,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,BEECH STREET,BEECH STREET,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,MEDICAID,MEDICAID,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,NOVA NET,NOVA NET,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,SELFPAY,SELFPAY,,239,,fee schedule,239,8.07,239,fee schedule,
QUAD SCREEN HCG,84702,CPT,both,,,239,239,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,239,,fee schedule,239,8.07,239,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,TRICARE,TRICARE,,15.05,,fee schedule,15.05,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,8.07,92,percent of total billed charges,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,8.07,92,percent of total billed charges,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,8.07,92,percent of total billed charges,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,8.07,92,fee schedule,
QUATITATIVE BETA HCG,84702,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,8.07,92,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,TRICARE,TRICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,AETNA,AETNA,,207.93,87,percent of total billed charges,207.93,8.07,239,percent of total billed charges,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.93,87,percent of total billed charges,207.93,8.07,239,percent of total billed charges,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,UNITED HEALTHCARE,UNITED HEALTHCARE,,210.32,88,percent of total billed charges,210.32,8.07,239,percent of total billed charges,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,AETNA,AETNA,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,BEECH STREET,BEECH STREET,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,MEDICAID,MEDICAID,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,NOVA NET,NOVA NET,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,SELFPAY,SELFPAY,,239,,fee schedule,239,8.07,239,fee schedule,
TRIPLE MARKER - HCG,84702,CPT,both,,,239,239,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,239,,fee schedule,239,8.07,239,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,ALLIANT,ALLIANT,,12.41,,fee schedule,12.41,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,AMBETTER,AMBETTER,,9.78,,fee schedule,9.78,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,MEDICARE,MEDICARE,,7.52,,fee schedule,7.52,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,TRICARE,TRICARE,,7.52,,fee schedule,7.52,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,7.52,,fee schedule,7.52,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,7.52,32,percent of total billed charges,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,7.52,32,percent of total billed charges,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,7.52,32,percent of total billed charges,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST BLOOD (HC,84703,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,7.52,32,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,ALLIANT,ALLIANT,,12.41,,fee schedule,12.41,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,AMBETTER,AMBETTER,,9.78,,fee schedule,9.78,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,8.47,,fee schedule,8.47,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,8.63,,fee schedule,8.63,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,MEDICARE,MEDICARE,,7.52,,fee schedule,7.52,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,8.07,,fee schedule,8.07,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,TRICARE,TRICARE,,7.52,,fee schedule,7.52,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,7.52,,fee schedule,7.52,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,7.52,172,percent of total billed charges,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,7.52,172,percent of total billed charges,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,7.52,172,percent of total billed charges,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,7.52,172,fee schedule,
PREGNANCY TEST SERUM,84703,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,7.52,172,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,207.06,238,percent of total billed charges,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,207.06,238,percent of total billed charges,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,207.06,238,percent of total billed charges,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,ALLIANT,ALLIANT,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,AMBETTER,AMBETTER,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,MEDICARE,MEDICARE,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,TRICARE,TRICARE,,238,,fee schedule,238,207.06,238,fee schedule,
OSMOLALITY FECAL,84999,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,238,,fee schedule,238,207.06,238,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,162.69,187,percent of total billed charges,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,162.69,187,fee schedule,
UNLISTED CHEMISTRY PROCEDURE,84999,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,ALLIANT,ALLIANT,,7.95,,fee schedule,7.95,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,AMBETTER,AMBETTER,,6.27,,fee schedule,6.27,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,AMERIGROUP,AMERIGROUP,,5.94,,fee schedule,5.94,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,6.06,,fee schedule,6.06,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,MEDICARE,MEDICARE,,4.82,,fee schedule,4.82,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,5.66,,fee schedule,5.66,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,TRICARE,TRICARE,,4.82,,fee schedule,4.82,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,4.82,,fee schedule,4.82,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,4.82,98,percent of total billed charges,
BLEEDING TIME,85002,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,4.82,98,percent of total billed charges,
BLEEDING TIME,85002,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,4.82,98,percent of total billed charges,
BLEEDING TIME,85002,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,4.82,98,fee schedule,
BLEEDING TIME,85002,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,ALLIANT,ALLIANT,,7.95,,fee schedule,7.95,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,AMBETTER,AMBETTER,,6.27,,fee schedule,6.27,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,AMERIGROUP,AMERIGROUP,,5.94,,fee schedule,5.94,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,6.06,,fee schedule,6.06,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,MEDICARE,MEDICARE,,4.82,,fee schedule,4.82,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,5.66,,fee schedule,5.66,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,TRICARE,TRICARE,,4.82,,fee schedule,4.82,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,4.82,,fee schedule,4.82,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,4.82,98,percent of total billed charges,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,4.82,98,percent of total billed charges,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,4.82,98,percent of total billed charges,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,4.82,98,fee schedule,
COAGULATION PROF/BLEEDING,85002,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,4.82,98,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,6.47,32,percent of total billed charges,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,6.47,32,percent of total billed charges,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,6.47,32,percent of total billed charges,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,6.47,32,fee schedule,
AUTOMATED DIFF WBC COUNT,85004,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,6.47,32,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,2.37,45,percent of total billed charges,
HEMATOCRIT,85014,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,2.37,45,percent of total billed charges,
HEMATOCRIT,85014,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,2.37,45,percent of total billed charges,
HEMATOCRIT,85014,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,2.37,45,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,2.37,22,percent of total billed charges,
HEMATOCRIT,85014,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,2.37,22,percent of total billed charges,
HEMATOCRIT,85014,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,2.37,22,percent of total billed charges,
HEMATOCRIT,85014,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,2.37,22,fee schedule,
HEMATOCRIT,85014,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,2.37,22,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,2.37,67,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,2.37,67,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,2.37,67,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,2.37,67,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,2.37,28,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,2.37,28,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,2.37,28,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,2.37,28,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,2.37,34,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,2.37,34,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,2.37,34,percent of total billed charges,
HEMOGLOBIN,85018,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN,85018,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,2.37,34,percent of total billed charges,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,2.37,34,percent of total billed charges,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,2.37,34,percent of total billed charges,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,2.37,34,fee schedule,
HEMOGLOBIN-MCR,85018,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,2.37,34,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,ALLIANT,ALLIANT,,3.91,,fee schedule,3.91,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,AMBETTER,AMBETTER,,3.08,,fee schedule,3.08,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,AMERIGROUP,AMERIGROUP,,3.13,,fee schedule,3.13,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,3.19,,fee schedule,3.19,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,MEDICARE,MEDICARE,,2.37,,fee schedule,2.37,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,2.98,,fee schedule,2.98,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,TRICARE,TRICARE,,2.37,,fee schedule,2.37,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,UHC MEDICARE,UHC MEDICARE,,2.37,,fee schedule,2.37,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,AETNA,AETNA,,344.52,87,percent of total billed charges,344.52,2.37,396,percent of total billed charges,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344.52,87,percent of total billed charges,344.52,2.37,396,percent of total billed charges,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,UNITED HEALTHCARE,UNITED HEALTHCARE,,348.48,88,percent of total billed charges,348.48,2.37,396,percent of total billed charges,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,AETNA,AETNA,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,BEECH STREET,BEECH STREET,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,MEDICAID,MEDICAID,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,NOVA NET,NOVA NET,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,SELFPAY,SELFPAY,,396,,fee schedule,396,2.37,396,fee schedule,
PAROXYSMAL NOCTURNAL HGB,85018,CPT,both,,,396,396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,396,,fee schedule,396,2.37,396,fee schedule,
CBC,85025,CPT,both,,,178,178,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
CBC,85025,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,7.77,178,percent of total billed charges,
CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,7.77,178,fee schedule,
CBC,85025,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,7.77,34,percent of total billed charges,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,7.77,34,percent of total billed charges,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,7.77,34,percent of total billed charges,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,7.77,34,fee schedule,
CBC W/DIFFERENTIAL AUTO,85025,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
CBC WITH DIFF,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
CBC WITH DIFF,85025,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,7.77,178,percent of total billed charges,
CBC WITH DIFF,85025,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF,85025,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,7.77,34,percent of total billed charges,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,7.77,34,percent of total billed charges,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,7.77,34,percent of total billed charges,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,7.77,34,fee schedule,
CBC WITH DIFF PROFILE,85025,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,7.77,34,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EP66-CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EP66-CBC,85025,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,7.77,178,percent of total billed charges,
EP66-CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,7.77,178,fee schedule,
EP66-CBC,85025,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EXE PROF C - CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EXE PROF C - CBC,85025,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,7.77,178,percent of total billed charges,
EXE PROF C - CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF C - CBC,85025,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EXE PROF D - CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EXE PROF D - CBC,85025,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,7.77,178,percent of total billed charges,
EXE PROF D - CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF D - CBC,85025,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,ALLIANT,ALLIANT,,12.82,,fee schedule,12.82,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,AMBETTER,AMBETTER,,10.1,,fee schedule,10.1,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,10.45,,fee schedule,10.45,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,MEDICARE,MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,9.77,,fee schedule,9.77,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,TRICARE,TRICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,7.77,,fee schedule,7.77,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EXE PROF E - CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,7.77,178,percent of total billed charges,
EXE PROF E - CBC,85025,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,7.77,178,percent of total billed charges,
EXE PROF E - CBC,85025,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,7.77,178,fee schedule,
EXE PROF E - CBC,85025,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,7.77,178,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,6.47,156,percent of total billed charges,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,6.47,156,percent of total billed charges,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,6.47,156,percent of total billed charges,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,6.47,156,fee schedule,
ANEMIA PROF II - CBC W/O,85027,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,6.47,156,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,6.47,34,percent of total billed charges,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,6.47,34,percent of total billed charges,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,6.47,34,percent of total billed charges,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,6.47,34,fee schedule,
CBC W/O DIFFERENTIAL AUTO,85027,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,6.47,34,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,6.47,156,percent of total billed charges,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,6.47,156,percent of total billed charges,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,6.47,156,percent of total billed charges,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,6.47,156,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,6.47,53,percent of total billed charges,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,6.47,53,percent of total billed charges,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,6.47,53,percent of total billed charges,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,6.47,53,fee schedule,
CBC WITHOUT DIFF,85027,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,6.47,53,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,ALLIANT,ALLIANT,,7.11,,fee schedule,7.11,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,AMBETTER,AMBETTER,,5.6,,fee schedule,5.6,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,5.68,,fee schedule,5.68,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,5.79,,fee schedule,5.79,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,MEDICARE,MEDICARE,,4.31,,fee schedule,4.31,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,5.41,,fee schedule,5.41,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,TRICARE,TRICARE,,4.31,,fee schedule,4.31,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,4.31,,fee schedule,4.31,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,4.31,100,percent of total billed charges,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,4.31,100,percent of total billed charges,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,4.31,100,percent of total billed charges,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,4.31,100,fee schedule,
MANUAL CELL COUNT,85032,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,4.31,100,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,ALLIANT,ALLIANT,,4.98,,fee schedule,4.98,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,AMBETTER,AMBETTER,,3.93,,fee schedule,3.93,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,AMERIGROUP,AMERIGROUP,,3.97,,fee schedule,3.97,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,CARESOURCE,CARESOURCE,,4.04,,fee schedule,4.04,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,MEDICARE,MEDICARE,,3.02,,fee schedule,3.02,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,PEACHSTATE,PEACHSTATE,,3.78,,fee schedule,3.78,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,TRICARE,TRICARE,,3.02,,fee schedule,3.02,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,UHC MEDICARE,UHC MEDICARE,,3.02,,fee schedule,3.02,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,AETNA,AETNA,,20.88,87,percent of total billed charges,20.88,3.02,24,percent of total billed charges,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.88,87,percent of total billed charges,20.88,3.02,24,percent of total billed charges,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,UNITED HEALTHCARE,UNITED HEALTHCARE,,21.12,88,percent of total billed charges,21.12,3.02,24,percent of total billed charges,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,AETNA,AETNA,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,BEECH STREET,BEECH STREET,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,CARESOURCE,CARESOURCE,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,MEDICAID,MEDICAID,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,NOVA NET,NOVA NET,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,PEACHSTATE,PEACHSTATE,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,SELFPAY,SELFPAY,,24,,fee schedule,24,3.02,24,fee schedule,
"RBC, AUTOMATED",85041,CPT,both,,,24,24,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24,,fee schedule,24,3.02,24,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,ALLIANT,ALLIANT,,7.11,,fee schedule,7.11,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,AMBETTER,AMBETTER,,5.6,,fee schedule,5.6,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,5.68,,fee schedule,5.68,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,5.79,,fee schedule,5.79,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,MEDICARE,MEDICARE,,4.31,,fee schedule,4.31,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,5.41,,fee schedule,5.41,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,TRICARE,TRICARE,,4.31,,fee schedule,4.31,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,4.31,,fee schedule,4.31,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,4.31,95,percent of total billed charges,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,4.31,95,percent of total billed charges,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,4.31,95,percent of total billed charges,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,4.31,95,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,ALLIANT,ALLIANT,,7.11,,fee schedule,7.11,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,AMBETTER,AMBETTER,,5.6,,fee schedule,5.6,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,5.68,,fee schedule,5.68,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,5.79,,fee schedule,5.79,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,MEDICARE,MEDICARE,,4.31,,fee schedule,4.31,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,5.41,,fee schedule,5.41,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,TRICARE,TRICARE,,4.31,,fee schedule,4.31,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,4.31,,fee schedule,4.31,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,4.31,43,percent of total billed charges,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,4.31,43,percent of total billed charges,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,4.31,43,percent of total billed charges,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,4.31,43,fee schedule,
RETICULOCYTE COUNT,85044,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,4.31,43,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,ALLIANT,ALLIANT,,6.58,,fee schedule,6.58,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,AMBETTER,AMBETTER,,5.19,,fee schedule,5.19,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,AMERIGROUP,AMERIGROUP,,5.28,,fee schedule,5.28,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,5.38,,fee schedule,5.38,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,MEDICARE,MEDICARE,,3.99,,fee schedule,3.99,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,5.03,,fee schedule,5.03,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,TRICARE,TRICARE,,3.99,,fee schedule,3.99,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,3.99,,fee schedule,3.99,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,3.99,15,percent of total billed charges,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,3.99,15,percent of total billed charges,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,3.99,15,percent of total billed charges,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,3.99,15,fee schedule,
"RETICULOCYTE COUNT, AUTO",85045,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,3.99,15,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,ALLIANT,ALLIANT,,4.19,,fee schedule,4.19,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,AMBETTER,AMBETTER,,3.3,,fee schedule,3.3,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,3.36,,fee schedule,3.36,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,3.42,,fee schedule,3.42,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,MEDICARE,MEDICARE,,2.54,,fee schedule,2.54,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,3.2,,fee schedule,3.2,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,TRICARE,TRICARE,,2.54,,fee schedule,2.54,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,2.54,,fee schedule,2.54,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,2.54,101,percent of total billed charges,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,2.54,101,percent of total billed charges,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,2.54,101,percent of total billed charges,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,2.54,101,fee schedule,
EOSINOPHIL COUNT BLOOD,85048,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,ALLIANT,ALLIANT,,4.19,,fee schedule,4.19,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,AMBETTER,AMBETTER,,3.3,,fee schedule,3.3,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,3.36,,fee schedule,3.36,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,3.42,,fee schedule,3.42,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,MEDICARE,MEDICARE,,2.54,,fee schedule,2.54,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,3.2,,fee schedule,3.2,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,TRICARE,TRICARE,,2.54,,fee schedule,2.54,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,2.54,,fee schedule,2.54,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,2.54,101,percent of total billed charges,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,2.54,101,percent of total billed charges,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,2.54,101,percent of total billed charges,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,2.54,101,fee schedule,
LEUKOCYTE AUTOMATED,85048,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,2.54,101,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,ALLIANT,ALLIANT,,7.39,,fee schedule,7.39,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,AMBETTER,AMBETTER,,5.82,,fee schedule,5.82,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,5.91,,fee schedule,5.91,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,6.02,,fee schedule,6.02,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,MEDICARE,MEDICARE,,4.48,,fee schedule,4.48,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,5.63,,fee schedule,5.63,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,TRICARE,TRICARE,,4.48,,fee schedule,4.48,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,4.48,,fee schedule,4.48,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,4.48,29,percent of total billed charges,
PLATELET COUNT,85049,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,4.48,29,percent of total billed charges,
PLATELET COUNT,85049,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,4.48,29,percent of total billed charges,
PLATELET COUNT,85049,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT,85049,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,4.48,29,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,ALLIANT,ALLIANT,,7.39,,fee schedule,7.39,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,AMBETTER,AMBETTER,,5.82,,fee schedule,5.82,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,5.91,,fee schedule,5.91,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,6.02,,fee schedule,6.02,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,MEDICARE,MEDICARE,,4.48,,fee schedule,4.48,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,5.63,,fee schedule,5.63,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,TRICARE,TRICARE,,4.48,,fee schedule,4.48,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,4.48,,fee schedule,4.48,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,4.48,95,percent of total billed charges,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,4.48,95,percent of total billed charges,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,4.48,95,percent of total billed charges,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,4.48,95,fee schedule,
PLATELET COUNT AUTOMATED,85049,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,4.48,95,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,ALLIANT,ALLIANT,,1281.24,,fee schedule,1281.24,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,AMBETTER,AMBETTER,,1009.46,,fee schedule,1009.46,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,AMERIGROUP,AMERIGROUP,,67.35,,fee schedule,67.35,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,AMERIGROUP,AMERIGROUP,,44.43,,fee schedule,44.43,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,AMERIGROUP,AMERIGROUP,,47.2,,fee schedule,47.2,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,68.63,,fee schedule,68.63,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,45.27,,fee schedule,45.27,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,48.1,,fee schedule,48.1,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,MEDICARE,MEDICARE,,776.51,,fee schedule,776.51,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,64.14,,fee schedule,64.14,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,42.31,,fee schedule,42.31,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,44.95,,fee schedule,44.95,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,TRICARE,TRICARE,,776.51,,fee schedule,776.51,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,776.51,,fee schedule,776.51,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,42.31,1281.24,percent of total billed charges,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,42.31,1281.24,percent of total billed charges,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,42.31,1281.24,percent of total billed charges,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,42.31,1281.24,fee schedule,
BONE MARROW SMEAR INTERP,85097,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,42.31,1281.24,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,ALLIANT,ALLIANT,,21.42,,fee schedule,21.42,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,AMBETTER,AMBETTER,,16.87,,fee schedule,16.87,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,17.15,,fee schedule,17.15,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,17.47,,fee schedule,17.47,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,MEDICARE,MEDICARE,,12.98,,fee schedule,12.98,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,16.33,,fee schedule,16.33,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,TRICARE,TRICARE,,12.98,,fee schedule,12.98,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,12.98,,fee schedule,12.98,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,12.98,151,percent of total billed charges,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,12.98,151,percent of total billed charges,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,12.98,151,percent of total billed charges,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR II ACTIVITY,85210,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,12.98,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,ALLIANT,ALLIANT,,29.12,,fee schedule,29.12,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,AMBETTER,AMBETTER,,22.95,,fee schedule,22.95,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,23.3,,fee schedule,23.3,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,23.74,,fee schedule,23.74,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,MEDICARE,MEDICARE,,17.65,,fee schedule,17.65,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,22.19,,fee schedule,22.19,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,TRICARE,TRICARE,,17.65,,fee schedule,17.65,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,17.65,,fee schedule,17.65,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,17.65,151,percent of total billed charges,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,17.65,151,percent of total billed charges,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,17.65,151,percent of total billed charges,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR V ACTIVITY,85220,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,17.65,151,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,ALLIANT,ALLIANT,,29.54,,fee schedule,29.54,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,AMBETTER,AMBETTER,,23.27,,fee schedule,23.27,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,AMERIGROUP,AMERIGROUP,,23.65,,fee schedule,23.65,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,CARESOURCE,CARESOURCE,,24.1,,fee schedule,24.1,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,MEDICARE,MEDICARE,,17.9,,fee schedule,17.9,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,PEACHSTATE,PEACHSTATE,,22.52,,fee schedule,22.52,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,TRICARE,TRICARE,,17.9,,fee schedule,17.9,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,UHC MEDICARE,UHC MEDICARE,,17.9,,fee schedule,17.9,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,AETNA,AETNA,,214.02,87,percent of total billed charges,214.02,17.9,246,percent of total billed charges,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.02,87,percent of total billed charges,214.02,17.9,246,percent of total billed charges,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,UNITED HEALTHCARE,UNITED HEALTHCARE,,216.48,88,percent of total billed charges,216.48,17.9,246,percent of total billed charges,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,AETNA,AETNA,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,BEECH STREET,BEECH STREET,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,CARESOURCE,CARESOURCE,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,MEDICAID,MEDICAID,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,NOVA NET,NOVA NET,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,PEACHSTATE,PEACHSTATE,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,SELFPAY,SELFPAY,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VII ACTIVITY,85230,CPT,both,,,246,246,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,246,,fee schedule,246,17.9,246,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,ALLIANT,ALLIANT,,29.54,,fee schedule,29.54,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,AMBETTER,AMBETTER,,23.27,,fee schedule,23.27,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,23.65,,fee schedule,23.65,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,24.1,,fee schedule,24.1,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,MEDICARE,MEDICARE,,17.9,,fee schedule,17.9,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,22.52,,fee schedule,22.52,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,TRICARE,TRICARE,,17.9,,fee schedule,17.9,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,17.9,,fee schedule,17.9,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,17.9,365,percent of total billed charges,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,17.9,365,percent of total billed charges,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,17.9,365,percent of total billed charges,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ACTIVITY,85240,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,17.9,365,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,ALLIANT,ALLIANT,,33.69,,fee schedule,33.69,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,AMBETTER,AMBETTER,,26.55,,fee schedule,26.55,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,AMERIGROUP,AMERIGROUP,,26.96,,fee schedule,26.96,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,CARESOURCE,CARESOURCE,,27.48,,fee schedule,27.48,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,MEDICARE,MEDICARE,,20.42,,fee schedule,20.42,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,PEACHSTATE,PEACHSTATE,,25.68,,fee schedule,25.68,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,TRICARE,TRICARE,,20.42,,fee schedule,20.42,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,UHC MEDICARE,UHC MEDICARE,,20.42,,fee schedule,20.42,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,AETNA,AETNA,,330.6,87,percent of total billed charges,330.6,20.42,380,percent of total billed charges,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,330.6,87,percent of total billed charges,330.6,20.42,380,percent of total billed charges,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,UNITED HEALTHCARE,UNITED HEALTHCARE,,334.4,88,percent of total billed charges,334.4,20.42,380,percent of total billed charges,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,AETNA,AETNA,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,BEECH STREET,BEECH STREET,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,CARESOURCE,CARESOURCE,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,MEDICAID,MEDICAID,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,NOVA NET,NOVA NET,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,PEACHSTATE,PEACHSTATE,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,SELFPAY,SELFPAY,,380,,fee schedule,380,20.42,380,fee schedule,
FACTOR VIII ANTIGEN,85244,CPT,both,,,380,380,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,380,,fee schedule,380,20.42,380,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,ALLIANT,ALLIANT,,37.85,,fee schedule,37.85,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,AMBETTER,AMBETTER,,29.82,,fee schedule,29.82,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,AMERIGROUP,AMERIGROUP,,30.29,,fee schedule,30.29,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,30.87,,fee schedule,30.87,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,MEDICARE,MEDICARE,,22.94,,fee schedule,22.94,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,28.85,,fee schedule,28.85,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,TRICARE,TRICARE,,22.94,,fee schedule,22.94,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,UHC MEDICARE,UHC MEDICARE,,22.94,,fee schedule,22.94,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,AETNA,AETNA,,362.79,87,percent of total billed charges,362.79,22.94,417,percent of total billed charges,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,362.79,87,percent of total billed charges,362.79,22.94,417,percent of total billed charges,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,UNITED HEALTHCARE,UNITED HEALTHCARE,,366.96,88,percent of total billed charges,366.96,22.94,417,percent of total billed charges,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,AETNA,AETNA,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,BEECH STREET,BEECH STREET,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,MEDICAID,MEDICAID,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,NOVA NET,NOVA NET,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,SELFPAY,SELFPAY,,417,,fee schedule,417,22.94,417,fee schedule,
RISTOCETIN COFACTOR,85245,CPT,both,,,417,417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,417,,fee schedule,417,22.94,417,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,ALLIANT,ALLIANT,,37.85,,fee schedule,37.85,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,AMBETTER,AMBETTER,,29.82,,fee schedule,29.82,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,AMERIGROUP,AMERIGROUP,,30.29,,fee schedule,30.29,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,CARESOURCE,CARESOURCE,,30.87,,fee schedule,30.87,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,MEDICARE,MEDICARE,,22.94,,fee schedule,22.94,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,PEACHSTATE,PEACHSTATE,,28.85,,fee schedule,28.85,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,TRICARE,TRICARE,,22.94,,fee schedule,22.94,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,UHC MEDICARE,UHC MEDICARE,,22.94,,fee schedule,22.94,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,AETNA,AETNA,,298.41,87,percent of total billed charges,298.41,22.94,343,percent of total billed charges,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298.41,87,percent of total billed charges,298.41,22.94,343,percent of total billed charges,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,UNITED HEALTHCARE,UNITED HEALTHCARE,,301.84,88,percent of total billed charges,301.84,22.94,343,percent of total billed charges,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,AETNA,AETNA,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,BEECH STREET,BEECH STREET,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,CARESOURCE,CARESOURCE,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,MEDICAID,MEDICAID,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,NOVA NET,NOVA NET,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,PEACHSTATE,PEACHSTATE,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,SELFPAY,SELFPAY,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR ANT,85246,CPT,both,,,343,343,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,343,,fee schedule,343,22.94,343,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,ALLIANT,ALLIANT,,37.85,,fee schedule,37.85,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,AMBETTER,AMBETTER,,29.82,,fee schedule,29.82,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,AMERIGROUP,AMERIGROUP,,30.29,,fee schedule,30.29,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,CARESOURCE,CARESOURCE,,30.87,,fee schedule,30.87,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,MEDICARE,MEDICARE,,22.94,,fee schedule,22.94,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,PEACHSTATE,PEACHSTATE,,28.85,,fee schedule,28.85,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,TRICARE,TRICARE,,22.94,,fee schedule,22.94,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,UHC MEDICARE,UHC MEDICARE,,22.94,,fee schedule,22.94,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,AETNA,AETNA,,379.32,87,percent of total billed charges,379.32,22.94,436,percent of total billed charges,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,379.32,87,percent of total billed charges,379.32,22.94,436,percent of total billed charges,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,UNITED HEALTHCARE,UNITED HEALTHCARE,,383.68,88,percent of total billed charges,383.68,22.94,436,percent of total billed charges,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,AETNA,AETNA,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,BEECH STREET,BEECH STREET,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,CARESOURCE,CARESOURCE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,MEDICAID,MEDICAID,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,NOVA NET,NOVA NET,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,PEACHSTATE,PEACHSTATE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,SELFPAY,SELFPAY,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR BIN,85247,CPT,both,,,436,436,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,ALLIANT,ALLIANT,,37.85,,fee schedule,37.85,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,AMBETTER,AMBETTER,,29.82,,fee schedule,29.82,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,AMERIGROUP,AMERIGROUP,,30.29,,fee schedule,30.29,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,CARESOURCE,CARESOURCE,,30.87,,fee schedule,30.87,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,MEDICARE,MEDICARE,,22.94,,fee schedule,22.94,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,PEACHSTATE,PEACHSTATE,,28.85,,fee schedule,28.85,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,TRICARE,TRICARE,,22.94,,fee schedule,22.94,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,UHC MEDICARE,UHC MEDICARE,,22.94,,fee schedule,22.94,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,AETNA,AETNA,,379.32,87,percent of total billed charges,379.32,22.94,436,percent of total billed charges,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,379.32,87,percent of total billed charges,379.32,22.94,436,percent of total billed charges,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,UNITED HEALTHCARE,UNITED HEALTHCARE,,383.68,88,percent of total billed charges,383.68,22.94,436,percent of total billed charges,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,AETNA,AETNA,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,BEECH STREET,BEECH STREET,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,CARESOURCE,CARESOURCE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,MEDICAID,MEDICAID,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,NOVA NET,NOVA NET,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,PEACHSTATE,PEACHSTATE,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,SELFPAY,SELFPAY,,436,,fee schedule,436,22.94,436,fee schedule,
VON WILLEBRAND FACTOR MUL,85247,CPT,both,,,436,436,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,436,,fee schedule,436,22.94,436,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,ALLIANT,ALLIANT,,31.42,,fee schedule,31.42,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,AMBETTER,AMBETTER,,24.75,,fee schedule,24.75,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,AMERIGROUP,AMERIGROUP,,25.14,,fee schedule,25.14,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,CARESOURCE,CARESOURCE,,25.62,,fee schedule,25.62,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,MEDICARE,MEDICARE,,19.04,,fee schedule,19.04,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,PEACHSTATE,PEACHSTATE,,23.94,,fee schedule,23.94,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,TRICARE,TRICARE,,19.04,,fee schedule,19.04,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,UHC MEDICARE,UHC MEDICARE,,19.04,,fee schedule,19.04,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,AETNA,AETNA,,417.6,87,percent of total billed charges,417.6,19.04,480,percent of total billed charges,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417.6,87,percent of total billed charges,417.6,19.04,480,percent of total billed charges,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,UNITED HEALTHCARE,UNITED HEALTHCARE,,422.4,88,percent of total billed charges,422.4,19.04,480,percent of total billed charges,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,AETNA,AETNA,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,BEECH STREET,BEECH STREET,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,CARESOURCE,CARESOURCE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,MEDICAID,MEDICAID,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,NOVA NET,NOVA NET,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,PEACHSTATE,PEACHSTATE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,SELFPAY,SELFPAY,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ACTIVITY,85250,CPT,both,,,480,480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,ALLIANT,ALLIANT,,31.42,,fee schedule,31.42,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,AMBETTER,AMBETTER,,24.75,,fee schedule,24.75,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,AMERIGROUP,AMERIGROUP,,25.14,,fee schedule,25.14,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,CARESOURCE,CARESOURCE,,25.62,,fee schedule,25.62,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,MEDICARE,MEDICARE,,19.04,,fee schedule,19.04,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,PEACHSTATE,PEACHSTATE,,23.94,,fee schedule,23.94,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,TRICARE,TRICARE,,19.04,,fee schedule,19.04,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,UHC MEDICARE,UHC MEDICARE,,19.04,,fee schedule,19.04,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,AETNA,AETNA,,417.6,87,percent of total billed charges,417.6,19.04,480,percent of total billed charges,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417.6,87,percent of total billed charges,417.6,19.04,480,percent of total billed charges,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,UNITED HEALTHCARE,UNITED HEALTHCARE,,422.4,88,percent of total billed charges,422.4,19.04,480,percent of total billed charges,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,AETNA,AETNA,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,BEECH STREET,BEECH STREET,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,CARESOURCE,CARESOURCE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,MEDICAID,MEDICAID,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,NOVA NET,NOVA NET,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,PEACHSTATE,PEACHSTATE,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,SELFPAY,SELFPAY,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR IX ANTIGEN,85250,CPT,both,,,480,480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,480,,fee schedule,480,19.04,480,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,ALLIANT,ALLIANT,,29.54,,fee schedule,29.54,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,AMBETTER,AMBETTER,,23.27,,fee schedule,23.27,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,23.65,,fee schedule,23.65,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,24.1,,fee schedule,24.1,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,MEDICARE,MEDICARE,,17.9,,fee schedule,17.9,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,22.52,,fee schedule,22.52,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,TRICARE,TRICARE,,17.9,,fee schedule,17.9,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,17.9,,fee schedule,17.9,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,17.9,160,percent of total billed charges,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,17.9,160,percent of total billed charges,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,17.9,160,percent of total billed charges,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR X ACTIVITY,85260,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,17.9,160,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,ALLIANT,ALLIANT,,29.54,,fee schedule,29.54,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,AMBETTER,AMBETTER,,23.27,,fee schedule,23.27,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,AMERIGROUP,AMERIGROUP,,23.65,,fee schedule,23.65,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,24.1,,fee schedule,24.1,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,MEDICARE,MEDICARE,,17.9,,fee schedule,17.9,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,22.52,,fee schedule,22.52,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,TRICARE,TRICARE,,17.9,,fee schedule,17.9,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,UHC MEDICARE,UHC MEDICARE,,17.9,,fee schedule,17.9,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,AETNA,AETNA,,180.96,87,percent of total billed charges,180.96,17.9,208,percent of total billed charges,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.96,87,percent of total billed charges,180.96,17.9,208,percent of total billed charges,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.04,88,percent of total billed charges,183.04,17.9,208,percent of total billed charges,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,AETNA,AETNA,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,BEECH STREET,BEECH STREET,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,MEDICAID,MEDICAID,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,NOVA NET,NOVA NET,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,SELFPAY,SELFPAY,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XI ACTIVITY,85270,CPT,both,,,208,208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,208,,fee schedule,208,17.9,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,AMERIGROUP,AMERIGROUP,,25.56,,fee schedule,25.56,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,26.04,,fee schedule,26.04,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,24.34,,fee schedule,24.34,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,AETNA,AETNA,,180.96,87,percent of total billed charges,180.96,19.35,208,percent of total billed charges,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.96,87,percent of total billed charges,180.96,19.35,208,percent of total billed charges,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.04,88,percent of total billed charges,183.04,19.35,208,percent of total billed charges,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,AETNA,AETNA,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,BEECH STREET,BEECH STREET,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,MEDICAID,MEDICAID,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,NOVA NET,NOVA NET,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,SELFPAY,SELFPAY,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XII ACTIVIY,85280,CPT,both,,,208,208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,208,,fee schedule,208,19.35,208,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,ALLIANT,ALLIANT,,26.96,,fee schedule,26.96,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,AMBETTER,AMBETTER,,21.24,,fee schedule,21.24,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,21.58,,fee schedule,21.58,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,21.99,,fee schedule,21.99,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,MEDICARE,MEDICARE,,16.34,,fee schedule,16.34,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,20.55,,fee schedule,20.55,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,TRICARE,TRICARE,,16.34,,fee schedule,16.34,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,16.34,,fee schedule,16.34,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,16.34,218,percent of total billed charges,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,16.34,218,percent of total billed charges,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,16.34,218,percent of total billed charges,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,16.34,218,fee schedule,
FACTOR XIII ACTIVITY,85290,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,16.34,218,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,ALLIANT,ALLIANT,,31.23,,fee schedule,31.23,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,AMBETTER,AMBETTER,,24.61,,fee schedule,24.61,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,AMERIGROUP,AMERIGROUP,,25,,fee schedule,25,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,25.48,,fee schedule,25.48,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,MEDICARE,MEDICARE,,18.93,,fee schedule,18.93,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,23.81,,fee schedule,23.81,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,TRICARE,TRICARE,,18.93,,fee schedule,18.93,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,UHC MEDICARE,UHC MEDICARE,,18.93,,fee schedule,18.93,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,AETNA,AETNA,,479.37,87,percent of total billed charges,479.37,18.93,551,percent of total billed charges,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,479.37,87,percent of total billed charges,479.37,18.93,551,percent of total billed charges,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,UNITED HEALTHCARE,UNITED HEALTHCARE,,484.88,88,percent of total billed charges,484.88,18.93,551,percent of total billed charges,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,AETNA,AETNA,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,BEECH STREET,BEECH STREET,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,MEDICAID,MEDICAID,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,NOVA NET,NOVA NET,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,SELFPAY,SELFPAY,,551,,fee schedule,551,18.93,551,fee schedule,
PREKALLIKREIN  ACTIVITY,85292,CPT,both,,,551,551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,551,,fee schedule,551,18.93,551,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,ALLIANT,ALLIANT,,31.23,,fee schedule,31.23,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,AMBETTER,AMBETTER,,24.61,,fee schedule,24.61,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,AMERIGROUP,AMERIGROUP,,25,,fee schedule,25,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,CARESOURCE,CARESOURCE,,25.48,,fee schedule,25.48,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,MEDICARE,MEDICARE,,18.93,,fee schedule,18.93,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,PEACHSTATE,PEACHSTATE,,23.81,,fee schedule,23.81,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,TRICARE,TRICARE,,18.93,,fee schedule,18.93,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,UHC MEDICARE,UHC MEDICARE,,18.93,,fee schedule,18.93,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,AETNA,AETNA,,374.1,87,percent of total billed charges,374.1,18.93,430,percent of total billed charges,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,374.1,87,percent of total billed charges,374.1,18.93,430,percent of total billed charges,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,UNITED HEALTHCARE,UNITED HEALTHCARE,,378.4,88,percent of total billed charges,378.4,18.93,430,percent of total billed charges,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,AETNA,AETNA,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,BEECH STREET,BEECH STREET,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,CARESOURCE,CARESOURCE,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,MEDICAID,MEDICAID,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,NOVA NET,NOVA NET,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,PEACHSTATE,PEACHSTATE,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,SELFPAY,SELFPAY,,430,,fee schedule,430,18.93,430,fee schedule,
KININOGEN HIGH MOLECULAR,85293,CPT,both,,,430,430,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,430,,fee schedule,430,18.93,430,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,AETNA,AETNA,,80592.76,87,percent of total billed charges,80592.76,80592.76,92635.36,percent of total billed charges,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80592.76,87,percent of total billed charges,80592.76,80592.76,92635.36,percent of total billed charges,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,UNITED HEALTHCARE,UNITED HEALTHCARE,,81519.12,88,percent of total billed charges,81519.12,80592.76,92635.36,percent of total billed charges,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,AETNA,AETNA,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,ALLIANT,ALLIANT,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,AMBETTER,AMBETTER,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,BEECH STREET,BEECH STREET,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,CARESOURCE,CARESOURCE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,MEDICAID,MEDICAID,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,MEDICARE,MEDICARE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,NOVA NET,NOVA NET,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,PEACHSTATE,PEACHSTATE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,SELFPAY,SELFPAY,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,TRICARE,TRICARE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,853,DRG,inpatient,,,92635.36,92635.36,UHC MEDICARE,UHC MEDICARE,,92635.36,,fee schedule,92635.36,80592.76,92635.36,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,ALLIANT,ALLIANT,,19.55,,fee schedule,19.55,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,AMBETTER,AMBETTER,,15.41,,fee schedule,15.41,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,AMERIGROUP,AMERIGROUP,,15.65,,fee schedule,15.65,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,15.94,,fee schedule,15.94,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,MEDICARE,MEDICARE,,11.85,,fee schedule,11.85,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,14.9,,fee schedule,14.9,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,TRICARE,TRICARE,,11.85,,fee schedule,11.85,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,UHC MEDICARE,UHC MEDICARE,,11.85,,fee schedule,11.85,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,AETNA,AETNA,,437.61,87,percent of total billed charges,437.61,11.85,503,percent of total billed charges,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437.61,87,percent of total billed charges,437.61,11.85,503,percent of total billed charges,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,UNITED HEALTHCARE,UNITED HEALTHCARE,,442.64,88,percent of total billed charges,442.64,11.85,503,percent of total billed charges,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,AETNA,AETNA,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,BEECH STREET,BEECH STREET,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,MEDICAID,MEDICAID,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,NOVA NET,NOVA NET,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,SELFPAY,SELFPAY,,503,,fee schedule,503,11.85,503,fee schedule,
ANTI-THROMBIN III ACT.,85300,CPT,both,,,503,503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,ALLIANT,ALLIANT,,19.55,,fee schedule,19.55,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,AMBETTER,AMBETTER,,15.41,,fee schedule,15.41,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,AMERIGROUP,AMERIGROUP,,15.65,,fee schedule,15.65,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,15.94,,fee schedule,15.94,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,MEDICARE,MEDICARE,,11.85,,fee schedule,11.85,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,14.9,,fee schedule,14.9,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,TRICARE,TRICARE,,11.85,,fee schedule,11.85,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,UHC MEDICARE,UHC MEDICARE,,11.85,,fee schedule,11.85,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,AETNA,AETNA,,437.61,87,percent of total billed charges,437.61,11.85,503,percent of total billed charges,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437.61,87,percent of total billed charges,437.61,11.85,503,percent of total billed charges,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,UNITED HEALTHCARE,UNITED HEALTHCARE,,442.64,88,percent of total billed charges,442.64,11.85,503,percent of total billed charges,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,AETNA,AETNA,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,BEECH STREET,BEECH STREET,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,MEDICAID,MEDICAID,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,NOVA NET,NOVA NET,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,SELFPAY,SELFPAY,,503,,fee schedule,503,11.85,503,fee schedule,
ANTITHROMBIN III ACTIVIT,85300,CPT,both,,,503,503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,503,,fee schedule,503,11.85,503,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,ALLIANT,ALLIANT,,17.84,,fee schedule,17.84,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,AMBETTER,AMBETTER,,14.05,,fee schedule,14.05,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,14.28,,fee schedule,14.28,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,14.55,,fee schedule,14.55,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,MEDICARE,MEDICARE,,10.81,,fee schedule,10.81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,13.6,,fee schedule,13.6,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,TRICARE,TRICARE,,10.81,,fee schedule,10.81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,10.81,,fee schedule,10.81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,10.81,81,percent of total billed charges,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,10.81,81,percent of total billed charges,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,10.81,81,percent of total billed charges,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,10.81,81,fee schedule,
"ANTITHROMBIN III,ANTIGEN ASSAY",85301,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,10.81,81,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,ALLIANT,ALLIANT,,19.82,,fee schedule,19.82,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,AMBETTER,AMBETTER,,15.61,,fee schedule,15.61,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,15.88,,fee schedule,15.88,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,16.18,,fee schedule,16.18,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,MEDICARE,MEDICARE,,12.01,,fee schedule,12.01,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,15.12,,fee schedule,15.12,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,TRICARE,TRICARE,,12.01,,fee schedule,12.01,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,12.01,,fee schedule,12.01,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,12.01,75,percent of total billed charges,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,12.01,75,percent of total billed charges,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,12.01,75,percent of total billed charges,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ANTIGEN,85302,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,12.01,75,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,ALLIANT,ALLIANT,,22.84,,fee schedule,22.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AMBETTER,AMBETTER,,17.99,,fee schedule,17.99,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AMERIGROUP,AMERIGROUP,,18.26,,fee schedule,18.26,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,18.61,,fee schedule,18.61,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,MEDICARE,MEDICARE,,13.84,,fee schedule,13.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,17.39,,fee schedule,17.39,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,TRICARE,TRICARE,,13.84,,fee schedule,13.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,13.84,,fee schedule,13.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,13.84,219,percent of total billed charges,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,13.84,219,percent of total billed charges,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,13.84,219,percent of total billed charges,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,ALLIANT,ALLIANT,,22.84,,fee schedule,22.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AMBETTER,AMBETTER,,17.99,,fee schedule,17.99,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AMERIGROUP,AMERIGROUP,,18.26,,fee schedule,18.26,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,18.61,,fee schedule,18.61,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,MEDICARE,MEDICARE,,13.84,,fee schedule,13.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,17.39,,fee schedule,17.39,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,TRICARE,TRICARE,,13.84,,fee schedule,13.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,13.84,,fee schedule,13.84,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,13.84,219,percent of total billed charges,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,13.84,219,percent of total billed charges,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,13.84,219,percent of total billed charges,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN C ACTIVITY,85303,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,13.84,219,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,ALLIANT,ALLIANT,,19.16,,fee schedule,19.16,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,AMBETTER,AMBETTER,,15.09,,fee schedule,15.09,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,15.31,,fee schedule,15.31,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,15.6,,fee schedule,15.6,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,MEDICARE,MEDICARE,,11.61,,fee schedule,11.61,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,14.58,,fee schedule,14.58,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,TRICARE,TRICARE,,11.61,,fee schedule,11.61,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,11.61,,fee schedule,11.61,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,11.61,75,percent of total billed charges,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,11.61,75,percent of total billed charges,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,11.61,75,percent of total billed charges,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ANTIGEN,85305,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,11.61,75,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,ALLIANT,ALLIANT,,25.28,,fee schedule,25.28,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,AMBETTER,AMBETTER,,19.92,,fee schedule,19.92,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,AMERIGROUP,AMERIGROUP,,20.23,,fee schedule,20.23,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,CARESOURCE,CARESOURCE,,20.62,,fee schedule,20.62,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,MEDICARE,MEDICARE,,15.32,,fee schedule,15.32,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,PEACHSTATE,PEACHSTATE,,19.27,,fee schedule,19.27,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,TRICARE,TRICARE,,15.32,,fee schedule,15.32,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,UHC MEDICARE,UHC MEDICARE,,15.32,,fee schedule,15.32,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,AETNA,AETNA,,158.34,87,percent of total billed charges,158.34,15.32,182,percent of total billed charges,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,158.34,87,percent of total billed charges,158.34,15.32,182,percent of total billed charges,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,UNITED HEALTHCARE,UNITED HEALTHCARE,,160.16,88,percent of total billed charges,160.16,15.32,182,percent of total billed charges,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,AETNA,AETNA,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,BEECH STREET,BEECH STREET,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,CARESOURCE,CARESOURCE,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,MEDICAID,MEDICAID,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,NOVA NET,NOVA NET,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,PEACHSTATE,PEACHSTATE,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,SELFPAY,SELFPAY,,182,,fee schedule,182,15.32,182,fee schedule,
PROTEIN S ACTIVITY,85306,CPT,both,,,182,182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,182,,fee schedule,182,15.32,182,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,ALLIANT,ALLIANT,,25.28,,fee schedule,25.28,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,AMBETTER,AMBETTER,,19.92,,fee schedule,19.92,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,20.23,,fee schedule,20.23,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,20.62,,fee schedule,20.62,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,MEDICARE,MEDICARE,,15.32,,fee schedule,15.32,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,19.27,,fee schedule,19.27,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,TRICARE,TRICARE,,15.32,,fee schedule,15.32,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,15.32,,fee schedule,15.32,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,15.32,127,percent of total billed charges,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,15.32,127,percent of total billed charges,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,15.32,127,percent of total billed charges,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C,85307,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,ALLIANT,ALLIANT,,25.28,,fee schedule,25.28,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,AMBETTER,AMBETTER,,19.92,,fee schedule,19.92,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,20.23,,fee schedule,20.23,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,20.62,,fee schedule,20.62,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,MEDICARE,MEDICARE,,15.32,,fee schedule,15.32,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,19.27,,fee schedule,19.27,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,TRICARE,TRICARE,,15.32,,fee schedule,15.32,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,15.32,,fee schedule,15.32,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,15.32,127,percent of total billed charges,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,15.32,127,percent of total billed charges,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,15.32,127,percent of total billed charges,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,15.32,127,fee schedule,
ACTIVATED PROTEIN C RESIS,85307,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,15.32,127,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,AMERIGROUP,AMERIGROUP,,17,,fee schedule,17,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,17.32,,fee schedule,17.32,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,16.19,,fee schedule,16.19,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,12.87,135,percent of total billed charges,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,12.87,135,percent of total billed charges,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,12.87,135,percent of total billed charges,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,12.87,135,fee schedule,
FACTOR INHIBITOR TEST,85335,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,12.87,135,fee schedule,
FDP,85362,CPT,both,,,126,126,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,AMBETTER,AMBETTER,,8.96,,fee schedule,8.96,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,AMERIGROUP,AMERIGROUP,,9.09,,fee schedule,9.09,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,9.27,,fee schedule,9.27,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,MEDICARE,MEDICARE,,6.89,,fee schedule,6.89,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,8.66,,fee schedule,8.66,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,TRICARE,TRICARE,,6.89,,fee schedule,6.89,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,6.89,,fee schedule,6.89,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,6.89,126,percent of total billed charges,
FDP,85362,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,6.89,126,percent of total billed charges,
FDP,85362,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,6.89,126,percent of total billed charges,
FDP,85362,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,6.89,126,fee schedule,
FDP,85362,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,6.89,126,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,ALLIANT,ALLIANT,,16.04,,fee schedule,16.04,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,AMBETTER,AMBETTER,,12.64,,fee schedule,12.64,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,9.42,,fee schedule,9.42,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,9.6,,fee schedule,9.6,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,MEDICARE,MEDICARE,,9.72,,fee schedule,9.72,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,8.97,,fee schedule,8.97,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,TRICARE,TRICARE,,9.72,,fee schedule,9.72,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,9.72,,fee schedule,9.72,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,8.97,164,percent of total billed charges,
D-DIMER,85378,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,8.97,164,percent of total billed charges,
D-DIMER,85378,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,8.97,164,percent of total billed charges,
D-DIMER,85378,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,8.97,164,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,ALLIANT,ALLIANT,,16.04,,fee schedule,16.04,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,AMBETTER,AMBETTER,,12.64,,fee schedule,12.64,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,9.42,,fee schedule,9.42,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,9.6,,fee schedule,9.6,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,MEDICARE,MEDICARE,,9.72,,fee schedule,9.72,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,8.97,,fee schedule,8.97,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,TRICARE,TRICARE,,9.72,,fee schedule,9.72,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,9.72,,fee schedule,9.72,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,8.97,48,percent of total billed charges,
D-DIMER,85378,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,8.97,48,percent of total billed charges,
D-DIMER,85378,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,8.97,48,percent of total billed charges,
D-DIMER,85378,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER,85378,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,8.97,48,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,10.18,175,percent of total billed charges,
D-DIMER QUANT,85379,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,10.18,175,percent of total billed charges,
D-DIMER QUANT,85379,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,10.18,175,percent of total billed charges,
D-DIMER QUANT,85379,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT,85379,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,10.18,175,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,10.18,138,percent of total billed charges,
D-DIMER QUANT.,85379,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,10.18,138,percent of total billed charges,
D-DIMER QUANT.,85379,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,10.18,138,percent of total billed charges,
D-DIMER QUANT.,85379,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,10.18,138,fee schedule,
D-DIMER QUANT.,85379,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,10.18,138,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,ALLIANT,ALLIANT,,16.04,,fee schedule,16.04,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,AMBETTER,AMBETTER,,12.64,,fee schedule,12.64,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,11.21,,fee schedule,11.21,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,11.43,,fee schedule,11.43,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,MEDICARE,MEDICARE,,9.72,,fee schedule,9.72,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,10.68,,fee schedule,10.68,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,TRICARE,TRICARE,,9.72,,fee schedule,9.72,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,9.72,,fee schedule,9.72,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,9.72,101,percent of total billed charges,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,9.72,101,percent of total billed charges,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,9.72,101,percent of total billed charges,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN QT.,85384,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,9.72,101,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,ALLIANT,ALLIANT,,23.86,,fee schedule,23.86,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,AMBETTER,AMBETTER,,18.8,,fee schedule,18.8,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,AMERIGROUP,AMERIGROUP,,11.21,,fee schedule,11.21,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,CARESOURCE,CARESOURCE,,11.43,,fee schedule,11.43,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,MEDICARE,MEDICARE,,14.46,,fee schedule,14.46,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,PEACHSTATE,PEACHSTATE,,10.68,,fee schedule,10.68,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,TRICARE,TRICARE,,14.46,,fee schedule,14.46,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,UHC MEDICARE,UHC MEDICARE,,14.46,,fee schedule,14.46,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,AETNA,AETNA,,45.24,87,percent of total billed charges,45.24,10.68,52,percent of total billed charges,
FIBRINOGEN AG,85385,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45.24,87,percent of total billed charges,45.24,10.68,52,percent of total billed charges,
FIBRINOGEN AG,85385,CPT,both,,,52,52,UNITED HEALTHCARE,UNITED HEALTHCARE,,45.76,88,percent of total billed charges,45.76,10.68,52,percent of total billed charges,
FIBRINOGEN AG,85385,CPT,both,,,52,52,AETNA,AETNA,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,BEECH STREET,BEECH STREET,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,CARESOURCE,CARESOURCE,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,MEDICAID,MEDICAID,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,NOVA NET,NOVA NET,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,PEACHSTATE,PEACHSTATE,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,SELFPAY,SELFPAY,,52,,fee schedule,52,10.68,52,fee schedule,
FIBRINOGEN AG,85385,CPT,both,,,52,52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52,,fee schedule,52,10.68,52,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,ALLIANT,ALLIANT,,50.92,,fee schedule,50.92,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,AMBETTER,AMBETTER,,40.12,,fee schedule,40.12,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,28.15,,fee schedule,28.15,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,28.69,,fee schedule,28.69,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,MEDICARE,MEDICARE,,30.86,,fee schedule,30.86,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,26.81,,fee schedule,26.81,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,TRICARE,TRICARE,,30.86,,fee schedule,30.86,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,30.86,,fee schedule,30.86,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,26.81,272,percent of total billed charges,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,26.81,272,percent of total billed charges,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,26.81,272,percent of total billed charges,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,26.81,272,fee schedule,
ADAMTS 13 ACTIVITY,85397,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,26.81,272,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,AETNA,AETNA,,48287.43,87,percent of total billed charges,48287.43,48287.43,55502.79,percent of total billed charges,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48287.43,87,percent of total billed charges,48287.43,48287.43,55502.79,percent of total billed charges,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,UNITED HEALTHCARE,UNITED HEALTHCARE,,48842.46,88,percent of total billed charges,48842.46,48287.43,55502.79,percent of total billed charges,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,AETNA,AETNA,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,ALLIANT,ALLIANT,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,AMBETTER,AMBETTER,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,BEECH STREET,BEECH STREET,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,CARESOURCE,CARESOURCE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,MEDICAID,MEDICAID,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,MEDICARE,MEDICARE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,NOVA NET,NOVA NET,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,PEACHSTATE,PEACHSTATE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,SELFPAY,SELFPAY,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,TRICARE,TRICARE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,854,DRG,inpatient,,,55502.79,55502.79,UHC MEDICARE,UHC MEDICARE,,55502.79,,fee schedule,55502.79,48287.43,55502.79,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,ALLIANT,ALLIANT,,12.75,,fee schedule,12.75,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,AMBETTER,AMBETTER,,10.05,,fee schedule,10.05,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,3.19,,fee schedule,3.19,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,3.25,,fee schedule,3.25,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,MEDICARE,MEDICARE,,7.73,,fee schedule,7.73,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,3.04,,fee schedule,3.04,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,TRICARE,TRICARE,,7.73,,fee schedule,7.73,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,7.73,,fee schedule,7.73,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,3.04,121,percent of total billed charges,
FETALSCREEN,85460,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,3.04,121,percent of total billed charges,
FETALSCREEN,85460,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,3.04,121,percent of total billed charges,
FETALSCREEN,85460,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,3.04,121,fee schedule,
FETALSCREEN,85460,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,3.04,121,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,ALLIANT,ALLIANT,,12.75,,fee schedule,12.75,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,AMBETTER,AMBETTER,,10.05,,fee schedule,10.05,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,3.19,,fee schedule,3.19,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,3.25,,fee schedule,3.25,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,MEDICARE,MEDICARE,,7.73,,fee schedule,7.73,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,3.04,,fee schedule,3.04,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,TRICARE,TRICARE,,7.73,,fee schedule,7.73,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,7.73,,fee schedule,7.73,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,3.04,159,percent of total billed charges,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,3.04,159,percent of total billed charges,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,3.04,159,percent of total billed charges,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,3.04,159,fee schedule,
KLEIHAUER BETKE,85460,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,3.04,159,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,ALLIANT,ALLIANT,,21.6,,fee schedule,21.6,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,AMBETTER,AMBETTER,,17.02,,fee schedule,17.02,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,17.28,,fee schedule,17.28,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,17.61,,fee schedule,17.61,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,MEDICARE,MEDICARE,,13.09,,fee schedule,13.09,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,16.46,,fee schedule,16.46,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,TRICARE,TRICARE,,13.09,,fee schedule,13.09,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,13.09,,fee schedule,13.09,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,13.09,282,percent of total billed charges,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,13.09,282,percent of total billed charges,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,13.09,282,percent of total billed charges,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,13.09,282,fee schedule,
HEPARIN ANTI-XA,85520,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,13.09,282,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,ALLIANT,ALLIANT,,14.19,,fee schedule,14.19,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,AMBETTER,AMBETTER,,11.18,,fee schedule,11.18,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,7.98,,fee schedule,7.98,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,8.13,,fee schedule,8.13,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,MEDICARE,MEDICARE,,8.6,,fee schedule,8.6,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,7.6,,fee schedule,7.6,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,TRICARE,TRICARE,,8.6,,fee schedule,8.6,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,8.6,,fee schedule,8.6,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,7.6,307,percent of total billed charges,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,7.6,307,percent of total billed charges,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,7.6,307,percent of total billed charges,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,7.6,307,fee schedule,
LEUKOCYTE ALKALINE PHOSPH,85540,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,7.6,307,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,ALLIANT,ALLIANT,,30.94,,fee schedule,30.94,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,AMBETTER,AMBETTER,,24.38,,fee schedule,24.38,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,AMERIGROUP,AMERIGROUP,,24.77,,fee schedule,24.77,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,25.24,,fee schedule,25.24,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,MEDICARE,MEDICARE,,18.75,,fee schedule,18.75,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,23.59,,fee schedule,23.59,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,TRICARE,TRICARE,,18.75,,fee schedule,18.75,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,UHC MEDICARE,UHC MEDICARE,,18.75,,fee schedule,18.75,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,AETNA,AETNA,,194.88,87,percent of total billed charges,194.88,18.75,224,percent of total billed charges,
LYSOZYME,85549,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194.88,87,percent of total billed charges,194.88,18.75,224,percent of total billed charges,
LYSOZYME,85549,CPT,both,,,224,224,UNITED HEALTHCARE,UNITED HEALTHCARE,,197.12,88,percent of total billed charges,197.12,18.75,224,percent of total billed charges,
LYSOZYME,85549,CPT,both,,,224,224,AETNA,AETNA,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,BEECH STREET,BEECH STREET,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,MEDICAID,MEDICAID,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,NOVA NET,NOVA NET,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,SELFPAY,SELFPAY,,224,,fee schedule,224,18.75,224,fee schedule,
LYSOZYME,85549,CPT,both,,,224,224,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,224,,fee schedule,224,18.75,224,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,ALLIANT,ALLIANT,,29.67,,fee schedule,29.67,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,AMBETTER,AMBETTER,,23.37,,fee schedule,23.37,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,23.74,,fee schedule,23.74,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,24.19,,fee schedule,24.19,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,MEDICARE,MEDICARE,,17.98,,fee schedule,17.98,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,22.61,,fee schedule,22.61,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,TRICARE,TRICARE,,17.98,,fee schedule,17.98,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,17.98,,fee schedule,17.98,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,17.98,82,percent of total billed charges,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,17.98,82,percent of total billed charges,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,17.98,82,percent of total billed charges,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,17.98,82,fee schedule,
PLATELET NEUTRALIZATION,85597,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,ALLIANT,ALLIANT,,29.67,,fee schedule,29.67,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,AMBETTER,AMBETTER,,23.37,,fee schedule,23.37,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,21.25,,fee schedule,21.25,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,21.66,,fee schedule,21.66,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,MEDICARE,MEDICARE,,17.98,,fee schedule,17.98,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,20.24,,fee schedule,20.24,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,TRICARE,TRICARE,,17.98,,fee schedule,17.98,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,17.98,,fee schedule,17.98,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,17.98,82,percent of total billed charges,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,17.98,82,percent of total billed charges,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,17.98,82,percent of total billed charges,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,17.98,82,fee schedule,
HEXAGONAL PHOSPHOLIPID,85598,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,17.98,82,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,AETNA,AETNA,,61948.02,87,percent of total billed charges,61948.02,61948.02,71204.62,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61948.02,87,percent of total billed charges,61948.02,61948.02,71204.62,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,UNITED HEALTHCARE,UNITED HEALTHCARE,,62660.07,88,percent of total billed charges,62660.07,61948.02,71204.62,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,AETNA,AETNA,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,ALLIANT,ALLIANT,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,AMBETTER,AMBETTER,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,BEECH STREET,BEECH STREET,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,CARESOURCE,CARESOURCE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,MEDICAID,MEDICAID,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,MEDICARE,MEDICARE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,NOVA NET,NOVA NET,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,PEACHSTATE,PEACHSTATE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,SELFPAY,SELFPAY,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,TRICARE,TRICARE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,856,DRG,inpatient,,,71204.62,71204.62,UHC MEDICARE,UHC MEDICARE,,71204.62,,fee schedule,71204.62,61948.02,71204.62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,ALLIANT,ALLIANT,,7.08,,fee schedule,7.08,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,AMBETTER,AMBETTER,,5.58,,fee schedule,5.58,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,5.19,,fee schedule,5.19,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,5.29,,fee schedule,5.29,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,MEDICARE,MEDICARE,,4.29,,fee schedule,4.29,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,4.94,,fee schedule,4.94,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,TRICARE,TRICARE,,4.29,,fee schedule,4.29,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,4.29,,fee schedule,4.29,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,4.29,62,percent of total billed charges,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,4.29,62,percent of total billed charges,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,4.29,62,percent of total billed charges,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,4.29,62,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,ALLIANT,ALLIANT,,7.08,,fee schedule,7.08,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,AMBETTER,AMBETTER,,5.58,,fee schedule,5.58,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,5.19,,fee schedule,5.19,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,5.29,,fee schedule,5.29,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,MEDICARE,MEDICARE,,4.29,,fee schedule,4.29,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,4.94,,fee schedule,4.94,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,TRICARE,TRICARE,,4.29,,fee schedule,4.29,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,4.29,,fee schedule,4.29,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,4.29,37,percent of total billed charges,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,4.29,37,percent of total billed charges,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,4.29,37,percent of total billed charges,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME,85610,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,4.29,37,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,ALLIANT,ALLIANT,,7.08,,fee schedule,7.08,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,AMBETTER,AMBETTER,,5.58,,fee schedule,5.58,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,5.19,,fee schedule,5.19,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,5.29,,fee schedule,5.29,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,MEDICARE,MEDICARE,,4.29,,fee schedule,4.29,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,4.94,,fee schedule,4.94,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,TRICARE,TRICARE,,4.29,,fee schedule,4.29,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,4.29,,fee schedule,4.29,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,4.29,39,percent of total billed charges,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,4.29,39,percent of total billed charges,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,4.29,39,percent of total billed charges,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,4.29,39,fee schedule,
PROTHROMBIN TIME (PT),85610,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,4.29,39,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,ALLIANT,ALLIANT,,15.81,,fee schedule,15.81,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,AMBETTER,AMBETTER,,12.45,,fee schedule,12.45,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,12.63,,fee schedule,12.63,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,12.87,,fee schedule,12.87,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,MEDICARE,MEDICARE,,9.58,,fee schedule,9.58,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,12.03,,fee schedule,12.03,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,TRICARE,TRICARE,,9.58,,fee schedule,9.58,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,9.58,,fee schedule,9.58,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,9.58,249,percent of total billed charges,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,9.58,249,percent of total billed charges,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,9.58,249,percent of total billed charges,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,9.58,249,fee schedule,
LUPUS ANTICOAGULATION FAC,85613,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,ALLIANT,ALLIANT,,15.81,,fee schedule,15.81,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,AMBETTER,AMBETTER,,12.45,,fee schedule,12.45,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,12.63,,fee schedule,12.63,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,12.87,,fee schedule,12.87,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,MEDICARE,MEDICARE,,9.58,,fee schedule,9.58,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,12.03,,fee schedule,12.03,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,TRICARE,TRICARE,,9.58,,fee schedule,9.58,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,9.58,,fee schedule,9.58,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,9.58,249,percent of total billed charges,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,9.58,249,percent of total billed charges,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,9.58,249,percent of total billed charges,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,9.58,249,fee schedule,
RUSSELL VIPER VENOM TIME,85613,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,9.58,249,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,ALLIANT,ALLIANT,,16.25,,fee schedule,16.25,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,AMBETTER,AMBETTER,,12.81,,fee schedule,12.81,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,AMERIGROUP,AMERIGROUP,,13,,fee schedule,13,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,13.25,,fee schedule,13.25,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,MEDICARE,MEDICARE,,9.85,,fee schedule,9.85,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,12.38,,fee schedule,12.38,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,TRICARE,TRICARE,,9.85,,fee schedule,9.85,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,UHC MEDICARE,UHC MEDICARE,,9.85,,fee schedule,9.85,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,AETNA,AETNA,,180.09,87,percent of total billed charges,180.09,9.85,207,percent of total billed charges,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.09,87,percent of total billed charges,180.09,9.85,207,percent of total billed charges,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,UNITED HEALTHCARE,UNITED HEALTHCARE,,182.16,88,percent of total billed charges,182.16,9.85,207,percent of total billed charges,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,AETNA,AETNA,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,BEECH STREET,BEECH STREET,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,MEDICAID,MEDICAID,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,NOVA NET,NOVA NET,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,SELFPAY,SELFPAY,,207,,fee schedule,207,9.85,207,fee schedule,
REPTILASE CLOTTING TIME,85635,CPT,both,,,207,207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,207,,fee schedule,207,9.85,207,fee schedule,
SED RATE,85651,CPT,both,,,27,27,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,4.68,,fee schedule,4.68,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,4.77,,fee schedule,4.77,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,4.46,,fee schedule,4.46,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,4.27,27,percent of total billed charges,
SED RATE,85651,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,4.27,27,percent of total billed charges,
SED RATE,85651,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,4.27,27,percent of total billed charges,
SED RATE,85651,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,4.27,27,fee schedule,
SED RATE,85651,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,4.27,27,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,4.68,,fee schedule,4.68,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,4.77,,fee schedule,4.77,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,4.46,,fee schedule,4.46,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,4.27,94,percent of total billed charges,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,4.27,94,percent of total billed charges,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,4.27,94,percent of total billed charges,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,4.27,94,fee schedule,
SEDIMENTATION RATE,85651,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,4.27,94,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,ALLIANT,ALLIANT,,9.09,,fee schedule,9.09,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,AMBETTER,AMBETTER,,7.16,,fee schedule,7.16,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,7.29,,fee schedule,7.29,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,7.43,,fee schedule,7.43,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,MEDICARE,MEDICARE,,5.51,,fee schedule,5.51,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,6.94,,fee schedule,6.94,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,TRICARE,TRICARE,,5.51,,fee schedule,5.51,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,5.51,,fee schedule,5.51,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,5.51,49,percent of total billed charges,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,5.51,49,percent of total billed charges,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,5.51,49,percent of total billed charges,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLE CELL SCREEN,85660,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,5.51,49,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,ALLIANT,ALLIANT,,9.09,,fee schedule,9.09,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,AMBETTER,AMBETTER,,7.16,,fee schedule,7.16,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,7.29,,fee schedule,7.29,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,7.43,,fee schedule,7.43,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,MEDICARE,MEDICARE,,5.51,,fee schedule,5.51,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,6.94,,fee schedule,6.94,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,TRICARE,TRICARE,,5.51,,fee schedule,5.51,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,5.51,,fee schedule,5.51,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,5.51,31,percent of total billed charges,
SICKLEDEX,85660,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,5.51,31,percent of total billed charges,
SICKLEDEX,85660,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,5.51,31,percent of total billed charges,
SICKLEDEX,85660,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,5.51,31,fee schedule,
SICKLEDEX,85660,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,5.51,31,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,ALLIANT,ALLIANT,,9.52,,fee schedule,9.52,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,AMBETTER,AMBETTER,,7.5,,fee schedule,7.5,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,7.62,,fee schedule,7.62,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,7.77,,fee schedule,7.77,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,MEDICARE,MEDICARE,,5.77,,fee schedule,5.77,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,7.26,,fee schedule,7.26,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,TRICARE,TRICARE,,5.77,,fee schedule,5.77,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,5.77,,fee schedule,5.77,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,5.77,76,percent of total billed charges,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,5.77,76,percent of total billed charges,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,5.77,76,percent of total billed charges,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,5.77,76,fee schedule,
THROMBIN CLOTTING TIME,85670,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,5.77,76,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,AETNA,AETNA,,30978.14,87,percent of total billed charges,30978.14,30978.14,35607.06,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30978.14,87,percent of total billed charges,30978.14,30978.14,35607.06,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,31334.21,88,percent of total billed charges,31334.21,30978.14,35607.06,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,AETNA,AETNA,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,ALLIANT,ALLIANT,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,AMBETTER,AMBETTER,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,BEECH STREET,BEECH STREET,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,CARESOURCE,CARESOURCE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,MEDICAID,MEDICAID,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,MEDICARE,MEDICARE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,NOVA NET,NOVA NET,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,PEACHSTATE,PEACHSTATE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,SELFPAY,SELFPAY,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,TRICARE,TRICARE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,857,DRG,inpatient,,,35607.06,35607.06,UHC MEDICARE,UHC MEDICARE,,35607.06,,fee schedule,35607.06,30978.14,35607.06,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,ALLIANT,ALLIANT,,15.89,,fee schedule,15.89,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,AMBETTER,AMBETTER,,12.52,,fee schedule,12.52,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,12.72,,fee schedule,12.72,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,12.96,,fee schedule,12.96,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,MEDICARE,MEDICARE,,9.63,,fee schedule,9.63,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,12.11,,fee schedule,12.11,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,TRICARE,TRICARE,,9.63,,fee schedule,9.63,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,9.63,,fee schedule,9.63,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,9.63,206,percent of total billed charges,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,9.63,206,percent of total billed charges,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,9.63,206,percent of total billed charges,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,9.63,206,fee schedule,
SYSTAMATIC LUPUS ERYT,85705,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,9.63,206,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,ALLIANT,ALLIANT,,9.92,,fee schedule,9.92,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,AMBETTER,AMBETTER,,7.81,,fee schedule,7.81,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,7.92,,fee schedule,7.92,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,8.07,,fee schedule,8.07,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,MEDICARE,MEDICARE,,6.01,,fee schedule,6.01,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,7.54,,fee schedule,7.54,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,TRICARE,TRICARE,,6.01,,fee schedule,6.01,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,6.01,,fee schedule,6.01,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,6.01,101,percent of total billed charges,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,6.01,101,percent of total billed charges,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,6.01,101,percent of total billed charges,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBIN TIME,85730,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,ALLIANT,ALLIANT,,9.92,,fee schedule,9.92,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,AMBETTER,AMBETTER,,7.81,,fee schedule,7.81,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,7.92,,fee schedule,7.92,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,8.07,,fee schedule,8.07,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,MEDICARE,MEDICARE,,6.01,,fee schedule,6.01,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,7.54,,fee schedule,7.54,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,TRICARE,TRICARE,,6.01,,fee schedule,6.01,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,6.01,,fee schedule,6.01,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,6.01,101,percent of total billed charges,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,6.01,101,percent of total billed charges,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,6.01,101,percent of total billed charges,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,6.01,101,fee schedule,
PARTIAL THROMBOPLASTIN TI,85730,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,6.01,101,fee schedule,
PTT,85730,CPT,both,,,46,46,ALLIANT,ALLIANT,,9.92,,fee schedule,9.92,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,AMBETTER,AMBETTER,,7.81,,fee schedule,7.81,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,7.92,,fee schedule,7.92,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,8.07,,fee schedule,8.07,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,MEDICARE,MEDICARE,,6.01,,fee schedule,6.01,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,7.54,,fee schedule,7.54,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,TRICARE,TRICARE,,6.01,,fee schedule,6.01,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,6.01,,fee schedule,6.01,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,6.01,46,percent of total billed charges,
PTT,85730,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,6.01,46,percent of total billed charges,
PTT,85730,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,6.01,46,percent of total billed charges,
PTT,85730,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,6.01,46,fee schedule,
PTT,85730,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,6.01,46,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,6.47,219,percent of total billed charges,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,6.47,219,percent of total billed charges,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,6.47,219,percent of total billed charges,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,6.47,219,fee schedule,
FACTOR IX/XI INHIBITOR SC,85732,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,6.47,219,percent of total billed charges,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,6.47,219,percent of total billed charges,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,6.47,219,percent of total billed charges,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,6.47,219,fee schedule,
INHIBITOR SCREEN MIXING S,85732,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,ALLIANT,ALLIANT,,10.68,,fee schedule,10.68,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,AMBETTER,AMBETTER,,8.41,,fee schedule,8.41,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,AMERIGROUP,AMERIGROUP,,8.55,,fee schedule,8.55,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,8.71,,fee schedule,8.71,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,MEDICARE,MEDICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,8.14,,fee schedule,8.14,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,TRICARE,TRICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,6.47,,fee schedule,6.47,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,6.47,219,percent of total billed charges,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,6.47,219,percent of total billed charges,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,6.47,219,percent of total billed charges,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,6.47,219,fee schedule,
PLASMA FRACTIONS,85732,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,6.47,219,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,AETNA,AETNA,,19761.15,87,percent of total billed charges,19761.15,19761.15,22713.97,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19761.15,87,percent of total billed charges,19761.15,19761.15,22713.97,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,19988.29,88,percent of total billed charges,19988.29,19761.15,22713.97,percent of total billed charges,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,AETNA,AETNA,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,ALLIANT,ALLIANT,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,AMBETTER,AMBETTER,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,BEECH STREET,BEECH STREET,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,CARESOURCE,CARESOURCE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,MEDICAID,MEDICAID,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,MEDICARE,MEDICARE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,NOVA NET,NOVA NET,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,PEACHSTATE,PEACHSTATE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,SELFPAY,SELFPAY,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,TRICARE,TRICARE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,858,DRG,inpatient,,,22713.97,22713.97,UHC MEDICARE,UHC MEDICARE,,22713.97,,fee schedule,22713.97,19761.15,22713.97,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,ALLIANT,ALLIANT,,19.26,,fee schedule,19.26,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,AMBETTER,AMBETTER,,15.17,,fee schedule,15.17,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,15.42,,fee schedule,15.42,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,15.72,,fee schedule,15.72,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,MEDICARE,MEDICARE,,11.67,,fee schedule,11.67,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,14.69,,fee schedule,14.69,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,TRICARE,TRICARE,,11.67,,fee schedule,11.67,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,11.67,,fee schedule,11.67,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,11.67,100,percent of total billed charges,
VISCOSITY,85810,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,11.67,100,percent of total billed charges,
VISCOSITY,85810,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,11.67,100,percent of total billed charges,
VISCOSITY,85810,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,11.67,100,fee schedule,
VISCOSITY,85810,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,11.67,100,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,ALLIANT,ALLIANT,,11.52,,fee schedule,11.52,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,AMBETTER,AMBETTER,,9.07,,fee schedule,9.07,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,9.22,,fee schedule,9.22,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,9.39,,fee schedule,9.39,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,MEDICARE,MEDICARE,,6.98,,fee schedule,6.98,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,8.78,,fee schedule,8.78,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,TRICARE,TRICARE,,6.98,,fee schedule,6.98,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,6.98,,fee schedule,6.98,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,6.98,66,percent of total billed charges,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,6.98,66,percent of total billed charges,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,6.98,66,percent of total billed charges,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,6.98,66,fee schedule,
AGGLUTININS-BRUCELLA,86000,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,6.98,66,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,ALLIANT,ALLIANT,,11.52,,fee schedule,11.52,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,AMBETTER,AMBETTER,,9.07,,fee schedule,9.07,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,AMERIGROUP,AMERIGROUP,,9.22,,fee schedule,9.22,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,9.39,,fee schedule,9.39,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,MEDICARE,MEDICARE,,6.98,,fee schedule,6.98,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,8.78,,fee schedule,8.78,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,TRICARE,TRICARE,,6.98,,fee schedule,6.98,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,UHC MEDICARE,UHC MEDICARE,,6.98,,fee schedule,6.98,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,AETNA,AETNA,,247.95,87,percent of total billed charges,247.95,6.98,285,percent of total billed charges,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.95,87,percent of total billed charges,247.95,6.98,285,percent of total billed charges,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,UNITED HEALTHCARE,UNITED HEALTHCARE,,250.8,88,percent of total billed charges,250.8,6.98,285,percent of total billed charges,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,AETNA,AETNA,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,BEECH STREET,BEECH STREET,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,MEDICAID,MEDICAID,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,NOVA NET,NOVA NET,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,SELFPAY,SELFPAY,,285,,fee schedule,285,6.98,285,fee schedule,
FRANCISELLA TULARENSIS AB,86000,CPT,both,,,285,285,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,ALLIANT,ALLIANT,,11.52,,fee schedule,11.52,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,AMBETTER,AMBETTER,,9.07,,fee schedule,9.07,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,AMERIGROUP,AMERIGROUP,,9.22,,fee schedule,9.22,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,9.39,,fee schedule,9.39,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,MEDICARE,MEDICARE,,6.98,,fee schedule,6.98,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,8.78,,fee schedule,8.78,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,TRICARE,TRICARE,,6.98,,fee schedule,6.98,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,UHC MEDICARE,UHC MEDICARE,,6.98,,fee schedule,6.98,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,AETNA,AETNA,,247.95,87,percent of total billed charges,247.95,6.98,285,percent of total billed charges,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.95,87,percent of total billed charges,247.95,6.98,285,percent of total billed charges,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,UNITED HEALTHCARE,UNITED HEALTHCARE,,250.8,88,percent of total billed charges,250.8,6.98,285,percent of total billed charges,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,AETNA,AETNA,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,BEECH STREET,BEECH STREET,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,MEDICAID,MEDICAID,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,NOVA NET,NOVA NET,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,SELFPAY,SELFPAY,,285,,fee schedule,285,6.98,285,fee schedule,
ROCKY MT. SPOTTED FEVER,86000,CPT,both,,,285,285,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,285,,fee schedule,285,6.98,285,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. PULLULAN,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG A. TENUIS,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG C. HERBARUM,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG FEATHERS,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG P. NOTATUM,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PHOMA SPP,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG PIGEON DROP,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGG T. VIRIDE,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,ALLIANT,ALLIANT,,12.9,,fee schedule,12.9,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,AMBETTER,AMBETTER,,10.17,,fee schedule,10.17,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,MEDICARE,MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,TRICARE,TRICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,7.82,,fee schedule,7.82,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,6.57,69,percent of total billed charges,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,6.57,69,percent of total billed charges,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN-GLUTEN IGG,86001,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,6.57,69,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. ALTERNATA (M6),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE A. FUMIGATUS (M3),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ALMOND NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE APPLE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BAHIA GRASS (G17),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BEEF,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BERMUDA GRASS,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE BRAZIL NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE C. HERBARUM (M2),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CARROT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CASHEW NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CAT DANDER,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CEREAL GROUP,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHESTNUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CHICKEN MEAT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CLAM,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCKROACH,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE COCONUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CODFISH,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CORN,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE CRAB,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE D. FARINAE (D2),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE DOG DANDER,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG WHITE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE EGG YOLK,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE ELM (T8),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE FORMALDEHYDE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GARLIC,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE GLUTEN,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HAZEL NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HICK/PECAN TREE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE HOUSE DUST,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JOHNSON GRASS,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE JUNE GRASS (G8),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LATEX (K82),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE LETTUCE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MACADAMIA NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MAPLE LEAF,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MELONS,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MILK,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOLDS,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MOUNTAIN JU,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE MUSTARD,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NETTLE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE NUT MIX GROUP,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAK (T7),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OAT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE OUTDOOR MOLD,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PEANUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PECAN NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PED PANEL,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PIGWEED (W14),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PINE NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PISTACHIO NUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE PORK,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE POTATO,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAGWEED (W1),86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE RAST FOOD P,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SESAME SEED,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHEEP SORRE,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SHRIMP,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SILVER BIRCH,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE SOYBEAN,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TIM GRASS,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE TOMATO,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WALNUT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN IGE WHEAT,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPECIFIC IGE EA,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E1 PROFILE 2,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,ALLIANT,ALLIANT,,8.61,,fee schedule,8.61,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,AMBETTER,AMBETTER,,6.79,,fee schedule,6.79,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,6.9,,fee schedule,6.9,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,7.03,,fee schedule,7.03,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,MEDICARE,MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,6.57,,fee schedule,6.57,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,TRICARE,TRICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,5.22,,fee schedule,5.22,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,5.22,75,percent of total billed charges,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,5.22,75,percent of total billed charges,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN-E5 PROFILE 2,86003,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,5.22,75,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,18.6,,fee schedule,18.6,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,18.95,,fee schedule,18.95,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,17.71,,fee schedule,17.71,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,17.71,46,percent of total billed charges,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,17.71,46,percent of total billed charges,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,17.71,46,percent of total billed charges,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,17.71,46,fee schedule,
ALLERGEN SPEC IGE RECOMB EA,86008,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,17.71,46,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,AMERIGROUP,AMERIGROUP,,9.68,,fee schedule,9.68,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,9.87,,fee schedule,9.87,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,9.22,,fee schedule,9.22,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,TRICARE,TRICARE,,12.05,,fee schedule,12.05,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,9.22,180,percent of total billed charges,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,9.22,180,percent of total billed charges,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,9.22,180,percent of total billed charges,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,9.22,180,fee schedule,
"ACTIN ANTIBODY, EACH",86015,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,9.22,180,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,19.88,,fee schedule,19.88,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,20.26,,fee schedule,20.26,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,18.93,,fee schedule,18.93,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,TRICARE,TRICARE,,15.05,,fee schedule,15.05,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,15.05,76,percent of total billed charges,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,15.05,76,percent of total billed charges,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,15.05,76,percent of total billed charges,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,15.05,76,fee schedule,
MYELOPEROXIDASE AUTOANTIB,86021,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,19.88,,fee schedule,19.88,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,20.26,,fee schedule,20.26,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,18.93,,fee schedule,18.93,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,TRICARE,TRICARE,,15.05,,fee schedule,15.05,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,15.05,76,percent of total billed charges,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,15.05,76,percent of total billed charges,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,15.05,76,percent of total billed charges,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,15.05,76,fee schedule,
PROTEINASE-3 ANTIBODY,86021,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,15.05,76,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,ALLIANT,ALLIANT,,30.31,,fee schedule,30.31,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AMBETTER,AMBETTER,,23.88,,fee schedule,23.88,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AMERIGROUP,AMERIGROUP,,24.24,,fee schedule,24.24,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,24.71,,fee schedule,24.71,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,MEDICARE,MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,23.09,,fee schedule,23.09,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,TRICARE,TRICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,UHC MEDICARE,UHC MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AETNA,AETNA,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,UNITED HEALTHCARE,UNITED HEALTHCARE,,456.72,88,percent of total billed charges,456.72,18.37,519,percent of total billed charges,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AETNA,AETNA,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,BEECH STREET,BEECH STREET,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,MEDICAID,MEDICAID,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,NOVA NET,NOVA NET,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,SELFPAY,SELFPAY,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,ALLIANT,ALLIANT,,30.31,,fee schedule,30.31,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AMBETTER,AMBETTER,,23.88,,fee schedule,23.88,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AMERIGROUP,AMERIGROUP,,24.24,,fee schedule,24.24,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,24.71,,fee schedule,24.71,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,MEDICARE,MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,23.09,,fee schedule,23.09,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,TRICARE,TRICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,UHC MEDICARE,UHC MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AETNA,AETNA,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,UNITED HEALTHCARE,UNITED HEALTHCARE,,456.72,88,percent of total billed charges,456.72,18.37,519,percent of total billed charges,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,AETNA,AETNA,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,BEECH STREET,BEECH STREET,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,MEDICAID,MEDICAID,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,NOVA NET,NOVA NET,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,SELFPAY,SELFPAY,,519,,fee schedule,519,18.37,519,fee schedule,
ANTIPLATELET ABY DRUG IND,86022,CPT,both,,,519,519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,ALLIANT,ALLIANT,,30.31,,fee schedule,30.31,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,AMBETTER,AMBETTER,,23.88,,fee schedule,23.88,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,AMERIGROUP,AMERIGROUP,,24.24,,fee schedule,24.24,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,24.71,,fee schedule,24.71,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,MEDICARE,MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,23.09,,fee schedule,23.09,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,TRICARE,TRICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,UHC MEDICARE,UHC MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,AETNA,AETNA,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,UNITED HEALTHCARE,UNITED HEALTHCARE,,456.72,88,percent of total billed charges,456.72,18.37,519,percent of total billed charges,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,AETNA,AETNA,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,BEECH STREET,BEECH STREET,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,MEDICAID,MEDICAID,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,NOVA NET,NOVA NET,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,SELFPAY,SELFPAY,,519,,fee schedule,519,18.37,519,fee schedule,
HEPARIN-PF4 ANTIBODIES (H,86022,CPT,both,,,519,519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,ALLIANT,ALLIANT,,30.31,,fee schedule,30.31,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,AMBETTER,AMBETTER,,23.88,,fee schedule,23.88,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,AMERIGROUP,AMERIGROUP,,24.24,,fee schedule,24.24,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,24.71,,fee schedule,24.71,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,MEDICARE,MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,23.09,,fee schedule,23.09,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,TRICARE,TRICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,UHC MEDICARE,UHC MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,AETNA,AETNA,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,UNITED HEALTHCARE,UNITED HEALTHCARE,,456.72,88,percent of total billed charges,456.72,18.37,519,percent of total billed charges,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,AETNA,AETNA,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,BEECH STREET,BEECH STREET,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,MEDICAID,MEDICAID,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,NOVA NET,NOVA NET,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,SELFPAY,SELFPAY,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODIES,86022,CPT,both,,,519,519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,ALLIANT,ALLIANT,,30.31,,fee schedule,30.31,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,AMBETTER,AMBETTER,,23.88,,fee schedule,23.88,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,24.24,,fee schedule,24.24,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,24.71,,fee schedule,24.71,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,MEDICARE,MEDICARE,,18.37,,fee schedule,18.37,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,23.09,,fee schedule,23.09,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,TRICARE,TRICARE,,18.37,,fee schedule,18.37,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,18.37,,fee schedule,18.37,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,18.37,438,percent of total billed charges,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,18.37,438,percent of total billed charges,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,18.37,438,percent of total billed charges,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,18.37,438,fee schedule,
PLATELET ANTIBODY SCREEN,86022,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,18.37,438,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,ALLIANT,ALLIANT,,30.31,,fee schedule,30.31,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,AMBETTER,AMBETTER,,23.88,,fee schedule,23.88,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,AMERIGROUP,AMERIGROUP,,24.24,,fee schedule,24.24,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,24.71,,fee schedule,24.71,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,MEDICARE,MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,23.09,,fee schedule,23.09,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,TRICARE,TRICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,UHC MEDICARE,UHC MEDICARE,,18.37,,fee schedule,18.37,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,AETNA,AETNA,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451.53,87,percent of total billed charges,451.53,18.37,519,percent of total billed charges,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,UNITED HEALTHCARE,UNITED HEALTHCARE,,456.72,88,percent of total billed charges,456.72,18.37,519,percent of total billed charges,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,AETNA,AETNA,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,BEECH STREET,BEECH STREET,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,CARESOURCE,CARESOURCE,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,MEDICAID,MEDICAID,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,NOVA NET,NOVA NET,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,PEACHSTATE,PEACHSTATE,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,SELFPAY,SELFPAY,,519,,fee schedule,519,18.37,519,fee schedule,
SEROTONIN RELEASE ASSAY,86022,CPT,both,,,519,519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,519,,fee schedule,519,18.37,519,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,ALLIANT,ALLIANT,,20.56,,fee schedule,20.56,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,AMBETTER,AMBETTER,,16.2,,fee schedule,16.2,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,16.44,,fee schedule,16.44,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,16.76,,fee schedule,16.76,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,MEDICARE,MEDICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,15.66,,fee schedule,15.66,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,TRICARE,TRICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,12.46,59,percent of total billed charges,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,12.46,59,percent of total billed charges,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,12.46,59,percent of total billed charges,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET 1A/11A DIRECT,86023,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,ALLIANT,ALLIANT,,20.56,,fee schedule,20.56,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,AMBETTER,AMBETTER,,16.2,,fee schedule,16.2,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,16.44,,fee schedule,16.44,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,16.76,,fee schedule,16.76,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,MEDICARE,MEDICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,15.66,,fee schedule,15.66,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,TRICARE,TRICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,12.46,59,percent of total billed charges,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,12.46,59,percent of total billed charges,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,12.46,59,percent of total billed charges,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 11B/111A DIRE,86023,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,ALLIANT,ALLIANT,,20.56,,fee schedule,20.56,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,AMBETTER,AMBETTER,,16.2,,fee schedule,16.2,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,16.44,,fee schedule,16.44,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,16.76,,fee schedule,16.76,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,MEDICARE,MEDICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,15.66,,fee schedule,15.66,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,TRICARE,TRICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,12.46,,fee schedule,12.46,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,12.46,59,percent of total billed charges,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,12.46,59,percent of total billed charges,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,12.46,59,percent of total billed charges,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,12.46,59,fee schedule,
PLATELET AB 1B/1X DIRECT,86023,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,12.46,59,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,10.12,,fee schedule,10.12,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,10.31,,fee schedule,10.31,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,9.64,,fee schedule,9.64,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,TRICARE,TRICARE,,12.05,,fee schedule,12.05,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,9.64,62,percent of total billed charges,
ANCA SCREEN,86036,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,9.64,62,percent of total billed charges,
ANCA SCREEN,86036,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,9.64,62,percent of total billed charges,
ANCA SCREEN,86036,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,9.64,62,fee schedule,
ANCA SCREEN,86036,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,9.64,62,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,AMERIGROUP,AMERIGROUP,,10.12,,fee schedule,10.12,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,10.31,,fee schedule,10.31,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,9.64,,fee schedule,9.64,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,TRICARE,TRICARE,,12.05,,fee schedule,12.05,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,AETNA,AETNA,,83.52,87,percent of total billed charges,83.52,9.64,96,percent of total billed charges,
"ANCA TITER, EA",86037,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83.52,87,percent of total billed charges,83.52,9.64,96,percent of total billed charges,
"ANCA TITER, EA",86037,CPT,both,,,96,96,UNITED HEALTHCARE,UNITED HEALTHCARE,,84.48,88,percent of total billed charges,84.48,9.64,96,percent of total billed charges,
"ANCA TITER, EA",86037,CPT,both,,,96,96,AETNA,AETNA,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,BEECH STREET,BEECH STREET,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,MEDICAID,MEDICAID,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,NOVA NET,NOVA NET,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,SELFPAY,SELFPAY,,96,,fee schedule,96,9.64,96,fee schedule,
"ANCA TITER, EA",86037,CPT,both,,,96,96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,96,,fee schedule,96,9.64,96,fee schedule,
ANA,86038,CPT,both,,,39,39,ALLIANT,ALLIANT,,19.95,,fee schedule,19.95,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,AMBETTER,AMBETTER,,15.72,,fee schedule,15.72,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,15.96,,fee schedule,15.96,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,16.26,,fee schedule,16.26,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,MEDICARE,MEDICARE,,12.09,,fee schedule,12.09,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,15.2,,fee schedule,15.2,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,TRICARE,TRICARE,,12.09,,fee schedule,12.09,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,12.09,,fee schedule,12.09,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,12.09,39,percent of total billed charges,
ANA,86038,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,12.09,39,percent of total billed charges,
ANA,86038,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,12.09,39,percent of total billed charges,
ANA,86038,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,12.09,39,fee schedule,
ANA,86038,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,12.09,39,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,ALLIANT,ALLIANT,,19.95,,fee schedule,19.95,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,AMBETTER,AMBETTER,,15.72,,fee schedule,15.72,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,AMERIGROUP,AMERIGROUP,,15.96,,fee schedule,15.96,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,16.26,,fee schedule,16.26,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,MEDICARE,MEDICARE,,12.09,,fee schedule,12.09,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,15.2,,fee schedule,15.2,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,TRICARE,TRICARE,,12.09,,fee schedule,12.09,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,UHC MEDICARE,UHC MEDICARE,,12.09,,fee schedule,12.09,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,AETNA,AETNA,,153.12,87,percent of total billed charges,153.12,12.09,176,percent of total billed charges,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153.12,87,percent of total billed charges,153.12,12.09,176,percent of total billed charges,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,UNITED HEALTHCARE,UNITED HEALTHCARE,,154.88,88,percent of total billed charges,154.88,12.09,176,percent of total billed charges,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,AETNA,AETNA,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,BEECH STREET,BEECH STREET,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,MEDICAID,MEDICAID,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,NOVA NET,NOVA NET,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,SELFPAY,SELFPAY,,176,,fee schedule,176,12.09,176,fee schedule,
ANA LUPUS PROFILE,86038,CPT,both,,,176,176,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,ALLIANT,ALLIANT,,19.95,,fee schedule,19.95,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,AMBETTER,AMBETTER,,15.72,,fee schedule,15.72,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,15.96,,fee schedule,15.96,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,16.26,,fee schedule,16.26,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,MEDICARE,MEDICARE,,12.09,,fee schedule,12.09,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,15.2,,fee schedule,15.2,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,TRICARE,TRICARE,,12.09,,fee schedule,12.09,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,12.09,,fee schedule,12.09,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,12.09,82,percent of total billed charges,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,12.09,82,percent of total billed charges,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,12.09,82,percent of total billed charges,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT,86038,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,12.09,82,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,ALLIANT,ALLIANT,,19.95,,fee schedule,19.95,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,AMBETTER,AMBETTER,,15.72,,fee schedule,15.72,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,AMERIGROUP,AMERIGROUP,,15.96,,fee schedule,15.96,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,16.26,,fee schedule,16.26,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,MEDICARE,MEDICARE,,12.09,,fee schedule,12.09,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,15.2,,fee schedule,15.2,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,TRICARE,TRICARE,,12.09,,fee schedule,12.09,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,UHC MEDICARE,UHC MEDICARE,,12.09,,fee schedule,12.09,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,AETNA,AETNA,,153.12,87,percent of total billed charges,153.12,12.09,176,percent of total billed charges,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153.12,87,percent of total billed charges,153.12,12.09,176,percent of total billed charges,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,UNITED HEALTHCARE,UNITED HEALTHCARE,,154.88,88,percent of total billed charges,154.88,12.09,176,percent of total billed charges,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,AETNA,AETNA,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,BEECH STREET,BEECH STREET,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,MEDICAID,MEDICAID,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,NOVA NET,NOVA NET,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,SELFPAY,SELFPAY,,176,,fee schedule,176,12.09,176,fee schedule,
ANTI-NUCLEAR AB QT.,86038,CPT,both,,,176,176,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,176,,fee schedule,176,12.09,176,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,ALLIANT,ALLIANT,,18.41,,fee schedule,18.41,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,AMBETTER,AMBETTER,,14.51,,fee schedule,14.51,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,14.74,,fee schedule,14.74,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,15.02,,fee schedule,15.02,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,MEDICARE,MEDICARE,,11.16,,fee schedule,11.16,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,14.04,,fee schedule,14.04,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,TRICARE,TRICARE,,11.16,,fee schedule,11.16,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,11.16,,fee schedule,11.16,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,11.16,103,percent of total billed charges,
ANA TITER,86039,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,11.16,103,percent of total billed charges,
ANA TITER,86039,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,11.16,103,percent of total billed charges,
ANA TITER,86039,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,11.16,103,fee schedule,
ANA TITER,86039,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,ALLIANT,ALLIANT,,18.41,,fee schedule,18.41,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,AMBETTER,AMBETTER,,14.51,,fee schedule,14.51,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,14.74,,fee schedule,14.74,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,15.02,,fee schedule,15.02,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,MEDICARE,MEDICARE,,11.16,,fee schedule,11.16,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,14.04,,fee schedule,14.04,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,TRICARE,TRICARE,,11.16,,fee schedule,11.16,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,11.16,,fee schedule,11.16,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,11.16,103,percent of total billed charges,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,11.16,103,percent of total billed charges,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,11.16,103,percent of total billed charges,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,11.16,103,fee schedule,
RHEUMATOID PROFILE B - AN,86039,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,11.16,103,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,10.12,,fee schedule,10.12,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,10.31,,fee schedule,10.31,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,9.64,,fee schedule,9.64,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,TRICARE,TRICARE,,12.05,,fee schedule,12.05,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,9.64,32,percent of total billed charges,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,9.64,32,percent of total billed charges,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,9.64,32,percent of total billed charges,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,9.64,32,fee schedule,
AQUAPORIN-4 ANTB CBA EACH,86052,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,9.64,32,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,ALLIANT,ALLIANT,,12.05,,fee schedule,12.05,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,AMBETTER,AMBETTER,,9.49,,fee schedule,9.49,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,MEDICARE,MEDICARE,,7.3,,fee schedule,7.3,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,TRICARE,TRICARE,,7.3,,fee schedule,7.3,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,7.3,,fee schedule,7.3,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,7.3,93,percent of total billed charges,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,7.3,93,percent of total billed charges,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,7.3,93,percent of total billed charges,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,7.3,93,fee schedule,
ANTISTREPTOLYSIN O; TITER,86060,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,7.3,93,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,ALLIANT,ALLIANT,,12.05,,fee schedule,12.05,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,AMBETTER,AMBETTER,,9.49,,fee schedule,9.49,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,MEDICARE,MEDICARE,,7.3,,fee schedule,7.3,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,TRICARE,TRICARE,,7.3,,fee schedule,7.3,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,7.3,,fee schedule,7.3,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,7.3,46,percent of total billed charges,
ASO TITER,86060,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,7.3,46,percent of total billed charges,
ASO TITER,86060,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,7.3,46,percent of total billed charges,
ASO TITER,86060,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,7.3,46,fee schedule,
ASO TITER,86060,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,7.3,46,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,ALLIANT,ALLIANT,,12.05,,fee schedule,12.05,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,AMBETTER,AMBETTER,,9.49,,fee schedule,9.49,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,MEDICARE,MEDICARE,,7.3,,fee schedule,7.3,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,TRICARE,TRICARE,,7.3,,fee schedule,7.3,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,7.3,,fee schedule,7.3,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,7.3,93,percent of total billed charges,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,7.3,93,percent of total billed charges,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,7.3,93,percent of total billed charges,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,7.3,93,fee schedule,
RHEUMATOID PROFILE B - AS,86060,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,7.3,93,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,ALLIANT,ALLIANT,,9.52,,fee schedule,9.52,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,AMBETTER,AMBETTER,,7.5,,fee schedule,7.5,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,7.62,,fee schedule,7.62,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,7.77,,fee schedule,7.77,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,MEDICARE,MEDICARE,,5.77,,fee schedule,5.77,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,7.26,,fee schedule,7.26,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,TRICARE,TRICARE,,5.77,,fee schedule,5.77,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,5.77,,fee schedule,5.77,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,5.77,72,percent of total billed charges,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,5.77,72,percent of total billed charges,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,5.77,72,percent of total billed charges,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,5.77,72,fee schedule,
STREPTOZYME SCREEN,86063,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,5.77,72,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,47.25,,fee schedule,47.25,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,48.15,,fee schedule,48.15,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,TRICARE,TRICARE,,157.25,,fee schedule,157.25,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,45,259.46,percent of total billed charges,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,45,259.46,percent of total billed charges,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,45,259.46,percent of total billed charges,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,45,259.46,fee schedule,
TRANSFUSION REACTION WORK,86078,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,45,259.46,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,5.18,43,percent of total billed charges,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,5.18,43,percent of total billed charges,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,5.18,43,percent of total billed charges,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN,86140,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,5.18,43,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,5.18,100,percent of total billed charges,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,5.18,100,percent of total billed charges,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,5.18,100,percent of total billed charges,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (CRP),86140,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,5.18,100,percent of total billed charges,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,5.18,100,percent of total billed charges,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,5.18,100,percent of total billed charges,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,5.18,100,fee schedule,
RHEUMATOID PROFILE B- CRP,86140,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,5.18,100,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,ALLIANT,ALLIANT,,21.37,,fee schedule,21.37,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,AMBETTER,AMBETTER,,16.84,,fee schedule,16.84,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,MEDICARE,MEDICARE,,12.95,,fee schedule,12.95,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,TRICARE,TRICARE,,12.95,,fee schedule,12.95,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,12.95,,fee schedule,12.95,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,12.95,135,percent of total billed charges,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,12.95,135,percent of total billed charges,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,12.95,135,percent of total billed charges,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,12.95,135,fee schedule,
C-REACTIVE PROTEIN (HS C,86141,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,12.95,135,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGA,86146,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGG,86146,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,25.45,106,percent of total billed charges,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,25.45,106,fee schedule,
BETA 2 GLYCOPROTEIN IGM,86146,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,25.45,106,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,25.45,122,percent of total billed charges,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,25.45,122,percent of total billed charges,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,25.45,122,percent of total billed charges,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,25.45,122,fee schedule,
ANTICARIOLLIPID ANTIBODY,86147,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,25.45,122,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGA,86147,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGG,86147,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,ALLIANT,ALLIANT,,41.99,,fee schedule,41.99,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,AMBETTER,AMBETTER,,33.09,,fee schedule,33.09,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,33.59,,fee schedule,33.59,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,34.23,,fee schedule,34.23,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,MEDICARE,MEDICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,31.99,,fee schedule,31.99,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,TRICARE,TRICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,25.45,,fee schedule,25.45,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,25.45,230,percent of total billed charges,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,25.45,230,fee schedule,
CARDIOLIPIN AB IGM,86147,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,25.45,230,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,TRICARE,TRICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGA,86148,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,TRICARE,TRICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGG,86148,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,TRICARE,TRICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,16.07,375,percent of total billed charges,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHATIDYLSERINE IGM,86148,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,TRICARE,TRICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,16.07,375,percent of total billed charges,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,16.07,375,percent of total billed charges,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,16.07,375,fee schedule,
PHOSPHOLIPID SYNDROME EVA,86148,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,16.07,375,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,ALLIANT,ALLIANT,,13.3,,fee schedule,13.3,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,AMBETTER,AMBETTER,,10.48,,fee schedule,10.48,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,AMERIGROUP,AMERIGROUP,,10.65,,fee schedule,10.65,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,10.85,,fee schedule,10.85,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,MEDICARE,MEDICARE,,8.06,,fee schedule,8.06,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,10.14,,fee schedule,10.14,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,TRICARE,TRICARE,,8.06,,fee schedule,8.06,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,8.06,,fee schedule,8.06,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,8.06,89,percent of total billed charges,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,8.06,89,percent of total billed charges,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,8.06,89,percent of total billed charges,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,8.06,89,fee schedule,
COLD AGGLUTININS QT.,86157,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,8.06,89,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIBITOR,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
C3 LUPUS PROFILE,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
C4 (1E GLOBULIN),86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
C4 LUPUS PROFILE,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT ANTIGEN,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C1Q,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C2,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C2,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT C2,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C2,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C5,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C5,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT C5,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C5,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C6,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C6,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT C6,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C6,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C7,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C7,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT C7,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C7,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C8,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT C8,86160,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT C8,86160,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT C8,86160,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,MEDICARE,MEDICARE,,12,,fee schedule,12,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,TRICARE,TRICARE,,12,,fee schedule,12,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,12,98,percent of total billed charges,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,12,98,percent of total billed charges,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,12,98,percent of total billed charges,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,12,98,fee schedule,
C1 ESTERASE INHIB FUNCTI,86161,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,12,98,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,ALLIANT,ALLIANT,,19.8,,fee schedule,19.8,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,AMBETTER,AMBETTER,,15.6,,fee schedule,15.6,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,MEDICARE,MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,TRICARE,TRICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,12,522,percent of total billed charges,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,12,522,percent of total billed charges,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,12,522,fee schedule,
COMPLEMENT/FUNCTION ACTIVITY,86161,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,12,522,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,ALLIANT,ALLIANT,,33.53,,fee schedule,33.53,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,AMBETTER,AMBETTER,,26.42,,fee schedule,26.42,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,26.83,,fee schedule,26.83,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,27.34,,fee schedule,27.34,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,MEDICARE,MEDICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,25.55,,fee schedule,25.55,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,TRICARE,TRICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,20.32,307,percent of total billed charges,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,20.32,307,percent of total billed charges,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,20.32,307,percent of total billed charges,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,20.32,307,fee schedule,
AH-50 (COMPLEMENT),86162,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,ALLIANT,ALLIANT,,33.53,,fee schedule,33.53,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AMBETTER,AMBETTER,,26.42,,fee schedule,26.42,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,26.83,,fee schedule,26.83,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,27.34,,fee schedule,27.34,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,MEDICARE,MEDICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,25.55,,fee schedule,25.55,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,TRICARE,TRICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,20.32,307,percent of total billed charges,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,20.32,307,percent of total billed charges,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,20.32,307,percent of total billed charges,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,20.32,307,fee schedule,
CH100 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,ALLIANT,ALLIANT,,33.53,,fee schedule,33.53,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AMBETTER,AMBETTER,,26.42,,fee schedule,26.42,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,26.83,,fee schedule,26.83,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,27.34,,fee schedule,27.34,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,MEDICARE,MEDICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,25.55,,fee schedule,25.55,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,TRICARE,TRICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,20.32,,fee schedule,20.32,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,20.32,307,percent of total billed charges,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,20.32,307,percent of total billed charges,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,20.32,307,percent of total billed charges,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,20.32,307,fee schedule,
CH50 (COMPLEMENT TOTAL),86162,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,20.32,307,fee schedule,
VDRL,86171,CPT,both,,,32,32,ALLIANT,ALLIANT,,16.52,,fee schedule,16.52,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,AMBETTER,AMBETTER,,13.01,,fee schedule,13.01,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,9.23,,fee schedule,9.23,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,9.41,,fee schedule,9.41,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,MEDICARE,MEDICARE,,10.01,,fee schedule,10.01,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,8.79,,fee schedule,8.79,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,TRICARE,TRICARE,,10.01,,fee schedule,10.01,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,10.01,,fee schedule,10.01,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,8.79,32,percent of total billed charges,
VDRL,86171,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,8.79,32,percent of total billed charges,
VDRL,86171,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,8.79,32,percent of total billed charges,
VDRL,86171,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,8.79,32,fee schedule,
VDRL,86171,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,8.79,32,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,AETNA,AETNA,,28986.68,87,percent of total billed charges,28986.68,28986.68,33318.02,percent of total billed charges,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28986.68,87,percent of total billed charges,28986.68,28986.68,33318.02,percent of total billed charges,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,29319.86,88,percent of total billed charges,29319.86,28986.68,33318.02,percent of total billed charges,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,AETNA,AETNA,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,ALLIANT,ALLIANT,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,AMBETTER,AMBETTER,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,BEECH STREET,BEECH STREET,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,CARESOURCE,CARESOURCE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,MEDICAID,MEDICAID,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,MEDICARE,MEDICARE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,NOVA NET,NOVA NET,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,PEACHSTATE,PEACHSTATE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,SELFPAY,SELFPAY,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,TRICARE,TRICARE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,862,DRG,inpatient,,,33318.02,33318.02,UHC MEDICARE,UHC MEDICARE,,33318.02,,fee schedule,33318.02,28986.68,33318.02,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,ALLIANT,ALLIANT,,21.37,,fee schedule,21.37,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,AMBETTER,AMBETTER,,16.84,,fee schedule,16.84,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,MEDICARE,MEDICARE,,12.95,,fee schedule,12.95,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,TRICARE,TRICARE,,12.95,,fee schedule,12.95,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,12.95,,fee schedule,12.95,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,12.95,68,percent of total billed charges,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,12.95,68,percent of total billed charges,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,12.95,68,percent of total billed charges,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,12.95,68,fee schedule,
CYCLIC CITRULLINATED PEPT,86200,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,12.95,68,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,17.49,,fee schedule,17.49,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,17.83,,fee schedule,17.83,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,16.66,,fee schedule,16.66,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,13.25,232,percent of total billed charges,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,13.25,232,percent of total billed charges,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,13.25,232,percent of total billed charges,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI DNA SLE PROFILE,86215,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,17.49,,fee schedule,17.49,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,17.83,,fee schedule,17.83,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,16.66,,fee schedule,16.66,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,13.25,232,percent of total billed charges,
ANTI-DNASE B,86215,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,13.25,232,percent of total billed charges,
ANTI-DNASE B,86215,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,13.25,232,percent of total billed charges,
ANTI-DNASE B,86215,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNASE B,86215,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,17.49,,fee schedule,17.49,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,17.83,,fee schedule,17.83,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,16.66,,fee schedule,16.66,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,13.25,232,percent of total billed charges,
DNASE IGG,86215,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,13.25,232,percent of total billed charges,
DNASE IGG,86215,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,13.25,232,percent of total billed charges,
DNASE IGG,86215,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,13.25,232,fee schedule,
DNASE IGG,86215,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,13.25,232,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,ALLIANT,ALLIANT,,22.67,,fee schedule,22.67,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AMBETTER,AMBETTER,,17.86,,fee schedule,17.86,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,MEDICARE,MEDICARE,,13.74,,fee schedule,13.74,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,TRICARE,TRICARE,,13.74,,fee schedule,13.74,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,UHC MEDICARE,UHC MEDICARE,,13.74,,fee schedule,13.74,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AETNA,AETNA,,281.88,87,percent of total billed charges,281.88,13.74,324,percent of total billed charges,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.88,87,percent of total billed charges,281.88,13.74,324,percent of total billed charges,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,UNITED HEALTHCARE,UNITED HEALTHCARE,,285.12,88,percent of total billed charges,285.12,13.74,324,percent of total billed charges,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AETNA,AETNA,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,BEECH STREET,BEECH STREET,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,MEDICAID,MEDICAID,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,NOVA NET,NOVA NET,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,SELFPAY,SELFPAY,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,ALLIANT,ALLIANT,,22.67,,fee schedule,22.67,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AMBETTER,AMBETTER,,17.86,,fee schedule,17.86,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,MEDICARE,MEDICARE,,13.74,,fee schedule,13.74,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,TRICARE,TRICARE,,13.74,,fee schedule,13.74,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,UHC MEDICARE,UHC MEDICARE,,13.74,,fee schedule,13.74,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AETNA,AETNA,,281.88,87,percent of total billed charges,281.88,13.74,324,percent of total billed charges,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.88,87,percent of total billed charges,281.88,13.74,324,percent of total billed charges,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,UNITED HEALTHCARE,UNITED HEALTHCARE,,285.12,88,percent of total billed charges,285.12,13.74,324,percent of total billed charges,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,AETNA,AETNA,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,BEECH STREET,BEECH STREET,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CARESOURCE,CARESOURCE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,MEDICAID,MEDICAID,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,NOVA NET,NOVA NET,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,PEACHSTATE,PEACHSTATE,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,SELFPAY,SELFPAY,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA (DOUBLE-STRAND)A,86225,CPT,both,,,324,324,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,324,,fee schedule,324,13.74,324,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,ALLIANT,ALLIANT,,22.67,,fee schedule,22.67,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,AMBETTER,AMBETTER,,17.86,,fee schedule,17.86,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,MEDICARE,MEDICARE,,13.74,,fee schedule,13.74,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,TRICARE,TRICARE,,13.74,,fee schedule,13.74,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,13.74,,fee schedule,13.74,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,13.74,56,percent of total billed charges,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,13.74,56,percent of total billed charges,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,13.74,56,percent of total billed charges,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,13.74,56,fee schedule,
ANTI-DNA DOUBLE STRAND AN,86225,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,13.74,56,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,ALLIANT,ALLIANT,,19.95,,fee schedule,19.95,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,AMBETTER,AMBETTER,,15.72,,fee schedule,15.72,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,AMERIGROUP,AMERIGROUP,,10.15,,fee schedule,10.15,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,10.35,,fee schedule,10.35,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,MEDICARE,MEDICARE,,12.09,,fee schedule,12.09,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,9.67,,fee schedule,9.67,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,TRICARE,TRICARE,,12.09,,fee schedule,12.09,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,12.09,,fee schedule,12.09,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,9.67,54,percent of total billed charges,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,9.67,54,percent of total billed charges,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,9.67,54,percent of total billed charges,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,9.67,54,fee schedule,
EMA EA IMMUNOGLOBULIN,86231,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,9.67,54,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ABS TO EXTRACTABLE NUCLEAR AG,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI RNP/SLE PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSA/SLE PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI SSB/SLE PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI U3RNP,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI U3RNP,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI U3RNP,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI U3RNP,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SM AB QT.,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSA PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
ANTI-SSB PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
CHROMATIN AB IGG,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 AUTOANTIBODIES,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
JO-1 IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
MI-2 AUTOANTIBODIES,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
RNP ABY LUPUS PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
RNP/SM IGG AUTOANTIBODIES,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SCL-70 (ANTI-SCLERODERMA,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SCLERODERMA ANTIBODY,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SJOGRENS - SSA,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SJOGRENS - SSA,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SJOGRENS - SSA,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSA,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SJOGRENS - SSB,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SJOGRENS - SSB,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SJOGRENS - SSB,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SJOGRENS - SSB,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SM ABY LUPUS PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SRP AUTOANTIBODIES,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SS-A LUPUS PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
SS-B LUPUS PROFILE,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,ALLIANT,ALLIANT,,29.58,,fee schedule,29.58,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,AMBETTER,AMBETTER,,23.31,,fee schedule,23.31,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,AMERIGROUP,AMERIGROUP,,23.68,,fee schedule,23.68,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,24.13,,fee schedule,24.13,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,MEDICARE,MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,22.55,,fee schedule,22.55,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,TRICARE,TRICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,17.93,,fee schedule,17.93,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,17.93,465,percent of total billed charges,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,17.93,465,percent of total billed charges,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,17.93,465,fee schedule,
TH/TO ANTIBODY,86235,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,17.93,465,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
AQUAPORIN-4 AB IGG,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,AETNA,AETNA,,670.77,87,percent of total billed charges,670.77,12.05,771,percent of total billed charges,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,670.77,87,percent of total billed charges,670.77,12.05,771,percent of total billed charges,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,UNITED HEALTHCARE,UNITED HEALTHCARE,,678.48,88,percent of total billed charges,678.48,12.05,771,percent of total billed charges,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,AETNA,AETNA,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,BEECH STREET,BEECH STREET,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,CARESOURCE,CARESOURCE,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,MEDICAID,MEDICAID,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,NOVA NET,NOVA NET,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,PEACHSTATE,PEACHSTATE,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,SELFPAY,SELFPAY,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE ABY LUPUS PROF,86255,CPT,both,,,771,771,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,771,,fee schedule,771,12.05,771,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
CENTROMERE AUTOABS,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
DNA NATIVE LUPUS PROFILE,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,12.05,32,percent of total billed charges,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,12.05,32,percent of total billed charges,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,12.05,32,percent of total billed charges,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORES. NONINFECTIONINS,86255,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,12.05,32,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
FLUORESCENT AB SCREEN EA,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
"FLUORESCNT NONINF AGENT AB, EA",86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
INFLUENZA VIRUS A AB BY D,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
MITOCHONDRIAL LUPUS PROFI,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
MYOCARDIAL ABY LUPUS PROF,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
NEUTROPHIL CYTOPLASMIC AB,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
NMDA RECEPTOR AUTOANTIBODY,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
PARIETAL CELL ABY LUPUS P,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
SMOOTH MUSCLE ABY LUPUS P,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,12.05,114,percent of total billed charges,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,12.05,114,percent of total billed charges,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,12.05,114,fee schedule,
STRIATIONAL MUSCLE LUPUS,86255,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,12.05,114,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ACETYLCHOLINE REC BINDING,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-ADRENAL AB.,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-CENTROMERE ABOT.,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,12.05,98,percent of total billed charges,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,12.05,98,percent of total billed charges,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,12.05,98,percent of total billed charges,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MITOCHONDRIAL AB QT,86256,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,12.05,98,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-MUSCLE AB QT.,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SKIN BASEMENT MEMBRA,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,12.05,92,percent of total billed charges,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,12.05,92,percent of total billed charges,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,12.05,92,percent of total billed charges,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-SMOOTH MUSCLE AB QT,86256,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,12.05,92,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ANTI-STRIATED MUSCLE AB.,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
ENDOMYSIAL ABY,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
"FLUORESCENT ANTIBODY,TITER",86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
MITOCHONDRIAL AB IFA QT,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
PARIETAL CELL AB,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
PARIETAL CELL AB,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
PARIETAL CELL AB,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
PARIETAL CELL AB,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
RABIES ABY TITER,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
RABIES ABY TITER,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
RABIES ABY TITER,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
RABIES ABY TITER,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
RETICULIN IGA ANTIBODY,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,12.05,449,percent of total billed charges,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,12.05,449,percent of total billed charges,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,12.05,449,fee schedule,
STRIATIONAL AUTOANTIBODIE,86256,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,12.05,449,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,AETNA,AETNA,,20257.62,87,percent of total billed charges,20257.62,20257.62,23284.62,percent of total billed charges,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20257.62,87,percent of total billed charges,20257.62,20257.62,23284.62,percent of total billed charges,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,UNITED HEALTHCARE,UNITED HEALTHCARE,,20490.47,88,percent of total billed charges,20490.47,20257.62,23284.62,percent of total billed charges,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,AETNA,AETNA,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,ALLIANT,ALLIANT,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,AMBETTER,AMBETTER,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,BEECH STREET,BEECH STREET,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,CARESOURCE,CARESOURCE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,MEDICAID,MEDICAID,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,MEDICARE,MEDICARE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,NOVA NET,NOVA NET,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,PEACHSTATE,PEACHSTATE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,SELFPAY,SELFPAY,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,TRICARE,TRICARE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,863,DRG,inpatient,,,23284.62,23284.62,UHC MEDICARE,UHC MEDICARE,,23284.62,,fee schedule,23284.62,20257.62,23284.62,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,20.81,278,percent of total billed charges,
CA 15-3,86300,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,20.81,278,percent of total billed charges,
CA 15-3,86300,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,20.81,278,percent of total billed charges,
CA 15-3,86300,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,20.81,278,fee schedule,
CA 15-3,86300,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,20.81,278,percent of total billed charges,
CA 27.29,86300,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,20.81,278,percent of total billed charges,
CA 27.29,86300,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,20.81,278,percent of total billed charges,
CA 27.29,86300,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,20.81,278,fee schedule,
CA 27.29,86300,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,20.81,278,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,20.81,286,percent of total billed charges,
CA 19-9,86301,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,20.81,286,percent of total billed charges,
CA 19-9,86301,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,20.81,286,percent of total billed charges,
CA 19-9,86301,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,20.81,286,fee schedule,
CA 19-9,86301,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,20.81,286,fee schedule,
CA 125,86304,CPT,both,,,266,266,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,20.81,266,percent of total billed charges,
CA 125,86304,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,20.81,266,percent of total billed charges,
CA 125,86304,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,20.81,266,percent of total billed charges,
CA 125,86304,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,20.81,266,fee schedule,
CA 125,86304,CPT,both,,,89,89,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,20.81,89,percent of total billed charges,
CA 125,86304,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,20.81,89,percent of total billed charges,
CA 125,86304,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,20.81,89,percent of total billed charges,
CA 125,86304,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,20.81,89,fee schedule,
CA 125,86304,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,20.81,89,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,20.81,408,percent of total billed charges,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,20.81,408,percent of total billed charges,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,20.81,408,percent of total billed charges,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,20.81,408,fee schedule,
HE4 OVARIAN CANCER MONIT,86305,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,20.81,408,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,5.18,59,percent of total billed charges,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,5.18,59,percent of total billed charges,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,5.18,59,percent of total billed charges,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,5.18,59,fee schedule,
MONONUCLEOSIS ANTIBODY SC,86308,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,5.18,59,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,ALLIANT,ALLIANT,,8.55,,fee schedule,8.55,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,AMBETTER,AMBETTER,,6.73,,fee schedule,6.73,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,6.84,,fee schedule,6.84,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,6.97,,fee schedule,6.97,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,MEDICARE,MEDICARE,,5.18,,fee schedule,5.18,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,6.51,,fee schedule,6.51,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,TRICARE,TRICARE,,5.18,,fee schedule,5.18,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,5.18,,fee schedule,5.18,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,5.18,34,percent of total billed charges,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,5.18,34,percent of total billed charges,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,5.18,34,percent of total billed charges,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,5.18,34,fee schedule,
MONOSPOT-(HETEROPHILE ANI,86308,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,5.18,34,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,AETNA,AETNA,,1009.2,87,percent of total billed charges,1009.2,20.81,1160,percent of total billed charges,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1009.2,87,percent of total billed charges,1009.2,20.81,1160,percent of total billed charges,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1020.8,88,percent of total billed charges,1020.8,20.81,1160,percent of total billed charges,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,AETNA,AETNA,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,BEECH STREET,BEECH STREET,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,CARESOURCE,CARESOURCE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,MEDICAID,MEDICAID,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,NOVA NET,NOVA NET,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,PEACHSTATE,PEACHSTATE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,SELFPAY,SELFPAY,,1160,,fee schedule,1160,20.81,1160,fee schedule,
BLADDER TUMOR MARKER,86316,CPT,both,,,1160,1160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,AETNA,AETNA,,1009.2,87,percent of total billed charges,1009.2,20.81,1160,percent of total billed charges,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1009.2,87,percent of total billed charges,1009.2,20.81,1160,percent of total billed charges,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1020.8,88,percent of total billed charges,1020.8,20.81,1160,percent of total billed charges,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,AETNA,AETNA,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,BEECH STREET,BEECH STREET,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,CARESOURCE,CARESOURCE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,MEDICAID,MEDICAID,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,NOVA NET,NOVA NET,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,PEACHSTATE,PEACHSTATE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,SELFPAY,SELFPAY,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHROMOGRANIN A,86316,CPT,both,,,1160,1160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,ALLIANT,ALLIANT,,34.34,,fee schedule,34.34,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,AMBETTER,AMBETTER,,27.05,,fee schedule,27.05,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,AMERIGROUP,AMERIGROUP,,27.47,,fee schedule,27.47,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,CARESOURCE,CARESOURCE,,27.99,,fee schedule,27.99,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,MEDICARE,MEDICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,PEACHSTATE,PEACHSTATE,,26.16,,fee schedule,26.16,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,TRICARE,TRICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,UHC MEDICARE,UHC MEDICARE,,20.81,,fee schedule,20.81,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,AETNA,AETNA,,1009.2,87,percent of total billed charges,1009.2,20.81,1160,percent of total billed charges,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1009.2,87,percent of total billed charges,1009.2,20.81,1160,percent of total billed charges,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,UNITED HEALTHCARE,UNITED HEALTHCARE,,1020.8,88,percent of total billed charges,1020.8,20.81,1160,percent of total billed charges,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,AETNA,AETNA,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,BEECH STREET,BEECH STREET,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,CARESOURCE,CARESOURCE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,MEDICAID,MEDICAID,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,NOVA NET,NOVA NET,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,PEACHSTATE,PEACHSTATE,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,SELFPAY,SELFPAY,,1160,,fee schedule,1160,20.81,1160,fee schedule,
SQUAMOUS CELL CARCINOMA,86316,CPT,both,,,1160,1160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1160,,fee schedule,1160,20.81,1160,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,14.99,655,percent of total billed charges,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,14.99,655,fee schedule,
CHLAMYDIA PRENATAL PROFIL,86317,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,14.99,82,percent of total billed charges,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,14.99,82,percent of total billed charges,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,14.99,82,percent of total billed charges,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES SIM.AG W/T,86317,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,14.99,82,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,14.99,79,percent of total billed charges,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,14.99,79,percent of total billed charges,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,14.99,79,percent of total billed charges,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,14.99,79,fee schedule,
CULTURE:HERPES-IMMUNO INF,86317,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,14.99,79,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,TRICARE,TRICARE,,14.99,,fee schedule,14.99,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,24.73,percent of total billed charges,
GEN SWAB,86317,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,24.73,percent of total billed charges,
GEN SWAB,86317,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,24.73,percent of total billed charges,
GEN SWAB,86317,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,24.73,fee schedule,
GEN SWAB,86317,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,24.73,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE  SEROTY,86317,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,14.99,655,percent of total billed charges,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,14.99,655,fee schedule,
STREP. PNEUMONIAE SEROTYP,86317,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,ALLIANT,ALLIANT,,24.73,,fee schedule,24.73,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,AMBETTER,AMBETTER,,19.49,,fee schedule,19.49,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,15.84,,fee schedule,15.84,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,16.15,,fee schedule,16.15,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,MEDICARE,MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,15.09,,fee schedule,15.09,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,TRICARE,TRICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,14.99,,fee schedule,14.99,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,14.99,655,percent of total billed charges,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,14.99,655,percent of total billed charges,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,14.99,655,fee schedule,
STREPTOCOCCUS PNEUM SEROT,86317,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,14.99,655,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,ALLIANT,ALLIANT,,29.85,,fee schedule,29.85,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,AMBETTER,AMBETTER,,23.52,,fee schedule,23.52,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,MEDICARE,MEDICARE,,18.09,,fee schedule,18.09,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,TRICARE,TRICARE,,18.09,,fee schedule,18.09,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,18.09,,fee schedule,18.09,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,16.28,56,percent of total billed charges,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,16.28,56,percent of total billed charges,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,16.28,56,percent of total billed charges,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,16.28,56,fee schedule,
H. PYLORI ONE STEP TEST,86318,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,16.28,56,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,ALLIANT,ALLIANT,,49.37,,fee schedule,49.37,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,AMBETTER,AMBETTER,,38.9,,fee schedule,38.9,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,AMERIGROUP,AMERIGROUP,,29.6,,fee schedule,29.6,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,30.16,,fee schedule,30.16,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,MEDICARE,MEDICARE,,29.92,,fee schedule,29.92,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,28.19,,fee schedule,28.19,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,TRICARE,TRICARE,,29.92,,fee schedule,29.92,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,29.92,,fee schedule,29.92,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,18.59,123,percent of total billed charges,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,18.59,123,percent of total billed charges,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,18.59,123,percent of total billed charges,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,18.59,123,fee schedule,
IMMUNOELECTROPHORESIS,86320,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,18.59,123,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,ALLIANT,ALLIANT,,49.37,,fee schedule,49.37,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,AMBETTER,AMBETTER,,38.9,,fee schedule,38.9,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,AMERIGROUP,AMERIGROUP,,29.6,,fee schedule,29.6,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,CARESOURCE,CARESOURCE,,30.16,,fee schedule,30.16,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,MEDICARE,MEDICARE,,29.92,,fee schedule,29.92,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,PEACHSTATE,PEACHSTATE,,28.19,,fee schedule,28.19,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,TRICARE,TRICARE,,29.92,,fee schedule,29.92,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,UHC MEDICARE,UHC MEDICARE,,29.92,,fee schedule,29.92,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,AETNA,AETNA,,271.44,87,percent of total billed charges,271.44,18.59,312,percent of total billed charges,
SERUM IEP,86320,CPT,both,,,312,312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271.44,87,percent of total billed charges,271.44,18.59,312,percent of total billed charges,
SERUM IEP,86320,CPT,both,,,312,312,UNITED HEALTHCARE,UNITED HEALTHCARE,,274.56,88,percent of total billed charges,274.56,18.59,312,percent of total billed charges,
SERUM IEP,86320,CPT,both,,,312,312,AETNA,AETNA,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,BEECH STREET,BEECH STREET,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,CARESOURCE,CARESOURCE,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,MEDICAID,MEDICAID,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,NOVA NET,NOVA NET,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,PEACHSTATE,PEACHSTATE,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,SELFPAY,SELFPAY,,312,,fee schedule,312,18.59,312,fee schedule,
SERUM IEP,86320,CPT,both,,,312,312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,312,,fee schedule,312,18.59,312,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,ALLIANT,ALLIANT,,38.16,,fee schedule,38.16,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,AMBETTER,AMBETTER,,30.07,,fee schedule,30.07,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,29.53,,fee schedule,29.53,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,30.09,,fee schedule,30.09,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,MEDICARE,MEDICARE,,23.13,,fee schedule,23.13,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,28.12,,fee schedule,28.12,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,TRICARE,TRICARE,,23.13,,fee schedule,23.13,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,23.13,,fee schedule,23.13,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,18.24,342,percent of total billed charges,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,18.24,342,percent of total billed charges,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,18.24,342,percent of total billed charges,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS CS,86325,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,ALLIANT,ALLIANT,,38.16,,fee schedule,38.16,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,AMBETTER,AMBETTER,,30.07,,fee schedule,30.07,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,29.53,,fee schedule,29.53,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,30.09,,fee schedule,30.09,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,MEDICARE,MEDICARE,,23.13,,fee schedule,23.13,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,28.12,,fee schedule,28.12,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,TRICARE,TRICARE,,23.13,,fee schedule,23.13,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,23.13,,fee schedule,23.13,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,18.24,342,percent of total billed charges,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,18.24,342,percent of total billed charges,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,18.24,342,percent of total billed charges,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,18.24,342,fee schedule,
IMMUNOELECTROPHORESIS UR,86325,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,18.24,342,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,ALLIANT,ALLIANT,,23.18,,fee schedule,23.18,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,AMBETTER,AMBETTER,,18.27,,fee schedule,18.27,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,AMERIGROUP,AMERIGROUP,,18.54,,fee schedule,18.54,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,18.9,,fee schedule,18.9,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,MEDICARE,MEDICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,17.66,,fee schedule,17.66,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,TRICARE,TRICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,UHC MEDICARE,UHC MEDICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,AETNA,AETNA,,532.44,87,percent of total billed charges,532.44,14.05,612,percent of total billed charges,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,532.44,87,percent of total billed charges,532.44,14.05,612,percent of total billed charges,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,UNITED HEALTHCARE,UNITED HEALTHCARE,,538.56,88,percent of total billed charges,538.56,14.05,612,percent of total billed charges,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,AETNA,AETNA,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,BEECH STREET,BEECH STREET,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,MEDICAID,MEDICAID,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,NOVA NET,NOVA NET,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,SELFPAY,SELFPAY,,612,,fee schedule,612,14.05,612,fee schedule,
C3 (1C/1A GLOBULIN),86329,CPT,both,,,612,612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,612,,fee schedule,612,14.05,612,fee schedule,
C3C4,86329,CPT,both,,,136,136,ALLIANT,ALLIANT,,23.18,,fee schedule,23.18,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,AMBETTER,AMBETTER,,18.27,,fee schedule,18.27,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,18.54,,fee schedule,18.54,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,18.9,,fee schedule,18.9,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,MEDICARE,MEDICARE,,14.05,,fee schedule,14.05,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,17.66,,fee schedule,17.66,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,TRICARE,TRICARE,,14.05,,fee schedule,14.05,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,14.05,,fee schedule,14.05,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,14.05,136,percent of total billed charges,
C3C4,86329,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,14.05,136,percent of total billed charges,
C3C4,86329,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,14.05,136,percent of total billed charges,
C3C4,86329,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,14.05,136,fee schedule,
C3C4,86329,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,14.05,136,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,ALLIANT,ALLIANT,,23.18,,fee schedule,23.18,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,AMBETTER,AMBETTER,,18.27,,fee schedule,18.27,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,AMERIGROUP,AMERIGROUP,,18.54,,fee schedule,18.54,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,18.9,,fee schedule,18.9,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,MEDICARE,MEDICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,17.66,,fee schedule,17.66,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,TRICARE,TRICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,UHC MEDICARE,UHC MEDICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,AETNA,AETNA,,532.44,87,percent of total billed charges,532.44,14.05,612,percent of total billed charges,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,532.44,87,percent of total billed charges,532.44,14.05,612,percent of total billed charges,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,UNITED HEALTHCARE,UNITED HEALTHCARE,,538.56,88,percent of total billed charges,538.56,14.05,612,percent of total billed charges,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,AETNA,AETNA,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,BEECH STREET,BEECH STREET,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,MEDICAID,MEDICAID,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,NOVA NET,NOVA NET,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,SELFPAY,SELFPAY,,612,,fee schedule,612,14.05,612,fee schedule,
C4 BINDING PROTEIN,86329,CPT,both,,,612,612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,ALLIANT,ALLIANT,,23.18,,fee schedule,23.18,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,AMBETTER,AMBETTER,,18.27,,fee schedule,18.27,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,AMERIGROUP,AMERIGROUP,,18.54,,fee schedule,18.54,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,18.9,,fee schedule,18.9,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,MEDICARE,MEDICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,17.66,,fee schedule,17.66,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,TRICARE,TRICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,UHC MEDICARE,UHC MEDICARE,,14.05,,fee schedule,14.05,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,AETNA,AETNA,,532.44,87,percent of total billed charges,532.44,14.05,612,percent of total billed charges,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,532.44,87,percent of total billed charges,532.44,14.05,612,percent of total billed charges,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,UNITED HEALTHCARE,UNITED HEALTHCARE,,538.56,88,percent of total billed charges,538.56,14.05,612,percent of total billed charges,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,AETNA,AETNA,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,BEECH STREET,BEECH STREET,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,CARESOURCE,CARESOURCE,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,MEDICAID,MEDICAID,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,NOVA NET,NOVA NET,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,PEACHSTATE,PEACHSTATE,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,SELFPAY,SELFPAY,,612,,fee schedule,612,14.05,612,fee schedule,
M.S.-IMMUNO-DIFFUSION,86329,CPT,both,,,612,612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,612,,fee schedule,612,14.05,612,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,11.98,136,percent of total billed charges,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,11.98,136,percent of total billed charges,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,11.98,136,percent of total billed charges,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,11.98,136,fee schedule,
ANTI-SCLERODERMA-70 AB,86331,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,11.98,136,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,ALLIANT,ALLIANT,,40.21,,fee schedule,40.21,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,AMBETTER,AMBETTER,,31.68,,fee schedule,31.68,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,AMERIGROUP,AMERIGROUP,,32.18,,fee schedule,32.18,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,32.8,,fee schedule,32.8,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,MEDICARE,MEDICARE,,24.37,,fee schedule,24.37,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,30.65,,fee schedule,30.65,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,TRICARE,TRICARE,,24.37,,fee schedule,24.37,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,UHC MEDICARE,UHC MEDICARE,,24.37,,fee schedule,24.37,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,AETNA,AETNA,,344.52,87,percent of total billed charges,344.52,24.37,396,percent of total billed charges,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344.52,87,percent of total billed charges,344.52,24.37,396,percent of total billed charges,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,UNITED HEALTHCARE,UNITED HEALTHCARE,,348.48,88,percent of total billed charges,348.48,24.37,396,percent of total billed charges,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,AETNA,AETNA,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,BEECH STREET,BEECH STREET,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,MEDICAID,MEDICAID,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,NOVA NET,NOVA NET,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,SELFPAY,SELFPAY,,396,,fee schedule,396,24.37,396,fee schedule,
IMMUNE COMPLEX ASSAY C1Q,86332,CPT,both,,,396,396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,396,,fee schedule,396,24.37,396,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,ALLIANT,ALLIANT,,36.86,,fee schedule,36.86,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,AMBETTER,AMBETTER,,29.04,,fee schedule,29.04,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,AMERIGROUP,AMERIGROUP,,29.49,,fee schedule,29.49,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,CARESOURCE,CARESOURCE,,30.06,,fee schedule,30.06,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,MEDICARE,MEDICARE,,22.34,,fee schedule,22.34,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,PEACHSTATE,PEACHSTATE,,28.09,,fee schedule,28.09,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,TRICARE,TRICARE,,22.34,,fee schedule,22.34,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,UHC MEDICARE,UHC MEDICARE,,22.34,,fee schedule,22.34,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,AETNA,AETNA,,750.81,87,percent of total billed charges,750.81,18.24,863,percent of total billed charges,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,750.81,87,percent of total billed charges,750.81,18.24,863,percent of total billed charges,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,UNITED HEALTHCARE,UNITED HEALTHCARE,,759.44,88,percent of total billed charges,759.44,18.24,863,percent of total billed charges,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,AETNA,AETNA,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,BEECH STREET,BEECH STREET,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,CARESOURCE,CARESOURCE,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,MEDICAID,MEDICAID,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,NOVA NET,NOVA NET,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,PEACHSTATE,PEACHSTATE,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,SELFPAY,SELFPAY,,863,,fee schedule,863,18.24,863,fee schedule,
BETA-2-TRANSFERRIN,86334,CPT,both,,,863,863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,ALLIANT,ALLIANT,,36.86,,fee schedule,36.86,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,AMBETTER,AMBETTER,,29.04,,fee schedule,29.04,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,AMERIGROUP,AMERIGROUP,,19.15,,fee schedule,19.15,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,AMERIGROUP,AMERIGROUP,,29.49,,fee schedule,29.49,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,CARESOURCE,CARESOURCE,,19.52,,fee schedule,19.52,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,CARESOURCE,CARESOURCE,,30.06,,fee schedule,30.06,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,MEDICARE,MEDICARE,,22.34,,fee schedule,22.34,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,PEACHSTATE,PEACHSTATE,,18.24,,fee schedule,18.24,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,PEACHSTATE,PEACHSTATE,,28.09,,fee schedule,28.09,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,TRICARE,TRICARE,,22.34,,fee schedule,22.34,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,UHC MEDICARE,UHC MEDICARE,,22.34,,fee schedule,22.34,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,AETNA,AETNA,,750.81,87,percent of total billed charges,750.81,18.24,863,percent of total billed charges,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,750.81,87,percent of total billed charges,750.81,18.24,863,percent of total billed charges,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,UNITED HEALTHCARE,UNITED HEALTHCARE,,759.44,88,percent of total billed charges,759.44,18.24,863,percent of total billed charges,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,AETNA,AETNA,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,BEECH STREET,BEECH STREET,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,CARESOURCE,CARESOURCE,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,MEDICAID,MEDICAID,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,NOVA NET,NOVA NET,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,PEACHSTATE,PEACHSTATE,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,SELFPAY,SELFPAY,,863,,fee schedule,863,18.24,863,fee schedule,
MONOCLONAL GAMMOPATHIES,86334,CPT,both,,,863,863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,863,,fee schedule,863,18.24,863,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,ALLIANT,ALLIANT,,48.43,,fee schedule,48.43,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,AMBETTER,AMBETTER,,38.16,,fee schedule,38.16,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,AMERIGROUP,AMERIGROUP,,38.75,,fee schedule,38.75,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,39.48,,fee schedule,39.48,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,MEDICARE,MEDICARE,,29.35,,fee schedule,29.35,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,36.9,,fee schedule,36.9,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,TRICARE,TRICARE,,29.35,,fee schedule,29.35,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,UHC MEDICARE,UHC MEDICARE,,29.35,,fee schedule,29.35,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,AETNA,AETNA,,114.84,87,percent of total billed charges,114.84,29.35,132,percent of total billed charges,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114.84,87,percent of total billed charges,114.84,29.35,132,percent of total billed charges,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,UNITED HEALTHCARE,UNITED HEALTHCARE,,116.16,88,percent of total billed charges,116.16,29.35,132,percent of total billed charges,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,AETNA,AETNA,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,BEECH STREET,BEECH STREET,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,MEDICAID,MEDICAID,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,NOVA NET,NOVA NET,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,SELFPAY,SELFPAY,,132,,fee schedule,132,29.35,132,fee schedule,
"IMMUNOFIXATION, OTHER FLUIDS",86335,CPT,both,,,132,132,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,132,,fee schedule,132,29.35,132,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,ALLIANT,ALLIANT,,25.72,,fee schedule,25.72,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,AMBETTER,AMBETTER,,20.27,,fee schedule,20.27,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,MEDICARE,MEDICARE,,15.59,,fee schedule,15.59,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,TRICARE,TRICARE,,15.59,,fee schedule,15.59,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,15.59,,fee schedule,15.59,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,15.59,192,percent of total billed charges,
INHIBIN A,86336,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,15.59,192,percent of total billed charges,
INHIBIN A,86336,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,15.59,192,percent of total billed charges,
INHIBIN A,86336,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,15.59,192,fee schedule,
INHIBIN A,86336,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,ALLIANT,ALLIANT,,25.72,,fee schedule,25.72,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,AMBETTER,AMBETTER,,20.27,,fee schedule,20.27,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,17.09,,fee schedule,17.09,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,17.42,,fee schedule,17.42,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,MEDICARE,MEDICARE,,15.59,,fee schedule,15.59,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,16.28,,fee schedule,16.28,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,TRICARE,TRICARE,,15.59,,fee schedule,15.59,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,15.59,,fee schedule,15.59,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,15.59,192,percent of total billed charges,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,15.59,192,percent of total billed charges,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,15.59,192,percent of total billed charges,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,15.59,192,fee schedule,
QUAD SCREEN INHIBIN A,86336,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,15.59,192,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,ALLIANT,ALLIANT,,35.33,,fee schedule,35.33,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,AMBETTER,AMBETTER,,27.83,,fee schedule,27.83,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,28.28,,fee schedule,28.28,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,28.82,,fee schedule,28.82,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,MEDICARE,MEDICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,26.93,,fee schedule,26.93,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,TRICARE,TRICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,21.41,272,percent of total billed charges,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,21.41,272,percent of total billed charges,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,21.41,272,percent of total billed charges,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS B,86337,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,ALLIANT,ALLIANT,,35.33,,fee schedule,35.33,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,AMBETTER,AMBETTER,,27.83,,fee schedule,27.83,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,28.28,,fee schedule,28.28,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,28.82,,fee schedule,28.82,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,MEDICARE,MEDICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,26.93,,fee schedule,26.93,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,TRICARE,TRICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,21.41,272,percent of total billed charges,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,21.41,272,percent of total billed charges,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,21.41,272,percent of total billed charges,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,21.41,272,fee schedule,
33667 INSULIN ABS C,86337,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,ALLIANT,ALLIANT,,35.33,,fee schedule,35.33,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,AMBETTER,AMBETTER,,27.83,,fee schedule,27.83,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,AMERIGROUP,AMERIGROUP,,28.28,,fee schedule,28.28,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,28.82,,fee schedule,28.82,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,MEDICARE,MEDICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,26.93,,fee schedule,26.93,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,TRICARE,TRICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,UHC MEDICARE,UHC MEDICARE,,21.41,,fee schedule,21.41,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,AETNA,AETNA,,236.64,87,percent of total billed charges,236.64,21.41,272,percent of total billed charges,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236.64,87,percent of total billed charges,236.64,21.41,272,percent of total billed charges,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,UNITED HEALTHCARE,UNITED HEALTHCARE,,239.36,88,percent of total billed charges,239.36,21.41,272,percent of total billed charges,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,AETNA,AETNA,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,BEECH STREET,BEECH STREET,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,CARESOURCE,CARESOURCE,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,MEDICAID,MEDICAID,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,NOVA NET,NOVA NET,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,PEACHSTATE,PEACHSTATE,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,SELFPAY,SELFPAY,,272,,fee schedule,272,21.41,272,fee schedule,
INSULIN AUTOANTIBODY,86337,CPT,both,,,272,272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,272,,fee schedule,272,21.41,272,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,ALLIANT,ALLIANT,,24.88,,fee schedule,24.88,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,AMBETTER,AMBETTER,,19.6,,fee schedule,19.6,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,19.9,,fee schedule,19.9,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,20.28,,fee schedule,20.28,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,MEDICARE,MEDICARE,,15.08,,fee schedule,15.08,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,18.95,,fee schedule,18.95,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,TRICARE,TRICARE,,15.08,,fee schedule,15.08,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,15.08,,fee schedule,15.08,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,15.08,298,percent of total billed charges,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,15.08,298,percent of total billed charges,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,15.08,298,percent of total billed charges,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,15.08,298,fee schedule,
INTRINSIC FACTOR ANTIBODY,86340,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,15.08,298,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,ALLIANT,ALLIANT,,38.89,,fee schedule,38.89,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,AMBETTER,AMBETTER,,30.64,,fee schedule,30.64,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,26.13,,fee schedule,26.13,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,26.63,,fee schedule,26.63,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,MEDICARE,MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,24.89,,fee schedule,24.89,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,TRICARE,TRICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,UHC MEDICARE,UHC MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,AETNA,AETNA,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,UNITED HEALTHCARE,UNITED HEALTHCARE,,343.2,88,percent of total billed charges,343.2,23.57,390,percent of total billed charges,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,AETNA,AETNA,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,BEECH STREET,BEECH STREET,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,MEDICAID,MEDICAID,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,NOVA NET,NOVA NET,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,SELFPAY,SELFPAY,,390,,fee schedule,390,23.57,390,fee schedule,
GLUTAMIC ACID DECARB 65 A,86341,CPT,both,,,390,390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,ALLIANT,ALLIANT,,38.89,,fee schedule,38.89,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,AMBETTER,AMBETTER,,30.64,,fee schedule,30.64,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,26.13,,fee schedule,26.13,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,26.63,,fee schedule,26.63,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,MEDICARE,MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,24.89,,fee schedule,24.89,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,TRICARE,TRICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,UHC MEDICARE,UHC MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,AETNA,AETNA,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,UNITED HEALTHCARE,UNITED HEALTHCARE,,343.2,88,percent of total billed charges,343.2,23.57,390,percent of total billed charges,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,AETNA,AETNA,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,BEECH STREET,BEECH STREET,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,MEDICAID,MEDICAID,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,NOVA NET,NOVA NET,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,SELFPAY,SELFPAY,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,390,390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,ALLIANT,ALLIANT,,38.89,,fee schedule,38.89,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,AMBETTER,AMBETTER,,30.64,,fee schedule,30.64,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,26.13,,fee schedule,26.13,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,26.63,,fee schedule,26.63,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,MEDICARE,MEDICARE,,23.57,,fee schedule,23.57,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,24.89,,fee schedule,24.89,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,TRICARE,TRICARE,,23.57,,fee schedule,23.57,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,23.57,,fee schedule,23.57,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,23.57,56,percent of total billed charges,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,23.57,56,percent of total billed charges,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,23.57,56,percent of total billed charges,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,23.57,56,fee schedule,
ISLET CELL AUTOANTIBODY I,86341,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,23.57,56,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,ALLIANT,ALLIANT,,38.89,,fee schedule,38.89,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,AMBETTER,AMBETTER,,30.64,,fee schedule,30.64,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,26.13,,fee schedule,26.13,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,26.63,,fee schedule,26.63,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,MEDICARE,MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,24.89,,fee schedule,24.89,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,TRICARE,TRICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,UHC MEDICARE,UHC MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,AETNA,AETNA,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,UNITED HEALTHCARE,UNITED HEALTHCARE,,343.2,88,percent of total billed charges,343.2,23.57,390,percent of total billed charges,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,AETNA,AETNA,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,BEECH STREET,BEECH STREET,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,MEDICAID,MEDICAID,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,NOVA NET,NOVA NET,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,SELFPAY,SELFPAY,,390,,fee schedule,390,23.57,390,fee schedule,
PANCREATIC ISLET CELL ABY,86341,CPT,both,,,390,390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,ALLIANT,ALLIANT,,38.89,,fee schedule,38.89,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,AMBETTER,AMBETTER,,30.64,,fee schedule,30.64,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,26.13,,fee schedule,26.13,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,26.63,,fee schedule,26.63,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,MEDICARE,MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,24.89,,fee schedule,24.89,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,TRICARE,TRICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,UHC MEDICARE,UHC MEDICARE,,23.57,,fee schedule,23.57,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,AETNA,AETNA,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339.3,87,percent of total billed charges,339.3,23.57,390,percent of total billed charges,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,UNITED HEALTHCARE,UNITED HEALTHCARE,,343.2,88,percent of total billed charges,343.2,23.57,390,percent of total billed charges,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,AETNA,AETNA,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,BEECH STREET,BEECH STREET,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,MEDICAID,MEDICAID,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,NOVA NET,NOVA NET,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,SELFPAY,SELFPAY,,390,,fee schedule,390,23.57,390,fee schedule,
ZINC TRANSPORTER 8 AB,86341,CPT,both,,,390,390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,390,,fee schedule,390,23.57,390,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,ALLIANT,ALLIANT,,20.56,,fee schedule,20.56,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,AMBETTER,AMBETTER,,16.2,,fee schedule,16.2,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,16.45,,fee schedule,16.45,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,16.77,,fee schedule,16.77,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,MEDICARE,MEDICARE,,12.46,,fee schedule,12.46,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,15.67,,fee schedule,15.67,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,TRICARE,TRICARE,,12.46,,fee schedule,12.46,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,12.46,,fee schedule,12.46,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,12.46,434,percent of total billed charges,
CU INDEX,86343,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,12.46,434,percent of total billed charges,
CU INDEX,86343,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,12.46,434,percent of total billed charges,
CU INDEX,86343,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,12.46,434,fee schedule,
CU INDEX,86343,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,ALLIANT,ALLIANT,,20.56,,fee schedule,20.56,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,AMBETTER,AMBETTER,,16.2,,fee schedule,16.2,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,16.45,,fee schedule,16.45,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,16.77,,fee schedule,16.77,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,MEDICARE,MEDICARE,,12.46,,fee schedule,12.46,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,15.67,,fee schedule,15.67,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,TRICARE,TRICARE,,12.46,,fee schedule,12.46,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,12.46,,fee schedule,12.46,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,12.46,434,percent of total billed charges,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,12.46,434,percent of total billed charges,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,12.46,434,percent of total billed charges,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,12.46,434,fee schedule,
HISTAMINE RELEASE,86343,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,12.46,434,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,ALLIANT,ALLIANT,,62.25,,fee schedule,62.25,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,AMBETTER,AMBETTER,,49.05,,fee schedule,49.05,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,31.1,,fee schedule,31.1,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,31.69,,fee schedule,31.69,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,MEDICARE,MEDICARE,,37.73,,fee schedule,37.73,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,29.62,,fee schedule,29.62,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,TRICARE,TRICARE,,37.73,,fee schedule,37.73,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,37.73,,fee schedule,37.73,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,29.62,84,percent of total billed charges,
B CELLS TOTAL,86355,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,29.62,84,percent of total billed charges,
B CELLS TOTAL,86355,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,29.62,84,percent of total billed charges,
B CELLS TOTAL,86355,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,29.62,84,fee schedule,
B CELLS TOTAL,86355,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,29.62,84,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,34.47,,fee schedule,34.47,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,35.13,,fee schedule,35.13,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,32.83,,fee schedule,32.83,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,26.78,279,percent of total billed charges,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY ~ CD8,86356,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,34.47,,fee schedule,34.47,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,35.13,,fee schedule,35.13,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,32.83,,fee schedule,32.83,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,26.78,279,percent of total billed charges,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY CD 59,86356,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,34.47,,fee schedule,34.47,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,35.13,,fee schedule,35.13,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,32.83,,fee schedule,32.83,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,26.78,279,percent of total billed charges,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD3,86356,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,34.47,,fee schedule,34.47,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,35.13,,fee schedule,35.13,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,32.83,,fee schedule,32.83,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,26.78,279,percent of total billed charges,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,26.78,279,fee schedule,
FLOW CYTOMETRY~CD4,86356,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,34.47,,fee schedule,34.47,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,35.13,,fee schedule,35.13,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,32.83,,fee schedule,32.83,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,26.78,279,percent of total billed charges,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,34.47,,fee schedule,34.47,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,35.13,,fee schedule,35.13,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,32.83,,fee schedule,32.83,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,26.78,279,percent of total billed charges,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,26.78,279,percent of total billed charges,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,26.78,279,fee schedule,
MONONUCLEAR CELL ANTIGEN,86356,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,26.78,279,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,ALLIANT,ALLIANT,,62.25,,fee schedule,62.25,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,AMBETTER,AMBETTER,,49.05,,fee schedule,49.05,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,31.1,,fee schedule,31.1,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,31.69,,fee schedule,31.69,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,MEDICARE,MEDICARE,,37.73,,fee schedule,37.73,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,29.62,,fee schedule,29.62,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,TRICARE,TRICARE,,37.73,,fee schedule,37.73,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,37.73,,fee schedule,37.73,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,29.62,121,percent of total billed charges,
NK CELLS TOTAL,86357,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,29.62,121,percent of total billed charges,
NK CELLS TOTAL,86357,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,29.62,121,percent of total billed charges,
NK CELLS TOTAL,86357,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,29.62,121,fee schedule,
NK CELLS TOTAL,86357,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,29.62,121,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,ALLIANT,ALLIANT,,62.25,,fee schedule,62.25,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,AMBETTER,AMBETTER,,49.05,,fee schedule,49.05,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,31.1,,fee schedule,31.1,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,31.69,,fee schedule,31.69,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,MEDICARE,MEDICARE,,37.73,,fee schedule,37.73,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,29.62,,fee schedule,29.62,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,TRICARE,TRICARE,,37.73,,fee schedule,37.73,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,37.73,,fee schedule,37.73,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,29.62,84,percent of total billed charges,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,29.62,84,percent of total billed charges,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,29.62,84,percent of total billed charges,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,29.62,84,fee schedule,
T-CELLS TOTAL COUNT,86359,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,29.62,84,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,ALLIANT,ALLIANT,,77.52,,fee schedule,77.52,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,AMBETTER,AMBETTER,,61.07,,fee schedule,61.07,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,AMERIGROUP,AMERIGROUP,,62.04,,fee schedule,62.04,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,63.23,,fee schedule,63.23,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,MEDICARE,MEDICARE,,46.98,,fee schedule,46.98,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,59.09,,fee schedule,59.09,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,TRICARE,TRICARE,,46.98,,fee schedule,46.98,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,UHC MEDICARE,UHC MEDICARE,,46.98,,fee schedule,46.98,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,AETNA,AETNA,,113.1,87,percent of total billed charges,113.1,46.98,130,percent of total billed charges,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.1,87,percent of total billed charges,113.1,46.98,130,percent of total billed charges,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,UNITED HEALTHCARE,UNITED HEALTHCARE,,114.4,88,percent of total billed charges,114.4,46.98,130,percent of total billed charges,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,AETNA,AETNA,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,BEECH STREET,BEECH STREET,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,MEDICAID,MEDICAID,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,NOVA NET,NOVA NET,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,SELFPAY,SELFPAY,,130,,fee schedule,130,46.98,130,fee schedule,
ABS CD4 & CD8 COUNT W/RAT,86360,CPT,both,,,130,130,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,130,,fee schedule,130,46.98,130,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,ALLIANT,ALLIANT,,44.19,,fee schedule,44.19,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,AMBETTER,AMBETTER,,34.81,,fee schedule,34.81,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,AMERIGROUP,AMERIGROUP,,34.46,,fee schedule,34.46,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,35.12,,fee schedule,35.12,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,MEDICARE,MEDICARE,,26.78,,fee schedule,26.78,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,32.82,,fee schedule,32.82,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,TRICARE,TRICARE,,26.78,,fee schedule,26.78,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,26.78,,fee schedule,26.78,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,26.78,122,percent of total billed charges,
CD4 COUNT,86361,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,26.78,122,percent of total billed charges,
CD4 COUNT,86361,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,26.78,122,percent of total billed charges,
CD4 COUNT,86361,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,26.78,122,fee schedule,
CD4 COUNT,86361,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,26.78,122,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.01,,fee schedule,24.01,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,AMBETTER,AMBETTER,,18.92,,fee schedule,18.92,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.22,,fee schedule,19.22,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,19.58,,fee schedule,19.58,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,MEDICARE,MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.3,,fee schedule,18.3,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,TRICARE,TRICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,14.55,172,percent of total billed charges,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,14.55,172,fee schedule,
ANTI-MICROSOMAL AB P#08,86376,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.01,,fee schedule,24.01,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,AMBETTER,AMBETTER,,18.92,,fee schedule,18.92,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.22,,fee schedule,19.22,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,19.58,,fee schedule,19.58,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,MEDICARE,MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.3,,fee schedule,18.3,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,TRICARE,TRICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,14.55,172,percent of total billed charges,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,14.55,172,fee schedule,
LIVER-KIDNEY MICROSOMAL A,86376,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.01,,fee schedule,24.01,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,AMBETTER,AMBETTER,,18.92,,fee schedule,18.92,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.22,,fee schedule,19.22,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,19.58,,fee schedule,19.58,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,MEDICARE,MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.3,,fee schedule,18.3,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,TRICARE,TRICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,14.55,172,percent of total billed charges,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,14.55,172,fee schedule,
SOLUBLE LIVER AG AUTOABS,86376,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,ALLIANT,ALLIANT,,24.01,,fee schedule,24.01,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,AMBETTER,AMBETTER,,18.92,,fee schedule,18.92,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,19.22,,fee schedule,19.22,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,19.58,,fee schedule,19.58,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,MEDICARE,MEDICARE,,14.55,,fee schedule,14.55,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,18.3,,fee schedule,18.3,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,TRICARE,TRICARE,,14.55,,fee schedule,14.55,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,14.55,,fee schedule,14.55,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,14.55,46,percent of total billed charges,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,14.55,46,percent of total billed charges,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,14.55,46,percent of total billed charges,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID ANTIBODIES,86376,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,14.55,46,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.01,,fee schedule,24.01,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,AMBETTER,AMBETTER,,18.92,,fee schedule,18.92,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.22,,fee schedule,19.22,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,19.58,,fee schedule,19.58,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,MEDICARE,MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.3,,fee schedule,18.3,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,TRICARE,TRICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,14.55,172,percent of total billed charges,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROX ABY LUPUS P,86376,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.01,,fee schedule,24.01,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,AMBETTER,AMBETTER,,18.92,,fee schedule,18.92,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.22,,fee schedule,19.22,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,19.58,,fee schedule,19.58,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,MEDICARE,MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.3,,fee schedule,18.3,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,TRICARE,TRICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,14.55,,fee schedule,14.55,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,14.55,172,percent of total billed charges,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,14.55,172,percent of total billed charges,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,14.55,172,fee schedule,
THYROID PEROXIDASE AB,86376,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,14.55,172,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,ALLIANT,ALLIANT,,27.9,,fee schedule,27.9,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,AMBETTER,AMBETTER,,21.98,,fee schedule,21.98,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,22.32,,fee schedule,22.32,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,22.75,,fee schedule,22.75,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,MEDICARE,MEDICARE,,16.91,,fee schedule,16.91,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,21.26,,fee schedule,21.26,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,TRICARE,TRICARE,,16.91,,fee schedule,16.91,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,16.91,,fee schedule,16.91,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,16.91,58,percent of total billed charges,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,16.91,58,percent of total billed charges,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,16.91,58,percent of total billed charges,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRU TYPE 1,86382,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,ALLIANT,ALLIANT,,27.9,,fee schedule,27.9,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,AMBETTER,AMBETTER,,21.98,,fee schedule,21.98,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,22.32,,fee schedule,22.32,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,22.75,,fee schedule,22.75,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,MEDICARE,MEDICARE,,16.91,,fee schedule,16.91,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,21.26,,fee schedule,21.26,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,TRICARE,TRICARE,,16.91,,fee schedule,16.91,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,16.91,,fee schedule,16.91,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,16.91,58,percent of total billed charges,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,16.91,58,percent of total billed charges,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,16.91,58,percent of total billed charges,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,16.91,58,fee schedule,
POLIOVIRUS TYPE 3,86382,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,16.91,58,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,AMBETTER,AMBETTER,,15,,fee schedule,15,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,10,75,percent of total billed charges,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN B STREP,86403,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,AMBETTER,AMBETTER,,15,,fee schedule,15,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,10,75,percent of total billed charges,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN H INFLU,86403,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,AMBETTER,AMBETTER,,15,,fee schedule,15,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,10,75,percent of total billed charges,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN N MENIN,86403,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,AMBETTER,AMBETTER,,15,,fee schedule,15,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,10,75,percent of total billed charges,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,10,75,percent of total billed charges,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,10,75,fee schedule,
BACTERIAL ANTIGEN S PNEUM,86403,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,10,75,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,AMBETTER,AMBETTER,,15,,fee schedule,15,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,10,270,percent of total billed charges,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,10,270,percent of total billed charges,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,10,270,percent of total billed charges,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,10,270,fee schedule,
CRYPTOCOCCUS ANTIGEN,86403,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,AMBETTER,AMBETTER,,15,,fee schedule,15,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,10,270,percent of total billed charges,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,10,270,percent of total billed charges,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,10,270,percent of total billed charges,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,10,270,fee schedule,
STREP GROUP B ANTIGEN,86403,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,ALLIANT,ALLIANT,,19.04,,fee schedule,19.04,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,AMBETTER,AMBETTER,,15,,fee schedule,15,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,MEDICARE,MEDICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,TRICARE,TRICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,11.54,,fee schedule,11.54,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,10,270,percent of total billed charges,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,10,270,percent of total billed charges,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,10,270,percent of total billed charges,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,10,270,fee schedule,
STREP PNEUMONIAE AG,86403,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,10,270,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,ALLIANT,ALLIANT,,17.56,,fee schedule,17.56,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,AMBETTER,AMBETTER,,13.83,,fee schedule,13.83,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,AMERIGROUP,AMERIGROUP,,14.05,,fee schedule,14.05,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,14.32,,fee schedule,14.32,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,MEDICARE,MEDICARE,,10.64,,fee schedule,10.64,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,13.38,,fee schedule,13.38,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,TRICARE,TRICARE,,10.64,,fee schedule,10.64,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,10.64,,fee schedule,10.64,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,10.64,28,percent of total billed charges,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,10.64,28,percent of total billed charges,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,10.64,28,percent of total billed charges,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,10.64,28,fee schedule,
PARTICLE AGGLUT AB TITER,86406,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,10.64,28,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,ALLIANT,ALLIANT,,10.13,,fee schedule,10.13,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,AMBETTER,AMBETTER,,7.98,,fee schedule,7.98,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,7.5,,fee schedule,7.5,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,7.64,,fee schedule,7.64,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,MEDICARE,MEDICARE,,6.14,,fee schedule,6.14,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,7.14,,fee schedule,7.14,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,TRICARE,TRICARE,,6.14,,fee schedule,6.14,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,6.14,,fee schedule,6.14,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,6.14,85,percent of total billed charges,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,6.14,85,percent of total billed charges,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,6.14,85,percent of total billed charges,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,6.14,85,fee schedule,
RA (RHEUMATOID ARTHRITIS),86430,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,6.14,85,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,ALLIANT,ALLIANT,,10.13,,fee schedule,10.13,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,AMBETTER,AMBETTER,,7.98,,fee schedule,7.98,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,AMERIGROUP,AMERIGROUP,,7.5,,fee schedule,7.5,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,7.64,,fee schedule,7.64,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,MEDICARE,MEDICARE,,6.14,,fee schedule,6.14,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,7.14,,fee schedule,7.14,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,TRICARE,TRICARE,,6.14,,fee schedule,6.14,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,6.14,,fee schedule,6.14,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,6.14,28,percent of total billed charges,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,6.14,28,percent of total billed charges,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,6.14,28,percent of total billed charges,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,6.14,28,fee schedule,
RA LATEX (RHEUMATOID ARTH,86430,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,6.14,28,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,ALLIANT,ALLIANT,,10.13,,fee schedule,10.13,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,AMBETTER,AMBETTER,,7.98,,fee schedule,7.98,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,7.5,,fee schedule,7.5,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,7.64,,fee schedule,7.64,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,MEDICARE,MEDICARE,,6.14,,fee schedule,6.14,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,7.14,,fee schedule,7.14,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,TRICARE,TRICARE,,6.14,,fee schedule,6.14,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,6.14,,fee schedule,6.14,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,6.14,59,percent of total billed charges,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,6.14,59,percent of total billed charges,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,6.14,59,percent of total billed charges,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,6.14,59,fee schedule,
RHEUMATOID PROFILE B RA L,86430,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,6.14,59,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,ALLIANT,ALLIANT,,9.36,,fee schedule,9.36,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,AMBETTER,AMBETTER,,7.37,,fee schedule,7.37,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,7.5,,fee schedule,7.5,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,7.64,,fee schedule,7.64,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,MEDICARE,MEDICARE,,5.67,,fee schedule,5.67,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,7.14,,fee schedule,7.14,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,TRICARE,TRICARE,,5.67,,fee schedule,5.67,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,5.67,,fee schedule,5.67,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,5.67,149,percent of total billed charges,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,5.67,149,percent of total billed charges,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,5.67,149,percent of total billed charges,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,5.67,149,fee schedule,
RA LUPUS PROFILE,86431,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,ALLIANT,ALLIANT,,9.36,,fee schedule,9.36,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,AMBETTER,AMBETTER,,7.37,,fee schedule,7.37,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,7.5,,fee schedule,7.5,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,7.64,,fee schedule,7.64,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,MEDICARE,MEDICARE,,5.67,,fee schedule,5.67,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,7.14,,fee schedule,7.14,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,TRICARE,TRICARE,,5.67,,fee schedule,5.67,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,5.67,,fee schedule,5.67,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,5.67,149,percent of total billed charges,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,5.67,149,percent of total billed charges,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,5.67,149,percent of total billed charges,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR FLUID,86431,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,5.67,149,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,ALLIANT,ALLIANT,,9.36,,fee schedule,9.36,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,AMBETTER,AMBETTER,,7.37,,fee schedule,7.37,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,7.5,,fee schedule,7.5,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,7.64,,fee schedule,7.64,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,MEDICARE,MEDICARE,,5.67,,fee schedule,5.67,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,7.14,,fee schedule,7.14,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,TRICARE,TRICARE,,5.67,,fee schedule,5.67,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,5.67,,fee schedule,5.67,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,5.67,93,percent of total billed charges,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,5.67,93,percent of total billed charges,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,5.67,93,percent of total billed charges,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,5.67,93,fee schedule,
RHEUMATOID FACTOR QUANT.,86431,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,5.67,93,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,ALLIANT,ALLIANT,,102.27,,fee schedule,102.27,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,AMBETTER,AMBETTER,,80.57,,fee schedule,80.57,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,AMERIGROUP,AMERIGROUP,,81.83,,fee schedule,81.83,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,83.39,,fee schedule,83.39,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,MEDICARE,MEDICARE,,61.98,,fee schedule,61.98,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,77.93,,fee schedule,77.93,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,TRICARE,TRICARE,,61.98,,fee schedule,61.98,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,61.98,,fee schedule,61.98,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,61.98,313,percent of total billed charges,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,61.98,313,percent of total billed charges,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,61.98,313,percent of total billed charges,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,61.98,313,fee schedule,
QUANTIFERON-TB GOLD,86480,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,61.98,313,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,AETNA,AETNA,,6569.87,87,percent of total billed charges,6569.87,6569.87,7551.58,percent of total billed charges,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6569.87,87,percent of total billed charges,6569.87,6569.87,7551.58,percent of total billed charges,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,UNITED HEALTHCARE,UNITED HEALTHCARE,,6645.39,88,percent of total billed charges,6645.39,6569.87,7551.58,percent of total billed charges,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,AETNA,AETNA,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,ALLIANT,ALLIANT,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,AMBETTER,AMBETTER,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,BEECH STREET,BEECH STREET,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,CARESOURCE,CARESOURCE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,MEDICAID,MEDICAID,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,MEDICARE,MEDICARE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,NOVA NET,NOVA NET,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,PEACHSTATE,PEACHSTATE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,SELFPAY,SELFPAY,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,TRICARE,TRICARE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
VIRAL ILLNESS W MCC,865,DRG,inpatient,,,7551.58,7551.58,UHC MEDICARE,UHC MEDICARE,,7551.58,,fee schedule,7551.58,6569.87,7551.58,fee schedule,
PPD,86580,CPT,both,,,32,32,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,TRICARE,TRICARE,,24.96,,fee schedule,24.96,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,8.13,41.18,percent of total billed charges,
PPD,86580,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,8.13,41.18,percent of total billed charges,
PPD,86580,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,8.13,41.18,percent of total billed charges,
PPD,86580,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD,86580,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,TRICARE,TRICARE,,24.96,,fee schedule,24.96,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,8.13,41.18,percent of total billed charges,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,8.13,41.18,percent of total billed charges,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,8.13,41.18,percent of total billed charges,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,8.13,41.18,fee schedule,
PPD TB SKIN TEST .10,86580,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,8.13,41.18,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,4.88,,fee schedule,4.88,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,4.98,,fee schedule,4.98,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,4.65,,fee schedule,4.65,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,4.27,26,percent of total billed charges,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,4.27,26,percent of total billed charges,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,4.27,26,percent of total billed charges,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,4.27,26,fee schedule,
RPR PRENATAL PROFILE,86592,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,4.27,26,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,4.88,,fee schedule,4.88,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,4.98,,fee schedule,4.98,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,4.65,,fee schedule,4.65,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,4.27,58,percent of total billed charges,
RPR QUAL,86592,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,4.27,58,percent of total billed charges,
RPR QUAL,86592,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,4.27,58,percent of total billed charges,
RPR QUAL,86592,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,4.27,58,fee schedule,
RPR QUAL,86592,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,4.27,58,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,4.88,,fee schedule,4.88,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,4.98,,fee schedule,4.98,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,4.65,,fee schedule,4.65,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,4.27,68,percent of total billed charges,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,4.27,68,percent of total billed charges,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,4.27,68,percent of total billed charges,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,4.27,68,fee schedule,
SYPHILIS TEST NON-TREP QUAL,86592,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,4.27,68,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,4.88,,fee schedule,4.88,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,4.98,,fee schedule,4.98,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,4.65,,fee schedule,4.65,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,4.27,35,percent of total billed charges,
VDRL/STS/RPR,86592,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,4.27,35,percent of total billed charges,
VDRL/STS/RPR,86592,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,4.27,35,percent of total billed charges,
VDRL/STS/RPR,86592,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,4.27,35,fee schedule,
VDRL/STS/RPR,86592,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,4.27,35,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,ALLIANT,ALLIANT,,7.26,,fee schedule,7.26,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,AMBETTER,AMBETTER,,5.72,,fee schedule,5.72,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,MEDICARE,MEDICARE,,4.4,,fee schedule,4.4,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,TRICARE,TRICARE,,4.4,,fee schedule,4.4,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,4.4,,fee schedule,4.4,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,4.4,85,percent of total billed charges,
RPR QUANT,86593,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,4.4,85,percent of total billed charges,
RPR QUANT,86593,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,4.4,85,percent of total billed charges,
RPR QUANT,86593,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,4.4,85,fee schedule,
RPR QUANT,86593,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,4.4,85,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,15.46,,fee schedule,15.46,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,15.75,,fee schedule,15.75,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,14.72,,fee schedule,14.72,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,12.05,47,percent of total billed charges,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,12.05,47,percent of total billed charges,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,12.05,47,percent of total billed charges,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,12.05,47,fee schedule,
VOLTAGE-GATED CA CHANNEL AB,86596,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,12.05,47,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,AETNA,AETNA,,17092.26,87,percent of total billed charges,17092.26,17092.26,19646.28,percent of total billed charges,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17092.26,87,percent of total billed charges,17092.26,17092.26,19646.28,percent of total billed charges,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,17288.73,88,percent of total billed charges,17288.73,17092.26,19646.28,percent of total billed charges,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,AETNA,AETNA,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,ALLIANT,ALLIANT,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,AMBETTER,AMBETTER,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,BEECH STREET,BEECH STREET,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,CARESOURCE,CARESOURCE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,MEDICAID,MEDICAID,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,MEDICARE,MEDICARE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,NOVA NET,NOVA NET,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,PEACHSTATE,PEACHSTATE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,SELFPAY,SELFPAY,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,TRICARE,TRICARE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
VIRAL ILLNESS W/O MCC,866,DRG,inpatient,,,19646.28,19646.28,UHC MEDICARE,UHC MEDICARE,,19646.28,,fee schedule,19646.28,17092.26,19646.28,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,ALLIANT,ALLIANT,,21.24,,fee schedule,21.24,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,AMBETTER,AMBETTER,,16.73,,fee schedule,16.73,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,AMERIGROUP,AMERIGROUP,,16.99,,fee schedule,16.99,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,17.31,,fee schedule,17.31,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,MEDICARE,MEDICARE,,12.87,,fee schedule,12.87,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,16.18,,fee schedule,16.18,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,TRICARE,TRICARE,,12.87,,fee schedule,12.87,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,12.87,,fee schedule,12.87,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,12.87,89,percent of total billed charges,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,12.87,89,percent of total billed charges,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,12.87,89,percent of total billed charges,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,12.87,89,fee schedule,
ADENOVIRUS ANTIBODY PROFI,86603,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,12.87,89,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,19.88,,fee schedule,19.88,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,20.26,,fee schedule,20.26,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,18.93,,fee schedule,18.93,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,TRICARE,TRICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,15.05,270,percent of total billed charges,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS ANTIBODIES,86606,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,19.88,,fee schedule,19.88,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,20.26,,fee schedule,20.26,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,18.93,,fee schedule,18.93,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,TRICARE,TRICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,15.05,270,percent of total billed charges,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGA AB,86606,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,19.88,,fee schedule,19.88,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,20.26,,fee schedule,20.26,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,18.93,,fee schedule,18.93,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,TRICARE,TRICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,15.05,270,percent of total billed charges,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGG AB,86606,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,ALLIANT,ALLIANT,,24.83,,fee schedule,24.83,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,AMBETTER,AMBETTER,,19.57,,fee schedule,19.57,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,19.88,,fee schedule,19.88,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,20.26,,fee schedule,20.26,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,MEDICARE,MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,18.93,,fee schedule,18.93,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,TRICARE,TRICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,15.05,,fee schedule,15.05,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,15.05,270,percent of total billed charges,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,15.05,270,percent of total billed charges,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,15.05,270,fee schedule,
ASPERGILLUS IGM AB,86606,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,15.05,270,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
BACTERIUM SPECIES,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
NEISSERIA GONORRHOEAE ABY,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,12.88,164,percent of total billed charges,
RICKETTSIA TITER,86609,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,12.88,164,percent of total billed charges,
RICKETTSIA TITER,86609,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,12.88,164,percent of total billed charges,
RICKETTSIA TITER,86609,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,12.88,164,fee schedule,
RICKETTSIA TITER,86609,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,12.88,164,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
S. RECTIVIRGULA AB,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
S. VIRIDIS AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
S. VIRIDIS AB,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
S. VIRIDIS AB,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
S. VIRIDIS AB,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
STREP PNEUMONIAE SEROTYPE,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,12.88,73,percent of total billed charges,
T. CANDIDUS AB,86609,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,12.88,73,percent of total billed charges,
T. CANDIDUS AB,86609,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,12.88,73,percent of total billed charges,
T. CANDIDUS AB,86609,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,12.88,73,fee schedule,
T. CANDIDUS AB,86609,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,12.88,73,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
T. SACCHARI AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
T. SACCHARI AB,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
T. SACCHARI AB,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
T. SACCHARI AB,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
T.VULGARIS AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
T.VULGARIS AB,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
T.VULGARIS AB,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
T.VULGARIS AB,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,12.88,289,percent of total billed charges,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,12.88,289,percent of total billed charges,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,12.88,289,fee schedule,
TEICHOIC ACID ANTIBODYDI,86609,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,12.88,289,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,10.18,195,percent of total billed charges,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGG,86611,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,10.18,195,percent of total billed charges,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,10.18,195,fee schedule,
BARTONELLA HENSELAE IGM,86611,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,10.18,195,percent of total billed charges,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH BARTON HENS,86611,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,10.18,195,percent of total billed charges,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGG,86611,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,10.18,195,percent of total billed charges,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCH QUINTANA IGM,86611,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,10.18,195,percent of total billed charges,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,10.18,195,percent of total billed charges,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,10.18,195,fee schedule,
CAT SCRATCHBARTON HENS I,86611,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,10.18,195,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,ALLIANT,ALLIANT,,21.29,,fee schedule,21.29,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,AMBETTER,AMBETTER,,16.77,,fee schedule,16.77,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,17.04,,fee schedule,17.04,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,17.37,,fee schedule,17.37,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,MEDICARE,MEDICARE,,12.9,,fee schedule,12.9,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,16.23,,fee schedule,16.23,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,TRICARE,TRICARE,,12.9,,fee schedule,12.9,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,12.9,,fee schedule,12.9,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,12.9,41,percent of total billed charges,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,12.9,41,percent of total billed charges,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,12.9,41,percent of total billed charges,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,12.9,41,fee schedule,
FUNGAL ABY BLASTOMYCES,86612,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,12.9,41,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,13.19,129,percent of total billed charges,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,13.19,129,percent of total billed charges,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,13.19,129,percent of total billed charges,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,13.19,129,fee schedule,
BORDETELLA PERTUSSIS IGG,86615,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,13.19,129,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,ALLIANT,ALLIANT,,25.56,,fee schedule,25.56,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,AMBETTER,AMBETTER,,20.14,,fee schedule,20.14,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,MEDICARE,MEDICARE,,15.49,,fee schedule,15.49,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,TRICARE,TRICARE,,15.49,,fee schedule,15.49,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,15.49,,fee schedule,15.49,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,15.49,144,percent of total billed charges,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,15.49,144,percent of total billed charges,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,15.49,144,percent of total billed charges,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,15.49,144,fee schedule,
LYME DISEASE CONF. TEST,86617,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,15.49,144,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,ALLIANT,ALLIANT,,25.56,,fee schedule,25.56,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,AMBETTER,AMBETTER,,20.14,,fee schedule,20.14,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,MEDICARE,MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,TRICARE,TRICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,15.49,173,percent of total billed charges,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGG IMMUNOBLOT,86617,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,ALLIANT,ALLIANT,,25.56,,fee schedule,25.56,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,AMBETTER,AMBETTER,,20.14,,fee schedule,20.14,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,MEDICARE,MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,TRICARE,TRICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,15.49,173,percent of total billed charges,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,15.49,173,fee schedule,
LYME IGM IMMUNOBLOT,86617,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,ALLIANT,ALLIANT,,25.56,,fee schedule,25.56,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,AMBETTER,AMBETTER,,20.14,,fee schedule,20.14,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,MEDICARE,MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,TRICARE,TRICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,15.49,173,percent of total billed charges,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGG ABS -1B,86617,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,ALLIANT,ALLIANT,,25.56,,fee schedule,25.56,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,AMBETTER,AMBETTER,,20.14,,fee schedule,20.14,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,MEDICARE,MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,TRICARE,TRICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,15.49,,fee schedule,15.49,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,15.49,173,percent of total billed charges,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,15.49,173,percent of total billed charges,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,15.49,173,fee schedule,
WESTERN BLOT IGM ABS -1B,86617,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,15.49,173,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,AETNA,AETNA,,225.33,87,percent of total billed charges,225.33,17.03,259,percent of total billed charges,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225.33,87,percent of total billed charges,225.33,17.03,259,percent of total billed charges,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.92,88,percent of total billed charges,227.92,17.03,259,percent of total billed charges,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,AETNA,AETNA,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,BEECH STREET,BEECH STREET,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,MEDICAID,MEDICAID,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,NOVA NET,NOVA NET,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,SELFPAY,SELFPAY,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGG,86618,CPT,both,,,259,259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,AETNA,AETNA,,225.33,87,percent of total billed charges,225.33,17.03,259,percent of total billed charges,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225.33,87,percent of total billed charges,225.33,17.03,259,percent of total billed charges,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.92,88,percent of total billed charges,227.92,17.03,259,percent of total billed charges,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,AETNA,AETNA,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,BEECH STREET,BEECH STREET,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,MEDICAID,MEDICAID,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,NOVA NET,NOVA NET,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,SELFPAY,SELFPAY,,259,,fee schedule,259,17.03,259,fee schedule,
BORRELIA BURGDORFERI IGM,86618,CPT,both,,,259,259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,AETNA,AETNA,,225.33,87,percent of total billed charges,225.33,17.03,259,percent of total billed charges,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225.33,87,percent of total billed charges,225.33,17.03,259,percent of total billed charges,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.92,88,percent of total billed charges,227.92,17.03,259,percent of total billed charges,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,AETNA,AETNA,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,BEECH STREET,BEECH STREET,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,MEDICAID,MEDICAID,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,NOVA NET,NOVA NET,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,SELFPAY,SELFPAY,,259,,fee schedule,259,17.03,259,fee schedule,
LYME DISEASE ANTIBODIES,86618,CPT,both,,,259,259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,259,,fee schedule,259,17.03,259,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,ALLIANT,ALLIANT,,28.1,,fee schedule,28.1,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,AMBETTER,AMBETTER,,22.14,,fee schedule,22.14,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,MEDICARE,MEDICARE,,17.03,,fee schedule,17.03,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,TRICARE,TRICARE,,17.03,,fee schedule,17.03,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,17.03,,fee schedule,17.03,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,17.03,151,percent of total billed charges,
LYME TITER,86618,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,17.03,151,percent of total billed charges,
LYME TITER,86618,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,17.03,151,percent of total billed charges,
LYME TITER,86618,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,17.03,151,fee schedule,
LYME TITER,86618,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,17.03,151,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,ALLIANT,ALLIANT,,14.73,,fee schedule,14.73,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,AMBETTER,AMBETTER,,11.61,,fee schedule,11.61,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,11.79,,fee schedule,11.79,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,12.02,,fee schedule,12.02,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,MEDICARE,MEDICARE,,8.93,,fee schedule,8.93,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,11.23,,fee schedule,11.23,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,TRICARE,TRICARE,,8.93,,fee schedule,8.93,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,8.93,,fee schedule,8.93,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,8.93,103,percent of total billed charges,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,8.93,103,percent of total billed charges,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,8.93,103,percent of total billed charges,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,8.93,103,fee schedule,
BRUCELLA AGGLUTININS QT.,86622,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,8.93,103,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,ALLIANT,ALLIANT,,21.65,,fee schedule,21.65,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,AMBETTER,AMBETTER,,17.06,,fee schedule,17.06,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,17.33,,fee schedule,17.33,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,17.66,,fee schedule,17.66,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,MEDICARE,MEDICARE,,13.12,,fee schedule,13.12,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,16.5,,fee schedule,16.5,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,TRICARE,TRICARE,,13.12,,fee schedule,13.12,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,13.12,,fee schedule,13.12,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,13.12,289,percent of total billed charges,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,13.12,289,percent of total billed charges,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,13.12,289,percent of total billed charges,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,13.12,289,fee schedule,
CAMPYLOBACTER JEJUNI ABS,86625,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,13.12,289,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,ALLIANT,ALLIANT,,19.82,,fee schedule,19.82,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,AMBETTER,AMBETTER,,15.61,,fee schedule,15.61,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,15.86,,fee schedule,15.86,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,16.16,,fee schedule,16.16,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,MEDICARE,MEDICARE,,12.01,,fee schedule,12.01,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,15.1,,fee schedule,15.1,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,TRICARE,TRICARE,,12.01,,fee schedule,12.01,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,12.01,,fee schedule,12.01,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,12.01,84,percent of total billed charges,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,12.01,84,percent of total billed charges,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,12.01,84,percent of total billed charges,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,12.01,84,fee schedule,
CANDIDA ANTIBODIES (DID),86628,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,12.01,84,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,ALLIANT,ALLIANT,,19.5,,fee schedule,19.5,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,AMBETTER,AMBETTER,,15.37,,fee schedule,15.37,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.61,,fee schedule,15.61,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.91,,fee schedule,15.91,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.87,,fee schedule,14.87,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,TRICARE,TRICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.82,121,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGA,86631,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,ALLIANT,ALLIANT,,19.5,,fee schedule,19.5,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,AMBETTER,AMBETTER,,15.37,,fee schedule,15.37,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.61,,fee schedule,15.61,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.91,,fee schedule,15.91,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.87,,fee schedule,14.87,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,TRICARE,TRICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.82,121,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGG,86631,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,ALLIANT,ALLIANT,,19.5,,fee schedule,19.5,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,AMBETTER,AMBETTER,,15.37,,fee schedule,15.37,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.61,,fee schedule,15.61,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.91,,fee schedule,15.91,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.87,,fee schedule,14.87,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,TRICARE,TRICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.82,121,percent of total billed charges,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGA,86631,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,ALLIANT,ALLIANT,,19.5,,fee schedule,19.5,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,AMBETTER,AMBETTER,,15.37,,fee schedule,15.37,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.61,,fee schedule,15.61,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.91,,fee schedule,15.91,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.87,,fee schedule,14.87,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,TRICARE,TRICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.82,121,percent of total billed charges,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PSITTACI IGG,86631,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,ALLIANT,ALLIANT,,19.5,,fee schedule,19.5,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,AMBETTER,AMBETTER,,15.37,,fee schedule,15.37,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.61,,fee schedule,15.61,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.91,,fee schedule,15.91,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.87,,fee schedule,14.87,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,TRICARE,TRICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.82,121,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGA,86631,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,ALLIANT,ALLIANT,,19.5,,fee schedule,19.5,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,AMBETTER,AMBETTER,,15.37,,fee schedule,15.37,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.61,,fee schedule,15.61,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.91,,fee schedule,15.91,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,MEDICARE,MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.87,,fee schedule,14.87,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,TRICARE,TRICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,11.82,,fee schedule,11.82,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.82,121,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.82,121,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA TRACHOMATIS IGG,86631,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.82,121,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,ALLIANT,ALLIANT,,20.92,,fee schedule,20.92,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,AMBETTER,AMBETTER,,16.48,,fee schedule,16.48,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,16.77,,fee schedule,16.77,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,17.09,,fee schedule,17.09,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,MEDICARE,MEDICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,15.97,,fee schedule,15.97,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,TRICARE,TRICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,12.68,101,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,12.68,101,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,12.68,101,percent of total billed charges,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PNEUMONIAE IGM,86632,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,ALLIANT,ALLIANT,,20.92,,fee schedule,20.92,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,AMBETTER,AMBETTER,,16.48,,fee schedule,16.48,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,16.77,,fee schedule,16.77,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,17.09,,fee schedule,17.09,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,MEDICARE,MEDICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,15.97,,fee schedule,15.97,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,TRICARE,TRICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,12.68,101,percent of total billed charges,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,12.68,101,percent of total billed charges,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,12.68,101,percent of total billed charges,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA PSITTACI IGM,86632,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,ALLIANT,ALLIANT,,20.92,,fee schedule,20.92,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,AMBETTER,AMBETTER,,16.48,,fee schedule,16.48,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,16.77,,fee schedule,16.77,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,17.09,,fee schedule,17.09,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,MEDICARE,MEDICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,15.97,,fee schedule,15.97,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,TRICARE,TRICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,12.68,,fee schedule,12.68,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,12.68,101,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,12.68,101,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,12.68,101,percent of total billed charges,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,12.68,101,fee schedule,
CHLAMYDIA TRACHOMATIS IGM,86632,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,12.68,101,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,ALLIANT,ALLIANT,,18.93,,fee schedule,18.93,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,AMBETTER,AMBETTER,,14.91,,fee schedule,14.91,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,AMERIGROUP,AMERIGROUP,,15.15,,fee schedule,15.15,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,15.44,,fee schedule,15.44,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,MEDICARE,MEDICARE,,11.47,,fee schedule,11.47,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,14.43,,fee schedule,14.43,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,TRICARE,TRICARE,,11.47,,fee schedule,11.47,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,UHC MEDICARE,UHC MEDICARE,,11.47,,fee schedule,11.47,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,AETNA,AETNA,,113.1,87,percent of total billed charges,113.1,11.47,130,percent of total billed charges,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.1,87,percent of total billed charges,113.1,11.47,130,percent of total billed charges,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,UNITED HEALTHCARE,UNITED HEALTHCARE,,114.4,88,percent of total billed charges,114.4,11.47,130,percent of total billed charges,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,AETNA,AETNA,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,BEECH STREET,BEECH STREET,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,MEDICAID,MEDICAID,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,NOVA NET,NOVA NET,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,SELFPAY,SELFPAY,,130,,fee schedule,130,11.47,130,fee schedule,
COCCIDIODES ANTIBODIES Q,86635,CPT,both,,,130,130,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,ALLIANT,ALLIANT,,18.93,,fee schedule,18.93,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,AMBETTER,AMBETTER,,14.91,,fee schedule,14.91,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,AMERIGROUP,AMERIGROUP,,15.15,,fee schedule,15.15,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,15.44,,fee schedule,15.44,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,MEDICARE,MEDICARE,,11.47,,fee schedule,11.47,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,14.43,,fee schedule,14.43,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,TRICARE,TRICARE,,11.47,,fee schedule,11.47,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,UHC MEDICARE,UHC MEDICARE,,11.47,,fee schedule,11.47,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,AETNA,AETNA,,113.1,87,percent of total billed charges,113.1,11.47,130,percent of total billed charges,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.1,87,percent of total billed charges,113.1,11.47,130,percent of total billed charges,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,UNITED HEALTHCARE,UNITED HEALTHCARE,,114.4,88,percent of total billed charges,114.4,11.47,130,percent of total billed charges,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,AETNA,AETNA,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,BEECH STREET,BEECH STREET,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,MEDICAID,MEDICAID,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,NOVA NET,NOVA NET,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,SELFPAY,SELFPAY,,130,,fee schedule,130,11.47,130,fee schedule,
FUNGAL ABY COCCIDIOIDES,86635,CPT,both,,,130,130,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,130,,fee schedule,130,11.47,130,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,ALLIANT,ALLIANT,,20,,fee schedule,20,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AMBETTER,AMBETTER,,15.76,,fee schedule,15.76,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,16.01,,fee schedule,16.01,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,16.32,,fee schedule,16.32,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,15.25,,fee schedule,15.25,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,TRICARE,TRICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.12,88,percent of total billed charges,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.12,88,fee schedule,
BOXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,ALLIANT,ALLIANT,,20,,fee schedule,20,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,AMBETTER,AMBETTER,,15.76,,fee schedule,15.76,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,16.01,,fee schedule,16.01,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,16.32,,fee schedule,16.32,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,15.25,,fee schedule,15.25,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,TRICARE,TRICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.12,88,percent of total billed charges,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BERNETTI IGM ABS,86638,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,ALLIANT,ALLIANT,,20,,fee schedule,20,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AMBETTER,AMBETTER,,15.76,,fee schedule,15.76,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,16.01,,fee schedule,16.01,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,16.32,,fee schedule,16.32,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,15.25,,fee schedule,15.25,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,TRICARE,TRICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGA ABS,86638,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,ALLIANT,ALLIANT,,20,,fee schedule,20,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AMBETTER,AMBETTER,,15.76,,fee schedule,15.76,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,16.01,,fee schedule,16.01,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,16.32,,fee schedule,16.32,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,15.25,,fee schedule,15.25,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,TRICARE,TRICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,ALLIANT,ALLIANT,,20,,fee schedule,20,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AMBETTER,AMBETTER,,15.76,,fee schedule,15.76,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,16.01,,fee schedule,16.01,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,16.32,,fee schedule,16.32,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,15.25,,fee schedule,15.25,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,TRICARE,TRICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGG ABS,86638,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,ALLIANT,ALLIANT,,20,,fee schedule,20,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,AMBETTER,AMBETTER,,15.76,,fee schedule,15.76,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,16.01,,fee schedule,16.01,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,16.32,,fee schedule,16.32,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,15.25,,fee schedule,15.25,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,TRICARE,TRICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.12,,fee schedule,12.12,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.12,88,percent of total billed charges,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.12,88,fee schedule,
COXIELLA BURNETTI IGM ABS,86638,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.12,88,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,ALLIANT,ALLIANT,,23.78,,fee schedule,23.78,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,AMBETTER,AMBETTER,,18.73,,fee schedule,18.73,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,AMERIGROUP,AMERIGROUP,,19.04,,fee schedule,19.04,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,19.4,,fee schedule,19.4,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,MEDICARE,MEDICARE,,14.41,,fee schedule,14.41,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,18.13,,fee schedule,18.13,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,TRICARE,TRICARE,,14.41,,fee schedule,14.41,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,UHC MEDICARE,UHC MEDICARE,,14.41,,fee schedule,14.41,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,AETNA,AETNA,,180.09,87,percent of total billed charges,180.09,14.41,207,percent of total billed charges,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.09,87,percent of total billed charges,180.09,14.41,207,percent of total billed charges,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,UNITED HEALTHCARE,UNITED HEALTHCARE,,182.16,88,percent of total billed charges,182.16,14.41,207,percent of total billed charges,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,AETNA,AETNA,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,BEECH STREET,BEECH STREET,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,MEDICAID,MEDICAID,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,NOVA NET,NOVA NET,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,SELFPAY,SELFPAY,,207,,fee schedule,207,14.41,207,fee schedule,
CRYPTOCOCCAL ANTIBODY,86641,CPT,both,,,207,207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,207,,fee schedule,207,14.41,207,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,14.39,209,percent of total billed charges,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,14.39,209,percent of total billed charges,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,14.39,209,percent of total billed charges,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,14.39,209,fee schedule,
CMV ANTIBODIES IGG (EIA),86644,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,14.39,209,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,14.39,48,percent of total billed charges,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,14.39,48,percent of total billed charges,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,14.39,48,percent of total billed charges,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,14.39,48,fee schedule,
CYTOMEGALOVIRUS (CMV),86644,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,14.39,48,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,ALLIANT,ALLIANT,,27.8,,fee schedule,27.8,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,AMBETTER,AMBETTER,,21.91,,fee schedule,21.91,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,22.25,,fee schedule,22.25,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,22.67,,fee schedule,22.67,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,MEDICARE,MEDICARE,,16.85,,fee schedule,16.85,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,21.19,,fee schedule,21.19,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,TRICARE,TRICARE,,16.85,,fee schedule,16.85,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,16.85,,fee schedule,16.85,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,16.85,192,percent of total billed charges,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,16.85,192,percent of total billed charges,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,16.85,192,percent of total billed charges,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,16.85,192,fee schedule,
CMV ANTIBODIES IGM (EIA),86645,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,ALLIANT,ALLIANT,,27.8,,fee schedule,27.8,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,AMBETTER,AMBETTER,,21.91,,fee schedule,21.91,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,22.25,,fee schedule,22.25,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,22.67,,fee schedule,22.67,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,MEDICARE,MEDICARE,,16.85,,fee schedule,16.85,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,21.19,,fee schedule,21.19,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,TRICARE,TRICARE,,16.85,,fee schedule,16.85,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,16.85,,fee schedule,16.85,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,16.85,192,percent of total billed charges,
TORCH CMV IGM,86645,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,16.85,192,percent of total billed charges,
TORCH CMV IGM,86645,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,16.85,192,percent of total billed charges,
TORCH CMV IGM,86645,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,16.85,192,fee schedule,
TORCH CMV IGM,86645,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,16.85,192,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,ALLIANT,ALLIANT,,25.1,,fee schedule,25.1,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,AMBETTER,AMBETTER,,19.77,,fee schedule,19.77,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,20.09,,fee schedule,20.09,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,20.47,,fee schedule,20.47,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,MEDICARE,MEDICARE,,15.21,,fee schedule,15.21,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,19.13,,fee schedule,19.13,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,TRICARE,TRICARE,,15.21,,fee schedule,15.21,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,15.21,,fee schedule,15.21,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,15.21,131,percent of total billed charges,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,15.21,131,percent of total billed charges,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,15.21,131,percent of total billed charges,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,15.21,131,fee schedule,
DIPHTHERIA TOXOID IGG ABS,86648,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,15.21,131,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL- LA CROSSE,86651,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - E. EQUINE,86652,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,13.19,78,percent of total billed charges,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - ST. LOUIS,86653,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,13.19,78,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,13.19,232,percent of total billed charges,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,13.19,232,percent of total billed charges,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,13.19,232,percent of total billed charges,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,13.19,232,fee schedule,
ARBOVIRUS PANEL - W.EQUINE,86654,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,13.19,232,percent of total billed charges,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,13.19,232,percent of total billed charges,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,13.19,232,percent of total billed charges,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,13.19,232,fee schedule,
W.EQUINE ENCEPHALITIS IGM,86654,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,13.19,232,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,ALLIANT,ALLIANT,,21.5,,fee schedule,21.5,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,AMBETTER,AMBETTER,,16.94,,fee schedule,16.94,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,17.2,,fee schedule,17.2,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,17.53,,fee schedule,17.53,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,MEDICARE,MEDICARE,,13.03,,fee schedule,13.03,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,16.38,,fee schedule,16.38,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,TRICARE,TRICARE,,13.03,,fee schedule,13.03,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,13.03,,fee schedule,13.03,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,13.03,181,percent of total billed charges,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,13.03,181,percent of total billed charges,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,13.03,181,percent of total billed charges,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,13.03,181,fee schedule,
COXSACKIE PROFILE,86658,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,13.03,181,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,ALLIANT,ALLIANT,,21.65,,fee schedule,21.65,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,AMBETTER,AMBETTER,,17.06,,fee schedule,17.06,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,17.33,,fee schedule,17.33,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,17.66,,fee schedule,17.66,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,MEDICARE,MEDICARE,,13.12,,fee schedule,13.12,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,16.5,,fee schedule,16.5,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,TRICARE,TRICARE,,13.12,,fee schedule,13.12,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,13.12,,fee schedule,13.12,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,13.12,35,percent of total billed charges,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,13.12,35,percent of total billed charges,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,13.12,35,percent of total billed charges,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,13.12,35,fee schedule,
EBV AB TO EARLY ANTIGEN,86663,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,13.12,35,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,ALLIANT,ALLIANT,,21.65,,fee schedule,21.65,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,AMBETTER,AMBETTER,,17.06,,fee schedule,17.06,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,17.33,,fee schedule,17.33,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,17.66,,fee schedule,17.66,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,MEDICARE,MEDICARE,,13.12,,fee schedule,13.12,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,16.5,,fee schedule,16.5,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,TRICARE,TRICARE,,13.12,,fee schedule,13.12,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,13.12,,fee schedule,13.12,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,13.12,82,percent of total billed charges,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,13.12,82,percent of total billed charges,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,13.12,82,percent of total billed charges,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,13.12,82,fee schedule,
EPSTEIN BARR VIRUS I,86663,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,13.12,82,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,ALLIANT,ALLIANT,,25.23,,fee schedule,25.23,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,AMBETTER,AMBETTER,,19.88,,fee schedule,19.88,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,20.2,,fee schedule,20.2,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,20.59,,fee schedule,20.59,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,MEDICARE,MEDICARE,,15.29,,fee schedule,15.29,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,19.24,,fee schedule,19.24,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,TRICARE,TRICARE,,15.29,,fee schedule,15.29,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,15.29,,fee schedule,15.29,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,15.29,35,percent of total billed charges,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,15.29,35,percent of total billed charges,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,15.29,35,percent of total billed charges,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,15.29,35,fee schedule,
EBV NUCLEAR ANTIGEN IGG,86664,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,15.29,35,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,ALLIANT,ALLIANT,,29.93,,fee schedule,29.93,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,AMBETTER,AMBETTER,,23.58,,fee schedule,23.58,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,23.96,,fee schedule,23.96,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,24.42,,fee schedule,24.42,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,MEDICARE,MEDICARE,,18.14,,fee schedule,18.14,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,22.82,,fee schedule,22.82,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,TRICARE,TRICARE,,18.14,,fee schedule,18.14,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,18.14,,fee schedule,18.14,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,18.14,75,percent of total billed charges,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,18.14,75,percent of total billed charges,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,18.14,75,percent of total billed charges,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,18.14,75,fee schedule,
EBV AB TO VIRAL CAPSID I,86665,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,ALLIANT,ALLIANT,,29.93,,fee schedule,29.93,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,AMBETTER,AMBETTER,,23.58,,fee schedule,23.58,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,23.96,,fee schedule,23.96,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,24.42,,fee schedule,24.42,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,MEDICARE,MEDICARE,,18.14,,fee schedule,18.14,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,22.82,,fee schedule,22.82,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,TRICARE,TRICARE,,18.14,,fee schedule,18.14,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,18.14,,fee schedule,18.14,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,18.14,75,percent of total billed charges,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,18.14,75,percent of total billed charges,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,18.14,75,percent of total billed charges,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,18.14,75,fee schedule,
EBV ANTI VIRAL CAP ANTI I,86665,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,18.14,75,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,ALLIANT,ALLIANT,,29.93,,fee schedule,29.93,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,AMBETTER,AMBETTER,,23.58,,fee schedule,23.58,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,23.96,,fee schedule,23.96,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,24.42,,fee schedule,24.42,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,MEDICARE,MEDICARE,,18.14,,fee schedule,18.14,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,22.82,,fee schedule,22.82,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,TRICARE,TRICARE,,18.14,,fee schedule,18.14,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,18.14,,fee schedule,18.14,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,18.14,78,percent of total billed charges,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,18.14,78,percent of total billed charges,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,18.14,78,percent of total billed charges,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,18.14,78,fee schedule,
EPSTEIN BARR VIRUS II,86665,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,18.14,78,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,10.18,438,percent of total billed charges,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGG,86666,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,10.18,438,percent of total billed charges,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,10.18,438,fee schedule,
EHRLICHIA CHAFFEENSIS IGM,86666,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
ERLICHIA ABY,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
ERLICHIA ABY,86666,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,10.18,438,percent of total billed charges,
ERLICHIA ABY,86666,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,10.18,438,fee schedule,
ERLICHIA ABY,86666,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
HGE IGG,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
HGE IGG,86666,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,10.18,438,percent of total billed charges,
HGE IGG,86666,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGG,86666,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,ALLIANT,ALLIANT,,16.8,,fee schedule,16.8,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,AMBETTER,AMBETTER,,13.23,,fee schedule,13.23,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,MEDICARE,MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,TRICARE,TRICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,10.18,,fee schedule,10.18,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
HGE IGM,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,10.18,438,percent of total billed charges,
HGE IGM,86666,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,10.18,438,percent of total billed charges,
HGE IGM,86666,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,10.18,438,fee schedule,
HGE IGM,86666,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,10.18,438,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,ALLIANT,ALLIANT,,20.21,,fee schedule,20.21,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AMBETTER,AMBETTER,,15.93,,fee schedule,15.93,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,16.19,,fee schedule,16.19,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,16.5,,fee schedule,16.5,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,MEDICARE,MEDICARE,,12.25,,fee schedule,12.25,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,15.42,,fee schedule,15.42,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,TRICARE,TRICARE,,12.25,,fee schedule,12.25,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,12.25,,fee schedule,12.25,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,12.25,102,percent of total billed charges,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,12.25,102,percent of total billed charges,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,12.25,102,percent of total billed charges,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,ALLIANT,ALLIANT,,20.21,,fee schedule,20.21,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AMBETTER,AMBETTER,,15.93,,fee schedule,15.93,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AMERIGROUP,AMERIGROUP,,16.19,,fee schedule,16.19,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,16.5,,fee schedule,16.5,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,MEDICARE,MEDICARE,,12.25,,fee schedule,12.25,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,15.42,,fee schedule,15.42,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,TRICARE,TRICARE,,12.25,,fee schedule,12.25,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,12.25,,fee schedule,12.25,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,12.25,102,percent of total billed charges,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,12.25,102,percent of total billed charges,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,12.25,102,percent of total billed charges,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,12.25,102,fee schedule,
SACCHAROMYCES CEREVISIAE,86671,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,12.25,102,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,ALLIANT,ALLIANT,,24.29,,fee schedule,24.29,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,AMBETTER,AMBETTER,,19.14,,fee schedule,19.14,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,19.43,,fee schedule,19.43,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,19.8,,fee schedule,19.8,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,MEDICARE,MEDICARE,,14.72,,fee schedule,14.72,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,18.5,,fee schedule,18.5,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,TRICARE,TRICARE,,14.72,,fee schedule,14.72,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,14.72,,fee schedule,14.72,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,14.72,184,percent of total billed charges,
GIARDIA AB IGG,86674,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,14.72,184,percent of total billed charges,
GIARDIA AB IGG,86674,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,14.72,184,percent of total billed charges,
GIARDIA AB IGG,86674,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,14.72,184,fee schedule,
GIARDIA AB IGG,86674,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,14.72,184,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,ALLIANT,ALLIANT,,27.8,,fee schedule,27.8,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,AMBETTER,AMBETTER,,21.91,,fee schedule,21.91,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,MEDICARE,MEDICARE,,16.85,,fee schedule,16.85,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,TRICARE,TRICARE,,16.85,,fee schedule,16.85,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,16.85,,fee schedule,16.85,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,16.85,209,percent of total billed charges,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,16.85,209,percent of total billed charges,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,16.85,209,percent of total billed charges,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,16.85,209,fee schedule,
H. PYLORI IGG QUAL.,86677,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,ALLIANT,ALLIANT,,27.8,,fee schedule,27.8,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,AMBETTER,AMBETTER,,21.91,,fee schedule,21.91,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,MEDICARE,MEDICARE,,16.85,,fee schedule,16.85,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,TRICARE,TRICARE,,16.85,,fee schedule,16.85,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,16.85,,fee schedule,16.85,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,16.85,209,percent of total billed charges,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,16.85,209,percent of total billed charges,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,16.85,209,percent of total billed charges,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,16.85,209,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,ALLIANT,ALLIANT,,27.8,,fee schedule,27.8,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,AMBETTER,AMBETTER,,21.91,,fee schedule,21.91,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,MEDICARE,MEDICARE,,16.85,,fee schedule,16.85,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,TRICARE,TRICARE,,16.85,,fee schedule,16.85,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,16.85,,fee schedule,16.85,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,16.85,113,percent of total billed charges,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,16.85,113,percent of total billed charges,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,16.85,113,percent of total billed charges,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,16.85,113,fee schedule,
HELICOBACTER PYLORI ANTIB,86677,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,16.85,113,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,ALLIANT,ALLIANT,,21.47,,fee schedule,21.47,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,AMBETTER,AMBETTER,,16.91,,fee schedule,16.91,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,17.17,,fee schedule,17.17,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,17.49,,fee schedule,17.49,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,MEDICARE,MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,16.35,,fee schedule,16.35,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,TRICARE,TRICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,13.01,331,percent of total billed charges,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,13.01,331,fee schedule,
CYSTICERCOSIS ABYS,86682,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,ALLIANT,ALLIANT,,21.47,,fee schedule,21.47,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,AMBETTER,AMBETTER,,16.91,,fee schedule,16.91,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,17.17,,fee schedule,17.17,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,17.49,,fee schedule,17.49,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,MEDICARE,MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,16.35,,fee schedule,16.35,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,TRICARE,TRICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,13.01,331,percent of total billed charges,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,13.01,331,fee schedule,
ECHINOCOCCUS IGG ANTIBODY,86682,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,ALLIANT,ALLIANT,,21.47,,fee schedule,21.47,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,AMBETTER,AMBETTER,,16.91,,fee schedule,16.91,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,17.17,,fee schedule,17.17,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,17.49,,fee schedule,17.49,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,MEDICARE,MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,16.35,,fee schedule,16.35,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,TRICARE,TRICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
HELMINTH AB,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
HELMINTH AB,86682,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,13.01,331,percent of total billed charges,
HELMINTH AB,86682,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,13.01,331,fee schedule,
HELMINTH AB,86682,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,ALLIANT,ALLIANT,,21.47,,fee schedule,21.47,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,AMBETTER,AMBETTER,,16.91,,fee schedule,16.91,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,17.17,,fee schedule,17.17,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,17.49,,fee schedule,17.49,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,MEDICARE,MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,16.35,,fee schedule,16.35,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,TRICARE,TRICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,13.01,331,percent of total billed charges,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,13.01,331,fee schedule,
SCHISTOSOMA IGG,86682,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,ALLIANT,ALLIANT,,21.47,,fee schedule,21.47,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,AMBETTER,AMBETTER,,16.91,,fee schedule,16.91,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,17.17,,fee schedule,17.17,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,17.49,,fee schedule,17.49,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,MEDICARE,MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,16.35,,fee schedule,16.35,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,TRICARE,TRICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,13.01,331,percent of total billed charges,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,13.01,331,fee schedule,
STRONGYLOIDES ANTI-IGG,86682,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,ALLIANT,ALLIANT,,21.47,,fee schedule,21.47,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,AMBETTER,AMBETTER,,16.91,,fee schedule,16.91,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,17.17,,fee schedule,17.17,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,17.49,,fee schedule,17.49,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,MEDICARE,MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,16.35,,fee schedule,16.35,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,TRICARE,TRICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,13.01,,fee schedule,13.01,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,13.01,331,percent of total billed charges,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,13.01,331,percent of total billed charges,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,13.01,331,fee schedule,
TOXOCARA AB ELISA,86682,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,13.01,331,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,ALLIANT,ALLIANT,,15,,fee schedule,15,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,AMBETTER,AMBETTER,,11.82,,fee schedule,11.82,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,MEDICARE,MEDICARE,,9.09,,fee schedule,9.09,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,TRICARE,TRICARE,,9.09,,fee schedule,9.09,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,9.09,,fee schedule,9.09,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,9.09,211,percent of total billed charges,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,9.09,211,percent of total billed charges,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,9.09,211,percent of total billed charges,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,9.09,211,fee schedule,
TORCH ANTIBODY PROFILEIG,86687,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,9.09,211,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,22.18,,fee schedule,22.18,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,22.6,,fee schedule,22.6,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,21.12,,fee schedule,21.12,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,19.35,307,percent of total billed charges,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,19.35,307,percent of total billed charges,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,19.35,307,percent of total billed charges,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,19.35,307,fee schedule,
HIV-1 WESTERN BLOT,86689,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,19.35,307,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,22.18,,fee schedule,22.18,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,22.6,,fee schedule,22.6,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,21.12,,fee schedule,21.12,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,19.35,157,percent of total billed charges,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,19.35,157,percent of total billed charges,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,19.35,157,percent of total billed charges,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,19.35,157,fee schedule,
HTLV-HIV ANITBODY CONF.,86689,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,19.35,157,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,ALLIANT,ALLIANT,,28.31,,fee schedule,28.31,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,AMBETTER,AMBETTER,,22.31,,fee schedule,22.31,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,22.66,,fee schedule,22.66,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,23.09,,fee schedule,23.09,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,MEDICARE,MEDICARE,,17.16,,fee schedule,17.16,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,21.58,,fee schedule,21.58,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,TRICARE,TRICARE,,17.16,,fee schedule,17.16,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,17.16,,fee schedule,17.16,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,17.16,118,percent of total billed charges,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,17.16,118,percent of total billed charges,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,17.16,118,percent of total billed charges,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,17.16,118,fee schedule,
HEPATITIS DELTA ANTIBODY,86692,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,17.16,118,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,13.19,212,percent of total billed charges,
HERPES I IGG,86695,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,13.19,212,percent of total billed charges,
HERPES I IGG,86695,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,13.19,212,percent of total billed charges,
HERPES I IGG,86695,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,13.19,55,percent of total billed charges,
HERPES I IGG,86695,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,13.19,55,percent of total billed charges,
HERPES I IGG,86695,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,13.19,55,percent of total billed charges,
HERPES I IGG,86695,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGG,86695,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,13.19,55,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,13.19,212,percent of total billed charges,
HERPES I IGM,86695,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,13.19,212,percent of total billed charges,
HERPES I IGM,86695,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,13.19,212,percent of total billed charges,
HERPES I IGM,86695,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,13.19,66,percent of total billed charges,
HERPES I IGM,86695,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,13.19,66,percent of total billed charges,
HERPES I IGM,86695,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,13.19,66,percent of total billed charges,
HERPES I IGM,86695,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,13.19,66,fee schedule,
HERPES I IGM,86695,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,13.19,66,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,13.19,212,percent of total billed charges,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,13.19,212,percent of total billed charges,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,13.19,212,percent of total billed charges,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,13.19,212,fee schedule,
TORCH HERPES 1&2 IGM,86695,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,13.19,212,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,19.35,206,percent of total billed charges,
HERPES II IGG,86696,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,19.35,206,percent of total billed charges,
HERPES II IGG,86696,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,19.35,206,percent of total billed charges,
HERPES II IGG,86696,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,19.35,55,percent of total billed charges,
HERPES II IGG,86696,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,19.35,55,percent of total billed charges,
HERPES II IGG,86696,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,19.35,55,percent of total billed charges,
HERPES II IGG,86696,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGG,86696,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,19.35,55,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,19.35,206,percent of total billed charges,
HERPES II IGM,86696,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,19.35,206,percent of total billed charges,
HERPES II IGM,86696,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,19.35,206,percent of total billed charges,
HERPES II IGM,86696,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,19.35,206,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,19.35,66,percent of total billed charges,
HERPES II IGM,86696,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,19.35,66,percent of total billed charges,
HERPES II IGM,86696,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,19.35,66,percent of total billed charges,
HERPES II IGM,86696,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,19.35,66,fee schedule,
HERPES II IGM,86696,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,19.35,66,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,19.35,206,percent of total billed charges,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,19.35,206,percent of total billed charges,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,19.35,206,percent of total billed charges,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,19.35,206,fee schedule,
HSV-2 IGM IFA,86696,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,19.35,206,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,ALLIANT,ALLIANT,,22.75,,fee schedule,22.75,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,AMBETTER,AMBETTER,,17.93,,fee schedule,17.93,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,AMERIGROUP,AMERIGROUP,,16.5,,fee schedule,16.5,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,16.81,,fee schedule,16.81,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,MEDICARE,MEDICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,15.71,,fee schedule,15.71,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,TRICARE,TRICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,13.79,194,percent of total billed charges,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,13.79,194,percent of total billed charges,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,13.79,194,percent of total billed charges,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA MYCELIAL PHA,86698,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,ALLIANT,ALLIANT,,22.75,,fee schedule,22.75,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,AMBETTER,AMBETTER,,17.93,,fee schedule,17.93,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,AMERIGROUP,AMERIGROUP,,16.5,,fee schedule,16.5,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,16.81,,fee schedule,16.81,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,MEDICARE,MEDICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,15.71,,fee schedule,15.71,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,TRICARE,TRICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,13.79,194,percent of total billed charges,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,13.79,194,percent of total billed charges,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,13.79,194,percent of total billed charges,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA TOTAL ANTIBOD,86698,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,ALLIANT,ALLIANT,,22.75,,fee schedule,22.75,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,AMBETTER,AMBETTER,,17.93,,fee schedule,17.93,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,AMERIGROUP,AMERIGROUP,,16.5,,fee schedule,16.5,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,16.81,,fee schedule,16.81,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,MEDICARE,MEDICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,15.71,,fee schedule,15.71,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,TRICARE,TRICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,13.79,,fee schedule,13.79,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,13.79,194,percent of total billed charges,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,13.79,194,percent of total billed charges,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,13.79,194,percent of total billed charges,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,13.79,194,fee schedule,
HISTOPLASMA YEAST PHASE,86698,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,13.79,194,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,ALLIANT,ALLIANT,,14.67,,fee schedule,14.67,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,AMBETTER,AMBETTER,,11.56,,fee schedule,11.56,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,10.19,,fee schedule,10.19,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,10.38,,fee schedule,10.38,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,MEDICARE,MEDICARE,,8.89,,fee schedule,8.89,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,9.7,,fee schedule,9.7,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,TRICARE,TRICARE,,8.89,,fee schedule,8.89,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,8.89,,fee schedule,8.89,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,8.89,34,percent of total billed charges,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,8.89,34,percent of total billed charges,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,8.89,34,percent of total billed charges,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,8.89,34,fee schedule,
HIV PRENATAL PROFILE,86701,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,8.89,34,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,ALLIANT,ALLIANT,,14.67,,fee schedule,14.67,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,AMBETTER,AMBETTER,,11.56,,fee schedule,11.56,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,10.19,,fee schedule,10.19,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,10.38,,fee schedule,10.38,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,MEDICARE,MEDICARE,,8.89,,fee schedule,8.89,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,9.7,,fee schedule,9.7,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,TRICARE,TRICARE,,8.89,,fee schedule,8.89,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,8.89,,fee schedule,8.89,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,8.89,62,percent of total billed charges,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,8.89,62,percent of total billed charges,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,8.89,62,percent of total billed charges,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-1 AB DIFFERENTIATION,86701,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,8.89,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,ALLIANT,ALLIANT,,22.31,,fee schedule,22.31,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,AMBETTER,AMBETTER,,17.58,,fee schedule,17.58,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,15.49,,fee schedule,15.49,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,15.78,,fee schedule,15.78,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,MEDICARE,MEDICARE,,13.52,,fee schedule,13.52,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,14.75,,fee schedule,14.75,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,TRICARE,TRICARE,,13.52,,fee schedule,13.52,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,13.52,,fee schedule,13.52,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,13.52,62,percent of total billed charges,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,13.52,62,percent of total billed charges,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,13.52,62,percent of total billed charges,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,13.52,62,fee schedule,
HIV-2 AB DIFFERENTIATION,86702,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,13.52,62,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,12.05,173,percent of total billed charges,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,12.05,173,percent of total billed charges,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,12.05,173,percent of total billed charges,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,12.05,39,percent of total billed charges,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,12.05,39,percent of total billed charges,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,12.05,39,percent of total billed charges,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS B CORE ABY TOT,86704,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,12.05,39,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,ALLIANT,ALLIANT,,19.88,,fee schedule,19.88,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,AMBETTER,AMBETTER,,15.67,,fee schedule,15.67,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,15.92,,fee schedule,15.92,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,16.22,,fee schedule,16.22,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,MEDICARE,MEDICARE,,12.05,,fee schedule,12.05,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,15.16,,fee schedule,15.16,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,TRICARE,TRICARE,,12.05,,fee schedule,12.05,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,12.05,,fee schedule,12.05,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,12.05,173,percent of total billed charges,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,12.05,173,percent of total billed charges,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,12.05,173,percent of total billed charges,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,12.05,173,fee schedule,
HEPATITIS HBCAG,86704,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,12.05,173,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,ALLIANT,ALLIANT,,19.42,,fee schedule,19.42,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,AMBETTER,AMBETTER,,15.3,,fee schedule,15.3,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,MEDICARE,MEDICARE,,11.77,,fee schedule,11.77,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,TRICARE,TRICARE,,11.77,,fee schedule,11.77,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,11.77,,fee schedule,11.77,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,11.77,62,percent of total billed charges,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,11.77,62,percent of total billed charges,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,11.77,62,percent of total billed charges,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY 1GM,86705,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,ALLIANT,ALLIANT,,19.42,,fee schedule,19.42,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,AMBETTER,AMBETTER,,15.3,,fee schedule,15.3,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,MEDICARE,MEDICARE,,11.77,,fee schedule,11.77,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,TRICARE,TRICARE,,11.77,,fee schedule,11.77,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,11.77,,fee schedule,11.77,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,11.77,62,percent of total billed charges,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,11.77,62,percent of total billed charges,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,11.77,62,percent of total billed charges,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ABY TOTAL,86705,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,11.77,62,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,ALLIANT,ALLIANT,,19.42,,fee schedule,19.42,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,AMBETTER,AMBETTER,,15.3,,fee schedule,15.3,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,MEDICARE,MEDICARE,,11.77,,fee schedule,11.77,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,TRICARE,TRICARE,,11.77,,fee schedule,11.77,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,11.77,,fee schedule,11.77,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,11.77,73,percent of total billed charges,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,11.77,73,percent of total billed charges,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,11.77,73,percent of total billed charges,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,11.77,73,fee schedule,
HEP B CORE ANTIBODY,86705,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,11.77,73,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,ALLIANT,ALLIANT,,19.42,,fee schedule,19.42,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,AMBETTER,AMBETTER,,15.3,,fee schedule,15.3,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,MEDICARE,MEDICARE,,11.77,,fee schedule,11.77,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,TRICARE,TRICARE,,11.77,,fee schedule,11.77,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,11.77,,fee schedule,11.77,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,11.77,66,percent of total billed charges,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,11.77,66,percent of total billed charges,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,11.77,66,percent of total billed charges,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE ANTIB(HB,86705,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,11.77,66,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,ALLIANT,ALLIANT,,19.42,,fee schedule,19.42,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,AMBETTER,AMBETTER,,15.3,,fee schedule,15.3,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,MEDICARE,MEDICARE,,11.77,,fee schedule,11.77,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,TRICARE,TRICARE,,11.77,,fee schedule,11.77,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,11.77,,fee schedule,11.77,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,11.77,156,percent of total billed charges,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,11.77,156,percent of total billed charges,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,11.77,156,percent of total billed charges,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B CORE IGM,86705,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,11.77,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,10.74,156,percent of total billed charges,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,10.74,156,percent of total billed charges,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,10.74,156,percent of total billed charges,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,10.74,156,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,10.74,93,percent of total billed charges,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,10.74,93,percent of total billed charges,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,10.74,93,percent of total billed charges,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURF ANTIBODY,86706,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,10.74,93,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,ALLIANT,ALLIANT,,17.72,,fee schedule,17.72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,AMBETTER,AMBETTER,,13.96,,fee schedule,13.96,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,14.19,,fee schedule,14.19,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,14.46,,fee schedule,14.46,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,MEDICARE,MEDICARE,,10.74,,fee schedule,10.74,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,13.51,,fee schedule,13.51,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,TRICARE,TRICARE,,10.74,,fee schedule,10.74,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,10.74,,fee schedule,10.74,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,10.74,72,percent of total billed charges,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,10.74,72,percent of total billed charges,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,10.74,72,percent of total billed charges,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS B SURFACE ANTIB,86706,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,10.74,72,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,ALLIANT,ALLIANT,,19.09,,fee schedule,19.09,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,AMBETTER,AMBETTER,,15.04,,fee schedule,15.04,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,15.27,,fee schedule,15.27,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,15.56,,fee schedule,15.56,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,MEDICARE,MEDICARE,,11.57,,fee schedule,11.57,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,14.54,,fee schedule,14.54,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,TRICARE,TRICARE,,11.57,,fee schedule,11.57,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,11.57,,fee schedule,11.57,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,11.57,136,percent of total billed charges,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,11.57,136,percent of total billed charges,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,11.57,136,percent of total billed charges,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,11.57,136,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,ALLIANT,ALLIANT,,19.09,,fee schedule,19.09,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,AMBETTER,AMBETTER,,15.04,,fee schedule,15.04,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,15.27,,fee schedule,15.27,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,15.56,,fee schedule,15.56,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,MEDICARE,MEDICARE,,11.57,,fee schedule,11.57,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,14.54,,fee schedule,14.54,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,TRICARE,TRICARE,,11.57,,fee schedule,11.57,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,11.57,,fee schedule,11.57,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,11.57,69,percent of total billed charges,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,11.57,69,percent of total billed charges,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,11.57,69,percent of total billed charges,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS BE ANTIBODY,86707,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,11.57,69,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,16.36,,fee schedule,16.36,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,16.67,,fee schedule,16.67,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,15.58,,fee schedule,15.58,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,12.39,56,percent of total billed charges,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,12.39,56,percent of total billed charges,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,12.39,56,percent of total billed charges,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A ANTI(HAAB);IG,86708,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,12.39,56,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,16.36,,fee schedule,16.36,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,16.67,,fee schedule,16.67,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,15.58,,fee schedule,15.58,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,12.39,144,percent of total billed charges,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,12.39,144,percent of total billed charges,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,12.39,144,percent of total billed charges,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A TOTAL AB,86708,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,16.36,,fee schedule,16.36,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,16.67,,fee schedule,16.67,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,15.58,,fee schedule,15.58,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,12.39,144,percent of total billed charges,
HEPATITIS HAAB,86708,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,12.39,144,percent of total billed charges,
HEPATITIS HAAB,86708,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,12.39,144,percent of total billed charges,
HEPATITIS HAAB,86708,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS HAAB,86708,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,12.39,144,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,ALLIANT,ALLIANT,,18.58,,fee schedule,18.58,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,AMBETTER,AMBETTER,,14.64,,fee schedule,14.64,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,14.87,,fee schedule,14.87,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,15.15,,fee schedule,15.15,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,MEDICARE,MEDICARE,,11.26,,fee schedule,11.26,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,14.16,,fee schedule,14.16,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,TRICARE,TRICARE,,11.26,,fee schedule,11.26,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,11.26,,fee schedule,11.26,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,11.26,159,percent of total billed charges,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,11.26,159,percent of total billed charges,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,11.26,159,percent of total billed charges,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,11.26,159,fee schedule,
HEPATITIS A ANTIBODY IGM,86709,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,11.26,159,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,ALLIANT,ALLIANT,,22.36,,fee schedule,22.36,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,AMBETTER,AMBETTER,,17.62,,fee schedule,17.62,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,17.9,,fee schedule,17.9,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,18.24,,fee schedule,18.24,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,MEDICARE,MEDICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,17.05,,fee schedule,17.05,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,TRICARE,TRICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,13.55,85,percent of total billed charges,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,13.55,85,percent of total billed charges,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,13.55,85,percent of total billed charges,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (A) ANTIBODYCF,86710,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,ALLIANT,ALLIANT,,22.36,,fee schedule,22.36,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,AMBETTER,AMBETTER,,17.62,,fee schedule,17.62,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,17.9,,fee schedule,17.9,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,18.24,,fee schedule,18.24,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,MEDICARE,MEDICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,17.05,,fee schedule,17.05,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,TRICARE,TRICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,13.55,85,percent of total billed charges,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,13.55,85,percent of total billed charges,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,13.55,85,percent of total billed charges,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (B) ANTIBODYCF,86710,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,ALLIANT,ALLIANT,,22.36,,fee schedule,22.36,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,AMBETTER,AMBETTER,,17.62,,fee schedule,17.62,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,17.9,,fee schedule,17.9,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,18.24,,fee schedule,18.24,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,MEDICARE,MEDICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,17.05,,fee schedule,17.05,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,TRICARE,TRICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,13.55,,fee schedule,13.55,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,13.55,85,percent of total billed charges,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,13.55,85,percent of total billed charges,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,13.55,85,percent of total billed charges,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,13.55,85,fee schedule,
INFLUENZA (C) ANTIBODYCF,86710,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,13.55,85,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,ALLIANT,ALLIANT,,27.87,,fee schedule,27.87,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,AMBETTER,AMBETTER,,21.96,,fee schedule,21.96,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,13.44,,fee schedule,13.44,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,13.7,,fee schedule,13.7,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,MEDICARE,MEDICARE,,16.89,,fee schedule,16.89,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,12.8,,fee schedule,12.8,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,TRICARE,TRICARE,,16.89,,fee schedule,16.89,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,16.89,,fee schedule,16.89,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,12.8,64,percent of total billed charges,
JCV ANTIBODY,86711,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,12.8,64,percent of total billed charges,
JCV ANTIBODY,86711,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,12.8,64,percent of total billed charges,
JCV ANTIBODY,86711,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,12.8,64,fee schedule,
JCV ANTIBODY,86711,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,12.8,64,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,TRICARE,TRICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,15.3,206,percent of total billed charges,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ABY. EVALUATIO,86713,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,TRICARE,TRICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,15.3,206,percent of total billed charges,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA ANTIBODY PROFI,86713,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,TRICARE,TRICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,15.3,206,percent of total billed charges,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGG,86713,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,ALLIANT,ALLIANT,,25.25,,fee schedule,25.25,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,AMBETTER,AMBETTER,,19.89,,fee schedule,19.89,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,MEDICARE,MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,TRICARE,TRICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,15.3,,fee schedule,15.3,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,15.3,206,percent of total billed charges,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,15.3,206,percent of total billed charges,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,15.3,206,fee schedule,
LEGIONELLA PNEUMOPHILLA IGM,86713,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,15.3,206,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,ALLIANT,ALLIANT,,20.21,,fee schedule,20.21,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,AMBETTER,AMBETTER,,15.93,,fee schedule,15.93,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,AMERIGROUP,AMERIGROUP,,16.18,,fee schedule,16.18,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,CARESOURCE,CARESOURCE,,16.49,,fee schedule,16.49,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,MEDICARE,MEDICARE,,12.25,,fee schedule,12.25,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,PEACHSTATE,PEACHSTATE,,15.41,,fee schedule,15.41,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,TRICARE,TRICARE,,12.25,,fee schedule,12.25,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,UHC MEDICARE,UHC MEDICARE,,12.25,,fee schedule,12.25,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,AETNA,AETNA,,144.42,87,percent of total billed charges,144.42,12.25,166,percent of total billed charges,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144.42,87,percent of total billed charges,144.42,12.25,166,percent of total billed charges,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.08,88,percent of total billed charges,146.08,12.25,166,percent of total billed charges,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,AETNA,AETNA,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,BEECH STREET,BEECH STREET,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,CARESOURCE,CARESOURCE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,MEDICAID,MEDICAID,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,NOVA NET,NOVA NET,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,PEACHSTATE,PEACHSTATE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,SELFPAY,SELFPAY,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGG ABYS,86717,CPT,both,,,166,166,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,ALLIANT,ALLIANT,,20.21,,fee schedule,20.21,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,AMBETTER,AMBETTER,,15.93,,fee schedule,15.93,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,AMERIGROUP,AMERIGROUP,,16.18,,fee schedule,16.18,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,CARESOURCE,CARESOURCE,,16.49,,fee schedule,16.49,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,MEDICARE,MEDICARE,,12.25,,fee schedule,12.25,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,PEACHSTATE,PEACHSTATE,,15.41,,fee schedule,15.41,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,TRICARE,TRICARE,,12.25,,fee schedule,12.25,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,UHC MEDICARE,UHC MEDICARE,,12.25,,fee schedule,12.25,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,AETNA,AETNA,,144.42,87,percent of total billed charges,144.42,12.25,166,percent of total billed charges,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144.42,87,percent of total billed charges,144.42,12.25,166,percent of total billed charges,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.08,88,percent of total billed charges,146.08,12.25,166,percent of total billed charges,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,AETNA,AETNA,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,BEECH STREET,BEECH STREET,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,CARESOURCE,CARESOURCE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,MEDICAID,MEDICAID,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,NOVA NET,NOVA NET,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,PEACHSTATE,PEACHSTATE,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,SELFPAY,SELFPAY,,166,,fee schedule,166,12.25,166,fee schedule,
LEISHMANIA IGM ABS,86717,CPT,both,,,166,166,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,166,,fee schedule,166,12.25,166,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,ALLIANT,ALLIANT,,26.73,,fee schedule,26.73,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,AMBETTER,AMBETTER,,21.06,,fee schedule,21.06,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,MEDICARE,MEDICARE,,16.2,,fee schedule,16.2,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,TRICARE,TRICARE,,16.2,,fee schedule,16.2,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,16.2,,fee schedule,16.2,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,16.2,109,percent of total billed charges,
LEPTOSPIRA,86720,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,16.2,109,percent of total billed charges,
LEPTOSPIRA,86720,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,16.2,109,percent of total billed charges,
LEPTOSPIRA,86720,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,16.2,109,fee schedule,
LEPTOSPIRA,86720,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,16.2,109,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,ALLIANT,ALLIANT,,21.53,,fee schedule,21.53,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,AMBETTER,AMBETTER,,16.97,,fee schedule,16.97,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,AMERIGROUP,AMERIGROUP,,17.23,,fee schedule,17.23,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,17.56,,fee schedule,17.56,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,MEDICARE,MEDICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,16.41,,fee schedule,16.41,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,TRICARE,TRICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,UHC MEDICARE,UHC MEDICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,AETNA,AETNA,,235.77,87,percent of total billed charges,235.77,13.05,271,percent of total billed charges,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,235.77,87,percent of total billed charges,235.77,13.05,271,percent of total billed charges,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,UNITED HEALTHCARE,UNITED HEALTHCARE,,238.48,88,percent of total billed charges,238.48,13.05,271,percent of total billed charges,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,AETNA,AETNA,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,BEECH STREET,BEECH STREET,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,MEDICAID,MEDICAID,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,NOVA NET,NOVA NET,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,SELFPAY,SELFPAY,,271,,fee schedule,271,13.05,271,fee schedule,
MMR IGG MUMPS ABY,86735,CPT,both,,,271,271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,ALLIANT,ALLIANT,,21.53,,fee schedule,21.53,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,AMBETTER,AMBETTER,,16.97,,fee schedule,16.97,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,AMERIGROUP,AMERIGROUP,,17.23,,fee schedule,17.23,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,17.56,,fee schedule,17.56,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,MEDICARE,MEDICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,16.41,,fee schedule,16.41,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,TRICARE,TRICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,UHC MEDICARE,UHC MEDICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,AETNA,AETNA,,235.77,87,percent of total billed charges,235.77,13.05,271,percent of total billed charges,
MUMPS IGG ABS,86735,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,235.77,87,percent of total billed charges,235.77,13.05,271,percent of total billed charges,
MUMPS IGG ABS,86735,CPT,both,,,271,271,UNITED HEALTHCARE,UNITED HEALTHCARE,,238.48,88,percent of total billed charges,238.48,13.05,271,percent of total billed charges,
MUMPS IGG ABS,86735,CPT,both,,,271,271,AETNA,AETNA,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,BEECH STREET,BEECH STREET,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,MEDICAID,MEDICAID,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,NOVA NET,NOVA NET,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,SELFPAY,SELFPAY,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGG ABS,86735,CPT,both,,,271,271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,ALLIANT,ALLIANT,,21.53,,fee schedule,21.53,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,AMBETTER,AMBETTER,,16.97,,fee schedule,16.97,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,AMERIGROUP,AMERIGROUP,,17.23,,fee schedule,17.23,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,17.56,,fee schedule,17.56,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,MEDICARE,MEDICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,16.41,,fee schedule,16.41,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,TRICARE,TRICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,UHC MEDICARE,UHC MEDICARE,,13.05,,fee schedule,13.05,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,AETNA,AETNA,,235.77,87,percent of total billed charges,235.77,13.05,271,percent of total billed charges,
MUMPS IGM ABS,86735,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,235.77,87,percent of total billed charges,235.77,13.05,271,percent of total billed charges,
MUMPS IGM ABS,86735,CPT,both,,,271,271,UNITED HEALTHCARE,UNITED HEALTHCARE,,238.48,88,percent of total billed charges,238.48,13.05,271,percent of total billed charges,
MUMPS IGM ABS,86735,CPT,both,,,271,271,AETNA,AETNA,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,BEECH STREET,BEECH STREET,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,MEDICAID,MEDICAID,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,NOVA NET,NOVA NET,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,SELFPAY,SELFPAY,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS IGM ABS,86735,CPT,both,,,271,271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,271,,fee schedule,271,13.05,271,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,ALLIANT,ALLIANT,,21.53,,fee schedule,21.53,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,AMBETTER,AMBETTER,,16.97,,fee schedule,16.97,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,17.23,,fee schedule,17.23,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,17.56,,fee schedule,17.56,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,MEDICARE,MEDICARE,,13.05,,fee schedule,13.05,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,16.41,,fee schedule,16.41,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,TRICARE,TRICARE,,13.05,,fee schedule,13.05,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,13.05,,fee schedule,13.05,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,13.05,76,percent of total billed charges,
MUMPS TITER IGM,86735,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,13.05,76,percent of total billed charges,
MUMPS TITER IGM,86735,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,13.05,76,percent of total billed charges,
MUMPS TITER IGM,86735,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,13.05,76,fee schedule,
MUMPS TITER IGM,86735,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,13.05,76,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,ALLIANT,ALLIANT,,21.85,,fee schedule,21.85,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,AMBETTER,AMBETTER,,17.21,,fee schedule,17.21,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,17.49,,fee schedule,17.49,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,17.83,,fee schedule,17.83,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,MEDICARE,MEDICARE,,13.24,,fee schedule,13.24,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,16.66,,fee schedule,16.66,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,TRICARE,TRICARE,,13.24,,fee schedule,13.24,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,13.24,,fee schedule,13.24,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,13.24,175,percent of total billed charges,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,13.24,175,percent of total billed charges,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,13.24,175,percent of total billed charges,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGG,86738,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,ALLIANT,ALLIANT,,21.85,,fee schedule,21.85,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,AMBETTER,AMBETTER,,17.21,,fee schedule,17.21,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,17.49,,fee schedule,17.49,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,17.83,,fee schedule,17.83,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,MEDICARE,MEDICARE,,13.24,,fee schedule,13.24,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,16.66,,fee schedule,16.66,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,TRICARE,TRICARE,,13.24,,fee schedule,13.24,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,13.24,,fee schedule,13.24,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,13.24,175,percent of total billed charges,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,13.24,175,percent of total billed charges,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,13.24,175,percent of total billed charges,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,13.24,175,fee schedule,
MYCOPLASMA PNEUMONIAE IGM,86738,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,13.24,175,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.8,,fee schedule,24.8,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,AMBETTER,AMBETTER,,19.54,,fee schedule,19.54,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,MEDICARE,MEDICARE,,15.03,,fee schedule,15.03,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,TRICARE,TRICARE,,15.03,,fee schedule,15.03,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,15.03,,fee schedule,15.03,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,15.03,172,percent of total billed charges,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,15.03,172,percent of total billed charges,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,15.03,172,percent of total billed charges,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS ANTIBODY,86747,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,ALLIANT,ALLIANT,,24.8,,fee schedule,24.8,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,AMBETTER,AMBETTER,,19.54,,fee schedule,19.54,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,MEDICARE,MEDICARE,,15.03,,fee schedule,15.03,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,TRICARE,TRICARE,,15.03,,fee schedule,15.03,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,15.03,,fee schedule,15.03,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,15.03,172,percent of total billed charges,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,15.03,172,percent of total billed charges,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,15.03,172,percent of total billed charges,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,15.03,172,fee schedule,
PARVOVIRUS B19 ANTIBODY,86747,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,15.03,172,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,ALLIANT,ALLIANT,,21.76,,fee schedule,21.76,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,AMBETTER,AMBETTER,,17.15,,fee schedule,17.15,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,MEDICARE,MEDICARE,,13.19,,fee schedule,13.19,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,TRICARE,TRICARE,,13.19,,fee schedule,13.19,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,13.19,,fee schedule,13.19,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,13.19,170,percent of total billed charges,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,13.19,170,percent of total billed charges,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,13.19,170,percent of total billed charges,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,13.19,170,fee schedule,
PLASMODIUM (MALARIA) IFA,86750,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,13.19,170,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,16.37,,fee schedule,16.37,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,16.68,,fee schedule,16.68,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,15.59,,fee schedule,15.59,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,12.39,297,percent of total billed charges,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,12.39,297,fee schedule,
BABESIA MICROTI ABS,86753,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,16.37,,fee schedule,16.37,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,16.68,,fee schedule,16.68,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,15.59,,fee schedule,15.59,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,12.39,297,percent of total billed charges,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,12.39,297,fee schedule,
E. HISTOLYTICA (AMEBIC) H,86753,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,16.37,,fee schedule,16.37,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,16.68,,fee schedule,16.68,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,15.59,,fee schedule,15.59,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,12.39,297,percent of total billed charges,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,12.39,297,fee schedule,
ENTAMOEBA HISTOLYTICA AB,86753,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,16.37,,fee schedule,16.37,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,16.68,,fee schedule,16.68,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,15.59,,fee schedule,15.59,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,12.39,297,percent of total billed charges,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,12.39,297,fee schedule,
"PROTOZOA, NOS",86753,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,ALLIANT,ALLIANT,,20.44,,fee schedule,20.44,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,AMBETTER,AMBETTER,,16.11,,fee schedule,16.11,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,16.37,,fee schedule,16.37,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,16.68,,fee schedule,16.68,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,MEDICARE,MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,15.59,,fee schedule,15.59,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,TRICARE,TRICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,12.39,,fee schedule,12.39,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,12.39,297,percent of total billed charges,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,12.39,297,percent of total billed charges,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,12.39,297,fee schedule,
TRYPANOSOMA CRUZI AB,86753,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,12.39,297,fee schedule,
RSV,86756,CPT,both,,,92,92,ALLIANT,ALLIANT,,26.22,,fee schedule,26.22,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,AMBETTER,AMBETTER,,20.66,,fee schedule,20.66,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,17.02,,fee schedule,17.02,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,17.34,,fee schedule,17.34,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,MEDICARE,MEDICARE,,15.89,,fee schedule,15.89,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,16.21,,fee schedule,16.21,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,TRICARE,TRICARE,,15.89,,fee schedule,15.89,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,15.89,,fee schedule,15.89,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,15.89,92,percent of total billed charges,
RSV,86756,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,15.89,92,percent of total billed charges,
RSV,86756,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,15.89,92,percent of total billed charges,
RSV,86756,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,15.89,92,fee schedule,
RSV,86756,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,15.89,92,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,19.35,295,percent of total billed charges,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,19.35,295,fee schedule,
R. RICKETTSII IGG,86757,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,19.35,295,percent of total billed charges,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGG,86757,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,19.35,295,percent of total billed charges,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIA TYPHI IGM,86757,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,19.35,295,percent of total billed charges,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGG ANTIBODY,86757,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,ALLIANT,ALLIANT,,31.93,,fee schedule,31.93,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,AMBETTER,AMBETTER,,25.16,,fee schedule,25.16,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,25.57,,fee schedule,25.57,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,26.05,,fee schedule,26.05,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,MEDICARE,MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,24.35,,fee schedule,24.35,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,TRICARE,TRICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,19.35,,fee schedule,19.35,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,19.35,295,percent of total billed charges,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,19.35,295,percent of total billed charges,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,19.35,295,fee schedule,
RICKETTSIAL IGM ANTIBODY,86757,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,19.35,295,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,ALLIANT,ALLIANT,,30.08,,fee schedule,30.08,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,AMBETTER,AMBETTER,,23.7,,fee schedule,23.7,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,AMERIGROUP,AMERIGROUP,,17.42,,fee schedule,17.42,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,CARESOURCE,CARESOURCE,,17.75,,fee schedule,17.75,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,MEDICARE,MEDICARE,,18.23,,fee schedule,18.23,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,PEACHSTATE,PEACHSTATE,,16.59,,fee schedule,16.59,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,TRICARE,TRICARE,,18.23,,fee schedule,18.23,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,UHC MEDICARE,UHC MEDICARE,,18.23,,fee schedule,18.23,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,AETNA,AETNA,,193.14,87,percent of total billed charges,193.14,16.59,222,percent of total billed charges,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,193.14,87,percent of total billed charges,193.14,16.59,222,percent of total billed charges,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,UNITED HEALTHCARE,UNITED HEALTHCARE,,195.36,88,percent of total billed charges,195.36,16.59,222,percent of total billed charges,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,AETNA,AETNA,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,BEECH STREET,BEECH STREET,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,CARESOURCE,CARESOURCE,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,MEDICAID,MEDICAID,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,NOVA NET,NOVA NET,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,PEACHSTATE,PEACHSTATE,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,SELFPAY,SELFPAY,,222,,fee schedule,222,16.59,222,fee schedule,
ROTAVIRUS ANTIGEN SCREEN,86759,CPT,both,,,222,222,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,222,,fee schedule,222,16.59,222,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,14.39,81,percent of total billed charges,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,14.39,81,percent of total billed charges,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,14.39,81,percent of total billed charges,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,14.39,81,fee schedule,
MMR IGG RUBELLA ABY,86762,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,14.39,81,percent of total billed charges,
RUBELLA IGG QT,86762,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,14.39,81,percent of total billed charges,
RUBELLA IGG QT,86762,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,14.39,81,percent of total billed charges,
RUBELLA IGG QT,86762,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA IGG QT,86762,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,14.39,81,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,14.39,48,percent of total billed charges,
RUBELLA PROFILE,86762,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,14.39,48,percent of total billed charges,
RUBELLA PROFILE,86762,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,14.39,48,percent of total billed charges,
RUBELLA PROFILE,86762,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA PROFILE,86762,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,14.39,48,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,14.39,32,percent of total billed charges,
RUBELLA SCREEN,86762,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,14.39,32,percent of total billed charges,
RUBELLA SCREEN,86762,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,14.39,32,percent of total billed charges,
RUBELLA SCREEN,86762,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN,86762,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,14.39,32,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,14.39,55,percent of total billed charges,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,14.39,55,percent of total billed charges,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,14.39,55,percent of total billed charges,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,14.39,55,fee schedule,
RUBELLA SCREEN QL,86762,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,14.39,55,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,14.39,81,percent of total billed charges,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,14.39,81,percent of total billed charges,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,14.39,81,percent of total billed charges,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,14.39,81,fee schedule,
TORCH RUBELLA IGM,86762,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,14.39,81,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,12.88,105,percent of total billed charges,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,12.88,105,percent of total billed charges,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,12.88,105,percent of total billed charges,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES (RUBEOLA) ANTIBOD,86765,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,12.88,105,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,AETNA,AETNA,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.04,88,percent of total billed charges,205.04,12.88,233,percent of total billed charges,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,AETNA,AETNA,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,BEECH STREET,BEECH STREET,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,MEDICAID,MEDICAID,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,NOVA NET,NOVA NET,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,SELFPAY,SELFPAY,,233,,fee schedule,233,12.88,233,fee schedule,
MEASLES(RUBEOLA) ANTIBOD,86765,CPT,both,,,233,233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,AETNA,AETNA,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.04,88,percent of total billed charges,205.04,12.88,233,percent of total billed charges,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,AETNA,AETNA,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,BEECH STREET,BEECH STREET,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,MEDICAID,MEDICAID,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,NOVA NET,NOVA NET,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,SELFPAY,SELFPAY,,233,,fee schedule,233,12.88,233,fee schedule,
MMR IGG RUBEOLA ABY,86765,CPT,both,,,233,233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,AETNA,AETNA,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.04,88,percent of total billed charges,205.04,12.88,233,percent of total billed charges,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,AETNA,AETNA,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,BEECH STREET,BEECH STREET,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,MEDICAID,MEDICAID,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,NOVA NET,NOVA NET,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,SELFPAY,SELFPAY,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES CF Q,86765,CPT,both,,,233,233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,AETNA,AETNA,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,202.71,87,percent of total billed charges,202.71,12.88,233,percent of total billed charges,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.04,88,percent of total billed charges,205.04,12.88,233,percent of total billed charges,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,AETNA,AETNA,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,BEECH STREET,BEECH STREET,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,MEDICAID,MEDICAID,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,NOVA NET,NOVA NET,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,SELFPAY,SELFPAY,,233,,fee schedule,233,12.88,233,fee schedule,
RUBEOLA ANTIBODIES IGG,86765,CPT,both,,,233,233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,233,,fee schedule,233,12.88,233,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,ALLIANT,ALLIANT,,69.51,,fee schedule,69.51,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,AMBETTER,AMBETTER,,54.77,,fee schedule,54.77,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,AMERIGROUP,AMERIGROUP,,53.88,,fee schedule,53.88,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,54.9,,fee schedule,54.9,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,MEDICARE,MEDICARE,,42.13,,fee schedule,42.13,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,51.31,,fee schedule,51.31,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,TRICARE,TRICARE,,42.13,,fee schedule,42.13,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,42.13,,fee schedule,42.13,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,42.13,185,percent of total billed charges,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,42.13,185,percent of total billed charges,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,42.13,185,percent of total billed charges,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,42.13,185,fee schedule,
"SARS-COV-2, AB",86769,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,42.13,185,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,ALLIANT,ALLIANT,,24.42,,fee schedule,24.42,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,AMBETTER,AMBETTER,,19.24,,fee schedule,19.24,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,19.54,,fee schedule,19.54,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,19.91,,fee schedule,19.91,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,MEDICARE,MEDICARE,,14.8,,fee schedule,14.8,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,18.61,,fee schedule,18.61,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,TRICARE,TRICARE,,14.8,,fee schedule,14.8,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,14.8,,fee schedule,14.8,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,14.8,92,percent of total billed charges,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,14.8,92,percent of total billed charges,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,14.8,92,percent of total billed charges,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,14.8,92,fee schedule,
TETANUS TOXOID IGG ANTIBO,86774,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,14.8,92,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,AETNA,AETNA,,113.1,87,percent of total billed charges,113.1,14.39,130,percent of total billed charges,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.1,87,percent of total billed charges,113.1,14.39,130,percent of total billed charges,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,UNITED HEALTHCARE,UNITED HEALTHCARE,,114.4,88,percent of total billed charges,114.4,14.39,130,percent of total billed charges,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,AETNA,AETNA,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,BEECH STREET,BEECH STREET,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,MEDICAID,MEDICAID,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,NOVA NET,NOVA NET,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,SELFPAY,SELFPAY,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA GONDII AB.IGG,86777,CPT,both,,,130,130,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,AETNA,AETNA,,113.1,87,percent of total billed charges,113.1,14.39,130,percent of total billed charges,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.1,87,percent of total billed charges,113.1,14.39,130,percent of total billed charges,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,UNITED HEALTHCARE,UNITED HEALTHCARE,,114.4,88,percent of total billed charges,114.4,14.39,130,percent of total billed charges,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,AETNA,AETNA,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,BEECH STREET,BEECH STREET,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,CARESOURCE,CARESOURCE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,MEDICAID,MEDICAID,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,NOVA NET,NOVA NET,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,PEACHSTATE,PEACHSTATE,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,SELFPAY,SELFPAY,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMA IGA,86777,CPT,both,,,130,130,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,130,,fee schedule,130,14.39,130,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,14.39,48,percent of total billed charges,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,14.39,48,percent of total billed charges,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,14.39,48,percent of total billed charges,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,14.39,48,fee schedule,
TOXOPLASMOSIS,86777,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,14.39,48,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,ALLIANT,ALLIANT,,23.78,,fee schedule,23.78,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,AMBETTER,AMBETTER,,18.73,,fee schedule,18.73,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,19.02,,fee schedule,19.02,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,19.38,,fee schedule,19.38,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,MEDICARE,MEDICARE,,14.41,,fee schedule,14.41,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,18.11,,fee schedule,18.11,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,TRICARE,TRICARE,,14.41,,fee schedule,14.41,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,14.41,,fee schedule,14.41,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,14.41,232,percent of total billed charges,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,14.41,232,percent of total billed charges,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,14.41,232,percent of total billed charges,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,14.41,232,fee schedule,
TORCH TOXOPLASMA IGM,86778,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,ALLIANT,ALLIANT,,23.78,,fee schedule,23.78,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,AMBETTER,AMBETTER,,18.73,,fee schedule,18.73,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,19.02,,fee schedule,19.02,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,19.38,,fee schedule,19.38,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,MEDICARE,MEDICARE,,14.41,,fee schedule,14.41,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,18.11,,fee schedule,18.11,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,TRICARE,TRICARE,,14.41,,fee schedule,14.41,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,14.41,,fee schedule,14.41,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,14.41,232,percent of total billed charges,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,14.41,232,percent of total billed charges,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,14.41,232,percent of total billed charges,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,14.41,232,fee schedule,
TOXOPLASMA GONDII ANTIIG,86778,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,14.41,232,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,ALLIANT,ALLIANT,,21.85,,fee schedule,21.85,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,AMBETTER,AMBETTER,,17.21,,fee schedule,17.21,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,MEDICARE,MEDICARE,,13.24,,fee schedule,13.24,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,TRICARE,TRICARE,,13.24,,fee schedule,13.24,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,13.24,,fee schedule,13.24,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,13.24,89,percent of total billed charges,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,13.24,89,percent of total billed charges,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,13.24,89,percent of total billed charges,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,13.24,89,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,ALLIANT,ALLIANT,,21.85,,fee schedule,21.85,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,AMBETTER,AMBETTER,,17.21,,fee schedule,17.21,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,MEDICARE,MEDICARE,,13.24,,fee schedule,13.24,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,TRICARE,TRICARE,,13.24,,fee schedule,13.24,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,13.24,,fee schedule,13.24,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,13.24,66,percent of total billed charges,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,13.24,66,percent of total billed charges,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,13.24,66,percent of total billed charges,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,13.24,66,fee schedule,
FLUORESCENT TREPONEMAL AB,86780,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,13.24,66,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,ALLIANT,ALLIANT,,20.72,,fee schedule,20.72,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,AMBETTER,AMBETTER,,16.33,,fee schedule,16.33,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,AMERIGROUP,AMERIGROUP,,16.59,,fee schedule,16.59,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,CARESOURCE,CARESOURCE,,16.91,,fee schedule,16.91,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,MEDICARE,MEDICARE,,12.56,,fee schedule,12.56,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,PEACHSTATE,PEACHSTATE,,15.8,,fee schedule,15.8,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,TRICARE,TRICARE,,12.56,,fee schedule,12.56,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,UHC MEDICARE,UHC MEDICARE,,12.56,,fee schedule,12.56,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,AETNA,AETNA,,239.25,87,percent of total billed charges,239.25,12.56,275,percent of total billed charges,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239.25,87,percent of total billed charges,239.25,12.56,275,percent of total billed charges,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,UNITED HEALTHCARE,UNITED HEALTHCARE,,242,88,percent of total billed charges,242,12.56,275,percent of total billed charges,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,AETNA,AETNA,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,BEECH STREET,BEECH STREET,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,CARESOURCE,CARESOURCE,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,MEDICAID,MEDICAID,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,NOVA NET,NOVA NET,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,PEACHSTATE,PEACHSTATE,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,SELFPAY,SELFPAY,,275,,fee schedule,275,12.56,275,fee schedule,
TRICHINELLA IGG ABY,86784,CPT,both,,,275,275,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,275,,fee schedule,275,12.56,275,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTI CF,86787,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,12.88,76,percent of total billed charges,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,12.88,76,percent of total billed charges,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,12.88,76,percent of total billed charges,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIG,86787,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,12.88,76,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGG,86787,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,12.88,168,percent of total billed charges,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,12.88,168,fee schedule,
VARICELLA ZOSTER ANTIIGM,86787,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,12.88,168,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,ALLIANT,ALLIANT,,27.8,,fee schedule,27.8,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,AMBETTER,AMBETTER,,21.91,,fee schedule,21.91,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,22.25,,fee schedule,22.25,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,22.67,,fee schedule,22.67,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,MEDICARE,MEDICARE,,16.85,,fee schedule,16.85,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,21.19,,fee schedule,21.19,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,TRICARE,TRICARE,,16.85,,fee schedule,16.85,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,16.85,,fee schedule,16.85,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,16.85,129,percent of total billed charges,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,16.85,129,percent of total billed charges,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,16.85,129,percent of total billed charges,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGM ABS,86788,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,16.85,129,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,ALLIANT,ALLIANT,,23.74,,fee schedule,23.74,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,AMBETTER,AMBETTER,,18.71,,fee schedule,18.71,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,15.36,,fee schedule,15.36,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,15.65,,fee schedule,15.65,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,MEDICARE,MEDICARE,,14.39,,fee schedule,14.39,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,14.63,,fee schedule,14.63,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,TRICARE,TRICARE,,14.39,,fee schedule,14.39,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,14.39,,fee schedule,14.39,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,14.39,306,percent of total billed charges,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,14.39,306,percent of total billed charges,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,14.39,306,percent of total billed charges,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,14.39,306,fee schedule,
WEST NILE VIRUS IGG AB,86789,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,14.39,306,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,AETNA,AETNA,,243.6,87,percent of total billed charges,243.6,12.88,280,percent of total billed charges,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243.6,87,percent of total billed charges,243.6,12.88,280,percent of total billed charges,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,UNITED HEALTHCARE,UNITED HEALTHCARE,,246.4,88,percent of total billed charges,246.4,12.88,280,percent of total billed charges,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,AETNA,AETNA,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,BEECH STREET,BEECH STREET,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,MEDICAID,MEDICAID,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,NOVA NET,NOVA NET,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,SELFPAY,SELFPAY,,280,,fee schedule,280,12.88,280,fee schedule,
ANTIBODY VIRUS UNSPEC.,86790,CPT,both,,,280,280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,280,,fee schedule,280,12.88,280,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
"ANTIBODY VIRUS, UNSPECIFIED",86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGG AB,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA IGM AB,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
CHIKUNGUNYA TOTAL ABS,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
DENGUE FEVER IGM,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E ANTIBODY IGG,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
HEPATITIS E VIRUS IGM,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGG,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
HERPESVIRUS-6 IGM,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
HTLV-I/II IGG ABS,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,ALLIANT,ALLIANT,,21.25,,fee schedule,21.25,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,AMBETTER,AMBETTER,,16.74,,fee schedule,16.74,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,17.01,,fee schedule,17.01,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,17.33,,fee schedule,17.33,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,MEDICARE,MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,16.2,,fee schedule,16.2,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,TRICARE,TRICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,12.88,,fee schedule,12.88,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
TORCH VIRUS,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,12.88,314,percent of total billed charges,
TORCH VIRUS,86790,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,12.88,314,percent of total billed charges,
TORCH VIRUS,86790,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,12.88,314,fee schedule,
TORCH VIRUS,86790,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,12.88,314,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,AETNA,AETNA,,32101.51,87,percent of total billed charges,32101.51,32101.51,36898.29,percent of total billed charges,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32101.51,87,percent of total billed charges,32101.51,32101.51,36898.29,percent of total billed charges,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,32470.5,88,percent of total billed charges,32470.5,32101.51,36898.29,percent of total billed charges,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,AETNA,AETNA,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,ALLIANT,ALLIANT,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,AMBETTER,AMBETTER,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,BEECH STREET,BEECH STREET,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,CARESOURCE,CARESOURCE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,MEDICAID,MEDICAID,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,MEDICARE,MEDICARE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,NOVA NET,NOVA NET,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,PEACHSTATE,PEACHSTATE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,SELFPAY,SELFPAY,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,TRICARE,TRICARE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC,868,DRG,inpatient,,,36898.29,36898.29,UHC MEDICARE,UHC MEDICARE,,36898.29,,fee schedule,36898.29,32101.51,36898.29,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,ALLIANT,ALLIANT,,26.25,,fee schedule,26.25,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,AMBETTER,AMBETTER,,20.68,,fee schedule,20.68,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,21,,fee schedule,21,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,21.4,,fee schedule,21.4,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,MEDICARE,MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,TRICARE,TRICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,15.91,231,percent of total billed charges,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,15.91,231,fee schedule,
ANTI-THYROGLOB AB P#08,86800,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,ALLIANT,ALLIANT,,26.25,,fee schedule,26.25,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,AMBETTER,AMBETTER,,20.68,,fee schedule,20.68,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,21,,fee schedule,21,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,21.4,,fee schedule,21.4,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,MEDICARE,MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,TRICARE,TRICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,15.91,231,percent of total billed charges,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,15.91,231,fee schedule,
THRYOGLOBULIN QT.,86800,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,ALLIANT,ALLIANT,,26.25,,fee schedule,26.25,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,AMBETTER,AMBETTER,,20.68,,fee schedule,20.68,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,21,,fee schedule,21,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,21.4,,fee schedule,21.4,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,MEDICARE,MEDICARE,,15.91,,fee schedule,15.91,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,TRICARE,TRICARE,,15.91,,fee schedule,15.91,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,15.91,,fee schedule,15.91,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,15.91,113,percent of total billed charges,
THYROGLOBULIN,86800,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,15.91,113,percent of total billed charges,
THYROGLOBULIN,86800,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,15.91,113,percent of total billed charges,
THYROGLOBULIN,86800,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN,86800,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,15.91,113,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,ALLIANT,ALLIANT,,26.25,,fee schedule,26.25,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,AMBETTER,AMBETTER,,20.68,,fee schedule,20.68,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,21,,fee schedule,21,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,21.4,,fee schedule,21.4,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,MEDICARE,MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,TRICARE,TRICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,15.91,231,percent of total billed charges,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,15.91,231,fee schedule,
THYROGLOBULIN ANTIBODIES,86800,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,ALLIANT,ALLIANT,,26.25,,fee schedule,26.25,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AMBETTER,AMBETTER,,20.68,,fee schedule,20.68,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,21,,fee schedule,21,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,21.4,,fee schedule,21.4,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,MEDICARE,MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,TRICARE,TRICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,15.91,231,percent of total billed charges,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,ALLIANT,ALLIANT,,26.25,,fee schedule,26.25,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AMBETTER,AMBETTER,,20.68,,fee schedule,20.68,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,21,,fee schedule,21,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,21.4,,fee schedule,21.4,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,MEDICARE,MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,TRICARE,TRICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,15.91,,fee schedule,15.91,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,15.91,231,percent of total billed charges,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,15.91,231,percent of total billed charges,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,15.91,231,fee schedule,
THYROID AUTOANTIBODIES,86800,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,15.91,231,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,ALLIANT,ALLIANT,,23.55,,fee schedule,23.55,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,AMBETTER,AMBETTER,,18.55,,fee schedule,18.55,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,MEDICARE,MEDICARE,,14.27,,fee schedule,14.27,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,TRICARE,TRICARE,,14.27,,fee schedule,14.27,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,UHC MEDICARE,UHC MEDICARE,,14.27,,fee schedule,14.27,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,AETNA,AETNA,,217.5,87,percent of total billed charges,217.5,10,250,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217.5,87,percent of total billed charges,217.5,10,250,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,UNITED HEALTHCARE,UNITED HEALTHCARE,,220,88,percent of total billed charges,220,10,250,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,AETNA,AETNA,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,BEECH STREET,BEECH STREET,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,MEDICAID,MEDICAID,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,NOVA NET,NOVA NET,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,SELFPAY,SELFPAY,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,250,250,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,250,,fee schedule,250,10,250,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,ALLIANT,ALLIANT,,23.55,,fee schedule,23.55,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,AMBETTER,AMBETTER,,18.55,,fee schedule,18.55,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,MEDICARE,MEDICARE,,14.27,,fee schedule,14.27,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,TRICARE,TRICARE,,14.27,,fee schedule,14.27,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,14.27,,fee schedule,14.27,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,10,170,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,10,170,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,10,170,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,10,170,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,ALLIANT,ALLIANT,,23.55,,fee schedule,23.55,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,AMBETTER,AMBETTER,,18.55,,fee schedule,18.55,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,10.5,,fee schedule,10.5,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,10.7,,fee schedule,10.7,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,MEDICARE,MEDICARE,,14.27,,fee schedule,14.27,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,TRICARE,TRICARE,,14.27,,fee schedule,14.27,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,14.27,,fee schedule,14.27,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,10,91,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,10,91,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,10,91,percent of total billed charges,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C ANTIBODY,86803,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,10,91,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,ALLIANT,ALLIANT,,25.56,,fee schedule,25.56,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,AMBETTER,AMBETTER,,20.14,,fee schedule,20.14,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,AMERIGROUP,AMERIGROUP,,20.45,,fee schedule,20.45,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,20.84,,fee schedule,20.84,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,MEDICARE,MEDICARE,,15.49,,fee schedule,15.49,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,19.48,,fee schedule,19.48,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,TRICARE,TRICARE,,15.49,,fee schedule,15.49,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,UHC MEDICARE,UHC MEDICARE,,15.49,,fee schedule,15.49,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,AETNA,AETNA,,362.79,87,percent of total billed charges,362.79,15.49,417,percent of total billed charges,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,362.79,87,percent of total billed charges,362.79,15.49,417,percent of total billed charges,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,UNITED HEALTHCARE,UNITED HEALTHCARE,,366.96,88,percent of total billed charges,366.96,15.49,417,percent of total billed charges,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,AETNA,AETNA,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,BEECH STREET,BEECH STREET,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,CARESOURCE,CARESOURCE,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,MEDICAID,MEDICAID,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,NOVA NET,NOVA NET,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,PEACHSTATE,PEACHSTATE,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,SELFPAY,SELFPAY,,417,,fee schedule,417,15.49,417,fee schedule,
HEPATITIS C VIRUS ABYS -,86804,CPT,both,,,417,417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,417,,fee schedule,417,15.49,417,fee schedule,
HLA B27,86812,CPT,both,,,306,306,ALLIANT,ALLIANT,,42.59,,fee schedule,42.59,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,AMBETTER,AMBETTER,,33.55,,fee schedule,33.55,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,34.07,,fee schedule,34.07,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,34.72,,fee schedule,34.72,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,MEDICARE,MEDICARE,,25.81,,fee schedule,25.81,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,32.45,,fee schedule,32.45,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,TRICARE,TRICARE,,25.81,,fee schedule,25.81,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,25.81,,fee schedule,25.81,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,25.81,306,percent of total billed charges,
HLA B27,86812,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,25.81,306,percent of total billed charges,
HLA B27,86812,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,25.81,306,percent of total billed charges,
HLA B27,86812,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,25.81,306,fee schedule,
HLA B27,86812,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,ALLIANT,ALLIANT,,42.59,,fee schedule,42.59,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,AMBETTER,AMBETTER,,33.55,,fee schedule,33.55,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,34.07,,fee schedule,34.07,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,34.72,,fee schedule,34.72,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,MEDICARE,MEDICARE,,25.81,,fee schedule,25.81,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,32.45,,fee schedule,32.45,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,TRICARE,TRICARE,,25.81,,fee schedule,25.81,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,25.81,,fee schedule,25.81,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,25.81,306,percent of total billed charges,
HLA:B5 TYPING,86812,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,25.81,306,percent of total billed charges,
HLA:B5 TYPING,86812,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,25.81,306,percent of total billed charges,
HLA:B5 TYPING,86812,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,25.81,306,fee schedule,
HLA:B5 TYPING,86812,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,25.81,306,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,ALLIANT,ALLIANT,,95.7,,fee schedule,95.7,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,AMBETTER,AMBETTER,,75.4,,fee schedule,75.4,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,AMERIGROUP,AMERIGROUP,,76.57,,fee schedule,76.57,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,CARESOURCE,CARESOURCE,,78.02,,fee schedule,78.02,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,MEDICARE,MEDICARE,,58,,fee schedule,58,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,PEACHSTATE,PEACHSTATE,,72.92,,fee schedule,72.92,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,TRICARE,TRICARE,,58,,fee schedule,58,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,UHC MEDICARE,UHC MEDICARE,,58,,fee schedule,58,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,AETNA,AETNA,,628.14,87,percent of total billed charges,628.14,58,722,percent of total billed charges,
HLA-B DETECTOR,86813,CPT,both,,,722,722,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,628.14,87,percent of total billed charges,628.14,58,722,percent of total billed charges,
HLA-B DETECTOR,86813,CPT,both,,,722,722,UNITED HEALTHCARE,UNITED HEALTHCARE,,635.36,88,percent of total billed charges,635.36,58,722,percent of total billed charges,
HLA-B DETECTOR,86813,CPT,both,,,722,722,AETNA,AETNA,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,BEECH STREET,BEECH STREET,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,CARESOURCE,CARESOURCE,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,MEDICAID,MEDICAID,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,NOVA NET,NOVA NET,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,PEACHSTATE,PEACHSTATE,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,SELFPAY,SELFPAY,,722,,fee schedule,722,58,722,fee schedule,
HLA-B DETECTOR,86813,CPT,both,,,722,722,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,722,,fee schedule,722,58,722,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,ALLIANT,ALLIANT,,105.91,,fee schedule,105.91,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,AMBETTER,AMBETTER,,83.45,,fee schedule,83.45,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,MEDICARE,MEDICARE,,64.19,,fee schedule,64.19,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,TRICARE,TRICARE,,64.19,,fee schedule,64.19,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,64.19,,fee schedule,64.19,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,64.19,153,percent of total billed charges,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,64.19,153,percent of total billed charges,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,64.19,153,percent of total billed charges,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,64.19,153,fee schedule,
HLA ANTIBODY SCREEN,86828,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,64.19,153,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,15.99,,fee schedule,15.99,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,16.3,,fee schedule,16.3,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,15.23,,fee schedule,15.23,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,TRICARE,TRICARE,,50.14,,fee schedule,50.14,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,15.23,146,percent of total billed charges,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,15.23,146,percent of total billed charges,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,15.23,146,percent of total billed charges,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY SCREEN,86850,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,15.23,146,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,6.43,,fee schedule,6.43,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,6.55,,fee schedule,6.55,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,6.12,,fee schedule,6.12,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,TRICARE,TRICARE,,157.25,,fee schedule,157.25,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,6.12,259.46,percent of total billed charges,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,6.12,259.46,percent of total billed charges,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,6.12,259.46,percent of total billed charges,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ELUTION   0122,86860,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,6.12,259.46,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,6.43,,fee schedule,6.43,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,6.55,,fee schedule,6.55,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,6.12,,fee schedule,6.12,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,TRICARE,TRICARE,,324.11,,fee schedule,324.11,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,6.12,534.78,percent of total billed charges,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,6.12,534.78,percent of total billed charges,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,6.12,534.78,percent of total billed charges,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,6.12,534.78,fee schedule,
ANTIBODY ID   0108,86870,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,6.12,534.78,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,TRICARE,TRICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,6.75,94.84,percent of total billed charges,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,6.75,94.84,percent of total billed charges,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,6.75,94.84,percent of total billed charges,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,6.75,94.84,fee schedule,
CORD BLOOD DIRECT COOMBS,86880,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,TRICARE,TRICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,6.75,94.84,percent of total billed charges,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,6.75,94.84,percent of total billed charges,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,6.75,94.84,percent of total billed charges,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, IGG",86880,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,TRICARE,TRICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,6.75,94.84,percent of total billed charges,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,6.75,94.84,percent of total billed charges,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,6.75,94.84,percent of total billed charges,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,6.75,94.84,fee schedule,
"DIRECT COOMBS, POLYCLONAL",86880,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,TRICARE,TRICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,6.75,94.84,percent of total billed charges,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,6.75,94.84,percent of total billed charges,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,6.75,94.84,percent of total billed charges,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,6.75,94.84,fee schedule,
R-H TITER COOMBS TEST,86880,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,6.75,94.84,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,6.14,,fee schedule,6.14,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,6.26,,fee schedule,6.26,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,5.85,,fee schedule,5.85,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,TRICARE,TRICARE,,157.25,,fee schedule,157.25,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,5.85,259.46,percent of total billed charges,
ANTIBODY TITER,86886,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,5.85,259.46,percent of total billed charges,
ANTIBODY TITER,86886,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,5.85,259.46,percent of total billed charges,
ANTIBODY TITER,86886,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,5.85,259.46,fee schedule,
ANTIBODY TITER,86886,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,5.85,259.46,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,ALLIANT,ALLIANT,,1281.24,,fee schedule,1281.24,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,AMBETTER,AMBETTER,,1009.46,,fee schedule,1009.46,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,MEDICARE,MEDICARE,,776.51,,fee schedule,776.51,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,TRICARE,TRICARE,,776.51,,fee schedule,776.51,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,UHC MEDICARE,UHC MEDICARE,,776.51,,fee schedule,776.51,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,AETNA,AETNA,,1403.31,87,percent of total billed charges,1403.31,776.51,1613,percent of total billed charges,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1403.31,87,percent of total billed charges,1403.31,776.51,1613,percent of total billed charges,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,UNITED HEALTHCARE,UNITED HEALTHCARE,,1419.44,88,percent of total billed charges,1419.44,776.51,1613,percent of total billed charges,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,AETNA,AETNA,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,BEECH STREET,BEECH STREET,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,CARESOURCE,CARESOURCE,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,MEDICAID,MEDICAID,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,NOVA NET,NOVA NET,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,PEACHSTATE,PEACHSTATE,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,SELFPAY,SELFPAY,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABR BLOOD PROCESSING,86891,CPT,both,,,1613,1613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1613,,fee schedule,1613,776.51,1613,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,3.94,,fee schedule,3.94,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,TRICARE,TRICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,3.75,191.58,percent of total billed charges,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,3.75,191.58,percent of total billed charges,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,3.75,191.58,percent of total billed charges,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO GROUP & RH PROFILE,86900,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,3.94,,fee schedule,3.94,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,TRICARE,TRICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,3.75,191.58,percent of total billed charges,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,3.75,191.58,percent of total billed charges,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,3.75,191.58,percent of total billed charges,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,3.75,191.58,fee schedule,
ABO-BLOOD TYPE R-H FACTOR,86900,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,3.94,,fee schedule,3.94,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,TRICARE,TRICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,3.75,191.58,percent of total billed charges,
DIALYSIS ABO,86900,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,3.75,191.58,percent of total billed charges,
DIALYSIS ABO,86900,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,3.75,191.58,percent of total billed charges,
DIALYSIS ABO,86900,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,3.75,191.58,fee schedule,
DIALYSIS ABO,86900,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,3.94,,fee schedule,3.94,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,TRICARE,TRICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,3.75,191.58,percent of total billed charges,
TYPE; ABO,86900,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,3.75,191.58,percent of total billed charges,
TYPE; ABO,86900,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,3.75,191.58,percent of total billed charges,
TYPE; ABO,86900,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,3.75,191.58,fee schedule,
TYPE; ABO,86900,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,3.75,191.58,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,15.24,,fee schedule,15.24,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,15.53,,fee schedule,15.53,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,14.51,,fee schedule,14.51,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,TRICARE,TRICARE,,33.96,,fee schedule,33.96,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,14.51,84,percent of total billed charges,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,14.51,84,percent of total billed charges,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,14.51,84,percent of total billed charges,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,14.51,84,fee schedule,
CORD BLOOD GRP & RH,86901,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,14.51,84,fee schedule,
RH (D),86901,CPT,both,,,66,66,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,15.24,,fee schedule,15.24,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,15.53,,fee schedule,15.53,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,14.51,,fee schedule,14.51,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,TRICARE,TRICARE,,33.96,,fee schedule,33.96,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,14.51,66,percent of total billed charges,
RH (D),86901,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,14.51,66,percent of total billed charges,
RH (D),86901,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,14.51,66,percent of total billed charges,
RH (D),86901,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,14.51,66,fee schedule,
RH (D),86901,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,14.51,66,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,5.05,,fee schedule,5.05,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,5.15,,fee schedule,5.15,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,4.81,,fee schedule,4.81,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,TRICARE,TRICARE,,324.11,,fee schedule,324.11,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,4.81,534.78,percent of total billed charges,
ANTIGEN TYPING,86905,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,4.81,534.78,percent of total billed charges,
ANTIGEN TYPING,86905,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,4.81,534.78,percent of total billed charges,
ANTIGEN TYPING,86905,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,4.81,534.78,fee schedule,
ANTIGEN TYPING,86905,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,4.81,534.78,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,TRICARE,TRICARE,,157.25,,fee schedule,157.25,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,156.6,259.46,percent of total billed charges,
CROSSMATCH,86920,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,156.6,259.46,percent of total billed charges,
CROSSMATCH,86920,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,156.6,259.46,percent of total billed charges,
CROSSMATCH,86920,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,156.6,259.46,fee schedule,
CROSSMATCH,86920,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,156.6,259.46,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,37.85,,fee schedule,37.85,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,38.57,,fee schedule,38.57,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,36.05,,fee schedule,36.05,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,TRICARE,TRICARE,,33.96,,fee schedule,33.96,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,33.96,94,percent of total billed charges,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,33.96,94,percent of total billed charges,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,33.96,94,percent of total billed charges,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,33.96,94,fee schedule,
BLOOD IRRADIATION,86945,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,33.96,94,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,TRICARE,TRICARE,,157.25,,fee schedule,157.25,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,259.46,percent of total billed charges,
PACKING CELLS   0113,86985,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,259.46,percent of total billed charges,
PACKING CELLS   0113,86985,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,259.46,percent of total billed charges,
PACKING CELLS   0113,86985,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,259.46,fee schedule,
PACKING CELLS   0113,86985,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,259.46,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,TRICARE,TRICARE,,24.96,,fee schedule,24.96,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,AETNA,AETNA,,354.09,87,percent of total billed charges,354.09,24.96,407,percent of total billed charges,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.09,87,percent of total billed charges,354.09,24.96,407,percent of total billed charges,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,UNITED HEALTHCARE,UNITED HEALTHCARE,,358.16,88,percent of total billed charges,358.16,24.96,407,percent of total billed charges,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,AETNA,AETNA,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,BEECH STREET,BEECH STREET,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,CARESOURCE,CARESOURCE,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,MEDICAID,MEDICAID,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,NOVA NET,NOVA NET,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,PEACHSTATE,PEACHSTATE,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,SELFPAY,SELFPAY,,407,,fee schedule,407,24.96,407,fee schedule,
IGG SYNTHESIS RATE,86999,CPT,both,,,407,407,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,407,,fee schedule,407,24.96,407,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,AETNA,AETNA,,100392.48,87,percent of total billed charges,100392.48,100392.48,115393.65,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100392.48,87,percent of total billed charges,100392.48,100392.48,115393.65,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,UNITED HEALTHCARE,UNITED HEALTHCARE,,101546.41,88,percent of total billed charges,101546.41,100392.48,115393.65,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,AETNA,AETNA,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,ALLIANT,ALLIANT,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,AMBETTER,AMBETTER,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,BEECH STREET,BEECH STREET,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,CARESOURCE,CARESOURCE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,MEDICAID,MEDICAID,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,MEDICARE,MEDICARE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,NOVA NET,NOVA NET,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,PEACHSTATE,PEACHSTATE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,SELFPAY,SELFPAY,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,TRICARE,TRICARE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,870,DRG,inpatient,,,115393.65,115393.65,UHC MEDICARE,UHC MEDICARE,,115393.65,,fee schedule,115393.65,100392.48,115393.65,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,ALLIANT,ALLIANT,,11.02,,fee schedule,11.02,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.68,,fee schedule,8.68,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,8.82,,fee schedule,8.82,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,8.99,,fee schedule,8.99,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,8.4,,fee schedule,8.4,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,TRICARE,TRICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
ACID FAST STAIN,87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
ACID FAST STAIN,87015,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.68,114,percent of total billed charges,
ACID FAST STAIN,87015,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.68,114,fee schedule,
ACID FAST STAIN,87015,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,ALLIANT,ALLIANT,,11.02,,fee schedule,11.02,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.68,,fee schedule,8.68,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,8.82,,fee schedule,8.82,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,8.99,,fee schedule,8.99,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,8.4,,fee schedule,8.4,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,TRICARE,TRICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.68,114,percent of total billed charges,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: ACID FAST (TB),87015,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,ALLIANT,ALLIANT,,11.02,,fee schedule,11.02,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.68,,fee schedule,8.68,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,8.82,,fee schedule,8.82,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,8.99,,fee schedule,8.99,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,8.4,,fee schedule,8.4,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,TRICARE,TRICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
PS CONCENTRATION,87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
PS CONCENTRATION,87015,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.68,114,percent of total billed charges,
PS CONCENTRATION,87015,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.68,114,fee schedule,
PS CONCENTRATION,87015,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,ALLIANT,ALLIANT,,11.02,,fee schedule,11.02,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,AMBETTER,AMBETTER,,8.68,,fee schedule,8.68,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,8.82,,fee schedule,8.82,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,8.99,,fee schedule,8.99,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,MEDICARE,MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,8.4,,fee schedule,8.4,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,TRICARE,TRICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,6.68,,fee schedule,6.68,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
TRICHROME STAIN,87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,6.68,114,percent of total billed charges,
TRICHROME STAIN,87015,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,6.68,114,percent of total billed charges,
TRICHROME STAIN,87015,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,6.68,114,fee schedule,
TRICHROME STAIN,87015,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,6.68,114,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,10.32,162,percent of total billed charges,
CULTURE: BLOOD,87040,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,10.32,162,percent of total billed charges,
CULTURE: BLOOD,87040,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,10.32,162,percent of total billed charges,
CULTURE: BLOOD,87040,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,10.32,162,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,10.32,78,percent of total billed charges,
CULTURE: BLOOD,87040,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,10.32,78,percent of total billed charges,
CULTURE: BLOOD,87040,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,10.32,78,percent of total billed charges,
CULTURE: BLOOD,87040,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD,87040,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,10.32,78,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,10.32,91,percent of total billed charges,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,10.32,91,percent of total billed charges,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,10.32,91,percent of total billed charges,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: BLOOD BACTERIA,87040,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,10.32,91,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,ALLIANT,ALLIANT,,15.58,,fee schedule,15.58,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,AMBETTER,AMBETTER,,12.27,,fee schedule,12.27,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,MEDICARE,MEDICARE,,9.44,,fee schedule,9.44,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,TRICARE,TRICARE,,9.44,,fee schedule,9.44,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,9.44,,fee schedule,9.44,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,9.44,162,percent of total billed charges,
CULTURE: STOOL,87045,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,9.44,162,percent of total billed charges,
CULTURE: STOOL,87045,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,9.44,162,percent of total billed charges,
CULTURE: STOOL,87045,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,9.44,162,fee schedule,
CULTURE: STOOL,87045,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,9.44,162,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,ALLIANT,ALLIANT,,15.58,,fee schedule,15.58,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,AMBETTER,AMBETTER,,12.27,,fee schedule,12.27,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,MEDICARE,MEDICARE,,9.44,,fee schedule,9.44,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,TRICARE,TRICARE,,9.44,,fee schedule,9.44,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,9.44,,fee schedule,9.44,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,9.44,59,percent of total billed charges,
STOOL C&S,87045,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,9.44,59,percent of total billed charges,
STOOL C&S,87045,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,9.44,59,percent of total billed charges,
STOOL C&S,87045,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,9.44,59,fee schedule,
STOOL C&S,87045,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,9.44,59,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,ALLIANT,ALLIANT,,15.58,,fee schedule,15.58,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,AMBETTER,AMBETTER,,12.27,,fee schedule,12.27,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,AMERIGROUP,AMERIGROUP,,3.12,,fee schedule,3.12,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,3.18,,fee schedule,3.18,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,MEDICARE,MEDICARE,,9.44,,fee schedule,9.44,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,2.97,,fee schedule,2.97,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,TRICARE,TRICARE,,9.44,,fee schedule,9.44,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,UHC MEDICARE,UHC MEDICARE,,9.44,,fee schedule,9.44,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,AETNA,AETNA,,194.88,87,percent of total billed charges,194.88,2.97,224,percent of total billed charges,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194.88,87,percent of total billed charges,194.88,2.97,224,percent of total billed charges,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,UNITED HEALTHCARE,UNITED HEALTHCARE,,197.12,88,percent of total billed charges,197.12,2.97,224,percent of total billed charges,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,AETNA,AETNA,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,BEECH STREET,BEECH STREET,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,MEDICAID,MEDICAID,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,NOVA NET,NOVA NET,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,SELFPAY,SELFPAY,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE: STOOL ID,87046,CPT,both,,,224,224,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,ALLIANT,ALLIANT,,15.58,,fee schedule,15.58,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,AMBETTER,AMBETTER,,12.27,,fee schedule,12.27,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,AMERIGROUP,AMERIGROUP,,3.12,,fee schedule,3.12,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,3.18,,fee schedule,3.18,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,MEDICARE,MEDICARE,,9.44,,fee schedule,9.44,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,2.97,,fee schedule,2.97,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,TRICARE,TRICARE,,9.44,,fee schedule,9.44,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,UHC MEDICARE,UHC MEDICARE,,9.44,,fee schedule,9.44,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,AETNA,AETNA,,194.88,87,percent of total billed charges,194.88,2.97,224,percent of total billed charges,
VIBRIO CULTURE,87046,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194.88,87,percent of total billed charges,194.88,2.97,224,percent of total billed charges,
VIBRIO CULTURE,87046,CPT,both,,,224,224,UNITED HEALTHCARE,UNITED HEALTHCARE,,197.12,88,percent of total billed charges,197.12,2.97,224,percent of total billed charges,
VIBRIO CULTURE,87046,CPT,both,,,224,224,AETNA,AETNA,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,BEECH STREET,BEECH STREET,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,CARESOURCE,CARESOURCE,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,MEDICAID,MEDICAID,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,NOVA NET,NOVA NET,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,PEACHSTATE,PEACHSTATE,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,SELFPAY,SELFPAY,,224,,fee schedule,224,2.97,224,fee schedule,
VIBRIO CULTURE,87046,CPT,both,,,224,224,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,224,,fee schedule,224,2.97,224,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,ALLIANT,ALLIANT,,14.22,,fee schedule,14.22,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,AMBETTER,AMBETTER,,11.21,,fee schedule,11.21,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,MEDICARE,MEDICARE,,8.62,,fee schedule,8.62,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,TRICARE,TRICARE,,8.62,,fee schedule,8.62,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,8.62,,fee schedule,8.62,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,8.62,49,percent of total billed charges,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,8.62,49,percent of total billed charges,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,8.62,49,percent of total billed charges,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE GC OR OTHER SOUR,87070,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,8.62,49,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,ALLIANT,ALLIANT,,14.22,,fee schedule,14.22,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,AMBETTER,AMBETTER,,11.21,,fee schedule,11.21,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,MEDICARE,MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,TRICARE,TRICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,8.62,227,percent of total billed charges,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,ALLIANT,ALLIANT,,14.22,,fee schedule,14.22,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,AMBETTER,AMBETTER,,11.21,,fee schedule,11.21,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,MEDICARE,MEDICARE,,8.62,,fee schedule,8.62,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,TRICARE,TRICARE,,8.62,,fee schedule,8.62,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,8.62,,fee schedule,8.62,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,8.62,84,percent of total billed charges,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,8.62,84,percent of total billed charges,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,8.62,84,percent of total billed charges,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: ROUTINE,87070,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,8.62,84,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,ALLIANT,ALLIANT,,14.22,,fee schedule,14.22,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,AMBETTER,AMBETTER,,11.21,,fee schedule,11.21,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,MEDICARE,MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,TRICARE,TRICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,8.62,227,percent of total billed charges,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,8.62,227,fee schedule,
CULTURE: UPPER RESPIRATORY,87070,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,ALLIANT,ALLIANT,,14.22,,fee schedule,14.22,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,AMBETTER,AMBETTER,,11.21,,fee schedule,11.21,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,MEDICARE,MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,TRICARE,TRICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,8.62,227,percent of total billed charges,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,8.62,227,fee schedule,
GENITAL CULTURE PRENATAL,87070,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,ALLIANT,ALLIANT,,14.22,,fee schedule,14.22,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,AMBETTER,AMBETTER,,11.21,,fee schedule,11.21,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,MEDICARE,MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,TRICARE,TRICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,8.62,,fee schedule,8.62,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,8.62,227,percent of total billed charges,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,8.62,227,percent of total billed charges,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,8.62,227,fee schedule,
HELIOBACTER PYLORI CULTUR,87070,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,8.62,227,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,ALLIANT,ALLIANT,,15.63,,fee schedule,15.63,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,AMBETTER,AMBETTER,,12.31,,fee schedule,12.31,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,12.5,,fee schedule,12.5,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,12.73,,fee schedule,12.73,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,MEDICARE,MEDICARE,,9.47,,fee schedule,9.47,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,11.9,,fee schedule,11.9,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,TRICARE,TRICARE,,9.47,,fee schedule,9.47,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,9.47,,fee schedule,9.47,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,9.47,84,percent of total billed charges,
C & S WOUND,87075,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,9.47,84,percent of total billed charges,
C & S WOUND,87075,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,9.47,84,percent of total billed charges,
C & S WOUND,87075,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,9.47,84,fee schedule,
C & S WOUND,87075,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,9.47,84,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,ALLIANT,ALLIANT,,15.63,,fee schedule,15.63,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,AMBETTER,AMBETTER,,12.31,,fee schedule,12.31,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,AMERIGROUP,AMERIGROUP,,12.5,,fee schedule,12.5,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,12.73,,fee schedule,12.73,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,MEDICARE,MEDICARE,,9.47,,fee schedule,9.47,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,11.9,,fee schedule,11.9,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,TRICARE,TRICARE,,9.47,,fee schedule,9.47,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,9.47,,fee schedule,9.47,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,9.47,167,percent of total billed charges,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,9.47,167,percent of total billed charges,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,9.47,167,percent of total billed charges,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,9.47,167,fee schedule,
CULTURE: ANAEROBIC,87075,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,9.47,167,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,ALLIANT,ALLIANT,,13.33,,fee schedule,13.33,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,AMBETTER,AMBETTER,,10.5,,fee schedule,10.5,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,10.67,,fee schedule,10.67,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,10.87,,fee schedule,10.87,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,MEDICARE,MEDICARE,,8.08,,fee schedule,8.08,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,10.16,,fee schedule,10.16,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,TRICARE,TRICARE,,8.08,,fee schedule,8.08,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,8.08,,fee schedule,8.08,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,8.08,106,percent of total billed charges,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,8.08,106,percent of total billed charges,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,8.08,106,percent of total billed charges,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,8.08,106,fee schedule,
ANAEROBIC ISOLATE,87076,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,8.08,106,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,ALLIANT,ALLIANT,,13.33,,fee schedule,13.33,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,AMBETTER,AMBETTER,,10.5,,fee schedule,10.5,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,10.67,,fee schedule,10.67,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,10.87,,fee schedule,10.87,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,MEDICARE,MEDICARE,,8.08,,fee schedule,8.08,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,10.16,,fee schedule,10.16,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,TRICARE,TRICARE,,8.08,,fee schedule,8.08,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,8.08,,fee schedule,8.08,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,8.08,79,percent of total billed charges,
CULTURE: ID,87077,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,8.08,79,percent of total billed charges,
CULTURE: ID,87077,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,8.08,79,percent of total billed charges,
CULTURE: ID,87077,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,8.08,79,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,ALLIANT,ALLIANT,,13.33,,fee schedule,13.33,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,AMBETTER,AMBETTER,,10.5,,fee schedule,10.5,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,10.67,,fee schedule,10.67,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,10.87,,fee schedule,10.87,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,MEDICARE,MEDICARE,,8.08,,fee schedule,8.08,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,10.16,,fee schedule,10.16,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,TRICARE,TRICARE,,8.08,,fee schedule,8.08,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,8.08,,fee schedule,8.08,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,8.08,32,percent of total billed charges,
CULTURE: ID,87077,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,8.08,32,percent of total billed charges,
CULTURE: ID,87077,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,8.08,32,percent of total billed charges,
CULTURE: ID,87077,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,8.08,32,fee schedule,
CULTURE: ID,87077,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,8.08,32,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
BORDETELLA PERTUSSIS CUL,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
CULTURE SCREEN ONLY,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
EHEC - CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
EHEC - CULTURE,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
EHEC - CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
EHEC - CULTURE,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
GC CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
GC CULTURE,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
GC CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
GC CULTURE,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
GROUP B STREP SCREEN-GENI,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
LEGIONELLA CULTURE,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
MRSA SCREEN,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
MRSA SCREEN,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
MRSA SCREEN,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
MRSA SCREEN,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
STREP B SCREEN CULTURE,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,6.63,29,percent of total billed charges,
STREP SCREEN,87081,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,6.63,29,percent of total billed charges,
STREP SCREEN,87081,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,6.63,29,percent of total billed charges,
STREP SCREEN,87081,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,6.63,29,fee schedule,
STREP SCREEN,87081,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,6.63,29,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,6.63,30,percent of total billed charges,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,6.63,30,percent of total billed charges,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,6.63,30,percent of total billed charges,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATION CULTURE,87081,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,6.63,30,percent of total billed charges,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,6.63,30,percent of total billed charges,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,6.63,30,percent of total billed charges,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,6.63,30,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,6.63,32,percent of total billed charges,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,6.63,32,percent of total billed charges,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,6.63,32,percent of total billed charges,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,6.63,32,fee schedule,
UPPER RESPIRATORY CULTURE,87081,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,6.63,32,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,ALLIANT,ALLIANT,,10.94,,fee schedule,10.94,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,AMBETTER,AMBETTER,,8.62,,fee schedule,8.62,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,MEDICARE,MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,TRICARE,TRICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,UHC MEDICARE,UHC MEDICARE,,6.63,,fee schedule,6.63,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
YERSINIA CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117.45,87,percent of total billed charges,117.45,6.63,135,percent of total billed charges,
YERSINIA CULTURE,87081,CPT,both,,,135,135,UNITED HEALTHCARE,UNITED HEALTHCARE,,118.8,88,percent of total billed charges,118.8,6.63,135,percent of total billed charges,
YERSINIA CULTURE,87081,CPT,both,,,135,135,AETNA,AETNA,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,BEECH STREET,BEECH STREET,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,CARESOURCE,CARESOURCE,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,MEDICAID,MEDICAID,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,NOVA NET,NOVA NET,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,PEACHSTATE,PEACHSTATE,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,SELFPAY,SELFPAY,,135,,fee schedule,135,6.63,135,fee schedule,
YERSINIA CULTURE,87081,CPT,both,,,135,135,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,135,,fee schedule,135,6.63,135,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,ALLIANT,ALLIANT,,13.32,,fee schedule,13.32,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,AMBETTER,AMBETTER,,10.49,,fee schedule,10.49,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,10.66,,fee schedule,10.66,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,10.86,,fee schedule,10.86,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,MEDICARE,MEDICARE,,8.07,,fee schedule,8.07,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,10.15,,fee schedule,10.15,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,TRICARE,TRICARE,,8.07,,fee schedule,8.07,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,8.07,,fee schedule,8.07,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,8.07,56,percent of total billed charges,
C & S URINE,87086,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,8.07,56,percent of total billed charges,
C & S URINE,87086,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,8.07,56,percent of total billed charges,
C & S URINE,87086,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,8.07,56,fee schedule,
C & S URINE,87086,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,8.07,56,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,ALLIANT,ALLIANT,,13.32,,fee schedule,13.32,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,AMBETTER,AMBETTER,,10.49,,fee schedule,10.49,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,10.66,,fee schedule,10.66,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,10.86,,fee schedule,10.86,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,MEDICARE,MEDICARE,,8.07,,fee schedule,8.07,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,10.15,,fee schedule,10.15,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,TRICARE,TRICARE,,8.07,,fee schedule,8.07,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,8.07,,fee schedule,8.07,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,8.07,153,percent of total billed charges,
CULTURE: URINE,87086,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,8.07,153,percent of total billed charges,
CULTURE: URINE,87086,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,8.07,153,percent of total billed charges,
CULTURE: URINE,87086,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,8.07,153,fee schedule,
CULTURE: URINE,87086,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,ALLIANT,ALLIANT,,13.32,,fee schedule,13.32,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,AMBETTER,AMBETTER,,10.49,,fee schedule,10.49,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,10.66,,fee schedule,10.66,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,10.86,,fee schedule,10.86,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,MEDICARE,MEDICARE,,8.07,,fee schedule,8.07,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,10.15,,fee schedule,10.15,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,TRICARE,TRICARE,,8.07,,fee schedule,8.07,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,8.07,,fee schedule,8.07,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,8.07,153,percent of total billed charges,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,8.07,153,percent of total billed charges,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,8.07,153,percent of total billed charges,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,8.07,153,fee schedule,
UA C&S PRENATAL PROFILE,87086,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,8.07,153,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,AETNA,AETNA,,34252.99,87,percent of total billed charges,34252.99,34252.99,39371.25,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34252.99,87,percent of total billed charges,34252.99,34252.99,39371.25,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,UNITED HEALTHCARE,UNITED HEALTHCARE,,34646.7,88,percent of total billed charges,34646.7,34252.99,39371.25,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,AETNA,AETNA,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,ALLIANT,ALLIANT,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,AMBETTER,AMBETTER,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,BEECH STREET,BEECH STREET,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,CARESOURCE,CARESOURCE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,MEDICAID,MEDICAID,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,MEDICARE,MEDICARE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,NOVA NET,NOVA NET,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,PEACHSTATE,PEACHSTATE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,SELFPAY,SELFPAY,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,TRICARE,TRICARE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,871,DRG,inpatient,,,39371.25,39371.25,UHC MEDICARE,UHC MEDICARE,,39371.25,,fee schedule,39371.25,34252.99,39371.25,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,ALLIANT,ALLIANT,,12.72,,fee schedule,12.72,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,AMBETTER,AMBETTER,,10.02,,fee schedule,10.02,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,10.17,,fee schedule,10.17,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,10.37,,fee schedule,10.37,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,MEDICARE,MEDICARE,,7.71,,fee schedule,7.71,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,9.69,,fee schedule,9.69,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,TRICARE,TRICARE,,7.71,,fee schedule,7.71,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,7.71,,fee schedule,7.71,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,7.71,70,percent of total billed charges,
C & S SKINS,87101,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,7.71,70,percent of total billed charges,
C & S SKINS,87101,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,7.71,70,percent of total billed charges,
C & S SKINS,87101,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,7.71,70,fee schedule,
C & S SKINS,87101,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,7.71,70,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,ALLIANT,ALLIANT,,13.88,,fee schedule,13.88,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,AMBETTER,AMBETTER,,10.93,,fee schedule,10.93,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,11.1,,fee schedule,11.1,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,11.31,,fee schedule,11.31,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,MEDICARE,MEDICARE,,8.41,,fee schedule,8.41,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,10.57,,fee schedule,10.57,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,TRICARE,TRICARE,,8.41,,fee schedule,8.41,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,8.41,,fee schedule,8.41,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,8.41,151,percent of total billed charges,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,8.41,151,percent of total billed charges,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,8.41,151,percent of total billed charges,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,8.41,151,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,ALLIANT,ALLIANT,,13.88,,fee schedule,13.88,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,AMBETTER,AMBETTER,,10.93,,fee schedule,10.93,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,11.1,,fee schedule,11.1,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,11.31,,fee schedule,11.31,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,MEDICARE,MEDICARE,,8.41,,fee schedule,8.41,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,10.57,,fee schedule,10.57,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,TRICARE,TRICARE,,8.41,,fee schedule,8.41,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,8.41,,fee schedule,8.41,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,8.41,27,percent of total billed charges,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,8.41,27,percent of total billed charges,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,8.41,27,percent of total billed charges,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS (MYCOLOGY,87102,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,8.41,27,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,10.32,288,percent of total billed charges,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,10.32,288,percent of total billed charges,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,10.32,288,percent of total billed charges,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,10.32,288,fee schedule,
CULTURE: FUNGUS ID,87106,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,10.32,288,percent of total billed charges,
FUNGAL ID,87106,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,10.32,288,percent of total billed charges,
FUNGAL ID,87106,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,10.32,288,percent of total billed charges,
FUNGAL ID,87106,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,10.32,288,fee schedule,
FUNGAL ID,87106,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,10.32,288,percent of total billed charges,
YEAST ID,87106,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,10.32,288,percent of total billed charges,
YEAST ID,87106,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,10.32,288,percent of total billed charges,
YEAST ID,87106,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,10.32,288,fee schedule,
YEAST ID,87106,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,10.32,288,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,ALLIANT,ALLIANT,,17.03,,fee schedule,17.03,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,AMBETTER,AMBETTER,,13.42,,fee schedule,13.42,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,13.63,,fee schedule,13.63,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,13.89,,fee schedule,13.89,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,MEDICARE,MEDICARE,,10.32,,fee schedule,10.32,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,12.98,,fee schedule,12.98,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,TRICARE,TRICARE,,10.32,,fee schedule,10.32,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,10.32,,fee schedule,10.32,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,10.32,62,percent of total billed charges,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,10.32,62,percent of total billed charges,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,10.32,62,percent of total billed charges,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,10.32,62,fee schedule,
MOULD IDENTIFICATION,87107,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,10.32,62,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,ALLIANT,ALLIANT,,25.39,,fee schedule,25.39,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,AMBETTER,AMBETTER,,20.01,,fee schedule,20.01,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,20.32,,fee schedule,20.32,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,20.7,,fee schedule,20.7,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,MEDICARE,MEDICARE,,15.39,,fee schedule,15.39,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,19.35,,fee schedule,19.35,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,TRICARE,TRICARE,,15.39,,fee schedule,15.39,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,15.39,,fee schedule,15.39,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,15.39,131,percent of total billed charges,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,15.39,131,percent of total billed charges,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,15.39,131,percent of total billed charges,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,15.39,131,fee schedule,
MYCOPLASMA PNEUMONIAE CUL,87109,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,ALLIANT,ALLIANT,,25.39,,fee schedule,25.39,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,AMBETTER,AMBETTER,,20.01,,fee schedule,20.01,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,20.32,,fee schedule,20.32,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,20.7,,fee schedule,20.7,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,MEDICARE,MEDICARE,,15.39,,fee schedule,15.39,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,19.35,,fee schedule,19.35,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,TRICARE,TRICARE,,15.39,,fee schedule,15.39,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,15.39,,fee schedule,15.39,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,15.39,131,percent of total billed charges,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,15.39,131,percent of total billed charges,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,15.39,131,percent of total billed charges,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,15.39,131,fee schedule,
UREAPLASMA UREALYTICUM,87109,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,15.39,131,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,ALLIANT,ALLIANT,,32.34,,fee schedule,32.34,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,AMBETTER,AMBETTER,,25.48,,fee schedule,25.48,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,AMERIGROUP,AMERIGROUP,,25.86,,fee schedule,25.86,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,26.35,,fee schedule,26.35,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,MEDICARE,MEDICARE,,19.6,,fee schedule,19.6,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,24.63,,fee schedule,24.63,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,TRICARE,TRICARE,,19.6,,fee schedule,19.6,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,19.6,,fee schedule,19.6,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,19.6,128,percent of total billed charges,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,19.6,128,percent of total billed charges,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,19.6,128,percent of total billed charges,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,19.6,128,fee schedule,
CHLAMYDIA CULTURE,87110,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,19.6,128,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,ALLIANT,ALLIANT,,32.34,,fee schedule,32.34,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,AMBETTER,AMBETTER,,25.48,,fee schedule,25.48,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,25.86,,fee schedule,25.86,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,26.35,,fee schedule,26.35,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,MEDICARE,MEDICARE,,19.6,,fee schedule,19.6,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,24.63,,fee schedule,24.63,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,TRICARE,TRICARE,,19.6,,fee schedule,19.6,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,19.6,,fee schedule,19.6,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,19.6,218,percent of total billed charges,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,19.6,218,percent of total billed charges,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,19.6,218,percent of total billed charges,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,19.6,218,fee schedule,
CULTURE: CHLAMYDIA,87110,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,19.6,218,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,ALLIANT,ALLIANT,,17.82,,fee schedule,17.82,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,AMBETTER,AMBETTER,,14.04,,fee schedule,14.04,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,MEDICARE,MEDICARE,,10.8,,fee schedule,10.8,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,TRICARE,TRICARE,,10.8,,fee schedule,10.8,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,10.8,,fee schedule,10.8,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,10.8,137,percent of total billed charges,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,10.8,137,percent of total billed charges,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,10.8,137,percent of total billed charges,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,10.8,137,fee schedule,
ACID FAST (TB) CULTURE PR,87116,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,10.8,137,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,ALLIANT,ALLIANT,,9.19,,fee schedule,9.19,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,AMBETTER,AMBETTER,,7.24,,fee schedule,7.24,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,AMERIGROUP,AMERIGROUP,,7.36,,fee schedule,7.36,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,7.5,,fee schedule,7.5,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,MEDICARE,MEDICARE,,5.57,,fee schedule,5.57,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,7.01,,fee schedule,7.01,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,TRICARE,TRICARE,,5.57,,fee schedule,5.57,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,5.57,,fee schedule,5.57,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,5.57,30,percent of total billed charges,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,5.57,30,percent of total billed charges,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,5.57,30,percent of total billed charges,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE: HERPES-TYPING,87140,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,5.57,30,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,ALLIANT,ALLIANT,,9.19,,fee schedule,9.19,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,AMBETTER,AMBETTER,,7.24,,fee schedule,7.24,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,7.36,,fee schedule,7.36,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,7.5,,fee schedule,7.5,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,MEDICARE,MEDICARE,,5.57,,fee schedule,5.57,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,7.01,,fee schedule,7.01,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,TRICARE,TRICARE,,5.57,,fee schedule,5.57,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,5.57,,fee schedule,5.57,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,5.57,31,percent of total billed charges,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,5.57,31,percent of total billed charges,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,5.57,31,percent of total billed charges,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,5.57,31,fee schedule,
CULTURE:HERPES SIM.AG W/T,87140,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,5.57,31,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,ALLIANT,ALLIANT,,9.19,,fee schedule,9.19,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,AMBETTER,AMBETTER,,7.24,,fee schedule,7.24,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,7.36,,fee schedule,7.36,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.5,,fee schedule,7.5,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,MEDICARE,MEDICARE,,5.57,,fee schedule,5.57,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,7.01,,fee schedule,7.01,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,TRICARE,TRICARE,,5.57,,fee schedule,5.57,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,5.57,,fee schedule,5.57,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,5.57,69,percent of total billed charges,
HSV TYPING,87140,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,5.57,69,percent of total billed charges,
HSV TYPING,87140,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,5.57,69,percent of total billed charges,
HSV TYPING,87140,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,5.57,69,fee schedule,
HSV TYPING,87140,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,ALLIANT,ALLIANT,,9.19,,fee schedule,9.19,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,AMBETTER,AMBETTER,,7.24,,fee schedule,7.24,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,7.36,,fee schedule,7.36,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,7.5,,fee schedule,7.5,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,MEDICARE,MEDICARE,,5.57,,fee schedule,5.57,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,7.01,,fee schedule,7.01,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,TRICARE,TRICARE,,5.57,,fee schedule,5.57,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,5.57,,fee schedule,5.57,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,5.57,69,percent of total billed charges,
PS SMEAR TYPING,87140,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,5.57,69,percent of total billed charges,
PS SMEAR TYPING,87140,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,5.57,69,percent of total billed charges,
PS SMEAR TYPING,87140,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,5.57,69,fee schedule,
PS SMEAR TYPING,87140,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,5.57,69,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,ALLIANT,ALLIANT,,33.08,,fee schedule,33.08,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,AMBETTER,AMBETTER,,26.07,,fee schedule,26.07,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,MEDICARE,MEDICARE,,20.05,,fee schedule,20.05,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,TRICARE,TRICARE,,20.05,,fee schedule,20.05,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,20.05,,fee schedule,20.05,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,20.05,66,percent of total billed charges,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,20.05,66,percent of total billed charges,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,20.05,66,percent of total billed charges,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,20.05,66,fee schedule,
DNA/RNA DIRECT PROBE,87149,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,20.05,66,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,TRICARE,TRICARE,,35.09,,fee schedule,35.09,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,35.09,134,percent of total billed charges,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,35.09,134,percent of total billed charges,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,35.09,134,percent of total billed charges,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,35.09,134,fee schedule,
"GROUP B STREP, CULTURE NA PROB",87150,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,35.09,134,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,ALLIANT,ALLIANT,,14.69,,fee schedule,14.69,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,AMBETTER,AMBETTER,,11.57,,fee schedule,11.57,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,11.75,,fee schedule,11.75,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,11.97,,fee schedule,11.97,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,MEDICARE,MEDICARE,,8.9,,fee schedule,8.9,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,11.19,,fee schedule,11.19,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,TRICARE,TRICARE,,8.9,,fee schedule,8.9,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,8.9,,fee schedule,8.9,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,8.9,76,percent of total billed charges,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,8.9,76,percent of total billed charges,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,8.9,76,percent of total billed charges,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,8.9,76,fee schedule,
O&P DIRECT SMEAR ID,87177,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,8.9,76,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,ALLIANT,ALLIANT,,14.69,,fee schedule,14.69,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,AMBETTER,AMBETTER,,11.57,,fee schedule,11.57,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,11.75,,fee schedule,11.75,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,11.97,,fee schedule,11.97,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,MEDICARE,MEDICARE,,8.9,,fee schedule,8.9,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,11.19,,fee schedule,11.19,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,TRICARE,TRICARE,,8.9,,fee schedule,8.9,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,8.9,,fee schedule,8.9,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,8.9,34,percent of total billed charges,
OVA & PARASITES,87177,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,8.9,34,percent of total billed charges,
OVA & PARASITES,87177,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,8.9,34,percent of total billed charges,
OVA & PARASITES,87177,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,8.9,34,fee schedule,
OVA & PARASITES,87177,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,8.9,34,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,ALLIANT,ALLIANT,,7.84,,fee schedule,7.84,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,AMBETTER,AMBETTER,,6.18,,fee schedule,6.18,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,MEDICARE,MEDICARE,,4.75,,fee schedule,4.75,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,TRICARE,TRICARE,,4.75,,fee schedule,4.75,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,UHC MEDICARE,UHC MEDICARE,,4.75,,fee schedule,4.75,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,AETNA,AETNA,,102.66,87,percent of total billed charges,102.66,4.75,118,percent of total billed charges,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102.66,87,percent of total billed charges,102.66,4.75,118,percent of total billed charges,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,UNITED HEALTHCARE,UNITED HEALTHCARE,,103.84,88,percent of total billed charges,103.84,4.75,118,percent of total billed charges,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,AETNA,AETNA,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,BEECH STREET,BEECH STREET,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,CARESOURCE,CARESOURCE,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,MEDICAID,MEDICAID,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,NOVA NET,NOVA NET,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,PEACHSTATE,PEACHSTATE,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,SELFPAY,SELFPAY,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: AGAR DILUTION SU,87181,CPT,both,,,118,118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,118,,fee schedule,118,4.75,118,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,ALLIANT,ALLIANT,,12.34,,fee schedule,12.34,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,AMBETTER,AMBETTER,,9.72,,fee schedule,9.72,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,AMERIGROUP,AMERIGROUP,,9.1,,fee schedule,9.1,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,9.28,,fee schedule,9.28,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,MEDICARE,MEDICARE,,7.48,,fee schedule,7.48,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,8.67,,fee schedule,8.67,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,TRICARE,TRICARE,,7.48,,fee schedule,7.48,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,7.48,,fee schedule,7.48,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,7.48,57,percent of total billed charges,
CULTURE: DISK,87184,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,7.48,57,percent of total billed charges,
CULTURE: DISK,87184,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,7.48,57,percent of total billed charges,
CULTURE: DISK,87184,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: DISK,87184,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,7.48,57,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,ALLIANT,ALLIANT,,14.27,,fee schedule,14.27,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,AMBETTER,AMBETTER,,11.25,,fee schedule,11.25,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,11.41,,fee schedule,11.41,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,11.63,,fee schedule,11.63,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,MEDICARE,MEDICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,10.87,,fee schedule,10.87,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,TRICARE,TRICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,8.65,288,percent of total billed charges,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,8.65,288,percent of total billed charges,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,8.65,288,percent of total billed charges,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,ALLIANT,ALLIANT,,14.27,,fee schedule,14.27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,AMBETTER,AMBETTER,,11.25,,fee schedule,11.25,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,11.41,,fee schedule,11.41,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,11.63,,fee schedule,11.63,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,MEDICARE,MEDICARE,,8.65,,fee schedule,8.65,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,10.87,,fee schedule,10.87,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,TRICARE,TRICARE,,8.65,,fee schedule,8.65,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,8.65,,fee schedule,8.65,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,8.65,27,percent of total billed charges,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,8.65,27,percent of total billed charges,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,8.65,27,percent of total billed charges,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: MIC SENSITIVITY,87186,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,8.65,27,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,ALLIANT,ALLIANT,,14.27,,fee schedule,14.27,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,AMBETTER,AMBETTER,,11.25,,fee schedule,11.25,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,11.41,,fee schedule,11.41,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,11.63,,fee schedule,11.63,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,MEDICARE,MEDICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,10.87,,fee schedule,10.87,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,TRICARE,TRICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,8.65,288,percent of total billed charges,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,8.65,288,percent of total billed charges,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,8.65,288,percent of total billed charges,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,8.65,288,fee schedule,
CULTURE: SENSITIVITY MIC,87186,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,ALLIANT,ALLIANT,,14.27,,fee schedule,14.27,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,AMBETTER,AMBETTER,,11.25,,fee schedule,11.25,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,11.41,,fee schedule,11.41,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,11.63,,fee schedule,11.63,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,MEDICARE,MEDICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,10.87,,fee schedule,10.87,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,TRICARE,TRICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,8.65,,fee schedule,8.65,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,8.65,288,percent of total billed charges,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,8.65,288,percent of total billed charges,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,8.65,288,percent of total billed charges,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,8.65,288,fee schedule,
YEAST SUSCEPTIBIITY,87186,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,8.65,288,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,ALLIANT,ALLIANT,,12.06,,fee schedule,12.06,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,AMBETTER,AMBETTER,,9.5,,fee schedule,9.5,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,7.47,,fee schedule,7.47,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,7.61,,fee schedule,7.61,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,MEDICARE,MEDICARE,,7.31,,fee schedule,7.31,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,7.11,,fee schedule,7.11,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,TRICARE,TRICARE,,7.31,,fee schedule,7.31,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,7.31,,fee schedule,7.31,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,7.11,27,percent of total billed charges,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,7.11,27,percent of total billed charges,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,7.11,27,percent of total billed charges,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,7.11,27,fee schedule,
"MICROBE SUSCEPT, MYCOBACTERIA",87190,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,7.11,27,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,AETNA,AETNA,,22736.35,87,percent of total billed charges,22736.35,22736.35,26133.73,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22736.35,87,percent of total billed charges,22736.35,22736.35,26133.73,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,UNITED HEALTHCARE,UNITED HEALTHCARE,,22997.68,88,percent of total billed charges,22997.68,22736.35,26133.73,percent of total billed charges,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,AETNA,AETNA,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,ALLIANT,ALLIANT,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,AMBETTER,AMBETTER,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,BEECH STREET,BEECH STREET,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,CARESOURCE,CARESOURCE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,MEDICAID,MEDICAID,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,MEDICARE,MEDICARE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,NOVA NET,NOVA NET,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,PEACHSTATE,PEACHSTATE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,SELFPAY,SELFPAY,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,TRICARE,TRICARE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,872,DRG,inpatient,,,26133.73,26133.73,UHC MEDICARE,UHC MEDICARE,,26133.73,,fee schedule,26133.73,22736.35,26133.73,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,3.1,,fee schedule,3.1,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,3.16,,fee schedule,3.16,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,2.95,,fee schedule,2.95,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,TRICARE,TRICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,2.95,348,percent of total billed charges,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,2.95,348,fee schedule,
CULTURE: H PYLORI,87205,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,3.1,,fee schedule,3.1,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,3.16,,fee schedule,3.16,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,2.95,,fee schedule,2.95,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,TRICARE,TRICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,2.95,348,percent of total billed charges,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,2.95,348,fee schedule,
CYTOPATH P. CARINII SMEA,87205,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,3.1,,fee schedule,3.1,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,3.16,,fee schedule,3.16,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,2.95,,fee schedule,2.95,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,TRICARE,TRICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,2.95,348,percent of total billed charges,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,2.95,348,fee schedule,
FECAL LEUKOCYTES,87205,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,3.1,,fee schedule,3.1,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,3.16,,fee schedule,3.16,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,2.95,,fee schedule,2.95,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,TRICARE,TRICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
GRAM STAIN,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
GRAM STAIN,87205,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,2.95,348,percent of total billed charges,
GRAM STAIN,87205,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,3.1,,fee schedule,3.1,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,3.16,,fee schedule,3.16,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,2.95,,fee schedule,2.95,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,TRICARE,TRICARE,,4.27,,fee schedule,4.27,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,2.95,32,percent of total billed charges,
GRAM STAIN,87205,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,2.95,32,percent of total billed charges,
GRAM STAIN,87205,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,2.95,32,percent of total billed charges,
GRAM STAIN,87205,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,2.95,32,fee schedule,
GRAM STAIN,87205,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,2.95,32,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,AMERIGROUP,AMERIGROUP,,3.1,,fee schedule,3.1,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,3.16,,fee schedule,3.16,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,2.95,,fee schedule,2.95,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,TRICARE,TRICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,AETNA,AETNA,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302.76,87,percent of total billed charges,302.76,2.95,348,percent of total billed charges,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,UNITED HEALTHCARE,UNITED HEALTHCARE,,306.24,88,percent of total billed charges,306.24,2.95,348,percent of total billed charges,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,AETNA,AETNA,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,BEECH STREET,BEECH STREET,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,CARESOURCE,CARESOURCE,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,MEDICAID,MEDICAID,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,NOVA NET,NOVA NET,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,PEACHSTATE,PEACHSTATE,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,SELFPAY,SELFPAY,,348,,fee schedule,348,2.95,348,fee schedule,
PERTUSSIS SMEAR,87205,CPT,both,,,348,348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,348,,fee schedule,348,2.95,348,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,ALLIANT,ALLIANT,,8.89,,fee schedule,8.89,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,AMBETTER,AMBETTER,,7.01,,fee schedule,7.01,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,MEDICARE,MEDICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,TRICARE,TRICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,5.39,114,percent of total billed charges,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,5.39,114,percent of total billed charges,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,5.39,114,percent of total billed charges,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST (TB) SMEAR PROF,87206,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,ALLIANT,ALLIANT,,8.89,,fee schedule,8.89,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,AMBETTER,AMBETTER,,7.01,,fee schedule,7.01,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,MEDICARE,MEDICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,TRICARE,TRICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,5.39,114,percent of total billed charges,
ACID FAST STAIN,87206,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,5.39,114,percent of total billed charges,
ACID FAST STAIN,87206,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,5.39,114,percent of total billed charges,
ACID FAST STAIN,87206,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,5.39,114,fee schedule,
ACID FAST STAIN,87206,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,ALLIANT,ALLIANT,,8.89,,fee schedule,8.89,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,AMBETTER,AMBETTER,,7.01,,fee schedule,7.01,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,7.09,,fee schedule,7.09,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,7.22,,fee schedule,7.22,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,MEDICARE,MEDICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,6.75,,fee schedule,6.75,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,TRICARE,TRICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,5.39,,fee schedule,5.39,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,5.39,114,percent of total billed charges,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,5.39,114,percent of total billed charges,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,5.39,114,percent of total billed charges,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,5.39,114,fee schedule,
CULTURE: ACID FAST (TB) S,87206,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,5.39,114,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,7.91,,fee schedule,7.91,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,8.06,,fee schedule,8.06,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,7.53,,fee schedule,7.53,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,5.99,92,percent of total billed charges,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,5.99,92,percent of total billed charges,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,5.99,92,percent of total billed charges,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,5.99,92,fee schedule,
COCCIDIA EVALUATION,87207,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,5.99,92,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,7.91,,fee schedule,7.91,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,8.06,,fee schedule,8.06,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,7.53,,fee schedule,7.53,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,5.99,59,percent of total billed charges,
HERPES SMEAR,87207,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,5.99,59,percent of total billed charges,
HERPES SMEAR,87207,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,5.99,59,percent of total billed charges,
HERPES SMEAR,87207,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,5.99,59,fee schedule,
HERPES SMEAR,87207,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,5.99,59,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,7.91,,fee schedule,7.91,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,8.06,,fee schedule,8.06,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,7.53,,fee schedule,7.53,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,5.99,92,percent of total billed charges,
MALARIAL SMEAR,87207,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,5.99,92,percent of total billed charges,
MALARIAL SMEAR,87207,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,5.99,92,percent of total billed charges,
MALARIAL SMEAR,87207,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,5.99,92,fee schedule,
MALARIAL SMEAR,87207,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,7.91,,fee schedule,7.91,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,8.06,,fee schedule,8.06,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,7.53,,fee schedule,7.53,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,5.99,92,percent of total billed charges,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,5.99,92,percent of total billed charges,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,5.99,92,percent of total billed charges,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,5.99,92,fee schedule,
MICROSPORIDA EXAM,87207,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,5.99,92,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,ALLIANT,ALLIANT,,29.67,,fee schedule,29.67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,AMBETTER,AMBETTER,,23.37,,fee schedule,23.37,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,23.73,,fee schedule,23.73,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,24.18,,fee schedule,24.18,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,MEDICARE,MEDICARE,,17.98,,fee schedule,17.98,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,22.6,,fee schedule,22.6,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,TRICARE,TRICARE,,17.98,,fee schedule,17.98,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,17.98,,fee schedule,17.98,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,17.98,67,percent of total billed charges,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,17.98,67,percent of total billed charges,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,17.98,67,percent of total billed charges,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,17.98,67,fee schedule,
O&P DIRECT SMEAR DRY,87209,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,17.98,67,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,ALLIANT,ALLIANT,,9.6,,fee schedule,9.6,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,AMBETTER,AMBETTER,,7.57,,fee schedule,7.57,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,5.63,,fee schedule,5.63,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,5.74,,fee schedule,5.74,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,MEDICARE,MEDICARE,,5.82,,fee schedule,5.82,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,5.36,,fee schedule,5.36,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,TRICARE,TRICARE,,5.82,,fee schedule,5.82,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,5.82,,fee schedule,5.82,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,5.36,87,percent of total billed charges,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,5.36,87,percent of total billed charges,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,5.36,87,percent of total billed charges,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,5.36,87,fee schedule,
INDIA INK PREPARATION,87210,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,5.36,87,fee schedule,
WET PREP,87210,CPT,both,,,27,27,ALLIANT,ALLIANT,,9.6,,fee schedule,9.6,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,AMBETTER,AMBETTER,,7.57,,fee schedule,7.57,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,5.63,,fee schedule,5.63,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,5.74,,fee schedule,5.74,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,MEDICARE,MEDICARE,,5.82,,fee schedule,5.82,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,5.36,,fee schedule,5.36,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,TRICARE,TRICARE,,5.82,,fee schedule,5.82,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,5.82,,fee schedule,5.82,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,5.36,27,percent of total billed charges,
WET PREP,87210,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,5.36,27,percent of total billed charges,
WET PREP,87210,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,5.36,27,percent of total billed charges,
WET PREP,87210,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,5.36,27,fee schedule,
WET PREP,87210,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,5.36,27,fee schedule,
KOH,87220,CPT,both,,,31,31,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,5.63,,fee schedule,5.63,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,5.74,,fee schedule,5.74,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,5.36,,fee schedule,5.36,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,4.27,31,percent of total billed charges,
KOH,87220,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,4.27,31,percent of total billed charges,
KOH,87220,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,4.27,31,percent of total billed charges,
KOH,87220,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,4.27,31,fee schedule,
KOH,87220,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,4.27,31,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,ALLIANT,ALLIANT,,43.02,,fee schedule,43.02,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,AMBETTER,AMBETTER,,33.89,,fee schedule,33.89,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,29.19,,fee schedule,29.19,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,29.75,,fee schedule,29.75,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,MEDICARE,MEDICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,27.8,,fee schedule,27.8,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,TRICARE,TRICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,26.07,255,percent of total billed charges,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,26.07,255,percent of total billed charges,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,26.07,255,percent of total billed charges,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: CYTOMEGALOVIRUM,87252,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,ALLIANT,ALLIANT,,43.02,,fee schedule,43.02,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,AMBETTER,AMBETTER,,33.89,,fee schedule,33.89,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,29.19,,fee schedule,29.19,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,29.75,,fee schedule,29.75,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,MEDICARE,MEDICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,27.8,,fee schedule,27.8,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,TRICARE,TRICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,26.07,255,percent of total billed charges,
CULTURE: VIRAL,87252,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,26.07,255,percent of total billed charges,
CULTURE: VIRAL,87252,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,26.07,255,percent of total billed charges,
CULTURE: VIRAL,87252,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: VIRAL,87252,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,ALLIANT,ALLIANT,,43.02,,fee schedule,43.02,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,AMBETTER,AMBETTER,,33.89,,fee schedule,33.89,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,29.19,,fee schedule,29.19,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,29.75,,fee schedule,29.75,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,MEDICARE,MEDICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,27.8,,fee schedule,27.8,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,TRICARE,TRICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,26.07,,fee schedule,26.07,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,26.07,255,percent of total billed charges,
HERPES HSV RAPID,87252,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,26.07,255,percent of total billed charges,
HERPES HSV RAPID,87252,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,26.07,255,percent of total billed charges,
HERPES HSV RAPID,87252,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,26.07,255,fee schedule,
HERPES HSV RAPID,87252,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,26.07,255,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,ALLIANT,ALLIANT,,32.27,,fee schedule,32.27,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,AMBETTER,AMBETTER,,25.43,,fee schedule,25.43,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,6.46,,fee schedule,6.46,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,6.58,,fee schedule,6.58,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,MEDICARE,MEDICARE,,19.56,,fee schedule,19.56,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,6.15,,fee schedule,6.15,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,TRICARE,TRICARE,,19.56,,fee schedule,19.56,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,19.56,,fee schedule,19.56,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,6.15,62,percent of total billed charges,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,6.15,62,percent of total billed charges,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,6.15,62,percent of total billed charges,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE: HERPES-VIRUS IDE,87254,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,6.15,62,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,ALLIANT,ALLIANT,,55.87,,fee schedule,55.87,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,AMBETTER,AMBETTER,,44.02,,fee schedule,44.02,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,39.94,,fee schedule,39.94,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,40.7,,fee schedule,40.7,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,MEDICARE,MEDICARE,,33.86,,fee schedule,33.86,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,38.04,,fee schedule,38.04,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,TRICARE,TRICARE,,33.86,,fee schedule,33.86,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,33.86,,fee schedule,33.86,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,33.86,137,percent of total billed charges,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,33.86,137,percent of total billed charges,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,33.86,137,percent of total billed charges,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,33.86,137,fee schedule,
CULTURE:HERPES SIMPLEX VI,87255,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,ALLIANT,ALLIANT,,55.87,,fee schedule,55.87,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,AMBETTER,AMBETTER,,44.02,,fee schedule,44.02,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,AMERIGROUP,AMERIGROUP,,39.94,,fee schedule,39.94,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,40.7,,fee schedule,40.7,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,MEDICARE,MEDICARE,,33.86,,fee schedule,33.86,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,38.04,,fee schedule,38.04,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,TRICARE,TRICARE,,33.86,,fee schedule,33.86,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,33.86,,fee schedule,33.86,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,33.86,137,percent of total billed charges,
REFLEX TYPING,87255,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,33.86,137,percent of total billed charges,
REFLEX TYPING,87255,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,33.86,137,percent of total billed charges,
REFLEX TYPING,87255,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,33.86,137,fee schedule,
REFLEX TYPING,87255,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,33.86,137,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,ALLIANT,ALLIANT,,23.81,,fee schedule,23.81,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,AMBETTER,AMBETTER,,18.76,,fee schedule,18.76,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,MEDICARE,MEDICARE,,14.43,,fee schedule,14.43,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,TRICARE,TRICARE,,14.43,,fee schedule,14.43,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,14.43,,fee schedule,14.43,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,14.43,195,percent of total billed charges,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,14.43,195,percent of total billed charges,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,14.43,195,percent of total billed charges,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,14.43,195,fee schedule,
ADENOVIRUS ANTIGEN BY DFA,87260,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,14.43,195,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,11.98,39,percent of total billed charges,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,11.98,39,percent of total billed charges,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,11.98,39,percent of total billed charges,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,11.98,39,fee schedule,
BORDETELLA PERTUSSIS AG,87265,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,11.98,39,percent of total billed charges,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,11.98,39,percent of total billed charges,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,11.98,39,percent of total billed charges,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,11.98,39,fee schedule,
PARAPERTUSSIS AG,87265,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,11.98,39,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,ALLIANT,ALLIANT,,20.21,,fee schedule,20.21,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,AMBETTER,AMBETTER,,15.93,,fee schedule,15.93,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,MEDICARE,MEDICARE,,12.25,,fee schedule,12.25,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,TRICARE,TRICARE,,12.25,,fee schedule,12.25,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,12.25,,fee schedule,12.25,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,12.25,112,percent of total billed charges,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,12.25,112,percent of total billed charges,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,12.25,112,percent of total billed charges,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS B ANTIGEN,87275,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,12.25,112,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,TRICARE,TRICARE,,16.07,,fee schedule,16.07,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AETNA,AETNA,,128.76,87,percent of total billed charges,128.76,15.08,148,percent of total billed charges,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128.76,87,percent of total billed charges,128.76,15.08,148,percent of total billed charges,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,UNITED HEALTHCARE,UNITED HEALTHCARE,,130.24,88,percent of total billed charges,130.24,15.08,148,percent of total billed charges,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AETNA,AETNA,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,BEECH STREET,BEECH STREET,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,MEDICAID,MEDICAID,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,NOVA NET,NOVA NET,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,SELFPAY,SELFPAY,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,TRICARE,TRICARE,,16.07,,fee schedule,16.07,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AETNA,AETNA,,128.76,87,percent of total billed charges,128.76,15.08,148,percent of total billed charges,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128.76,87,percent of total billed charges,128.76,15.08,148,percent of total billed charges,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,UNITED HEALTHCARE,UNITED HEALTHCARE,,130.24,88,percent of total billed charges,130.24,15.08,148,percent of total billed charges,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,AETNA,AETNA,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,BEECH STREET,BEECH STREET,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,MEDICAID,MEDICAID,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,NOVA NET,NOVA NET,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,SELFPAY,SELFPAY,,148,,fee schedule,148,15.08,148,fee schedule,
INFLUENZA VIRUS A ANTIGEN,87276,CPT,both,,,148,148,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,148,,fee schedule,148,15.08,148,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,ALLIANT,ALLIANT,,25.74,,fee schedule,25.74,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,AMBETTER,AMBETTER,,20.28,,fee schedule,20.28,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,MEDICARE,MEDICARE,,15.6,,fee schedule,15.6,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,TRICARE,TRICARE,,15.6,,fee schedule,15.6,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,15.6,,fee schedule,15.6,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,15.08,299,percent of total billed charges,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,15.08,299,percent of total billed charges,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,15.08,299,percent of total billed charges,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA ANTIBODIES IFA,87278,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,ALLIANT,ALLIANT,,25.74,,fee schedule,25.74,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,AMBETTER,AMBETTER,,20.28,,fee schedule,20.28,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,MEDICARE,MEDICARE,,15.6,,fee schedule,15.6,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,TRICARE,TRICARE,,15.6,,fee schedule,15.6,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,15.6,,fee schedule,15.6,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,15.08,299,percent of total billed charges,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,15.08,299,percent of total billed charges,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,15.08,299,percent of total billed charges,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,15.08,299,fee schedule,
LEGIONELLA BY DFA,87278,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,15.08,299,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,ALLIANT,ALLIANT,,27.11,,fee schedule,27.11,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,AMBETTER,AMBETTER,,21.36,,fee schedule,21.36,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,MEDICARE,MEDICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,TRICARE,TRICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,15.08,97,percent of total billed charges,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,15.08,97,percent of total billed charges,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,15.08,97,percent of total billed charges,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 1 ANTIGEN,87279,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,ALLIANT,ALLIANT,,27.11,,fee schedule,27.11,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,AMBETTER,AMBETTER,,21.36,,fee schedule,21.36,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,MEDICARE,MEDICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,TRICARE,TRICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,15.08,97,percent of total billed charges,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,15.08,97,percent of total billed charges,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,15.08,97,percent of total billed charges,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 2 ANTIGEN,87279,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,ALLIANT,ALLIANT,,27.11,,fee schedule,27.11,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,AMBETTER,AMBETTER,,21.36,,fee schedule,21.36,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,MEDICARE,MEDICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,TRICARE,TRICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,16.43,,fee schedule,16.43,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,15.08,97,percent of total billed charges,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,15.08,97,percent of total billed charges,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,15.08,97,percent of total billed charges,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,15.08,97,fee schedule,
PARAINFLUENZA 3 ANTIGEN,87279,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,15.08,97,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,ALLIANT,ALLIANT,,22.14,,fee schedule,22.14,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,AMBETTER,AMBETTER,,17.45,,fee schedule,17.45,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,MEDICARE,MEDICARE,,13.42,,fee schedule,13.42,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,TRICARE,TRICARE,,13.42,,fee schedule,13.42,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,13.42,,fee schedule,13.42,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,13.42,221,percent of total billed charges,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,13.42,221,percent of total billed charges,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,13.42,221,percent of total billed charges,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,13.42,221,fee schedule,
RESPIRATORY SYNCYTIAL VIR,87280,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,13.42,221,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,11.98,295,percent of total billed charges,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,11.98,295,percent of total billed charges,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,11.98,295,percent of total billed charges,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,11.98,295,fee schedule,
PNEUMOCYSTIS CARINII,87281,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,11.98,295,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,ALLIANT,ALLIANT,,22.14,,fee schedule,22.14,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,AMBETTER,AMBETTER,,17.45,,fee schedule,17.45,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,MEDICARE,MEDICARE,,13.42,,fee schedule,13.42,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,TRICARE,TRICARE,,13.42,,fee schedule,13.42,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,13.42,,fee schedule,13.42,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,13.42,175,percent of total billed charges,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,13.42,175,percent of total billed charges,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,13.42,175,percent of total billed charges,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,13.42,175,fee schedule,
VARICELLA ZOSTER ANTIGEN,87290,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,13.42,175,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,ALLIANT,ALLIANT,,26.57,,fee schedule,26.57,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,AMBETTER,AMBETTER,,20.93,,fee schedule,20.93,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,MEDICARE,MEDICARE,,16.1,,fee schedule,16.1,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,TRICARE,TRICARE,,16.1,,fee schedule,16.1,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,16.1,,fee schedule,16.1,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,15.08,56,percent of total billed charges,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,15.08,56,percent of total billed charges,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,15.08,56,percent of total billed charges,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,15.08,56,fee schedule,
ANTIBODY DETECTION NOS IF,87299,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,15.08,56,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,11.98,339,percent of total billed charges,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,11.98,339,percent of total billed charges,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,11.98,339,percent of total billed charges,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,11.98,339,fee schedule,
ASPERGILLUS ANTIGEN,87305,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,11.98,339,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,ALLIANT,ALLIANT,,24.75,,fee schedule,24.75,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,AMBETTER,AMBETTER,,19.5,,fee schedule,19.5,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,MEDICARE,MEDICARE,,15,,fee schedule,15,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,TRICARE,TRICARE,,15,,fee schedule,15,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,15,146,percent of total billed charges,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,15,146,percent of total billed charges,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,15,146,percent of total billed charges,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,15,146,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,ALLIANT,ALLIANT,,24.75,,fee schedule,24.75,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,AMBETTER,AMBETTER,,19.5,,fee schedule,19.5,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,MEDICARE,MEDICARE,,15,,fee schedule,15,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,TRICARE,TRICARE,,15,,fee schedule,15,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,15,113,percent of total billed charges,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,15,113,percent of total billed charges,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,15,113,percent of total billed charges,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,15,113,fee schedule,
CHLAMYDIA ANTIGEN,87320,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,15,113,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,11.98,43,percent of total billed charges,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE TOXIN,87324,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,ALLIANT,ALLIANT,,22.8,,fee schedule,22.8,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,AMBETTER,AMBETTER,,17.97,,fee schedule,17.97,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,MEDICARE,MEDICARE,,13.82,,fee schedule,13.82,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,TRICARE,TRICARE,,13.82,,fee schedule,13.82,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,13.82,,fee schedule,13.82,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,13.82,191,percent of total billed charges,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,13.82,191,percent of total billed charges,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,13.82,191,percent of total billed charges,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,13.82,191,fee schedule,
CRYPTOSPORIDIUM AG DETECT,87328,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,13.82,191,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,11.98,173,percent of total billed charges,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,11.98,173,percent of total billed charges,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,11.98,173,percent of total billed charges,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,11.98,173,fee schedule,
GIARDIA LAMBIA EIA,87329,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,11.98,173,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,11.98,136,percent of total billed charges,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,11.98,136,percent of total billed charges,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,11.98,136,percent of total billed charges,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,11.98,136,fee schedule,
E. HISTOLYTICA AG,87337,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,11.98,136,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,ALLIANT,ALLIANT,,23.73,,fee schedule,23.73,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,AMBETTER,AMBETTER,,18.69,,fee schedule,18.69,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,18.99,,fee schedule,18.99,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,19.36,,fee schedule,19.36,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,MEDICARE,MEDICARE,,14.38,,fee schedule,14.38,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,18.09,,fee schedule,18.09,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,TRICARE,TRICARE,,14.38,,fee schedule,14.38,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,14.38,,fee schedule,14.38,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,14.38,184,percent of total billed charges,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,14.38,184,percent of total billed charges,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,14.38,184,percent of total billed charges,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,14.38,184,fee schedule,
H PYLORI ANTIGEN STOOL,87338,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,14.38,184,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,10.33,134,percent of total billed charges,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG PRENATAL PROFILE,87340,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,10.33,134,percent of total billed charges,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,10.33,134,fee schedule,
HBSAG W/REFLEX NEUTRALIZA,87340,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,10.33,49,percent of total billed charges,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,10.33,49,percent of total billed charges,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,10.33,49,percent of total billed charges,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURF ANTIGEN(,87340,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,10.33,49,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,10.33,134,percent of total billed charges,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,10.33,85,percent of total billed charges,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,10.33,85,percent of total billed charges,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,10.33,85,percent of total billed charges,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS B SURFACE ANTIG,87340,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,10.33,85,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,10.33,134,percent of total billed charges,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,10.33,134,percent of total billed charges,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,10.33,134,fee schedule,
HEPATITIS HBSAG,87340,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,10.33,134,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,ALLIANT,ALLIANT,,17.04,,fee schedule,17.04,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,AMBETTER,AMBETTER,,13.43,,fee schedule,13.43,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,AMERIGROUP,AMERIGROUP,,13.64,,fee schedule,13.64,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,13.9,,fee schedule,13.9,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,MEDICARE,MEDICARE,,10.33,,fee schedule,10.33,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,12.99,,fee schedule,12.99,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,TRICARE,TRICARE,,10.33,,fee schedule,10.33,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,10.33,,fee schedule,10.33,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,10.33,58,percent of total billed charges,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,10.33,58,percent of total billed charges,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,10.33,58,percent of total billed charges,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,10.33,58,fee schedule,
"HBSAG, NEUTRALIATION",87341,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,10.33,58,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,15.21,,fee schedule,15.21,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,15.5,,fee schedule,15.5,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,14.49,,fee schedule,14.49,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,11.53,156,percent of total billed charges,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,11.53,156,percent of total billed charges,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,11.53,156,percent of total billed charges,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,11.53,156,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,ALLIANT,ALLIANT,,19.02,,fee schedule,19.02,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,AMBETTER,AMBETTER,,14.99,,fee schedule,14.99,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,15.21,,fee schedule,15.21,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,15.5,,fee schedule,15.5,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,MEDICARE,MEDICARE,,11.53,,fee schedule,11.53,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,14.49,,fee schedule,14.49,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,TRICARE,TRICARE,,11.53,,fee schedule,11.53,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,11.53,,fee schedule,11.53,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,11.53,78,percent of total billed charges,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,11.53,78,percent of total billed charges,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,11.53,78,percent of total billed charges,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS BE ANTIGEN,87350,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,11.53,78,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,ALLIANT,ALLIANT,,30.29,,fee schedule,30.29,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,AMBETTER,AMBETTER,,23.87,,fee schedule,23.87,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,21.68,,fee schedule,21.68,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,22.1,,fee schedule,22.1,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,MEDICARE,MEDICARE,,18.36,,fee schedule,18.36,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,20.65,,fee schedule,20.65,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,TRICARE,TRICARE,,18.36,,fee schedule,18.36,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,18.36,,fee schedule,18.36,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,18.36,320,percent of total billed charges,
HEPATITIS D AG,87380,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,18.36,320,percent of total billed charges,
HEPATITIS D AG,87380,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,18.36,320,percent of total billed charges,
HEPATITIS D AG,87380,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,18.36,320,fee schedule,
HEPATITIS D AG,87380,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,18.36,320,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,ALLIANT,ALLIANT,,21.86,,fee schedule,21.86,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,AMBETTER,AMBETTER,,17.23,,fee schedule,17.23,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,MEDICARE,MEDICARE,,13.25,,fee schedule,13.25,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,TRICARE,TRICARE,,13.25,,fee schedule,13.25,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,UHC MEDICARE,UHC MEDICARE,,13.25,,fee schedule,13.25,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,AETNA,AETNA,,553.32,87,percent of total billed charges,553.32,13.25,636,percent of total billed charges,
HISTOPLASMA AG,87385,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553.32,87,percent of total billed charges,553.32,13.25,636,percent of total billed charges,
HISTOPLASMA AG,87385,CPT,both,,,636,636,UNITED HEALTHCARE,UNITED HEALTHCARE,,559.68,88,percent of total billed charges,559.68,13.25,636,percent of total billed charges,
HISTOPLASMA AG,87385,CPT,both,,,636,636,AETNA,AETNA,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,BEECH STREET,BEECH STREET,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,MEDICAID,MEDICAID,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,NOVA NET,NOVA NET,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,SELFPAY,SELFPAY,,636,,fee schedule,636,13.25,636,fee schedule,
HISTOPLASMA AG,87385,CPT,both,,,636,636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,636,,fee schedule,636,13.25,636,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,ALLIANT,ALLIANT,,39.73,,fee schedule,39.73,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,AMBETTER,AMBETTER,,31.3,,fee schedule,31.3,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,AMERIGROUP,AMERIGROUP,,28.67,,fee schedule,28.67,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,CARESOURCE,CARESOURCE,,29.21,,fee schedule,29.21,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,MEDICARE,MEDICARE,,24.08,,fee schedule,24.08,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,PEACHSTATE,PEACHSTATE,,27.3,,fee schedule,27.3,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,TRICARE,TRICARE,,24.08,,fee schedule,24.08,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,UHC MEDICARE,UHC MEDICARE,,24.08,,fee schedule,24.08,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,AETNA,AETNA,,134.85,87,percent of total billed charges,134.85,24.08,155,percent of total billed charges,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134.85,87,percent of total billed charges,134.85,24.08,155,percent of total billed charges,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,UNITED HEALTHCARE,UNITED HEALTHCARE,,136.4,88,percent of total billed charges,136.4,24.08,155,percent of total billed charges,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,AETNA,AETNA,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,BEECH STREET,BEECH STREET,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,CARESOURCE,CARESOURCE,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,MEDICAID,MEDICAID,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,NOVA NET,NOVA NET,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,PEACHSTATE,PEACHSTATE,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,SELFPAY,SELFPAY,,155,,fee schedule,155,24.08,155,fee schedule,
HIV 1/2 ANTIGEN AND ANTIB,87389,CPT,both,,,155,155,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,155,,fee schedule,155,24.08,155,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,11.98,92,percent of total billed charges,
EHEC - ID,87427,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,11.98,92,percent of total billed charges,
EHEC - ID,87427,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,11.98,92,percent of total billed charges,
EHEC - ID,87427,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,11.98,92,fee schedule,
EHEC - ID,87427,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,11.98,92,percent of total billed charges,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,11.98,92,percent of total billed charges,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,11.98,92,percent of total billed charges,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,11.98,92,fee schedule,
SHIGA-LIKE TOXIN AG EIA,87427,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,11.98,92,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,ALLIANT,ALLIANT,,27.74,,fee schedule,27.74,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,AMBETTER,AMBETTER,,21.85,,fee schedule,21.85,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,MEDICARE,MEDICARE,,16.81,,fee schedule,16.81,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,TRICARE,TRICARE,,16.81,,fee schedule,16.81,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,16.81,,fee schedule,16.81,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,15.08,39,percent of total billed charges,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,15.08,39,percent of total billed charges,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,15.08,39,percent of total billed charges,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,15.08,39,fee schedule,
RAPID STREP SCREEN,87430,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,15.08,39,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,11.98,43,percent of total billed charges,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,11.98,43,fee schedule,
ASPERGILLUS ANTIGEN EIA,87449,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,11.98,43,percent of total billed charges,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,11.98,43,fee schedule,
CLOSTRIDIUM DIFFICILE GDH,87449,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,11.98,43,percent of total billed charges,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,11.98,43,fee schedule,
INFECTIOUS AGENT AG EIA,87449,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,11.98,43,percent of total billed charges,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,11.98,43,percent of total billed charges,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,11.98,43,fee schedule,
LEGIONELLA PNEUMOPHILIA A,87449,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,11.98,43,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,ALLIANT,ALLIANT,,33.08,,fee schedule,33.08,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,AMBETTER,AMBETTER,,26.07,,fee schedule,26.07,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,MEDICARE,MEDICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,TRICARE,TRICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,20.05,92,percent of total billed charges,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,20.05,92,percent of total billed charges,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,20.05,92,percent of total billed charges,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SP. DIRECT PROBE,87480,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,20.05,92,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,24.67,181,percent of total billed charges,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,24.67,181,percent of total billed charges,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,24.67,181,percent of total billed charges,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,24.67,181,fee schedule,
CANDIDA SPP. AMPLEFIED PROBE,87481,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,24.67,181,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,ALLIANT,ALLIANT,,687.69,,fee schedule,687.69,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,AMBETTER,AMBETTER,,541.81,,fee schedule,541.81,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,AMERIGROUP,AMERIGROUP,,203.18,,fee schedule,203.18,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,CARESOURCE,CARESOURCE,,207.05,,fee schedule,207.05,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,MEDICARE,MEDICARE,,416.78,,fee schedule,416.78,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,PEACHSTATE,PEACHSTATE,,193.5,,fee schedule,193.5,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,TRICARE,TRICARE,,416.78,,fee schedule,416.78,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,UHC MEDICARE,UHC MEDICARE,,416.78,,fee schedule,416.78,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,AETNA,AETNA,,932.64,87,percent of total billed charges,932.64,193.5,1072,percent of total billed charges,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,932.64,87,percent of total billed charges,932.64,193.5,1072,percent of total billed charges,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,UNITED HEALTHCARE,UNITED HEALTHCARE,,943.36,88,percent of total billed charges,943.36,193.5,1072,percent of total billed charges,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,AETNA,AETNA,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,BEECH STREET,BEECH STREET,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,CARESOURCE,CARESOURCE,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,MEDICAID,MEDICAID,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,NOVA NET,NOVA NET,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,PEACHSTATE,PEACHSTATE,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,SELFPAY,SELFPAY,,1072,,fee schedule,1072,193.5,1072,fee schedule,
MENINGITIS/ENCEPHALITIS PANEL,87483,CPT,both,,,1072,1072,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1072,,fee schedule,1072,193.5,1072,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,24.67,80,percent of total billed charges,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,24.67,80,percent of total billed charges,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,24.67,80,percent of total billed charges,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA PNEUMONIA AMP PROBE,87486,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,24.67,80,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,ALLIANT,ALLIANT,,37.54,,fee schedule,37.54,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,AMBETTER,AMBETTER,,29.58,,fee schedule,29.58,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,MEDICARE,MEDICARE,,22.75,,fee schedule,22.75,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,TRICARE,TRICARE,,22.75,,fee schedule,22.75,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,22.75,,fee schedule,22.75,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,22.75,56,percent of total billed charges,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,22.75,56,percent of total billed charges,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,22.75,56,percent of total billed charges,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA ANTI&CG ANTI PR,87490,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,22.75,56,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,ALLIANT,ALLIANT,,37.54,,fee schedule,37.54,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,AMBETTER,AMBETTER,,29.58,,fee schedule,29.58,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,MEDICARE,MEDICARE,,22.75,,fee schedule,22.75,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,TRICARE,TRICARE,,22.75,,fee schedule,22.75,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,22.75,,fee schedule,22.75,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,22.75,159,percent of total billed charges,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,22.75,159,percent of total billed charges,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,22.75,159,percent of total billed charges,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA BY DNA PROBE,87490,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,ALLIANT,ALLIANT,,37.54,,fee schedule,37.54,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,AMBETTER,AMBETTER,,29.58,,fee schedule,29.58,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,MEDICARE,MEDICARE,,22.75,,fee schedule,22.75,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,TRICARE,TRICARE,,22.75,,fee schedule,22.75,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,22.75,,fee schedule,22.75,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,22.75,159,percent of total billed charges,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,22.75,159,percent of total billed charges,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,22.75,159,percent of total billed charges,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH. DIRECT P,87490,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,22.75,159,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,24.67,230,percent of total billed charges,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,24.67,230,percent of total billed charges,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,24.67,230,percent of total billed charges,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACH AMP PROBE,87491,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,24.67,230,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,24.67,181,percent of total billed charges,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,24.67,181,percent of total billed charges,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,24.67,181,percent of total billed charges,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,24.67,181,fee schedule,
CHLAMYDIA TRACHOMATIS,87491,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,24.67,181,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,ALLIANT,ALLIANT,,61.5,,fee schedule,61.5,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,AMBETTER,AMBETTER,,48.45,,fee schedule,48.45,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,MEDICARE,MEDICARE,,37.27,,fee schedule,37.27,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,TRICARE,TRICARE,,37.27,,fee schedule,37.27,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,37.27,,fee schedule,37.27,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,37.27,287,percent of total billed charges,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,37.27,287,percent of total billed charges,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,37.27,287,percent of total billed charges,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,37.27,287,fee schedule,
C. DIFFICILE MOLECULAR,87493,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,37.27,287,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,24.67,613,percent of total billed charges,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,24.67,613,percent of total billed charges,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,24.67,613,percent of total billed charges,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,24.67,613,fee schedule,
CYTOMEGALOVIRUS DNA BY PC,87496,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,24.67,613,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,AMERIGROUP,AMERIGROUP,,56.56,,fee schedule,56.56,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,CARESOURCE,CARESOURCE,,57.64,,fee schedule,57.64,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,PEACHSTATE,PEACHSTATE,,53.87,,fee schedule,53.87,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,AETNA,AETNA,,548.97,87,percent of total billed charges,548.97,42.84,631,percent of total billed charges,
CMVDNA,87497,CPT,both,,,631,631,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,548.97,87,percent of total billed charges,548.97,42.84,631,percent of total billed charges,
CMVDNA,87497,CPT,both,,,631,631,UNITED HEALTHCARE,UNITED HEALTHCARE,,555.28,88,percent of total billed charges,555.28,42.84,631,percent of total billed charges,
CMVDNA,87497,CPT,both,,,631,631,AETNA,AETNA,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,BEECH STREET,BEECH STREET,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,CARESOURCE,CARESOURCE,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,MEDICAID,MEDICAID,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,NOVA NET,NOVA NET,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,PEACHSTATE,PEACHSTATE,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,SELFPAY,SELFPAY,,631,,fee schedule,631,42.84,631,fee schedule,
CMVDNA,87497,CPT,both,,,631,631,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,631,,fee schedule,631,42.84,631,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,AETNA,AETNA,,641.19,87,percent of total billed charges,641.19,24.67,737,percent of total billed charges,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,641.19,87,percent of total billed charges,641.19,24.67,737,percent of total billed charges,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,UNITED HEALTHCARE,UNITED HEALTHCARE,,648.56,88,percent of total billed charges,648.56,24.67,737,percent of total billed charges,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,AETNA,AETNA,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,BEECH STREET,BEECH STREET,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,CARESOURCE,CARESOURCE,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,MEDICAID,MEDICAID,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,NOVA NET,NOVA NET,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,PEACHSTATE,PEACHSTATE,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,SELFPAY,SELFPAY,,737,,fee schedule,737,24.67,737,fee schedule,
ENTEROVIRUS RNART-PCR,87498,CPT,both,,,737,737,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,737,,fee schedule,737,24.67,737,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,ALLIANT,ALLIANT,,433.93,,fee schedule,433.93,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,AMBETTER,AMBETTER,,341.89,,fee schedule,341.89,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,AMERIGROUP,AMERIGROUP,,220.91,,fee schedule,220.91,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,CARESOURCE,CARESOURCE,,225.12,,fee schedule,225.12,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,MEDICARE,MEDICARE,,262.99,,fee schedule,262.99,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,PEACHSTATE,PEACHSTATE,,210.39,,fee schedule,210.39,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,TRICARE,TRICARE,,262.99,,fee schedule,262.99,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,UHC MEDICARE,UHC MEDICARE,,262.99,,fee schedule,262.99,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,AETNA,AETNA,,824.76,87,percent of total billed charges,824.76,210.39,948,percent of total billed charges,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,824.76,87,percent of total billed charges,824.76,210.39,948,percent of total billed charges,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,UNITED HEALTHCARE,UNITED HEALTHCARE,,834.24,88,percent of total billed charges,834.24,210.39,948,percent of total billed charges,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,AETNA,AETNA,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,BEECH STREET,BEECH STREET,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,CARESOURCE,CARESOURCE,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,MEDICAID,MEDICAID,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,NOVA NET,NOVA NET,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,PEACHSTATE,PEACHSTATE,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,SELFPAY,SELFPAY,,948,,fee schedule,948,210.39,948,fee schedule,
"GI PANEL BY NUCLEIC ACID, 6-11",87506,CPT,both,,,948,948,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,948,,fee schedule,948,210.39,948,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,ALLIANT,ALLIANT,,687.69,,fee schedule,687.69,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,AMBETTER,AMBETTER,,541.81,,fee schedule,541.81,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,AMERIGROUP,AMERIGROUP,,350.09,,fee schedule,350.09,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,CARESOURCE,CARESOURCE,,356.76,,fee schedule,356.76,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,MEDICARE,MEDICARE,,416.78,,fee schedule,416.78,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,PEACHSTATE,PEACHSTATE,,333.42,,fee schedule,333.42,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,TRICARE,TRICARE,,416.78,,fee schedule,416.78,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,UHC MEDICARE,UHC MEDICARE,,416.78,,fee schedule,416.78,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,AETNA,AETNA,,1476.39,87,percent of total billed charges,1476.39,333.42,1697,percent of total billed charges,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1476.39,87,percent of total billed charges,1476.39,333.42,1697,percent of total billed charges,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,UNITED HEALTHCARE,UNITED HEALTHCARE,,1493.36,88,percent of total billed charges,1493.36,333.42,1697,percent of total billed charges,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,AETNA,AETNA,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,BEECH STREET,BEECH STREET,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,CARESOURCE,CARESOURCE,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,MEDICAID,MEDICAID,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,NOVA NET,NOVA NET,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,PEACHSTATE,PEACHSTATE,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,SELFPAY,SELFPAY,,1697,,fee schedule,1697,333.42,1697,fee schedule,
GI PATHOGENS   22 TARGETS,87507,CPT,both,,,1697,1697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1697,,fee schedule,1697,333.42,1697,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,ALLIANT,ALLIANT,,687.69,,fee schedule,687.69,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,AMBETTER,AMBETTER,,541.81,,fee schedule,541.81,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,AMERIGROUP,AMERIGROUP,,350.09,,fee schedule,350.09,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,CARESOURCE,CARESOURCE,,356.76,,fee schedule,356.76,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,MEDICARE,MEDICARE,,416.78,,fee schedule,416.78,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,PEACHSTATE,PEACHSTATE,,333.42,,fee schedule,333.42,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,TRICARE,TRICARE,,416.78,,fee schedule,416.78,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,UHC MEDICARE,UHC MEDICARE,,416.78,,fee schedule,416.78,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,AETNA,AETNA,,808.23,87,percent of total billed charges,808.23,333.42,929,percent of total billed charges,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,808.23,87,percent of total billed charges,808.23,333.42,929,percent of total billed charges,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,UNITED HEALTHCARE,UNITED HEALTHCARE,,817.52,88,percent of total billed charges,817.52,333.42,929,percent of total billed charges,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,AETNA,AETNA,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,BEECH STREET,BEECH STREET,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,CARESOURCE,CARESOURCE,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,MEDICAID,MEDICAID,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,NOVA NET,NOVA NET,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,PEACHSTATE,PEACHSTATE,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,SELFPAY,SELFPAY,,929,,fee schedule,929,333.42,929,fee schedule,
LADNA-DNA/RNA PROBE TQ 12-25,87507,CPT,both,,,929,929,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,929,,fee schedule,929,333.42,929,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,ALLIANT,ALLIANT,,33.08,,fee schedule,33.08,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,AMBETTER,AMBETTER,,26.07,,fee schedule,26.07,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,MEDICARE,MEDICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,TRICARE,TRICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,20.05,92,percent of total billed charges,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,20.05,92,percent of total billed charges,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,20.05,92,percent of total billed charges,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,20.05,92,fee schedule,
GARDNERELLA VAGINALIS DIR PROB,87510,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,20.05,92,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,AETNA,AETNA,,310.59,87,percent of total billed charges,310.59,24.67,357,percent of total billed charges,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310.59,87,percent of total billed charges,310.59,24.67,357,percent of total billed charges,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,UNITED HEALTHCARE,UNITED HEALTHCARE,,314.16,88,percent of total billed charges,314.16,24.67,357,percent of total billed charges,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,AETNA,AETNA,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,BEECH STREET,BEECH STREET,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,MEDICAID,MEDICAID,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,NOVA NET,NOVA NET,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,SELFPAY,SELFPAY,,357,,fee schedule,357,24.67,357,fee schedule,
HEP B VIRUS DNA DETECTOR,87516,CPT,both,,,357,357,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,357,,fee schedule,357,24.67,357,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,AMERIGROUP,AMERIGROUP,,56.56,,fee schedule,56.56,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,57.64,,fee schedule,57.64,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,53.87,,fee schedule,53.87,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,AETNA,AETNA,,673.38,87,percent of total billed charges,673.38,42.84,774,percent of total billed charges,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,673.38,87,percent of total billed charges,673.38,42.84,774,percent of total billed charges,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,UNITED HEALTHCARE,UNITED HEALTHCARE,,681.12,88,percent of total billed charges,681.12,42.84,774,percent of total billed charges,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,AETNA,AETNA,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,BEECH STREET,BEECH STREET,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,CARESOURCE,CARESOURCE,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,MEDICAID,MEDICAID,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,NOVA NET,NOVA NET,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,PEACHSTATE,PEACHSTATE,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,SELFPAY,SELFPAY,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS B VIRUS DNA,87517,CPT,both,,,774,774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,774,,fee schedule,774,42.84,774,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,24.67,408,percent of total billed charges,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,24.67,408,percent of total billed charges,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,24.67,408,percent of total billed charges,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA TMA QUAL,87521,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,24.67,408,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,AMERIGROUP,AMERIGROUP,,56.56,,fee schedule,56.56,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,57.64,,fee schedule,57.64,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,53.87,,fee schedule,53.87,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,42.84,323,percent of total billed charges,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,42.84,323,percent of total billed charges,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,42.84,323,percent of total billed charges,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,42.84,323,fee schedule,
HEPATITIS C RNA QUANT,87522,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,42.84,323,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,AETNA,AETNA,,357.57,87,percent of total billed charges,357.57,24.67,411,percent of total billed charges,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357.57,87,percent of total billed charges,357.57,24.67,411,percent of total billed charges,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,UNITED HEALTHCARE,UNITED HEALTHCARE,,361.68,88,percent of total billed charges,361.68,24.67,411,percent of total billed charges,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,AETNA,AETNA,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,BEECH STREET,BEECH STREET,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,MEDICAID,MEDICAID,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,NOVA NET,NOVA NET,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,SELFPAY,SELFPAY,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 1 DN,87529,CPT,both,,,411,411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,AETNA,AETNA,,357.57,87,percent of total billed charges,357.57,24.67,411,percent of total billed charges,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357.57,87,percent of total billed charges,357.57,24.67,411,percent of total billed charges,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,UNITED HEALTHCARE,UNITED HEALTHCARE,,361.68,88,percent of total billed charges,361.68,24.67,411,percent of total billed charges,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,AETNA,AETNA,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,BEECH STREET,BEECH STREET,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,MEDICAID,MEDICAID,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,NOVA NET,NOVA NET,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,SELFPAY,SELFPAY,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87529,CPT,both,,,411,411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,411,,fee schedule,411,24.67,411,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,AETNA,AETNA,,564.63,87,percent of total billed charges,564.63,42.84,649,percent of total billed charges,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,564.63,87,percent of total billed charges,564.63,42.84,649,percent of total billed charges,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,UNITED HEALTHCARE,UNITED HEALTHCARE,,571.12,88,percent of total billed charges,571.12,42.84,649,percent of total billed charges,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,AETNA,AETNA,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,BEECH STREET,BEECH STREET,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,MEDICAID,MEDICAID,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,NOVA NET,NOVA NET,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,SELFPAY,SELFPAY,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLEX VIRUS 2 DN,87530,CPT,both,,,649,649,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,AETNA,AETNA,,564.63,87,percent of total billed charges,564.63,42.84,649,percent of total billed charges,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,564.63,87,percent of total billed charges,564.63,42.84,649,percent of total billed charges,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,UNITED HEALTHCARE,UNITED HEALTHCARE,,571.12,88,percent of total billed charges,571.12,42.84,649,percent of total billed charges,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,AETNA,AETNA,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,BEECH STREET,BEECH STREET,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,MEDICAID,MEDICAID,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,NOVA NET,NOVA NET,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,SELFPAY,SELFPAY,,649,,fee schedule,649,42.84,649,fee schedule,
HERPES SIMPLX VIRUS 2 DNA,87530,CPT,both,,,649,649,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,649,,fee schedule,649,42.84,649,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,AETNA,AETNA,,600.3,87,percent of total billed charges,600.3,24.67,690,percent of total billed charges,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,600.3,87,percent of total billed charges,600.3,24.67,690,percent of total billed charges,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,UNITED HEALTHCARE,UNITED HEALTHCARE,,607.2,88,percent of total billed charges,607.2,24.67,690,percent of total billed charges,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,AETNA,AETNA,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,BEECH STREET,BEECH STREET,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,CARESOURCE,CARESOURCE,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,MEDICAID,MEDICAID,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,NOVA NET,NOVA NET,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,PEACHSTATE,PEACHSTATE,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,SELFPAY,SELFPAY,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QL TMA,87535,CPT,both,,,690,690,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,690,,fee schedule,690,24.67,690,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,ALLIANT,ALLIANT,,140.42,,fee schedule,140.42,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,AMBETTER,AMBETTER,,110.63,,fee schedule,110.63,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,AMERIGROUP,AMERIGROUP,,59.33,,fee schedule,59.33,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,CARESOURCE,CARESOURCE,,60.46,,fee schedule,60.46,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,MEDICARE,MEDICARE,,85.1,,fee schedule,85.1,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,PEACHSTATE,PEACHSTATE,,56.5,,fee schedule,56.5,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,TRICARE,TRICARE,,85.1,,fee schedule,85.1,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,UHC MEDICARE,UHC MEDICARE,,85.1,,fee schedule,85.1,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,AETNA,AETNA,,323.64,87,percent of total billed charges,323.64,56.5,372,percent of total billed charges,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323.64,87,percent of total billed charges,323.64,56.5,372,percent of total billed charges,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,UNITED HEALTHCARE,UNITED HEALTHCARE,,327.36,88,percent of total billed charges,327.36,56.5,372,percent of total billed charges,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,AETNA,AETNA,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,BEECH STREET,BEECH STREET,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,CARESOURCE,CARESOURCE,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,MEDICAID,MEDICAID,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,NOVA NET,NOVA NET,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,PEACHSTATE,PEACHSTATE,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,SELFPAY,SELFPAY,,372,,fee schedule,372,56.5,372,fee schedule,
HIV-1 RNA QT BY BDNA,87536,CPT,both,,,372,372,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,372,,fee schedule,372,56.5,372,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,ALLIANT,ALLIANT,,68.9,,fee schedule,68.9,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,AMBETTER,AMBETTER,,54.29,,fee schedule,54.29,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,AMERIGROUP,AMERIGROUP,,55.13,,fee schedule,55.13,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,56.18,,fee schedule,56.18,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,MEDICARE,MEDICARE,,41.76,,fee schedule,41.76,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,52.5,,fee schedule,52.5,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,TRICARE,TRICARE,,41.76,,fee schedule,41.76,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,UHC MEDICARE,UHC MEDICARE,,41.76,,fee schedule,41.76,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,AETNA,AETNA,,180.96,87,percent of total billed charges,180.96,41.76,208,percent of total billed charges,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.96,87,percent of total billed charges,180.96,41.76,208,percent of total billed charges,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.04,88,percent of total billed charges,183.04,41.76,208,percent of total billed charges,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,AETNA,AETNA,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,BEECH STREET,BEECH STREET,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,MEDICAID,MEDICAID,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,NOVA NET,NOVA NET,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,SELFPAY,SELFPAY,,208,,fee schedule,208,41.76,208,fee schedule,
LEGIONELLLA ANTIGEN URIN,87542,CPT,both,,,208,208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,208,,fee schedule,208,41.76,208,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,ALLIANT,ALLIANT,,68.77,,fee schedule,68.77,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,AMBETTER,AMBETTER,,54.18,,fee schedule,54.18,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,MEDICARE,MEDICARE,,41.68,,fee schedule,41.68,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,TRICARE,TRICARE,,41.68,,fee schedule,41.68,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,UHC MEDICARE,UHC MEDICARE,,41.68,,fee schedule,41.68,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,AETNA,AETNA,,758.64,87,percent of total billed charges,758.64,41.68,872,percent of total billed charges,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,758.64,87,percent of total billed charges,758.64,41.68,872,percent of total billed charges,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,UNITED HEALTHCARE,UNITED HEALTHCARE,,767.36,88,percent of total billed charges,767.36,41.68,872,percent of total billed charges,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,AETNA,AETNA,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,BEECH STREET,BEECH STREET,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,CARESOURCE,CARESOURCE,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,MEDICAID,MEDICAID,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,NOVA NET,NOVA NET,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,PEACHSTATE,PEACHSTATE,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,SELFPAY,SELFPAY,,872,,fee schedule,872,41.68,872,fee schedule,
MYCOBACTERIUM TUBERCULOSI,87556,CPT,both,,,872,872,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,872,,fee schedule,872,41.68,872,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,ALLIANT,ALLIANT,,45.03,,fee schedule,45.03,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,AMBETTER,AMBETTER,,35.48,,fee schedule,35.48,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,MEDICARE,MEDICARE,,27.29,,fee schedule,27.29,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,TRICARE,TRICARE,,27.29,,fee schedule,27.29,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,27.29,,fee schedule,27.29,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,24.8,175,percent of total billed charges,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,24.8,175,percent of total billed charges,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,24.8,175,percent of total billed charges,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,24.8,175,fee schedule,
"M. AVIUM, DNA DIRECT PROBE",87560,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,24.8,175,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,24.67,339,percent of total billed charges,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,24.67,339,percent of total billed charges,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,24.67,339,percent of total billed charges,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,24.67,339,fee schedule,
"MYCOPLASMA PNEUMONIAE, DNA",87581,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,24.67,339,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,ALLIANT,ALLIANT,,44.35,,fee schedule,44.35,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,AMBETTER,AMBETTER,,34.94,,fee schedule,34.94,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,MEDICARE,MEDICARE,,26.88,,fee schedule,26.88,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,TRICARE,TRICARE,,26.88,,fee schedule,26.88,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,26.88,,fee schedule,26.88,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,26.88,70,percent of total billed charges,
GC DIRECT PROBE,87590,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,26.88,70,percent of total billed charges,
GC DIRECT PROBE,87590,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,26.88,70,percent of total billed charges,
GC DIRECT PROBE,87590,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,26.88,70,fee schedule,
GC DIRECT PROBE,87590,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,26.88,70,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,TRICARE,TRICARE,,35.09,,fee schedule,35.09,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,AETNA,AETNA,,174.87,87,percent of total billed charges,174.87,21.42,201,percent of total billed charges,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174.87,87,percent of total billed charges,174.87,21.42,201,percent of total billed charges,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,UNITED HEALTHCARE,UNITED HEALTHCARE,,176.88,88,percent of total billed charges,176.88,21.42,201,percent of total billed charges,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,AETNA,AETNA,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,BEECH STREET,BEECH STREET,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,CARESOURCE,CARESOURCE,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,MEDICAID,MEDICAID,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,NOVA NET,NOVA NET,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,PEACHSTATE,PEACHSTATE,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,SELFPAY,SELFPAY,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAE AMP PROB,87591,CPT,both,,,201,201,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,201,,fee schedule,201,21.42,201,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,TRICARE,TRICARE,,35.09,,fee schedule,35.09,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,21.42,181,percent of total billed charges,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,21.42,181,percent of total billed charges,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,21.42,181,percent of total billed charges,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,21.42,181,fee schedule,
NEISSERIA GONORRHOEAEA,87591,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,21.42,181,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,AETNA,AETNA,,39794.36,87,percent of total billed charges,39794.36,39794.36,45740.64,percent of total billed charges,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39794.36,87,percent of total billed charges,39794.36,39794.36,45740.64,percent of total billed charges,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,UNITED HEALTHCARE,UNITED HEALTHCARE,,40251.76,88,percent of total billed charges,40251.76,39794.36,45740.64,percent of total billed charges,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,AETNA,AETNA,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,ALLIANT,ALLIANT,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,AMBETTER,AMBETTER,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,BEECH STREET,BEECH STREET,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,CARESOURCE,CARESOURCE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,MEDICAID,MEDICAID,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,MEDICARE,MEDICARE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,NOVA NET,NOVA NET,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,PEACHSTATE,PEACHSTATE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,SELFPAY,SELFPAY,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,TRICARE,TRICARE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS,876,DRG,inpatient,,,45740.64,45740.64,UHC MEDICARE,UHC MEDICARE,,45740.64,,fee schedule,45740.64,39794.36,45740.64,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,TRICARE,TRICARE,,35.09,,fee schedule,35.09,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,AETNA,AETNA,,588.12,87,percent of total billed charges,588.12,18.25,676,percent of total billed charges,
HPV BY PCR,87623,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.12,87,percent of total billed charges,588.12,18.25,676,percent of total billed charges,
HPV BY PCR,87623,CPT,both,,,676,676,UNITED HEALTHCARE,UNITED HEALTHCARE,,594.88,88,percent of total billed charges,594.88,18.25,676,percent of total billed charges,
HPV BY PCR,87623,CPT,both,,,676,676,AETNA,AETNA,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,BEECH STREET,BEECH STREET,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,CARESOURCE,CARESOURCE,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,MEDICAID,MEDICAID,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,NOVA NET,NOVA NET,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,PEACHSTATE,PEACHSTATE,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,SELFPAY,SELFPAY,,676,,fee schedule,676,18.25,676,fee schedule,
HPV BY PCR,87623,CPT,both,,,676,676,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,676,,fee schedule,676,18.25,676,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,TRICARE,TRICARE,,35.09,,fee schedule,35.09,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,18.25,113,percent of total billed charges,
HPV HIGH RISK,87624,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,18.25,113,percent of total billed charges,
HPV HIGH RISK,87624,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,18.25,113,percent of total billed charges,
HPV HIGH RISK,87624,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,AMERIGROUP,AMERIGROUP,,19.16,,fee schedule,19.16,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,19.53,,fee schedule,19.53,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,18.25,,fee schedule,18.25,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,TRICARE,TRICARE,,35.09,,fee schedule,35.09,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,18.25,113,percent of total billed charges,
HPV HIGH RISK,87624,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,18.25,113,percent of total billed charges,
HPV HIGH RISK,87624,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,18.25,113,percent of total billed charges,
HPV HIGH RISK,87624,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,18.25,113,fee schedule,
HPV HIGH RISK,87624,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,18.25,113,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,ALLIANT,ALLIANT,,359.8,,fee schedule,359.8,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,AMBETTER,AMBETTER,,283.48,,fee schedule,283.48,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,AMERIGROUP,AMERIGROUP,,113.81,,fee schedule,113.81,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,CARESOURCE,CARESOURCE,,115.98,,fee schedule,115.98,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,MEDICARE,MEDICARE,,218.06,,fee schedule,218.06,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,PEACHSTATE,PEACHSTATE,,108.39,,fee schedule,108.39,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,TRICARE,TRICARE,,218.06,,fee schedule,218.06,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,UHC MEDICARE,UHC MEDICARE,,218.06,,fee schedule,218.06,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,AETNA,AETNA,,683.82,87,percent of total billed charges,683.82,108.39,786,percent of total billed charges,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,683.82,87,percent of total billed charges,683.82,108.39,786,percent of total billed charges,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,UNITED HEALTHCARE,UNITED HEALTHCARE,,691.68,88,percent of total billed charges,691.68,108.39,786,percent of total billed charges,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,AETNA,AETNA,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,BEECH STREET,BEECH STREET,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,CARESOURCE,CARESOURCE,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,MEDICAID,MEDICAID,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,NOVA NET,NOVA NET,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,PEACHSTATE,PEACHSTATE,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,SELFPAY,SELFPAY,,786,,fee schedule,786,108.39,786,fee schedule,
"RESP VIRUS DNA, 6-11 TARGETS",87632,CPT,both,,,786,786,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,786,,fee schedule,786,108.39,786,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,ALLIANT,ALLIANT,,687.69,,fee schedule,687.69,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,AMBETTER,AMBETTER,,541.81,,fee schedule,541.81,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,AMERIGROUP,AMERIGROUP,,203.6,,fee schedule,203.6,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,CARESOURCE,CARESOURCE,,207.47,,fee schedule,207.47,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,MEDICARE,MEDICARE,,416.78,,fee schedule,416.78,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,PEACHSTATE,PEACHSTATE,,193.9,,fee schedule,193.9,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,TRICARE,TRICARE,,416.78,,fee schedule,416.78,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,UHC MEDICARE,UHC MEDICARE,,416.78,,fee schedule,416.78,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,AETNA,AETNA,,692.52,87,percent of total billed charges,692.52,193.9,796,percent of total billed charges,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,692.52,87,percent of total billed charges,692.52,193.9,796,percent of total billed charges,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,UNITED HEALTHCARE,UNITED HEALTHCARE,,700.48,88,percent of total billed charges,700.48,193.9,796,percent of total billed charges,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,AETNA,AETNA,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,BEECH STREET,BEECH STREET,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,CARESOURCE,CARESOURCE,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,MEDICAID,MEDICAID,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,NOVA NET,NOVA NET,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,PEACHSTATE,PEACHSTATE,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,SELFPAY,SELFPAY,,796,,fee schedule,796,193.9,796,fee schedule,
RESP VIRUS 12-25 TARGETS,87633,CPT,both,,,796,796,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,796,,fee schedule,796,193.9,796,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,ALLIANT,ALLIANT,,687.69,,fee schedule,687.69,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,AMBETTER,AMBETTER,,541.81,,fee schedule,541.81,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,AMERIGROUP,AMERIGROUP,,203.6,,fee schedule,203.6,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,CARESOURCE,CARESOURCE,,207.47,,fee schedule,207.47,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,MEDICARE,MEDICARE,,416.78,,fee schedule,416.78,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,PEACHSTATE,PEACHSTATE,,193.9,,fee schedule,193.9,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,TRICARE,TRICARE,,416.78,,fee schedule,416.78,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,UHC MEDICARE,UHC MEDICARE,,416.78,,fee schedule,416.78,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,AETNA,AETNA,,1384.17,87,percent of total billed charges,1384.17,193.9,1591,percent of total billed charges,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1384.17,87,percent of total billed charges,1384.17,193.9,1591,percent of total billed charges,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,UNITED HEALTHCARE,UNITED HEALTHCARE,,1400.08,88,percent of total billed charges,1400.08,193.9,1591,percent of total billed charges,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,AETNA,AETNA,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,BEECH STREET,BEECH STREET,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,CARESOURCE,CARESOURCE,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,MEDICAID,MEDICAID,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,NOVA NET,NOVA NET,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,PEACHSTATE,PEACHSTATE,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,SELFPAY,SELFPAY,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"RESPIRATORY VIRUS, 12-25 TARGE",87633,CPT,both,,,1591,1591,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1591,,fee schedule,1591,193.9,1591,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,ALLIANT,ALLIANT,,84.66,,fee schedule,84.66,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,AMBETTER,AMBETTER,,66.7,,fee schedule,66.7,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,53.88,,fee schedule,53.88,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,54.9,,fee schedule,54.9,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,MEDICARE,MEDICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,TRICARE,TRICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,UHC MEDICARE,UHC MEDICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,AETNA,AETNA,,220.98,87,percent of total billed charges,220.98,51.31,254,percent of total billed charges,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.98,87,percent of total billed charges,220.98,51.31,254,percent of total billed charges,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,UNITED HEALTHCARE,UNITED HEALTHCARE,,223.52,88,percent of total billed charges,223.52,51.31,254,percent of total billed charges,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,AETNA,AETNA,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,BEECH STREET,BEECH STREET,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,MEDICAID,MEDICAID,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,NOVA NET,NOVA NET,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,SELFPAY,SELFPAY,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS COV02, NAA AMP PROBE",87635,CPT,both,,,254,254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,ALLIANT,ALLIANT,,84.66,,fee schedule,84.66,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AMBETTER,AMBETTER,,66.7,,fee schedule,66.7,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,53.88,,fee schedule,53.88,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,54.9,,fee schedule,54.9,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,MEDICARE,MEDICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,TRICARE,TRICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,UHC MEDICARE,UHC MEDICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AETNA,AETNA,,220.98,87,percent of total billed charges,220.98,51.31,254,percent of total billed charges,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.98,87,percent of total billed charges,220.98,51.31,254,percent of total billed charges,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,UNITED HEALTHCARE,UNITED HEALTHCARE,,223.52,88,percent of total billed charges,223.52,51.31,254,percent of total billed charges,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AETNA,AETNA,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,BEECH STREET,BEECH STREET,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,MEDICAID,MEDICAID,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,NOVA NET,NOVA NET,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,SELFPAY,SELFPAY,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,ALLIANT,ALLIANT,,84.66,,fee schedule,84.66,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AMBETTER,AMBETTER,,66.7,,fee schedule,66.7,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,53.88,,fee schedule,53.88,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,54.9,,fee schedule,54.9,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,MEDICARE,MEDICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,TRICARE,TRICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,UHC MEDICARE,UHC MEDICARE,,51.31,,fee schedule,51.31,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AETNA,AETNA,,220.98,87,percent of total billed charges,220.98,51.31,254,percent of total billed charges,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.98,87,percent of total billed charges,220.98,51.31,254,percent of total billed charges,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,UNITED HEALTHCARE,UNITED HEALTHCARE,,223.52,88,percent of total billed charges,223.52,51.31,254,percent of total billed charges,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,AETNA,AETNA,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,BEECH STREET,BEECH STREET,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,MEDICAID,MEDICAID,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,NOVA NET,NOVA NET,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,SELFPAY,SELFPAY,,254,,fee schedule,254,51.31,254,fee schedule,
"SARS-COV-2, AMP PROBE",87635,CPT,both,,,254,254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,254,,fee schedule,254,51.31,254,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,24.67,121,percent of total billed charges,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,24.67,121,percent of total billed charges,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,24.67,121,percent of total billed charges,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,24.67,121,fee schedule,
"STREP A,  AMPLIFIED PROBE",87651,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,24.67,121,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,24.67,134,percent of total billed charges,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,24.67,134,percent of total billed charges,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,24.67,134,percent of total billed charges,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,24.67,134,fee schedule,
"GROUP B STREP, AMP PROBE",87653,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,24.67,134,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,ALLIANT,ALLIANT,,33.08,,fee schedule,33.08,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,AMBETTER,AMBETTER,,26.07,,fee schedule,26.07,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,AMERIGROUP,AMERIGROUP,,26.04,,fee schedule,26.04,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,26.54,,fee schedule,26.54,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,MEDICARE,MEDICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,24.8,,fee schedule,24.8,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,TRICARE,TRICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,20.05,,fee schedule,20.05,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,20.05,92,percent of total billed charges,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,20.05,92,percent of total billed charges,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,20.05,92,percent of total billed charges,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS DIR PROB,87660,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,20.05,92,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,AMERIGROUP,AMERIGROUP,,22.49,,fee schedule,22.49,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,22.92,,fee schedule,22.92,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,21.42,,fee schedule,21.42,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,TRICARE,TRICARE,,35.09,,fee schedule,35.09,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,AETNA,AETNA,,266.22,87,percent of total billed charges,266.22,21.42,306,percent of total billed charges,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266.22,87,percent of total billed charges,266.22,21.42,306,percent of total billed charges,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,UNITED HEALTHCARE,UNITED HEALTHCARE,,269.28,88,percent of total billed charges,269.28,21.42,306,percent of total billed charges,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,AETNA,AETNA,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,BEECH STREET,BEECH STREET,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,CARESOURCE,CARESOURCE,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,MEDICAID,MEDICAID,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,NOVA NET,NOVA NET,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,PEACHSTATE,PEACHSTATE,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,SELFPAY,SELFPAY,,306,,fee schedule,306,21.42,306,fee schedule,
TRICHOMONAS VAGINALIS RNA,87661,CPT,both,,,306,306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,306,,fee schedule,306,21.42,306,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
ASPERGILLUS DNA BY PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
BORDETELLA/PARA PERTUSSIS,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
C. DIFFICILE AMP PROBE,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
EHRLICHIA DNA PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
EPSTEIN-BARR VIRUS DNA,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
FLAVIVIRUS DETECTOR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
HEPATITIS D RNA QL,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
HTLV-I DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
HTLV-I DNA,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
HTLV-I DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-I DNA,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
HTLV-II DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
HTLV-II DNA,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
HTLV-II DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
HTLV-II DNA,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
INFECTIOUS AGENT DNA AMP,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
JC VIRUS DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
JC VIRUS DNA,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
JC VIRUS DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
JC VIRUS DNA,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
MUMPS VIRUS RNA BY PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
NOROVIRUS RNART-PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
TB COMPLEX BY PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
TROPHERYMA WHIPPLEI DNAQ,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
VARICELLA ZOSTER QL DNA,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
WEST NILE VIRUS RNA BY PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,ALLIANT,ALLIANT,,57.9,,fee schedule,57.9,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,AMBETTER,AMBETTER,,45.62,,fee schedule,45.62,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,25.9,,fee schedule,25.9,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,26.4,,fee schedule,26.4,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,MEDICARE,MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,24.67,,fee schedule,24.67,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,TRICARE,TRICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,35.09,,fee schedule,35.09,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,24.67,282,percent of total billed charges,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,24.67,282,percent of total billed charges,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,24.67,282,fee schedule,
ZIKA VIRUS RT-PCR,87798,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,24.67,282,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,42.84,288,percent of total billed charges,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,42.84,288,fee schedule,
BK VIRUS DNA BY PCR,87799,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
EBV DNA BY PCR,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
EBV DNA BY PCR,87799,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,42.84,288,percent of total billed charges,
EBV DNA BY PCR,87799,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,42.84,288,fee schedule,
EBV DNA BY PCR,87799,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,42.84,288,percent of total billed charges,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,42.84,288,fee schedule,
HERPES VIRUS 8 DNA,87799,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,42.84,288,percent of total billed charges,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,42.84,288,fee schedule,
"INFECTIOUS AGENT, DNA NOS, QT",87799,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,ALLIANT,ALLIANT,,70.69,,fee schedule,70.69,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,AMBETTER,AMBETTER,,55.69,,fee schedule,55.69,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,MEDICARE,MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,TRICARE,TRICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,42.84,,fee schedule,42.84,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,42.84,288,percent of total billed charges,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,42.84,288,percent of total billed charges,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,42.84,288,fee schedule,
VARICELLA ZOSTER DNA CSF,87799,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,42.84,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,ALLIANT,ALLIANT,,115.83,,fee schedule,115.83,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,AMBETTER,AMBETTER,,91.26,,fee schedule,91.26,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,51.81,,fee schedule,51.81,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,52.79,,fee schedule,52.79,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,MEDICARE,MEDICARE,,70.2,,fee schedule,70.2,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,49.34,,fee schedule,49.34,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,TRICARE,TRICARE,,70.2,,fee schedule,70.2,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,70.2,,fee schedule,70.2,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,49.34,288,percent of total billed charges,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,49.34,288,percent of total billed charges,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,49.34,288,percent of total billed charges,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,49.34,288,fee schedule,
CHLAMYDIA TRAC/N GONORRHE,87801,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,49.34,288,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,ALLIANT,ALLIANT,,115.83,,fee schedule,115.83,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,AMBETTER,AMBETTER,,91.26,,fee schedule,91.26,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,AMERIGROUP,AMERIGROUP,,51.81,,fee schedule,51.81,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,CARESOURCE,CARESOURCE,,52.79,,fee schedule,52.79,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,MEDICARE,MEDICARE,,70.2,,fee schedule,70.2,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,PEACHSTATE,PEACHSTATE,,49.34,,fee schedule,49.34,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,TRICARE,TRICARE,,70.2,,fee schedule,70.2,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,UHC MEDICARE,UHC MEDICARE,,70.2,,fee schedule,70.2,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,AETNA,AETNA,,167.91,87,percent of total billed charges,167.91,49.34,193,percent of total billed charges,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.91,87,percent of total billed charges,167.91,49.34,193,percent of total billed charges,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,UNITED HEALTHCARE,UNITED HEALTHCARE,,169.84,88,percent of total billed charges,169.84,49.34,193,percent of total billed charges,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,AETNA,AETNA,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,BEECH STREET,BEECH STREET,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,CARESOURCE,CARESOURCE,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,MEDICAID,MEDICAID,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,NOVA NET,NOVA NET,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,PEACHSTATE,PEACHSTATE,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,SELFPAY,SELFPAY,,193,,fee schedule,193,49.34,193,fee schedule,
INFEC. AGENT DNA AMP PROBE,87801,CPT,both,,,193,193,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,193,,fee schedule,193,49.34,193,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,ALLIANT,ALLIANT,,115.83,,fee schedule,115.83,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,AMBETTER,AMBETTER,,91.26,,fee schedule,91.26,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,51.81,,fee schedule,51.81,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,52.79,,fee schedule,52.79,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,MEDICARE,MEDICARE,,70.2,,fee schedule,70.2,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,49.34,,fee schedule,49.34,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,TRICARE,TRICARE,,70.2,,fee schedule,70.2,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,70.2,,fee schedule,70.2,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,49.34,288,percent of total billed charges,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,49.34,288,percent of total billed charges,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,49.34,288,percent of total billed charges,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,49.34,288,fee schedule,
LYME DISEASE DNA RT PCR,87801,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,49.34,288,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,ALLIANT,ALLIANT,,27.31,,fee schedule,27.31,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,AMBETTER,AMBETTER,,21.52,,fee schedule,21.52,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,MEDICARE,MEDICARE,,16.55,,fee schedule,16.55,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,TRICARE,TRICARE,,16.55,,fee schedule,16.55,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,16.55,,fee schedule,16.55,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,15.08,48,percent of total billed charges,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,15.08,48,percent of total billed charges,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,15.08,48,percent of total billed charges,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,15.08,48,fee schedule,
INFLUENZA NASAL SWAB,87804,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,15.08,48,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,ALLIANT,ALLIANT,,68.28,,fee schedule,68.28,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,AMBETTER,AMBETTER,,53.79,,fee schedule,53.79,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,43.45,,fee schedule,43.45,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,44.28,,fee schedule,44.28,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,MEDICARE,MEDICARE,,41.38,,fee schedule,41.38,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,41.38,,fee schedule,41.38,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,TRICARE,TRICARE,,41.38,,fee schedule,41.38,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,41.38,,fee schedule,41.38,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,41.38,78,percent of total billed charges,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,41.38,78,percent of total billed charges,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,41.38,78,percent of total billed charges,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,41.38,78,fee schedule,
COVID~19 ANTIGEN,87811,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,41.38,78,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,ALLIANT,ALLIANT,,27.27,,fee schedule,27.27,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,AMBETTER,AMBETTER,,21.49,,fee schedule,21.49,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,MEDICARE,MEDICARE,,16.53,,fee schedule,16.53,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,TRICARE,TRICARE,,16.53,,fee schedule,16.53,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,16.53,,fee schedule,16.53,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,15.08,133,percent of total billed charges,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,15.08,133,percent of total billed charges,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,15.08,133,percent of total billed charges,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,15.08,133,fee schedule,
STREP A ANTIGEN SCREEN,87880,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,15.08,133,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,ALLIANT,ALLIANT,,26.52,,fee schedule,26.52,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,AMBETTER,AMBETTER,,20.89,,fee schedule,20.89,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,15.83,,fee schedule,15.83,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,16.14,,fee schedule,16.14,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,MEDICARE,MEDICARE,,16.07,,fee schedule,16.07,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,15.08,,fee schedule,15.08,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,TRICARE,TRICARE,,16.07,,fee schedule,16.07,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,16.07,,fee schedule,16.07,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,15.08,156,percent of total billed charges,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,15.08,156,percent of total billed charges,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,15.08,156,percent of total billed charges,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,15.08,156,fee schedule,
STREPTOCOCCUS PNEUMONIAE,87899,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,15.08,156,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,ALLIANT,ALLIANT,,215.08,,fee schedule,215.08,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,AMBETTER,AMBETTER,,169.46,,fee schedule,169.46,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,AMERIGROUP,AMERIGROUP,,145.96,,fee schedule,145.96,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,CARESOURCE,CARESOURCE,,148.74,,fee schedule,148.74,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,MEDICARE,MEDICARE,,130.35,,fee schedule,130.35,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,PEACHSTATE,PEACHSTATE,,139.01,,fee schedule,139.01,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,TRICARE,TRICARE,,130.35,,fee schedule,130.35,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,UHC MEDICARE,UHC MEDICARE,,130.35,,fee schedule,130.35,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,AETNA,AETNA,,285.36,87,percent of total billed charges,285.36,130.35,328,percent of total billed charges,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285.36,87,percent of total billed charges,285.36,130.35,328,percent of total billed charges,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,UNITED HEALTHCARE,UNITED HEALTHCARE,,288.64,88,percent of total billed charges,288.64,130.35,328,percent of total billed charges,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,AETNA,AETNA,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,BEECH STREET,BEECH STREET,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,CARESOURCE,CARESOURCE,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,MEDICAID,MEDICAID,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,NOVA NET,NOVA NET,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,PEACHSTATE,PEACHSTATE,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,SELFPAY,SELFPAY,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 OTHER REGION,87900,CPT,both,,,328,328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,ALLIANT,ALLIANT,,215.08,,fee schedule,215.08,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,AMBETTER,AMBETTER,,169.46,,fee schedule,169.46,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,AMERIGROUP,AMERIGROUP,,145.96,,fee schedule,145.96,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,CARESOURCE,CARESOURCE,,148.74,,fee schedule,148.74,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,MEDICARE,MEDICARE,,130.35,,fee schedule,130.35,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,PEACHSTATE,PEACHSTATE,,139.01,,fee schedule,139.01,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,TRICARE,TRICARE,,130.35,,fee schedule,130.35,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,UHC MEDICARE,UHC MEDICARE,,130.35,,fee schedule,130.35,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,AETNA,AETNA,,285.36,87,percent of total billed charges,285.36,130.35,328,percent of total billed charges,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285.36,87,percent of total billed charges,285.36,130.35,328,percent of total billed charges,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,UNITED HEALTHCARE,UNITED HEALTHCARE,,288.64,88,percent of total billed charges,288.64,130.35,328,percent of total billed charges,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,AETNA,AETNA,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,BEECH STREET,BEECH STREET,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,CARESOURCE,CARESOURCE,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,MEDICAID,MEDICAID,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,NOVA NET,NOVA NET,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,PEACHSTATE,PEACHSTATE,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,SELFPAY,SELFPAY,,328,,fee schedule,328,130.35,328,fee schedule,
INFECTIOUS AGENT DRUG SUS,87900,CPT,both,,,328,328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,328,,fee schedule,328,130.35,328,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,ALLIANT,ALLIANT,,424.79,,fee schedule,424.79,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,AMBETTER,AMBETTER,,334.69,,fee schedule,334.69,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,AMERIGROUP,AMERIGROUP,,115.15,,fee schedule,115.15,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,CARESOURCE,CARESOURCE,,117.35,,fee schedule,117.35,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,MEDICARE,MEDICARE,,257.45,,fee schedule,257.45,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,PEACHSTATE,PEACHSTATE,,109.67,,fee schedule,109.67,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,TRICARE,TRICARE,,257.45,,fee schedule,257.45,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,UHC MEDICARE,UHC MEDICARE,,257.45,,fee schedule,257.45,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,AETNA,AETNA,,417.6,87,percent of total billed charges,417.6,109.67,480,percent of total billed charges,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,417.6,87,percent of total billed charges,417.6,109.67,480,percent of total billed charges,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,UNITED HEALTHCARE,UNITED HEALTHCARE,,422.4,88,percent of total billed charges,422.4,109.67,480,percent of total billed charges,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,AETNA,AETNA,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,BEECH STREET,BEECH STREET,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,CARESOURCE,CARESOURCE,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,MEDICAID,MEDICAID,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,NOVA NET,NOVA NET,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,PEACHSTATE,PEACHSTATE,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,SELFPAY,SELFPAY,,480,,fee schedule,480,109.67,480,fee schedule,
HIV-1 GENOTYPE,87901,CPT,both,,,480,480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,480,,fee schedule,480,109.67,480,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,ALLIANT,ALLIANT,,424.79,,fee schedule,424.79,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,AMBETTER,AMBETTER,,334.69,,fee schedule,334.69,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,AMERIGROUP,AMERIGROUP,,115.15,,fee schedule,115.15,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,117.35,,fee schedule,117.35,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,MEDICARE,MEDICARE,,257.45,,fee schedule,257.45,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,109.67,,fee schedule,109.67,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,TRICARE,TRICARE,,257.45,,fee schedule,257.45,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,UHC MEDICARE,UHC MEDICARE,,257.45,,fee schedule,257.45,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,AETNA,AETNA,,787.35,87,percent of total billed charges,787.35,109.67,905,percent of total billed charges,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,787.35,87,percent of total billed charges,787.35,109.67,905,percent of total billed charges,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,UNITED HEALTHCARE,UNITED HEALTHCARE,,796.4,88,percent of total billed charges,796.4,109.67,905,percent of total billed charges,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,AETNA,AETNA,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,BEECH STREET,BEECH STREET,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,CARESOURCE,CARESOURCE,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,MEDICAID,MEDICAID,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,NOVA NET,NOVA NET,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,PEACHSTATE,PEACHSTATE,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,SELFPAY,SELFPAY,,905,,fee schedule,905,109.67,905,fee schedule,
HEPATITIS C VIRUS GENOTYP,87902,CPT,both,,,905,905,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,905,,fee schedule,905,109.67,905,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,ALLIANT,ALLIANT,,212.4,,fee schedule,212.4,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,AMBETTER,AMBETTER,,167.35,,fee schedule,167.35,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,51.54,,fee schedule,51.54,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,52.53,,fee schedule,52.53,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,MEDICARE,MEDICARE,,128.73,,fee schedule,128.73,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,49.09,,fee schedule,49.09,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,TRICARE,TRICARE,,128.73,,fee schedule,128.73,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,128.73,,fee schedule,128.73,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,49.09,266,percent of total billed charges,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,49.09,266,percent of total billed charges,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,49.09,266,percent of total billed charges,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,49.09,266,fee schedule,
HIV-1 INTEGRASE GENOTYPE,87906,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,49.09,266,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,AETNA,AETNA,,13289.95,87,percent of total billed charges,13289.95,13289.95,15275.8,percent of total billed charges,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13289.95,87,percent of total billed charges,13289.95,13289.95,15275.8,percent of total billed charges,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,UNITED HEALTHCARE,UNITED HEALTHCARE,,13442.7,88,percent of total billed charges,13442.7,13289.95,15275.8,percent of total billed charges,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,AETNA,AETNA,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,ALLIANT,ALLIANT,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,AMBETTER,AMBETTER,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,BEECH STREET,BEECH STREET,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,CARESOURCE,CARESOURCE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,MEDICAID,MEDICAID,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,MEDICARE,MEDICARE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,NOVA NET,NOVA NET,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,PEACHSTATE,PEACHSTATE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,SELFPAY,SELFPAY,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,TRICARE,TRICARE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,880,DRG,inpatient,,,15275.8,15275.8,UHC MEDICARE,UHC MEDICARE,,15275.8,,fee schedule,15275.8,13289.95,15275.8,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,AETNA,AETNA,,16214.97,87,percent of total billed charges,16214.97,16214.97,18637.9,percent of total billed charges,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16214.97,87,percent of total billed charges,16214.97,16214.97,18637.9,percent of total billed charges,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,UNITED HEALTHCARE,UNITED HEALTHCARE,,16401.35,88,percent of total billed charges,16401.35,16214.97,18637.9,percent of total billed charges,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,AETNA,AETNA,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,ALLIANT,ALLIANT,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,AMBETTER,AMBETTER,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,BEECH STREET,BEECH STREET,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,CARESOURCE,CARESOURCE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,MEDICAID,MEDICAID,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,MEDICARE,MEDICARE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,NOVA NET,NOVA NET,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,PEACHSTATE,PEACHSTATE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,SELFPAY,SELFPAY,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,TRICARE,TRICARE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
DEPRESSIVE NEUROSES,881,DRG,inpatient,,,18637.9,18637.9,UHC MEDICARE,UHC MEDICARE,,18637.9,,fee schedule,18637.9,16214.97,18637.9,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,28.77,,fee schedule,28.77,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,44.81,,fee schedule,44.81,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,16.04,,fee schedule,16.04,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,29.32,,fee schedule,29.32,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,45.67,,fee schedule,45.67,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,16.35,,fee schedule,16.35,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,27.4,,fee schedule,27.4,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,42.68,,fee schedule,42.68,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,15.28,,fee schedule,15.28,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,TRICARE,TRICARE,,33.96,,fee schedule,33.96,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,15.28,84,percent of total billed charges,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,15.28,84,percent of total billed charges,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,15.28,84,percent of total billed charges,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOPATHOLOGY,88104,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,15.28,84,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,40.15,,fee schedule,40.15,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,28.4,,fee schedule,28.4,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,11.75,,fee schedule,11.75,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,40.92,,fee schedule,40.92,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,28.94,,fee schedule,28.94,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,11.97,,fee schedule,11.97,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,38.24,,fee schedule,38.24,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,27.05,,fee schedule,27.05,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,11.19,,fee schedule,11.19,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,TRICARE,TRICARE,,24.96,,fee schedule,24.96,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,11.19,45,percent of total billed charges,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,11.19,45,percent of total billed charges,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,11.19,45,percent of total billed charges,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOLOGY FILTER METHOD-I,88106,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,11.19,45,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,48.03,,fee schedule,48.03,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,29.13,,fee schedule,29.13,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,18.9,,fee schedule,18.9,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,48.94,,fee schedule,48.94,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,29.68,,fee schedule,29.68,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,19.26,,fee schedule,19.26,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,45.74,,fee schedule,45.74,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,27.74,,fee schedule,27.74,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,TRICARE,TRICARE,,33.96,,fee schedule,33.96,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,18,178,percent of total billed charges,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,18,178,percent of total billed charges,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,18,178,percent of total billed charges,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,18,178,fee schedule,
CYTOPATHOLOGY~SMEAR & INT,88108,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,18,178,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,245.13,,fee schedule,245.13,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,29.28,,fee schedule,29.28,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,AMERIGROUP,AMERIGROUP,,215.86,,fee schedule,215.86,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,249.8,,fee schedule,249.8,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,29.84,,fee schedule,29.84,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,219.97,,fee schedule,219.97,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,233.46,,fee schedule,233.46,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,27.89,,fee schedule,27.89,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,205.58,,fee schedule,205.58,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,TRICARE,TRICARE,,157.25,,fee schedule,157.25,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,AETNA,AETNA,,489.81,87,percent of total billed charges,489.81,27.89,563,percent of total billed charges,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,489.81,87,percent of total billed charges,489.81,27.89,563,percent of total billed charges,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,UNITED HEALTHCARE,UNITED HEALTHCARE,,495.44,88,percent of total billed charges,495.44,27.89,563,percent of total billed charges,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,AETNA,AETNA,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,BEECH STREET,BEECH STREET,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CARESOURCE,CARESOURCE,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,MEDICAID,MEDICAID,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,NOVA NET,NOVA NET,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,PEACHSTATE,PEACHSTATE,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,SELFPAY,SELFPAY,,563,,fee schedule,563,27.89,563,fee schedule,
"CYTOPATHALOGY (FISH), URINARY",88121,CPT,both,,,563,563,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,563,,fee schedule,563,27.89,563,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,ALLIANT,ALLIANT,,28.56,,fee schedule,28.56,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,AMBETTER,AMBETTER,,22.5,,fee schedule,22.5,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,13.94,,fee schedule,13.94,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,14.21,,fee schedule,14.21,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,MEDICARE,MEDICARE,,17.31,,fee schedule,17.31,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,13.28,,fee schedule,13.28,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,TRICARE,TRICARE,,17.31,,fee schedule,17.31,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,17.31,,fee schedule,17.31,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,13.28,76,percent of total billed charges,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,13.28,76,percent of total billed charges,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,13.28,76,percent of total billed charges,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSMEARSCERV,88150,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,13.28,76,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,48.44,,fee schedule,48.44,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,25.25,,fee schedule,25.25,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,23.21,,fee schedule,23.21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,49.36,,fee schedule,49.36,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,25.73,,fee schedule,25.73,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,23.65,,fee schedule,23.65,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,46.13,,fee schedule,46.13,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,24.05,,fee schedule,24.05,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,22.1,,fee schedule,22.1,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,TRICARE,TRICARE,,24.96,,fee schedule,24.96,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,49.36,percent of total billed charges,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,49.36,percent of total billed charges,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,49.36,percent of total billed charges,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGYSCREENINTE,88160,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,49.36,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,AMERIGROUP,AMERIGROUP,,36.63,,fee schedule,36.63,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,AMERIGROUP,AMERIGROUP,,25.6,,fee schedule,25.6,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,AMERIGROUP,AMERIGROUP,,11.04,,fee schedule,11.04,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,37.33,,fee schedule,37.33,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,26.09,,fee schedule,26.09,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,11.25,,fee schedule,11.25,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,34.89,,fee schedule,34.89,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,24.38,,fee schedule,24.38,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,10.51,,fee schedule,10.51,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,TRICARE,TRICARE,,24.96,,fee schedule,24.96,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,AETNA,AETNA,,361.05,87,percent of total billed charges,361.05,10.51,415,percent of total billed charges,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361.05,87,percent of total billed charges,361.05,10.51,415,percent of total billed charges,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,UNITED HEALTHCARE,UNITED HEALTHCARE,,365.2,88,percent of total billed charges,365.2,10.51,415,percent of total billed charges,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,AETNA,AETNA,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,BEECH STREET,BEECH STREET,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,MEDICAID,MEDICAID,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,NOVA NET,NOVA NET,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,SELFPAY,SELFPAY,,415,,fee schedule,415,10.51,415,fee schedule,
CYTOPATHOLOGY OTHER SOUC,88161,CPT,both,,,415,415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,415,,fee schedule,415,10.51,415,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,59.41,,fee schedule,59.41,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,33.35,,fee schedule,33.35,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,26.06,,fee schedule,26.06,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,60.54,,fee schedule,60.54,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,33.98,,fee schedule,33.98,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,26.56,,fee schedule,26.56,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,56.58,,fee schedule,56.58,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,31.76,,fee schedule,31.76,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,24.82,,fee schedule,24.82,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,TRICARE,TRICARE,,157.25,,fee schedule,157.25,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,24.82,259.46,percent of total billed charges,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,24.82,259.46,percent of total billed charges,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,24.82,259.46,percent of total billed charges,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE ASPIRATE-IMME,88172,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,24.82,259.46,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,96.16,,fee schedule,96.16,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,69.73,,fee schedule,69.73,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,26.42,,fee schedule,26.42,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,97.99,,fee schedule,97.99,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,71.06,,fee schedule,71.06,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,26.92,,fee schedule,26.92,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,91.58,,fee schedule,91.58,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,66.41,,fee schedule,66.41,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,25.16,,fee schedule,25.16,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,TRICARE,TRICARE,,50.14,,fee schedule,50.14,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,25.16,146,percent of total billed charges,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,25.16,146,percent of total billed charges,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,25.16,146,percent of total billed charges,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,25.16,146,fee schedule,
FINE NEEDLE-INTER & REPOR,88173,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,25.16,146,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,70.31,,fee schedule,70.31,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,42.48,,fee schedule,42.48,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,27.83,,fee schedule,27.83,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,71.65,,fee schedule,71.65,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,43.29,,fee schedule,43.29,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,28.36,,fee schedule,28.36,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,66.96,,fee schedule,66.96,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,40.46,,fee schedule,40.46,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,26.5,,fee schedule,26.5,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,TRICARE,TRICARE,,50.14,,fee schedule,50.14,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,26.5,105,percent of total billed charges,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,26.5,105,percent of total billed charges,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,26.5,105,percent of total billed charges,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,26.5,105,fee schedule,
CELL CYCLE (DNA ANALYSIS),88182,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,26.5,105,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,70.31,,fee schedule,70.31,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,42.48,,fee schedule,42.48,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,27.83,,fee schedule,27.83,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,71.65,,fee schedule,71.65,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,43.29,,fee schedule,43.29,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,28.36,,fee schedule,28.36,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,66.96,,fee schedule,66.96,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,40.46,,fee schedule,40.46,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,26.5,,fee schedule,26.5,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,TRICARE,TRICARE,,50.14,,fee schedule,50.14,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,AETNA,AETNA,,214.89,87,percent of total billed charges,214.89,26.5,247,percent of total billed charges,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.89,87,percent of total billed charges,214.89,26.5,247,percent of total billed charges,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,UNITED HEALTHCARE,UNITED HEALTHCARE,,217.36,88,percent of total billed charges,217.36,26.5,247,percent of total billed charges,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,AETNA,AETNA,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,BEECH STREET,BEECH STREET,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,MEDICAID,MEDICAID,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,NOVA NET,NOVA NET,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,SELFPAY,SELFPAY,,247,,fee schedule,247,26.5,247,fee schedule,
CELL MARKER STUDY DNA TC,88182,CPT,both,,,247,247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,247,,fee schedule,247,26.5,247,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,70.31,,fee schedule,70.31,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,42.48,,fee schedule,42.48,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,27.83,,fee schedule,27.83,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,71.65,,fee schedule,71.65,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,43.29,,fee schedule,43.29,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,28.36,,fee schedule,28.36,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,66.96,,fee schedule,66.96,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,40.46,,fee schedule,40.46,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,26.5,,fee schedule,26.5,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,TRICARE,TRICARE,,50.14,,fee schedule,50.14,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,26.5,105,percent of total billed charges,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,26.5,105,percent of total billed charges,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,26.5,105,percent of total billed charges,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,26.5,105,fee schedule,
CELL SURFACE MARKER,88182,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,26.5,105,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY - 1ST MARKER,88184,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY 1 MARKER,88184,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY CD 55,88184,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,48.41,,fee schedule,48.41,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,49.33,,fee schedule,49.33,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,46.1,,fee schedule,46.1,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,TRICARE,TRICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,46.1,534.78,percent of total billed charges,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY-TC 1ST MAR,88184,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,46.1,534.78,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,AETNA,AETNA,,392.37,87,percent of total billed charges,392.37,22.67,451,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,392.37,87,percent of total billed charges,392.37,22.67,451,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,UNITED HEALTHCARE,UNITED HEALTHCARE,,396.88,88,percent of total billed charges,396.88,22.67,451,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,AETNA,AETNA,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,ALLIANT,ALLIANT,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,AMBETTER,AMBETTER,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,BEECH STREET,BEECH STREET,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,CARESOURCE,CARESOURCE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,MEDICAID,MEDICAID,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,MEDICARE,MEDICARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,NOVA NET,NOVA NET,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,PEACHSTATE,PEACHSTATE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,SELFPAY,SELFPAY,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,TRICARE,TRICARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,451,451,UHC MEDICARE,UHC MEDICARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,22.67,33,percent of total billed charges,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY - ADD MARK,88185,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,22.67,33,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,AETNA,AETNA,,392.37,87,percent of total billed charges,392.37,22.67,451,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,392.37,87,percent of total billed charges,392.37,22.67,451,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,UNITED HEALTHCARE,UNITED HEALTHCARE,,396.88,88,percent of total billed charges,396.88,22.67,451,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,AETNA,AETNA,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,ALLIANT,ALLIANT,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,AMBETTER,AMBETTER,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,BEECH STREET,BEECH STREET,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,CARESOURCE,CARESOURCE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,MEDICAID,MEDICAID,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,MEDICARE,MEDICARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,NOVA NET,NOVA NET,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,PEACHSTATE,PEACHSTATE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,SELFPAY,SELFPAY,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,TRICARE,TRICARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,451,451,UHC MEDICARE,UHC MEDICARE,,451,,fee schedule,451,22.67,451,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,22.67,70,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,22.67,70,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,22.67,70,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,22.67,70,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,22.67,70,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,22.67,70,percent of total billed charges,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY ADD MARKER,88185,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,22.67,70,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,23.8,,fee schedule,23.8,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,24.26,,fee schedule,24.26,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,22.67,,fee schedule,22.67,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,22.67,64,percent of total billed charges,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,22.67,64,percent of total billed charges,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,22.67,64,percent of total billed charges,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY~TC ADD'L M,88185,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,22.67,64,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,62.77,,fee schedule,62.77,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,63.96,,fee schedule,63.96,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,59.78,,fee schedule,59.78,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,59.78,252,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,59.78,252,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,59.78,252,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,ALLIANT,ALLIANT,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AMBETTER,AMBETTER,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,MEDICARE,MEDICARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,TRICARE,TRICARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,62.77,,fee schedule,62.77,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,63.96,,fee schedule,63.96,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,59.78,,fee schedule,59.78,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,59.78,252,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,59.78,252,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,59.78,252,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,ALLIANT,ALLIANT,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,AMBETTER,AMBETTER,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,MEDICARE,MEDICARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,TRICARE,TRICARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88187,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,252,,fee schedule,252,59.78,252,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,103.17,,fee schedule,103.17,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,105.14,,fee schedule,105.14,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,98.26,,fee schedule,98.26,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,AETNA,AETNA,,293.19,87,percent of total billed charges,293.19,98.26,337,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,293.19,87,percent of total billed charges,293.19,98.26,337,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,UNITED HEALTHCARE,UNITED HEALTHCARE,,296.56,88,percent of total billed charges,296.56,98.26,337,percent of total billed charges,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,AETNA,AETNA,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,ALLIANT,ALLIANT,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,AMBETTER,AMBETTER,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,BEECH STREET,BEECH STREET,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,MEDICAID,MEDICAID,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,MEDICARE,MEDICARE,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,NOVA NET,NOVA NET,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,SELFPAY,SELFPAY,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,TRICARE,TRICARE,,337,,fee schedule,337,98.26,337,fee schedule,
FLOW CYTOMETRY INTERPRETA,88189,CPT,both,,,337,337,UHC MEDICARE,UHC MEDICARE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,AMERIGROUP,AMERIGROUP,,103.17,,fee schedule,103.17,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,105.14,,fee schedule,105.14,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,98.26,,fee schedule,98.26,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,AETNA,AETNA,,293.19,87,percent of total billed charges,293.19,98.26,337,percent of total billed charges,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,293.19,87,percent of total billed charges,293.19,98.26,337,percent of total billed charges,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,UNITED HEALTHCARE,UNITED HEALTHCARE,,296.56,88,percent of total billed charges,296.56,98.26,337,percent of total billed charges,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,AETNA,AETNA,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,ALLIANT,ALLIANT,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,AMBETTER,AMBETTER,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,BEECH STREET,BEECH STREET,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,CARESOURCE,CARESOURCE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,MEDICAID,MEDICAID,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,MEDICARE,MEDICARE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,NOVA NET,NOVA NET,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,PEACHSTATE,PEACHSTATE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,SELFPAY,SELFPAY,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,TRICARE,TRICARE,,337,,fee schedule,337,98.26,337,fee schedule,
T-LYMPHOCYTE EARLY ANTI P,88189,CPT,both,,,337,337,UHC MEDICARE,UHC MEDICARE,,337,,fee schedule,337,98.26,337,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,AETNA,AETNA,,24050.52,87,percent of total billed charges,24050.52,24050.52,27644.28,percent of total billed charges,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24050.52,87,percent of total billed charges,24050.52,24050.52,27644.28,percent of total billed charges,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24326.97,88,percent of total billed charges,24326.97,24050.52,27644.28,percent of total billed charges,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,AETNA,AETNA,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,ALLIANT,ALLIANT,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,AMBETTER,AMBETTER,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,BEECH STREET,BEECH STREET,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,CARESOURCE,CARESOURCE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,MEDICAID,MEDICAID,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,MEDICARE,MEDICARE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,NOVA NET,NOVA NET,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,PEACHSTATE,PEACHSTATE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,SELFPAY,SELFPAY,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,TRICARE,TRICARE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
NEUROSES EXCEPT DEPRESSIVE,882,DRG,inpatient,,,27644.28,27644.28,UHC MEDICARE,UHC MEDICARE,,27644.28,,fee schedule,27644.28,24050.52,27644.28,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,ALLIANT,ALLIANT,,192.21,,fee schedule,192.21,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,AMBETTER,AMBETTER,,151.44,,fee schedule,151.44,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,AMERIGROUP,AMERIGROUP,,153.81,,fee schedule,153.81,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,156.74,,fee schedule,156.74,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,MEDICARE,MEDICARE,,116.49,,fee schedule,116.49,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,146.49,,fee schedule,146.49,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,TRICARE,TRICARE,,116.49,,fee schedule,116.49,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,UHC MEDICARE,UHC MEDICARE,,116.49,,fee schedule,116.49,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,AETNA,AETNA,,435,87,percent of total billed charges,435,116.49,500,percent of total billed charges,
TISSUE CULTURE,88230,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435,87,percent of total billed charges,435,116.49,500,percent of total billed charges,
TISSUE CULTURE,88230,CPT,both,,,500,500,UNITED HEALTHCARE,UNITED HEALTHCARE,,440,88,percent of total billed charges,440,116.49,500,percent of total billed charges,
TISSUE CULTURE,88230,CPT,both,,,500,500,AETNA,AETNA,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,BEECH STREET,BEECH STREET,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,MEDICAID,MEDICAID,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,NOVA NET,NOVA NET,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,SELFPAY,SELFPAY,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE,88230,CPT,both,,,500,500,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,ALLIANT,ALLIANT,,192.21,,fee schedule,192.21,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,AMBETTER,AMBETTER,,151.44,,fee schedule,151.44,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,AMERIGROUP,AMERIGROUP,,153.81,,fee schedule,153.81,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,156.74,,fee schedule,156.74,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,MEDICARE,MEDICARE,,116.49,,fee schedule,116.49,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,146.49,,fee schedule,146.49,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,TRICARE,TRICARE,,116.49,,fee schedule,116.49,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,UHC MEDICARE,UHC MEDICARE,,116.49,,fee schedule,116.49,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,AETNA,AETNA,,435,87,percent of total billed charges,435,116.49,500,percent of total billed charges,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435,87,percent of total billed charges,435,116.49,500,percent of total billed charges,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,UNITED HEALTHCARE,UNITED HEALTHCARE,,440,88,percent of total billed charges,440,116.49,500,percent of total billed charges,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,AETNA,AETNA,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,BEECH STREET,BEECH STREET,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,MEDICAID,MEDICAID,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,NOVA NET,NOVA NET,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,SELFPAY,SELFPAY,,500,,fee schedule,500,116.49,500,fee schedule,
TISSUE CULTURE CYTOGENET,88230,CPT,both,,,500,500,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,500,,fee schedule,500,116.49,500,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,ALLIANT,ALLIANT,,232.2,,fee schedule,232.2,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,AMBETTER,AMBETTER,,182.95,,fee schedule,182.95,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,185.82,,fee schedule,185.82,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,189.36,,fee schedule,189.36,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,MEDICARE,MEDICARE,,140.73,,fee schedule,140.73,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,176.97,,fee schedule,176.97,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,TRICARE,TRICARE,,140.73,,fee schedule,140.73,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,140.73,,fee schedule,140.73,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,140.73,598,percent of total billed charges,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,140.73,598,percent of total billed charges,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,140.73,598,percent of total billed charges,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,140.73,598,fee schedule,
CHROMOSOME CULTURE,88233,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,ALLIANT,ALLIANT,,232.2,,fee schedule,232.2,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,AMBETTER,AMBETTER,,182.95,,fee schedule,182.95,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,AMERIGROUP,AMERIGROUP,,185.82,,fee schedule,185.82,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,189.36,,fee schedule,189.36,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,MEDICARE,MEDICARE,,140.73,,fee schedule,140.73,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,176.97,,fee schedule,176.97,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,TRICARE,TRICARE,,140.73,,fee schedule,140.73,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,140.73,,fee schedule,140.73,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,140.73,598,percent of total billed charges,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,140.73,598,percent of total billed charges,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,140.73,598,percent of total billed charges,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,140.73,598,fee schedule,
FIBROBLAST CULTURE,88233,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,140.73,598,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,ALLIANT,ALLIANT,,232.2,,fee schedule,232.2,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,AMBETTER,AMBETTER,,182.95,,fee schedule,182.95,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,185.82,,fee schedule,185.82,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,189.36,,fee schedule,189.36,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,MEDICARE,MEDICARE,,140.73,,fee schedule,140.73,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,176.97,,fee schedule,176.97,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,TRICARE,TRICARE,,140.73,,fee schedule,140.73,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,140.73,,fee schedule,140.73,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,140.73,353,percent of total billed charges,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,140.73,353,percent of total billed charges,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,140.73,353,percent of total billed charges,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,140.73,353,fee schedule,
TISSUE CULTURE~SKIN/SOLID,88233,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,140.73,353,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,ALLIANT,ALLIANT,,248,,fee schedule,248,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,AMBETTER,AMBETTER,,195.39,,fee schedule,195.39,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,AMERIGROUP,AMERIGROUP,,194.43,,fee schedule,194.43,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,198.13,,fee schedule,198.13,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,MEDICARE,MEDICARE,,150.3,,fee schedule,150.3,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,185.17,,fee schedule,185.17,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,TRICARE,TRICARE,,150.3,,fee schedule,150.3,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,UHC MEDICARE,UHC MEDICARE,,150.3,,fee schedule,150.3,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,AETNA,AETNA,,368.01,87,percent of total billed charges,368.01,150.3,423,percent of total billed charges,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.01,87,percent of total billed charges,368.01,150.3,423,percent of total billed charges,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,UNITED HEALTHCARE,UNITED HEALTHCARE,,372.24,88,percent of total billed charges,372.24,150.3,423,percent of total billed charges,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,AETNA,AETNA,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,BEECH STREET,BEECH STREET,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,MEDICAID,MEDICAID,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,NOVA NET,NOVA NET,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,SELFPAY,SELFPAY,,423,,fee schedule,423,150.3,423,fee schedule,
"TISSUE CULTURE,AMNIOTIC FLUID",88235,CPT,both,,,423,423,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,423,,fee schedule,423,150.3,423,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,ALLIANT,ALLIANT,,237.19,,fee schedule,237.19,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,AMBETTER,AMBETTER,,186.88,,fee schedule,186.88,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,AMERIGROUP,AMERIGROUP,,116.57,,fee schedule,116.57,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,118.79,,fee schedule,118.79,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,MEDICARE,MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,111.02,,fee schedule,111.02,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,TRICARE,TRICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,UHC MEDICARE,UHC MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,AETNA,AETNA,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,UNITED HEALTHCARE,UNITED HEALTHCARE,,352,88,percent of total billed charges,352,111.02,400,percent of total billed charges,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,AETNA,AETNA,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,BEECH STREET,BEECH STREET,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,MEDICAID,MEDICAID,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,NOVA NET,NOVA NET,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,SELFPAY,SELFPAY,,400,,fee schedule,400,111.02,400,fee schedule,
NOGROW TISS CUL/BONE MAR/BLOOD,88237,CPT,both,,,400,400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,ALLIANT,ALLIANT,,237.19,,fee schedule,237.19,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AMBETTER,AMBETTER,,186.88,,fee schedule,186.88,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AMERIGROUP,AMERIGROUP,,116.57,,fee schedule,116.57,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,118.79,,fee schedule,118.79,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,MEDICARE,MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,111.02,,fee schedule,111.02,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,TRICARE,TRICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,UHC MEDICARE,UHC MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AETNA,AETNA,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,UNITED HEALTHCARE,UNITED HEALTHCARE,,352,88,percent of total billed charges,352,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AETNA,AETNA,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,BEECH STREET,BEECH STREET,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,MEDICAID,MEDICAID,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,NOVA NET,NOVA NET,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,SELFPAY,SELFPAY,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,ALLIANT,ALLIANT,,237.19,,fee schedule,237.19,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AMBETTER,AMBETTER,,186.88,,fee schedule,186.88,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AMERIGROUP,AMERIGROUP,,116.57,,fee schedule,116.57,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,118.79,,fee schedule,118.79,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,MEDICARE,MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,111.02,,fee schedule,111.02,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,TRICARE,TRICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,UHC MEDICARE,UHC MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AETNA,AETNA,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,UNITED HEALTHCARE,UNITED HEALTHCARE,,352,88,percent of total billed charges,352,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,AETNA,AETNA,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,BEECH STREET,BEECH STREET,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,MEDICAID,MEDICAID,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,NOVA NET,NOVA NET,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,SELFPAY,SELFPAY,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR,88237,CPT,both,,,400,400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,ALLIANT,ALLIANT,,237.19,,fee schedule,237.19,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,AMBETTER,AMBETTER,,186.88,,fee schedule,186.88,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,AMERIGROUP,AMERIGROUP,,116.57,,fee schedule,116.57,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,118.79,,fee schedule,118.79,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,MEDICARE,MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,111.02,,fee schedule,111.02,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,TRICARE,TRICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,UHC MEDICARE,UHC MEDICARE,,143.75,,fee schedule,143.75,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,AETNA,AETNA,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,87,percent of total billed charges,348,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,UNITED HEALTHCARE,UNITED HEALTHCARE,,352,88,percent of total billed charges,352,111.02,400,percent of total billed charges,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,AETNA,AETNA,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,BEECH STREET,BEECH STREET,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,MEDICAID,MEDICAID,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,NOVA NET,NOVA NET,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,SELFPAY,SELFPAY,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE - BONE MAR ADDL,88237,CPT,both,,,400,400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,400,,fee schedule,400,111.02,400,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,ALLIANT,ALLIANT,,243.41,,fee schedule,243.41,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,AMBETTER,AMBETTER,,191.78,,fee schedule,191.78,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,AMERIGROUP,AMERIGROUP,,194.79,,fee schedule,194.79,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,198.5,,fee schedule,198.5,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,MEDICARE,MEDICARE,,147.52,,fee schedule,147.52,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,185.51,,fee schedule,185.51,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,TRICARE,TRICARE,,147.52,,fee schedule,147.52,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,147.52,,fee schedule,147.52,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,147.52,655,percent of total billed charges,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,147.52,655,percent of total billed charges,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,147.52,655,percent of total billed charges,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,147.52,655,fee schedule,
TISSUE CULTURE -SOLID TUM,88239,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,147.52,655,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,ALLIANT,ALLIANT,,285.73,,fee schedule,285.73,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,AMBETTER,AMBETTER,,225.12,,fee schedule,225.12,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,AMERIGROUP,AMERIGROUP,,228.65,,fee schedule,228.65,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,CARESOURCE,CARESOURCE,,233,,fee schedule,233,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,MEDICARE,MEDICARE,,173.17,,fee schedule,173.17,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,PEACHSTATE,PEACHSTATE,,217.76,,fee schedule,217.76,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,TRICARE,TRICARE,,173.17,,fee schedule,173.17,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,UHC MEDICARE,UHC MEDICARE,,173.17,,fee schedule,173.17,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,AETNA,AETNA,,1576.44,87,percent of total billed charges,1576.44,173.17,1812,percent of total billed charges,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1576.44,87,percent of total billed charges,1576.44,173.17,1812,percent of total billed charges,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,UNITED HEALTHCARE,UNITED HEALTHCARE,,1594.56,88,percent of total billed charges,1594.56,173.17,1812,percent of total billed charges,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,AETNA,AETNA,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,BEECH STREET,BEECH STREET,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,CARESOURCE,CARESOURCE,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,MEDICAID,MEDICAID,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,NOVA NET,NOVA NET,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,PEACHSTATE,PEACHSTATE,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,SELFPAY,SELFPAY,,1812,,fee schedule,1812,173.17,1812,fee schedule,
CHROMOSOME ANALYSIS,88248,CPT,both,,,1812,1812,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1812,,fee schedule,1812,173.17,1812,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,ALLIANT,ALLIANT,,436.16,,fee schedule,436.16,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,AMBETTER,AMBETTER,,343.64,,fee schedule,343.64,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,AMERIGROUP,AMERIGROUP,,233.35,,fee schedule,233.35,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,237.8,,fee schedule,237.8,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,MEDICARE,MEDICARE,,264.34,,fee schedule,264.34,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,222.24,,fee schedule,222.24,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,TRICARE,TRICARE,,264.34,,fee schedule,264.34,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,UHC MEDICARE,UHC MEDICARE,,264.34,,fee schedule,264.34,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,AETNA,AETNA,,370.62,87,percent of total billed charges,370.62,222.24,436.16,percent of total billed charges,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370.62,87,percent of total billed charges,370.62,222.24,436.16,percent of total billed charges,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,UNITED HEALTHCARE,UNITED HEALTHCARE,,374.88,88,percent of total billed charges,374.88,222.24,436.16,percent of total billed charges,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,AETNA,AETNA,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,BEECH STREET,BEECH STREET,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,CARESOURCE,CARESOURCE,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,MEDICAID,MEDICAID,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,NOVA NET,NOVA NET,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,PEACHSTATE,PEACHSTATE,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,SELFPAY,SELFPAY,,426,,fee schedule,426,222.24,436.16,fee schedule,
KARYOTYPE W/BANDING 5 CE,88261,CPT,both,,,426,426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,426,,fee schedule,426,222.24,436.16,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,ALLIANT,ALLIANT,,207.06,,fee schedule,207.06,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AMBETTER,AMBETTER,,163.14,,fee schedule,163.14,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AMERIGROUP,AMERIGROUP,,164.57,,fee schedule,164.57,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,167.7,,fee schedule,167.7,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,MEDICARE,MEDICARE,,125.49,,fee schedule,125.49,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,156.73,,fee schedule,156.73,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,TRICARE,TRICARE,,125.49,,fee schedule,125.49,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,UHC MEDICARE,UHC MEDICARE,,125.49,,fee schedule,125.49,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AETNA,AETNA,,368.88,87,percent of total billed charges,368.88,125.49,424,percent of total billed charges,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.88,87,percent of total billed charges,368.88,125.49,424,percent of total billed charges,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,UNITED HEALTHCARE,UNITED HEALTHCARE,,373.12,88,percent of total billed charges,373.12,125.49,424,percent of total billed charges,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AETNA,AETNA,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,BEECH STREET,BEECH STREET,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,MEDICAID,MEDICAID,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,NOVA NET,NOVA NET,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,SELFPAY,SELFPAY,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,ALLIANT,ALLIANT,,207.06,,fee schedule,207.06,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AMBETTER,AMBETTER,,163.14,,fee schedule,163.14,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AMERIGROUP,AMERIGROUP,,164.57,,fee schedule,164.57,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,167.7,,fee schedule,167.7,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,MEDICARE,MEDICARE,,125.49,,fee schedule,125.49,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,156.73,,fee schedule,156.73,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,TRICARE,TRICARE,,125.49,,fee schedule,125.49,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,UHC MEDICARE,UHC MEDICARE,,125.49,,fee schedule,125.49,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AETNA,AETNA,,368.88,87,percent of total billed charges,368.88,125.49,424,percent of total billed charges,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.88,87,percent of total billed charges,368.88,125.49,424,percent of total billed charges,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,UNITED HEALTHCARE,UNITED HEALTHCARE,,373.12,88,percent of total billed charges,373.12,125.49,424,percent of total billed charges,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,AETNA,AETNA,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,BEECH STREET,BEECH STREET,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,MEDICAID,MEDICAID,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,NOVA NET,NOVA NET,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,SELFPAY,SELFPAY,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME - 2 KARYOTYPES,88262,CPT,both,,,424,424,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,424,,fee schedule,424,125.49,424,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,ALLIANT,ALLIANT,,207.06,,fee schedule,207.06,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,AMBETTER,AMBETTER,,163.14,,fee schedule,163.14,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,AMERIGROUP,AMERIGROUP,,164.57,,fee schedule,164.57,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,167.7,,fee schedule,167.7,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,MEDICARE,MEDICARE,,125.49,,fee schedule,125.49,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,156.73,,fee schedule,156.73,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,TRICARE,TRICARE,,125.49,,fee schedule,125.49,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,UHC MEDICARE,UHC MEDICARE,,125.49,,fee schedule,125.49,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,AETNA,AETNA,,435,87,percent of total billed charges,435,125.49,500,percent of total billed charges,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435,87,percent of total billed charges,435,125.49,500,percent of total billed charges,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,UNITED HEALTHCARE,UNITED HEALTHCARE,,440,88,percent of total billed charges,440,125.49,500,percent of total billed charges,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,AETNA,AETNA,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,BEECH STREET,BEECH STREET,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,MEDICAID,MEDICAID,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,NOVA NET,NOVA NET,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,SELFPAY,SELFPAY,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME BANDING,88262,CPT,both,,,500,500,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,ALLIANT,ALLIANT,,207.06,,fee schedule,207.06,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,AMBETTER,AMBETTER,,163.14,,fee schedule,163.14,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,AMERIGROUP,AMERIGROUP,,164.57,,fee schedule,164.57,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,167.7,,fee schedule,167.7,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,MEDICARE,MEDICARE,,125.49,,fee schedule,125.49,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,156.73,,fee schedule,156.73,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,TRICARE,TRICARE,,125.49,,fee schedule,125.49,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,UHC MEDICARE,UHC MEDICARE,,125.49,,fee schedule,125.49,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,AETNA,AETNA,,435,87,percent of total billed charges,435,125.49,500,percent of total billed charges,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435,87,percent of total billed charges,435,125.49,500,percent of total billed charges,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,UNITED HEALTHCARE,UNITED HEALTHCARE,,440,88,percent of total billed charges,440,125.49,500,percent of total billed charges,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,AETNA,AETNA,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,BEECH STREET,BEECH STREET,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,MEDICAID,MEDICAID,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,NOVA NET,NOVA NET,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,SELFPAY,SELFPAY,,500,,fee schedule,500,125.49,500,fee schedule,
KAROTYPING WITH G-BANDING,88262,CPT,both,,,500,500,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,500,,fee schedule,500,125.49,500,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,ALLIANT,ALLIANT,,247.98,,fee schedule,247.98,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,AMBETTER,AMBETTER,,195.38,,fee schedule,195.38,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,AMERIGROUP,AMERIGROUP,,198.42,,fee schedule,198.42,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,CARESOURCE,CARESOURCE,,202.2,,fee schedule,202.2,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,MEDICARE,MEDICARE,,150.29,,fee schedule,150.29,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,PEACHSTATE,PEACHSTATE,,188.97,,fee schedule,188.97,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,TRICARE,TRICARE,,150.29,,fee schedule,150.29,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,UHC MEDICARE,UHC MEDICARE,,150.29,,fee schedule,150.29,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,AETNA,AETNA,,1191.03,87,percent of total billed charges,1191.03,150.29,1369,percent of total billed charges,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1191.03,87,percent of total billed charges,1191.03,150.29,1369,percent of total billed charges,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,UNITED HEALTHCARE,UNITED HEALTHCARE,,1204.72,88,percent of total billed charges,1204.72,150.29,1369,percent of total billed charges,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,AETNA,AETNA,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,BEECH STREET,BEECH STREET,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,CARESOURCE,CARESOURCE,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,MEDICAID,MEDICAID,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,NOVA NET,NOVA NET,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,PEACHSTATE,PEACHSTATE,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,SELFPAY,SELFPAY,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROMOSOME ANAL PERIPH BL,88263,CPT,both,,,1369,1369,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1369,,fee schedule,1369,150.29,1369,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,ALLIANT,ALLIANT,,238.61,,fee schedule,238.61,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,AMBETTER,AMBETTER,,187.99,,fee schedule,187.99,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,AMERIGROUP,AMERIGROUP,,164.57,,fee schedule,164.57,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,CARESOURCE,CARESOURCE,,167.7,,fee schedule,167.7,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,MEDICARE,MEDICARE,,144.61,,fee schedule,144.61,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,PEACHSTATE,PEACHSTATE,,156.73,,fee schedule,156.73,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,TRICARE,TRICARE,,144.61,,fee schedule,144.61,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,UHC MEDICARE,UHC MEDICARE,,144.61,,fee schedule,144.61,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,AETNA,AETNA,,354.09,87,percent of total billed charges,354.09,144.61,407,percent of total billed charges,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.09,87,percent of total billed charges,354.09,144.61,407,percent of total billed charges,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,UNITED HEALTHCARE,UNITED HEALTHCARE,,358.16,88,percent of total billed charges,358.16,144.61,407,percent of total billed charges,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,AETNA,AETNA,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,BEECH STREET,BEECH STREET,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,CARESOURCE,CARESOURCE,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,MEDICAID,MEDICAID,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,NOVA NET,NOVA NET,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,PEACHSTATE,PEACHSTATE,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,SELFPAY,SELFPAY,,407,,fee schedule,407,144.61,407,fee schedule,
CHROM ANALY 20-25 CELLS,88264,CPT,both,,,407,407,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,407,,fee schedule,407,144.61,407,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,ALLIANT,ALLIANT,,311.14,,fee schedule,311.14,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,AMBETTER,AMBETTER,,245.14,,fee schedule,245.14,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,AMERIGROUP,AMERIGROUP,,237.35,,fee schedule,237.35,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,CARESOURCE,CARESOURCE,,241.87,,fee schedule,241.87,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,MEDICARE,MEDICARE,,188.57,,fee schedule,188.57,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,PEACHSTATE,PEACHSTATE,,226.05,,fee schedule,226.05,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,TRICARE,TRICARE,,188.57,,fee schedule,188.57,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,UHC MEDICARE,UHC MEDICARE,,188.57,,fee schedule,188.57,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,AETNA,AETNA,,421.95,87,percent of total billed charges,421.95,188.57,485,percent of total billed charges,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.95,87,percent of total billed charges,421.95,188.57,485,percent of total billed charges,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,UNITED HEALTHCARE,UNITED HEALTHCARE,,426.8,88,percent of total billed charges,426.8,188.57,485,percent of total billed charges,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,AETNA,AETNA,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,BEECH STREET,BEECH STREET,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,CARESOURCE,CARESOURCE,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,MEDICAID,MEDICAID,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,NOVA NET,NOVA NET,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,PEACHSTATE,PEACHSTATE,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,SELFPAY,SELFPAY,,485,,fee schedule,485,188.57,485,fee schedule,
CHROMOSOME ANALYSIS AMNI,88267,CPT,both,,,485,485,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,485,,fee schedule,485,188.57,485,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,ALLIANT,ALLIANT,,286.54,,fee schedule,286.54,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,AMBETTER,AMBETTER,,225.76,,fee schedule,225.76,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,AMERIGROUP,AMERIGROUP,,219.6,,fee schedule,219.6,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,CARESOURCE,CARESOURCE,,223.78,,fee schedule,223.78,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,MEDICARE,MEDICARE,,173.66,,fee schedule,173.66,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,PEACHSTATE,PEACHSTATE,,209.14,,fee schedule,209.14,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,TRICARE,TRICARE,,173.66,,fee schedule,173.66,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,UHC MEDICARE,UHC MEDICARE,,173.66,,fee schedule,173.66,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,AETNA,AETNA,,427.17,87,percent of total billed charges,427.17,173.66,491,percent of total billed charges,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,427.17,87,percent of total billed charges,427.17,173.66,491,percent of total billed charges,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,UNITED HEALTHCARE,UNITED HEALTHCARE,,432.08,88,percent of total billed charges,432.08,173.66,491,percent of total billed charges,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,AETNA,AETNA,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,BEECH STREET,BEECH STREET,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,CARESOURCE,CARESOURCE,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,MEDICAID,MEDICAID,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,NOVA NET,NOVA NET,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,PEACHSTATE,PEACHSTATE,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,SELFPAY,SELFPAY,,491,,fee schedule,491,173.66,491,fee schedule,
"CHROMOSOME ANALYSIS,AMNI FLUID",88269,CPT,both,,,491,491,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,491,,fee schedule,491,173.66,491,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,ALLIANT,ALLIANT,,35.34,,fee schedule,35.34,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AMBETTER,AMBETTER,,27.85,,fee schedule,27.85,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AMERIGROUP,AMERIGROUP,,28.29,,fee schedule,28.29,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,28.83,,fee schedule,28.83,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,MEDICARE,MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,26.94,,fee schedule,26.94,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,TRICARE,TRICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,UHC MEDICARE,UHC MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AETNA,AETNA,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,UNITED HEALTHCARE,UNITED HEALTHCARE,,337.04,88,percent of total billed charges,337.04,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AETNA,AETNA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,BEECH STREET,BEECH STREET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,MEDICAID,MEDICAID,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,NOVA NET,NOVA NET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,SELFPAY,SELFPAY,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,ALLIANT,ALLIANT,,35.34,,fee schedule,35.34,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AMBETTER,AMBETTER,,27.85,,fee schedule,27.85,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AMERIGROUP,AMERIGROUP,,28.29,,fee schedule,28.29,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,28.83,,fee schedule,28.83,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,MEDICARE,MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,26.94,,fee schedule,26.94,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,TRICARE,TRICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,UHC MEDICARE,UHC MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AETNA,AETNA,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,UNITED HEALTHCARE,UNITED HEALTHCARE,,337.04,88,percent of total billed charges,337.04,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,AETNA,AETNA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,BEECH STREET,BEECH STREET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,MEDICAID,MEDICAID,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,NOVA NET,NOVA NET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,SELFPAY,SELFPAY,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS,88271,CPT,both,,,383,383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,ALLIANT,ALLIANT,,35.34,,fee schedule,35.34,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,AMBETTER,AMBETTER,,27.85,,fee schedule,27.85,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,AMERIGROUP,AMERIGROUP,,28.29,,fee schedule,28.29,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,28.83,,fee schedule,28.83,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,MEDICARE,MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,26.94,,fee schedule,26.94,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,TRICARE,TRICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,UHC MEDICARE,UHC MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,AETNA,AETNA,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,UNITED HEALTHCARE,UNITED HEALTHCARE,,337.04,88,percent of total billed charges,337.04,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,AETNA,AETNA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,BEECH STREET,BEECH STREET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,MEDICAID,MEDICAID,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,NOVA NET,NOVA NET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,SELFPAY,SELFPAY,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS D,88271,CPT,both,,,383,383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,ALLIANT,ALLIANT,,35.34,,fee schedule,35.34,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,AMBETTER,AMBETTER,,27.85,,fee schedule,27.85,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,AMERIGROUP,AMERIGROUP,,28.29,,fee schedule,28.29,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,28.83,,fee schedule,28.83,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,MEDICARE,MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,26.94,,fee schedule,26.94,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,TRICARE,TRICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,UHC MEDICARE,UHC MEDICARE,,21.42,,fee schedule,21.42,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,AETNA,AETNA,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333.21,87,percent of total billed charges,333.21,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,UNITED HEALTHCARE,UNITED HEALTHCARE,,337.04,88,percent of total billed charges,337.04,21.42,383,percent of total billed charges,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,AETNA,AETNA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,BEECH STREET,BEECH STREET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,MEDICAID,MEDICAID,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,NOVA NET,NOVA NET,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,SELFPAY,SELFPAY,,383,,fee schedule,383,21.42,383,fee schedule,
MOLECULAR CYTOGENETICS-CLL PAN,88271,CPT,both,,,383,383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,383,,fee schedule,383,21.42,383,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,ALLIANT,ALLIANT,,57.44,,fee schedule,57.44,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,AMBETTER,AMBETTER,,45.25,,fee schedule,45.25,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,AMERIGROUP,AMERIGROUP,,42.42,,fee schedule,42.42,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,43.23,,fee schedule,43.23,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,MEDICARE,MEDICARE,,34.81,,fee schedule,34.81,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,40.4,,fee schedule,40.4,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,TRICARE,TRICARE,,34.81,,fee schedule,34.81,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,UHC MEDICARE,UHC MEDICARE,,34.81,,fee schedule,34.81,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,AETNA,AETNA,,143.55,87,percent of total billed charges,143.55,34.81,165,percent of total billed charges,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143.55,87,percent of total billed charges,143.55,34.81,165,percent of total billed charges,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,UNITED HEALTHCARE,UNITED HEALTHCARE,,145.2,88,percent of total billed charges,145.2,34.81,165,percent of total billed charges,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,AETNA,AETNA,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,BEECH STREET,BEECH STREET,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,MEDICAID,MEDICAID,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,NOVA NET,NOVA NET,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,SELFPAY,SELFPAY,,165,,fee schedule,165,34.81,165,fee schedule,
CYTOGENETICS 10-30 CELLS,88273,CPT,both,,,165,165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,165,,fee schedule,165,34.81,165,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,ALLIANT,ALLIANT,,69.93,,fee schedule,69.93,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,AMBETTER,AMBETTER,,55.09,,fee schedule,55.09,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,AMERIGROUP,AMERIGROUP,,45.96,,fee schedule,45.96,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,46.83,,fee schedule,46.83,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,MEDICARE,MEDICARE,,42.38,,fee schedule,42.38,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,43.77,,fee schedule,43.77,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,TRICARE,TRICARE,,42.38,,fee schedule,42.38,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,UHC MEDICARE,UHC MEDICARE,,42.38,,fee schedule,42.38,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,AETNA,AETNA,,294.93,87,percent of total billed charges,294.93,42.38,339,percent of total billed charges,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.93,87,percent of total billed charges,294.93,42.38,339,percent of total billed charges,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,UNITED HEALTHCARE,UNITED HEALTHCARE,,298.32,88,percent of total billed charges,298.32,42.38,339,percent of total billed charges,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,AETNA,AETNA,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,BEECH STREET,BEECH STREET,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,CARESOURCE,CARESOURCE,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,MEDICAID,MEDICAID,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,NOVA NET,NOVA NET,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,PEACHSTATE,PEACHSTATE,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,SELFPAY,SELFPAY,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE IN SITU HYBRID,88274,CPT,both,,,339,339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,339,,fee schedule,339,42.38,339,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,ALLIANT,ALLIANT,,84.46,,fee schedule,84.46,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,AMBETTER,AMBETTER,,66.55,,fee schedule,66.55,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,AMERIGROUP,AMERIGROUP,,53.03,,fee schedule,53.03,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,54.04,,fee schedule,54.04,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,MEDICARE,MEDICARE,,51.19,,fee schedule,51.19,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,50.5,,fee schedule,50.5,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,TRICARE,TRICARE,,51.19,,fee schedule,51.19,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,UHC MEDICARE,UHC MEDICARE,,51.19,,fee schedule,51.19,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,AETNA,AETNA,,286.23,87,percent of total billed charges,286.23,50.5,329,percent of total billed charges,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286.23,87,percent of total billed charges,286.23,50.5,329,percent of total billed charges,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,UNITED HEALTHCARE,UNITED HEALTHCARE,,289.52,88,percent of total billed charges,289.52,50.5,329,percent of total billed charges,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,AETNA,AETNA,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,BEECH STREET,BEECH STREET,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,MEDICAID,MEDICAID,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,NOVA NET,NOVA NET,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,SELFPAY,SELFPAY,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,329,329,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,ALLIANT,ALLIANT,,84.46,,fee schedule,84.46,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,AMBETTER,AMBETTER,,66.55,,fee schedule,66.55,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,AMERIGROUP,AMERIGROUP,,53.03,,fee schedule,53.03,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,CARESOURCE,CARESOURCE,,54.04,,fee schedule,54.04,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,MEDICARE,MEDICARE,,51.19,,fee schedule,51.19,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,PEACHSTATE,PEACHSTATE,,50.5,,fee schedule,50.5,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,TRICARE,TRICARE,,51.19,,fee schedule,51.19,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,UHC MEDICARE,UHC MEDICARE,,51.19,,fee schedule,51.19,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,AETNA,AETNA,,638.58,87,percent of total billed charges,638.58,50.5,734,percent of total billed charges,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,638.58,87,percent of total billed charges,638.58,50.5,734,percent of total billed charges,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,UNITED HEALTHCARE,UNITED HEALTHCARE,,645.92,88,percent of total billed charges,645.92,50.5,734,percent of total billed charges,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,AETNA,AETNA,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,BEECH STREET,BEECH STREET,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,CARESOURCE,CARESOURCE,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,MEDICAID,MEDICAID,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,NOVA NET,NOVA NET,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,PEACHSTATE,PEACHSTATE,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,SELFPAY,SELFPAY,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION,88275,CPT,both,,,734,734,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,734,,fee schedule,734,50.5,734,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,ALLIANT,ALLIANT,,84.46,,fee schedule,84.46,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,AMBETTER,AMBETTER,,66.55,,fee schedule,66.55,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,AMERIGROUP,AMERIGROUP,,53.03,,fee schedule,53.03,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,54.04,,fee schedule,54.04,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,MEDICARE,MEDICARE,,51.19,,fee schedule,51.19,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,50.5,,fee schedule,50.5,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,TRICARE,TRICARE,,51.19,,fee schedule,51.19,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,UHC MEDICARE,UHC MEDICARE,,51.19,,fee schedule,51.19,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,AETNA,AETNA,,286.23,87,percent of total billed charges,286.23,50.5,329,percent of total billed charges,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286.23,87,percent of total billed charges,286.23,50.5,329,percent of total billed charges,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,UNITED HEALTHCARE,UNITED HEALTHCARE,,289.52,88,percent of total billed charges,289.52,50.5,329,percent of total billed charges,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,AETNA,AETNA,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,BEECH STREET,BEECH STREET,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,MEDICAID,MEDICAID,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,NOVA NET,NOVA NET,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,SELFPAY,SELFPAY,,329,,fee schedule,329,50.5,329,fee schedule,
INTERPHASE HYBRIDIZATION-CLL,88275,CPT,both,,,329,329,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,329,,fee schedule,329,50.5,329,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,ALLIANT,ALLIANT,,55.23,,fee schedule,55.23,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,AMBETTER,AMBETTER,,43.51,,fee schedule,43.51,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,AMERIGROUP,AMERIGROUP,,33.14,,fee schedule,33.14,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,CARESOURCE,CARESOURCE,,33.77,,fee schedule,33.77,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,MEDICARE,MEDICARE,,33.47,,fee schedule,33.47,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,PEACHSTATE,PEACHSTATE,,31.56,,fee schedule,31.56,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,TRICARE,TRICARE,,33.47,,fee schedule,33.47,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,UHC MEDICARE,UHC MEDICARE,,33.47,,fee schedule,33.47,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,AETNA,AETNA,,232.29,87,percent of total billed charges,232.29,31.56,267,percent of total billed charges,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232.29,87,percent of total billed charges,232.29,31.56,267,percent of total billed charges,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.96,88,percent of total billed charges,234.96,31.56,267,percent of total billed charges,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,AETNA,AETNA,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,BEECH STREET,BEECH STREET,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,CARESOURCE,CARESOURCE,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,MEDICAID,MEDICAID,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,NOVA NET,NOVA NET,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,PEACHSTATE,PEACHSTATE,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,SELFPAY,SELFPAY,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARY0TYPE,88280,CPT,both,,,267,267,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,267,,fee schedule,267,31.56,267,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,ALLIANT,ALLIANT,,55.23,,fee schedule,55.23,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,AMBETTER,AMBETTER,,43.51,,fee schedule,43.51,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,AMERIGROUP,AMERIGROUP,,33.14,,fee schedule,33.14,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,33.77,,fee schedule,33.77,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,MEDICARE,MEDICARE,,33.47,,fee schedule,33.47,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,31.56,,fee schedule,31.56,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,TRICARE,TRICARE,,33.47,,fee schedule,33.47,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,33.47,,fee schedule,33.47,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,31.56,128,percent of total billed charges,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,31.56,128,percent of total billed charges,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,31.56,128,percent of total billed charges,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ADD KARYOTYPE,88280,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,ALLIANT,ALLIANT,,55.23,,fee schedule,55.23,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,AMBETTER,AMBETTER,,43.51,,fee schedule,43.51,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,AMERIGROUP,AMERIGROUP,,33.14,,fee schedule,33.14,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,33.77,,fee schedule,33.77,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,MEDICARE,MEDICARE,,33.47,,fee schedule,33.47,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,31.56,,fee schedule,31.56,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,TRICARE,TRICARE,,33.47,,fee schedule,33.47,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,33.47,,fee schedule,33.47,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,31.56,128,percent of total billed charges,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,31.56,128,percent of total billed charges,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,31.56,128,percent of total billed charges,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS + KARYOTYP,88280,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,31.56,128,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,ALLIANT,ALLIANT,,44.4,,fee schedule,44.4,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,AMBETTER,AMBETTER,,34.98,,fee schedule,34.98,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,AMERIGROUP,AMERIGROUP,,25.08,,fee schedule,25.08,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,25.56,,fee schedule,25.56,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,MEDICARE,MEDICARE,,26.91,,fee schedule,26.91,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,23.89,,fee schedule,23.89,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,TRICARE,TRICARE,,26.91,,fee schedule,26.91,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,26.91,,fee schedule,26.91,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,23.89,109,percent of total billed charges,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,23.89,109,percent of total billed charges,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,23.89,109,percent of total billed charges,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,23.89,109,fee schedule,
CHROMOSOME ANALYSIS ADD,88285,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,23.89,109,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,ALLIANT,ALLIANT,,56.81,,fee schedule,56.81,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,AMBETTER,AMBETTER,,44.76,,fee schedule,44.76,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,AMERIGROUP,AMERIGROUP,,45.47,,fee schedule,45.47,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,46.33,,fee schedule,46.33,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,MEDICARE,MEDICARE,,34.43,,fee schedule,34.43,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,43.3,,fee schedule,43.3,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,TRICARE,TRICARE,,34.43,,fee schedule,34.43,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,34.43,,fee schedule,34.43,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,34.43,98,percent of total billed charges,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,34.43,98,percent of total billed charges,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,34.43,98,percent of total billed charges,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,34.43,98,fee schedule,
"CHROMOSOME STUDY, ADD'L",88289,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,34.43,98,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,26.66,,fee schedule,26.66,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,27.17,,fee schedule,27.17,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,25.39,,fee schedule,25.39,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,25.39,232,percent of total billed charges,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,25.39,232,percent of total billed charges,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,25.39,232,percent of total billed charges,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,ALLIANT,ALLIANT,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,AMBETTER,AMBETTER,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,MEDICARE,MEDICARE,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,TRICARE,TRICARE,,232,,fee schedule,232,25.39,232,fee schedule,
CYTOGENETICS-INTERPRET/RE,88291,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,232,,fee schedule,232,25.39,232,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,AMERIGROUP,AMERIGROUP,,26.66,,fee schedule,26.66,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,27.17,,fee schedule,27.17,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,25.39,,fee schedule,25.39,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,25.39,276,percent of total billed charges,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,25.39,276,percent of total billed charges,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,25.39,276,percent of total billed charges,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,ALLIANT,ALLIANT,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,AMBETTER,AMBETTER,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,MEDICARE,MEDICARE,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,TRICARE,TRICARE,,276,,fee schedule,276,25.39,276,fee schedule,
INTERPRETATION AND REPORT,88291,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,276,,fee schedule,276,25.39,276,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,9.4,,fee schedule,9.4,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,15.02,,fee schedule,15.02,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,5.62,,fee schedule,5.62,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,9.58,,fee schedule,9.58,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,15.3,,fee schedule,15.3,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,5.72,,fee schedule,5.72,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,8.95,,fee schedule,8.95,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,14.3,,fee schedule,14.3,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,5.35,,fee schedule,5.35,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,TRICARE,TRICARE,,24.96,,fee schedule,24.96,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,5.35,84,percent of total billed charges,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,5.35,84,percent of total billed charges,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,5.35,84,percent of total billed charges,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHOLOGYGROSS,88300,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,5.35,84,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,AMERIGROUP,AMERIGROUP,,28.21,,fee schedule,28.21,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,AMERIGROUP,AMERIGROUP,,36.81,,fee schedule,36.81,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,AMERIGROUP,AMERIGROUP,,8.6,,fee schedule,8.6,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,28.75,,fee schedule,28.75,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,37.51,,fee schedule,37.51,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,8.76,,fee schedule,8.76,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,26.87,,fee schedule,26.87,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,35.06,,fee schedule,35.06,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,8.19,,fee schedule,8.19,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,TRICARE,TRICARE,,24.96,,fee schedule,24.96,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,AETNA,AETNA,,182.7,87,percent of total billed charges,182.7,8.19,210,percent of total billed charges,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182.7,87,percent of total billed charges,182.7,8.19,210,percent of total billed charges,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,UNITED HEALTHCARE,UNITED HEALTHCARE,,184.8,88,percent of total billed charges,184.8,8.19,210,percent of total billed charges,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,AETNA,AETNA,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,BEECH STREET,BEECH STREET,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,MEDICAID,MEDICAID,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,NOVA NET,NOVA NET,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,SELFPAY,SELFPAY,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICAL PATHGROSS&MICRO,88302,CPT,both,,,210,210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,210,,fee schedule,210,8.19,210,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,31.69,,fee schedule,31.69,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,AMERIGROUP,AMERIGROUP,,13.58,,fee schedule,13.58,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,32.29,,fee schedule,32.29,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,13.84,,fee schedule,13.84,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,30.18,,fee schedule,30.18,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,12.93,,fee schedule,12.93,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,TRICARE,TRICARE,,50.14,,fee schedule,50.14,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,AETNA,AETNA,,220.98,87,percent of total billed charges,220.98,12.93,254,percent of total billed charges,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.98,87,percent of total billed charges,220.98,12.93,254,percent of total billed charges,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,UNITED HEALTHCARE,UNITED HEALTHCARE,,223.52,88,percent of total billed charges,223.52,12.93,254,percent of total billed charges,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,AETNA,AETNA,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,BEECH STREET,BEECH STREET,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CARESOURCE,CARESOURCE,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,MEDICAID,MEDICAID,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,NOVA NET,NOVA NET,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,PEACHSTATE,PEACHSTATE,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,SELFPAY,SELFPAY,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICALS-GROSS&MICRO EXA,88304,CPT,both,,,254,254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,254,,fee schedule,254,12.93,254,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,28.52,,fee schedule,28.52,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,69.17,,fee schedule,69.17,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,40.66,,fee schedule,40.66,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,29.06,,fee schedule,29.06,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,70.49,,fee schedule,70.49,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,41.43,,fee schedule,41.43,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,27.16,,fee schedule,27.16,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,65.88,,fee schedule,65.88,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,38.72,,fee schedule,38.72,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,TRICARE,TRICARE,,50.14,,fee schedule,50.14,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,27.16,297,percent of total billed charges,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,27.16,297,percent of total billed charges,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,27.16,297,percent of total billed charges,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,28.52,,fee schedule,28.52,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,69.17,,fee schedule,69.17,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,40.66,,fee schedule,40.66,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,29.06,,fee schedule,29.06,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,70.49,,fee schedule,70.49,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,41.43,,fee schedule,41.43,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,27.16,,fee schedule,27.16,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,65.88,,fee schedule,65.88,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,38.72,,fee schedule,38.72,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,TRICARE,TRICARE,,50.14,,fee schedule,50.14,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,27.16,297,percent of total billed charges,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,27.16,297,percent of total billed charges,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,27.16,297,percent of total billed charges,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,27.16,297,fee schedule,
SURGICAL PATH GROSS & EXA,88305,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,27.16,297,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,60.09,,fee schedule,60.09,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,139.97,,fee schedule,139.97,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,AMERIGROUP,AMERIGROUP,,79.87,,fee schedule,79.87,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,61.24,,fee schedule,61.24,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,142.63,,fee schedule,142.63,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,81.39,,fee schedule,81.39,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,57.23,,fee schedule,57.23,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,133.3,,fee schedule,133.3,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,76.07,,fee schedule,76.07,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,TRICARE,TRICARE,,324.11,,fee schedule,324.11,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,AETNA,AETNA,,296.67,87,percent of total billed charges,296.67,57.23,534.78,percent of total billed charges,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296.67,87,percent of total billed charges,296.67,57.23,534.78,percent of total billed charges,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.08,88,percent of total billed charges,300.08,57.23,534.78,percent of total billed charges,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,AETNA,AETNA,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,BEECH STREET,BEECH STREET,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CARESOURCE,CARESOURCE,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,MEDICAID,MEDICAID,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,NOVA NET,NOVA NET,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,PEACHSTATE,PEACHSTATE,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,SELFPAY,SELFPAY,,341,,fee schedule,341,57.23,534.78,fee schedule,
MULTIPLE COMPLICATED SPEC,88307,CPT,both,,,341,341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,341,,fee schedule,341,57.23,534.78,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,ALLIANT,ALLIANT,,1281.24,,fee schedule,1281.24,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,AMBETTER,AMBETTER,,1009.46,,fee schedule,1009.46,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,85.34,,fee schedule,85.34,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,197.17,,fee schedule,197.17,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,AMERIGROUP,AMERIGROUP,,111.84,,fee schedule,111.84,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,86.97,,fee schedule,86.97,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,200.92,,fee schedule,200.92,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,113.97,,fee schedule,113.97,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,MEDICARE,MEDICARE,,776.51,,fee schedule,776.51,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,81.28,,fee schedule,81.28,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,187.78,,fee schedule,187.78,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,106.51,,fee schedule,106.51,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,TRICARE,TRICARE,,776.51,,fee schedule,776.51,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,UHC MEDICARE,UHC MEDICARE,,776.51,,fee schedule,776.51,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,AETNA,AETNA,,339.3,87,percent of total billed charges,339.3,81.28,1281.24,percent of total billed charges,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,339.3,87,percent of total billed charges,339.3,81.28,1281.24,percent of total billed charges,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,UNITED HEALTHCARE,UNITED HEALTHCARE,,343.2,88,percent of total billed charges,343.2,81.28,1281.24,percent of total billed charges,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,AETNA,AETNA,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,BEECH STREET,BEECH STREET,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CARESOURCE,CARESOURCE,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,MEDICAID,MEDICAID,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,NOVA NET,NOVA NET,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,PEACHSTATE,PEACHSTATE,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,SELFPAY,SELFPAY,,390,,fee schedule,390,81.28,1281.24,fee schedule,
COMP DIAGNOSTIC PROBLEM,88309,CPT,both,,,390,390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,390,,fee schedule,390,81.28,1281.24,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,4,,fee schedule,4,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,16.22,,fee schedule,16.22,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,16.53,,fee schedule,16.53,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,3.81,,fee schedule,3.81,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,15.45,,fee schedule,15.45,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,3.81,61,percent of total billed charges,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,3.81,61,percent of total billed charges,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,3.81,61,percent of total billed charges,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,ALLIANT,ALLIANT,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMBETTER,AMBETTER,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,MEDICARE,MEDICARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,TRICARE,TRICARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,4,,fee schedule,4,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,16.22,,fee schedule,16.22,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,16.53,,fee schedule,16.53,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,3.81,,fee schedule,3.81,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,15.45,,fee schedule,15.45,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,3.81,61,percent of total billed charges,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,3.81,61,percent of total billed charges,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,3.81,61,percent of total billed charges,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,ALLIANT,ALLIANT,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,AMBETTER,AMBETTER,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,MEDICARE,MEDICARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,TRICARE,TRICARE,,61,,fee schedule,61,3.81,61,fee schedule,
DECALCIFICATION PROCEDURE,88311,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,61,,fee schedule,61,3.81,61,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,AMERIGROUP,AMERIGROUP,,20.83,,fee schedule,20.83,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,AMERIGROUP,AMERIGROUP,,45.56,,fee schedule,45.56,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,AMERIGROUP,AMERIGROUP,,24.72,,fee schedule,24.72,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,21.23,,fee schedule,21.23,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,46.43,,fee schedule,46.43,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,25.19,,fee schedule,25.19,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,19.84,,fee schedule,19.84,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,43.39,,fee schedule,43.39,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,23.54,,fee schedule,23.54,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,TRICARE,TRICARE,,50.14,,fee schedule,50.14,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,AETNA,AETNA,,176.61,87,percent of total billed charges,176.61,19.84,203,percent of total billed charges,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176.61,87,percent of total billed charges,176.61,19.84,203,percent of total billed charges,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,UNITED HEALTHCARE,UNITED HEALTHCARE,,178.64,88,percent of total billed charges,178.64,19.84,203,percent of total billed charges,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,AETNA,AETNA,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,BEECH STREET,BEECH STREET,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,MEDICAID,MEDICAID,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,NOVA NET,NOVA NET,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,SELFPAY,SELFPAY,,203,,fee schedule,203,19.84,203,fee schedule,
MRP88312TC SPECIAL TISSUE STAI,88312,CPT,both,,,203,203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,AMERIGROUP,AMERIGROUP,,20.83,,fee schedule,20.83,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,AMERIGROUP,AMERIGROUP,,45.56,,fee schedule,45.56,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,AMERIGROUP,AMERIGROUP,,24.72,,fee schedule,24.72,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,21.23,,fee schedule,21.23,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,46.43,,fee schedule,46.43,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,25.19,,fee schedule,25.19,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,19.84,,fee schedule,19.84,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,43.39,,fee schedule,43.39,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,23.54,,fee schedule,23.54,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,TRICARE,TRICARE,,50.14,,fee schedule,50.14,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,AETNA,AETNA,,176.61,87,percent of total billed charges,176.61,19.84,203,percent of total billed charges,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176.61,87,percent of total billed charges,176.61,19.84,203,percent of total billed charges,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,UNITED HEALTHCARE,UNITED HEALTHCARE,,178.64,88,percent of total billed charges,178.64,19.84,203,percent of total billed charges,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,AETNA,AETNA,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,BEECH STREET,BEECH STREET,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,MEDICAID,MEDICAID,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,NOVA NET,NOVA NET,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,SELFPAY,SELFPAY,,203,,fee schedule,203,19.84,203,fee schedule,
SPECIAL STAINS GROUP I,88312,CPT,both,,,203,203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,203,,fee schedule,203,19.84,203,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,34.97,,fee schedule,34.97,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,47.16,,fee schedule,47.16,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,35.63,,fee schedule,35.63,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,48.05,,fee schedule,48.05,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,33.3,,fee schedule,33.3,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,44.91,,fee schedule,44.91,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,TRICARE,TRICARE,,33.96,,fee schedule,33.96,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,11.62,70,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,11.62,70,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,11.62,70,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,11.62,70,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,34.97,,fee schedule,34.97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,47.16,,fee schedule,47.16,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,35.63,,fee schedule,35.63,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,48.05,,fee schedule,48.05,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,33.3,,fee schedule,33.3,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,44.91,,fee schedule,44.91,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,TRICARE,TRICARE,,33.96,,fee schedule,33.96,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,11.62,97,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,11.62,97,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,11.62,97,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,34.97,,fee schedule,34.97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,47.16,,fee schedule,47.16,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,35.63,,fee schedule,35.63,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,48.05,,fee schedule,48.05,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,33.3,,fee schedule,33.3,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,44.91,,fee schedule,44.91,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,TRICARE,TRICARE,,33.96,,fee schedule,33.96,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,11.62,97,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,11.62,97,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,11.62,97,percent of total billed charges,
GROUP II STAINS,88313,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,11.62,97,fee schedule,
GROUP II STAINS,88313,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,11.62,97,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,AMERIGROUP,AMERIGROUP,,34.97,,fee schedule,34.97,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,AMERIGROUP,AMERIGROUP,,47.16,,fee schedule,47.16,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,35.63,,fee schedule,35.63,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,48.05,,fee schedule,48.05,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,33.3,,fee schedule,33.3,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,44.91,,fee schedule,44.91,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,TRICARE,TRICARE,,33.96,,fee schedule,33.96,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,AETNA,AETNA,,401.07,87,percent of total billed charges,401.07,11.62,461,percent of total billed charges,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.07,87,percent of total billed charges,401.07,11.62,461,percent of total billed charges,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,UNITED HEALTHCARE,UNITED HEALTHCARE,,405.68,88,percent of total billed charges,405.68,11.62,461,percent of total billed charges,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,AETNA,AETNA,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,BEECH STREET,BEECH STREET,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,MEDICAID,MEDICAID,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,NOVA NET,NOVA NET,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,SELFPAY,SELFPAY,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS X4,88313,CPT,both,,,461,461,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,461,,fee schedule,461,11.62,461,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,34.97,,fee schedule,34.97,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,47.16,,fee schedule,47.16,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,12.2,,fee schedule,12.2,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,35.63,,fee schedule,35.63,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,48.05,,fee schedule,48.05,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,12.43,,fee schedule,12.43,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,33.3,,fee schedule,33.3,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,44.91,,fee schedule,44.91,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,11.62,,fee schedule,11.62,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,TRICARE,TRICARE,,33.96,,fee schedule,33.96,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,11.62,161,percent of total billed charges,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,11.62,161,percent of total billed charges,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,11.62,161,percent of total billed charges,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,11.62,161,fee schedule,
SPECIAL STAINS-GROUP II,88313,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,11.62,161,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,68.25,,fee schedule,68.25,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,93.05,,fee schedule,93.05,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,24.8,,fee schedule,24.8,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,69.55,,fee schedule,69.55,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,94.82,,fee schedule,94.82,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,25.27,,fee schedule,25.27,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,88.62,,fee schedule,88.62,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,23.62,,fee schedule,23.62,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,23.62,218,percent of total billed charges,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,23.62,218,percent of total billed charges,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,23.62,218,percent of total billed charges,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,ALLIANT,ALLIANT,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,AMBETTER,AMBETTER,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,MEDICARE,MEDICARE,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,TRICARE,TRICARE,,218,,fee schedule,218,23.62,218,fee schedule,
HISTO STAIN FROZ TISSUE,88314,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,218,,fee schedule,218,23.62,218,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,ALLIANT,ALLIANT,,1281.24,,fee schedule,1281.24,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,AMBETTER,AMBETTER,,1009.46,,fee schedule,1009.46,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,64.55,,fee schedule,64.55,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,90.96,,fee schedule,90.96,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,26.41,,fee schedule,26.41,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,65.78,,fee schedule,65.78,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,92.69,,fee schedule,92.69,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,26.91,,fee schedule,26.91,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,MEDICARE,MEDICARE,,776.51,,fee schedule,776.51,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,61.48,,fee schedule,61.48,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,86.63,,fee schedule,86.63,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,25.15,,fee schedule,25.15,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,TRICARE,TRICARE,,776.51,,fee schedule,776.51,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,776.51,,fee schedule,776.51,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,25.15,1281.24,percent of total billed charges,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,25.15,1281.24,percent of total billed charges,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,25.15,1281.24,percent of total billed charges,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MUSCLE HISTOCHEMICAL STAI,88319,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,25.15,1281.24,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,AMERIGROUP,AMERIGROUP,,61.97,,fee schedule,61.97,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,63.15,,fee schedule,63.15,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,59.02,,fee schedule,59.02,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,TRICARE,TRICARE,,33.96,,fee schedule,33.96,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,33.96,361,percent of total billed charges,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,33.96,361,percent of total billed charges,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,33.96,361,percent of total billed charges,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,33.96,361,fee schedule,
MICROSLIDE CONSULT,88321,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,33.96,361,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,34.93,,fee schedule,34.93,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,97.87,,fee schedule,97.87,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,62.93,,fee schedule,62.93,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,35.6,,fee schedule,35.6,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,99.73,,fee schedule,99.73,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,64.13,,fee schedule,64.13,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,33.27,,fee schedule,33.27,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,93.21,,fee schedule,93.21,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,59.93,,fee schedule,59.93,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,TRICARE,TRICARE,,50.14,,fee schedule,50.14,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,33.27,151,percent of total billed charges,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,33.27,151,percent of total billed charges,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,33.27,151,percent of total billed charges,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT REQ PREP OF SLIDE,88323,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,33.27,151,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,34.93,,fee schedule,34.93,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,97.87,,fee schedule,97.87,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,62.93,,fee schedule,62.93,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,35.6,,fee schedule,35.6,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,99.73,,fee schedule,99.73,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,64.13,,fee schedule,64.13,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,33.27,,fee schedule,33.27,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,93.21,,fee schedule,93.21,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,59.93,,fee schedule,59.93,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,TRICARE,TRICARE,,50.14,,fee schedule,50.14,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,33.27,159,percent of total billed charges,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,33.27,159,percent of total billed charges,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,33.27,159,percent of total billed charges,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,ALLIANT,ALLIANT,,82.73,,fee schedule,82.73,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMBETTER,AMBETTER,,65.18,,fee schedule,65.18,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,34.93,,fee schedule,34.93,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,97.87,,fee schedule,97.87,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,62.93,,fee schedule,62.93,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,35.6,,fee schedule,35.6,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,99.73,,fee schedule,99.73,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,64.13,,fee schedule,64.13,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,MEDICARE,MEDICARE,,50.14,,fee schedule,50.14,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,33.27,,fee schedule,33.27,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,93.21,,fee schedule,93.21,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,59.93,,fee schedule,59.93,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,TRICARE,TRICARE,,50.14,,fee schedule,50.14,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,50.14,,fee schedule,50.14,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,33.27,159,percent of total billed charges,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,33.27,159,percent of total billed charges,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,33.27,159,percent of total billed charges,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,33.27,159,fee schedule,
CONSULT W/SLIDE PREP - TC,88323,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,33.27,159,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,19.1,,fee schedule,19.1,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,78.5,,fee schedule,78.5,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,59.41,,fee schedule,59.41,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,19.46,,fee schedule,19.46,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,79.99,,fee schedule,79.99,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,60.54,,fee schedule,60.54,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,18.19,,fee schedule,18.19,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,74.76,,fee schedule,74.76,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,56.58,,fee schedule,56.58,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,TRICARE,TRICARE,,157.25,,fee schedule,157.25,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,18.19,259.46,percent of total billed charges,
FROZEN SECTION,88331,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,18.19,259.46,percent of total billed charges,
FROZEN SECTION,88331,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,18.19,259.46,percent of total billed charges,
FROZEN SECTION,88331,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,18.19,259.46,fee schedule,
FROZEN SECTION,88331,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,18.19,259.46,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,9.71,,fee schedule,9.71,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,39.41,,fee schedule,39.41,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,29.69,,fee schedule,29.69,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,9.9,,fee schedule,9.9,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,40.16,,fee schedule,40.16,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,30.26,,fee schedule,30.26,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,9.25,,fee schedule,9.25,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,37.53,,fee schedule,37.53,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,28.28,,fee schedule,28.28,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,9.25,40.16,percent of total billed charges,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,9.25,40.16,percent of total billed charges,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,9.25,40.16,percent of total billed charges,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,9.25,40.16,fee schedule,
ADDITIONAL BLOCK TISSUES/,88332,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,9.25,40.16,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,9.71,,fee schedule,9.71,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,39.41,,fee schedule,39.41,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,29.69,,fee schedule,29.69,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,9.9,,fee schedule,9.9,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,40.16,,fee schedule,40.16,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,30.26,,fee schedule,30.26,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,9.25,,fee schedule,9.25,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,37.53,,fee schedule,37.53,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,28.28,,fee schedule,28.28,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,9.25,114,percent of total billed charges,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,9.25,114,percent of total billed charges,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,9.25,114,percent of total billed charges,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,ALLIANT,ALLIANT,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,AMBETTER,AMBETTER,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,MEDICARE,MEDICARE,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,TRICARE,TRICARE,,114,,fee schedule,114,9.25,114,fee schedule,
FROZEN SECTION-ADDITIONAL,88332,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,114,,fee schedule,114,9.25,114,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,40.86,,fee schedule,40.86,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,60.25,,fee schedule,60.25,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,19.39,,fee schedule,19.39,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,41.63,,fee schedule,41.63,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,61.4,,fee schedule,61.4,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,19.76,,fee schedule,19.76,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,38.91,,fee schedule,38.91,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,57.38,,fee schedule,57.38,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,18.47,,fee schedule,18.47,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,ALLIANT,ALLIANT,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMBETTER,AMBETTER,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,MEDICARE,MEDICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,TRICARE,TRICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,40.86,,fee schedule,40.86,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,60.25,,fee schedule,60.25,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,19.39,,fee schedule,19.39,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,41.63,,fee schedule,41.63,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,61.4,,fee schedule,61.4,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,19.76,,fee schedule,19.76,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,38.91,,fee schedule,38.91,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,57.38,,fee schedule,57.38,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,18.47,,fee schedule,18.47,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,ALLIANT,ALLIANT,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMBETTER,AMBETTER,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,MEDICARE,MEDICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,TRICARE,TRICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,40.86,,fee schedule,40.86,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,60.25,,fee schedule,60.25,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,19.39,,fee schedule,19.39,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,41.63,,fee schedule,41.63,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,61.4,,fee schedule,61.4,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,19.76,,fee schedule,19.76,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,38.91,,fee schedule,38.91,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,57.38,,fee schedule,57.38,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,18.47,,fee schedule,18.47,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,18.47,200,percent of total billed charges,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,ALLIANT,ALLIANT,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,AMBETTER,AMBETTER,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,MEDICARE,MEDICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,TRICARE,TRICARE,,200,,fee schedule,200,18.47,200,fee schedule,
IHC EACH ADD'L AB STAIN,88341,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,200,,fee schedule,200,18.47,200,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,32.64,297,percent of total billed charges,
BER-EP4 IHC,88342,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,32.64,297,percent of total billed charges,
BER-EP4 IHC,88342,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,32.64,297,percent of total billed charges,
BER-EP4 IHC,88342,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,32.64,297,fee schedule,
BER-EP4 IHC,88342,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,32.64,297,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,32.64,259.46,percent of total billed charges,
EGFR IHC - TC,88342,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,32.64,259.46,percent of total billed charges,
EGFR IHC - TC,88342,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,32.64,259.46,percent of total billed charges,
EGFR IHC - TC,88342,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,32.64,259.46,fee schedule,
EGFR IHC - TC,88342,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,32.64,259.46,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,32.64,297,percent of total billed charges,
H PYLORI IHC,88342,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,32.64,297,percent of total billed charges,
H PYLORI IHC,88342,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,32.64,297,percent of total billed charges,
H PYLORI IHC,88342,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,32.64,297,fee schedule,
H PYLORI IHC,88342,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,32.64,297,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,32.64,259.46,percent of total billed charges,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,32.64,259.46,fee schedule,
IHC INITIAL AB STAIN,88342,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,32.64,259.46,percent of total billed charges,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,32.64,259.46,percent of total billed charges,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,32.64,259.46,percent of total billed charges,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOHISTOCHEMICAL STAIN,88342,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,32.64,259.46,percent of total billed charges,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,32.64,259.46,percent of total billed charges,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,32.64,259.46,percent of total billed charges,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,32.64,259.46,fee schedule,
IMMUNOPEROXIDASE - TC,88342,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,32.64,259.46,percent of total billed charges,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,32.64,259.46,percent of total billed charges,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,32.64,259.46,percent of total billed charges,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,32.64,259.46,fee schedule,
MLH6 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,32.64,259.46,percent of total billed charges,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,32.64,259.46,fee schedule,
PD-1 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,34.27,,fee schedule,34.27,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,75.16,,fee schedule,75.16,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,40.9,,fee schedule,40.9,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,34.92,,fee schedule,34.92,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,76.59,,fee schedule,76.59,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,41.68,,fee schedule,41.68,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,32.64,,fee schedule,32.64,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,71.58,,fee schedule,71.58,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,38.95,,fee schedule,38.95,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,TRICARE,TRICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,32.64,259.46,percent of total billed charges,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,32.64,259.46,percent of total billed charges,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,32.64,259.46,fee schedule,
PMS2 IHC W/INTERPRETATION,88342,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,32.64,259.46,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,33.6,,fee schedule,33.6,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,74.48,,fee schedule,74.48,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,AMERIGROUP,AMERIGROUP,,40.89,,fee schedule,40.89,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,34.24,,fee schedule,34.24,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,75.9,,fee schedule,75.9,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,41.67,,fee schedule,41.67,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,70.93,,fee schedule,70.93,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,38.94,,fee schedule,38.94,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,TRICARE,TRICARE,,324.11,,fee schedule,324.11,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,32,534.78,percent of total billed charges,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,32,534.78,percent of total billed charges,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,32,534.78,percent of total billed charges,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST DIR,88346,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,33.6,,fee schedule,33.6,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,74.48,,fee schedule,74.48,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,AMERIGROUP,AMERIGROUP,,40.89,,fee schedule,40.89,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,34.24,,fee schedule,34.24,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,75.9,,fee schedule,75.9,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,41.67,,fee schedule,41.67,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,70.93,,fee schedule,70.93,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,38.94,,fee schedule,38.94,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,TRICARE,TRICARE,,324.11,,fee schedule,324.11,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,32,534.78,percent of total billed charges,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,32,534.78,percent of total billed charges,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,32,534.78,percent of total billed charges,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,32,534.78,fee schedule,
IMMUNOFLUORESCENT ST IND,88346,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,32,534.78,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,ALLIANT,ALLIANT,,1281.24,,fee schedule,1281.24,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,AMBETTER,AMBETTER,,1009.46,,fee schedule,1009.46,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,AMERIGROUP,AMERIGROUP,,293.44,,fee schedule,293.44,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,AMERIGROUP,AMERIGROUP,,83.64,,fee schedule,83.64,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,AMERIGROUP,AMERIGROUP,,209.8,,fee schedule,209.8,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CARESOURCE,CARESOURCE,,299.03,,fee schedule,299.03,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CARESOURCE,CARESOURCE,,85.24,,fee schedule,85.24,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CARESOURCE,CARESOURCE,,213.8,,fee schedule,213.8,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,MEDICARE,MEDICARE,,776.51,,fee schedule,776.51,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,PEACHSTATE,PEACHSTATE,,279.47,,fee schedule,279.47,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,PEACHSTATE,PEACHSTATE,,79.66,,fee schedule,79.66,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,PEACHSTATE,PEACHSTATE,,199.81,,fee schedule,199.81,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,TRICARE,TRICARE,,776.51,,fee schedule,776.51,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,UHC MEDICARE,UHC MEDICARE,,776.51,,fee schedule,776.51,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,AETNA,AETNA,,811.71,87,percent of total billed charges,811.71,79.66,1281.24,percent of total billed charges,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,811.71,87,percent of total billed charges,811.71,79.66,1281.24,percent of total billed charges,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,UNITED HEALTHCARE,UNITED HEALTHCARE,,821.04,88,percent of total billed charges,821.04,79.66,1281.24,percent of total billed charges,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,AETNA,AETNA,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,BEECH STREET,BEECH STREET,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CARESOURCE,CARESOURCE,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,MEDICAID,MEDICAID,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,NOVA NET,NOVA NET,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,PEACHSTATE,PEACHSTATE,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,SELFPAY,SELFPAY,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ELECTRON MICROSCOPY - TC,88348,CPT,both,,,933,933,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,933,,fee schedule,933,79.66,1281.24,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,44.03,434,percent of total billed charges,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,44.03,434,percent of total billed charges,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,44.03,434,percent of total billed charges,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,44.03,434,fee schedule,
ER/PR/HER2 IHC,88360,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,44.03,434,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,44.03,556,percent of total billed charges,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,44.03,556,fee schedule,
MORPHOMETRIC ANALYSIS TU,88360,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,44.03,556,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,44.03,434,percent of total billed charges,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,44.03,434,percent of total billed charges,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,44.03,434,percent of total billed charges,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,102.53,,fee schedule,102.53,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,56.3,,fee schedule,56.3,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,46.23,,fee schedule,46.23,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,104.49,,fee schedule,104.49,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,57.37,,fee schedule,57.37,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,47.11,,fee schedule,47.11,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,97.65,,fee schedule,97.65,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,53.62,,fee schedule,53.62,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,44.03,,fee schedule,44.03,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,TRICARE,TRICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,44.03,434,percent of total billed charges,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,44.03,434,percent of total billed charges,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,44.03,434,percent of total billed charges,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,44.03,434,fee schedule,
PD-L1 IHC W/INTERPRETATION,88360,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,44.03,434,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,128.39,,fee schedule,128.39,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,49.57,,fee schedule,49.57,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,78.81,,fee schedule,78.81,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,130.84,,fee schedule,130.84,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,50.51,,fee schedule,50.51,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,80.31,,fee schedule,80.31,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,122.28,,fee schedule,122.28,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,47.21,,fee schedule,47.21,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,75.06,,fee schedule,75.06,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,TRICARE,TRICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,47.21,534.78,percent of total billed charges,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,47.21,534.78,fee schedule,
ESTROGEN RECEPTOR TC,88361,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,128.39,,fee schedule,128.39,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,49.57,,fee schedule,49.57,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,78.81,,fee schedule,78.81,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,130.84,,fee schedule,130.84,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,50.51,,fee schedule,50.51,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,80.31,,fee schedule,80.31,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,122.28,,fee schedule,122.28,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,47.21,,fee schedule,47.21,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,75.06,,fee schedule,75.06,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,TRICARE,TRICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,47.21,534.78,percent of total billed charges,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,47.21,534.78,fee schedule,
HER-2/NEW IHC BREAST-TC,88361,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,128.39,,fee schedule,128.39,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,49.57,,fee schedule,49.57,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,78.81,,fee schedule,78.81,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,130.84,,fee schedule,130.84,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,50.51,,fee schedule,50.51,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,80.31,,fee schedule,80.31,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,122.28,,fee schedule,122.28,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,47.21,,fee schedule,47.21,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,75.06,,fee schedule,75.06,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,TRICARE,TRICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,47.21,534.78,percent of total billed charges,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,47.21,534.78,fee schedule,
KI67 (MIB-1)-TC,88361,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,128.39,,fee schedule,128.39,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,49.57,,fee schedule,49.57,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,78.81,,fee schedule,78.81,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,130.84,,fee schedule,130.84,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,50.51,,fee schedule,50.51,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,80.31,,fee schedule,80.31,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,122.28,,fee schedule,122.28,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,47.21,,fee schedule,47.21,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,75.06,,fee schedule,75.06,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,TRICARE,TRICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,47.21,534.78,percent of total billed charges,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,128.39,,fee schedule,128.39,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,49.57,,fee schedule,49.57,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,78.81,,fee schedule,78.81,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,130.84,,fee schedule,130.84,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,50.51,,fee schedule,50.51,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,80.31,,fee schedule,80.31,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,122.28,,fee schedule,122.28,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,47.21,,fee schedule,47.21,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,75.06,,fee schedule,75.06,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,TRICARE,TRICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,47.21,534.78,percent of total billed charges,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,47.21,534.78,fee schedule,
MORPHOMETRIC ANALYSIS~COM ASST,88361,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,128.39,,fee schedule,128.39,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,49.57,,fee schedule,49.57,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,AMERIGROUP,AMERIGROUP,,78.81,,fee schedule,78.81,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,130.84,,fee schedule,130.84,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,50.51,,fee schedule,50.51,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,80.31,,fee schedule,80.31,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,122.28,,fee schedule,122.28,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,47.21,,fee schedule,47.21,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,75.06,,fee schedule,75.06,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,TRICARE,TRICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,47.21,534.78,percent of total billed charges,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,47.21,534.78,percent of total billed charges,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,47.21,534.78,fee schedule,
PROGESTERONE RECEPTOR ~ T,88361,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,47.21,534.78,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,86.74,,fee schedule,86.74,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,24.16,,fee schedule,24.16,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,62.58,,fee schedule,62.58,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,88.39,,fee schedule,88.39,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,24.62,,fee schedule,24.62,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,63.77,,fee schedule,63.77,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,82.61,,fee schedule,82.61,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,23.01,,fee schedule,23.01,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,59.6,,fee schedule,59.6,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,23.01,187,percent of total billed charges,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,23.01,187,percent of total billed charges,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,23.01,187,percent of total billed charges,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH LOW RISK,88364,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,86.74,,fee schedule,86.74,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,24.16,,fee schedule,24.16,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,62.58,,fee schedule,62.58,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,88.39,,fee schedule,88.39,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,24.62,,fee schedule,24.62,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,63.77,,fee schedule,63.77,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,82.61,,fee schedule,82.61,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,23.01,,fee schedule,23.01,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,59.6,,fee schedule,59.6,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,23.01,187,percent of total billed charges,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,23.01,187,percent of total billed charges,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,23.01,187,percent of total billed charges,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,23.01,187,fee schedule,
NSITU HYBRIDIZATION (FISH),88364,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,23.01,187,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,92.59,,fee schedule,92.59,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,44.86,,fee schedule,44.86,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,47.73,,fee schedule,47.73,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,94.35,,fee schedule,94.35,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,45.71,,fee schedule,45.71,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,48.64,,fee schedule,48.64,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,88.18,,fee schedule,88.18,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,42.72,,fee schedule,42.72,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,45.46,,fee schedule,45.46,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,TRICARE,TRICARE,,157.25,,fee schedule,157.25,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,42.72,259.46,percent of total billed charges,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,42.72,259.46,percent of total billed charges,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,42.72,259.46,percent of total billed charges,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,42.72,259.46,fee schedule,
HPV ISH HIGH RISK,88365,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,42.72,259.46,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,92.59,,fee schedule,92.59,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,44.86,,fee schedule,44.86,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,47.73,,fee schedule,47.73,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,94.35,,fee schedule,94.35,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,45.71,,fee schedule,45.71,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,48.64,,fee schedule,48.64,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,88.18,,fee schedule,88.18,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,42.72,,fee schedule,42.72,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,45.46,,fee schedule,45.46,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,TRICARE,TRICARE,,157.25,,fee schedule,157.25,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,42.72,298,percent of total billed charges,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,42.72,298,percent of total billed charges,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,42.72,298,percent of total billed charges,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,92.59,,fee schedule,92.59,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,44.86,,fee schedule,44.86,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,47.73,,fee schedule,47.73,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,94.35,,fee schedule,94.35,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,45.71,,fee schedule,45.71,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,48.64,,fee schedule,48.64,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,88.18,,fee schedule,88.18,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,42.72,,fee schedule,42.72,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,45.46,,fee schedule,45.46,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,TRICARE,TRICARE,,157.25,,fee schedule,157.25,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,42.72,298,percent of total billed charges,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,42.72,298,percent of total billed charges,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,42.72,298,percent of total billed charges,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,42.72,298,fee schedule,
IN SITU HYBRIDIZATION - 1,88365,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,42.72,298,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,AMERIGROUP,AMERIGROUP,,196.72,,fee schedule,196.72,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,AMERIGROUP,AMERIGROUP,,65.63,,fee schedule,65.63,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,AMERIGROUP,AMERIGROUP,,131.09,,fee schedule,131.09,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,200.46,,fee schedule,200.46,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,66.88,,fee schedule,66.88,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,133.59,,fee schedule,133.59,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,187.35,,fee schedule,187.35,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,62.5,,fee schedule,62.5,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,124.85,,fee schedule,124.85,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,TRICARE,TRICARE,,324.11,,fee schedule,324.11,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,AETNA,AETNA,,207.93,87,percent of total billed charges,207.93,62.5,534.78,percent of total billed charges,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.93,87,percent of total billed charges,207.93,62.5,534.78,percent of total billed charges,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,UNITED HEALTHCARE,UNITED HEALTHCARE,,210.32,88,percent of total billed charges,210.32,62.5,534.78,percent of total billed charges,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,AETNA,AETNA,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,BEECH STREET,BEECH STREET,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,MEDICAID,MEDICAID,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,NOVA NET,NOVA NET,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,SELFPAY,SELFPAY,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88367,CPT,both,,,239,239,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,239,,fee schedule,239,62.5,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,ALLIANT,ALLIANT,,534.78,,fee schedule,534.78,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,AMBETTER,AMBETTER,,421.34,,fee schedule,421.34,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,178.05,,fee schedule,178.05,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,71.19,,fee schedule,71.19,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,106.86,,fee schedule,106.86,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,181.44,,fee schedule,181.44,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,72.55,,fee schedule,72.55,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,108.89,,fee schedule,108.89,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,MEDICARE,MEDICARE,,324.11,,fee schedule,324.11,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,169.57,,fee schedule,169.57,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,67.8,,fee schedule,67.8,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,101.77,,fee schedule,101.77,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,TRICARE,TRICARE,,324.11,,fee schedule,324.11,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,UHC MEDICARE,UHC MEDICARE,,324.11,,fee schedule,324.11,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,AETNA,AETNA,,322.77,87,percent of total billed charges,322.77,67.8,534.78,percent of total billed charges,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322.77,87,percent of total billed charges,322.77,67.8,534.78,percent of total billed charges,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,UNITED HEALTHCARE,UNITED HEALTHCARE,,326.48,88,percent of total billed charges,326.48,67.8,534.78,percent of total billed charges,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,AETNA,AETNA,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,BEECH STREET,BEECH STREET,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,MEDICAID,MEDICAID,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,NOVA NET,NOVA NET,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,SELFPAY,SELFPAY,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITEM,88368,CPT,both,,,371,371,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,371,,fee schedule,371,67.8,534.78,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,AMERIGROUP,AMERIGROUP,,142.42,,fee schedule,142.42,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,AMERIGROUP,AMERIGROUP,,182.49,,fee schedule,182.49,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,AMERIGROUP,AMERIGROUP,,40.08,,fee schedule,40.08,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,145.13,,fee schedule,145.13,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,185.97,,fee schedule,185.97,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,40.84,,fee schedule,40.84,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,135.64,,fee schedule,135.64,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,173.8,,fee schedule,173.8,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,38.17,,fee schedule,38.17,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,TRICARE,TRICARE,,157.25,,fee schedule,157.25,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,AETNA,AETNA,,344.52,87,percent of total billed charges,344.52,38.17,396,percent of total billed charges,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344.52,87,percent of total billed charges,344.52,38.17,396,percent of total billed charges,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,UNITED HEALTHCARE,UNITED HEALTHCARE,,348.48,88,percent of total billed charges,348.48,38.17,396,percent of total billed charges,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,AETNA,AETNA,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,BEECH STREET,BEECH STREET,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,MEDICAID,MEDICAID,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,NOVA NET,NOVA NET,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,SELFPAY,SELFPAY,,396,,fee schedule,396,38.17,396,fee schedule,
MORPH ANALYSIS IN SITU,88374,CPT,both,,,396,396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,396,,fee schedule,396,38.17,396,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,190.72,,fee schedule,190.72,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,58.2,,fee schedule,58.2,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,132.73,,fee schedule,132.73,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,194.35,,fee schedule,194.35,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,59.31,,fee schedule,59.31,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,135.26,,fee schedule,135.26,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,181.64,,fee schedule,181.64,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,55.43,,fee schedule,55.43,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,126.41,,fee schedule,126.41,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,TRICARE,TRICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,190.72,,fee schedule,190.72,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,58.2,,fee schedule,58.2,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,132.73,,fee schedule,132.73,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,194.35,,fee schedule,194.35,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,59.31,,fee schedule,59.31,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,135.26,,fee schedule,135.26,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,181.64,,fee schedule,181.64,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,55.43,,fee schedule,55.43,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,126.41,,fee schedule,126.41,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,TRICARE,TRICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,190.72,,fee schedule,190.72,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,58.2,,fee schedule,58.2,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,132.73,,fee schedule,132.73,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,194.35,,fee schedule,194.35,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,59.31,,fee schedule,59.31,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,135.26,,fee schedule,135.26,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,181.64,,fee schedule,181.64,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,55.43,,fee schedule,55.43,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,126.41,,fee schedule,126.41,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,TRICARE,TRICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,55.43,525,percent of total billed charges,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,55.43,525,fee schedule,
HER-2/NEU (FISH),88377,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,55.43,525,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,ALLIANT,ALLIANT,,259.46,,fee schedule,259.46,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,AMBETTER,AMBETTER,,204.43,,fee schedule,204.43,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,AMERIGROUP,AMERIGROUP,,190.72,,fee schedule,190.72,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,AMERIGROUP,AMERIGROUP,,58.2,,fee schedule,58.2,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,AMERIGROUP,AMERIGROUP,,132.73,,fee schedule,132.73,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CARESOURCE,CARESOURCE,,194.35,,fee schedule,194.35,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CARESOURCE,CARESOURCE,,59.31,,fee schedule,59.31,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CARESOURCE,CARESOURCE,,135.26,,fee schedule,135.26,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,MEDICARE,MEDICARE,,157.25,,fee schedule,157.25,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,PEACHSTATE,PEACHSTATE,,181.64,,fee schedule,181.64,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,PEACHSTATE,PEACHSTATE,,55.43,,fee schedule,55.43,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,PEACHSTATE,PEACHSTATE,,126.41,,fee schedule,126.41,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,TRICARE,TRICARE,,157.25,,fee schedule,157.25,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,UHC MEDICARE,UHC MEDICARE,,157.25,,fee schedule,157.25,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,AETNA,AETNA,,1084.02,87,percent of total billed charges,1084.02,55.43,1246,percent of total billed charges,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1084.02,87,percent of total billed charges,1084.02,55.43,1246,percent of total billed charges,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,UNITED HEALTHCARE,UNITED HEALTHCARE,,1096.48,88,percent of total billed charges,1096.48,55.43,1246,percent of total billed charges,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,AETNA,AETNA,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,BEECH STREET,BEECH STREET,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CARESOURCE,CARESOURCE,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,MEDICAID,MEDICAID,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,NOVA NET,NOVA NET,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,PEACHSTATE,PEACHSTATE,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,SELFPAY,SELFPAY,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MORPHOMETRIC ANALYSIS IS,88377,CPT,both,,,1246,1246,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1246,,fee schedule,1246,55.43,1246,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,AMERIGROUP,AMERIGROUP,,132.73,,fee schedule,132.73,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,AMERIGROUP,AMERIGROUP,,176.31,,fee schedule,176.31,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,AMERIGROUP,AMERIGROUP,,43.58,,fee schedule,43.58,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CARESOURCE,CARESOURCE,,135.26,,fee schedule,135.26,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CARESOURCE,CARESOURCE,,179.66,,fee schedule,179.66,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CARESOURCE,CARESOURCE,,44.41,,fee schedule,44.41,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,PEACHSTATE,PEACHSTATE,,126.41,,fee schedule,126.41,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,PEACHSTATE,PEACHSTATE,,167.91,,fee schedule,167.91,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,PEACHSTATE,PEACHSTATE,,41.5,,fee schedule,41.5,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,AETNA,AETNA,,247.08,87,percent of total billed charges,247.08,41.5,284,percent of total billed charges,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.08,87,percent of total billed charges,247.08,41.5,284,percent of total billed charges,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,UNITED HEALTHCARE,UNITED HEALTHCARE,,249.92,88,percent of total billed charges,249.92,41.5,284,percent of total billed charges,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,AETNA,AETNA,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,ALLIANT,ALLIANT,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,AMBETTER,AMBETTER,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,BEECH STREET,BEECH STREET,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CARESOURCE,CARESOURCE,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,MEDICAID,MEDICAID,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,MEDICARE,MEDICARE,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,NOVA NET,NOVA NET,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,PEACHSTATE,PEACHSTATE,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,SELFPAY,SELFPAY,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,TRICARE,TRICARE,,284,,fee schedule,284,41.5,284,fee schedule,
MANUAL MICRODISSECTION -,88381,CPT,both,,,284,284,UHC MEDICARE,UHC MEDICARE,,284,,fee schedule,284,41.5,284,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,AETNA,AETNA,,18710.4,87,percent of total billed charges,18710.4,18710.4,21506.21,percent of total billed charges,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18710.4,87,percent of total billed charges,18710.4,18710.4,21506.21,percent of total billed charges,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18925.46,88,percent of total billed charges,18925.46,18710.4,21506.21,percent of total billed charges,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,AETNA,AETNA,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,ALLIANT,ALLIANT,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,AMBETTER,AMBETTER,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,BEECH STREET,BEECH STREET,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,CARESOURCE,CARESOURCE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,MEDICAID,MEDICAID,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,MEDICARE,MEDICARE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,NOVA NET,NOVA NET,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,PEACHSTATE,PEACHSTATE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,SELFPAY,SELFPAY,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,TRICARE,TRICARE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,884,DRG,inpatient,,,21506.21,21506.21,UHC MEDICARE,UHC MEDICARE,,21506.21,,fee schedule,21506.21,18710.4,21506.21,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,AETNA,AETNA,,20576.35,87,percent of total billed charges,20576.35,20576.35,23650.98,percent of total billed charges,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20576.35,87,percent of total billed charges,20576.35,20576.35,23650.98,percent of total billed charges,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,20812.86,88,percent of total billed charges,20812.86,20576.35,23650.98,percent of total billed charges,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,AETNA,AETNA,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,ALLIANT,ALLIANT,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,AMBETTER,AMBETTER,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,BEECH STREET,BEECH STREET,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,CARESOURCE,CARESOURCE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,MEDICAID,MEDICAID,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,MEDICARE,MEDICARE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,NOVA NET,NOVA NET,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,PEACHSTATE,PEACHSTATE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,SELFPAY,SELFPAY,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,TRICARE,TRICARE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
PSYCHOSES,885,DRG,inpatient,,,23650.98,23650.98,UHC MEDICARE,UHC MEDICARE,,23650.98,,fee schedule,23650.98,20576.35,23650.98,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,AETNA,AETNA,,5761.19,87,percent of total billed charges,5761.19,5761.19,6622.06,percent of total billed charges,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5761.19,87,percent of total billed charges,5761.19,5761.19,6622.06,percent of total billed charges,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,5827.41,88,percent of total billed charges,5827.41,5761.19,6622.06,percent of total billed charges,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,AETNA,AETNA,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,ALLIANT,ALLIANT,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,AMBETTER,AMBETTER,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,BEECH STREET,BEECH STREET,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,CARESOURCE,CARESOURCE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,MEDICAID,MEDICAID,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,MEDICARE,MEDICARE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,NOVA NET,NOVA NET,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,PEACHSTATE,PEACHSTATE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,SELFPAY,SELFPAY,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,TRICARE,TRICARE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
OTHER MENTAL DISORDER DIAGNOSES,887,DRG,inpatient,,,6622.06,6622.06,UHC MEDICARE,UHC MEDICARE,,6622.06,,fee schedule,6622.06,5761.19,6622.06,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,ALLIANT,ALLIANT,,7.79,,fee schedule,7.79,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,AMBETTER,AMBETTER,,6.14,,fee schedule,6.14,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,MEDICARE,MEDICARE,,4.72,,fee schedule,4.72,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,TRICARE,TRICARE,,4.72,,fee schedule,4.72,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,4.72,,fee schedule,4.72,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,4.72,106,percent of total billed charges,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,4.72,106,percent of total billed charges,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,4.72,106,percent of total billed charges,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,4.72,106,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,ALLIANT,ALLIANT,,7.79,,fee schedule,7.79,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,AMBETTER,AMBETTER,,6.14,,fee schedule,6.14,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,MEDICARE,MEDICARE,,4.72,,fee schedule,4.72,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,TRICARE,TRICARE,,4.72,,fee schedule,4.72,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,4.72,,fee schedule,4.72,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,4.72,59,percent of total billed charges,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,4.72,59,percent of total billed charges,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,4.72,59,percent of total billed charges,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,4.72,59,fee schedule,
CELL COUNT BODY FLUID,89050,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,4.72,59,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,ALLIANT,ALLIANT,,7.79,,fee schedule,7.79,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,AMBETTER,AMBETTER,,6.14,,fee schedule,6.14,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,MEDICARE,MEDICARE,,4.72,,fee schedule,4.72,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,TRICARE,TRICARE,,4.72,,fee schedule,4.72,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,4.72,,fee schedule,4.72,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,4.72,299,percent of total billed charges,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,4.72,299,percent of total billed charges,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,4.72,299,percent of total billed charges,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,4.72,299,fee schedule,
EOSINOPHIL COUNT URINE,89050,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,4.72,299,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,ALLIANT,ALLIANT,,9.24,,fee schedule,9.24,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,AMBETTER,AMBETTER,,7.28,,fee schedule,7.28,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,2.32,,fee schedule,2.32,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,2.36,,fee schedule,2.36,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,MEDICARE,MEDICARE,,5.6,,fee schedule,5.6,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,2.21,,fee schedule,2.21,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,TRICARE,TRICARE,,5.6,,fee schedule,5.6,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,5.6,,fee schedule,5.6,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,2.21,136,percent of total billed charges,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,2.21,136,percent of total billed charges,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,2.21,136,percent of total billed charges,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,2.21,136,fee schedule,
BODY FLUID CELL COUNT,89051,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,2.21,136,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,ALLIANT,ALLIANT,,9.24,,fee schedule,9.24,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,AMBETTER,AMBETTER,,7.28,,fee schedule,7.28,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,2.32,,fee schedule,2.32,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,2.36,,fee schedule,2.36,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,MEDICARE,MEDICARE,,5.6,,fee schedule,5.6,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,2.21,,fee schedule,2.21,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,TRICARE,TRICARE,,5.6,,fee schedule,5.6,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,5.6,,fee schedule,5.6,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,2.21,27,percent of total billed charges,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,2.21,27,percent of total billed charges,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,2.21,27,percent of total billed charges,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,2.21,27,fee schedule,
CELL COUNT W/DIFF BODY F,89051,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,2.21,27,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,ALLIANT,ALLIANT,,12.09,,fee schedule,12.09,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,AMBETTER,AMBETTER,,9.53,,fee schedule,9.53,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,9.44,,fee schedule,9.44,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,9.62,,fee schedule,9.62,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,MEDICARE,MEDICARE,,7.33,,fee schedule,7.33,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,8.99,,fee schedule,8.99,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,TRICARE,TRICARE,,7.33,,fee schedule,7.33,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,7.33,,fee schedule,7.33,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,7.33,37,percent of total billed charges,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,7.33,37,percent of total billed charges,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,7.33,37,percent of total billed charges,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS,89060,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,7.33,37,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,ALLIANT,ALLIANT,,12.09,,fee schedule,12.09,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,AMBETTER,AMBETTER,,9.53,,fee schedule,9.53,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,9.44,,fee schedule,9.44,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,9.62,,fee schedule,9.62,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,MEDICARE,MEDICARE,,7.33,,fee schedule,7.33,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,8.99,,fee schedule,8.99,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,TRICARE,TRICARE,,7.33,,fee schedule,7.33,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,7.33,,fee schedule,7.33,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,7.33,39,percent of total billed charges,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,7.33,39,percent of total billed charges,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,7.33,39,percent of total billed charges,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ANALYSIS (BODY FL,89060,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,7.33,39,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,ALLIANT,ALLIANT,,12.09,,fee schedule,12.09,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,AMBETTER,AMBETTER,,9.53,,fee schedule,9.53,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,19.52,,fee schedule,19.52,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,9.44,,fee schedule,9.44,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,19.89,,fee schedule,19.89,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,9.62,,fee schedule,9.62,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,MEDICARE,MEDICARE,,7.33,,fee schedule,7.33,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,18.59,,fee schedule,18.59,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,8.99,,fee schedule,8.99,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,TRICARE,TRICARE,,7.33,,fee schedule,7.33,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,7.33,,fee schedule,7.33,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,7.33,95,percent of total billed charges,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,7.33,95,percent of total billed charges,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,7.33,95,percent of total billed charges,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,7.33,95,fee schedule,
CRYSTAL ID BY POLARIZED L,89060,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,7.33,95,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,ALLIANT,ALLIANT,,9.55,,fee schedule,9.55,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,AMBETTER,AMBETTER,,7.53,,fee schedule,7.53,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,MEDICARE,MEDICARE,,5.79,,fee schedule,5.79,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,TRICARE,TRICARE,,5.79,,fee schedule,5.79,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,5.79,,fee schedule,5.79,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,5.79,64,percent of total billed charges,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,5.79,64,percent of total billed charges,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,5.79,64,percent of total billed charges,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,5.79,64,fee schedule,
EOSINOPHIL COUNT URINE,89190,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,5.79,64,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,ALLIANT,ALLIANT,,14.21,,fee schedule,14.21,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,AMBETTER,AMBETTER,,11.19,,fee schedule,11.19,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,11.37,,fee schedule,11.37,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,11.59,,fee schedule,11.59,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,MEDICARE,MEDICARE,,8.61,,fee schedule,8.61,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,10.83,,fee schedule,10.83,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,TRICARE,TRICARE,,8.61,,fee schedule,8.61,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,8.61,,fee schedule,8.61,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,8.61,249,percent of total billed charges,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,8.61,249,percent of total billed charges,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,8.61,249,percent of total billed charges,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,8.61,249,fee schedule,
SEMEN; PRESENCE & MOTILIT,89310,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,8.61,249,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,ALLIANT,ALLIANT,,20.31,,fee schedule,20.31,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,AMBETTER,AMBETTER,,16,,fee schedule,16,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,7.61,,fee schedule,7.61,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,7.76,,fee schedule,7.76,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,MEDICARE,MEDICARE,,12.31,,fee schedule,12.31,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,7.25,,fee schedule,7.25,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,TRICARE,TRICARE,,12.31,,fee schedule,12.31,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,12.31,,fee schedule,12.31,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,7.25,187,percent of total billed charges,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,7.25,187,percent of total billed charges,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,7.25,187,percent of total billed charges,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM COUNT POST VASECTO,89320,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,7.25,187,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,ALLIANT,ALLIANT,,17.61,,fee schedule,17.61,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,AMBETTER,AMBETTER,,13.87,,fee schedule,13.87,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,MEDICARE,MEDICARE,,10.67,,fee schedule,10.67,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,TRICARE,TRICARE,,10.67,,fee schedule,10.67,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,UHC MEDICARE,UHC MEDICARE,,10.67,,fee schedule,10.67,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,AETNA,AETNA,,434.13,87,percent of total billed charges,434.13,10.67,499,percent of total billed charges,
SPERM ANTIBODY,89325,CPT,both,,,499,499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434.13,87,percent of total billed charges,434.13,10.67,499,percent of total billed charges,
SPERM ANTIBODY,89325,CPT,both,,,499,499,UNITED HEALTHCARE,UNITED HEALTHCARE,,439.12,88,percent of total billed charges,439.12,10.67,499,percent of total billed charges,
SPERM ANTIBODY,89325,CPT,both,,,499,499,AETNA,AETNA,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,BEECH STREET,BEECH STREET,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,CARESOURCE,CARESOURCE,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,MEDICAID,MEDICAID,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,NOVA NET,NOVA NET,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,PEACHSTATE,PEACHSTATE,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,SELFPAY,SELFPAY,,499,,fee schedule,499,10.67,499,fee schedule,
SPERM ANTIBODY,89325,CPT,both,,,499,499,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,499,,fee schedule,499,10.67,499,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,AETNA,AETNA,,16568.25,87,percent of total billed charges,16568.25,16568.25,19043.96,percent of total billed charges,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16568.25,87,percent of total billed charges,16568.25,16568.25,19043.96,percent of total billed charges,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,UNITED HEALTHCARE,UNITED HEALTHCARE,,16758.68,88,percent of total billed charges,16758.68,16568.25,19043.96,percent of total billed charges,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,AETNA,AETNA,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,ALLIANT,ALLIANT,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,AMBETTER,AMBETTER,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,BEECH STREET,BEECH STREET,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,CARESOURCE,CARESOURCE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,MEDICAID,MEDICAID,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,MEDICARE,MEDICARE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,NOVA NET,NOVA NET,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,PEACHSTATE,PEACHSTATE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,SELFPAY,SELFPAY,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,TRICARE,TRICARE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,DRG,inpatient,,,19043.96,19043.96,UHC MEDICARE,UHC MEDICARE,,19043.96,,fee schedule,19043.96,16568.25,19043.96,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,AETNA,AETNA,,41300.93,87,percent of total billed charges,41300.93,41300.93,47472.33,percent of total billed charges,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41300.93,87,percent of total billed charges,41300.93,41300.93,47472.33,percent of total billed charges,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,UNITED HEALTHCARE,UNITED HEALTHCARE,,41775.65,88,percent of total billed charges,41775.65,41300.93,47472.33,percent of total billed charges,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,AETNA,AETNA,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,ALLIANT,ALLIANT,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,AMBETTER,AMBETTER,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,BEECH STREET,BEECH STREET,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,CARESOURCE,CARESOURCE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,MEDICAID,MEDICAID,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,MEDICARE,MEDICARE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,NOVA NET,NOVA NET,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,PEACHSTATE,PEACHSTATE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,SELFPAY,SELFPAY,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,TRICARE,TRICARE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,896,DRG,inpatient,,,47472.33,47472.33,UHC MEDICARE,UHC MEDICARE,,47472.33,,fee schedule,47472.33,41300.93,47472.33,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,AETNA,AETNA,,16948.17,87,percent of total billed charges,16948.17,16948.17,19480.65,percent of total billed charges,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16948.17,87,percent of total billed charges,16948.17,16948.17,19480.65,percent of total billed charges,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,UNITED HEALTHCARE,UNITED HEALTHCARE,,17142.97,88,percent of total billed charges,17142.97,16948.17,19480.65,percent of total billed charges,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,AETNA,AETNA,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,ALLIANT,ALLIANT,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,AMBETTER,AMBETTER,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,BEECH STREET,BEECH STREET,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,CARESOURCE,CARESOURCE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,MEDICAID,MEDICAID,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,MEDICARE,MEDICARE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,NOVA NET,NOVA NET,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,PEACHSTATE,PEACHSTATE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,SELFPAY,SELFPAY,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,TRICARE,TRICARE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,897,DRG,inpatient,,,19480.65,19480.65,UHC MEDICARE,UHC MEDICARE,,19480.65,,fee schedule,19480.65,16948.17,19480.65,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,AETNA,AETNA,,19687.97,87,percent of total billed charges,19687.97,19687.97,22629.85,percent of total billed charges,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19687.97,87,percent of total billed charges,19687.97,19687.97,22629.85,percent of total billed charges,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,UNITED HEALTHCARE,UNITED HEALTHCARE,,19914.27,88,percent of total billed charges,19914.27,19687.97,22629.85,percent of total billed charges,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,AETNA,AETNA,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,ALLIANT,ALLIANT,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,AMBETTER,AMBETTER,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,BEECH STREET,BEECH STREET,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,CARESOURCE,CARESOURCE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,MEDICAID,MEDICAID,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,MEDICARE,MEDICARE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,NOVA NET,NOVA NET,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,PEACHSTATE,PEACHSTATE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,SELFPAY,SELFPAY,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,TRICARE,TRICARE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
WOUND DEBRIDEMENTS FOR INJURIES W CC,902,DRG,inpatient,,,22629.85,22629.85,UHC MEDICARE,UHC MEDICARE,,22629.85,,fee schedule,22629.85,19687.97,22629.85,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,ALLIANT,ALLIANT,,211.28,,fee schedule,211.28,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,AMBETTER,AMBETTER,,166.47,,fee schedule,166.47,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,AMERIGROUP,AMERIGROUP,,150.96,,fee schedule,150.96,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,153.83,,fee schedule,153.83,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,MEDICARE,MEDICARE,,128.05,,fee schedule,128.05,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,143.77,,fee schedule,143.77,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,TRICARE,TRICARE,,128.05,,fee schedule,128.05,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,128.05,,fee schedule,128.05,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,78.3,211.28,percent of total billed charges,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,78.3,211.28,percent of total billed charges,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,78.3,211.28,percent of total billed charges,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,78.3,211.28,fee schedule,
HYPERHEP B 0.5ML INJ,90371,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,78.3,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,ALLIANT,ALLIANT,,211.28,,fee schedule,211.28,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,AMBETTER,AMBETTER,,166.47,,fee schedule,166.47,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,150.96,,fee schedule,150.96,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,CARESOURCE,CARESOURCE,,153.83,,fee schedule,153.83,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,MEDICARE,MEDICARE,,128.05,,fee schedule,128.05,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,143.77,,fee schedule,143.77,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,TRICARE,TRICARE,,128.05,,fee schedule,128.05,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,128.05,,fee schedule,128.05,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,211.28,percent of total billed charges,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,211.28,percent of total billed charges,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,211.28,percent of total billed charges,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
Hepatitis B Immune Globulin,90371,CPT,both,110,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,211.28,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,ALLIANT,ALLIANT,,459.1,,fee schedule,459.1,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,AMBETTER,AMBETTER,,361.71,,fee schedule,361.71,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,AMERIGROUP,AMERIGROUP,,302.8,,fee schedule,302.8,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,CARESOURCE,CARESOURCE,,308.57,,fee schedule,308.57,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,MEDICARE,MEDICARE,,278.24,,fee schedule,278.24,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,PEACHSTATE,PEACHSTATE,,288.38,,fee schedule,288.38,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,TRICARE,TRICARE,,278.24,,fee schedule,278.24,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,UHC MEDICARE,UHC MEDICARE,,278.24,,fee schedule,278.24,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,AETNA,AETNA,,2953.65,87,percent of total billed charges,2953.65,278.24,3395,percent of total billed charges,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2953.65,87,percent of total billed charges,2953.65,278.24,3395,percent of total billed charges,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,UNITED HEALTHCARE,UNITED HEALTHCARE,,2987.6,88,percent of total billed charges,2987.6,278.24,3395,percent of total billed charges,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,AETNA,AETNA,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,BEECH STREET,BEECH STREET,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,CARESOURCE,CARESOURCE,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,MEDICAID,MEDICAID,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,NOVA NET,NOVA NET,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,PEACHSTATE,PEACHSTATE,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,SELFPAY,SELFPAY,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 10ML 150,90375,CPT,both,,,3395,3395,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3395,,fee schedule,3395,278.24,3395,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,ALLIANT,ALLIANT,,459.1,,fee schedule,459.1,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,AMBETTER,AMBETTER,,361.71,,fee schedule,361.71,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,AMERIGROUP,AMERIGROUP,,302.8,,fee schedule,302.8,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,CARESOURCE,CARESOURCE,,308.57,,fee schedule,308.57,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,MEDICARE,MEDICARE,,278.24,,fee schedule,278.24,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,PEACHSTATE,PEACHSTATE,,288.38,,fee schedule,288.38,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,TRICARE,TRICARE,,278.24,,fee schedule,278.24,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,UHC MEDICARE,UHC MEDICARE,,278.24,,fee schedule,278.24,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,AETNA,AETNA,,1057.05,87,percent of total billed charges,1057.05,278.24,1215,percent of total billed charges,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1057.05,87,percent of total billed charges,1057.05,278.24,1215,percent of total billed charges,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,UNITED HEALTHCARE,UNITED HEALTHCARE,,1069.2,88,percent of total billed charges,1069.2,278.24,1215,percent of total billed charges,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,AETNA,AETNA,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,BEECH STREET,BEECH STREET,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,CARESOURCE,CARESOURCE,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,MEDICAID,MEDICAID,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,NOVA NET,NOVA NET,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,PEACHSTATE,PEACHSTATE,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,SELFPAY,SELFPAY,,1215,,fee schedule,1215,278.24,1215,fee schedule,
IMOGAM RABIES HT 2ML/VL 3,90375,CPT,both,,,1215,1215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1215,,fee schedule,1215,278.24,1215,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,ALLIANT,ALLIANT,,459.1,,fee schedule,459.1,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,AMBETTER,AMBETTER,,361.71,,fee schedule,361.71,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,302.8,,fee schedule,302.8,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,308.57,,fee schedule,308.57,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,MEDICARE,MEDICARE,,278.24,,fee schedule,278.24,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,288.38,,fee schedule,288.38,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,TRICARE,TRICARE,,278.24,,fee schedule,278.24,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,278.24,,fee schedule,278.24,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,459.1,percent of total billed charges,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,459.1,percent of total billed charges,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,459.1,percent of total billed charges,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
Rabies Immune Globulin,90375,CPT,both,300,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,459.1,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,ALLIANT,ALLIANT,,560.47,,fee schedule,560.47,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,AMBETTER,AMBETTER,,441.58,,fee schedule,441.58,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,AMERIGROUP,AMERIGROUP,,1911.69,,fee schedule,1911.69,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,CARESOURCE,CARESOURCE,,1948.11,,fee schedule,1948.11,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,MEDICARE,MEDICARE,,339.68,,fee schedule,339.68,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,PEACHSTATE,PEACHSTATE,,1820.66,,fee schedule,1820.66,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,TRICARE,TRICARE,,339.68,,fee schedule,339.68,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,UHC MEDICARE,UHC MEDICARE,,339.68,,fee schedule,339.68,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,AETNA,AETNA,,2915.37,87,percent of total billed charges,2915.37,339.68,3351,percent of total billed charges,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2915.37,87,percent of total billed charges,2915.37,339.68,3351,percent of total billed charges,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,UNITED HEALTHCARE,UNITED HEALTHCARE,,2948.88,88,percent of total billed charges,2948.88,339.68,3351,percent of total billed charges,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,AETNA,AETNA,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,BEECH STREET,BEECH STREET,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,CARESOURCE,CARESOURCE,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,MEDICAID,MEDICAID,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,NOVA NET,NOVA NET,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,PEACHSTATE,PEACHSTATE,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,SELFPAY,SELFPAY,,3351,,fee schedule,3351,339.68,3351,fee schedule,
SYNAGIS 100MG VIAL,90378,CPT,both,,,3351,3351,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3351,,fee schedule,3351,339.68,3351,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,560.47,,fee schedule,560.47,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,441.58,,fee schedule,441.58,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,1911.69,,fee schedule,1911.69,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,1948.11,,fee schedule,1948.11,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,339.68,,fee schedule,339.68,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,1820.66,,fee schedule,1820.66,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,339.68,,fee schedule,339.68,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,339.68,,fee schedule,339.68,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,1948.11,percent of total billed charges,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,1948.11,percent of total billed charges,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,1948.11,percent of total billed charges,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
Palivizumab 100 mg/ml Vial,90378,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,1948.11,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,145.29,167,percent of total billed charges,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,145.29,167,percent of total billed charges,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,145.29,167,percent of total billed charges,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,ALLIANT,ALLIANT,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,AMBETTER,AMBETTER,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,MEDICARE,MEDICARE,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,TRICARE,TRICARE,,167,,fee schedule,167,145.29,167,fee schedule,
RABIES ADMINISTRATION,90460,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,167,,fee schedule,167,145.29,167,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
VAC ADMIN EACH ADD'AL <18,90461,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,TRICARE,TRICARE,,67.47,,fee schedule,67.47,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,48.72,111.33,percent of total billed charges,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,48.72,111.33,percent of total billed charges,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,48.72,111.33,percent of total billed charges,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <18YR PER DA,90471,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,48.72,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,TRICARE,TRICARE,,67.47,,fee schedule,67.47,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,111.33,percent of total billed charges,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,111.33,percent of total billed charges,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,111.33,percent of total billed charges,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE <8YR PER DA,90471,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,TRICARE,TRICARE,,67.47,,fee schedule,67.47,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,TRICARE,TRICARE,,67.47,,fee schedule,67.47,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,TRICARE,TRICARE,,67.47,,fee schedule,67.47,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,111.33,percent of total billed charges,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN VACCINE ADULT PER D,90471,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,111.33,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,79.17,91,percent of total billed charges,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,79.17,91,percent of total billed charges,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,79.17,91,percent of total billed charges,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,79.17,91,fee schedule,
ADMIN OF EACH ADDL VACCIN,90472,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,79.17,91,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,46.11,53,percent of total billed charges,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,46.11,53,percent of total billed charges,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,46.11,53,percent of total billed charges,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,ALLIANT,ALLIANT,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,AMBETTER,AMBETTER,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,MEDICARE,MEDICARE,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,TRICARE,TRICARE,,53,,fee schedule,53,46.11,53,fee schedule,
VAC ADMIN EACH ADD'AL >8Y,90472,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,53,,fee schedule,53,46.11,53,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,AETNA,AETNA,,31801.13,87,percent of total billed charges,31801.13,31801.13,36553.02,percent of total billed charges,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31801.13,87,percent of total billed charges,31801.13,31801.13,36553.02,percent of total billed charges,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,UNITED HEALTHCARE,UNITED HEALTHCARE,,32166.66,88,percent of total billed charges,32166.66,31801.13,36553.02,percent of total billed charges,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,AETNA,AETNA,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,ALLIANT,ALLIANT,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,AMBETTER,AMBETTER,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,BEECH STREET,BEECH STREET,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,CARESOURCE,CARESOURCE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,MEDICAID,MEDICAID,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,MEDICARE,MEDICARE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,NOVA NET,NOVA NET,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,PEACHSTATE,PEACHSTATE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,SELFPAY,SELFPAY,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,TRICARE,TRICARE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
HAND PROCEDURES FOR INJURIES,906,DRG,inpatient,,,36553.02,36553.02,UHC MEDICARE,UHC MEDICARE,,36553.02,,fee schedule,36553.02,31801.13,36553.02,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,AMERIGROUP,AMERIGROUP,,175.33,,fee schedule,175.33,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,178.67,,fee schedule,178.67,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,166.98,,fee schedule,166.98,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,AETNA,AETNA,,128.76,87,percent of total billed charges,128.76,128.76,178.67,percent of total billed charges,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128.76,87,percent of total billed charges,128.76,128.76,178.67,percent of total billed charges,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,UNITED HEALTHCARE,UNITED HEALTHCARE,,130.24,88,percent of total billed charges,130.24,128.76,178.67,percent of total billed charges,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,AETNA,AETNA,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,ALLIANT,ALLIANT,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,AMBETTER,AMBETTER,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,BEECH STREET,BEECH STREET,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,MEDICAID,MEDICAID,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,MEDICARE,MEDICARE,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,NOVA NET,NOVA NET,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,SELFPAY,SELFPAY,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,TRICARE,TRICARE,,148,,fee schedule,148,128.76,178.67,fee schedule,
MENQUADFI 0.5ML VIAL,90619,CPT,both,,,148,148,UHC MEDICARE,UHC MEDICARE,,148,,fee schedule,148,128.76,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,175.33,,fee schedule,175.33,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,CARESOURCE,CARESOURCE,,178.67,,fee schedule,178.67,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,166.98,,fee schedule,166.98,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,178.67,percent of total billed charges,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,178.67,percent of total billed charges,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,178.67,percent of total billed charges,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
"Meningococcal A,C,Y,W135,C-Tet/PF 10 MCG/0.5 ML VIAL",90619,CPT,both,10,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,178.67,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,AMERIGROUP,AMERIGROUP,,234.94,,fee schedule,234.94,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,CARESOURCE,CARESOURCE,,239.41,,fee schedule,239.41,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,PEACHSTATE,PEACHSTATE,,223.75,,fee schedule,223.75,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,AETNA,AETNA,,725.58,87,percent of total billed charges,725.58,223.75,834,percent of total billed charges,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,725.58,87,percent of total billed charges,725.58,223.75,834,percent of total billed charges,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,UNITED HEALTHCARE,UNITED HEALTHCARE,,733.92,88,percent of total billed charges,733.92,223.75,834,percent of total billed charges,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,AETNA,AETNA,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,ALLIANT,ALLIANT,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,AMBETTER,AMBETTER,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,BEECH STREET,BEECH STREET,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,CARESOURCE,CARESOURCE,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,MEDICAID,MEDICAID,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,MEDICARE,MEDICARE,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,NOVA NET,NOVA NET,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,PEACHSTATE,PEACHSTATE,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,SELFPAY,SELFPAY,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,TRICARE,TRICARE,,834,,fee schedule,834,223.75,834,fee schedule,
BEXSERO 0.5ML INJ,90620,CPT,both,,,834,834,UHC MEDICARE,UHC MEDICARE,,834,,fee schedule,834,223.75,834,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,234.94,,fee schedule,234.94,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,239.41,,fee schedule,239.41,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,223.75,,fee schedule,223.75,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,239.41,percent of total billed charges,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,239.41,percent of total billed charges,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,239.41,percent of total billed charges,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
Meningococcal Group B Vac/PF,90620,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,239.41,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,168.78,194,percent of total billed charges,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,ALLIANT,ALLIANT,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,AMBETTER,AMBETTER,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,MEDICARE,MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,TRICARE,TRICARE,,194,,fee schedule,194,168.78,194,fee schedule,
PEDVAXHIB 7.5MCG/0.5ML IN,90647,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Haemph B Polysac Conj-Menin/PF,90647,CPT,both,8,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,AMERIGROUP,AMERIGROUP,,77.07,,fee schedule,77.07,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,CARESOURCE,CARESOURCE,,78.54,,fee schedule,78.54,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,PEACHSTATE,PEACHSTATE,,73.4,,fee schedule,73.4,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,AETNA,AETNA,,203.58,87,percent of total billed charges,203.58,73.4,234,percent of total billed charges,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203.58,87,percent of total billed charges,203.58,73.4,234,percent of total billed charges,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.92,88,percent of total billed charges,205.92,73.4,234,percent of total billed charges,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,AETNA,AETNA,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,ALLIANT,ALLIANT,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,AMBETTER,AMBETTER,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,BEECH STREET,BEECH STREET,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,CARESOURCE,CARESOURCE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,MEDICAID,MEDICAID,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,MEDICARE,MEDICARE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,NOVA NET,NOVA NET,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,PEACHSTATE,PEACHSTATE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,SELFPAY,SELFPAY,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,TRICARE,TRICARE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUZONE QV HD VACCINE INJ,90662,CPT,both,,,234,234,UHC MEDICARE,UHC MEDICARE,,234,,fee schedule,234,73.4,234,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,77.07,,fee schedule,77.07,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,CARESOURCE,CARESOURCE,,78.54,,fee schedule,78.54,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,73.4,,fee schedule,73.4,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.54,percent of total billed charges,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.54,percent of total billed charges,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.54,percent of total billed charges,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flu Vacc HD (65yrs+),90662,CPT,both,180,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,270.89,,fee schedule,270.89,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,276.05,,fee schedule,276.05,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,257.99,,fee schedule,257.99,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,257.99,681,percent of total billed charges,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,257.99,681,percent of total billed charges,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,257.99,681,percent of total billed charges,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,ALLIANT,ALLIANT,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,AMBETTER,AMBETTER,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,MEDICARE,MEDICARE,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,TRICARE,TRICARE,,681,,fee schedule,681,257.99,681,fee schedule,
PREVNAR 13 0.5ML INJ,90670,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,681,,fee schedule,681,257.99,681,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,270.89,,fee schedule,270.89,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,276.05,,fee schedule,276.05,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,257.99,,fee schedule,257.99,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,276.05,percent of total billed charges,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,276.05,percent of total billed charges,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,276.05,percent of total billed charges,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
Pneumoccal 13-Valent Conj Vacc,90670,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,276.05,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,ALLIANT,ALLIANT,,586.11,,fee schedule,586.11,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,AMBETTER,AMBETTER,,461.79,,fee schedule,461.79,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,AMERIGROUP,AMERIGROUP,,355.42,,fee schedule,355.42,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,CARESOURCE,CARESOURCE,,362.19,,fee schedule,362.19,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,MEDICARE,MEDICARE,,355.22,,fee schedule,355.22,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,PEACHSTATE,PEACHSTATE,,338.49,,fee schedule,338.49,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,TRICARE,TRICARE,,355.22,,fee schedule,355.22,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,UHC MEDICARE,UHC MEDICARE,,355.22,,fee schedule,355.22,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,AETNA,AETNA,,871.74,87,percent of total billed charges,871.74,338.49,1002,percent of total billed charges,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,871.74,87,percent of total billed charges,871.74,338.49,1002,percent of total billed charges,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,UNITED HEALTHCARE,UNITED HEALTHCARE,,881.76,88,percent of total billed charges,881.76,338.49,1002,percent of total billed charges,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,AETNA,AETNA,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,BEECH STREET,BEECH STREET,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,CARESOURCE,CARESOURCE,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,MEDICAID,MEDICAID,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,NOVA NET,NOVA NET,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,PEACHSTATE,PEACHSTATE,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,SELFPAY,SELFPAY,,1002,,fee schedule,1002,338.49,1002,fee schedule,
IMOVAX RABIES 1 ML VIAL,90675,CPT,both,,,1002,1002,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1002,,fee schedule,1002,338.49,1002,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,312.94,,fee schedule,312.94,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,318.9,,fee schedule,318.9,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,298.04,,fee schedule,298.04,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,216.63,318.9,percent of total billed charges,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,216.63,318.9,percent of total billed charges,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,216.63,318.9,percent of total billed charges,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,216.63,318.9,fee schedule,
PREVNAR 20/PF 0.5 ML SYRINGE,90677,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,216.63,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,312.94,,fee schedule,312.94,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,318.9,,fee schedule,318.9,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,298.04,,fee schedule,298.04,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,318.9,percent of total billed charges,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,318.9,percent of total billed charges,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,318.9,percent of total billed charges,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
Prevnar 20/PF 0.5 ML SYRINGE,90677,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,318.9,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,233.16,268,percent of total billed charges,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,233.16,268,fee schedule,
ROTARIX ORAL VACCINE,90681,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Rotavirus Vac,Live Att, 89-12",90681,CPT,both,1,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,AMERIGROUP,AMERIGROUP,,77.07,,fee schedule,77.07,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,CARESOURCE,CARESOURCE,,78.54,,fee schedule,78.54,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,PEACHSTATE,PEACHSTATE,,73.4,,fee schedule,73.4,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,AETNA,AETNA,,203.58,87,percent of total billed charges,203.58,73.4,234,percent of total billed charges,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203.58,87,percent of total billed charges,203.58,73.4,234,percent of total billed charges,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.92,88,percent of total billed charges,205.92,73.4,234,percent of total billed charges,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,AETNA,AETNA,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,ALLIANT,ALLIANT,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,AMBETTER,AMBETTER,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,BEECH STREET,BEECH STREET,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,CARESOURCE,CARESOURCE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,MEDICAID,MEDICAID,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,MEDICARE,MEDICARE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,NOVA NET,NOVA NET,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,PEACHSTATE,PEACHSTATE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,SELFPAY,SELFPAY,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,TRICARE,TRICARE,,234,,fee schedule,234,73.4,234,fee schedule,
FLUBLOK QV VACCINE INJ,90682,CPT,both,,,234,234,UHC MEDICARE,UHC MEDICARE,,234,,fee schedule,234,73.4,234,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,77.07,,fee schedule,77.07,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,CARESOURCE,CARESOURCE,,78.54,,fee schedule,78.54,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,73.4,,fee schedule,73.4,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.54,percent of total billed charges,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.54,percent of total billed charges,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.54,percent of total billed charges,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
Flublok (18YR+) (Egg free),90682,CPT,both,180,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,78.54,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,84.39,97,percent of total billed charges,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,84.39,97,percent of total billed charges,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,84.39,97,percent of total billed charges,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QV PED VACCINE INJ,90685,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,84.39,97,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,23.47,,fee schedule,23.47,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,23.91,,fee schedule,23.91,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,22.35,,fee schedule,22.35,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,23.91,percent of total billed charges,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,23.91,percent of total billed charges,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,23.91,percent of total billed charges,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QUAD VACCINE 0.5ML SYR,90686,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,23.91,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,AMERIGROUP,AMERIGROUP,,23.47,,fee schedule,23.47,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,23.91,,fee schedule,23.91,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,22.35,,fee schedule,22.35,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,22.35,54,percent of total billed charges,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,22.35,54,percent of total billed charges,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,22.35,54,percent of total billed charges,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,22.35,54,fee schedule,
FLUZONE QV ADULT VACCINE INJ,90686,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,22.35,54,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,23.47,,fee schedule,23.47,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,CARESOURCE,CARESOURCE,,23.91,,fee schedule,23.91,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,22.35,,fee schedule,22.35,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,22.35,35.29,percent of total billed charges,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,22.35,35.29,percent of total billed charges,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,22.35,35.29,percent of total billed charges,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
Flu Vacc (6 Mo-64 Yrs),90686,CPT,both,60,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,22.35,35.29,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
TYPHIM VI,90691,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
TYPHIM VI,90691,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
TYPHIM VI,90691,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
TYPHIM VI,90691,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Typhoid Vaccine,90691,CPT,both,25,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,AETNA,AETNA,,122.67,87,percent of total billed charges,122.67,122.67,141,percent of total billed charges,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122.67,87,percent of total billed charges,122.67,122.67,141,percent of total billed charges,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.08,88,percent of total billed charges,124.08,122.67,141,percent of total billed charges,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,AETNA,AETNA,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,ALLIANT,ALLIANT,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,AMBETTER,AMBETTER,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,BEECH STREET,BEECH STREET,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,MEDICAID,MEDICAID,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,MEDICARE,MEDICARE,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,NOVA NET,NOVA NET,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,SELFPAY,SELFPAY,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,TRICARE,TRICARE,,141,,fee schedule,141,122.67,141,fee schedule,
VAXELIS 0.5ML SYRINGE,90697,CPT,both,,,141,141,UHC MEDICARE,UHC MEDICARE,,141,,fee schedule,141,122.67,141,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Dip,Pert(A)Tet/HepB/Pol/HiB/PF 0.5 ml Syr",90697,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,AETNA,AETNA,,48954.83,87,percent of total billed charges,48954.83,48954.83,56269.92,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48954.83,87,percent of total billed charges,48954.83,48954.83,56269.92,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,UNITED HEALTHCARE,UNITED HEALTHCARE,,49517.53,88,percent of total billed charges,49517.53,48954.83,56269.92,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,AETNA,AETNA,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,ALLIANT,ALLIANT,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,AMBETTER,AMBETTER,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,BEECH STREET,BEECH STREET,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,CARESOURCE,CARESOURCE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,MEDICAID,MEDICAID,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,MEDICARE,MEDICARE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,NOVA NET,NOVA NET,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,PEACHSTATE,PEACHSTATE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,SELFPAY,SELFPAY,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,TRICARE,TRICARE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W MCC,907,DRG,inpatient,,,56269.92,56269.92,UHC MEDICARE,UHC MEDICARE,,56269.92,,fee schedule,56269.92,48954.83,56269.92,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
DIPHTHERIA & TETANUS TOXO,90702,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tetanus/Diphtheria Tox Ped/PF,90702,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,97.11,,fee schedule,97.11,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,98.96,,fee schedule,98.96,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,92.49,,fee schedule,92.49,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,92.49,162,percent of total billed charges,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,92.49,162,percent of total billed charges,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,92.49,162,percent of total billed charges,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,92.49,162,fee schedule,
M-M-R II VACCINE; 0.5ML,90707,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,92.49,162,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,97.11,,fee schedule,97.11,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,CARESOURCE,CARESOURCE,,98.96,,fee schedule,98.96,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,92.49,,fee schedule,92.49,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,98.96,percent of total billed charges,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,98.96,percent of total billed charges,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,98.96,percent of total billed charges,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
Measles/Mumps/Rubella Vac,90707,CPT,both,12500,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,98.96,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,ALLIANT,ALLIANT,,264,,fee schedule,264,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,AMBETTER,AMBETTER,,208,,fee schedule,208,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,MEDICARE,MEDICARE,,160,,fee schedule,160,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,TRICARE,TRICARE,,160,,fee schedule,160,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,AETNA,AETNA,,345.39,87,percent of total billed charges,345.39,160,397,percent of total billed charges,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345.39,87,percent of total billed charges,345.39,160,397,percent of total billed charges,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,UNITED HEALTHCARE,UNITED HEALTHCARE,,349.36,88,percent of total billed charges,349.36,160,397,percent of total billed charges,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,AETNA,AETNA,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,BEECH STREET,BEECH STREET,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,CARESOURCE,CARESOURCE,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,MEDICAID,MEDICAID,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,NOVA NET,NOVA NET,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,PEACHSTATE,PEACHSTATE,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,SELFPAY,SELFPAY,,397,,fee schedule,397,160,397,fee schedule,
PROQUAD MMR PLUS VARICELL,90710,CPT,both,,,397,397,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,397,,fee schedule,397,160,397,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,264,,fee schedule,264,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,208,,fee schedule,208,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,160,,fee schedule,160,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,160,,fee schedule,160,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,264,percent of total billed charges,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,264,percent of total billed charges,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,264,percent of total billed charges,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
Measles/Mumps/Rubella/Varicella 0.5 ML VIAL,90710,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,264,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,29.21,,fee schedule,29.21,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,29.76,,fee schedule,29.76,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,27.82,,fee schedule,27.82,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,27.82,49,percent of total billed charges,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,27.82,49,percent of total billed charges,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,27.82,49,percent of total billed charges,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,27.82,49,fee schedule,
TETANUS & DIPHTHERIA TOX,90714,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,27.82,49,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,29.21,,fee schedule,29.21,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,29.76,,fee schedule,29.76,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,27.82,,fee schedule,27.82,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,27.82,35.29,percent of total billed charges,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,27.82,35.29,percent of total billed charges,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,27.82,35.29,percent of total billed charges,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
Tetanus/Diphtheria Toxoids (Td) 0.5 ML Syr,90714,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,27.82,35.29,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,AMERIGROUP,AMERIGROUP,,40.21,,fee schedule,40.21,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,40.97,,fee schedule,40.97,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,38.29,,fee schedule,38.29,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,AETNA,AETNA,,275.79,87,percent of total billed charges,275.79,38.29,317,percent of total billed charges,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275.79,87,percent of total billed charges,275.79,38.29,317,percent of total billed charges,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.96,88,percent of total billed charges,278.96,38.29,317,percent of total billed charges,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,AETNA,AETNA,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,ALLIANT,ALLIANT,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,AMBETTER,AMBETTER,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,BEECH STREET,BEECH STREET,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,MEDICAID,MEDICAID,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,MEDICARE,MEDICARE,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,NOVA NET,NOVA NET,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,SELFPAY,SELFPAY,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,TRICARE,TRICARE,,317,,fee schedule,317,38.29,317,fee schedule,
BOOSTRIC (TDAP) 0.5ML SDS,90715,CPT,both,,,317,317,UHC MEDICARE,UHC MEDICARE,,317,,fee schedule,317,38.29,317,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,40.21,,fee schedule,40.21,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,40.97,,fee schedule,40.97,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,38.29,,fee schedule,38.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,40.97,percent of total billed charges,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,40.97,percent of total billed charges,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,40.97,percent of total billed charges,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
Diphtheria/Tetanus/Acell Pertu,90715,CPT,both,1,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,40.97,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,140.15,,fee schedule,140.15,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,142.82,,fee schedule,142.82,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,133.47,,fee schedule,133.47,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,73.95,142.82,percent of total billed charges,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,73.95,142.82,percent of total billed charges,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,73.95,142.82,percent of total billed charges,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,ALLIANT,ALLIANT,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,AMBETTER,AMBETTER,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,MEDICARE,MEDICARE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,TRICARE,TRICARE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNEUMOVAX 1MG,90732,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,85,,fee schedule,85,73.95,142.82,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,140.15,,fee schedule,140.15,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,142.82,,fee schedule,142.82,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,133.47,,fee schedule,133.47,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,133.47,206,percent of total billed charges,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,133.47,206,percent of total billed charges,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,133.47,206,percent of total billed charges,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,ALLIANT,ALLIANT,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,AMBETTER,AMBETTER,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,MEDICARE,MEDICARE,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,TRICARE,TRICARE,,206,,fee schedule,206,133.47,206,fee schedule,
PNU-IMUNE INJ 0.5ML 1 DOS,90732,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,206,,fee schedule,206,133.47,206,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,AETNA,AETNA,,508.95,87,percent of total billed charges,508.95,508.95,585,percent of total billed charges,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,508.95,87,percent of total billed charges,508.95,508.95,585,percent of total billed charges,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,UNITED HEALTHCARE,UNITED HEALTHCARE,,514.8,88,percent of total billed charges,514.8,508.95,585,percent of total billed charges,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,AETNA,AETNA,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,ALLIANT,ALLIANT,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,AMBETTER,AMBETTER,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,BEECH STREET,BEECH STREET,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,CARESOURCE,CARESOURCE,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,MEDICAID,MEDICAID,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,MEDICARE,MEDICARE,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,NOVA NET,NOVA NET,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,PEACHSTATE,PEACHSTATE,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,SELFPAY,SELFPAY,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,TRICARE,TRICARE,,585,,fee schedule,585,508.95,585,fee schedule,
MENOMUNE 0.5ML INJ,90733,CPT,both,,,585,585,UHC MEDICARE,UHC MEDICARE,,585,,fee schedule,585,508.95,585,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,165.22,,fee schedule,165.22,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,168.36,,fee schedule,168.36,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,157.35,,fee schedule,157.35,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,157.35,286,percent of total billed charges,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,157.35,286,percent of total billed charges,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,157.35,286,percent of total billed charges,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,ALLIANT,ALLIANT,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,AMBETTER,AMBETTER,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,MEDICARE,MEDICARE,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,TRICARE,TRICARE,,286,,fee schedule,286,157.35,286,fee schedule,
MENINGOCOCCAL CONJ VACCIN,90734,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,286,,fee schedule,286,157.35,286,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,165.22,,fee schedule,165.22,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,CARESOURCE,CARESOURCE,,168.36,,fee schedule,168.36,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,157.35,,fee schedule,157.35,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,168.36,percent of total billed charges,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,168.36,percent of total billed charges,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,168.36,percent of total billed charges,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
"Meningococcal  (A,C,Y&W-135)-PF 4 MCG/0.5 ML VIAL",90734,CPT,both,4,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,168.36,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
RECOMBIVAX HB,90740,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
RECOMBIVAX HB,90740,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,233.16,268,percent of total billed charges,
RECOMBIVAX HB,90740,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,233.16,268,fee schedule,
RECOMBIVAX HB,90740,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,106.14,122,percent of total billed charges,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,106.14,122,percent of total billed charges,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,106.14,122,percent of total billed charges,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,ALLIANT,ALLIANT,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,AMBETTER,AMBETTER,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,MEDICARE,MEDICARE,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,TRICARE,TRICARE,,122,,fee schedule,122,106.14,122,fee schedule,
ENGERIX-B 10MCG/0.5ML,90744,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,122,,fee schedule,122,106.14,122,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,AMERIGROUP,AMERIGROUP,,147.79,,fee schedule,147.79,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,CARESOURCE,CARESOURCE,,150.6,,fee schedule,150.6,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,PEACHSTATE,PEACHSTATE,,140.75,,fee schedule,140.75,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,AETNA,AETNA,,848.25,87,percent of total billed charges,848.25,140.75,975,percent of total billed charges,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,848.25,87,percent of total billed charges,848.25,140.75,975,percent of total billed charges,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,UNITED HEALTHCARE,UNITED HEALTHCARE,,858,88,percent of total billed charges,858,140.75,975,percent of total billed charges,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,AETNA,AETNA,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,ALLIANT,ALLIANT,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,AMBETTER,AMBETTER,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,BEECH STREET,BEECH STREET,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,CARESOURCE,CARESOURCE,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,MEDICAID,MEDICAID,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,MEDICARE,MEDICARE,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,NOVA NET,NOVA NET,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,PEACHSTATE,PEACHSTATE,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,SELFPAY,SELFPAY,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,TRICARE,TRICARE,,975,,fee schedule,975,140.75,975,fee schedule,
RECOMBIVAX HB DF 40MCG 1M,90747,CPT,both,,,975,975,UHC MEDICARE,UHC MEDICARE,,975,,fee schedule,975,140.75,975,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,147.79,,fee schedule,147.79,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,CARESOURCE,CARESOURCE,,150.6,,fee schedule,150.6,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,140.75,,fee schedule,140.75,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,150.6,percent of total billed charges,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,150.6,percent of total billed charges,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,150.6,percent of total billed charges,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
Hepatitis B Vaccine/PF,90747,CPT,both,40,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,150.6,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,134.65,,fee schedule,134.65,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,137.22,,fee schedule,137.22,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,128.24,,fee schedule,128.24,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,128.24,365,percent of total billed charges,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,128.24,365,percent of total billed charges,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,128.24,365,percent of total billed charges,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAGNOSTIC EVALUATION,90791,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,128.24,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,110.64,,fee schedule,110.64,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,112.75,,fee schedule,112.75,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,105.37,,fee schedule,105.37,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,105.37,365,percent of total billed charges,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,105.37,365,percent of total billed charges,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,105.37,365,percent of total billed charges,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,105.37,365,fee schedule,
PSYCH DIAG EVAL W/MED SRVCS,90792,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,105.37,365,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,AETNA,AETNA,,30049.39,87,percent of total billed charges,30049.39,30049.39,34539.53,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30049.39,87,percent of total billed charges,30049.39,30049.39,34539.53,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,UNITED HEALTHCARE,UNITED HEALTHCARE,,30394.79,88,percent of total billed charges,30394.79,30049.39,34539.53,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,AETNA,AETNA,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,ALLIANT,ALLIANT,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,AMBETTER,AMBETTER,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,BEECH STREET,BEECH STREET,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,CARESOURCE,CARESOURCE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,MEDICAID,MEDICAID,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,MEDICARE,MEDICARE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,NOVA NET,NOVA NET,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,PEACHSTATE,PEACHSTATE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,SELFPAY,SELFPAY,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,TRICARE,TRICARE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W CC,908,DRG,inpatient,,,34539.53,34539.53,UHC MEDICARE,UHC MEDICARE,,34539.53,,fee schedule,34539.53,30049.39,34539.53,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,55.88,,fee schedule,55.88,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,56.95,,fee schedule,56.95,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,53.22,,fee schedule,53.22,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,53.22,365,percent of total billed charges,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,53.22,365,percent of total billed charges,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,53.22,365,percent of total billed charges,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 30 MINUTES,90832,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,53.22,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,71.86,,fee schedule,71.86,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,73.23,,fee schedule,73.23,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,68.44,,fee schedule,68.44,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,68.44,365,percent of total billed charges,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,68.44,365,percent of total billed charges,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,68.44,365,percent of total billed charges,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 45 MINUTES,90834,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,68.44,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,116.72,,fee schedule,116.72,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,118.94,,fee schedule,118.94,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,111.16,,fee schedule,111.16,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,111.16,365,percent of total billed charges,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,111.16,365,percent of total billed charges,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,111.16,365,percent of total billed charges,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX W PT 60 MINUTES,90837,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,111.16,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,145.7,365,percent of total billed charges,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,145.7,365,percent of total billed charges,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,145.7,365,percent of total billed charges,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS INITIAL 60 MIN,90839,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,145.7,365,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,AETNA,AETNA,,158.34,87,percent of total billed charges,158.34,158.34,182,percent of total billed charges,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,158.34,87,percent of total billed charges,158.34,158.34,182,percent of total billed charges,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,UNITED HEALTHCARE,UNITED HEALTHCARE,,160.16,88,percent of total billed charges,160.16,158.34,182,percent of total billed charges,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,AETNA,AETNA,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,ALLIANT,ALLIANT,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,AMBETTER,AMBETTER,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,BEECH STREET,BEECH STREET,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,CARESOURCE,CARESOURCE,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,MEDICAID,MEDICAID,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,MEDICARE,MEDICARE,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,NOVA NET,NOVA NET,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,PEACHSTATE,PEACHSTATE,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,SELFPAY,SELFPAY,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,TRICARE,TRICARE,,182,,fee schedule,182,158.34,182,fee schedule,
PSYTX CRISIS EA ADDL 30 MIN,90840,CPT,both,,,182,182,UHC MEDICARE,UHC MEDICARE,,182,,fee schedule,182,158.34,182,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,145.7,365,percent of total billed charges,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,145.7,365,percent of total billed charges,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,145.7,365,percent of total billed charges,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/O PT 50 MIN,90846,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,145.7,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,ALLIANT,ALLIANT,,240.41,,fee schedule,240.41,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,AMBETTER,AMBETTER,,189.41,,fee schedule,189.41,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,AMERIGROUP,AMERIGROUP,,99.1,,fee schedule,99.1,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,100.99,,fee schedule,100.99,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,MEDICARE,MEDICARE,,145.7,,fee schedule,145.7,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,94.38,,fee schedule,94.38,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,TRICARE,TRICARE,,145.7,,fee schedule,145.7,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,UHC MEDICARE,UHC MEDICARE,,145.7,,fee schedule,145.7,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,AETNA,AETNA,,317.55,87,percent of total billed charges,317.55,94.38,365,percent of total billed charges,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317.55,87,percent of total billed charges,317.55,94.38,365,percent of total billed charges,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,UNITED HEALTHCARE,UNITED HEALTHCARE,,321.2,88,percent of total billed charges,321.2,94.38,365,percent of total billed charges,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,AETNA,AETNA,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,BEECH STREET,BEECH STREET,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,CARESOURCE,CARESOURCE,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,MEDICAID,MEDICAID,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,NOVA NET,NOVA NET,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,PEACHSTATE,PEACHSTATE,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,SELFPAY,SELFPAY,,365,,fee schedule,365,94.38,365,fee schedule,
FAMILY PSYTX W/PT 50 MIN,90847,CPT,both,,,365,365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,365,,fee schedule,365,94.38,365,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,ALLIANT,ALLIANT,,125.15,,fee schedule,125.15,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,AMBETTER,AMBETTER,,98.61,,fee schedule,98.61,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,32.28,,fee schedule,32.28,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,32.89,,fee schedule,32.89,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,MEDICARE,MEDICARE,,75.85,,fee schedule,75.85,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,30.74,,fee schedule,30.74,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,TRICARE,TRICARE,,75.85,,fee schedule,75.85,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,75.85,,fee schedule,75.85,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,30.74,206,percent of total billed charges,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,30.74,206,percent of total billed charges,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,30.74,206,percent of total billed charges,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,30.74,206,fee schedule,
GROUP THERAPY NOT MULTI-FAMILY,90853,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,30.74,206,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,AETNA,AETNA,,36410.6,87,percent of total billed charges,36410.6,36410.6,41851.27,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36410.6,87,percent of total billed charges,36410.6,36410.6,41851.27,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,UNITED HEALTHCARE,UNITED HEALTHCARE,,36829.12,88,percent of total billed charges,36829.12,36410.6,41851.27,percent of total billed charges,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,AETNA,AETNA,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,ALLIANT,ALLIANT,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,AMBETTER,AMBETTER,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,BEECH STREET,BEECH STREET,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,CARESOURCE,CARESOURCE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,MEDICAID,MEDICAID,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,MEDICARE,MEDICARE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,NOVA NET,NOVA NET,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,PEACHSTATE,PEACHSTATE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,SELFPAY,SELFPAY,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,TRICARE,TRICARE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,909,DRG,inpatient,,,41851.27,41851.27,UHC MEDICARE,UHC MEDICARE,,41851.27,,fee schedule,41851.27,36410.6,41851.27,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,ALLIANT,ALLIANT,,1040.36,,fee schedule,1040.36,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,AMBETTER,AMBETTER,,819.68,,fee schedule,819.68,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,MEDICARE,MEDICARE,,630.52,,fee schedule,630.52,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,TRICARE,TRICARE,,630.52,,fee schedule,630.52,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,UHC MEDICARE,UHC MEDICARE,,630.52,,fee schedule,630.52,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,AETNA,AETNA,,2704.83,87,percent of total billed charges,2704.83,630.52,3109,percent of total billed charges,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2704.83,87,percent of total billed charges,2704.83,630.52,3109,percent of total billed charges,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,UNITED HEALTHCARE,UNITED HEALTHCARE,,2735.92,88,percent of total billed charges,2735.92,630.52,3109,percent of total billed charges,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,AETNA,AETNA,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,BEECH STREET,BEECH STREET,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,CARESOURCE,CARESOURCE,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,MEDICAID,MEDICAID,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,NOVA NET,NOVA NET,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,PEACHSTATE,PEACHSTATE,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,SELFPAY,SELFPAY,,3109,,fee schedule,3109,630.52,3109,fee schedule,
INP HEMODIALYSIS,90935,CPT,both,,,3109,3109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3109,,fee schedule,3109,630.52,3109,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,ALLIANT,ALLIANT,,629.66,,fee schedule,629.66,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,AMBETTER,AMBETTER,,496.09,,fee schedule,496.09,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,MEDICARE,MEDICARE,,381.61,,fee schedule,381.61,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,TRICARE,TRICARE,,381.61,,fee schedule,381.61,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,UHC MEDICARE,UHC MEDICARE,,381.61,,fee schedule,381.61,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,AETNA,AETNA,,780.39,87,percent of total billed charges,780.39,381.61,897,percent of total billed charges,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,780.39,87,percent of total billed charges,780.39,381.61,897,percent of total billed charges,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,UNITED HEALTHCARE,UNITED HEALTHCARE,,789.36,88,percent of total billed charges,789.36,381.61,897,percent of total billed charges,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,AETNA,AETNA,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,BEECH STREET,BEECH STREET,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CARESOURCE,CARESOURCE,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,MEDICAID,MEDICAID,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,NOVA NET,NOVA NET,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,PEACHSTATE,PEACHSTATE,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,SELFPAY,SELFPAY,,897,,fee schedule,897,381.61,897,fee schedule,
IP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,ALLIANT,ALLIANT,,629.66,,fee schedule,629.66,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,AMBETTER,AMBETTER,,496.09,,fee schedule,496.09,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,MEDICARE,MEDICARE,,381.61,,fee schedule,381.61,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,TRICARE,TRICARE,,381.61,,fee schedule,381.61,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,UHC MEDICARE,UHC MEDICARE,,381.61,,fee schedule,381.61,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,AETNA,AETNA,,780.39,87,percent of total billed charges,780.39,381.61,897,percent of total billed charges,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,780.39,87,percent of total billed charges,780.39,381.61,897,percent of total billed charges,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,UNITED HEALTHCARE,UNITED HEALTHCARE,,789.36,88,percent of total billed charges,789.36,381.61,897,percent of total billed charges,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,AETNA,AETNA,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,BEECH STREET,BEECH STREET,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CARESOURCE,CARESOURCE,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,MEDICAID,MEDICAID,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,NOVA NET,NOVA NET,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,PEACHSTATE,PEACHSTATE,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,SELFPAY,SELFPAY,,897,,fee schedule,897,381.61,897,fee schedule,
OP DIALYSIS PERITONEAL,90945,CPT,both,,,897,897,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,897,,fee schedule,897,381.61,897,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,AETNA,AETNA,,2785.74,87,percent of total billed charges,2785.74,2785.74,3202,percent of total billed charges,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2785.74,87,percent of total billed charges,2785.74,2785.74,3202,percent of total billed charges,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,UNITED HEALTHCARE,UNITED HEALTHCARE,,2817.76,88,percent of total billed charges,2817.76,2785.74,3202,percent of total billed charges,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,AETNA,AETNA,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,ALLIANT,ALLIANT,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,AMBETTER,AMBETTER,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,BEECH STREET,BEECH STREET,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,CARESOURCE,CARESOURCE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,MEDICAID,MEDICAID,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,MEDICARE,MEDICARE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,NOVA NET,NOVA NET,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,PEACHSTATE,PEACHSTATE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,SELFPAY,SELFPAY,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,TRICARE,TRICARE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
OUTPATIENT DIALYSIS CENTE,90999,CPT,both,,,3202,3202,UHC MEDICARE,UHC MEDICARE,,3202,,fee schedule,3202,2785.74,3202,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,AMERIGROUP,AMERIGROUP,,74.8,,fee schedule,74.8,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,AMERIGROUP,AMERIGROUP,,29.81,,fee schedule,29.81,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,AMERIGROUP,AMERIGROUP,,104.61,,fee schedule,104.61,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CARESOURCE,CARESOURCE,,76.23,,fee schedule,76.23,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CARESOURCE,CARESOURCE,,30.38,,fee schedule,30.38,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CARESOURCE,CARESOURCE,,106.6,,fee schedule,106.6,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,PEACHSTATE,PEACHSTATE,,71.24,,fee schedule,71.24,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,PEACHSTATE,PEACHSTATE,,28.39,,fee schedule,28.39,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,PEACHSTATE,PEACHSTATE,,99.63,,fee schedule,99.63,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,TRICARE,TRICARE,,483.43,,fee schedule,483.43,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,AETNA,AETNA,,1412.88,87,percent of total billed charges,1412.88,28.39,1624,percent of total billed charges,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1412.88,87,percent of total billed charges,1412.88,28.39,1624,percent of total billed charges,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,UNITED HEALTHCARE,UNITED HEALTHCARE,,1429.12,88,percent of total billed charges,1429.12,28.39,1624,percent of total billed charges,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,AETNA,AETNA,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,BEECH STREET,BEECH STREET,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CARESOURCE,CARESOURCE,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,MEDICAID,MEDICAID,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,NOVA NET,NOVA NET,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,PEACHSTATE,PEACHSTATE,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,SELFPAY,SELFPAY,,1624,,fee schedule,1624,28.39,1624,fee schedule,
ESOPHAGEAL MOTILITY STUDY,91010,CPT,both,,,1624,1624,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1624,,fee schedule,1624,28.39,1624,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,AMERIGROUP,AMERIGROUP,,47.19,,fee schedule,47.19,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,AMERIGROUP,AMERIGROUP,,179.21,,fee schedule,179.21,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,AMERIGROUP,AMERIGROUP,,226.39,,fee schedule,226.39,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CARESOURCE,CARESOURCE,,48.09,,fee schedule,48.09,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CARESOURCE,CARESOURCE,,182.63,,fee schedule,182.63,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CARESOURCE,CARESOURCE,,230.7,,fee schedule,230.7,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,PEACHSTATE,PEACHSTATE,,44.94,,fee schedule,44.94,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,PEACHSTATE,PEACHSTATE,,170.68,,fee schedule,170.68,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,PEACHSTATE,PEACHSTATE,,215.61,,fee schedule,215.61,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,TRICARE,TRICARE,,483.43,,fee schedule,483.43,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,AETNA,AETNA,,1094.46,87,percent of total billed charges,1094.46,44.94,1258,percent of total billed charges,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1094.46,87,percent of total billed charges,1094.46,44.94,1258,percent of total billed charges,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,UNITED HEALTHCARE,UNITED HEALTHCARE,,1107.04,88,percent of total billed charges,1107.04,44.94,1258,percent of total billed charges,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,AETNA,AETNA,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,BEECH STREET,BEECH STREET,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CARESOURCE,CARESOURCE,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,MEDICAID,MEDICAID,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,NOVA NET,NOVA NET,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,PEACHSTATE,PEACHSTATE,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,SELFPAY,SELFPAY,,1258,,fee schedule,1258,44.94,1258,fee schedule,
AIRWAY PH STUDY,91034,CPT,both,,,1258,1258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1258,,fee schedule,1258,44.94,1258,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,AMERIGROUP,AMERIGROUP,,76.19,,fee schedule,76.19,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,AMERIGROUP,AMERIGROUP,,372.37,,fee schedule,372.37,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,AMERIGROUP,AMERIGROUP,,448.58,,fee schedule,448.58,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CARESOURCE,CARESOURCE,,77.64,,fee schedule,77.64,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CARESOURCE,CARESOURCE,,379.46,,fee schedule,379.46,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CARESOURCE,CARESOURCE,,457.13,,fee schedule,457.13,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,PEACHSTATE,PEACHSTATE,,72.56,,fee schedule,72.56,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,PEACHSTATE,PEACHSTATE,,354.64,,fee schedule,354.64,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,PEACHSTATE,PEACHSTATE,,427.22,,fee schedule,427.22,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,TRICARE,TRICARE,,483.43,,fee schedule,483.43,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,AETNA,AETNA,,1953.15,87,percent of total billed charges,1953.15,72.56,2245,percent of total billed charges,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1953.15,87,percent of total billed charges,1953.15,72.56,2245,percent of total billed charges,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,UNITED HEALTHCARE,UNITED HEALTHCARE,,1975.6,88,percent of total billed charges,1975.6,72.56,2245,percent of total billed charges,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,AETNA,AETNA,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,BEECH STREET,BEECH STREET,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CARESOURCE,CARESOURCE,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,MEDICAID,MEDICAID,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,NOVA NET,NOVA NET,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,PEACHSTATE,PEACHSTATE,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,SELFPAY,SELFPAY,,2245,,fee schedule,2245,72.56,2245,fee schedule,
BRAVO PH STUDY,91035,CPT,both,,,2245,2245,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2245,,fee schedule,2245,72.56,2245,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,AMERIGROUP,AMERIGROUP,,76.19,,fee schedule,76.19,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,AMERIGROUP,AMERIGROUP,,372.37,,fee schedule,372.37,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,AMERIGROUP,AMERIGROUP,,448.58,,fee schedule,448.58,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,CARESOURCE,CARESOURCE,,77.64,,fee schedule,77.64,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,CARESOURCE,CARESOURCE,,379.46,,fee schedule,379.46,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,CARESOURCE,CARESOURCE,,457.13,,fee schedule,457.13,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,PEACHSTATE,PEACHSTATE,,72.56,,fee schedule,72.56,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,PEACHSTATE,PEACHSTATE,,354.64,,fee schedule,354.64,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,PEACHSTATE,PEACHSTATE,,427.22,,fee schedule,427.22,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,TRICARE,TRICARE,,483.43,,fee schedule,483.43,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,AETNA,AETNA,,1800.03,87,percent of total billed charges,1800.03,72.56,2069,percent of total billed charges,
PH STUDY,91035,CPT,both,,,2069,2069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1800.03,87,percent of total billed charges,1800.03,72.56,2069,percent of total billed charges,
PH STUDY,91035,CPT,both,,,2069,2069,UNITED HEALTHCARE,UNITED HEALTHCARE,,1820.72,88,percent of total billed charges,1820.72,72.56,2069,percent of total billed charges,
PH STUDY,91035,CPT,both,,,2069,2069,AETNA,AETNA,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,BEECH STREET,BEECH STREET,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,CARESOURCE,CARESOURCE,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,MEDICAID,MEDICAID,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,NOVA NET,NOVA NET,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,PEACHSTATE,PEACHSTATE,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,SELFPAY,SELFPAY,,2069,,fee schedule,2069,72.56,2069,fee schedule,
PH STUDY,91035,CPT,both,,,2069,2069,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2069,,fee schedule,2069,72.56,2069,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,ALLIANT,ALLIANT,,1362.09,,fee schedule,1362.09,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,AMBETTER,AMBETTER,,1073.16,,fee schedule,1073.16,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,AMERIGROUP,AMERIGROUP,,167.83,,fee schedule,167.83,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,AMERIGROUP,AMERIGROUP,,699.08,,fee schedule,699.08,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,AMERIGROUP,AMERIGROUP,,866.92,,fee schedule,866.92,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CARESOURCE,CARESOURCE,,171.03,,fee schedule,171.03,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CARESOURCE,CARESOURCE,,712.4,,fee schedule,712.4,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CARESOURCE,CARESOURCE,,883.43,,fee schedule,883.43,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,MEDICARE,MEDICARE,,825.51,,fee schedule,825.51,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,PEACHSTATE,PEACHSTATE,,159.84,,fee schedule,159.84,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,PEACHSTATE,PEACHSTATE,,665.79,,fee schedule,665.79,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,PEACHSTATE,PEACHSTATE,,825.64,,fee schedule,825.64,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,TRICARE,TRICARE,,825.51,,fee schedule,825.51,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,UHC MEDICARE,UHC MEDICARE,,825.51,,fee schedule,825.51,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,AETNA,AETNA,,2382.06,87,percent of total billed charges,2382.06,159.84,2738,percent of total billed charges,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2382.06,87,percent of total billed charges,2382.06,159.84,2738,percent of total billed charges,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,UNITED HEALTHCARE,UNITED HEALTHCARE,,2409.44,88,percent of total billed charges,2409.44,159.84,2738,percent of total billed charges,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,AETNA,AETNA,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,BEECH STREET,BEECH STREET,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CARESOURCE,CARESOURCE,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,MEDICAID,MEDICAID,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,NOVA NET,NOVA NET,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,PEACHSTATE,PEACHSTATE,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,SELFPAY,SELFPAY,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL ATT,91110,CPT,both,,,2738,2738,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2738,,fee schedule,2738,159.84,2738,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,ALLIANT,ALLIANT,,1362.09,,fee schedule,1362.09,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,AMBETTER,AMBETTER,,1073.16,,fee schedule,1073.16,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,AMERIGROUP,AMERIGROUP,,167.83,,fee schedule,167.83,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,AMERIGROUP,AMERIGROUP,,699.08,,fee schedule,699.08,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,AMERIGROUP,AMERIGROUP,,866.92,,fee schedule,866.92,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CARESOURCE,CARESOURCE,,171.03,,fee schedule,171.03,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CARESOURCE,CARESOURCE,,712.4,,fee schedule,712.4,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CARESOURCE,CARESOURCE,,883.43,,fee schedule,883.43,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,MEDICARE,MEDICARE,,825.51,,fee schedule,825.51,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,PEACHSTATE,PEACHSTATE,,159.84,,fee schedule,159.84,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,PEACHSTATE,PEACHSTATE,,665.79,,fee schedule,665.79,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,PEACHSTATE,PEACHSTATE,,825.64,,fee schedule,825.64,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,TRICARE,TRICARE,,825.51,,fee schedule,825.51,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,UHC MEDICARE,UHC MEDICARE,,825.51,,fee schedule,825.51,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,AETNA,AETNA,,2620.44,87,percent of total billed charges,2620.44,159.84,3012,percent of total billed charges,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2620.44,87,percent of total billed charges,2620.44,159.84,3012,percent of total billed charges,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,UNITED HEALTHCARE,UNITED HEALTHCARE,,2650.56,88,percent of total billed charges,2650.56,159.84,3012,percent of total billed charges,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,AETNA,AETNA,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,BEECH STREET,BEECH STREET,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CARESOURCE,CARESOURCE,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,MEDICAID,MEDICAID,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,NOVA NET,NOVA NET,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,PEACHSTATE,PEACHSTATE,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,SELFPAY,SELFPAY,,3012,,fee schedule,3012,159.84,3012,fee schedule,
CAPSULE ENDO SM BOWEL COM,91110,CPT,both,,,3012,3012,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3012,,fee schedule,3012,159.84,3012,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,TRICARE,TRICARE,,145.43,,fee schedule,145.43,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,AETNA,AETNA,,484.59,87,percent of total billed charges,484.59,145.43,557,percent of total billed charges,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,484.59,87,percent of total billed charges,484.59,145.43,557,percent of total billed charges,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,UNITED HEALTHCARE,UNITED HEALTHCARE,,490.16,88,percent of total billed charges,490.16,145.43,557,percent of total billed charges,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,AETNA,AETNA,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,BEECH STREET,BEECH STREET,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,CARESOURCE,CARESOURCE,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,MEDICAID,MEDICAID,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,NOVA NET,NOVA NET,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,PEACHSTATE,PEACHSTATE,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,SELFPAY,SELFPAY,,557,,fee schedule,557,145.43,557,fee schedule,
AGILE PATENCY CAPSULE STU,91299,CPT,both,,,557,557,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,557,,fee schedule,557,145.43,557,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,AETNA,AETNA,,18830.2,87,percent of total billed charges,18830.2,18830.2,21643.91,percent of total billed charges,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18830.2,87,percent of total billed charges,18830.2,18830.2,21643.91,percent of total billed charges,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,UNITED HEALTHCARE,UNITED HEALTHCARE,,19046.64,88,percent of total billed charges,19046.64,18830.2,21643.91,percent of total billed charges,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,AETNA,AETNA,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,ALLIANT,ALLIANT,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,AMBETTER,AMBETTER,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,BEECH STREET,BEECH STREET,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,CARESOURCE,CARESOURCE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,MEDICAID,MEDICAID,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,MEDICARE,MEDICARE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,NOVA NET,NOVA NET,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,PEACHSTATE,PEACHSTATE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,SELFPAY,SELFPAY,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,TRICARE,TRICARE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
TRAUMATIC INJURY W MCC,913,DRG,inpatient,,,21643.91,21643.91,UHC MEDICARE,UHC MEDICARE,,21643.91,,fee schedule,21643.91,18830.2,21643.91,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,AETNA,AETNA,,1.74,87,percent of total billed charges,1.74,1.74,2,percent of total billed charges,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1.74,87,percent of total billed charges,1.74,1.74,2,percent of total billed charges,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,UNITED HEALTHCARE,UNITED HEALTHCARE,,1.76,88,percent of total billed charges,1.76,1.74,2,percent of total billed charges,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,AETNA,AETNA,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,ALLIANT,ALLIANT,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,AMBETTER,AMBETTER,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,BEECH STREET,BEECH STREET,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,CARESOURCE,CARESOURCE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,MEDICAID,MEDICAID,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,MEDICARE,MEDICARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,NOVA NET,NOVA NET,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,SELFPAY,SELFPAY,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,TRICARE,TRICARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE PFIZER,91300,CPT,both,,,2,2,UHC MEDICARE,UHC MEDICARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,AETNA,AETNA,,1.74,87,percent of total billed charges,1.74,1.74,2,percent of total billed charges,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1.74,87,percent of total billed charges,1.74,1.74,2,percent of total billed charges,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,UNITED HEALTHCARE,UNITED HEALTHCARE,,1.76,88,percent of total billed charges,1.76,1.74,2,percent of total billed charges,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,AETNA,AETNA,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,ALLIANT,ALLIANT,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,AMBETTER,AMBETTER,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,BEECH STREET,BEECH STREET,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,CARESOURCE,CARESOURCE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,MEDICAID,MEDICAID,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,MEDICARE,MEDICARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,NOVA NET,NOVA NET,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,SELFPAY,SELFPAY,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,TRICARE,TRICARE,,2,,fee schedule,2,1.74,2,fee schedule,
SARS-COV-2 VACCINE MODERNA,91301,CPT,both,,,2,2,UHC MEDICARE,UHC MEDICARE,,2,,fee schedule,2,1.74,2,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,AETNA,AETNA,,21583.03,87,percent of total billed charges,21583.03,21583.03,24808.08,percent of total billed charges,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21583.03,87,percent of total billed charges,21583.03,21583.03,24808.08,percent of total billed charges,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,UNITED HEALTHCARE,UNITED HEALTHCARE,,21831.11,88,percent of total billed charges,21831.11,21583.03,24808.08,percent of total billed charges,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,AETNA,AETNA,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,ALLIANT,ALLIANT,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,AMBETTER,AMBETTER,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,BEECH STREET,BEECH STREET,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,CARESOURCE,CARESOURCE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,MEDICAID,MEDICAID,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,MEDICARE,MEDICARE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,NOVA NET,NOVA NET,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,PEACHSTATE,PEACHSTATE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,SELFPAY,SELFPAY,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,TRICARE,TRICARE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
TRAUMATIC INJURY W/O MCC,914,DRG,inpatient,,,24808.08,24808.08,UHC MEDICARE,UHC MEDICARE,,24808.08,,fee schedule,24808.08,21583.03,24808.08,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,AETNA,AETNA,,17847.15,87,percent of total billed charges,17847.15,17847.15,20513.97,percent of total billed charges,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17847.15,87,percent of total billed charges,17847.15,17847.15,20513.97,percent of total billed charges,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,18052.29,88,percent of total billed charges,18052.29,17847.15,20513.97,percent of total billed charges,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,AETNA,AETNA,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,ALLIANT,ALLIANT,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,AMBETTER,AMBETTER,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,BEECH STREET,BEECH STREET,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,CARESOURCE,CARESOURCE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,MEDICAID,MEDICAID,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,MEDICARE,MEDICARE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,NOVA NET,NOVA NET,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,PEACHSTATE,PEACHSTATE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,SELFPAY,SELFPAY,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,TRICARE,TRICARE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W MCC,915,DRG,inpatient,,,20513.97,20513.97,UHC MEDICARE,UHC MEDICARE,,20513.97,,fee schedule,20513.97,17847.15,20513.97,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,AETNA,AETNA,,8784.12,87,percent of total billed charges,8784.12,8784.12,10096.69,percent of total billed charges,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8784.12,87,percent of total billed charges,8784.12,8784.12,10096.69,percent of total billed charges,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,UNITED HEALTHCARE,UNITED HEALTHCARE,,8885.09,88,percent of total billed charges,8885.09,8784.12,10096.69,percent of total billed charges,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,AETNA,AETNA,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,ALLIANT,ALLIANT,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,AMBETTER,AMBETTER,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,BEECH STREET,BEECH STREET,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,CARESOURCE,CARESOURCE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,MEDICAID,MEDICAID,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,MEDICARE,MEDICARE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,NOVA NET,NOVA NET,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,PEACHSTATE,PEACHSTATE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,SELFPAY,SELFPAY,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,TRICARE,TRICARE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
ALLERGIC REACTIONS W/O MCC,916,DRG,inpatient,,,10096.69,10096.69,UHC MEDICARE,UHC MEDICARE,,10096.69,,fee schedule,10096.69,8784.12,10096.69,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,AETNA,AETNA,,39390.11,87,percent of total billed charges,39390.11,39390.11,45275.99,percent of total billed charges,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39390.11,87,percent of total billed charges,39390.11,39390.11,45275.99,percent of total billed charges,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,UNITED HEALTHCARE,UNITED HEALTHCARE,,39842.87,88,percent of total billed charges,39842.87,39390.11,45275.99,percent of total billed charges,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,AETNA,AETNA,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,ALLIANT,ALLIANT,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,AMBETTER,AMBETTER,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,BEECH STREET,BEECH STREET,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,CARESOURCE,CARESOURCE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,MEDICAID,MEDICAID,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,MEDICARE,MEDICARE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,NOVA NET,NOVA NET,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,PEACHSTATE,PEACHSTATE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,SELFPAY,SELFPAY,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,TRICARE,TRICARE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W MCC,917,DRG,inpatient,,,45275.99,45275.99,UHC MEDICARE,UHC MEDICARE,,45275.99,,fee schedule,45275.99,39390.11,45275.99,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,AETNA,AETNA,,15113.35,87,percent of total billed charges,15113.35,15113.35,17371.67,percent of total billed charges,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15113.35,87,percent of total billed charges,15113.35,15113.35,17371.67,percent of total billed charges,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,UNITED HEALTHCARE,UNITED HEALTHCARE,,15287.07,88,percent of total billed charges,15287.07,15113.35,17371.67,percent of total billed charges,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,AETNA,AETNA,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,ALLIANT,ALLIANT,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,AMBETTER,AMBETTER,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,BEECH STREET,BEECH STREET,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,CARESOURCE,CARESOURCE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,MEDICAID,MEDICAID,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,MEDICARE,MEDICARE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,NOVA NET,NOVA NET,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,PEACHSTATE,PEACHSTATE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,SELFPAY,SELFPAY,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,TRICARE,TRICARE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,918,DRG,inpatient,,,17371.67,17371.67,UHC MEDICARE,UHC MEDICARE,,17371.67,,fee schedule,17371.67,15113.35,17371.67,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,AETNA,AETNA,,37078.13,87,percent of total billed charges,37078.13,37078.13,42618.54,percent of total billed charges,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37078.13,87,percent of total billed charges,37078.13,37078.13,42618.54,percent of total billed charges,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,UNITED HEALTHCARE,UNITED HEALTHCARE,,37504.32,88,percent of total billed charges,37504.32,37078.13,42618.54,percent of total billed charges,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,AETNA,AETNA,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,ALLIANT,ALLIANT,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,AMBETTER,AMBETTER,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,BEECH STREET,BEECH STREET,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,CARESOURCE,CARESOURCE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,MEDICAID,MEDICAID,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,MEDICARE,MEDICARE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,NOVA NET,NOVA NET,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,PEACHSTATE,PEACHSTATE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,SELFPAY,SELFPAY,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,TRICARE,TRICARE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W MCC,919,DRG,inpatient,,,42618.54,42618.54,UHC MEDICARE,UHC MEDICARE,,42618.54,,fee schedule,42618.54,37078.13,42618.54,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,AETNA,AETNA,,20695.03,87,percent of total billed charges,20695.03,20695.03,23787.39,percent of total billed charges,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20695.03,87,percent of total billed charges,20695.03,20695.03,23787.39,percent of total billed charges,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,UNITED HEALTHCARE,UNITED HEALTHCARE,,20932.9,88,percent of total billed charges,20932.9,20695.03,23787.39,percent of total billed charges,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,AETNA,AETNA,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,ALLIANT,ALLIANT,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,AMBETTER,AMBETTER,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,BEECH STREET,BEECH STREET,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,CARESOURCE,CARESOURCE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,MEDICAID,MEDICAID,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,MEDICARE,MEDICARE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,NOVA NET,NOVA NET,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,PEACHSTATE,PEACHSTATE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,SELFPAY,SELFPAY,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,TRICARE,TRICARE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W CC,920,DRG,inpatient,,,23787.39,23787.39,UHC MEDICARE,UHC MEDICARE,,23787.39,,fee schedule,23787.39,20695.03,23787.39,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,AETNA,AETNA,,24943.09,87,percent of total billed charges,24943.09,24943.09,28670.22,percent of total billed charges,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24943.09,87,percent of total billed charges,24943.09,24943.09,28670.22,percent of total billed charges,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,UNITED HEALTHCARE,UNITED HEALTHCARE,,25229.79,88,percent of total billed charges,25229.79,24943.09,28670.22,percent of total billed charges,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,AETNA,AETNA,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,ALLIANT,ALLIANT,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,AMBETTER,AMBETTER,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,BEECH STREET,BEECH STREET,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,CARESOURCE,CARESOURCE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,MEDICAID,MEDICAID,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,MEDICARE,MEDICARE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,NOVA NET,NOVA NET,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,PEACHSTATE,PEACHSTATE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,SELFPAY,SELFPAY,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,TRICARE,TRICARE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
COMPLICATIONS OF TREATMENT W/O CC/MCC,921,DRG,inpatient,,,28670.22,28670.22,UHC MEDICARE,UHC MEDICARE,,28670.22,,fee schedule,28670.22,24943.09,28670.22,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,AETNA,AETNA,,12842.84,87,percent of total billed charges,12842.84,12842.84,14761.88,percent of total billed charges,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12842.84,87,percent of total billed charges,12842.84,12842.84,14761.88,percent of total billed charges,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,UNITED HEALTHCARE,UNITED HEALTHCARE,,12990.45,88,percent of total billed charges,12990.45,12842.84,14761.88,percent of total billed charges,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,AETNA,AETNA,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,ALLIANT,ALLIANT,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,AMBETTER,AMBETTER,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,BEECH STREET,BEECH STREET,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,CARESOURCE,CARESOURCE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,MEDICAID,MEDICAID,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,MEDICARE,MEDICARE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,NOVA NET,NOVA NET,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,PEACHSTATE,PEACHSTATE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,SELFPAY,SELFPAY,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,TRICARE,TRICARE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC",923,DRG,inpatient,,,14761.88,14761.88,UHC MEDICARE,UHC MEDICARE,,14761.88,,fee schedule,14761.88,12842.84,14761.88,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,ALLIANT,ALLIANT,,129,,fee schedule,129,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,AMBETTER,AMBETTER,,101.63,,fee schedule,101.63,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,MEDICARE,MEDICARE,,78.18,,fee schedule,78.18,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,TRICARE,TRICARE,,78.18,,fee schedule,78.18,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,78.18,,fee schedule,78.18,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,78.18,219,percent of total billed charges,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,78.18,219,percent of total billed charges,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,78.18,219,percent of total billed charges,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,78.18,219,fee schedule,
LSVTX ONE HOUR,92507,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,78.18,219,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,ALLIANT,ALLIANT,,129,,fee schedule,129,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,AMBETTER,AMBETTER,,101.63,,fee schedule,101.63,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,MEDICARE,MEDICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,TRICARE,TRICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,78.18,227,percent of total billed charges,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,78.18,227,percent of total billed charges,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,78.18,227,percent of total billed charges,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,ALLIANT,ALLIANT,,129,,fee schedule,129,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,AMBETTER,AMBETTER,,101.63,,fee schedule,101.63,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,MEDICARE,MEDICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,TRICARE,TRICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,78.18,227,percent of total billed charges,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,78.18,227,percent of total billed charges,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,78.18,227,percent of total billed charges,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,78.18,227,fee schedule,
SPCH/LANG THRPY PER VISIT,92507,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,ALLIANT,ALLIANT,,129,,fee schedule,129,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,AMBETTER,AMBETTER,,101.63,,fee schedule,101.63,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,MEDICARE,MEDICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,TRICARE,TRICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,78.18,,fee schedule,78.18,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,78.18,227,percent of total billed charges,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,78.18,227,percent of total billed charges,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,78.18,227,percent of total billed charges,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,78.18,227,fee schedule,
SPEECH-LANG. TX,92507,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,78.18,227,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,AMERIGROUP,AMERIGROUP,,43.31,,fee schedule,43.31,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,44.14,,fee schedule,44.14,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,41.25,,fee schedule,41.25,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,TRICARE,TRICARE,,116.11,,fee schedule,116.11,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,41.25,296,percent of total billed charges,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,41.25,296,percent of total billed charges,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,41.25,296,percent of total billed charges,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,41.25,296,fee schedule,
LARYNGEAL FUNCTION STUDIES,92520,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,41.25,296,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,ALLIANT,ALLIANT,,224.37,,fee schedule,224.37,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,AMBETTER,AMBETTER,,176.77,,fee schedule,176.77,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,AMERIGROUP,AMERIGROUP,,102,,fee schedule,102,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,103.94,,fee schedule,103.94,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,MEDICARE,MEDICARE,,135.98,,fee schedule,135.98,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,97.14,,fee schedule,97.14,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,TRICARE,TRICARE,,135.98,,fee schedule,135.98,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,UHC MEDICARE,UHC MEDICARE,,135.98,,fee schedule,135.98,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,AETNA,AETNA,,479.37,87,percent of total billed charges,479.37,97.14,551,percent of total billed charges,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,479.37,87,percent of total billed charges,479.37,97.14,551,percent of total billed charges,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,UNITED HEALTHCARE,UNITED HEALTHCARE,,484.88,88,percent of total billed charges,484.88,97.14,551,percent of total billed charges,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,AETNA,AETNA,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,BEECH STREET,BEECH STREET,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,MEDICAID,MEDICAID,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,NOVA NET,NOVA NET,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,SELFPAY,SELFPAY,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH FLUENCY,92521,CPT,both,,,551,551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,551,,fee schedule,551,97.14,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,ALLIANT,ALLIANT,,186.85,,fee schedule,186.85,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,AMBETTER,AMBETTER,,147.21,,fee schedule,147.21,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,AMERIGROUP,AMERIGROUP,,82.8,,fee schedule,82.8,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,84.38,,fee schedule,84.38,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,MEDICARE,MEDICARE,,113.24,,fee schedule,113.24,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,78.86,,fee schedule,78.86,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,TRICARE,TRICARE,,113.24,,fee schedule,113.24,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,UHC MEDICARE,UHC MEDICARE,,113.24,,fee schedule,113.24,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,AETNA,AETNA,,479.37,87,percent of total billed charges,479.37,78.86,551,percent of total billed charges,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,479.37,87,percent of total billed charges,479.37,78.86,551,percent of total billed charges,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,UNITED HEALTHCARE,UNITED HEALTHCARE,,484.88,88,percent of total billed charges,484.88,78.86,551,percent of total billed charges,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,AETNA,AETNA,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,BEECH STREET,BEECH STREET,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,MEDICAID,MEDICAID,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,NOVA NET,NOVA NET,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,SELFPAY,SELFPAY,,551,,fee schedule,551,78.86,551,fee schedule,
EVAL SPEECH PRODUCTION,92522,CPT,both,,,551,551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,551,,fee schedule,551,78.86,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,ALLIANT,ALLIANT,,384.78,,fee schedule,384.78,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,AMBETTER,AMBETTER,,303.16,,fee schedule,303.16,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,AMERIGROUP,AMERIGROUP,,172,,fee schedule,172,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,175.28,,fee schedule,175.28,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,MEDICARE,MEDICARE,,233.2,,fee schedule,233.2,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,163.81,,fee schedule,163.81,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,TRICARE,TRICARE,,233.2,,fee schedule,233.2,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,UHC MEDICARE,UHC MEDICARE,,233.2,,fee schedule,233.2,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,AETNA,AETNA,,479.37,87,percent of total billed charges,479.37,163.81,551,percent of total billed charges,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,479.37,87,percent of total billed charges,479.37,163.81,551,percent of total billed charges,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,UNITED HEALTHCARE,UNITED HEALTHCARE,,484.88,88,percent of total billed charges,484.88,163.81,551,percent of total billed charges,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,AETNA,AETNA,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,BEECH STREET,BEECH STREET,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,MEDICAID,MEDICAID,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,NOVA NET,NOVA NET,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,SELFPAY,SELFPAY,,551,,fee schedule,551,163.81,551,fee schedule,
SPEECH SOUND LANG COMP,92523,CPT,both,,,551,551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,551,,fee schedule,551,163.81,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,ALLIANT,ALLIANT,,184.49,,fee schedule,184.49,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,AMBETTER,AMBETTER,,145.35,,fee schedule,145.35,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,AMERIGROUP,AMERIGROUP,,86.23,,fee schedule,86.23,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,87.87,,fee schedule,87.87,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,MEDICARE,MEDICARE,,111.81,,fee schedule,111.81,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,82.12,,fee schedule,82.12,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,TRICARE,TRICARE,,111.81,,fee schedule,111.81,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,UHC MEDICARE,UHC MEDICARE,,111.81,,fee schedule,111.81,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,AETNA,AETNA,,479.37,87,percent of total billed charges,479.37,82.12,551,percent of total billed charges,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,479.37,87,percent of total billed charges,479.37,82.12,551,percent of total billed charges,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,UNITED HEALTHCARE,UNITED HEALTHCARE,,484.88,88,percent of total billed charges,484.88,82.12,551,percent of total billed charges,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,AETNA,AETNA,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,BEECH STREET,BEECH STREET,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,CARESOURCE,CARESOURCE,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,MEDICAID,MEDICAID,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,NOVA NET,NOVA NET,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,PEACHSTATE,PEACHSTATE,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,SELFPAY,SELFPAY,,551,,fee schedule,551,82.12,551,fee schedule,
BEHAVRAL QUALIT ANALYS VO,92524,CPT,both,,,551,551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,551,,fee schedule,551,82.12,551,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,ALLIANT,ALLIANT,,143.58,,fee schedule,143.58,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,AMBETTER,AMBETTER,,113.13,,fee schedule,113.13,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,MEDICARE,MEDICARE,,87.02,,fee schedule,87.02,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,TRICARE,TRICARE,,87.02,,fee schedule,87.02,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,87.02,,fee schedule,87.02,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,87.02,231,percent of total billed charges,
SWALLOW TX,92526,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,87.02,231,percent of total billed charges,
SWALLOW TX,92526,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,87.02,231,percent of total billed charges,
SWALLOW TX,92526,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOW TX,92526,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,ALLIANT,ALLIANT,,143.58,,fee schedule,143.58,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,AMBETTER,AMBETTER,,113.13,,fee schedule,113.13,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,MEDICARE,MEDICARE,,87.02,,fee schedule,87.02,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,TRICARE,TRICARE,,87.02,,fee schedule,87.02,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,87.02,,fee schedule,87.02,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,87.02,231,percent of total billed charges,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,87.02,231,percent of total billed charges,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,87.02,231,percent of total billed charges,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,87.02,231,fee schedule,
SWALLOWING TREATMENT,92526,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,87.02,231,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,7.59,,fee schedule,7.59,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,47.54,,fee schedule,47.54,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,55.14,,fee schedule,55.14,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,7.74,,fee schedule,7.74,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,48.45,,fee schedule,48.45,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,56.19,,fee schedule,56.19,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,7.23,,fee schedule,7.23,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,45.28,,fee schedule,45.28,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,52.51,,fee schedule,52.51,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,TRICARE,TRICARE,,280.06,,fee schedule,280.06,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,7.23,462.1,percent of total billed charges,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,7.23,462.1,percent of total billed charges,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,7.23,462.1,percent of total billed charges,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,7.23,462.1,fee schedule,
EVOKED OTOACOUSTIC EMMISS,92587,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,7.23,462.1,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,ALLIANT,ALLIANT,,120.88,,fee schedule,120.88,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,AMBETTER,AMBETTER,,95.24,,fee schedule,95.24,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,MEDICARE,MEDICARE,,73.26,,fee schedule,73.26,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,TRICARE,TRICARE,,73.26,,fee schedule,73.26,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,73.26,,fee schedule,73.26,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,73.26,342,percent of total billed charges,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,73.26,342,percent of total billed charges,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,73.26,342,percent of total billed charges,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,ALLIANT,ALLIANT,,120.88,,fee schedule,120.88,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,AMBETTER,AMBETTER,,95.24,,fee schedule,95.24,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,MEDICARE,MEDICARE,,73.26,,fee schedule,73.26,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,TRICARE,TRICARE,,73.26,,fee schedule,73.26,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,73.26,,fee schedule,73.26,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,73.26,342,percent of total billed charges,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,73.26,342,percent of total billed charges,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,73.26,342,percent of total billed charges,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROST OR AAC EVAL (,92597,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,73.26,342,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,ALLIANT,ALLIANT,,120.88,,fee schedule,120.88,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,AMBETTER,AMBETTER,,95.24,,fee schedule,95.24,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,MEDICARE,MEDICARE,,73.26,,fee schedule,73.26,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,TRICARE,TRICARE,,73.26,,fee schedule,73.26,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,73.26,,fee schedule,73.26,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,73.26,131,percent of total billed charges,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,73.26,131,percent of total billed charges,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,73.26,131,percent of total billed charges,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,73.26,131,fee schedule,
VOICE PROSTHESIS AAC EVA,92597,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,73.26,131,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,ALLIANT,ALLIANT,,117.22,,fee schedule,117.22,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,AMBETTER,AMBETTER,,92.35,,fee schedule,92.35,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,39.53,,fee schedule,39.53,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,40.29,,fee schedule,40.29,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,MEDICARE,MEDICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,37.65,,fee schedule,37.65,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,TRICARE,TRICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,37.65,382,percent of total billed charges,
SWALLOW EVAL,92610,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,37.65,382,percent of total billed charges,
SWALLOW EVAL,92610,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,37.65,382,percent of total billed charges,
SWALLOW EVAL,92610,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOW EVAL,92610,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,ALLIANT,ALLIANT,,117.22,,fee schedule,117.22,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,AMBETTER,AMBETTER,,92.35,,fee schedule,92.35,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,39.53,,fee schedule,39.53,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,40.29,,fee schedule,40.29,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,MEDICARE,MEDICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,37.65,,fee schedule,37.65,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,TRICARE,TRICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,37.65,382,percent of total billed charges,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,37.65,382,percent of total billed charges,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,37.65,382,percent of total billed charges,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (IP),92610,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,ALLIANT,ALLIANT,,117.22,,fee schedule,117.22,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,AMBETTER,AMBETTER,,92.35,,fee schedule,92.35,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,39.53,,fee schedule,39.53,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,40.29,,fee schedule,40.29,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,MEDICARE,MEDICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,37.65,,fee schedule,37.65,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,TRICARE,TRICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,71.04,,fee schedule,71.04,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,37.65,382,percent of total billed charges,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,37.65,382,percent of total billed charges,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,37.65,382,percent of total billed charges,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,37.65,382,fee schedule,
SWALLOWING EVAL (OP),92610,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,37.65,382,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,ALLIANT,ALLIANT,,154.26,,fee schedule,154.26,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AMBETTER,AMBETTER,,121.54,,fee schedule,121.54,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,43,,fee schedule,43,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,43.82,,fee schedule,43.82,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,MEDICARE,MEDICARE,,93.49,,fee schedule,93.49,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,40.95,,fee schedule,40.95,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,TRICARE,TRICARE,,93.49,,fee schedule,93.49,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,93.49,,fee schedule,93.49,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,40.95,556,percent of total billed charges,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,40.95,556,percent of total billed charges,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,40.95,556,percent of total billed charges,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,ALLIANT,ALLIANT,,154.26,,fee schedule,154.26,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AMBETTER,AMBETTER,,121.54,,fee schedule,121.54,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,43,,fee schedule,43,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,43.82,,fee schedule,43.82,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,MEDICARE,MEDICARE,,93.49,,fee schedule,93.49,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,40.95,,fee schedule,40.95,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,TRICARE,TRICARE,,93.49,,fee schedule,93.49,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,93.49,,fee schedule,93.49,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,40.95,556,percent of total billed charges,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,40.95,556,percent of total billed charges,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,40.95,556,percent of total billed charges,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,40.95,556,fee schedule,
BARIUM SWALLOW STDY BY VI,92611,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,40.95,556,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,ALLIANT,ALLIANT,,110.3,,fee schedule,110.3,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,AMBETTER,AMBETTER,,86.91,,fee schedule,86.91,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,AMERIGROUP,AMERIGROUP,,160.24,,fee schedule,160.24,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,CARESOURCE,CARESOURCE,,163.29,,fee schedule,163.29,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,MEDICARE,MEDICARE,,66.85,,fee schedule,66.85,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,PEACHSTATE,PEACHSTATE,,152.61,,fee schedule,152.61,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,TRICARE,TRICARE,,66.85,,fee schedule,66.85,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,UHC MEDICARE,UHC MEDICARE,,66.85,,fee schedule,66.85,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,AETNA,AETNA,,474.15,87,percent of total billed charges,474.15,66.85,545,percent of total billed charges,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,474.15,87,percent of total billed charges,474.15,66.85,545,percent of total billed charges,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,UNITED HEALTHCARE,UNITED HEALTHCARE,,479.6,88,percent of total billed charges,479.6,66.85,545,percent of total billed charges,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,AETNA,AETNA,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,BEECH STREET,BEECH STREET,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,CARESOURCE,CARESOURCE,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,MEDICAID,MEDICAID,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,NOVA NET,NOVA NET,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,PEACHSTATE,PEACHSTATE,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,SELFPAY,SELFPAY,,545,,fee schedule,545,66.85,545,fee schedule,
FEES W CINE OR VIDEO,92612,CPT,both,,,545,545,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,545,,fee schedule,545,66.85,545,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,109.62,126,percent of total billed charges,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,ALLIANT,ALLIANT,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,AMBETTER,AMBETTER,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,MEDICARE,MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,TRICARE,TRICARE,,126,,fee schedule,126,109.62,126,fee schedule,
ENDOSCOPY SWALLOW TST (FE,92613,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,66.84,,fee schedule,66.84,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,68.12,,fee schedule,68.12,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,63.66,,fee schedule,63.66,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,63.66,153,percent of total billed charges,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,63.66,153,percent of total billed charges,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,63.66,153,percent of total billed charges,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,ALLIANT,ALLIANT,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,AMBETTER,AMBETTER,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,MEDICARE,MEDICARE,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,TRICARE,TRICARE,,153,,fee schedule,153,63.66,153,fee schedule,
AABR AUTO AUD BRAINSTEM R,92650,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,153,,fee schedule,153,63.66,153,fee schedule,
CPR,92950,CPT,both,,,442,442,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,AMERIGROUP,AMERIGROUP,,198.87,,fee schedule,198.87,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,CARESOURCE,CARESOURCE,,202.66,,fee schedule,202.66,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,PEACHSTATE,PEACHSTATE,,189.4,,fee schedule,189.4,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,TRICARE,TRICARE,,280.06,,fee schedule,280.06,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,AETNA,AETNA,,384.54,87,percent of total billed charges,384.54,189.4,462.1,percent of total billed charges,
CPR,92950,CPT,both,,,442,442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,384.54,87,percent of total billed charges,384.54,189.4,462.1,percent of total billed charges,
CPR,92950,CPT,both,,,442,442,UNITED HEALTHCARE,UNITED HEALTHCARE,,388.96,88,percent of total billed charges,388.96,189.4,462.1,percent of total billed charges,
CPR,92950,CPT,both,,,442,442,AETNA,AETNA,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,BEECH STREET,BEECH STREET,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,CARESOURCE,CARESOURCE,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,MEDICAID,MEDICAID,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,NOVA NET,NOVA NET,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,PEACHSTATE,PEACHSTATE,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,SELFPAY,SELFPAY,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR,92950,CPT,both,,,442,442,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,442,,fee schedule,442,189.4,462.1,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,198.87,,fee schedule,198.87,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,202.66,,fee schedule,202.66,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,189.4,,fee schedule,189.4,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,TRICARE,TRICARE,,280.06,,fee schedule,280.06,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,189.4,803,percent of total billed charges,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,189.4,803,percent of total billed charges,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,189.4,803,percent of total billed charges,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,189.4,803,fee schedule,
CPR IN DIALYSIS,92950,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,189.4,803,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,AMERIGROUP,AMERIGROUP,,198.87,,fee schedule,198.87,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,CARESOURCE,CARESOURCE,,202.66,,fee schedule,202.66,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,PEACHSTATE,PEACHSTATE,,189.4,,fee schedule,189.4,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,TRICARE,TRICARE,,280.06,,fee schedule,280.06,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,AETNA,AETNA,,838.68,87,percent of total billed charges,838.68,189.4,964,percent of total billed charges,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,838.68,87,percent of total billed charges,838.68,189.4,964,percent of total billed charges,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,UNITED HEALTHCARE,UNITED HEALTHCARE,,848.32,88,percent of total billed charges,848.32,189.4,964,percent of total billed charges,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,AETNA,AETNA,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,BEECH STREET,BEECH STREET,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,CARESOURCE,CARESOURCE,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,MEDICAID,MEDICAID,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,NOVA NET,NOVA NET,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,PEACHSTATE,PEACHSTATE,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,SELFPAY,SELFPAY,,964,,fee schedule,964,189.4,964,fee schedule,
INPATIENT CPR: CODE BLUE,92950,CPT,both,,,964,964,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,964,,fee schedule,964,189.4,964,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,ALLIANT,ALLIANT,,970.43,,fee schedule,970.43,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,AMBETTER,AMBETTER,,764.58,,fee schedule,764.58,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,AMERIGROUP,AMERIGROUP,,13.57,,fee schedule,13.57,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,CARESOURCE,CARESOURCE,,13.82,,fee schedule,13.82,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,MEDICARE,MEDICARE,,588.14,,fee schedule,588.14,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,PEACHSTATE,PEACHSTATE,,12.92,,fee schedule,12.92,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,TRICARE,TRICARE,,588.14,,fee schedule,588.14,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,UHC MEDICARE,UHC MEDICARE,,588.14,,fee schedule,588.14,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,AETNA,AETNA,,355.83,87,percent of total billed charges,355.83,12.92,970.43,percent of total billed charges,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,355.83,87,percent of total billed charges,355.83,12.92,970.43,percent of total billed charges,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.92,88,percent of total billed charges,359.92,12.92,970.43,percent of total billed charges,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,AETNA,AETNA,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,BEECH STREET,BEECH STREET,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,CARESOURCE,CARESOURCE,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,MEDICAID,MEDICAID,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,NOVA NET,NOVA NET,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,PEACHSTATE,PEACHSTATE,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,SELFPAY,SELFPAY,,409,,fee schedule,409,12.92,970.43,fee schedule,
EXTERNAL PACEMAKER,92953,CPT,both,,,409,409,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,409,,fee schedule,409,12.92,970.43,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,ALLIANT,ALLIANT,,970.43,,fee schedule,970.43,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,AMBETTER,AMBETTER,,764.58,,fee schedule,764.58,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,AMERIGROUP,AMERIGROUP,,145.11,,fee schedule,145.11,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,CARESOURCE,CARESOURCE,,147.87,,fee schedule,147.87,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,MEDICARE,MEDICARE,,588.14,,fee schedule,588.14,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,PEACHSTATE,PEACHSTATE,,138.2,,fee schedule,138.2,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,TRICARE,TRICARE,,588.14,,fee schedule,588.14,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,UHC MEDICARE,UHC MEDICARE,,588.14,,fee schedule,588.14,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,AETNA,AETNA,,926.55,87,percent of total billed charges,926.55,138.2,1065,percent of total billed charges,
CARDIOVERSION,92960,CPT,both,,,1065,1065,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,926.55,87,percent of total billed charges,926.55,138.2,1065,percent of total billed charges,
CARDIOVERSION,92960,CPT,both,,,1065,1065,UNITED HEALTHCARE,UNITED HEALTHCARE,,937.2,88,percent of total billed charges,937.2,138.2,1065,percent of total billed charges,
CARDIOVERSION,92960,CPT,both,,,1065,1065,AETNA,AETNA,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,BEECH STREET,BEECH STREET,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,CARESOURCE,CARESOURCE,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,MEDICAID,MEDICAID,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,NOVA NET,NOVA NET,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,PEACHSTATE,PEACHSTATE,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,SELFPAY,SELFPAY,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSION,92960,CPT,both,,,1065,1065,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1065,,fee schedule,1065,138.2,1065,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,ALLIANT,ALLIANT,,970.43,,fee schedule,970.43,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,AMBETTER,AMBETTER,,764.58,,fee schedule,764.58,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,AMERIGROUP,AMERIGROUP,,145.11,,fee schedule,145.11,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,CARESOURCE,CARESOURCE,,147.87,,fee schedule,147.87,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,MEDICARE,MEDICARE,,588.14,,fee schedule,588.14,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,PEACHSTATE,PEACHSTATE,,138.2,,fee schedule,138.2,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,TRICARE,TRICARE,,588.14,,fee schedule,588.14,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,UHC MEDICARE,UHC MEDICARE,,588.14,,fee schedule,588.14,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,AETNA,AETNA,,1586.01,87,percent of total billed charges,1586.01,138.2,1823,percent of total billed charges,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.01,87,percent of total billed charges,1586.01,138.2,1823,percent of total billed charges,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,UNITED HEALTHCARE,UNITED HEALTHCARE,,1604.24,88,percent of total billed charges,1604.24,138.2,1823,percent of total billed charges,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,AETNA,AETNA,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,BEECH STREET,BEECH STREET,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,CARESOURCE,CARESOURCE,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,MEDICAID,MEDICAID,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,NOVA NET,NOVA NET,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,PEACHSTATE,PEACHSTATE,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,SELFPAY,SELFPAY,,1823,,fee schedule,1823,138.2,1823,fee schedule,
CARDIOVERSON ELECTRIC EX,92960,CPT,both,,,1823,1823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1823,,fee schedule,1823,138.2,1823,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,ALLIANT,ALLIANT,,970.43,,fee schedule,970.43,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,AMBETTER,AMBETTER,,764.58,,fee schedule,764.58,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,AMERIGROUP,AMERIGROUP,,145.11,,fee schedule,145.11,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,CARESOURCE,CARESOURCE,,147.87,,fee schedule,147.87,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,MEDICARE,MEDICARE,,588.14,,fee schedule,588.14,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,PEACHSTATE,PEACHSTATE,,138.2,,fee schedule,138.2,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,TRICARE,TRICARE,,588.14,,fee schedule,588.14,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,UHC MEDICARE,UHC MEDICARE,,588.14,,fee schedule,588.14,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,AETNA,AETNA,,1291.08,87,percent of total billed charges,1291.08,138.2,1484,percent of total billed charges,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1291.08,87,percent of total billed charges,1291.08,138.2,1484,percent of total billed charges,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,UNITED HEALTHCARE,UNITED HEALTHCARE,,1305.92,88,percent of total billed charges,1305.92,138.2,1484,percent of total billed charges,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,AETNA,AETNA,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,BEECH STREET,BEECH STREET,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,CARESOURCE,CARESOURCE,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,MEDICAID,MEDICAID,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,NOVA NET,NOVA NET,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,PEACHSTATE,PEACHSTATE,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,SELFPAY,SELFPAY,,1484,,fee schedule,1484,138.2,1484,fee schedule,
EXT. ELECTRICAL CARDIOVER,92960,CPT,both,,,1484,1484,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1484,,fee schedule,1484,138.2,1484,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,ALLIANT,ALLIANT,,970.43,,fee schedule,970.43,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,AMBETTER,AMBETTER,,764.58,,fee schedule,764.58,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,AMERIGROUP,AMERIGROUP,,212,,fee schedule,212,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,CARESOURCE,CARESOURCE,,216.03,,fee schedule,216.03,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,MEDICARE,MEDICARE,,588.14,,fee schedule,588.14,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,PEACHSTATE,PEACHSTATE,,201.9,,fee schedule,201.9,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,TRICARE,TRICARE,,588.14,,fee schedule,588.14,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,UHC MEDICARE,UHC MEDICARE,,588.14,,fee schedule,588.14,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,AETNA,AETNA,,985.71,87,percent of total billed charges,985.71,201.9,1133,percent of total billed charges,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,985.71,87,percent of total billed charges,985.71,201.9,1133,percent of total billed charges,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,UNITED HEALTHCARE,UNITED HEALTHCARE,,997.04,88,percent of total billed charges,997.04,201.9,1133,percent of total billed charges,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,AETNA,AETNA,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,BEECH STREET,BEECH STREET,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,CARESOURCE,CARESOURCE,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,MEDICAID,MEDICAID,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,NOVA NET,NOVA NET,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,PEACHSTATE,PEACHSTATE,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,SELFPAY,SELFPAY,,1133,,fee schedule,1133,201.9,1133,fee schedule,
INT. MEDICINE CARDIOVERSI,92961,CPT,both,,,1133,1133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1133,,fee schedule,1133,201.9,1133,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,288.31,,fee schedule,288.31,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,293.8,,fee schedule,293.8,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,274.58,,fee schedule,274.58,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,TRICARE,TRICARE,,332.62,,fee schedule,332.62,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,274.58,548.82,percent of total billed charges,
THROMB INFUSION,92977,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,274.58,548.82,percent of total billed charges,
THROMB INFUSION,92977,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,274.58,548.82,percent of total billed charges,
THROMB INFUSION,92977,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,AMERIGROUP,AMERIGROUP,,288.31,,fee schedule,288.31,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,293.8,,fee schedule,293.8,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,274.58,,fee schedule,274.58,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,TRICARE,TRICARE,,332.62,,fee schedule,332.62,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,274.58,548.82,percent of total billed charges,
THROMB INFUSION,92977,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,274.58,548.82,percent of total billed charges,
THROMB INFUSION,92977,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,274.58,548.82,percent of total billed charges,
THROMB INFUSION,92977,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,274.58,548.82,fee schedule,
THROMB INFUSION,92977,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,274.58,548.82,fee schedule,
EKG,93005,CPT,both,,,286,286,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,16.43,,fee schedule,16.43,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,16.75,,fee schedule,16.75,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,15.65,,fee schedule,15.65,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,TRICARE,TRICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,16.43,,fee schedule,16.43,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,16.75,,fee schedule,16.75,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,15.65,,fee schedule,15.65,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,TRICARE,TRICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AMERIGROUP,AMERIGROUP,,16.43,,fee schedule,16.43,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,16.75,,fee schedule,16.75,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,15.65,,fee schedule,15.65,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,TRICARE,TRICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,AETNA,AETNA,,248.82,87,percent of total billed charges,248.82,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,248.82,87,percent of total billed charges,248.82,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,UNITED HEALTHCARE,UNITED HEALTHCARE,,251.68,88,percent of total billed charges,251.68,15.65,286,percent of total billed charges,
EKG,93005,CPT,both,,,286,286,AETNA,AETNA,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,BEECH STREET,BEECH STREET,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CARESOURCE,CARESOURCE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,MEDICAID,MEDICAID,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,NOVA NET,NOVA NET,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,PEACHSTATE,PEACHSTATE,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,SELFPAY,SELFPAY,,286,,fee schedule,286,15.65,286,fee schedule,
EKG,93005,CPT,both,,,286,286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,286,,fee schedule,286,15.65,286,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,16.43,,fee schedule,16.43,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,16.75,,fee schedule,16.75,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,15.65,,fee schedule,15.65,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,TRICARE,TRICARE,,57.48,,fee schedule,57.48,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,15.65,94.84,percent of total billed charges,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,15.65,94.84,percent of total billed charges,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,15.65,94.84,percent of total billed charges,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG TRACING ONLY W/O INT,93005,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,15.65,94.84,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,9.91,,fee schedule,9.91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,10.1,,fee schedule,10.1,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,9.44,,fee schedule,9.44,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,9.44,91,percent of total billed charges,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,9.44,91,percent of total billed charges,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,9.44,91,percent of total billed charges,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL,93010,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,9.91,,fee schedule,9.91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,10.1,,fee schedule,10.1,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,9.44,,fee schedule,9.44,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,9.44,91,percent of total billed charges,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,9.44,91,percent of total billed charges,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,9.44,91,percent of total billed charges,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,9.44,91,fee schedule,
EKG PROFESSIONAL FEE,93010,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,9.44,91,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,AMERIGROUP,AMERIGROUP,,60.67,,fee schedule,60.67,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,CARESOURCE,CARESOURCE,,61.82,,fee schedule,61.82,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,PEACHSTATE,PEACHSTATE,,57.78,,fee schedule,57.78,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,TRICARE,TRICARE,,280.06,,fee schedule,280.06,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,AETNA,AETNA,,1486.83,87,percent of total billed charges,1486.83,57.78,1709,percent of total billed charges,
STRESS TEST,93017,CPT,both,,,1709,1709,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1486.83,87,percent of total billed charges,1486.83,57.78,1709,percent of total billed charges,
STRESS TEST,93017,CPT,both,,,1709,1709,UNITED HEALTHCARE,UNITED HEALTHCARE,,1503.92,88,percent of total billed charges,1503.92,57.78,1709,percent of total billed charges,
STRESS TEST,93017,CPT,both,,,1709,1709,AETNA,AETNA,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,BEECH STREET,BEECH STREET,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,CARESOURCE,CARESOURCE,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,MEDICAID,MEDICAID,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,NOVA NET,NOVA NET,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,PEACHSTATE,PEACHSTATE,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,SELFPAY,SELFPAY,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TEST,93017,CPT,both,,,1709,1709,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1709,,fee schedule,1709,57.78,1709,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,AMERIGROUP,AMERIGROUP,,60.67,,fee schedule,60.67,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,CARESOURCE,CARESOURCE,,61.82,,fee schedule,61.82,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,PEACHSTATE,PEACHSTATE,,57.78,,fee schedule,57.78,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,TRICARE,TRICARE,,280.06,,fee schedule,280.06,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,AETNA,AETNA,,1531.2,87,percent of total billed charges,1531.2,57.78,1760,percent of total billed charges,
STRESS TESTING,93017,CPT,both,,,1760,1760,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1531.2,87,percent of total billed charges,1531.2,57.78,1760,percent of total billed charges,
STRESS TESTING,93017,CPT,both,,,1760,1760,UNITED HEALTHCARE,UNITED HEALTHCARE,,1548.8,88,percent of total billed charges,1548.8,57.78,1760,percent of total billed charges,
STRESS TESTING,93017,CPT,both,,,1760,1760,AETNA,AETNA,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,BEECH STREET,BEECH STREET,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,CARESOURCE,CARESOURCE,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,MEDICAID,MEDICAID,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,NOVA NET,NOVA NET,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,PEACHSTATE,PEACHSTATE,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,SELFPAY,SELFPAY,,1760,,fee schedule,1760,57.78,1760,fee schedule,
STRESS TESTING,93017,CPT,both,,,1760,1760,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1760,,fee schedule,1760,57.78,1760,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,AMERIGROUP,AMERIGROUP,,44.57,,fee schedule,44.57,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,CARESOURCE,CARESOURCE,,45.42,,fee schedule,45.42,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,PEACHSTATE,PEACHSTATE,,42.45,,fee schedule,42.45,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,TRICARE,TRICARE,,116.11,,fee schedule,116.11,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,AETNA,AETNA,,614.22,87,percent of total billed charges,614.22,42.45,706,percent of total billed charges,
HOLTER MONITOR,93225,CPT,both,,,706,706,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614.22,87,percent of total billed charges,614.22,42.45,706,percent of total billed charges,
HOLTER MONITOR,93225,CPT,both,,,706,706,UNITED HEALTHCARE,UNITED HEALTHCARE,,621.28,88,percent of total billed charges,621.28,42.45,706,percent of total billed charges,
HOLTER MONITOR,93225,CPT,both,,,706,706,AETNA,AETNA,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,BEECH STREET,BEECH STREET,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,CARESOURCE,CARESOURCE,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,MEDICAID,MEDICAID,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,NOVA NET,NOVA NET,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,PEACHSTATE,PEACHSTATE,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,SELFPAY,SELFPAY,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR,93225,CPT,both,,,706,706,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,706,,fee schedule,706,42.45,706,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,AMERIGROUP,AMERIGROUP,,78.75,,fee schedule,78.75,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,CARESOURCE,CARESOURCE,,80.25,,fee schedule,80.25,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,TRICARE,TRICARE,,116.11,,fee schedule,116.11,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,AETNA,AETNA,,329.73,87,percent of total billed charges,329.73,75,379,percent of total billed charges,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329.73,87,percent of total billed charges,329.73,75,379,percent of total billed charges,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,UNITED HEALTHCARE,UNITED HEALTHCARE,,333.52,88,percent of total billed charges,333.52,75,379,percent of total billed charges,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,AETNA,AETNA,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,BEECH STREET,BEECH STREET,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,CARESOURCE,CARESOURCE,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,MEDICAID,MEDICAID,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,NOVA NET,NOVA NET,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,PEACHSTATE,PEACHSTATE,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,SELFPAY,SELFPAY,,379,,fee schedule,379,75,379,fee schedule,
HOLTER MONITOR SCAN/24 HR,93226,CPT,both,,,379,379,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,379,,fee schedule,379,75,379,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,ALLIANT,ALLIANT,,57.75,,fee schedule,57.75,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,AMBETTER,AMBETTER,,45.5,,fee schedule,45.5,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,AMERIGROUP,AMERIGROUP,,44.57,,fee schedule,44.57,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,CARESOURCE,CARESOURCE,,45.42,,fee schedule,45.42,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,MEDICARE,MEDICARE,,35,,fee schedule,35,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,PEACHSTATE,PEACHSTATE,,42.45,,fee schedule,42.45,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,TRICARE,TRICARE,,35,,fee schedule,35,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,AETNA,AETNA,,419.34,87,percent of total billed charges,419.34,35,482,percent of total billed charges,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,419.34,87,percent of total billed charges,419.34,35,482,percent of total billed charges,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,UNITED HEALTHCARE,UNITED HEALTHCARE,,424.16,88,percent of total billed charges,424.16,35,482,percent of total billed charges,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,AETNA,AETNA,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,BEECH STREET,BEECH STREET,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,CARESOURCE,CARESOURCE,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,MEDICAID,MEDICAID,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,NOVA NET,NOVA NET,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,PEACHSTATE,PEACHSTATE,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,SELFPAY,SELFPAY,,482,,fee schedule,482,35,482,fee schedule,
EVENT MONITOR - 30 DAY,93270,CPT,both,,,482,482,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,482,,fee schedule,482,35,482,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,AMERIGROUP,AMERIGROUP,,64.25,,fee schedule,64.25,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,AMERIGROUP,AMERIGROUP,,174.6,,fee schedule,174.6,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,AMERIGROUP,AMERIGROUP,,238.85,,fee schedule,238.85,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CARESOURCE,CARESOURCE,,65.47,,fee schedule,65.47,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CARESOURCE,CARESOURCE,,177.93,,fee schedule,177.93,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CARESOURCE,CARESOURCE,,243.4,,fee schedule,243.4,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,PEACHSTATE,PEACHSTATE,,61.19,,fee schedule,61.19,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,PEACHSTATE,PEACHSTATE,,166.29,,fee schedule,166.29,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,PEACHSTATE,PEACHSTATE,,227.48,,fee schedule,227.48,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,TRICARE,TRICARE,,503.13,,fee schedule,503.13,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,AETNA,AETNA,,1947.06,87,percent of total billed charges,1947.06,61.19,2238,percent of total billed charges,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1947.06,87,percent of total billed charges,1947.06,61.19,2238,percent of total billed charges,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,UNITED HEALTHCARE,UNITED HEALTHCARE,,1969.44,88,percent of total billed charges,1969.44,61.19,2238,percent of total billed charges,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,AETNA,AETNA,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,BEECH STREET,BEECH STREET,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CARESOURCE,CARESOURCE,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,MEDICAID,MEDICAID,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,NOVA NET,NOVA NET,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,PEACHSTATE,PEACHSTATE,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,SELFPAY,SELFPAY,,2238,,fee schedule,2238,61.19,2238,fee schedule,
COMPLETE ECHOCARDIOGRAM,93306,CPT,both,,,2238,2238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2238,,fee schedule,2238,61.19,2238,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,AMERIGROUP,AMERIGROUP,,55.94,,fee schedule,55.94,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,AMERIGROUP,AMERIGROUP,,138.77,,fee schedule,138.77,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,AMERIGROUP,AMERIGROUP,,194.69,,fee schedule,194.69,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CARESOURCE,CARESOURCE,,57.01,,fee schedule,57.01,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CARESOURCE,CARESOURCE,,141.41,,fee schedule,141.41,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CARESOURCE,CARESOURCE,,198.4,,fee schedule,198.4,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,PEACHSTATE,PEACHSTATE,,53.28,,fee schedule,53.28,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,PEACHSTATE,PEACHSTATE,,132.16,,fee schedule,132.16,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,PEACHSTATE,PEACHSTATE,,185.42,,fee schedule,185.42,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,TRICARE,TRICARE,,233.52,,fee schedule,233.52,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,AETNA,AETNA,,1532.94,87,percent of total billed charges,1532.94,53.28,1762,percent of total billed charges,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1532.94,87,percent of total billed charges,1532.94,53.28,1762,percent of total billed charges,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,UNITED HEALTHCARE,UNITED HEALTHCARE,,1550.56,88,percent of total billed charges,1550.56,53.28,1762,percent of total billed charges,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,AETNA,AETNA,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,BEECH STREET,BEECH STREET,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CARESOURCE,CARESOURCE,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,MEDICAID,MEDICAID,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,NOVA NET,NOVA NET,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,PEACHSTATE,PEACHSTATE,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,SELFPAY,SELFPAY,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LIMITED ECHOCARDIOGRAM,93307,CPT,both,,,1762,1762,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1762,,fee schedule,1762,53.28,1762,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,AMERIGROUP,AMERIGROUP,,32.11,,fee schedule,32.11,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,AMERIGROUP,AMERIGROUP,,70.02,,fee schedule,70.02,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,AMERIGROUP,AMERIGROUP,,102.13,,fee schedule,102.13,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CARESOURCE,CARESOURCE,,32.72,,fee schedule,32.72,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CARESOURCE,CARESOURCE,,71.36,,fee schedule,71.36,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CARESOURCE,CARESOURCE,,104.08,,fee schedule,104.08,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,PEACHSTATE,PEACHSTATE,,30.58,,fee schedule,30.58,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,PEACHSTATE,PEACHSTATE,,66.69,,fee schedule,66.69,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,PEACHSTATE,PEACHSTATE,,97.27,,fee schedule,97.27,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,TRICARE,TRICARE,,233.52,,fee schedule,233.52,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,AETNA,AETNA,,1272.81,87,percent of total billed charges,1272.81,30.58,1463,percent of total billed charges,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1272.81,87,percent of total billed charges,1272.81,30.58,1463,percent of total billed charges,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,UNITED HEALTHCARE,UNITED HEALTHCARE,,1287.44,88,percent of total billed charges,1287.44,30.58,1463,percent of total billed charges,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,AETNA,AETNA,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,BEECH STREET,BEECH STREET,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CARESOURCE,CARESOURCE,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,MEDICAID,MEDICAID,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,NOVA NET,NOVA NET,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,PEACHSTATE,PEACHSTATE,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,SELFPAY,SELFPAY,,1463,,fee schedule,1463,30.58,1463,fee schedule,
LTD ECHOCARDIOGRAM,93308,CPT,both,,,1463,1463,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1463,,fee schedule,1463,30.58,1463,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,AMERIGROUP,AMERIGROUP,,114.17,,fee schedule,114.17,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,AMERIGROUP,AMERIGROUP,,137.61,,fee schedule,137.61,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,AMERIGROUP,AMERIGROUP,,251.79,,fee schedule,251.79,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,116.34,,fee schedule,116.34,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,140.23,,fee schedule,140.23,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,256.59,,fee schedule,256.59,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,108.73,,fee schedule,108.73,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,131.06,,fee schedule,131.06,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,239.8,,fee schedule,239.8,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,TRICARE,TRICARE,,503.13,,fee schedule,503.13,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,AETNA,AETNA,,2435.13,87,percent of total billed charges,2435.13,108.73,2799,percent of total billed charges,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2435.13,87,percent of total billed charges,2435.13,108.73,2799,percent of total billed charges,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,UNITED HEALTHCARE,UNITED HEALTHCARE,,2463.12,88,percent of total billed charges,2463.12,108.73,2799,percent of total billed charges,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,AETNA,AETNA,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,BEECH STREET,BEECH STREET,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,MEDICAID,MEDICAID,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,NOVA NET,NOVA NET,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,SELFPAY,SELFPAY,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TRANSESOPHAGEAL ECHO,93312,CPT,both,,,2799,2799,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2799,,fee schedule,2799,108.73,2799,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,AMERIGROUP,AMERIGROUP,,126.19,,fee schedule,126.19,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,128.59,,fee schedule,128.59,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,120.18,,fee schedule,120.18,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,TRICARE,TRICARE,,503.13,,fee schedule,503.13,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,AETNA,AETNA,,1131,87,percent of total billed charges,1131,120.18,1300,percent of total billed charges,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,87,percent of total billed charges,1131,120.18,1300,percent of total billed charges,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144,88,percent of total billed charges,1144,120.18,1300,percent of total billed charges,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,AETNA,AETNA,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,BEECH STREET,BEECH STREET,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,CARESOURCE,CARESOURCE,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,MEDICAID,MEDICAID,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,NOVA NET,NOVA NET,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,PEACHSTATE,PEACHSTATE,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,SELFPAY,SELFPAY,,1300,,fee schedule,1300,120.18,1300,fee schedule,
TEE PLACEMENT OF PROBE ONLY,93313,CPT,both,,,1300,1300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1300,,fee schedule,1300,120.18,1300,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,3.95,,fee schedule,3.95,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,105.17,,fee schedule,105.17,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,109.11,,fee schedule,109.11,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,4.02,,fee schedule,4.02,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,107.17,,fee schedule,107.17,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,111.18,,fee schedule,111.18,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,3.76,,fee schedule,3.76,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,100.16,,fee schedule,100.16,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,103.91,,fee schedule,103.91,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,3.76,307,percent of total billed charges,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,3.76,307,percent of total billed charges,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,3.76,307,percent of total billed charges,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,ALLIANT,ALLIANT,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,AMBETTER,AMBETTER,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,MEDICARE,MEDICARE,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,TRICARE,TRICARE,,307,,fee schedule,307,3.76,307,fee schedule,
COLOR FLOW VELOCITY,93325,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,307,,fee schedule,307,3.76,307,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,ALLIANT,ALLIANT,,830.16,,fee schedule,830.16,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,AMBETTER,AMBETTER,,654.07,,fee schedule,654.07,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,AMERIGROUP,AMERIGROUP,,47.36,,fee schedule,47.36,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,AMERIGROUP,AMERIGROUP,,63.97,,fee schedule,63.97,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,AMERIGROUP,AMERIGROUP,,111.33,,fee schedule,111.33,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,CARESOURCE,CARESOURCE,,48.26,,fee schedule,48.26,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,CARESOURCE,CARESOURCE,,65.18,,fee schedule,65.18,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,CARESOURCE,CARESOURCE,,113.45,,fee schedule,113.45,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,MEDICARE,MEDICARE,,503.13,,fee schedule,503.13,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,PEACHSTATE,PEACHSTATE,,45.1,,fee schedule,45.1,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,PEACHSTATE,PEACHSTATE,,60.92,,fee schedule,60.92,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,PEACHSTATE,PEACHSTATE,,106.03,,fee schedule,106.03,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,TRICARE,TRICARE,,503.13,,fee schedule,503.13,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,UHC MEDICARE,UHC MEDICARE,,503.13,,fee schedule,503.13,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,AETNA,AETNA,,3367.77,87,percent of total billed charges,3367.77,45.1,3871,percent of total billed charges,
STRESS ECHO,93350,CPT,both,,,3871,3871,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3367.77,87,percent of total billed charges,3367.77,45.1,3871,percent of total billed charges,
STRESS ECHO,93350,CPT,both,,,3871,3871,UNITED HEALTHCARE,UNITED HEALTHCARE,,3406.48,88,percent of total billed charges,3406.48,45.1,3871,percent of total billed charges,
STRESS ECHO,93350,CPT,both,,,3871,3871,AETNA,AETNA,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,BEECH STREET,BEECH STREET,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,CARESOURCE,CARESOURCE,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,MEDICAID,MEDICAID,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,NOVA NET,NOVA NET,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,PEACHSTATE,PEACHSTATE,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,SELFPAY,SELFPAY,,3871,,fee schedule,3871,45.1,3871,fee schedule,
STRESS ECHO,93350,CPT,both,,,3871,3871,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3871,,fee schedule,3871,45.1,3871,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,AETNA,AETNA,,81713.73,87,percent of total billed charges,81713.73,81713.73,93923.83,percent of total billed charges,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81713.73,87,percent of total billed charges,81713.73,81713.73,93923.83,percent of total billed charges,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,UNITED HEALTHCARE,UNITED HEALTHCARE,,82652.97,88,percent of total billed charges,82652.97,81713.73,93923.83,percent of total billed charges,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,AETNA,AETNA,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,ALLIANT,ALLIANT,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,AMBETTER,AMBETTER,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,BEECH STREET,BEECH STREET,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,CARESOURCE,CARESOURCE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,MEDICAID,MEDICAID,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,MEDICARE,MEDICARE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,NOVA NET,NOVA NET,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,PEACHSTATE,PEACHSTATE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,SELFPAY,SELFPAY,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,TRICARE,TRICARE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ,934,DRG,inpatient,,,93923.83,93923.83,UHC MEDICARE,UHC MEDICARE,,93923.83,,fee schedule,93923.83,81713.73,93923.83,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,AMBETTER,AMBETTER,,3846,,fee schedule,3846,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,AMERIGROUP,AMERIGROUP,,130.68,,fee schedule,130.68,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,AMERIGROUP,AMERIGROUP,,549.74,,fee schedule,549.74,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,AMERIGROUP,AMERIGROUP,,680.43,,fee schedule,680.43,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CARESOURCE,CARESOURCE,,133.17,,fee schedule,133.17,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CARESOURCE,CARESOURCE,,560.21,,fee schedule,560.21,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CARESOURCE,CARESOURCE,,693.39,,fee schedule,693.39,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,PEACHSTATE,PEACHSTATE,,124.46,,fee schedule,124.46,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,PEACHSTATE,PEACHSTATE,,523.56,,fee schedule,523.56,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,PEACHSTATE,PEACHSTATE,,648.03,,fee schedule,648.03,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,AETNA,AETNA,,4115.97,87,percent of total billed charges,4115.97,124.46,4881.46,percent of total billed charges,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4115.97,87,percent of total billed charges,4115.97,124.46,4881.46,percent of total billed charges,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,UNITED HEALTHCARE,UNITED HEALTHCARE,,4163.28,88,percent of total billed charges,4163.28,124.46,4881.46,percent of total billed charges,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,AETNA,AETNA,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,BEECH STREET,BEECH STREET,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CARESOURCE,CARESOURCE,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,MEDICAID,MEDICAID,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,NOVA NET,NOVA NET,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,PEACHSTATE,PEACHSTATE,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,SELFPAY,SELFPAY,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
RT HEART CATHETRIZATION O,93451,CPT,both,,,4731,4731,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4731,,fee schedule,4731,124.46,4881.46,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,AMBETTER,AMBETTER,,3846,,fee schedule,3846,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,AMERIGROUP,AMERIGROUP,,230.8,,fee schedule,230.8,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,AMERIGROUP,AMERIGROUP,,547.01,,fee schedule,547.01,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,AMERIGROUP,AMERIGROUP,,777.82,,fee schedule,777.82,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CARESOURCE,CARESOURCE,,235.2,,fee schedule,235.2,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CARESOURCE,CARESOURCE,,557.43,,fee schedule,557.43,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CARESOURCE,CARESOURCE,,792.63,,fee schedule,792.63,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,PEACHSTATE,PEACHSTATE,,219.81,,fee schedule,219.81,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,PEACHSTATE,PEACHSTATE,,520.96,,fee schedule,520.96,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,PEACHSTATE,PEACHSTATE,,740.78,,fee schedule,740.78,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,AETNA,AETNA,,9013.2,87,percent of total billed charges,9013.2,219.81,10360,percent of total billed charges,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9013.2,87,percent of total billed charges,9013.2,219.81,10360,percent of total billed charges,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,UNITED HEALTHCARE,UNITED HEALTHCARE,,9116.8,88,percent of total billed charges,9116.8,219.81,10360,percent of total billed charges,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,AETNA,AETNA,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,BEECH STREET,BEECH STREET,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CARESOURCE,CARESOURCE,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,MEDICAID,MEDICAID,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,NOVA NET,NOVA NET,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,PEACHSTATE,PEACHSTATE,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,SELFPAY,SELFPAY,,10360,,fee schedule,10360,219.81,10360,fee schedule,
CORONARY ARTERY ANGIO ONLY,93454,CPT,both,,,10360,10360,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10360,,fee schedule,10360,219.81,10360,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,AMBETTER,AMBETTER,,3846,,fee schedule,3846,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,AMERIGROUP,AMERIGROUP,,281.64,,fee schedule,281.64,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,AMERIGROUP,AMERIGROUP,,656.94,,fee schedule,656.94,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,AMERIGROUP,AMERIGROUP,,938.6,,fee schedule,938.6,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CARESOURCE,CARESOURCE,,287.01,,fee schedule,287.01,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CARESOURCE,CARESOURCE,,669.46,,fee schedule,669.46,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CARESOURCE,CARESOURCE,,956.47,,fee schedule,956.47,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,PEACHSTATE,PEACHSTATE,,268.23,,fee schedule,268.23,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,PEACHSTATE,PEACHSTATE,,625.66,,fee schedule,625.66,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,PEACHSTATE,PEACHSTATE,,893.9,,fee schedule,893.9,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,AETNA,AETNA,,3703.59,87,percent of total billed charges,3703.59,268.23,4881.46,percent of total billed charges,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3703.59,87,percent of total billed charges,3703.59,268.23,4881.46,percent of total billed charges,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,UNITED HEALTHCARE,UNITED HEALTHCARE,,3746.16,88,percent of total billed charges,3746.16,268.23,4881.46,percent of total billed charges,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,AETNA,AETNA,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,BEECH STREET,BEECH STREET,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CARESOURCE,CARESOURCE,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,MEDICAID,MEDICAID,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,NOVA NET,NOVA NET,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,PEACHSTATE,PEACHSTATE,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,SELFPAY,SELFPAY,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
ATTEMPTED LEFT HEART CATH,93458,CPT,both,,,4257,4257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4257,,fee schedule,4257,268.23,4881.46,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,AMBETTER,AMBETTER,,3846,,fee schedule,3846,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,281.64,,fee schedule,281.64,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,656.94,,fee schedule,656.94,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,938.6,,fee schedule,938.6,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,287.01,,fee schedule,287.01,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,669.46,,fee schedule,669.46,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,956.47,,fee schedule,956.47,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,268.23,,fee schedule,268.23,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,625.66,,fee schedule,625.66,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,893.9,,fee schedule,893.9,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,AETNA,AETNA,,7679.49,87,percent of total billed charges,7679.49,268.23,8827,percent of total billed charges,
L HRT CATH,93458,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7679.49,87,percent of total billed charges,7679.49,268.23,8827,percent of total billed charges,
L HRT CATH,93458,CPT,both,,,8827,8827,UNITED HEALTHCARE,UNITED HEALTHCARE,,7767.76,88,percent of total billed charges,7767.76,268.23,8827,percent of total billed charges,
L HRT CATH,93458,CPT,both,,,8827,8827,AETNA,AETNA,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,BEECH STREET,BEECH STREET,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,MEDICAID,MEDICAID,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,NOVA NET,NOVA NET,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,SELFPAY,SELFPAY,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L HRT CATH,93458,CPT,both,,,8827,8827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8827,,fee schedule,8827,268.23,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,AMBETTER,AMBETTER,,3846,,fee schedule,3846,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,317,,fee schedule,317,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,719.52,,fee schedule,719.52,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,1036.53,,fee schedule,1036.53,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,323.03,,fee schedule,323.03,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,733.23,,fee schedule,733.23,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,1056.27,,fee schedule,1056.27,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,301.9,,fee schedule,301.9,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,685.26,,fee schedule,685.26,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,987.17,,fee schedule,987.17,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,AETNA,AETNA,,7679.49,87,percent of total billed charges,7679.49,301.9,8827,percent of total billed charges,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7679.49,87,percent of total billed charges,7679.49,301.9,8827,percent of total billed charges,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,UNITED HEALTHCARE,UNITED HEALTHCARE,,7767.76,88,percent of total billed charges,7767.76,301.9,8827,percent of total billed charges,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,AETNA,AETNA,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,BEECH STREET,BEECH STREET,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,MEDICAID,MEDICAID,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,NOVA NET,NOVA NET,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,SELFPAY,SELFPAY,,8827,,fee schedule,8827,301.9,8827,fee schedule,
L) HRTCATH W/SEL CORO. GR,93459,CPT,both,,,8827,8827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8827,,fee schedule,8827,301.9,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,AMBETTER,AMBETTER,,3846,,fee schedule,3846,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,353.2,,fee schedule,353.2,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,755.98,,fee schedule,755.98,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,1109.18,,fee schedule,1109.18,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,359.93,,fee schedule,359.93,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,770.38,,fee schedule,770.38,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,1130.31,,fee schedule,1130.31,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,336.38,,fee schedule,336.38,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,719.98,,fee schedule,719.98,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,1056.36,,fee schedule,1056.36,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,AETNA,AETNA,,7679.49,87,percent of total billed charges,7679.49,336.38,8827,percent of total billed charges,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7679.49,87,percent of total billed charges,7679.49,336.38,8827,percent of total billed charges,
R & L HEART CATH,93460,CPT,both,,,8827,8827,UNITED HEALTHCARE,UNITED HEALTHCARE,,7767.76,88,percent of total billed charges,7767.76,336.38,8827,percent of total billed charges,
R & L HEART CATH,93460,CPT,both,,,8827,8827,AETNA,AETNA,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,BEECH STREET,BEECH STREET,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,MEDICAID,MEDICAID,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,NOVA NET,NOVA NET,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,SELFPAY,SELFPAY,,8827,,fee schedule,8827,336.38,8827,fee schedule,
R & L HEART CATH,93460,CPT,both,,,8827,8827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8827,,fee schedule,8827,336.38,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,ALLIANT,ALLIANT,,4881.46,,fee schedule,4881.46,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,AMBETTER,AMBETTER,,3846,,fee schedule,3846,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,389.63,,fee schedule,389.63,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,881.4,,fee schedule,881.4,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,AMERIGROUP,AMERIGROUP,,1271.05,,fee schedule,1271.05,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,397.06,,fee schedule,397.06,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,898.19,,fee schedule,898.19,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,1295.26,,fee schedule,1295.26,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,MEDICARE,MEDICARE,,2958.46,,fee schedule,2958.46,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,371.08,,fee schedule,371.08,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,839.43,,fee schedule,839.43,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,1210.52,,fee schedule,1210.52,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,TRICARE,TRICARE,,2958.46,,fee schedule,2958.46,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,UHC MEDICARE,UHC MEDICARE,,2958.46,,fee schedule,2958.46,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,AETNA,AETNA,,7679.49,87,percent of total billed charges,7679.49,371.08,8827,percent of total billed charges,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7679.49,87,percent of total billed charges,7679.49,371.08,8827,percent of total billed charges,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,UNITED HEALTHCARE,UNITED HEALTHCARE,,7767.76,88,percent of total billed charges,7767.76,371.08,8827,percent of total billed charges,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,AETNA,AETNA,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,BEECH STREET,BEECH STREET,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CARESOURCE,CARESOURCE,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,MEDICAID,MEDICAID,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,NOVA NET,NOVA NET,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,PEACHSTATE,PEACHSTATE,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,SELFPAY,SELFPAY,,8827,,fee schedule,8827,371.08,8827,fee schedule,
RT & LT HEART CATH W/ SEL,93461,CPT,both,,,8827,8827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8827,,fee schedule,8827,371.08,8827,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,AETNA,AETNA,,20849.08,87,percent of total billed charges,20849.08,20849.08,23964.46,percent of total billed charges,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20849.08,87,percent of total billed charges,20849.08,20849.08,23964.46,percent of total billed charges,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,UNITED HEALTHCARE,UNITED HEALTHCARE,,21088.72,88,percent of total billed charges,21088.72,20849.08,23964.46,percent of total billed charges,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,AETNA,AETNA,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,ALLIANT,ALLIANT,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,AMBETTER,AMBETTER,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,BEECH STREET,BEECH STREET,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,CARESOURCE,CARESOURCE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,MEDICAID,MEDICAID,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,MEDICARE,MEDICARE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,NOVA NET,NOVA NET,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,PEACHSTATE,PEACHSTATE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,SELFPAY,SELFPAY,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,TRICARE,TRICARE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
NON-EXTENSIVE BURNS,935,DRG,inpatient,,,23964.46,23964.46,UHC MEDICARE,UHC MEDICARE,,23964.46,,fee schedule,23964.46,20849.08,23964.46,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,ALLIANT,ALLIANT,,2454.95,,fee schedule,2454.95,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,AMBETTER,AMBETTER,,1934.21,,fee schedule,1934.21,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,AMERIGROUP,AMERIGROUP,,162.63,,fee schedule,162.63,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,CARESOURCE,CARESOURCE,,165.73,,fee schedule,165.73,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,MEDICARE,MEDICARE,,1487.85,,fee schedule,1487.85,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,PEACHSTATE,PEACHSTATE,,154.89,,fee schedule,154.89,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,TRICARE,TRICARE,,1487.85,,fee schedule,1487.85,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,UHC MEDICARE,UHC MEDICARE,,1487.85,,fee schedule,1487.85,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,AETNA,AETNA,,3342.54,87,percent of total billed charges,3342.54,154.89,3842,percent of total billed charges,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3342.54,87,percent of total billed charges,3342.54,154.89,3842,percent of total billed charges,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,UNITED HEALTHCARE,UNITED HEALTHCARE,,3380.96,88,percent of total billed charges,3380.96,154.89,3842,percent of total billed charges,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,AETNA,AETNA,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,BEECH STREET,BEECH STREET,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,CARESOURCE,CARESOURCE,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,MEDICAID,MEDICAID,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,NOVA NET,NOVA NET,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,PEACHSTATE,PEACHSTATE,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,SELFPAY,SELFPAY,,3842,,fee schedule,3842,154.89,3842,fee schedule,
INSERT/PLACE HEART CATHETER,93503,CPT,both,,,3842,3842,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3842,,fee schedule,3842,154.89,3842,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,AMERIGROUP,AMERIGROUP,,103.44,,fee schedule,103.44,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,AMERIGROUP,AMERIGROUP,,60.04,,fee schedule,60.04,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,AMERIGROUP,AMERIGROUP,,162.54,,fee schedule,162.54,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CARESOURCE,CARESOURCE,,105.41,,fee schedule,105.41,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CARESOURCE,CARESOURCE,,61.18,,fee schedule,61.18,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CARESOURCE,CARESOURCE,,165.64,,fee schedule,165.64,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,PEACHSTATE,PEACHSTATE,,98.51,,fee schedule,98.51,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,PEACHSTATE,PEACHSTATE,,57.18,,fee schedule,57.18,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,PEACHSTATE,PEACHSTATE,,154.8,,fee schedule,154.8,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,TRICARE,TRICARE,,483.43,,fee schedule,483.43,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,AETNA,AETNA,,1442.46,87,percent of total billed charges,1442.46,57.18,1658,percent of total billed charges,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1442.46,87,percent of total billed charges,1442.46,57.18,1658,percent of total billed charges,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,UNITED HEALTHCARE,UNITED HEALTHCARE,,1459.04,88,percent of total billed charges,1459.04,57.18,1658,percent of total billed charges,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,AETNA,AETNA,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,BEECH STREET,BEECH STREET,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CARESOURCE,CARESOURCE,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,MEDICAID,MEDICAID,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,NOVA NET,NOVA NET,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,PEACHSTATE,PEACHSTATE,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,SELFPAY,SELFPAY,,1658,,fee schedule,1658,57.18,1658,fee schedule,
TILT TABLE TEST,93660,CPT,both,,,1658,1658,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1658,,fee schedule,1658,57.18,1658,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,AMERIGROUP,AMERIGROUP,,31.31,,fee schedule,31.31,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,AMERIGROUP,AMERIGROUP,,137.14,,fee schedule,137.14,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,AMERIGROUP,AMERIGROUP,,168.46,,fee schedule,168.46,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,CARESOURCE,CARESOURCE,,31.91,,fee schedule,31.91,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,CARESOURCE,CARESOURCE,,139.75,,fee schedule,139.75,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,CARESOURCE,CARESOURCE,,171.67,,fee schedule,171.67,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,PEACHSTATE,PEACHSTATE,,29.82,,fee schedule,29.82,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,PEACHSTATE,PEACHSTATE,,130.61,,fee schedule,130.61,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,PEACHSTATE,PEACHSTATE,,160.44,,fee schedule,160.44,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,TRICARE,TRICARE,,233.52,,fee schedule,233.52,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,AETNA,AETNA,,952.65,87,percent of total billed charges,952.65,29.82,1095,percent of total billed charges,
CAROTIDS,93880,CPT,both,,,1095,1095,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,952.65,87,percent of total billed charges,952.65,29.82,1095,percent of total billed charges,
CAROTIDS,93880,CPT,both,,,1095,1095,UNITED HEALTHCARE,UNITED HEALTHCARE,,963.6,88,percent of total billed charges,963.6,29.82,1095,percent of total billed charges,
CAROTIDS,93880,CPT,both,,,1095,1095,AETNA,AETNA,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,BEECH STREET,BEECH STREET,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,CARESOURCE,CARESOURCE,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,MEDICAID,MEDICAID,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,NOVA NET,NOVA NET,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,PEACHSTATE,PEACHSTATE,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,SELFPAY,SELFPAY,,1095,,fee schedule,1095,29.82,1095,fee schedule,
CAROTIDS,93880,CPT,both,,,1095,1095,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1095,,fee schedule,1095,29.82,1095,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,AMERIGROUP,AMERIGROUP,,21.08,,fee schedule,21.08,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,AMERIGROUP,AMERIGROUP,,91,,fee schedule,91,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,AMERIGROUP,AMERIGROUP,,112.11,,fee schedule,112.11,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CARESOURCE,CARESOURCE,,21.49,,fee schedule,21.49,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CARESOURCE,CARESOURCE,,92.74,,fee schedule,92.74,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CARESOURCE,CARESOURCE,,114.24,,fee schedule,114.24,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,PEACHSTATE,PEACHSTATE,,20.08,,fee schedule,20.08,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,PEACHSTATE,PEACHSTATE,,86.67,,fee schedule,86.67,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,PEACHSTATE,PEACHSTATE,,106.77,,fee schedule,106.77,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,TRICARE,TRICARE,,106.88,,fee schedule,106.88,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,AETNA,AETNA,,1653.87,87,percent of total billed charges,1653.87,20.08,1901,percent of total billed charges,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1653.87,87,percent of total billed charges,1653.87,20.08,1901,percent of total billed charges,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,UNITED HEALTHCARE,UNITED HEALTHCARE,,1672.88,88,percent of total billed charges,1672.88,20.08,1901,percent of total billed charges,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,AETNA,AETNA,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,BEECH STREET,BEECH STREET,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CARESOURCE,CARESOURCE,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,MEDICAID,MEDICAID,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,NOVA NET,NOVA NET,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,PEACHSTATE,PEACHSTATE,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,SELFPAY,SELFPAY,,1901,,fee schedule,1901,20.08,1901,fee schedule,
SUBCLAVIAN STEAL DOP,93882,CPT,both,,,1901,1901,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1901,,fee schedule,1901,20.08,1901,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,AMERIGROUP,AMERIGROUP,,43.11,,fee schedule,43.11,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,AMERIGROUP,AMERIGROUP,,58.63,,fee schedule,58.63,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,43.93,,fee schedule,43.93,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,59.75,,fee schedule,59.75,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,41.06,,fee schedule,41.06,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,55.84,,fee schedule,55.84,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,TRICARE,TRICARE,,116.11,,fee schedule,116.11,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,AETNA,AETNA,,253.17,87,percent of total billed charges,253.17,14.8,291,percent of total billed charges,
LIMITED LEA,93922,CPT,both,,,291,291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253.17,87,percent of total billed charges,253.17,14.8,291,percent of total billed charges,
LIMITED LEA,93922,CPT,both,,,291,291,UNITED HEALTHCARE,UNITED HEALTHCARE,,256.08,88,percent of total billed charges,256.08,14.8,291,percent of total billed charges,
LIMITED LEA,93922,CPT,both,,,291,291,AETNA,AETNA,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,BEECH STREET,BEECH STREET,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,MEDICAID,MEDICAID,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,NOVA NET,NOVA NET,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,SELFPAY,SELFPAY,,291,,fee schedule,291,14.8,291,fee schedule,
LIMITED LEA,93922,CPT,both,,,291,291,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,AMERIGROUP,AMERIGROUP,,15.54,,fee schedule,15.54,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,AMERIGROUP,AMERIGROUP,,43.11,,fee schedule,43.11,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,AMERIGROUP,AMERIGROUP,,58.63,,fee schedule,58.63,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,15.84,,fee schedule,15.84,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,43.93,,fee schedule,43.93,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,59.75,,fee schedule,59.75,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,14.8,,fee schedule,14.8,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,41.06,,fee schedule,41.06,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,55.84,,fee schedule,55.84,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,TRICARE,TRICARE,,116.11,,fee schedule,116.11,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,AETNA,AETNA,,253.17,87,percent of total billed charges,253.17,14.8,291,percent of total billed charges,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253.17,87,percent of total billed charges,253.17,14.8,291,percent of total billed charges,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,UNITED HEALTHCARE,UNITED HEALTHCARE,,256.08,88,percent of total billed charges,256.08,14.8,291,percent of total billed charges,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,AETNA,AETNA,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,BEECH STREET,BEECH STREET,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,MEDICAID,MEDICAID,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,NOVA NET,NOVA NET,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,SELFPAY,SELFPAY,,291,,fee schedule,291,14.8,291,fee schedule,
UPR/L XTREMITY ART 2 LEVELS,93922,CPT,both,,,291,291,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,291,,fee schedule,291,14.8,291,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,27.75,,fee schedule,27.75,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,80.92,,fee schedule,80.92,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,108.66,,fee schedule,108.66,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,28.28,,fee schedule,28.28,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,82.46,,fee schedule,82.46,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,110.73,,fee schedule,110.73,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,26.43,,fee schedule,26.43,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,77.07,,fee schedule,77.07,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,103.49,,fee schedule,103.49,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,TRICARE,TRICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,AETNA,AETNA,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
COMPLETE LEA,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
COMPLETE LEA,93923,CPT,both,,,894,894,UNITED HEALTHCARE,UNITED HEALTHCARE,,786.72,88,percent of total billed charges,786.72,26.43,894,percent of total billed charges,
COMPLETE LEA,93923,CPT,both,,,894,894,AETNA,AETNA,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,BEECH STREET,BEECH STREET,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,MEDICAID,MEDICAID,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,NOVA NET,NOVA NET,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,SELFPAY,SELFPAY,,894,,fee schedule,894,26.43,894,fee schedule,
COMPLETE LEA,93923,CPT,both,,,894,894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,27.75,,fee schedule,27.75,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,80.92,,fee schedule,80.92,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,108.66,,fee schedule,108.66,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,28.28,,fee schedule,28.28,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,82.46,,fee schedule,82.46,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,110.73,,fee schedule,110.73,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,26.43,,fee schedule,26.43,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,77.07,,fee schedule,77.07,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,103.49,,fee schedule,103.49,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,TRICARE,TRICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AETNA,AETNA,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,UNITED HEALTHCARE,UNITED HEALTHCARE,,786.72,88,percent of total billed charges,786.72,26.43,894,percent of total billed charges,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AETNA,AETNA,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,BEECH STREET,BEECH STREET,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,MEDICAID,MEDICAID,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,NOVA NET,NOVA NET,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,SELFPAY,SELFPAY,,894,,fee schedule,894,26.43,894,fee schedule,
LOWER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,27.75,,fee schedule,27.75,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,80.92,,fee schedule,80.92,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,108.66,,fee schedule,108.66,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,28.28,,fee schedule,28.28,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,82.46,,fee schedule,82.46,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,110.73,,fee schedule,110.73,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,26.43,,fee schedule,26.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,77.07,,fee schedule,77.07,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,103.49,,fee schedule,103.49,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,TRICARE,TRICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AETNA,AETNA,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,UNITED HEALTHCARE,UNITED HEALTHCARE,,786.72,88,percent of total billed charges,786.72,26.43,894,percent of total billed charges,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AETNA,AETNA,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,BEECH STREET,BEECH STREET,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,MEDICAID,MEDICAID,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,NOVA NET,NOVA NET,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,SELFPAY,SELFPAY,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,27.75,,fee schedule,27.75,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,80.92,,fee schedule,80.92,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,108.66,,fee schedule,108.66,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,28.28,,fee schedule,28.28,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,82.46,,fee schedule,82.46,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,110.73,,fee schedule,110.73,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,26.43,,fee schedule,26.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,77.07,,fee schedule,77.07,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,103.49,,fee schedule,103.49,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,TRICARE,TRICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AETNA,AETNA,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,UNITED HEALTHCARE,UNITED HEALTHCARE,,786.72,88,percent of total billed charges,786.72,26.43,894,percent of total billed charges,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,AETNA,AETNA,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,BEECH STREET,BEECH STREET,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,MEDICAID,MEDICAID,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,NOVA NET,NOVA NET,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,SELFPAY,SELFPAY,,894,,fee schedule,894,26.43,894,fee schedule,
UPPER EXTREMITY ARTERIAL,93923,CPT,both,,,894,894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,27.75,,fee schedule,27.75,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,80.92,,fee schedule,80.92,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,AMERIGROUP,AMERIGROUP,,108.66,,fee schedule,108.66,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,28.28,,fee schedule,28.28,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,82.46,,fee schedule,82.46,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,110.73,,fee schedule,110.73,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,26.43,,fee schedule,26.43,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,77.07,,fee schedule,77.07,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,103.49,,fee schedule,103.49,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,TRICARE,TRICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,AETNA,AETNA,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,777.78,87,percent of total billed charges,777.78,26.43,894,percent of total billed charges,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,UNITED HEALTHCARE,UNITED HEALTHCARE,,786.72,88,percent of total billed charges,786.72,26.43,894,percent of total billed charges,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,AETNA,AETNA,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,BEECH STREET,BEECH STREET,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CARESOURCE,CARESOURCE,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,MEDICAID,MEDICAID,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,NOVA NET,NOVA NET,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,PEACHSTATE,PEACHSTATE,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,SELFPAY,SELFPAY,,894,,fee schedule,894,26.43,894,fee schedule,
UPR/LXTR ART STDY 3+ LVLS,93923,CPT,both,,,894,894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,894,,fee schedule,894,26.43,894,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,AMERIGROUP,AMERIGROUP,,31.04,,fee schedule,31.04,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,AMERIGROUP,AMERIGROUP,,88.24,,fee schedule,88.24,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,AMERIGROUP,AMERIGROUP,,119.27,,fee schedule,119.27,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CARESOURCE,CARESOURCE,,31.63,,fee schedule,31.63,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CARESOURCE,CARESOURCE,,89.92,,fee schedule,89.92,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CARESOURCE,CARESOURCE,,121.54,,fee schedule,121.54,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,PEACHSTATE,PEACHSTATE,,29.56,,fee schedule,29.56,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,PEACHSTATE,PEACHSTATE,,84.04,,fee schedule,84.04,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,PEACHSTATE,PEACHSTATE,,113.59,,fee schedule,113.59,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,TRICARE,TRICARE,,280.06,,fee schedule,280.06,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,AETNA,AETNA,,754.29,87,percent of total billed charges,754.29,29.56,867,percent of total billed charges,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,754.29,87,percent of total billed charges,754.29,29.56,867,percent of total billed charges,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,UNITED HEALTHCARE,UNITED HEALTHCARE,,762.96,88,percent of total billed charges,762.96,29.56,867,percent of total billed charges,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,AETNA,AETNA,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,BEECH STREET,BEECH STREET,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CARESOURCE,CARESOURCE,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,MEDICAID,MEDICAID,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,NOVA NET,NOVA NET,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,PEACHSTATE,PEACHSTATE,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,SELFPAY,SELFPAY,,867,,fee schedule,867,29.56,867,fee schedule,
LWR XTR VASC STDY BILAT,93924,CPT,both,,,867,867,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,867,,fee schedule,867,29.56,867,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,31.04,,fee schedule,31.04,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,88.24,,fee schedule,88.24,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,AMERIGROUP,AMERIGROUP,,119.27,,fee schedule,119.27,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,31.63,,fee schedule,31.63,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,89.92,,fee schedule,89.92,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,121.54,,fee schedule,121.54,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,29.56,,fee schedule,29.56,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,84.04,,fee schedule,84.04,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,113.59,,fee schedule,113.59,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,TRICARE,TRICARE,,280.06,,fee schedule,280.06,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,AETNA,AETNA,,322.77,87,percent of total billed charges,322.77,29.56,462.1,percent of total billed charges,
POST STRESS LEA,93924,CPT,both,,,371,371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322.77,87,percent of total billed charges,322.77,29.56,462.1,percent of total billed charges,
POST STRESS LEA,93924,CPT,both,,,371,371,UNITED HEALTHCARE,UNITED HEALTHCARE,,326.48,88,percent of total billed charges,326.48,29.56,462.1,percent of total billed charges,
POST STRESS LEA,93924,CPT,both,,,371,371,AETNA,AETNA,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,BEECH STREET,BEECH STREET,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,CARESOURCE,CARESOURCE,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,MEDICAID,MEDICAID,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,NOVA NET,NOVA NET,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,PEACHSTATE,PEACHSTATE,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,SELFPAY,SELFPAY,,371,,fee schedule,371,29.56,462.1,fee schedule,
POST STRESS LEA,93924,CPT,both,,,371,371,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,371,,fee schedule,371,29.56,462.1,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,AMERIGROUP,AMERIGROUP,,30.66,,fee schedule,30.66,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,AMERIGROUP,AMERIGROUP,,137.81,,fee schedule,137.81,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,AMERIGROUP,AMERIGROUP,,168.47,,fee schedule,168.47,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,31.24,,fee schedule,31.24,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,140.44,,fee schedule,140.44,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,171.68,,fee schedule,171.68,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,29.2,,fee schedule,29.2,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,131.25,,fee schedule,131.25,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,160.45,,fee schedule,160.45,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,TRICARE,TRICARE,,233.52,,fee schedule,233.52,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,AETNA,AETNA,,732.54,87,percent of total billed charges,732.54,29.2,842,percent of total billed charges,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,732.54,87,percent of total billed charges,732.54,29.2,842,percent of total billed charges,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,UNITED HEALTHCARE,UNITED HEALTHCARE,,740.96,88,percent of total billed charges,740.96,29.2,842,percent of total billed charges,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,AETNA,AETNA,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,BEECH STREET,BEECH STREET,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CARESOURCE,CARESOURCE,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,MEDICAID,MEDICAID,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,NOVA NET,NOVA NET,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,PEACHSTATE,PEACHSTATE,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,SELFPAY,SELFPAY,,842,,fee schedule,842,29.2,842,fee schedule,
DUPLEX LE ART/BPG; BILAT,93925,CPT,both,,,842,842,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,842,,fee schedule,842,29.2,842,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,20.76,,fee schedule,20.76,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,91.99,,fee schedule,91.99,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,112.74,,fee schedule,112.74,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,21.15,,fee schedule,21.15,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,93.74,,fee schedule,93.74,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,114.89,,fee schedule,114.89,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,19.77,,fee schedule,19.77,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,87.61,,fee schedule,87.61,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,107.37,,fee schedule,107.37,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,TRICARE,TRICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,AETNA,AETNA,,366.27,87,percent of total billed charges,366.27,19.77,421,percent of total billed charges,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,366.27,87,percent of total billed charges,366.27,19.77,421,percent of total billed charges,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,UNITED HEALTHCARE,UNITED HEALTHCARE,,370.48,88,percent of total billed charges,370.48,19.77,421,percent of total billed charges,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,AETNA,AETNA,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,BEECH STREET,BEECH STREET,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,MEDICAID,MEDICAID,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,NOVA NET,NOVA NET,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,SELFPAY,SELFPAY,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX LE RT,93926,CPT,both,,,421,421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,20.76,,fee schedule,20.76,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,91.99,,fee schedule,91.99,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,112.74,,fee schedule,112.74,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,21.15,,fee schedule,21.15,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,93.74,,fee schedule,93.74,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,114.89,,fee schedule,114.89,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,19.77,,fee schedule,19.77,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,87.61,,fee schedule,87.61,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,107.37,,fee schedule,107.37,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,TRICARE,TRICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,AETNA,AETNA,,366.27,87,percent of total billed charges,366.27,19.77,421,percent of total billed charges,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,366.27,87,percent of total billed charges,366.27,19.77,421,percent of total billed charges,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,UNITED HEALTHCARE,UNITED HEALTHCARE,,370.48,88,percent of total billed charges,370.48,19.77,421,percent of total billed charges,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,AETNA,AETNA,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,BEECH STREET,BEECH STREET,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,MEDICAID,MEDICAID,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,NOVA NET,NOVA NET,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,SELFPAY,SELFPAY,,421,,fee schedule,421,19.77,421,fee schedule,
US ARTERIAL DUPLEX UE UNILATER,93926,CPT,both,,,421,421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,20.76,,fee schedule,20.76,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,91.99,,fee schedule,91.99,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,112.74,,fee schedule,112.74,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,21.15,,fee schedule,21.15,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,93.74,,fee schedule,93.74,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,114.89,,fee schedule,114.89,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,19.77,,fee schedule,19.77,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,87.61,,fee schedule,87.61,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,107.37,,fee schedule,107.37,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,TRICARE,TRICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,AETNA,AETNA,,366.27,87,percent of total billed charges,366.27,19.77,421,percent of total billed charges,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,366.27,87,percent of total billed charges,366.27,19.77,421,percent of total billed charges,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,UNITED HEALTHCARE,UNITED HEALTHCARE,,370.48,88,percent of total billed charges,370.48,19.77,421,percent of total billed charges,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,AETNA,AETNA,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,BEECH STREET,BEECH STREET,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,MEDICAID,MEDICAID,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,NOVA NET,NOVA NET,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,SELFPAY,SELFPAY,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-LE,93926,CPT,both,,,421,421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,421,,fee schedule,421,19.77,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,17.16,,fee schedule,17.16,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,97.02,,fee schedule,97.02,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,AMERIGROUP,AMERIGROUP,,114.17,,fee schedule,114.17,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,17.48,,fee schedule,17.48,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,98.87,,fee schedule,98.87,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,116.34,,fee schedule,116.34,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,16.34,,fee schedule,16.34,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,92.4,,fee schedule,92.4,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,108.73,,fee schedule,108.73,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,TRICARE,TRICARE,,106.88,,fee schedule,106.88,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,AETNA,AETNA,,366.27,87,percent of total billed charges,366.27,16.34,421,percent of total billed charges,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,366.27,87,percent of total billed charges,366.27,16.34,421,percent of total billed charges,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,UNITED HEALTHCARE,UNITED HEALTHCARE,,370.48,88,percent of total billed charges,370.48,16.34,421,percent of total billed charges,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,AETNA,AETNA,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,BEECH STREET,BEECH STREET,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CARESOURCE,CARESOURCE,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,MEDICAID,MEDICAID,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,NOVA NET,NOVA NET,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,PEACHSTATE,PEACHSTATE,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,SELFPAY,SELFPAY,,421,,fee schedule,421,16.34,421,fee schedule,
VASCULAR GRAFT PATENCY-UE,93931,CPT,both,,,421,421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,421,,fee schedule,421,16.34,421,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,34.91,,fee schedule,34.91,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,152.18,,fee schedule,152.18,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,187.09,,fee schedule,187.09,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,35.58,,fee schedule,35.58,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,155.08,,fee schedule,155.08,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,190.65,,fee schedule,190.65,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,33.25,,fee schedule,33.25,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,144.93,,fee schedule,144.93,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,178.18,,fee schedule,178.18,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,TRICARE,TRICARE,,233.52,,fee schedule,233.52,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,33.25,1102,percent of total billed charges,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,33.25,1102,percent of total billed charges,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,33.25,1102,percent of total billed charges,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,33.25,1102,fee schedule,
EXT VENOUS DOPPLER W/REFL,93970,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,34.91,,fee schedule,34.91,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,152.18,,fee schedule,152.18,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,187.09,,fee schedule,187.09,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,35.58,,fee schedule,35.58,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,155.08,,fee schedule,155.08,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,190.65,,fee schedule,190.65,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,33.25,,fee schedule,33.25,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,144.93,,fee schedule,144.93,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,178.18,,fee schedule,178.18,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,TRICARE,TRICARE,,233.52,,fee schedule,233.52,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,33.25,1102,percent of total billed charges,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,33.25,1102,percent of total billed charges,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,33.25,1102,percent of total billed charges,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,33.25,1102,fee schedule,
LOWER EXTREMITY VENOUS,93970,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,33.25,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,101.34,,fee schedule,101.34,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,124.38,,fee schedule,124.38,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,103.27,,fee schedule,103.27,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,126.75,,fee schedule,126.75,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,96.51,,fee schedule,96.51,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,118.46,,fee schedule,118.46,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,TRICARE,TRICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,21.97,1102,percent of total billed charges,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,21.97,1102,fee schedule,
72 HR POST OP VENOUS REFL,93971,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,101.34,,fee schedule,101.34,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,124.38,,fee schedule,124.38,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,103.27,,fee schedule,103.27,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,126.75,,fee schedule,126.75,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,96.51,,fee schedule,96.51,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,118.46,,fee schedule,118.46,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,TRICARE,TRICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,21.97,1102,percent of total billed charges,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,21.97,1102,fee schedule,
INTRAOPERATIVE VENOUS REF,93971,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,101.34,,fee schedule,101.34,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,124.38,,fee schedule,124.38,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,103.27,,fee schedule,103.27,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,126.75,,fee schedule,126.75,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,96.51,,fee schedule,96.51,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,118.46,,fee schedule,118.46,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,TRICARE,TRICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,21.97,1102,percent of total billed charges,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,21.97,1102,fee schedule,
UPPER EXTREMITY VENOUS,93971,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,101.34,,fee schedule,101.34,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,124.38,,fee schedule,124.38,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,103.27,,fee schedule,103.27,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,126.75,,fee schedule,126.75,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,96.51,,fee schedule,96.51,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,118.46,,fee schedule,118.46,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,TRICARE,TRICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,21.97,1102,percent of total billed charges,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE LEFT,93971,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,23.07,,fee schedule,23.07,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,101.34,,fee schedule,101.34,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,AMERIGROUP,AMERIGROUP,,124.38,,fee schedule,124.38,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,23.51,,fee schedule,23.51,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,103.27,,fee schedule,103.27,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,126.75,,fee schedule,126.75,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,21.97,,fee schedule,21.97,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,96.51,,fee schedule,96.51,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,118.46,,fee schedule,118.46,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,TRICARE,TRICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,AETNA,AETNA,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958.74,87,percent of total billed charges,958.74,21.97,1102,percent of total billed charges,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,UNITED HEALTHCARE,UNITED HEALTHCARE,,969.76,88,percent of total billed charges,969.76,21.97,1102,percent of total billed charges,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,AETNA,AETNA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,BEECH STREET,BEECH STREET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CARESOURCE,CARESOURCE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,MEDICAID,MEDICAID,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,NOVA NET,NOVA NET,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,PEACHSTATE,PEACHSTATE,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,SELFPAY,SELFPAY,,1102,,fee schedule,1102,21.97,1102,fee schedule,
US VENOUS DOPPLER LE RIGHT,93971,CPT,both,,,1102,1102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1102,,fee schedule,1102,21.97,1102,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,79.18,,fee schedule,79.18,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,172.63,,fee schedule,172.63,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,251.81,,fee schedule,251.81,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,80.69,,fee schedule,80.69,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,175.92,,fee schedule,175.92,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,256.61,,fee schedule,256.61,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,75.41,,fee schedule,75.41,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,164.41,,fee schedule,164.41,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,239.82,,fee schedule,239.82,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,TRICARE,TRICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,AETNA,AETNA,,514.17,87,percent of total billed charges,514.17,75.41,591,percent of total billed charges,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,514.17,87,percent of total billed charges,514.17,75.41,591,percent of total billed charges,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,UNITED HEALTHCARE,UNITED HEALTHCARE,,520.08,88,percent of total billed charges,520.08,75.41,591,percent of total billed charges,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,AETNA,AETNA,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,BEECH STREET,BEECH STREET,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,MEDICAID,MEDICAID,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,NOVA NET,NOVA NET,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,SELFPAY,SELFPAY,,591,,fee schedule,591,75.41,591,fee schedule,
DOPPLER RENAL ARTERIES,93975,CPT,both,,,591,591,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,79.18,,fee schedule,79.18,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,172.63,,fee schedule,172.63,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,251.81,,fee schedule,251.81,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,80.69,,fee schedule,80.69,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,175.92,,fee schedule,175.92,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,256.61,,fee schedule,256.61,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,75.41,,fee schedule,75.41,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,164.41,,fee schedule,164.41,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,239.82,,fee schedule,239.82,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,TRICARE,TRICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,AETNA,AETNA,,514.17,87,percent of total billed charges,514.17,75.41,591,percent of total billed charges,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,514.17,87,percent of total billed charges,514.17,75.41,591,percent of total billed charges,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,UNITED HEALTHCARE,UNITED HEALTHCARE,,520.08,88,percent of total billed charges,520.08,75.41,591,percent of total billed charges,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,AETNA,AETNA,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,BEECH STREET,BEECH STREET,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,MEDICAID,MEDICAID,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,NOVA NET,NOVA NET,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,SELFPAY,SELFPAY,,591,,fee schedule,591,75.41,591,fee schedule,
LIVER WITH DOPPLER,93975,CPT,both,,,591,591,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,79.18,,fee schedule,79.18,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,172.63,,fee schedule,172.63,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,AMERIGROUP,AMERIGROUP,,251.81,,fee schedule,251.81,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,80.69,,fee schedule,80.69,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,175.92,,fee schedule,175.92,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,256.61,,fee schedule,256.61,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,75.41,,fee schedule,75.41,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,164.41,,fee schedule,164.41,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,239.82,,fee schedule,239.82,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,TRICARE,TRICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,AETNA,AETNA,,514.17,87,percent of total billed charges,514.17,75.41,591,percent of total billed charges,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,514.17,87,percent of total billed charges,514.17,75.41,591,percent of total billed charges,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,UNITED HEALTHCARE,UNITED HEALTHCARE,,520.08,88,percent of total billed charges,520.08,75.41,591,percent of total billed charges,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,AETNA,AETNA,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,BEECH STREET,BEECH STREET,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CARESOURCE,CARESOURCE,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,MEDICAID,MEDICAID,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,NOVA NET,NOVA NET,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,PEACHSTATE,PEACHSTATE,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,SELFPAY,SELFPAY,,591,,fee schedule,591,75.41,591,fee schedule,
RENAL ARTERY DOPPLER,93975,CPT,both,,,591,591,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,591,,fee schedule,591,75.41,591,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,ALLIANT,ALLIANT,,176.35,,fee schedule,176.35,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,AMBETTER,AMBETTER,,138.94,,fee schedule,138.94,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,AMERIGROUP,AMERIGROUP,,13.88,,fee schedule,13.88,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,AMERIGROUP,AMERIGROUP,,91.99,,fee schedule,91.99,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,AMERIGROUP,AMERIGROUP,,105.87,,fee schedule,105.87,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,14.15,,fee schedule,14.15,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,93.74,,fee schedule,93.74,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,107.89,,fee schedule,107.89,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,MEDICARE,MEDICARE,,106.88,,fee schedule,106.88,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,13.22,,fee schedule,13.22,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,87.61,,fee schedule,87.61,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,100.83,,fee schedule,100.83,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,TRICARE,TRICARE,,106.88,,fee schedule,106.88,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,106.88,,fee schedule,106.88,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,13.22,504,percent of total billed charges,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,13.22,504,percent of total billed charges,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,13.22,504,percent of total billed charges,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,13.22,504,fee schedule,
HEMODIALYSIS GRANT PATENC,93990,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,13.22,504,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,ALLIANT,ALLIANT,,918.59,,fee schedule,918.59,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,AMBETTER,AMBETTER,,723.74,,fee schedule,723.74,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,AMERIGROUP,AMERIGROUP,,72.41,,fee schedule,72.41,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,73.79,,fee schedule,73.79,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,MEDICARE,MEDICARE,,556.72,,fee schedule,556.72,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,68.96,,fee schedule,68.96,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,TRICARE,TRICARE,,556.72,,fee schedule,556.72,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,UHC MEDICARE,UHC MEDICARE,,556.72,,fee schedule,556.72,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,AETNA,AETNA,,789.09,87,percent of total billed charges,789.09,68.96,918.59,percent of total billed charges,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,789.09,87,percent of total billed charges,789.09,68.96,918.59,percent of total billed charges,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,UNITED HEALTHCARE,UNITED HEALTHCARE,,798.16,88,percent of total billed charges,798.16,68.96,918.59,percent of total billed charges,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,AETNA,AETNA,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,BEECH STREET,BEECH STREET,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,MEDICAID,MEDICAID,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,NOVA NET,NOVA NET,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,SELFPAY,SELFPAY,,907,,fee schedule,907,68.96,918.59,fee schedule,
HOME VENT MANAGEMENT INIT,94002,CPT,both,,,907,907,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,907,,fee schedule,907,68.96,918.59,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,ALLIANT,ALLIANT,,918.59,,fee schedule,918.59,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,AMBETTER,AMBETTER,,723.74,,fee schedule,723.74,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,AMERIGROUP,AMERIGROUP,,72.41,,fee schedule,72.41,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,CARESOURCE,CARESOURCE,,73.79,,fee schedule,73.79,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,MEDICARE,MEDICARE,,556.72,,fee schedule,556.72,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,PEACHSTATE,PEACHSTATE,,68.96,,fee schedule,68.96,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,TRICARE,TRICARE,,556.72,,fee schedule,556.72,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,UHC MEDICARE,UHC MEDICARE,,556.72,,fee schedule,556.72,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,AETNA,AETNA,,1837.44,87,percent of total billed charges,1837.44,68.96,2112,percent of total billed charges,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1837.44,87,percent of total billed charges,1837.44,68.96,2112,percent of total billed charges,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,UNITED HEALTHCARE,UNITED HEALTHCARE,,1858.56,88,percent of total billed charges,1858.56,68.96,2112,percent of total billed charges,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,AETNA,AETNA,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,BEECH STREET,BEECH STREET,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,CARESOURCE,CARESOURCE,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,MEDICAID,MEDICAID,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,NOVA NET,NOVA NET,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,PEACHSTATE,PEACHSTATE,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,SELFPAY,SELFPAY,,2112,,fee schedule,2112,68.96,2112,fee schedule,
VENTILATOR INITIAL DAY,94002,CPT,both,,,2112,2112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2112,,fee schedule,2112,68.96,2112,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,ALLIANT,ALLIANT,,918.59,,fee schedule,918.59,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,AMBETTER,AMBETTER,,723.74,,fee schedule,723.74,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,AMERIGROUP,AMERIGROUP,,53.14,,fee schedule,53.14,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,54.15,,fee schedule,54.15,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,MEDICARE,MEDICARE,,556.72,,fee schedule,556.72,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,50.61,,fee schedule,50.61,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,TRICARE,TRICARE,,556.72,,fee schedule,556.72,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,UHC MEDICARE,UHC MEDICARE,,556.72,,fee schedule,556.72,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,AETNA,AETNA,,789.09,87,percent of total billed charges,789.09,50.61,918.59,percent of total billed charges,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,789.09,87,percent of total billed charges,789.09,50.61,918.59,percent of total billed charges,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,UNITED HEALTHCARE,UNITED HEALTHCARE,,798.16,88,percent of total billed charges,798.16,50.61,918.59,percent of total billed charges,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,AETNA,AETNA,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,BEECH STREET,BEECH STREET,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,MEDICAID,MEDICAID,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,NOVA NET,NOVA NET,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,SELFPAY,SELFPAY,,907,,fee schedule,907,50.61,918.59,fee schedule,
HOME VENT MANAGEMENT SUB,94003,CPT,both,,,907,907,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,907,,fee schedule,907,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,ALLIANT,ALLIANT,,918.59,,fee schedule,918.59,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,AMBETTER,AMBETTER,,723.74,,fee schedule,723.74,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,AMERIGROUP,AMERIGROUP,,53.14,,fee schedule,53.14,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,CARESOURCE,CARESOURCE,,54.15,,fee schedule,54.15,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,MEDICARE,MEDICARE,,556.72,,fee schedule,556.72,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,PEACHSTATE,PEACHSTATE,,50.61,,fee schedule,50.61,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,TRICARE,TRICARE,,556.72,,fee schedule,556.72,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,UHC MEDICARE,UHC MEDICARE,,556.72,,fee schedule,556.72,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,AETNA,AETNA,,693.39,87,percent of total billed charges,693.39,50.61,918.59,percent of total billed charges,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,693.39,87,percent of total billed charges,693.39,50.61,918.59,percent of total billed charges,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,UNITED HEALTHCARE,UNITED HEALTHCARE,,701.36,88,percent of total billed charges,701.36,50.61,918.59,percent of total billed charges,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,AETNA,AETNA,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,BEECH STREET,BEECH STREET,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,CARESOURCE,CARESOURCE,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,MEDICAID,MEDICAID,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,NOVA NET,NOVA NET,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,PEACHSTATE,PEACHSTATE,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,SELFPAY,SELFPAY,,797,,fee schedule,797,50.61,918.59,fee schedule,
VENTILATOR SUBSEQUENT DAY,94003,CPT,both,,,797,797,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,797,,fee schedule,797,50.61,918.59,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,AMERIGROUP,AMERIGROUP,,11.93,,fee schedule,11.93,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,12.16,,fee schedule,12.16,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,11.36,,fee schedule,11.36,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,TRICARE,TRICARE,,145.43,,fee schedule,145.43,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,AETNA,AETNA,,346.26,87,percent of total billed charges,346.26,11.36,398,percent of total billed charges,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,346.26,87,percent of total billed charges,346.26,11.36,398,percent of total billed charges,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,UNITED HEALTHCARE,UNITED HEALTHCARE,,350.24,88,percent of total billed charges,350.24,11.36,398,percent of total billed charges,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,AETNA,AETNA,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,BEECH STREET,BEECH STREET,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CARESOURCE,CARESOURCE,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,MEDICAID,MEDICAID,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,NOVA NET,NOVA NET,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,PEACHSTATE,PEACHSTATE,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,SELFPAY,SELFPAY,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY,94010,CPT,both,,,398,398,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,398,,fee schedule,398,11.36,398,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,AMERIGROUP,AMERIGROUP,,11.93,,fee schedule,11.93,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,12.16,,fee schedule,12.16,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,11.36,,fee schedule,11.36,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,TRICARE,TRICARE,,145.43,,fee schedule,145.43,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,AETNA,AETNA,,334.95,87,percent of total billed charges,334.95,11.36,385,percent of total billed charges,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334.95,87,percent of total billed charges,334.95,11.36,385,percent of total billed charges,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,UNITED HEALTHCARE,UNITED HEALTHCARE,,338.8,88,percent of total billed charges,338.8,11.36,385,percent of total billed charges,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,AETNA,AETNA,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,BEECH STREET,BEECH STREET,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,MEDICAID,MEDICAID,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,NOVA NET,NOVA NET,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,SELFPAY,SELFPAY,,385,,fee schedule,385,11.36,385,fee schedule,
BASIC SPIROMETRY IP,94010,CPT,both,,,385,385,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,385,,fee schedule,385,11.36,385,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,11.93,,fee schedule,11.93,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,12.16,,fee schedule,12.16,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,11.36,,fee schedule,11.36,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,TRICARE,TRICARE,,145.43,,fee schedule,145.43,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,11.36,239.96,percent of total billed charges,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,11.36,239.96,percent of total billed charges,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,11.36,239.96,percent of total billed charges,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,11.36,239.96,fee schedule,
EMPLOYMENT PFT,94010,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,11.36,239.96,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,11.93,,fee schedule,11.93,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,15.09,,fee schedule,15.09,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,AMERIGROUP,AMERIGROUP,,27.02,,fee schedule,27.02,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,12.16,,fee schedule,12.16,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,15.38,,fee schedule,15.38,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,27.53,,fee schedule,27.53,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,11.36,,fee schedule,11.36,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,14.37,,fee schedule,14.37,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,25.73,,fee schedule,25.73,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,TRICARE,TRICARE,,145.43,,fee schedule,145.43,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,11.36,353,percent of total billed charges,
FVC - DISABILITY,94010,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,11.36,353,percent of total billed charges,
FVC - DISABILITY,94010,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,11.36,353,percent of total billed charges,
FVC - DISABILITY,94010,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,11.36,353,fee schedule,
FVC - DISABILITY,94010,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,11.36,353,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,AMERIGROUP,AMERIGROUP,,18.2,,fee schedule,18.2,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,AMERIGROUP,AMERIGROUP,,33.85,,fee schedule,33.85,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,AMERIGROUP,AMERIGROUP,,52.04,,fee schedule,52.04,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,18.54,,fee schedule,18.54,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,34.5,,fee schedule,34.5,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,53.03,,fee schedule,53.03,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,17.33,,fee schedule,17.33,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,32.24,,fee schedule,32.24,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,49.56,,fee schedule,49.56,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,TRICARE,TRICARE,,280.06,,fee schedule,280.06,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,17.33,618,percent of total billed charges,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,17.33,618,percent of total billed charges,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,17.33,618,percent of total billed charges,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST,94060,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,17.33,618,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,AMERIGROUP,AMERIGROUP,,18.2,,fee schedule,18.2,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,AMERIGROUP,AMERIGROUP,,33.85,,fee schedule,33.85,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,AMERIGROUP,AMERIGROUP,,52.04,,fee schedule,52.04,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CARESOURCE,CARESOURCE,,18.54,,fee schedule,18.54,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CARESOURCE,CARESOURCE,,34.5,,fee schedule,34.5,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CARESOURCE,CARESOURCE,,53.03,,fee schedule,53.03,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,PEACHSTATE,PEACHSTATE,,17.33,,fee schedule,17.33,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,PEACHSTATE,PEACHSTATE,,32.24,,fee schedule,32.24,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,PEACHSTATE,PEACHSTATE,,49.56,,fee schedule,49.56,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,TRICARE,TRICARE,,280.06,,fee schedule,280.06,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,AETNA,AETNA,,521.13,87,percent of total billed charges,521.13,17.33,599,percent of total billed charges,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521.13,87,percent of total billed charges,521.13,17.33,599,percent of total billed charges,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,UNITED HEALTHCARE,UNITED HEALTHCARE,,527.12,88,percent of total billed charges,527.12,17.33,599,percent of total billed charges,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,AETNA,AETNA,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,BEECH STREET,BEECH STREET,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CARESOURCE,CARESOURCE,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,MEDICAID,MEDICAID,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,NOVA NET,NOVA NET,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,PEACHSTATE,PEACHSTATE,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,SELFPAY,SELFPAY,,599,,fee schedule,599,17.33,599,fee schedule,
SPIROMETRY PRE & POST IP,94060,CPT,both,,,599,599,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,599,,fee schedule,599,17.33,599,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,AMERIGROUP,AMERIGROUP,,30.37,,fee schedule,30.37,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,AMERIGROUP,AMERIGROUP,,52.61,,fee schedule,52.61,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,AMERIGROUP,AMERIGROUP,,82.97,,fee schedule,82.97,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CARESOURCE,CARESOURCE,,30.94,,fee schedule,30.94,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CARESOURCE,CARESOURCE,,53.61,,fee schedule,53.61,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CARESOURCE,CARESOURCE,,84.55,,fee schedule,84.55,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,PEACHSTATE,PEACHSTATE,,28.92,,fee schedule,28.92,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,PEACHSTATE,PEACHSTATE,,50.1,,fee schedule,50.1,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,PEACHSTATE,PEACHSTATE,,79.02,,fee schedule,79.02,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,TRICARE,TRICARE,,280.06,,fee schedule,280.06,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,AETNA,AETNA,,718.62,87,percent of total billed charges,718.62,28.92,826,percent of total billed charges,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,718.62,87,percent of total billed charges,718.62,28.92,826,percent of total billed charges,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,UNITED HEALTHCARE,UNITED HEALTHCARE,,726.88,88,percent of total billed charges,726.88,28.92,826,percent of total billed charges,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,AETNA,AETNA,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,BEECH STREET,BEECH STREET,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CARESOURCE,CARESOURCE,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,MEDICAID,MEDICAID,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,NOVA NET,NOVA NET,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,PEACHSTATE,PEACHSTATE,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,SELFPAY,SELFPAY,,826,,fee schedule,826,28.92,826,fee schedule,
BRONCHIAL PROV-METHACHOLI,94070,CPT,both,,,826,826,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,826,,fee schedule,826,28.92,826,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,AETNA,AETNA,,14568.45,87,percent of total billed charges,14568.45,14568.45,16745.35,percent of total billed charges,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14568.45,87,percent of total billed charges,14568.45,14568.45,16745.35,percent of total billed charges,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,UNITED HEALTHCARE,UNITED HEALTHCARE,,14735.91,88,percent of total billed charges,14735.91,14568.45,16745.35,percent of total billed charges,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,AETNA,AETNA,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,ALLIANT,ALLIANT,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,AMBETTER,AMBETTER,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,BEECH STREET,BEECH STREET,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,CARESOURCE,CARESOURCE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,MEDICAID,MEDICAID,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,MEDICARE,MEDICARE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,NOVA NET,NOVA NET,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,PEACHSTATE,PEACHSTATE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,SELFPAY,SELFPAY,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,TRICARE,TRICARE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC,941,DRG,inpatient,,,16745.35,16745.35,UHC MEDICARE,UHC MEDICARE,,16745.35,,fee schedule,16745.35,14568.45,16745.35,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,AMERIGROUP,AMERIGROUP,,7.1,,fee schedule,7.1,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,AMERIGROUP,AMERIGROUP,,2.69,,fee schedule,2.69,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,AMERIGROUP,AMERIGROUP,,10.37,,fee schedule,10.37,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,7.23,,fee schedule,7.23,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,2.74,,fee schedule,2.74,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,10.57,,fee schedule,10.57,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,6.76,,fee schedule,6.76,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,2.56,,fee schedule,2.56,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,9.88,,fee schedule,9.88,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,TRICARE,TRICARE,,145.43,,fee schedule,145.43,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,AETNA,AETNA,,108.75,87,percent of total billed charges,108.75,2.56,239.96,percent of total billed charges,
PEAK FLOW,94150,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108.75,87,percent of total billed charges,108.75,2.56,239.96,percent of total billed charges,
PEAK FLOW,94150,CPT,both,,,125,125,UNITED HEALTHCARE,UNITED HEALTHCARE,,110,88,percent of total billed charges,110,2.56,239.96,percent of total billed charges,
PEAK FLOW,94150,CPT,both,,,125,125,AETNA,AETNA,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,BEECH STREET,BEECH STREET,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,MEDICAID,MEDICAID,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,NOVA NET,NOVA NET,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,SELFPAY,SELFPAY,,125,,fee schedule,125,2.56,239.96,fee schedule,
PEAK FLOW,94150,CPT,both,,,125,125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,125,,fee schedule,125,2.56,239.96,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,7.1,,fee schedule,7.1,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,2.69,,fee schedule,2.69,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,10.37,,fee schedule,10.37,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,7.23,,fee schedule,7.23,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,2.74,,fee schedule,2.74,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,10.57,,fee schedule,10.57,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,6.76,,fee schedule,6.76,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,2.56,,fee schedule,2.56,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,9.88,,fee schedule,9.88,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,TRICARE,TRICARE,,145.43,,fee schedule,145.43,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,2.56,320,percent of total billed charges,
VITAL CAPACITY,94150,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,2.56,320,percent of total billed charges,
VITAL CAPACITY,94150,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,2.56,320,percent of total billed charges,
VITAL CAPACITY,94150,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,2.56,320,fee schedule,
VITAL CAPACITY,94150,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,2.56,320,fee schedule,
MVV,94200,CPT,both,,,149,149,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,6.6,,fee schedule,6.6,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,9.37,,fee schedule,9.37,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,15.96,,fee schedule,15.96,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,6.73,,fee schedule,6.73,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,9.54,,fee schedule,9.54,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,16.26,,fee schedule,16.26,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,6.29,,fee schedule,6.29,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,8.92,,fee schedule,8.92,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,15.2,,fee schedule,15.2,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,TRICARE,TRICARE,,57.48,,fee schedule,57.48,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,6.29,149,percent of total billed charges,
MVV,94200,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,6.29,149,percent of total billed charges,
MVV,94200,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,6.29,149,percent of total billed charges,
MVV,94200,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,6.29,149,fee schedule,
MVV,94200,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,6.29,149,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,31.05,,fee schedule,31.05,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,10.24,,fee schedule,10.24,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,AMERIGROUP,AMERIGROUP,,20.81,,fee schedule,20.81,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,31.64,,fee schedule,31.64,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,10.43,,fee schedule,10.43,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,21.21,,fee schedule,21.21,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,29.57,,fee schedule,29.57,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,9.75,,fee schedule,9.75,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,19.82,,fee schedule,19.82,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,TRICARE,TRICARE,,116.11,,fee schedule,116.11,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,AETNA,AETNA,,251.43,87,percent of total billed charges,251.43,9.75,289,percent of total billed charges,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251.43,87,percent of total billed charges,251.43,9.75,289,percent of total billed charges,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,UNITED HEALTHCARE,UNITED HEALTHCARE,,254.32,88,percent of total billed charges,254.32,9.75,289,percent of total billed charges,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,AETNA,AETNA,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,BEECH STREET,BEECH STREET,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CARESOURCE,CARESOURCE,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,MEDICAID,MEDICAID,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,NOVA NET,NOVA NET,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,PEACHSTATE,PEACHSTATE,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,SELFPAY,SELFPAY,,289,,fee schedule,289,9.75,289,fee schedule,
PULM STRESS TEST AKA 6MW,94618,CPT,both,,,289,289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,289,,fee schedule,289,9.75,289,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,TRICARE,TRICARE,,191.5,,fee schedule,191.5,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,AETNA,AETNA,,1212.78,87,percent of total billed charges,1212.78,17.25,1394,percent of total billed charges,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212.78,87,percent of total billed charges,1212.78,17.25,1394,percent of total billed charges,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,UNITED HEALTHCARE,UNITED HEALTHCARE,,1226.72,88,percent of total billed charges,1226.72,17.25,1394,percent of total billed charges,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,AETNA,AETNA,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,BEECH STREET,BEECH STREET,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,CARESOURCE,CARESOURCE,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,MEDICAID,MEDICAID,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,NOVA NET,NOVA NET,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,PEACHSTATE,PEACHSTATE,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,SELFPAY,SELFPAY,,1394,,fee schedule,1394,17.25,1394,fee schedule,
INHALATION TREATMENT,94640,CPT,both,,,1394,1394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1394,,fee schedule,1394,17.25,1394,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,18.11,,fee schedule,18.11,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,18.46,,fee schedule,18.46,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,17.25,,fee schedule,17.25,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,TRICARE,TRICARE,,191.5,,fee schedule,191.5,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,17.25,315.98,percent of total billed charges,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,17.25,315.98,percent of total billed charges,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,17.25,315.98,percent of total billed charges,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,17.25,315.98,fee schedule,
SPUTUM INDUCTION,94640,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,17.25,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,29.63,,fee schedule,29.63,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,30.2,,fee schedule,30.2,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,28.22,,fee schedule,28.22,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,TRICARE,TRICARE,,191.5,,fee schedule,191.5,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,28.22,315.98,percent of total billed charges,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,28.22,315.98,percent of total billed charges,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,28.22,315.98,percent of total billed charges,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,28.22,315.98,fee schedule,
NEBULIZER PENTAMIDINE,94642,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,28.22,315.98,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,TRICARE,TRICARE,,116.11,,fee schedule,116.11,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,116.11,225,percent of total billed charges,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,116.11,225,percent of total billed charges,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,116.11,225,percent of total billed charges,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEBULIZER TX 1,94644,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,116.11,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,195.75,225,percent of total billed charges,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,195.75,225,percent of total billed charges,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,195.75,225,percent of total billed charges,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,ALLIANT,ALLIANT,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,AMBETTER,AMBETTER,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,MEDICARE,MEDICARE,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,TRICARE,TRICARE,,225,,fee schedule,225,195.75,225,fee schedule,
CONTINUOUS NEB SUB TX,94645,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,225,,fee schedule,225,195.75,225,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AMERIGROUP,AMERIGROUP,,49.02,,fee schedule,49.02,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,49.96,,fee schedule,49.96,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,46.69,,fee schedule,46.69,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,TRICARE,TRICARE,,191.5,,fee schedule,191.5,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AETNA,AETNA,,588.99,87,percent of total billed charges,588.99,46.69,677,percent of total billed charges,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.99,87,percent of total billed charges,588.99,46.69,677,percent of total billed charges,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,UNITED HEALTHCARE,UNITED HEALTHCARE,,595.76,88,percent of total billed charges,595.76,46.69,677,percent of total billed charges,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AETNA,AETNA,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,BEECH STREET,BEECH STREET,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,MEDICAID,MEDICAID,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,NOVA NET,NOVA NET,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,SELFPAY,SELFPAY,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AMERIGROUP,AMERIGROUP,,49.02,,fee schedule,49.02,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,49.96,,fee schedule,49.96,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,46.69,,fee schedule,46.69,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,TRICARE,TRICARE,,191.5,,fee schedule,191.5,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AETNA,AETNA,,588.99,87,percent of total billed charges,588.99,46.69,677,percent of total billed charges,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.99,87,percent of total billed charges,588.99,46.69,677,percent of total billed charges,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,UNITED HEALTHCARE,UNITED HEALTHCARE,,595.76,88,percent of total billed charges,595.76,46.69,677,percent of total billed charges,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,AETNA,AETNA,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,BEECH STREET,BEECH STREET,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,MEDICAID,MEDICAID,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,NOVA NET,NOVA NET,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,SELFPAY,SELFPAY,,677,,fee schedule,677,46.69,677,fee schedule,
CPAP/BIPAP PER DAY,94660,CPT,both,,,677,677,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,677,,fee schedule,677,46.69,677,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,AMERIGROUP,AMERIGROUP,,49.02,,fee schedule,49.02,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,CARESOURCE,CARESOURCE,,49.96,,fee schedule,49.96,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,PEACHSTATE,PEACHSTATE,,46.69,,fee schedule,46.69,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,TRICARE,TRICARE,,191.5,,fee schedule,191.5,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,AETNA,AETNA,,364.53,87,percent of total billed charges,364.53,46.69,419,percent of total billed charges,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364.53,87,percent of total billed charges,364.53,46.69,419,percent of total billed charges,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,UNITED HEALTHCARE,UNITED HEALTHCARE,,368.72,88,percent of total billed charges,368.72,46.69,419,percent of total billed charges,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,AETNA,AETNA,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,BEECH STREET,BEECH STREET,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,CARESOURCE,CARESOURCE,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,MEDICAID,MEDICAID,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,NOVA NET,NOVA NET,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,PEACHSTATE,PEACHSTATE,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,SELFPAY,SELFPAY,,419,,fee schedule,419,46.69,419,fee schedule,
HOME CPAP/BIPAP MANAGEMEN,94660,CPT,both,,,419,419,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,419,,fee schedule,419,46.69,419,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,17.75,,fee schedule,17.75,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,18.08,,fee schedule,18.08,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,16.9,,fee schedule,16.9,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,TRICARE,TRICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,16.9,315.98,percent of total billed charges,
ASSESSMENT,94664,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,16.9,315.98,percent of total billed charges,
ASSESSMENT,94664,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,16.9,315.98,percent of total billed charges,
ASSESSMENT,94664,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,16.9,315.98,fee schedule,
ASSESSMENT,94664,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,AMERIGROUP,AMERIGROUP,,17.75,,fee schedule,17.75,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,18.08,,fee schedule,18.08,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,16.9,,fee schedule,16.9,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,TRICARE,TRICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,16.9,315.98,percent of total billed charges,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,16.9,315.98,percent of total billed charges,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,16.9,315.98,percent of total billed charges,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,16.9,315.98,fee schedule,
EVALUATE PT USE OF INHALER,94664,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,17.75,,fee schedule,17.75,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,18.08,,fee schedule,18.08,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,16.9,,fee schedule,16.9,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,TRICARE,TRICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,16.9,315.98,percent of total billed charges,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,16.9,315.98,percent of total billed charges,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,16.9,315.98,percent of total billed charges,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,16.9,315.98,fee schedule,
FLUTTER THERAPY TX,94664,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,16.9,315.98,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,AMERIGROUP,AMERIGROUP,,17.75,,fee schedule,17.75,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,CARESOURCE,CARESOURCE,,18.08,,fee schedule,18.08,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,PEACHSTATE,PEACHSTATE,,16.9,,fee schedule,16.9,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,TRICARE,TRICARE,,191.5,,fee schedule,191.5,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,AETNA,AETNA,,315.81,87,percent of total billed charges,315.81,16.9,363,percent of total billed charges,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,315.81,87,percent of total billed charges,315.81,16.9,363,percent of total billed charges,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,UNITED HEALTHCARE,UNITED HEALTHCARE,,319.44,88,percent of total billed charges,319.44,16.9,363,percent of total billed charges,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,AETNA,AETNA,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,BEECH STREET,BEECH STREET,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,CARESOURCE,CARESOURCE,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,MEDICAID,MEDICAID,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,NOVA NET,NOVA NET,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,PEACHSTATE,PEACHSTATE,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,SELFPAY,SELFPAY,,363,,fee schedule,363,16.9,363,fee schedule,
INTRAPULM PERCUS AEROSOL,94664,CPT,both,,,363,363,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,363,,fee schedule,363,16.9,363,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,ALLIANT,ALLIANT,,315.98,,fee schedule,315.98,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,AMBETTER,AMBETTER,,248.95,,fee schedule,248.95,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,AMERIGROUP,AMERIGROUP,,17.75,,fee schedule,17.75,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,18.08,,fee schedule,18.08,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,MEDICARE,MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,16.9,,fee schedule,16.9,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,TRICARE,TRICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,191.5,,fee schedule,191.5,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,16.9,315.98,percent of total billed charges,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,16.9,315.98,percent of total billed charges,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,16.9,315.98,percent of total billed charges,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,16.9,315.98,fee schedule,
PT/FAMILY EDUCATION,94664,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,16.9,315.98,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,22.1,,fee schedule,22.1,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,22.52,,fee schedule,22.52,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,21.05,,fee schedule,21.05,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,TRICARE,TRICARE,,116.11,,fee schedule,116.11,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,21.05,221,percent of total billed charges,
CPT INITIAL,94667,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,21.05,221,percent of total billed charges,
CPT INITIAL,94667,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,21.05,221,percent of total billed charges,
CPT INITIAL,94667,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,21.05,221,fee schedule,
CPT INITIAL,94667,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,21.05,221,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,17.78,,fee schedule,17.78,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,18.12,,fee schedule,18.12,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,16.93,,fee schedule,16.93,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,TRICARE,TRICARE,,116.11,,fee schedule,116.11,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,16.93,191.58,percent of total billed charges,
CPT/PD SUB,94668,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,16.93,191.58,percent of total billed charges,
CPT/PD SUB,94668,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,16.93,191.58,percent of total billed charges,
CPT/PD SUB,94668,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,16.93,191.58,fee schedule,
CPT/PD SUB,94668,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,16.93,191.58,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,10.93,,fee schedule,10.93,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,37.42,,fee schedule,37.42,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,AMERIGROUP,AMERIGROUP,,48.35,,fee schedule,48.35,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,11.14,,fee schedule,11.14,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,38.13,,fee schedule,38.13,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,49.27,,fee schedule,49.27,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,10.41,,fee schedule,10.41,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,35.64,,fee schedule,35.64,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,46.05,,fee schedule,46.05,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,TRICARE,TRICARE,,280.06,,fee schedule,280.06,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,10.41,462.1,percent of total billed charges,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,10.41,462.1,percent of total billed charges,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,10.41,462.1,percent of total billed charges,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,10.41,462.1,fee schedule,
PLETHYSMOGRAPHY (BODY BOX,94726,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,10.41,462.1,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,10.93,,fee schedule,10.93,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,27.01,,fee schedule,27.01,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,37.94,,fee schedule,37.94,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,11.14,,fee schedule,11.14,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,27.52,,fee schedule,27.52,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,38.66,,fee schedule,38.66,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,10.41,,fee schedule,10.41,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,25.72,,fee schedule,25.72,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,36.13,,fee schedule,36.13,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,TRICARE,TRICARE,,145.43,,fee schedule,145.43,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,10.41,239.96,percent of total billed charges,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,10.41,239.96,percent of total billed charges,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,10.41,239.96,percent of total billed charges,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,10.41,239.96,fee schedule,
N2 WASHOUT - LUNG NITROGE,94727,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,10.41,239.96,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,7.28,,fee schedule,7.28,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,40.82,,fee schedule,40.82,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,AMERIGROUP,AMERIGROUP,,48.1,,fee schedule,48.1,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,7.42,,fee schedule,7.42,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,41.6,,fee schedule,41.6,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,49.02,,fee schedule,49.02,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,6.93,,fee schedule,6.93,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,38.88,,fee schedule,38.88,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,45.81,,fee schedule,45.81,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,AETNA,AETNA,,411.51,87,percent of total billed charges,411.51,6.93,473,percent of total billed charges,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411.51,87,percent of total billed charges,411.51,6.93,473,percent of total billed charges,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,UNITED HEALTHCARE,UNITED HEALTHCARE,,416.24,88,percent of total billed charges,416.24,6.93,473,percent of total billed charges,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,AETNA,AETNA,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,ALLIANT,ALLIANT,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,AMBETTER,AMBETTER,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,BEECH STREET,BEECH STREET,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CARESOURCE,CARESOURCE,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,MEDICAID,MEDICAID,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,MEDICARE,MEDICARE,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,NOVA NET,NOVA NET,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,PEACHSTATE,PEACHSTATE,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,SELFPAY,SELFPAY,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,TRICARE,TRICARE,,473,,fee schedule,473,6.93,473,fee schedule,
DLCO MEASUREMENT,94729,CPT,both,,,473,473,UHC MEDICARE,UHC MEDICARE,,473,,fee schedule,473,6.93,473,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,9.53,,fee schedule,9.53,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,9.72,,fee schedule,9.72,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,9.08,,fee schedule,9.08,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,9.08,33,percent of total billed charges,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,9.08,33,percent of total billed charges,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,9.08,33,percent of total billed charges,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,9.08,33,fee schedule,
DIALYSIS PULSE OX,94760,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,9.08,33,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,9.53,,fee schedule,9.53,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,9.72,,fee schedule,9.72,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,9.08,,fee schedule,9.08,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,9.08,26,percent of total billed charges,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,9.08,26,percent of total billed charges,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,9.08,26,percent of total billed charges,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,9.53,,fee schedule,9.53,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,9.72,,fee schedule,9.72,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,9.08,,fee schedule,9.08,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,9.08,26,percent of total billed charges,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,9.08,26,percent of total billed charges,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,9.08,26,percent of total billed charges,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,9.08,26,fee schedule,
O2 SAT  BY PULSE OX,94760,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,9.08,26,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,9.53,,fee schedule,9.53,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,9.72,,fee schedule,9.72,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,9.08,,fee schedule,9.08,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,9.08,175,percent of total billed charges,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,9.08,175,percent of total billed charges,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,9.08,175,percent of total billed charges,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,ALLIANT,ALLIANT,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,AMBETTER,AMBETTER,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,MEDICARE,MEDICARE,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,TRICARE,TRICARE,,175,,fee schedule,175,9.08,175,fee schedule,
PULSE OXIMETRY SINGLE DETERMIN,94760,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,175,,fee schedule,175,9.08,175,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,23.26,218,percent of total billed charges,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,23.26,218,percent of total billed charges,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,23.26,218,percent of total billed charges,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,ALLIANT,ALLIANT,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,AMBETTER,AMBETTER,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,MEDICARE,MEDICARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,TRICARE,TRICARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE 02 SAT CHECK,94761,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,23.26,218,percent of total billed charges,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,23.26,218,percent of total billed charges,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,23.26,218,percent of total billed charges,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,ALLIANT,ALLIANT,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,AMBETTER,AMBETTER,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,MEDICARE,MEDICARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,TRICARE,TRICARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,218,,fee schedule,218,23.26,218,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,AMERIGROUP,AMERIGROUP,,24.42,,fee schedule,24.42,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,24.89,,fee schedule,24.89,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,23.26,,fee schedule,23.26,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,AETNA,AETNA,,180.96,87,percent of total billed charges,180.96,23.26,208,percent of total billed charges,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.96,87,percent of total billed charges,180.96,23.26,208,percent of total billed charges,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.04,88,percent of total billed charges,183.04,23.26,208,percent of total billed charges,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,AETNA,AETNA,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,ALLIANT,ALLIANT,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,AMBETTER,AMBETTER,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,BEECH STREET,BEECH STREET,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,CARESOURCE,CARESOURCE,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,MEDICAID,MEDICAID,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,MEDICARE,MEDICARE,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,NOVA NET,NOVA NET,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,PEACHSTATE,PEACHSTATE,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,SELFPAY,SELFPAY,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,TRICARE,TRICARE,,208,,fee schedule,208,23.26,208,fee schedule,
MULTIPLE O2 SAT CHECK,94761,CPT,both,,,208,208,UHC MEDICARE,UHC MEDICARE,,208,,fee schedule,208,23.26,208,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AMERIGROUP,AMERIGROUP,,24.35,,fee schedule,24.35,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,24.81,,fee schedule,24.81,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,23.19,,fee schedule,23.19,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,TRICARE,TRICARE,,145.43,,fee schedule,145.43,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AETNA,AETNA,,347.13,87,percent of total billed charges,347.13,23.19,399,percent of total billed charges,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347.13,87,percent of total billed charges,347.13,23.19,399,percent of total billed charges,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,UNITED HEALTHCARE,UNITED HEALTHCARE,,351.12,88,percent of total billed charges,351.12,23.19,399,percent of total billed charges,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AETNA,AETNA,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,BEECH STREET,BEECH STREET,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,MEDICAID,MEDICAID,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,NOVA NET,NOVA NET,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,SELFPAY,SELFPAY,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AMERIGROUP,AMERIGROUP,,24.35,,fee schedule,24.35,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,24.81,,fee schedule,24.81,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,23.19,,fee schedule,23.19,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,TRICARE,TRICARE,,145.43,,fee schedule,145.43,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AETNA,AETNA,,347.13,87,percent of total billed charges,347.13,23.19,399,percent of total billed charges,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347.13,87,percent of total billed charges,347.13,23.19,399,percent of total billed charges,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,UNITED HEALTHCARE,UNITED HEALTHCARE,,351.12,88,percent of total billed charges,351.12,23.19,399,percent of total billed charges,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,AETNA,AETNA,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,BEECH STREET,BEECH STREET,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,MEDICAID,MEDICAID,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,NOVA NET,NOVA NET,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,SELFPAY,SELFPAY,,399,,fee schedule,399,23.19,399,fee schedule,
CONTINUOUS PULSE OXIMETRY,94762,CPT,both,,,399,399,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,399,,fee schedule,399,23.19,399,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,TRICARE,TRICARE,,33.96,,fee schedule,33.96,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,33.96,91,percent of total billed charges,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,33.96,91,percent of total billed charges,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,33.96,91,percent of total billed charges,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO 60 MIN,94780,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,33.96,91,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,AETNA,AETNA,,36.54,87,percent of total billed charges,36.54,36.54,42,percent of total billed charges,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36.54,87,percent of total billed charges,36.54,36.54,42,percent of total billed charges,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.96,88,percent of total billed charges,36.96,36.54,42,percent of total billed charges,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,AETNA,AETNA,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,ALLIANT,ALLIANT,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,AMBETTER,AMBETTER,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,BEECH STREET,BEECH STREET,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,CARESOURCE,CARESOURCE,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,MEDICAID,MEDICAID,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,MEDICARE,MEDICARE,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,NOVA NET,NOVA NET,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,PEACHSTATE,PEACHSTATE,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,SELFPAY,SELFPAY,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,TRICARE,TRICARE,,42,,fee schedule,42,36.54,42,fee schedule,
CARS/BD TST INFT-12MO +30MIN,94781,CPT,both,,,42,42,UHC MEDICARE,UHC MEDICARE,,42,,fee schedule,42,36.54,42,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,TRICARE,TRICARE,,145.43,,fee schedule,145.43,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,AETNA,AETNA,,838.68,87,percent of total billed charges,838.68,145.43,964,percent of total billed charges,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,838.68,87,percent of total billed charges,838.68,145.43,964,percent of total billed charges,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,UNITED HEALTHCARE,UNITED HEALTHCARE,,848.32,88,percent of total billed charges,848.32,145.43,964,percent of total billed charges,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,AETNA,AETNA,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,BEECH STREET,BEECH STREET,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,CARESOURCE,CARESOURCE,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,MEDICAID,MEDICAID,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,NOVA NET,NOVA NET,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,PEACHSTATE,PEACHSTATE,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,SELFPAY,SELFPAY,,964,,fee schedule,964,145.43,964,fee schedule,
ETC02 ASSESSMENT,94799,CPT,both,,,964,964,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,964,,fee schedule,964,145.43,964,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,AETNA,AETNA,,12313.24,87,percent of total billed charges,12313.24,12313.24,14153.15,percent of total billed charges,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12313.24,87,percent of total billed charges,12313.24,12313.24,14153.15,percent of total billed charges,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,UNITED HEALTHCARE,UNITED HEALTHCARE,,12454.77,88,percent of total billed charges,12454.77,12313.24,14153.15,percent of total billed charges,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,AETNA,AETNA,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,ALLIANT,ALLIANT,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,AMBETTER,AMBETTER,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,BEECH STREET,BEECH STREET,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,CARESOURCE,CARESOURCE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,MEDICAID,MEDICAID,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,MEDICARE,MEDICARE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,NOVA NET,NOVA NET,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,PEACHSTATE,PEACHSTATE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,SELFPAY,SELFPAY,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,TRICARE,TRICARE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
SIGNS & SYMPTOMS W/O MCC,948,DRG,inpatient,,,14153.15,14153.15,UHC MEDICARE,UHC MEDICARE,,14153.15,,fee schedule,14153.15,12313.24,14153.15,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,AETNA,AETNA,,12466.77,87,percent of total billed charges,12466.77,12466.77,14329.62,percent of total billed charges,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12466.77,87,percent of total billed charges,12466.77,12466.77,14329.62,percent of total billed charges,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,UNITED HEALTHCARE,UNITED HEALTHCARE,,12610.07,88,percent of total billed charges,12610.07,12466.77,14329.62,percent of total billed charges,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,AETNA,AETNA,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,ALLIANT,ALLIANT,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,AMBETTER,AMBETTER,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,BEECH STREET,BEECH STREET,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,CARESOURCE,CARESOURCE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,MEDICAID,MEDICAID,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,MEDICARE,MEDICARE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,NOVA NET,NOVA NET,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,PEACHSTATE,PEACHSTATE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,SELFPAY,SELFPAY,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,TRICARE,TRICARE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
AFTERCARE W CC/MCC,949,DRG,inpatient,,,14329.62,14329.62,UHC MEDICARE,UHC MEDICARE,,14329.62,,fee schedule,14329.62,12466.77,14329.62,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,AETNA,AETNA,,2985.22,87,percent of total billed charges,2985.22,2985.22,3431.29,percent of total billed charges,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2985.22,87,percent of total billed charges,2985.22,2985.22,3431.29,percent of total billed charges,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,3019.54,88,percent of total billed charges,3019.54,2985.22,3431.29,percent of total billed charges,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,AETNA,AETNA,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,ALLIANT,ALLIANT,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,AMBETTER,AMBETTER,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,BEECH STREET,BEECH STREET,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,CARESOURCE,CARESOURCE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,MEDICAID,MEDICAID,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,MEDICARE,MEDICARE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,NOVA NET,NOVA NET,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,PEACHSTATE,PEACHSTATE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,SELFPAY,SELFPAY,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,TRICARE,TRICARE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
OTHER FACTORS INFLUENCING HEALTH STATUS,951,DRG,inpatient,,,3431.29,3431.29,UHC MEDICARE,UHC MEDICARE,,3431.29,,fee schedule,3431.29,2985.22,3431.29,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,49.85,,fee schedule,49.85,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,50.8,,fee schedule,50.8,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,47.48,,fee schedule,47.48,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,TRICARE,TRICARE,,57.48,,fee schedule,57.48,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,47.48,144,percent of total billed charges,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,47.48,144,percent of total billed charges,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,47.48,144,percent of total billed charges,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,47.48,144,fee schedule,
CONT GLUC MNTR PT PROV EQP,95249,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,47.48,144,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,AMERIGROUP,AMERIGROUP,,54.85,,fee schedule,54.85,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,CARESOURCE,CARESOURCE,,55.9,,fee schedule,55.9,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,PEACHSTATE,PEACHSTATE,,52.24,,fee schedule,52.24,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,TRICARE,TRICARE,,120.86,,fee schedule,120.86,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,AETNA,AETNA,,386.28,87,percent of total billed charges,386.28,52.24,444,percent of total billed charges,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,386.28,87,percent of total billed charges,386.28,52.24,444,percent of total billed charges,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,UNITED HEALTHCARE,UNITED HEALTHCARE,,390.72,88,percent of total billed charges,390.72,52.24,444,percent of total billed charges,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,AETNA,AETNA,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,BEECH STREET,BEECH STREET,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,CARESOURCE,CARESOURCE,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,MEDICAID,MEDICAID,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,NOVA NET,NOVA NET,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,PEACHSTATE,PEACHSTATE,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,SELFPAY,SELFPAY,,444,,fee schedule,444,52.24,444,fee schedule,
PROFESSIONAL CGM,95250,CPT,both,,,444,444,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,444,,fee schedule,444,52.24,444,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,AETNA,AETNA,,112889.25,87,percent of total billed charges,112889.25,112889.25,129757.76,percent of total billed charges,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112889.25,87,percent of total billed charges,112889.25,112889.25,129757.76,percent of total billed charges,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,UNITED HEALTHCARE,UNITED HEALTHCARE,,114186.83,88,percent of total billed charges,114186.83,112889.25,129757.76,percent of total billed charges,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,AETNA,AETNA,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,ALLIANT,ALLIANT,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,AMBETTER,AMBETTER,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,BEECH STREET,BEECH STREET,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,CARESOURCE,CARESOURCE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,MEDICAID,MEDICAID,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,MEDICARE,MEDICARE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,NOVA NET,NOVA NET,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,PEACHSTATE,PEACHSTATE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,SELFPAY,SELFPAY,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,TRICARE,TRICARE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,957,DRG,inpatient,,,129757.76,129757.76,UHC MEDICARE,UHC MEDICARE,,129757.76,,fee schedule,129757.76,112889.25,129757.76,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,TRICARE,TRICARE,,483.43,,fee schedule,483.43,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,AETNA,AETNA,,1126.65,87,percent of total billed charges,1126.65,483.43,1295,percent of total billed charges,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1126.65,87,percent of total billed charges,1126.65,483.43,1295,percent of total billed charges,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,UNITED HEALTHCARE,UNITED HEALTHCARE,,1139.6,88,percent of total billed charges,1139.6,483.43,1295,percent of total billed charges,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,AETNA,AETNA,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,BEECH STREET,BEECH STREET,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,CARESOURCE,CARESOURCE,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,MEDICAID,MEDICAID,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,NOVA NET,NOVA NET,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,PEACHSTATE,PEACHSTATE,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,SELFPAY,SELFPAY,,1295,,fee schedule,1295,483.43,1295,fee schedule,
VEEG 2-12 HR CONT MNTR,95713,CPT,both,,,1295,1295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1295,,fee schedule,1295,483.43,1295,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,AMERIGROUP,AMERIGROUP,,941.26,,fee schedule,941.26,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,AMERIGROUP,AMERIGROUP,,827.39,,fee schedule,827.39,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,AMERIGROUP,AMERIGROUP,,113.88,,fee schedule,113.88,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,959.19,,fee schedule,959.19,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,843.15,,fee schedule,843.15,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,116.05,,fee schedule,116.05,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,896.44,,fee schedule,896.44,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,787.99,,fee schedule,787.99,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,108.46,,fee schedule,108.46,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,TRICARE,TRICARE,,934.38,,fee schedule,934.38,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,AETNA,AETNA,,2362.05,87,percent of total billed charges,2362.05,108.46,2715,percent of total billed charges,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2362.05,87,percent of total billed charges,2362.05,108.46,2715,percent of total billed charges,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,UNITED HEALTHCARE,UNITED HEALTHCARE,,2389.2,88,percent of total billed charges,2389.2,108.46,2715,percent of total billed charges,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,AETNA,AETNA,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,BEECH STREET,BEECH STREET,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,MEDICAID,MEDICAID,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,NOVA NET,NOVA NET,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,SELFPAY,SELFPAY,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS 4>PARAMTRS,95782,CPT,both,,,2715,2715,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2715,,fee schedule,2715,108.46,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,AMERIGROUP,AMERIGROUP,,1004.63,,fee schedule,1004.63,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,AMERIGROUP,AMERIGROUP,,880.14,,fee schedule,880.14,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,AMERIGROUP,AMERIGROUP,,124.49,,fee schedule,124.49,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,1023.77,,fee schedule,1023.77,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,896.91,,fee schedule,896.91,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,126.86,,fee schedule,126.86,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,956.79,,fee schedule,956.79,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,838.23,,fee schedule,838.23,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,118.56,,fee schedule,118.56,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,TRICARE,TRICARE,,934.38,,fee schedule,934.38,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,AETNA,AETNA,,2362.05,87,percent of total billed charges,2362.05,118.56,2715,percent of total billed charges,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2362.05,87,percent of total billed charges,2362.05,118.56,2715,percent of total billed charges,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,UNITED HEALTHCARE,UNITED HEALTHCARE,,2389.2,88,percent of total billed charges,2389.2,118.56,2715,percent of total billed charges,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,AETNA,AETNA,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,BEECH STREET,BEECH STREET,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CARESOURCE,CARESOURCE,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,MEDICAID,MEDICAID,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,NOVA NET,NOVA NET,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,PEACHSTATE,PEACHSTATE,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,SELFPAY,SELFPAY,,2715,,fee schedule,2715,118.56,2715,fee schedule,
POLYSOM<6YRS CPAP/BILVL,95783,CPT,both,,,2715,2715,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2715,,fee schedule,2715,118.56,2715,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,AMERIGROUP,AMERIGROUP,,84.6,,fee schedule,84.6,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,AMERIGROUP,AMERIGROUP,,239.8,,fee schedule,239.8,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,AMERIGROUP,AMERIGROUP,,324.39,,fee schedule,324.39,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,86.21,,fee schedule,86.21,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,244.37,,fee schedule,244.37,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,330.57,,fee schedule,330.57,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,80.57,,fee schedule,80.57,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,228.38,,fee schedule,228.38,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,308.94,,fee schedule,308.94,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,TRICARE,TRICARE,,483.43,,fee schedule,483.43,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,AETNA,AETNA,,1521.63,87,percent of total billed charges,1521.63,80.57,1749,percent of total billed charges,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1521.63,87,percent of total billed charges,1521.63,80.57,1749,percent of total billed charges,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,UNITED HEALTHCARE,UNITED HEALTHCARE,,1539.12,88,percent of total billed charges,1539.12,80.57,1749,percent of total billed charges,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,AETNA,AETNA,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,BEECH STREET,BEECH STREET,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,MEDICAID,MEDICAID,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,NOVA NET,NOVA NET,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,SELFPAY,SELFPAY,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY,95805,CPT,both,,,1749,1749,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1749,,fee schedule,1749,80.57,1749,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,84.6,,fee schedule,84.6,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,239.8,,fee schedule,239.8,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,324.39,,fee schedule,324.39,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,86.21,,fee schedule,86.21,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,244.37,,fee schedule,244.37,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,330.57,,fee schedule,330.57,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,80.57,,fee schedule,80.57,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,228.38,,fee schedule,228.38,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,308.94,,fee schedule,308.94,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,TRICARE,TRICARE,,483.43,,fee schedule,483.43,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,80.57,797.66,percent of total billed charges,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,80.57,797.66,percent of total billed charges,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,80.57,797.66,percent of total billed charges,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,80.57,797.66,fee schedule,
MULTPLE SLEEP LATENCY MD,95805,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,80.57,797.66,fee schedule,
HST2,95806,CPT,both,,,660,660,ALLIANT,ALLIANT,,239.96,,fee schedule,239.96,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,AMBETTER,AMBETTER,,189.06,,fee schedule,189.06,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,MEDICARE,MEDICARE,,145.43,,fee schedule,145.43,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,TRICARE,TRICARE,,145.43,,fee schedule,145.43,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,UHC MEDICARE,UHC MEDICARE,,145.43,,fee schedule,145.43,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,AETNA,AETNA,,574.2,87,percent of total billed charges,574.2,145.43,660,percent of total billed charges,
HST2,95806,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,574.2,87,percent of total billed charges,574.2,145.43,660,percent of total billed charges,
HST2,95806,CPT,both,,,660,660,UNITED HEALTHCARE,UNITED HEALTHCARE,,580.8,88,percent of total billed charges,580.8,145.43,660,percent of total billed charges,
HST2,95806,CPT,both,,,660,660,AETNA,AETNA,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,BEECH STREET,BEECH STREET,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,MEDICAID,MEDICAID,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,NOVA NET,NOVA NET,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,SELFPAY,SELFPAY,,660,,fee schedule,660,145.43,660,fee schedule,
HST2,95806,CPT,both,,,660,660,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,660,,fee schedule,660,145.43,660,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,AMERIGROUP,AMERIGROUP,,98.29,,fee schedule,98.29,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,AMERIGROUP,AMERIGROUP,,232.21,,fee schedule,232.21,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,AMERIGROUP,AMERIGROUP,,330.49,,fee schedule,330.49,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CARESOURCE,CARESOURCE,,100.16,,fee schedule,100.16,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CARESOURCE,CARESOURCE,,236.63,,fee schedule,236.63,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CARESOURCE,CARESOURCE,,336.78,,fee schedule,336.78,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,PEACHSTATE,PEACHSTATE,,93.61,,fee schedule,93.61,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,PEACHSTATE,PEACHSTATE,,221.15,,fee schedule,221.15,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,PEACHSTATE,PEACHSTATE,,314.75,,fee schedule,314.75,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,TRICARE,TRICARE,,483.43,,fee schedule,483.43,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,AETNA,AETNA,,2078.43,87,percent of total billed charges,2078.43,93.61,2389,percent of total billed charges,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2078.43,87,percent of total billed charges,2078.43,93.61,2389,percent of total billed charges,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,UNITED HEALTHCARE,UNITED HEALTHCARE,,2102.32,88,percent of total billed charges,2102.32,93.61,2389,percent of total billed charges,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,AETNA,AETNA,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,BEECH STREET,BEECH STREET,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CARESOURCE,CARESOURCE,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,MEDICAID,MEDICAID,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,NOVA NET,NOVA NET,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,PEACHSTATE,PEACHSTATE,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,SELFPAY,SELFPAY,,2389,,fee schedule,2389,93.61,2389,fee schedule,
RESPIRATORY SLEEP STUDY,95807,CPT,both,,,2389,2389,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2389,,fee schedule,2389,93.61,2389,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,AMERIGROUP,AMERIGROUP,,183.23,,fee schedule,183.23,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,AMERIGROUP,AMERIGROUP,,374.54,,fee schedule,374.54,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,AMERIGROUP,AMERIGROUP,,557.76,,fee schedule,557.76,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CARESOURCE,CARESOURCE,,186.72,,fee schedule,186.72,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CARESOURCE,CARESOURCE,,381.67,,fee schedule,381.67,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CARESOURCE,CARESOURCE,,568.38,,fee schedule,568.38,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,PEACHSTATE,PEACHSTATE,,174.5,,fee schedule,174.5,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,PEACHSTATE,PEACHSTATE,,356.7,,fee schedule,356.7,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,PEACHSTATE,PEACHSTATE,,531.2,,fee schedule,531.2,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,TRICARE,TRICARE,,934.38,,fee schedule,934.38,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,AETNA,AETNA,,1321.53,87,percent of total billed charges,1321.53,174.5,1541.73,percent of total billed charges,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1321.53,87,percent of total billed charges,1321.53,174.5,1541.73,percent of total billed charges,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,UNITED HEALTHCARE,UNITED HEALTHCARE,,1336.72,88,percent of total billed charges,1336.72,174.5,1541.73,percent of total billed charges,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,AETNA,AETNA,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,BEECH STREET,BEECH STREET,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CARESOURCE,CARESOURCE,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,MEDICAID,MEDICAID,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,NOVA NET,NOVA NET,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,PEACHSTATE,PEACHSTATE,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,SELFPAY,SELFPAY,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
INCOMPLETE SLEEP STUDY,95810,CPT,both,,,1519,1519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1519,,fee schedule,1519,174.5,1541.73,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,AMERIGROUP,AMERIGROUP,,183.23,,fee schedule,183.23,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,AMERIGROUP,AMERIGROUP,,374.54,,fee schedule,374.54,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,AMERIGROUP,AMERIGROUP,,557.76,,fee schedule,557.76,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CARESOURCE,CARESOURCE,,186.72,,fee schedule,186.72,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CARESOURCE,CARESOURCE,,381.67,,fee schedule,381.67,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CARESOURCE,CARESOURCE,,568.38,,fee schedule,568.38,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,PEACHSTATE,PEACHSTATE,,174.5,,fee schedule,174.5,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,PEACHSTATE,PEACHSTATE,,356.7,,fee schedule,356.7,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,PEACHSTATE,PEACHSTATE,,531.2,,fee schedule,531.2,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,TRICARE,TRICARE,,934.38,,fee schedule,934.38,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,AETNA,AETNA,,2910.15,87,percent of total billed charges,2910.15,174.5,3345,percent of total billed charges,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2910.15,87,percent of total billed charges,2910.15,174.5,3345,percent of total billed charges,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,UNITED HEALTHCARE,UNITED HEALTHCARE,,2943.6,88,percent of total billed charges,2943.6,174.5,3345,percent of total billed charges,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,AETNA,AETNA,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,BEECH STREET,BEECH STREET,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CARESOURCE,CARESOURCE,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,MEDICAID,MEDICAID,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,NOVA NET,NOVA NET,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,PEACHSTATE,PEACHSTATE,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,SELFPAY,SELFPAY,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM,95810,CPT,both,,,3345,3345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3345,,fee schedule,3345,174.5,3345,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,183.23,,fee schedule,183.23,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,374.54,,fee schedule,374.54,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,557.76,,fee schedule,557.76,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,186.72,,fee schedule,186.72,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,381.67,,fee schedule,381.67,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,568.38,,fee schedule,568.38,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,174.5,,fee schedule,174.5,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,356.7,,fee schedule,356.7,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,531.2,,fee schedule,531.2,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,TRICARE,TRICARE,,934.38,,fee schedule,934.38,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,174.5,1541.73,percent of total billed charges,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,174.5,1541.73,percent of total billed charges,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,174.5,1541.73,percent of total billed charges,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,174.5,1541.73,fee schedule,
POLSOMNOGRAM M.D. INTERP,95810,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,174.5,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,196.42,,fee schedule,196.42,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,580.02,,fee schedule,580.02,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,383.6,,fee schedule,383.6,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,200.16,,fee schedule,200.16,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,591.07,,fee schedule,591.07,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,390.9,,fee schedule,390.9,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,187.07,,fee schedule,187.07,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,552.4,,fee schedule,552.4,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,365.33,,fee schedule,365.33,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,TRICARE,TRICARE,,934.38,,fee schedule,934.38,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,187.07,1541.73,percent of total billed charges,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,187.07,1541.73,percent of total billed charges,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,187.07,1541.73,percent of total billed charges,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP M.D. INTERP.,95811,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,187.07,1541.73,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,AMERIGROUP,AMERIGROUP,,196.42,,fee schedule,196.42,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,AMERIGROUP,AMERIGROUP,,580.02,,fee schedule,580.02,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,AMERIGROUP,AMERIGROUP,,383.6,,fee schedule,383.6,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CARESOURCE,CARESOURCE,,200.16,,fee schedule,200.16,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CARESOURCE,CARESOURCE,,591.07,,fee schedule,591.07,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CARESOURCE,CARESOURCE,,390.9,,fee schedule,390.9,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,PEACHSTATE,PEACHSTATE,,187.07,,fee schedule,187.07,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,PEACHSTATE,PEACHSTATE,,552.4,,fee schedule,552.4,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,PEACHSTATE,PEACHSTATE,,365.33,,fee schedule,365.33,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,TRICARE,TRICARE,,934.38,,fee schedule,934.38,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,AETNA,AETNA,,3533.94,87,percent of total billed charges,3533.94,187.07,4062,percent of total billed charges,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3533.94,87,percent of total billed charges,3533.94,187.07,4062,percent of total billed charges,
CPAP TITRATION,95811,CPT,both,,,4062,4062,UNITED HEALTHCARE,UNITED HEALTHCARE,,3574.56,88,percent of total billed charges,3574.56,187.07,4062,percent of total billed charges,
CPAP TITRATION,95811,CPT,both,,,4062,4062,AETNA,AETNA,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,BEECH STREET,BEECH STREET,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CARESOURCE,CARESOURCE,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,MEDICAID,MEDICAID,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,NOVA NET,NOVA NET,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,PEACHSTATE,PEACHSTATE,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,SELFPAY,SELFPAY,,4062,,fee schedule,4062,187.07,4062,fee schedule,
CPAP TITRATION,95811,CPT,both,,,4062,4062,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4062,,fee schedule,4062,187.07,4062,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,AMERIGROUP,AMERIGROUP,,49.04,,fee schedule,49.04,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,AMERIGROUP,AMERIGROUP,,71.45,,fee schedule,71.45,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,AMERIGROUP,AMERIGROUP,,120.5,,fee schedule,120.5,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,49.97,,fee schedule,49.97,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,72.81,,fee schedule,72.81,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,122.79,,fee schedule,122.79,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,46.7,,fee schedule,46.7,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,68.05,,fee schedule,68.05,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,114.76,,fee schedule,114.76,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,TRICARE,TRICARE,,280.06,,fee schedule,280.06,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,AETNA,AETNA,,699.48,87,percent of total billed charges,699.48,46.7,804,percent of total billed charges,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,699.48,87,percent of total billed charges,699.48,46.7,804,percent of total billed charges,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,UNITED HEALTHCARE,UNITED HEALTHCARE,,707.52,88,percent of total billed charges,707.52,46.7,804,percent of total billed charges,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,AETNA,AETNA,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,BEECH STREET,BEECH STREET,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,MEDICAID,MEDICAID,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,NOVA NET,NOVA NET,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,SELFPAY,SELFPAY,,804,,fee schedule,804,46.7,804,fee schedule,
EEG - AWAKE/DROWSY,95816,CPT,both,,,804,804,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,804,,fee schedule,804,46.7,804,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,49.04,,fee schedule,49.04,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,71.45,,fee schedule,71.45,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,120.5,,fee schedule,120.5,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,49.97,,fee schedule,49.97,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,72.81,,fee schedule,72.81,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,122.79,,fee schedule,122.79,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,46.7,,fee schedule,46.7,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,68.05,,fee schedule,68.05,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,114.76,,fee schedule,114.76,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,TRICARE,TRICARE,,280.06,,fee schedule,280.06,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,AETNA,AETNA,,225.33,87,percent of total billed charges,225.33,46.7,462.1,percent of total billed charges,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225.33,87,percent of total billed charges,225.33,46.7,462.1,percent of total billed charges,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.92,88,percent of total billed charges,227.92,46.7,462.1,percent of total billed charges,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,AETNA,AETNA,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,BEECH STREET,BEECH STREET,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,MEDICAID,MEDICAID,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,NOVA NET,NOVA NET,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,SELFPAY,SELFPAY,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG PROFESSIONAL FEE,95816,CPT,both,,,259,259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,259,,fee schedule,259,46.7,462.1,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,AMERIGROUP,AMERIGROUP,,53.09,,fee schedule,53.09,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,AMERIGROUP,AMERIGROUP,,50.25,,fee schedule,50.25,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,AMERIGROUP,AMERIGROUP,,103.34,,fee schedule,103.34,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CARESOURCE,CARESOURCE,,54.1,,fee schedule,54.1,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CARESOURCE,CARESOURCE,,51.21,,fee schedule,51.21,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CARESOURCE,CARESOURCE,,105.31,,fee schedule,105.31,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,PEACHSTATE,PEACHSTATE,,50.56,,fee schedule,50.56,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,PEACHSTATE,PEACHSTATE,,47.86,,fee schedule,47.86,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,PEACHSTATE,PEACHSTATE,,98.42,,fee schedule,98.42,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,TRICARE,TRICARE,,280.06,,fee schedule,280.06,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,AETNA,AETNA,,1033.56,87,percent of total billed charges,1033.56,47.86,1188,percent of total billed charges,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1033.56,87,percent of total billed charges,1033.56,47.86,1188,percent of total billed charges,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,UNITED HEALTHCARE,UNITED HEALTHCARE,,1045.44,88,percent of total billed charges,1045.44,47.86,1188,percent of total billed charges,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,AETNA,AETNA,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,BEECH STREET,BEECH STREET,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CARESOURCE,CARESOURCE,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,MEDICAID,MEDICAID,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,NOVA NET,NOVA NET,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,PEACHSTATE,PEACHSTATE,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,SELFPAY,SELFPAY,,1188,,fee schedule,1188,47.86,1188,fee schedule,
EEG - AWAKE/ASLEEP,95819,CPT,both,,,1188,1188,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1188,,fee schedule,1188,47.86,1188,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,ALLIANT,ALLIANT,,462.1,,fee schedule,462.1,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,AMBETTER,AMBETTER,,364.08,,fee schedule,364.08,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,AMERIGROUP,AMERIGROUP,,54.09,,fee schedule,54.09,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,AMERIGROUP,AMERIGROUP,,62.28,,fee schedule,62.28,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,AMERIGROUP,AMERIGROUP,,116.38,,fee schedule,116.38,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,55.12,,fee schedule,55.12,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,63.46,,fee schedule,63.46,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,118.6,,fee schedule,118.6,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,MEDICARE,MEDICARE,,280.06,,fee schedule,280.06,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,51.51,,fee schedule,51.51,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,59.31,,fee schedule,59.31,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,110.84,,fee schedule,110.84,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,TRICARE,TRICARE,,280.06,,fee schedule,280.06,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,UHC MEDICARE,UHC MEDICARE,,280.06,,fee schedule,280.06,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,AETNA,AETNA,,593.34,87,percent of total billed charges,593.34,51.51,682,percent of total billed charges,
SLEEP EEG,95822,CPT,both,,,682,682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,593.34,87,percent of total billed charges,593.34,51.51,682,percent of total billed charges,
SLEEP EEG,95822,CPT,both,,,682,682,UNITED HEALTHCARE,UNITED HEALTHCARE,,600.16,88,percent of total billed charges,600.16,51.51,682,percent of total billed charges,
SLEEP EEG,95822,CPT,both,,,682,682,AETNA,AETNA,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,BEECH STREET,BEECH STREET,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,CARESOURCE,CARESOURCE,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,MEDICAID,MEDICAID,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,NOVA NET,NOVA NET,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,PEACHSTATE,PEACHSTATE,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,SELFPAY,SELFPAY,,682,,fee schedule,682,51.51,682,fee schedule,
SLEEP EEG,95822,CPT,both,,,682,682,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,682,,fee schedule,682,51.51,682,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,AMERIGROUP,AMERIGROUP,,28.56,,fee schedule,28.56,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,CARESOURCE,CARESOURCE,,29.1,,fee schedule,29.1,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,PEACHSTATE,PEACHSTATE,,27.2,,fee schedule,27.2,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,AETNA,AETNA,,359.31,87,percent of total billed charges,359.31,27.2,413,percent of total billed charges,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,359.31,87,percent of total billed charges,359.31,27.2,413,percent of total billed charges,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,UNITED HEALTHCARE,UNITED HEALTHCARE,,363.44,88,percent of total billed charges,363.44,27.2,413,percent of total billed charges,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,AETNA,AETNA,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,ALLIANT,ALLIANT,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,AMBETTER,AMBETTER,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,BEECH STREET,BEECH STREET,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,CARESOURCE,CARESOURCE,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,MEDICAID,MEDICAID,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,MEDICARE,MEDICARE,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,NOVA NET,NOVA NET,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,PEACHSTATE,PEACHSTATE,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,SELFPAY,SELFPAY,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,TRICARE,TRICARE,,413,,fee schedule,413,27.2,413,fee schedule,
INTRAOPERATIVE NERVE TEST,95940,CPT,both,,,413,413,UHC MEDICARE,UHC MEDICARE,,413,,fee schedule,413,27.2,413,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,92.53,,fee schedule,92.53,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,154.17,,fee schedule,154.17,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,94.29,,fee schedule,94.29,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,157.11,,fee schedule,157.11,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,88.12,,fee schedule,88.12,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,146.83,,fee schedule,146.83,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,58.71,347,percent of total billed charges,
SPIKE DETECTION,95957,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,58.71,347,percent of total billed charges,
SPIKE DETECTION,95957,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,58.71,347,percent of total billed charges,
SPIKE DETECTION,95957,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,ALLIANT,ALLIANT,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,AMBETTER,AMBETTER,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,MEDICARE,MEDICARE,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,TRICARE,TRICARE,,347,,fee schedule,347,58.71,347,fee schedule,
SPIKE DETECTION,95957,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,347,,fee schedule,347,58.71,347,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,ALLIANT,ALLIANT,,1541.73,,fee schedule,1541.73,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,AMBETTER,AMBETTER,,1214.69,,fee schedule,1214.69,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,148.41,,fee schedule,148.41,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,46.61,,fee schedule,46.61,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,AMERIGROUP,AMERIGROUP,,195.03,,fee schedule,195.03,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,151.23,,fee schedule,151.23,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,47.5,,fee schedule,47.5,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,198.74,,fee schedule,198.74,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,MEDICARE,MEDICARE,,934.38,,fee schedule,934.38,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,141.34,,fee schedule,141.34,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,44.39,,fee schedule,44.39,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,185.74,,fee schedule,185.74,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,TRICARE,TRICARE,,934.38,,fee schedule,934.38,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,UHC MEDICARE,UHC MEDICARE,,934.38,,fee schedule,934.38,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,AETNA,AETNA,,214.89,87,percent of total billed charges,214.89,44.39,1541.73,percent of total billed charges,
CORTEX MAPPING,95961,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.89,87,percent of total billed charges,214.89,44.39,1541.73,percent of total billed charges,
CORTEX MAPPING,95961,CPT,both,,,247,247,UNITED HEALTHCARE,UNITED HEALTHCARE,,217.36,88,percent of total billed charges,217.36,44.39,1541.73,percent of total billed charges,
CORTEX MAPPING,95961,CPT,both,,,247,247,AETNA,AETNA,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,BEECH STREET,BEECH STREET,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,MEDICAID,MEDICAID,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,NOVA NET,NOVA NET,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,SELFPAY,SELFPAY,,247,,fee schedule,247,44.39,1541.73,fee schedule,
CORTEX MAPPING,95961,CPT,both,,,247,247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,247,,fee schedule,247,44.39,1541.73,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,AMERIGROUP,AMERIGROUP,,20.71,,fee schedule,20.71,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,CARESOURCE,CARESOURCE,,21.1,,fee schedule,21.1,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,PEACHSTATE,PEACHSTATE,,19.72,,fee schedule,19.72,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,TRICARE,TRICARE,,116.11,,fee schedule,116.11,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,AETNA,AETNA,,546.36,87,percent of total billed charges,546.36,19.72,628,percent of total billed charges,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,546.36,87,percent of total billed charges,546.36,19.72,628,percent of total billed charges,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,UNITED HEALTHCARE,UNITED HEALTHCARE,,552.64,88,percent of total billed charges,552.64,19.72,628,percent of total billed charges,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,AETNA,AETNA,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,BEECH STREET,BEECH STREET,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,CARESOURCE,CARESOURCE,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,MEDICAID,MEDICAID,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,NOVA NET,NOVA NET,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,PEACHSTATE,PEACHSTATE,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,SELFPAY,SELFPAY,,628,,fee schedule,628,19.72,628,fee schedule,
ALYS NPGT W/O PRGRMG,95970,CPT,both,,,628,628,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,628,,fee schedule,628,19.72,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,ALLIANT,ALLIANT,,164.69,,fee schedule,164.69,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,AMBETTER,AMBETTER,,129.75,,fee schedule,129.75,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,AMERIGROUP,AMERIGROUP,,36.16,,fee schedule,36.16,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,CARESOURCE,CARESOURCE,,36.85,,fee schedule,36.85,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,MEDICARE,MEDICARE,,99.81,,fee schedule,99.81,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,PEACHSTATE,PEACHSTATE,,34.44,,fee schedule,34.44,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,TRICARE,TRICARE,,99.81,,fee schedule,99.81,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,UHC MEDICARE,UHC MEDICARE,,99.81,,fee schedule,99.81,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,AETNA,AETNA,,546.36,87,percent of total billed charges,546.36,34.44,628,percent of total billed charges,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,546.36,87,percent of total billed charges,546.36,34.44,628,percent of total billed charges,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,UNITED HEALTHCARE,UNITED HEALTHCARE,,552.64,88,percent of total billed charges,552.64,34.44,628,percent of total billed charges,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,AETNA,AETNA,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,BEECH STREET,BEECH STREET,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,CARESOURCE,CARESOURCE,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,MEDICAID,MEDICAID,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,NOVA NET,NOVA NET,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,PEACHSTATE,PEACHSTATE,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,SELFPAY,SELFPAY,,628,,fee schedule,628,34.44,628,fee schedule,
DOR COL SIM PROGRAM ANALY,95971,CPT,both,,,628,628,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,628,,fee schedule,628,34.44,628,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,ALLIANT,ALLIANT,,164.69,,fee schedule,164.69,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,AMBETTER,AMBETTER,,129.75,,fee schedule,129.75,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,MEDICARE,MEDICARE,,99.81,,fee schedule,99.81,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,TRICARE,TRICARE,,99.81,,fee schedule,99.81,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,UHC MEDICARE,UHC MEDICARE,,99.81,,fee schedule,99.81,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,AETNA,AETNA,,276.66,87,percent of total billed charges,276.66,99.81,318,percent of total billed charges,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276.66,87,percent of total billed charges,276.66,99.81,318,percent of total billed charges,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,UNITED HEALTHCARE,UNITED HEALTHCARE,,279.84,88,percent of total billed charges,279.84,99.81,318,percent of total billed charges,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,AETNA,AETNA,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,BEECH STREET,BEECH STREET,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,CARESOURCE,CARESOURCE,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,MEDICAID,MEDICAID,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,NOVA NET,NOVA NET,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,PEACHSTATE,PEACHSTATE,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,SELFPAY,SELFPAY,,318,,fee schedule,318,99.81,318,fee schedule,
PNS PROGRAMMING (PROCEDURE),95972,CPT,both,,,318,318,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,318,,fee schedule,318,99.81,318,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,ALLIANT,ALLIANT,,797.66,,fee schedule,797.66,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,AMBETTER,AMBETTER,,628.46,,fee schedule,628.46,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,AMERIGROUP,AMERIGROUP,,118.99,,fee schedule,118.99,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,CARESOURCE,CARESOURCE,,121.25,,fee schedule,121.25,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,MEDICARE,MEDICARE,,483.43,,fee schedule,483.43,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,PEACHSTATE,PEACHSTATE,,113.32,,fee schedule,113.32,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,TRICARE,TRICARE,,483.43,,fee schedule,483.43,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,UHC MEDICARE,UHC MEDICARE,,483.43,,fee schedule,483.43,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,AETNA,AETNA,,546.36,87,percent of total billed charges,546.36,113.32,797.66,percent of total billed charges,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,546.36,87,percent of total billed charges,546.36,113.32,797.66,percent of total billed charges,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,UNITED HEALTHCARE,UNITED HEALTHCARE,,552.64,88,percent of total billed charges,552.64,113.32,797.66,percent of total billed charges,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,AETNA,AETNA,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,BEECH STREET,BEECH STREET,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,CARESOURCE,CARESOURCE,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,MEDICAID,MEDICAID,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,NOVA NET,NOVA NET,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,PEACHSTATE,PEACHSTATE,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,SELFPAY,SELFPAY,,628,,fee schedule,628,113.32,797.66,fee schedule,
NEUROPSYCH TESTING BY TEC,96132,CPT,both,,,628,628,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,628,,fee schedule,628,113.32,797.66,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,1.94,,fee schedule,1.94,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,1.98,,fee schedule,1.98,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,1.85,,fee schedule,1.85,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,TRICARE,TRICARE,,24.96,,fee schedule,24.96,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,1.85,50,percent of total billed charges,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,1.85,50,percent of total billed charges,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,1.85,50,percent of total billed charges,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION BASELINE,96146,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,1.85,50,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,AMERIGROUP,AMERIGROUP,,1.94,,fee schedule,1.94,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,CARESOURCE,CARESOURCE,,1.98,,fee schedule,1.98,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,PEACHSTATE,PEACHSTATE,,1.85,,fee schedule,1.85,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,TRICARE,TRICARE,,24.96,,fee schedule,24.96,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,AETNA,AETNA,,134.85,87,percent of total billed charges,134.85,1.85,155,percent of total billed charges,
CONCUSSION POST,96146,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134.85,87,percent of total billed charges,134.85,1.85,155,percent of total billed charges,
CONCUSSION POST,96146,CPT,both,,,155,155,UNITED HEALTHCARE,UNITED HEALTHCARE,,136.4,88,percent of total billed charges,136.4,1.85,155,percent of total billed charges,
CONCUSSION POST,96146,CPT,both,,,155,155,AETNA,AETNA,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,BEECH STREET,BEECH STREET,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,CARESOURCE,CARESOURCE,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,MEDICAID,MEDICAID,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,NOVA NET,NOVA NET,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,PEACHSTATE,PEACHSTATE,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,SELFPAY,SELFPAY,,155,,fee schedule,155,1.85,155,fee schedule,
CONCUSSION POST,96146,CPT,both,,,155,155,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,155,,fee schedule,155,1.85,155,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,AMERIGROUP,AMERIGROUP,,1.94,,fee schedule,1.94,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,CARESOURCE,CARESOURCE,,1.98,,fee schedule,1.98,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,PEACHSTATE,PEACHSTATE,,1.85,,fee schedule,1.85,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,TRICARE,TRICARE,,24.96,,fee schedule,24.96,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,AETNA,AETNA,,294.06,87,percent of total billed charges,294.06,1.85,338,percent of total billed charges,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294.06,87,percent of total billed charges,294.06,1.85,338,percent of total billed charges,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,UNITED HEALTHCARE,UNITED HEALTHCARE,,297.44,88,percent of total billed charges,297.44,1.85,338,percent of total billed charges,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,AETNA,AETNA,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,BEECH STREET,BEECH STREET,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,CARESOURCE,CARESOURCE,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,MEDICAID,MEDICAID,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,NOVA NET,NOVA NET,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,PEACHSTATE,PEACHSTATE,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,SELFPAY,SELFPAY,,338,,fee schedule,338,1.85,338,fee schedule,
NEUROPSYCH TST ADMIN W/CO,96146,CPT,both,,,338,338,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,338,,fee schedule,338,1.85,338,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HOUR,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,48.2,504,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,48.2,504,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,48.2,504,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,48.2,504,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION 1ST HR,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION IV INFUSION INI,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,50.61,,fee schedule,50.61,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,51.57,,fee schedule,51.57,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,48.2,,fee schedule,48.2,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,TRICARE,TRICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,48.2,521,percent of total billed charges,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,48.2,521,percent of total billed charges,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATION THERAPY INITIAL,96360,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,48.2,521,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATE IV INFUSION ADD-O,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADDITIONAL HOUR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HOUR - IC,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION ADD'L HR,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,AMERIGROUP,AMERIGROUP,,14.71,,fee schedule,14.71,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,14.99,,fee schedule,14.99,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,14.01,,fee schedule,14.01,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,TRICARE,TRICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,AETNA,AETNA,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105.27,87,percent of total billed charges,105.27,14.01,121,percent of total billed charges,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,UNITED HEALTHCARE,UNITED HEALTHCARE,,106.48,88,percent of total billed charges,106.48,14.01,121,percent of total billed charges,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,AETNA,AETNA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,BEECH STREET,BEECH STREET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,CARESOURCE,CARESOURCE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,MEDICAID,MEDICAID,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,NOVA NET,NOVA NET,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,PEACHSTATE,PEACHSTATE,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,SELFPAY,SELFPAY,,121,,fee schedule,121,14.01,121,fee schedule,
HYDRATION THERAPY  EACH A,96361,CPT,both,,,121,121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,121,,fee schedule,121,14.01,121,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
ADM OF INFUSION DRGS,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HOUR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY 1ST HR,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FIRST HO,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION THERAPY FISRT H,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
IV INFUSION - NOT CHEMO,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,61.65,,fee schedule,61.65,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,62.82,,fee schedule,62.82,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,58.71,,fee schedule,58.71,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,TRICARE,TRICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,58.71,542,percent of total billed charges,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,58.71,542,percent of total billed charges,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,58.71,542,fee schedule,
REMICADE ADM INFUSION 1ST,96365,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,58.71,542,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION ADD'L HOUR SAME DRUG,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HO,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADDL HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION THERAPY ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
INFUSION TX EACH ADD'L HR,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,19.57,,fee schedule,19.57,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.94,,fee schedule,19.94,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,18.64,,fee schedule,18.64,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,18.64,237,percent of total billed charges,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,18.64,237,percent of total billed charges,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,18.64,237,fee schedule,
IV INFUSION ADD'L HRS,96366,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,18.64,237,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,29.47,230,percent of total billed charges,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,29.47,230,percent of total billed charges,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,29.47,230,percent of total billed charges,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,29.47,230,fee schedule,
NONCHEMO INFUSION DIFF DR,96367,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,29.47,230,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADDITIONAL INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQ ADD'L DRUG INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,30.94,,fee schedule,30.94,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,31.53,,fee schedule,31.53,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,29.47,,fee schedule,29.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,TRICARE,TRICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,29.47,1312,percent of total billed charges,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,29.47,1312,fee schedule,
SEQUENTIAL ADD'L INFUSION,96367,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,29.47,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,17.4,1312,percent of total billed charges,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
CONCURRENT INFUSION,96368,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,17.4,1312,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,18.27,,fee schedule,18.27,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,18.62,,fee schedule,18.62,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,17.4,,fee schedule,17.4,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,17.4,184,percent of total billed charges,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,17.4,184,percent of total billed charges,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,17.4,184,percent of total billed charges,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,ALLIANT,ALLIANT,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,AMBETTER,AMBETTER,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,MEDICARE,MEDICARE,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,TRICARE,TRICARE,,184,,fee schedule,184,17.4,184,fee schedule,
NONCHEMO CONCURRENT INFUS,96368,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,184,,fee schedule,184,17.4,184,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,134.52,,fee schedule,134.52,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,137.08,,fee schedule,137.08,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,128.11,,fee schedule,128.11,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,TRICARE,TRICARE,,206.57,,fee schedule,206.57,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,128.11,1312,percent of total billed charges,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,128.11,1312,percent of total billed charges,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,128.11,1312,percent of total billed charges,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AMERIGROUP,AMERIGROUP,,134.52,,fee schedule,134.52,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,137.08,,fee schedule,137.08,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,128.11,,fee schedule,128.11,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,TRICARE,TRICARE,,206.57,,fee schedule,206.57,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,128.11,1312,percent of total billed charges,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,128.11,1312,percent of total billed charges,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,128.11,1312,percent of total billed charges,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,128.11,1312,fee schedule,
CONCURRENT INFUSION,96369,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,128.11,1312,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,17.88,111.33,percent of total billed charges,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,17.88,111.33,percent of total billed charges,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,17.88,111.33,percent of total billed charges,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,17.88,111.33,fee schedule,
I.M. ADMINISTRATION FEE,96372,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,17.88,111.33,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,17.88,237,percent of total billed charges,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,17.88,237,percent of total billed charges,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,17.88,237,percent of total billed charges,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,17.88,237,percent of total billed charges,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,17.88,237,percent of total billed charges,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,17.88,237,percent of total billed charges,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION IM ANTIBIOTIC,96372,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,17.88,237,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SC IM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC IM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC OR IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SC OR IM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SC OR IM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SC OR IM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
INJECTION SCIM,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SCIM,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,17.88,126,percent of total billed charges,
INJECTION SQ/IM,96372,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,17.88,126,percent of total billed charges,
INJECTION SQ/IM,96372,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,17.88,126,percent of total billed charges,
INJECTION SQ/IM,96372,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,17.88,126,fee schedule,
INJECTION SQ/IM,96372,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,17.88,126,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,18.77,,fee schedule,18.77,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,19.13,,fee schedule,19.13,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,17.88,,fee schedule,17.88,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,TRICARE,TRICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
SCIM INJECTION,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,17.88,212,percent of total billed charges,
SCIM INJECTION,96372,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,17.88,212,percent of total billed charges,
SCIM INJECTION,96372,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,17.88,212,fee schedule,
SCIM INJECTION,96372,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,17.88,212,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,AMERIGROUP,AMERIGROUP,,16.12,,fee schedule,16.12,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,16.42,,fee schedule,16.42,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,15.35,,fee schedule,15.35,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,TRICARE,TRICARE,,206.57,,fee schedule,206.57,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,15.35,340.84,percent of total billed charges,
INJECTION IA,96373,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,15.35,340.84,percent of total billed charges,
INJECTION IA,96373,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,15.35,340.84,percent of total billed charges,
INJECTION IA,96373,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IA,96373,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,15.35,340.84,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
INJECTION IV,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
INJECTION IV,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
IV PUSH INJ,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
IV PUSH INJ,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
IV PUSH INJ,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,AMERIGROUP,AMERIGROUP,,48.83,,fee schedule,48.83,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,49.76,,fee schedule,49.76,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,46.5,,fee schedule,46.5,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,TRICARE,TRICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,AETNA,AETNA,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,354.96,87,percent of total billed charges,354.96,46.5,408,percent of total billed charges,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.04,88,percent of total billed charges,359.04,46.5,408,percent of total billed charges,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,AETNA,AETNA,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,BEECH STREET,BEECH STREET,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,CARESOURCE,CARESOURCE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,MEDICAID,MEDICAID,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,NOVA NET,NOVA NET,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,PEACHSTATE,PEACHSTATE,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,SELFPAY,SELFPAY,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH INJ - NOT CHEMO,96374,CPT,both,,,408,408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,408,,fee schedule,408,46.5,408,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSHSEQ DIFF DRUG,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,AMERIGROUP,AMERIGROUP,,21.21,,fee schedule,21.21,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,21.61,,fee schedule,21.61,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,20.2,,fee schedule,20.2,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,TRICARE,TRICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,20.2,237,percent of total billed charges,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,20.2,237,percent of total billed charges,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,20.2,237,fee schedule,
IVP NOT CHEMOADD'L MEDS,96375,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,20.2,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSH SEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IV PUSHSEQ SAME DRUG,96376,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,184.44,212,percent of total billed charges,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,184.44,212,percent of total billed charges,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,184.44,212,percent of total billed charges,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,ALLIANT,ALLIANT,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,AMBETTER,AMBETTER,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,MEDICARE,MEDICARE,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,TRICARE,TRICARE,,212,,fee schedule,212,184.44,212,fee schedule,
IVP NOT CHEMOSAME MED,96376,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,212,,fee schedule,212,184.44,212,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,AETNA,AETNA,,93.96,87,percent of total billed charges,93.96,42.37,108,percent of total billed charges,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93.96,87,percent of total billed charges,93.96,42.37,108,percent of total billed charges,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.04,88,percent of total billed charges,95.04,42.37,108,percent of total billed charges,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,AETNA,AETNA,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,BEECH STREET,BEECH STREET,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,MEDICAID,MEDICAID,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,NOVA NET,NOVA NET,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,SELFPAY,SELFPAY,,108,,fee schedule,108,42.37,108,fee schedule,
APPLICATION ON BODY INJECTOR,96377,CPT,both,,,108,108,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,108,,fee schedule,108,42.37,108,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,AMERIGROUP,AMERIGROUP,,60.7,,fee schedule,60.7,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,CARESOURCE,CARESOURCE,,61.86,,fee schedule,61.86,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,PEACHSTATE,PEACHSTATE,,57.81,,fee schedule,57.81,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,TRICARE,TRICARE,,67.47,,fee schedule,67.47,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,AETNA,AETNA,,209.67,87,percent of total billed charges,209.67,57.81,241,percent of total billed charges,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209.67,87,percent of total billed charges,209.67,57.81,241,percent of total billed charges,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,UNITED HEALTHCARE,UNITED HEALTHCARE,,212.08,88,percent of total billed charges,212.08,57.81,241,percent of total billed charges,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,AETNA,AETNA,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,BEECH STREET,BEECH STREET,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,CARESOURCE,CARESOURCE,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,MEDICAID,MEDICAID,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,NOVA NET,NOVA NET,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,PEACHSTATE,PEACHSTATE,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,SELFPAY,SELFPAY,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM NON HORMONAL,96401,CPT,both,,,241,241,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,241,,fee schedule,241,57.81,241,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,32.39,,fee schedule,32.39,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,33.01,,fee schedule,33.01,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,30.85,,fee schedule,30.85,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,TRICARE,TRICARE,,67.47,,fee schedule,67.47,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,30.85,255,percent of total billed charges,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,30.85,255,percent of total billed charges,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,30.85,255,percent of total billed charges,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO SQ/IM/HORMONAL,96402,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,30.85,255,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,ALLIANT,ALLIANT,,340.84,,fee schedule,340.84,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,AMBETTER,AMBETTER,,268.54,,fee schedule,268.54,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,112.26,,fee schedule,112.26,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,114.39,,fee schedule,114.39,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,MEDICARE,MEDICARE,,206.57,,fee schedule,206.57,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,106.91,,fee schedule,106.91,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,TRICARE,TRICARE,,206.57,,fee schedule,206.57,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,206.57,,fee schedule,206.57,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,106.91,340.84,percent of total billed charges,
CHEMO IV PUSH,96409,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,106.91,340.84,percent of total billed charges,
CHEMO IV PUSH,96409,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,106.91,340.84,percent of total billed charges,
CHEMO IV PUSH,96409,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IV PUSH,96409,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,106.91,340.84,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,AMERIGROUP,AMERIGROUP,,64.73,,fee schedule,64.73,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,65.97,,fee schedule,65.97,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,61.65,,fee schedule,61.65,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,TRICARE,TRICARE,,67.47,,fee schedule,67.47,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,AETNA,AETNA,,202.71,87,percent of total billed charges,202.71,61.65,233,percent of total billed charges,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,202.71,87,percent of total billed charges,202.71,61.65,233,percent of total billed charges,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,UNITED HEALTHCARE,UNITED HEALTHCARE,,205.04,88,percent of total billed charges,205.04,61.65,233,percent of total billed charges,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,AETNA,AETNA,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,BEECH STREET,BEECH STREET,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,CARESOURCE,CARESOURCE,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,MEDICAID,MEDICAID,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,NOVA NET,NOVA NET,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,PEACHSTATE,PEACHSTATE,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,SELFPAY,SELFPAY,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO IVP SAME/DIFF DRUG,96411,CPT,both,,,233,233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,233,,fee schedule,233,61.65,233,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AMERIGROUP,AMERIGROUP,,158.63,,fee schedule,158.63,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,161.66,,fee schedule,161.66,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,151.08,,fee schedule,151.08,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,TRICARE,TRICARE,,332.62,,fee schedule,332.62,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AETNA,AETNA,,562.89,87,percent of total billed charges,562.89,151.08,647,percent of total billed charges,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562.89,87,percent of total billed charges,562.89,151.08,647,percent of total billed charges,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,UNITED HEALTHCARE,UNITED HEALTHCARE,,569.36,88,percent of total billed charges,569.36,151.08,647,percent of total billed charges,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AETNA,AETNA,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,BEECH STREET,BEECH STREET,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,MEDICAID,MEDICAID,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,NOVA NET,NOVA NET,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,SELFPAY,SELFPAY,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AMERIGROUP,AMERIGROUP,,158.63,,fee schedule,158.63,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,161.66,,fee schedule,161.66,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,151.08,,fee schedule,151.08,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,TRICARE,TRICARE,,332.62,,fee schedule,332.62,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AETNA,AETNA,,562.89,87,percent of total billed charges,562.89,151.08,647,percent of total billed charges,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562.89,87,percent of total billed charges,562.89,151.08,647,percent of total billed charges,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,UNITED HEALTHCARE,UNITED HEALTHCARE,,569.36,88,percent of total billed charges,569.36,151.08,647,percent of total billed charges,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,AETNA,AETNA,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,BEECH STREET,BEECH STREET,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,MEDICAID,MEDICAID,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,NOVA NET,NOVA NET,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,SELFPAY,SELFPAY,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO TREATMENT INFUSION,96413,CPT,both,,,647,647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,647,,fee schedule,647,151.08,647,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,35.3,,fee schedule,35.3,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,35.97,,fee schedule,35.97,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,33.62,,fee schedule,33.62,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,TRICARE,TRICARE,,67.47,,fee schedule,67.47,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,33.62,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,33.62,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,33.62,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,35.3,,fee schedule,35.3,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,35.97,,fee schedule,35.97,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,33.62,,fee schedule,33.62,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,TRICARE,TRICARE,,67.47,,fee schedule,67.47,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,33.62,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,33.62,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,33.62,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO INFUSION ADD'L HR S,96415,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,33.62,111.33,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,ALLIANT,ALLIANT,,548.82,,fee schedule,548.82,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,AMBETTER,AMBETTER,,432.41,,fee schedule,432.41,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,AMERIGROUP,AMERIGROUP,,170.72,,fee schedule,170.72,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,CARESOURCE,CARESOURCE,,173.97,,fee schedule,173.97,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,MEDICARE,MEDICARE,,332.62,,fee schedule,332.62,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,PEACHSTATE,PEACHSTATE,,162.59,,fee schedule,162.59,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,TRICARE,TRICARE,,332.62,,fee schedule,332.62,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,UHC MEDICARE,UHC MEDICARE,,332.62,,fee schedule,332.62,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,AETNA,AETNA,,669.03,87,percent of total billed charges,669.03,162.59,769,percent of total billed charges,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,669.03,87,percent of total billed charges,669.03,162.59,769,percent of total billed charges,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,UNITED HEALTHCARE,UNITED HEALTHCARE,,676.72,88,percent of total billed charges,676.72,162.59,769,percent of total billed charges,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,AETNA,AETNA,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,BEECH STREET,BEECH STREET,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,CARESOURCE,CARESOURCE,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,MEDICAID,MEDICAID,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,NOVA NET,NOVA NET,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,PEACHSTATE,PEACHSTATE,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,SELFPAY,SELFPAY,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO TREATMENT >8 HR/PUM,96416,CPT,both,,,769,769,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,769,,fee schedule,769,162.59,769,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,ALLIANT,ALLIANT,,111.33,,fee schedule,111.33,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,AMBETTER,AMBETTER,,87.71,,fee schedule,87.71,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,77.27,,fee schedule,77.27,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,78.74,,fee schedule,78.74,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,MEDICARE,MEDICARE,,67.47,,fee schedule,67.47,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,73.59,,fee schedule,73.59,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,TRICARE,TRICARE,,67.47,,fee schedule,67.47,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,67.47,,fee schedule,67.47,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,67.47,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,67.47,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,67.47,111.33,percent of total billed charges,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,67.47,111.33,fee schedule,
CHEMO INFUSION ADD'L HR D,96417,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,67.47,111.33,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,25.77,,fee schedule,25.77,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,26.26,,fee schedule,26.26,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,24.54,,fee schedule,24.54,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,TRICARE,TRICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,25.77,,fee schedule,25.77,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,26.26,,fee schedule,26.26,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,24.54,,fee schedule,24.54,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,TRICARE,TRICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,ALLIANT,ALLIANT,,94.84,,fee schedule,94.84,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AMBETTER,AMBETTER,,74.72,,fee schedule,74.72,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,25.77,,fee schedule,25.77,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,26.26,,fee schedule,26.26,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,MEDICARE,MEDICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,24.54,,fee schedule,24.54,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,TRICARE,TRICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,57.48,,fee schedule,57.48,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,24.54,114,percent of total billed charges,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,24.54,114,fee schedule,
Q PORT IRRIGATION,96523,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,24.54,114,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,ALLIANT,ALLIANT,,56.03,,fee schedule,56.03,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,AMBETTER,AMBETTER,,44.15,,fee schedule,44.15,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,AMERIGROUP,AMERIGROUP,,14.42,,fee schedule,14.42,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,14.69,,fee schedule,14.69,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,MEDICARE,MEDICARE,,33.96,,fee schedule,33.96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,13.73,,fee schedule,13.73,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,TRICARE,TRICARE,,33.96,,fee schedule,33.96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,UHC MEDICARE,UHC MEDICARE,,33.96,,fee schedule,33.96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,AETNA,AETNA,,83.52,87,percent of total billed charges,83.52,13.73,96,percent of total billed charges,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83.52,87,percent of total billed charges,83.52,13.73,96,percent of total billed charges,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,UNITED HEALTHCARE,UNITED HEALTHCARE,,84.48,88,percent of total billed charges,84.48,13.73,96,percent of total billed charges,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,AETNA,AETNA,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,BEECH STREET,BEECH STREET,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,MEDICAID,MEDICAID,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,NOVA NET,NOVA NET,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,SELFPAY,SELFPAY,,96,,fee schedule,96,13.73,96,fee schedule,
ACTINOTHERAPY (UV LIGHT),96900,CPT,both,,,96,96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,96,,fee schedule,96,13.73,96,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,ALLIANT,ALLIANT,,10.73,,fee schedule,10.73,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,AMBETTER,AMBETTER,,8.45,,fee schedule,8.45,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,MEDICARE,MEDICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,TRICARE,TRICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,6.5,91,percent of total billed charges,
COLD PACKS -ICE,97010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,6.5,91,percent of total billed charges,
COLD PACKS -ICE,97010,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,6.5,91,percent of total billed charges,
COLD PACKS -ICE,97010,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,6.5,91,fee schedule,
COLD PACKS -ICE,97010,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,ALLIANT,ALLIANT,,10.73,,fee schedule,10.73,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,AMBETTER,AMBETTER,,8.45,,fee schedule,8.45,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,MEDICARE,MEDICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,TRICARE,TRICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,6.5,91,percent of total billed charges,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,6.5,91,percent of total billed charges,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,6.5,91,percent of total billed charges,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,6.5,91,fee schedule,
HOT OR COLD PACK THERAPY,97010,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,ALLIANT,ALLIANT,,10.73,,fee schedule,10.73,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,AMBETTER,AMBETTER,,8.45,,fee schedule,8.45,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,MEDICARE,MEDICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,TRICARE,TRICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,6.5,,fee schedule,6.5,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,6.5,91,percent of total billed charges,
HOT PACKS (OP),97010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,6.5,91,percent of total billed charges,
HOT PACKS (OP),97010,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,6.5,91,percent of total billed charges,
HOT PACKS (OP),97010,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,6.5,91,fee schedule,
HOT PACKS (OP),97010,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,6.5,91,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,ALLIANT,ALLIANT,,24.24,,fee schedule,24.24,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,AMBETTER,AMBETTER,,19.1,,fee schedule,19.1,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,MEDICARE,MEDICARE,,14.69,,fee schedule,14.69,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,TRICARE,TRICARE,,14.69,,fee schedule,14.69,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,14.69,,fee schedule,14.69,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,14.69,185,percent of total billed charges,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,14.69,185,percent of total billed charges,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,14.69,185,percent of total billed charges,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,14.69,185,fee schedule,
INTERMITTANT TRACTION (OP,97012,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,14.69,185,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,76.56,88,percent of total billed charges,
E-STIM (OP),97014,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,76.56,88,percent of total billed charges,
E-STIM (OP),97014,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,76.56,88,percent of total billed charges,
E-STIM (OP),97014,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,ALLIANT,ALLIANT,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,AMBETTER,AMBETTER,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,MEDICARE,MEDICARE,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,TRICARE,TRICARE,,88,,fee schedule,88,76.56,88,fee schedule,
E-STIM (OP),97014,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,88,,fee schedule,88,76.56,88,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,ALLIANT,ALLIANT,,19.75,,fee schedule,19.75,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AMBETTER,AMBETTER,,15.56,,fee schedule,15.56,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,14.62,,fee schedule,14.62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,14.89,,fee schedule,14.89,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,MEDICARE,MEDICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,13.92,,fee schedule,13.92,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,TRICARE,TRICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,ALLIANT,ALLIANT,,19.75,,fee schedule,19.75,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AMBETTER,AMBETTER,,15.56,,fee schedule,15.56,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,14.62,,fee schedule,14.62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,14.89,,fee schedule,14.89,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,MEDICARE,MEDICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,13.92,,fee schedule,13.92,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,TRICARE,TRICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,ALLIANT,ALLIANT,,19.75,,fee schedule,19.75,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AMBETTER,AMBETTER,,15.56,,fee schedule,15.56,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,14.62,,fee schedule,14.62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,14.89,,fee schedule,14.89,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,MEDICARE,MEDICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,13.92,,fee schedule,13.92,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,TRICARE,TRICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,11.97,,fee schedule,11.97,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,11.97,62,percent of total billed charges,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,11.97,62,fee schedule,
VASOPNEUMATIC DEVICE THER,97016,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,11.97,62,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,ALLIANT,ALLIANT,,29.21,,fee schedule,29.21,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,AMBETTER,AMBETTER,,23.01,,fee schedule,23.01,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,MEDICARE,MEDICARE,,17.7,,fee schedule,17.7,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,TRICARE,TRICARE,,17.7,,fee schedule,17.7,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,17.7,,fee schedule,17.7,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,17.7,133,percent of total billed charges,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,17.7,133,percent of total billed charges,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,17.7,133,percent of total billed charges,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,ALLIANT,ALLIANT,,29.21,,fee schedule,29.21,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,AMBETTER,AMBETTER,,23.01,,fee schedule,23.01,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,MEDICARE,MEDICARE,,17.7,,fee schedule,17.7,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,TRICARE,TRICARE,,17.7,,fee schedule,17.7,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,17.7,,fee schedule,17.7,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,17.7,133,percent of total billed charges,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,17.7,133,percent of total billed charges,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,17.7,133,percent of total billed charges,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,17.7,133,fee schedule,
FLUIDOTHERAPY (OP),97022,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,17.7,133,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,ALLIANT,ALLIANT,,12.49,,fee schedule,12.49,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,AMBETTER,AMBETTER,,9.84,,fee schedule,9.84,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,MEDICARE,MEDICARE,,7.57,,fee schedule,7.57,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,TRICARE,TRICARE,,7.57,,fee schedule,7.57,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,7.57,,fee schedule,7.57,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,7.57,22,percent of total billed charges,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,7.57,22,percent of total billed charges,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,7.57,22,percent of total billed charges,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,ALLIANT,ALLIANT,,12.49,,fee schedule,12.49,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,AMBETTER,AMBETTER,,9.84,,fee schedule,9.84,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,MEDICARE,MEDICARE,,7.57,,fee schedule,7.57,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,TRICARE,TRICARE,,7.57,,fee schedule,7.57,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,7.57,,fee schedule,7.57,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,7.57,22,percent of total billed charges,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,7.57,22,percent of total billed charges,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,7.57,22,percent of total billed charges,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,7.57,22,fee schedule,
DIATHERMY EG MICROWAVE 1+ AREA,97024,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,7.57,22,fee schedule,
UV WAND,97028,CPT,both,,,29,29,ALLIANT,ALLIANT,,14.19,,fee schedule,14.19,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,AMBETTER,AMBETTER,,11.18,,fee schedule,11.18,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,10.01,,fee schedule,10.01,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,10.2,,fee schedule,10.2,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,MEDICARE,MEDICARE,,8.6,,fee schedule,8.6,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,9.53,,fee schedule,9.53,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,TRICARE,TRICARE,,8.6,,fee schedule,8.6,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,8.6,,fee schedule,8.6,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,8.6,29,percent of total billed charges,
UV WAND,97028,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,8.6,29,percent of total billed charges,
UV WAND,97028,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,8.6,29,percent of total billed charges,
UV WAND,97028,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,8.6,29,fee schedule,
UV WAND,97028,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,8.6,29,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,ALLIANT,ALLIANT,,24.24,,fee schedule,24.24,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,AMBETTER,AMBETTER,,19.1,,fee schedule,19.1,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,15.23,,fee schedule,15.23,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,15.52,,fee schedule,15.52,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,MEDICARE,MEDICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,14.5,,fee schedule,14.5,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,TRICARE,TRICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,14.5,205,percent of total billed charges,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,14.5,205,percent of total billed charges,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,14.5,205,percent of total billed charges,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRIC STIMULATION (OP),97032,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,ALLIANT,ALLIANT,,24.24,,fee schedule,24.24,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,AMBETTER,AMBETTER,,19.1,,fee schedule,19.1,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,15.23,,fee schedule,15.23,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,15.52,,fee schedule,15.52,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,MEDICARE,MEDICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,14.5,,fee schedule,14.5,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,TRICARE,TRICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,14.5,205,percent of total billed charges,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,14.5,205,percent of total billed charges,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,14.5,205,percent of total billed charges,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIM/ 15 MIN (,97032,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,ALLIANT,ALLIANT,,24.24,,fee schedule,24.24,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,AMBETTER,AMBETTER,,19.1,,fee schedule,19.1,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,15.23,,fee schedule,15.23,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,15.52,,fee schedule,15.52,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,MEDICARE,MEDICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,14.5,,fee schedule,14.5,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,TRICARE,TRICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,14.69,,fee schedule,14.69,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,14.5,205,percent of total billed charges,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,14.5,205,percent of total billed charges,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,14.5,205,percent of total billed charges,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,14.5,205,fee schedule,
ELECTRICAL STIMULATION EA,97032,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,14.5,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,ALLIANT,ALLIANT,,33.63,,fee schedule,33.63,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,AMBETTER,AMBETTER,,26.49,,fee schedule,26.49,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,15.89,,fee schedule,15.89,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,16.19,,fee schedule,16.19,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,MEDICARE,MEDICARE,,20.38,,fee schedule,20.38,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,15.13,,fee schedule,15.13,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,TRICARE,TRICARE,,20.38,,fee schedule,20.38,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,20.38,,fee schedule,20.38,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,15.13,205,percent of total billed charges,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,15.13,205,percent of total billed charges,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,15.13,205,percent of total billed charges,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHERESIS/ 15 MIN (OP,97033,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,ALLIANT,ALLIANT,,33.63,,fee schedule,33.63,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,AMBETTER,AMBETTER,,26.49,,fee schedule,26.49,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,15.89,,fee schedule,15.89,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,16.19,,fee schedule,16.19,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,MEDICARE,MEDICARE,,20.38,,fee schedule,20.38,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,15.13,,fee schedule,15.13,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,TRICARE,TRICARE,,20.38,,fee schedule,20.38,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,20.38,,fee schedule,20.38,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,15.13,205,percent of total billed charges,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,15.13,205,percent of total billed charges,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,15.13,205,percent of total billed charges,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,15.13,205,fee schedule,
IONTOPHORESIS EACH 15 MIN,97033,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,15.13,205,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,ALLIANT,ALLIANT,,24.37,,fee schedule,24.37,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,AMBETTER,AMBETTER,,19.2,,fee schedule,19.2,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,MEDICARE,MEDICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,TRICARE,TRICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,14.77,209,percent of total billed charges,
ULTRASOUND (OP),97035,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,14.77,209,percent of total billed charges,
ULTRASOUND (OP),97035,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,14.77,209,percent of total billed charges,
ULTRASOUND (OP),97035,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND (OP),97035,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,ALLIANT,ALLIANT,,24.37,,fee schedule,24.37,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,AMBETTER,AMBETTER,,19.2,,fee schedule,19.2,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,MEDICARE,MEDICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,TRICARE,TRICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,14.77,209,percent of total billed charges,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,14.77,209,percent of total billed charges,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,14.77,209,percent of total billed charges,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND THERAPY EA 15,97035,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,ALLIANT,ALLIANT,,24.37,,fee schedule,24.37,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,AMBETTER,AMBETTER,,19.2,,fee schedule,19.2,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,MEDICARE,MEDICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,TRICARE,TRICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,14.77,,fee schedule,14.77,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,14.77,209,percent of total billed charges,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,14.77,209,percent of total billed charges,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,14.77,209,percent of total billed charges,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,14.77,209,fee schedule,
ULTRASOUND/ 15 MIN (OP),97035,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,14.77,209,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,174,200,percent of total billed charges,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,174,200,percent of total billed charges,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,174,200,percent of total billed charges,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,ALLIANT,ALLIANT,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,AMBETTER,AMBETTER,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,MEDICARE,MEDICARE,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,TRICARE,TRICARE,,200,,fee schedule,200,174,200,fee schedule,
US W/ELECT STIMULATION (O,97039,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,200,,fee schedule,200,174,200,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,30.36,175,percent of total billed charges,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,30.36,175,percent of total billed charges,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,30.36,175,percent of total billed charges,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE 15 MINS (IP),97110,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,30.36,175,percent of total billed charges,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,30.36,175,percent of total billed charges,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,30.36,175,percent of total billed charges,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,30.36,175,fee schedule,
EXERCISE-15 MINUTES (OP),97110,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,30.36,114,percent of total billed charges,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,30.36,114,percent of total billed charges,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,30.36,114,percent of total billed charges,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX (IP),97110,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,30.36,114,percent of total billed charges,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,30.36,114,percent of total billed charges,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,30.36,114,percent of total billed charges,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EX. (OP),97110,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,30.36,114,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,30.36,175,percent of total billed charges,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,30.36,175,percent of total billed charges,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,30.36,175,percent of total billed charges,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,30.36,175,fee schedule,
THERAPEUTIC EXERCISES EA,97110,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,30.36,175,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,ALLIANT,ALLIANT,,57.6,,fee schedule,57.6,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,AMBETTER,AMBETTER,,45.38,,fee schedule,45.38,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,MEDICARE,MEDICARE,,34.91,,fee schedule,34.91,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,TRICARE,TRICARE,,34.91,,fee schedule,34.91,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,34.91,,fee schedule,34.91,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,34.91,227,percent of total billed charges,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,34.91,227,percent of total billed charges,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,34.91,227,percent of total billed charges,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (IP),97112,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,ALLIANT,ALLIANT,,57.6,,fee schedule,57.6,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,AMBETTER,AMBETTER,,45.38,,fee schedule,45.38,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,MEDICARE,MEDICARE,,34.91,,fee schedule,34.91,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,TRICARE,TRICARE,,34.91,,fee schedule,34.91,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,34.91,,fee schedule,34.91,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,34.91,215,percent of total billed charges,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,34.91,215,percent of total billed charges,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,34.91,215,percent of total billed charges,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REED (OP),97112,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,34.91,215,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,ALLIANT,ALLIANT,,57.6,,fee schedule,57.6,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,AMBETTER,AMBETTER,,45.38,,fee schedule,45.38,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,MEDICARE,MEDICARE,,34.91,,fee schedule,34.91,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,TRICARE,TRICARE,,34.91,,fee schedule,34.91,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,34.91,,fee schedule,34.91,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,34.91,227,percent of total billed charges,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,34.91,227,percent of total billed charges,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,34.91,227,percent of total billed charges,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,34.91,227,fee schedule,
NEUROMUSCULAR REEDUC/15 (,97112,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,34.91,227,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,ALLIANT,ALLIANT,,62.95,,fee schedule,62.95,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,AMBETTER,AMBETTER,,49.6,,fee schedule,49.6,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,MEDICARE,MEDICARE,,38.15,,fee schedule,38.15,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,TRICARE,TRICARE,,38.15,,fee schedule,38.15,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,38.15,,fee schedule,38.15,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,38.15,136,percent of total billed charges,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,38.15,136,percent of total billed charges,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,38.15,136,percent of total billed charges,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,38.15,136,fee schedule,
AQUATIC THERAPY/EXERCISES,97113,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,38.15,136,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,30.36,149,percent of total billed charges,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,30.36,149,percent of total billed charges,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,30.36,149,percent of total billed charges,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15 MIN),97116,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,30.36,149,percent of total billed charges,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,30.36,149,percent of total billed charges,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,30.36,149,percent of total billed charges,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING (0-15) (IP),97116,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,ALLIANT,ALLIANT,,50.09,,fee schedule,50.09,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,AMBETTER,AMBETTER,,39.47,,fee schedule,39.47,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,MEDICARE,MEDICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,TRICARE,TRICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,30.36,,fee schedule,30.36,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,30.36,149,percent of total billed charges,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,30.36,149,percent of total billed charges,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,30.36,149,percent of total billed charges,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,30.36,149,fee schedule,
GAIT TRAINING THERAPY EA,97116,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,30.36,149,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,ALLIANT,ALLIANT,,36.99,,fee schedule,36.99,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,AMBETTER,AMBETTER,,29.15,,fee schedule,29.15,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,21.8,,fee schedule,21.8,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,22.21,,fee schedule,22.21,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,MEDICARE,MEDICARE,,22.42,,fee schedule,22.42,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,20.76,,fee schedule,20.76,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,TRICARE,TRICARE,,22.42,,fee schedule,22.42,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,22.42,,fee schedule,22.42,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,20.76,68,percent of total billed charges,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,20.76,68,percent of total billed charges,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,20.76,68,percent of total billed charges,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ 1ST 15 MIN,97129,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,20.76,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,ALLIANT,ALLIANT,,35.87,,fee schedule,35.87,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,AMBETTER,AMBETTER,,28.26,,fee schedule,28.26,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,20.83,,fee schedule,20.83,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,21.23,,fee schedule,21.23,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,MEDICARE,MEDICARE,,21.74,,fee schedule,21.74,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,19.84,,fee schedule,19.84,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,TRICARE,TRICARE,,21.74,,fee schedule,21.74,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,21.74,,fee schedule,21.74,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,19.84,68,percent of total billed charges,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,19.84,68,percent of total billed charges,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,19.84,68,percent of total billed charges,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,19.84,68,fee schedule,
THER IVNTJ COG FUNCJ CNTCT EA,97130,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,19.84,68,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,ALLIANT,ALLIANT,,46.04,,fee schedule,46.04,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,AMBETTER,AMBETTER,,36.27,,fee schedule,36.27,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,MEDICARE,MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,TRICARE,TRICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,27.9,164,percent of total billed charges,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY EA 15 MINS,97140,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,ALLIANT,ALLIANT,,46.04,,fee schedule,46.04,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,AMBETTER,AMBETTER,,36.27,,fee schedule,36.27,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,MEDICARE,MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,TRICARE,TRICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,27.9,164,percent of total billed charges,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/ 15 MIN (O,97140,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,ALLIANT,ALLIANT,,46.04,,fee schedule,46.04,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,AMBETTER,AMBETTER,,36.27,,fee schedule,36.27,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,MEDICARE,MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,TRICARE,TRICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,27.9,164,percent of total billed charges,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERAPY/15MIN (OP),97140,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,ALLIANT,ALLIANT,,46.04,,fee schedule,46.04,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,AMBETTER,AMBETTER,,36.27,,fee schedule,36.27,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,MEDICARE,MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,TRICARE,TRICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,27.9,,fee schedule,27.9,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,27.9,164,percent of total billed charges,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,27.9,164,percent of total billed charges,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,27.9,164,fee schedule,
MANUAL THERPAY (IP),97140,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,27.9,164,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,ALLIANT,ALLIANT,,30.01,,fee schedule,30.01,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,AMBETTER,AMBETTER,,23.65,,fee schedule,23.65,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,AMERIGROUP,AMERIGROUP,,17.21,,fee schedule,17.21,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,17.54,,fee schedule,17.54,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,MEDICARE,MEDICARE,,18.19,,fee schedule,18.19,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,16.39,,fee schedule,16.39,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,TRICARE,TRICARE,,18.19,,fee schedule,18.19,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,18.19,,fee schedule,18.19,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,16.39,95,percent of total billed charges,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,16.39,95,percent of total billed charges,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,16.39,95,percent of total billed charges,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,16.39,95,fee schedule,
GRP - TX PROCEDURE (OP),97150,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,16.39,95,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,ALLIANT,ALLIANT,,170.61,,fee schedule,170.61,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,AMBETTER,AMBETTER,,134.42,,fee schedule,134.42,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,MEDICARE,MEDICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,TRICARE,TRICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,103.4,361,percent of total billed charges,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,103.4,361,percent of total billed charges,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,103.4,361,percent of total billed charges,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL LOW COMPLEX 20 MIN,97161,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,ALLIANT,ALLIANT,,170.61,,fee schedule,170.61,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,AMBETTER,AMBETTER,,134.42,,fee schedule,134.42,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,MEDICARE,MEDICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,TRICARE,TRICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,103.4,361,percent of total billed charges,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,103.4,361,percent of total billed charges,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,103.4,361,percent of total billed charges,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL MOD COMPLEX 30 MIN,97162,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,ALLIANT,ALLIANT,,170.61,,fee schedule,170.61,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,AMBETTER,AMBETTER,,134.42,,fee schedule,134.42,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,MEDICARE,MEDICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,TRICARE,TRICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,103.4,,fee schedule,103.4,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,103.4,361,percent of total billed charges,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,103.4,361,percent of total billed charges,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,103.4,361,percent of total billed charges,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,103.4,361,fee schedule,
PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,103.4,361,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,ALLIANT,ALLIANT,,118.31,,fee schedule,118.31,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,AMBETTER,AMBETTER,,93.21,,fee schedule,93.21,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,MEDICARE,MEDICARE,,71.7,,fee schedule,71.7,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,TRICARE,TRICARE,,71.7,,fee schedule,71.7,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,71.7,,fee schedule,71.7,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,71.7,212,percent of total billed charges,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,71.7,212,percent of total billed charges,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,71.7,212,percent of total billed charges,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL (OP),97164,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,ALLIANT,ALLIANT,,118.31,,fee schedule,118.31,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,AMBETTER,AMBETTER,,93.21,,fee schedule,93.21,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,MEDICARE,MEDICARE,,71.7,,fee schedule,71.7,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,TRICARE,TRICARE,,71.7,,fee schedule,71.7,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,71.7,,fee schedule,71.7,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,71.7,212,percent of total billed charges,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,71.7,212,percent of total billed charges,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,71.7,212,percent of total billed charges,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,71.7,212,fee schedule,
PT RE-EVAL EST PLAN CARE,97164,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,71.7,212,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,ALLIANT,ALLIANT,,170.61,,fee schedule,170.61,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,AMBETTER,AMBETTER,,134.42,,fee schedule,134.42,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,MEDICARE,MEDICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,TRICARE,TRICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,UHC MEDICARE,UHC MEDICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,AETNA,AETNA,,580.29,87,percent of total billed charges,580.29,103.4,667,percent of total billed charges,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,580.29,87,percent of total billed charges,580.29,103.4,667,percent of total billed charges,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,UNITED HEALTHCARE,UNITED HEALTHCARE,,586.96,88,percent of total billed charges,586.96,103.4,667,percent of total billed charges,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,AETNA,AETNA,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,BEECH STREET,BEECH STREET,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,MEDICAID,MEDICAID,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,NOVA NET,NOVA NET,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,SELFPAY,SELFPAY,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL LOW COMPLEX 20 MIN,97165,CPT,both,,,667,667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,ALLIANT,ALLIANT,,170.61,,fee schedule,170.61,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,AMBETTER,AMBETTER,,134.42,,fee schedule,134.42,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,MEDICARE,MEDICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,TRICARE,TRICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,UHC MEDICARE,UHC MEDICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,AETNA,AETNA,,580.29,87,percent of total billed charges,580.29,103.4,667,percent of total billed charges,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,580.29,87,percent of total billed charges,580.29,103.4,667,percent of total billed charges,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,UNITED HEALTHCARE,UNITED HEALTHCARE,,586.96,88,percent of total billed charges,586.96,103.4,667,percent of total billed charges,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,AETNA,AETNA,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,BEECH STREET,BEECH STREET,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,MEDICAID,MEDICAID,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,NOVA NET,NOVA NET,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,SELFPAY,SELFPAY,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL MOD COMPLEX 30 MIN,97166,CPT,both,,,667,667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,ALLIANT,ALLIANT,,170.61,,fee schedule,170.61,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,AMBETTER,AMBETTER,,134.42,,fee schedule,134.42,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,MEDICARE,MEDICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,TRICARE,TRICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,UHC MEDICARE,UHC MEDICARE,,103.4,,fee schedule,103.4,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,AETNA,AETNA,,580.29,87,percent of total billed charges,580.29,103.4,667,percent of total billed charges,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,580.29,87,percent of total billed charges,580.29,103.4,667,percent of total billed charges,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,UNITED HEALTHCARE,UNITED HEALTHCARE,,586.96,88,percent of total billed charges,586.96,103.4,667,percent of total billed charges,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,AETNA,AETNA,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,BEECH STREET,BEECH STREET,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,CARESOURCE,CARESOURCE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,MEDICAID,MEDICAID,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,NOVA NET,NOVA NET,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,PEACHSTATE,PEACHSTATE,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,SELFPAY,SELFPAY,,667,,fee schedule,667,103.4,667,fee schedule,
OT EVAL HIGH COMPLEX 45 MIN,97167,CPT,both,,,667,667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,667,,fee schedule,667,103.4,667,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,ALLIANT,ALLIANT,,117.71,,fee schedule,117.71,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,AMBETTER,AMBETTER,,92.74,,fee schedule,92.74,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,MEDICARE,MEDICARE,,71.34,,fee schedule,71.34,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,TRICARE,TRICARE,,71.34,,fee schedule,71.34,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,71.34,,fee schedule,71.34,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,71.34,212,percent of total billed charges,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,71.34,212,percent of total billed charges,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,71.34,212,percent of total billed charges,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,71.34,212,fee schedule,
OT RE-EVAL EST PLAN CARE,97168,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,71.34,212,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,AETNA,AETNA,,304.5,87,percent of total billed charges,304.5,304.5,350,percent of total billed charges,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304.5,87,percent of total billed charges,304.5,304.5,350,percent of total billed charges,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,UNITED HEALTHCARE,UNITED HEALTHCARE,,308,88,percent of total billed charges,308,304.5,350,percent of total billed charges,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,AETNA,AETNA,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,ALLIANT,ALLIANT,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,AMBETTER,AMBETTER,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,BEECH STREET,BEECH STREET,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,CARESOURCE,CARESOURCE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,MEDICAID,MEDICAID,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,MEDICARE,MEDICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,NOVA NET,NOVA NET,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,PEACHSTATE,PEACHSTATE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,SELFPAY,SELFPAY,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,TRICARE,TRICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, LOW COMPLEXITY",97169,CPT,both,,,350,350,UHC MEDICARE,UHC MEDICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,AETNA,AETNA,,304.5,87,percent of total billed charges,304.5,304.5,350,percent of total billed charges,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304.5,87,percent of total billed charges,304.5,304.5,350,percent of total billed charges,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,UNITED HEALTHCARE,UNITED HEALTHCARE,,308,88,percent of total billed charges,308,304.5,350,percent of total billed charges,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,AETNA,AETNA,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,ALLIANT,ALLIANT,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,AMBETTER,AMBETTER,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,BEECH STREET,BEECH STREET,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,CARESOURCE,CARESOURCE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,MEDICAID,MEDICAID,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,MEDICARE,MEDICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,NOVA NET,NOVA NET,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,PEACHSTATE,PEACHSTATE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,SELFPAY,SELFPAY,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,TRICARE,TRICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, MOD COMPLEXITY",97170,CPT,both,,,350,350,UHC MEDICARE,UHC MEDICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,AETNA,AETNA,,304.5,87,percent of total billed charges,304.5,304.5,350,percent of total billed charges,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304.5,87,percent of total billed charges,304.5,304.5,350,percent of total billed charges,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,UNITED HEALTHCARE,UNITED HEALTHCARE,,308,88,percent of total billed charges,308,304.5,350,percent of total billed charges,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,AETNA,AETNA,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,ALLIANT,ALLIANT,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,AMBETTER,AMBETTER,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,BEECH STREET,BEECH STREET,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,CARESOURCE,CARESOURCE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,MEDICAID,MEDICAID,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,MEDICARE,MEDICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,NOVA NET,NOVA NET,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,PEACHSTATE,PEACHSTATE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,SELFPAY,SELFPAY,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,TRICARE,TRICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT EVAL, HIGH COMPLEXITY",97171,CPT,both,,,350,350,UHC MEDICARE,UHC MEDICARE,,350,,fee schedule,350,304.5,350,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,179.22,206,percent of total billed charges,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,ALLIANT,ALLIANT,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,AMBETTER,AMBETTER,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,MEDICARE,MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,TRICARE,TRICARE,,206,,fee schedule,206,179.22,206,fee schedule,
"AT RE-EVAL, EST PLAN OF CARE",97172,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,AETNA,AETNA,,45063.88,87,percent of total billed charges,45063.88,45063.88,51797.56,percent of total billed charges,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45063.88,87,percent of total billed charges,45063.88,45063.88,51797.56,percent of total billed charges,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,UNITED HEALTHCARE,UNITED HEALTHCARE,,45581.85,88,percent of total billed charges,45581.85,45063.88,51797.56,percent of total billed charges,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,AETNA,AETNA,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,ALLIANT,ALLIANT,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,AMBETTER,AMBETTER,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,BEECH STREET,BEECH STREET,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,CARESOURCE,CARESOURCE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,MEDICAID,MEDICAID,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,MEDICARE,MEDICARE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,NOVA NET,NOVA NET,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,PEACHSTATE,PEACHSTATE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,SELFPAY,SELFPAY,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,TRICARE,TRICARE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W MCC,974,DRG,inpatient,,,51797.56,51797.56,UHC MEDICARE,UHC MEDICARE,,51797.56,,fee schedule,51797.56,45063.88,51797.56,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,AETNA,AETNA,,22210.7,87,percent of total billed charges,22210.7,22210.7,25529.54,percent of total billed charges,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22210.7,87,percent of total billed charges,22210.7,22210.7,25529.54,percent of total billed charges,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,UNITED HEALTHCARE,UNITED HEALTHCARE,,22466,88,percent of total billed charges,22466,22210.7,25529.54,percent of total billed charges,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,AETNA,AETNA,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,ALLIANT,ALLIANT,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,AMBETTER,AMBETTER,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,BEECH STREET,BEECH STREET,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,CARESOURCE,CARESOURCE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,MEDICAID,MEDICAID,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,MEDICARE,MEDICARE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,NOVA NET,NOVA NET,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,PEACHSTATE,PEACHSTATE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,SELFPAY,SELFPAY,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,TRICARE,TRICARE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
HIV W MAJOR RELATED CONDITION W CC,975,DRG,inpatient,,,25529.54,25529.54,UHC MEDICARE,UHC MEDICARE,,25529.54,,fee schedule,25529.54,22210.7,25529.54,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,38.59,76,percent of total billed charges,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15 MIN (I,97530,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,38.59,76,percent of total billed charges,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACT 15MIN (OP,97530,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,38.59,76,percent of total billed charges,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITIES,97530,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,38.59,88,percent of total billed charges,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,38.59,88,percent of total billed charges,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,38.59,88,percent of total billed charges,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (IP),97530,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,38.59,88,percent of total billed charges,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,38.59,88,percent of total billed charges,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,38.59,88,percent of total billed charges,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,38.59,88,fee schedule,
THERAPEUTIC ACTIVITY (OP),97530,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,38.59,88,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
TRANSFER (IP),97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
TRANSFER (IP),97530,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,38.59,76,percent of total billed charges,
TRANSFER (IP),97530,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (IP),97530,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,ALLIANT,ALLIANT,,63.67,,fee schedule,63.67,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,AMBETTER,AMBETTER,,50.17,,fee schedule,50.17,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,MEDICARE,MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,TRICARE,TRICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,38.59,,fee schedule,38.59,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
TRANSFER (OP),97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,38.59,76,percent of total billed charges,
TRANSFER (OP),97530,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,38.59,76,percent of total billed charges,
TRANSFER (OP),97530,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,38.59,76,fee schedule,
TRANSFER (OP),97530,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,38.59,76,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,ALLIANT,ALLIANT,,110.04,,fee schedule,110.04,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,AMBETTER,AMBETTER,,86.7,,fee schedule,86.7,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,MEDICARE,MEDICARE,,66.69,,fee schedule,66.69,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,TRICARE,TRICARE,,66.69,,fee schedule,66.69,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,66.69,,fee schedule,66.69,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,66.69,128,percent of total billed charges,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,66.69,128,percent of total billed charges,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,66.69,128,percent of total billed charges,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,66.69,128,fee schedule,
SENSORY INTEGRATIVE TECH/,97533,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,66.69,128,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,ALLIANT,ALLIANT,,55.98,,fee schedule,55.98,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,AMBETTER,AMBETTER,,44.11,,fee schedule,44.11,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,21.96,,fee schedule,21.96,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,22.37,,fee schedule,22.37,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,MEDICARE,MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,20.91,,fee schedule,20.91,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,TRICARE,TRICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
ADL (IP),97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
ADL (IP),97535,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,20.91,105,percent of total billed charges,
ADL (IP),97535,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (IP),97535,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,ALLIANT,ALLIANT,,55.98,,fee schedule,55.98,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,AMBETTER,AMBETTER,,44.11,,fee schedule,44.11,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,21.96,,fee schedule,21.96,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,22.37,,fee schedule,22.37,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,MEDICARE,MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,20.91,,fee schedule,20.91,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,TRICARE,TRICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
ADL (OP),97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
ADL (OP),97535,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,20.91,105,percent of total billed charges,
ADL (OP),97535,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,ALLIANT,ALLIANT,,55.98,,fee schedule,55.98,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,AMBETTER,AMBETTER,,44.11,,fee schedule,44.11,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,21.96,,fee schedule,21.96,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,22.37,,fee schedule,22.37,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,MEDICARE,MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,20.91,,fee schedule,20.91,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,TRICARE,TRICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
ADL (OP),97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
ADL (OP),97535,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,20.91,105,percent of total billed charges,
ADL (OP),97535,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,20.91,105,fee schedule,
ADL (OP),97535,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,ALLIANT,ALLIANT,,55.98,,fee schedule,55.98,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,AMBETTER,AMBETTER,,44.11,,fee schedule,44.11,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,AMERIGROUP,AMERIGROUP,,21.96,,fee schedule,21.96,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,22.37,,fee schedule,22.37,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,MEDICARE,MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,20.91,,fee schedule,20.91,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,TRICARE,TRICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,33.93,,fee schedule,33.93,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,20.91,105,percent of total billed charges,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,20.91,105,percent of total billed charges,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,20.91,105,fee schedule,
HOME INSTRUCT/ 15 MIN (OP,97535,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,20.91,105,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,ALLIANT,ALLIANT,,54.12,,fee schedule,54.12,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,AMBETTER,AMBETTER,,42.64,,fee schedule,42.64,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,MEDICARE,MEDICARE,,32.8,,fee schedule,32.8,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,TRICARE,TRICARE,,32.8,,fee schedule,32.8,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,32.8,,fee schedule,32.8,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,32.8,116,percent of total billed charges,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,32.8,116,percent of total billed charges,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,32.8,116,percent of total billed charges,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTR/ 15 MIN (,97537,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,ALLIANT,ALLIANT,,54.12,,fee schedule,54.12,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,AMBETTER,AMBETTER,,42.64,,fee schedule,42.64,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,MEDICARE,MEDICARE,,32.8,,fee schedule,32.8,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,TRICARE,TRICARE,,32.8,,fee schedule,32.8,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,32.8,,fee schedule,32.8,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,32.8,116,percent of total billed charges,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,32.8,116,percent of total billed charges,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,32.8,116,percent of total billed charges,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,32.8,116,fee schedule,
COMMUNITY INSTRUCT/ 15 MI,97537,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,32.8,116,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,45.19,,fee schedule,45.19,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,46.05,,fee schedule,46.05,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,43.04,,fee schedule,43.04,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,TRICARE,TRICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,43.04,297.96,percent of total billed charges,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,43.04,297.96,percent of total billed charges,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,43.04,297.96,percent of total billed charges,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,43.04,297.96,fee schedule,
DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,AMERIGROUP,AMERIGROUP,,45.19,,fee schedule,45.19,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,46.05,,fee schedule,46.05,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,43.04,,fee schedule,43.04,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,TRICARE,TRICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,43.04,297.96,percent of total billed charges,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,43.04,297.96,percent of total billed charges,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,43.04,297.96,percent of total billed charges,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,43.04,297.96,fee schedule,
PT PULSE LAVAGE <20 SQ CM,97597,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,43.04,297.96,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,45.19,,fee schedule,45.19,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,46.05,,fee schedule,46.05,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,43.04,,fee schedule,43.04,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,43.04,477,percent of total billed charges,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,43.04,477,percent of total billed charges,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,43.04,477,percent of total billed charges,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,43.04,477,fee schedule,
RN DEBRIDEMENT < 20 SQ CM,97597,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,43.04,477,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,45.19,,fee schedule,45.19,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,46.05,,fee schedule,46.05,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,43.04,,fee schedule,43.04,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,TRICARE,TRICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,43.04,297.96,percent of total billed charges,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,43.04,297.96,percent of total billed charges,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,43.04,297.96,percent of total billed charges,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,43.04,297.96,fee schedule,
SELECTIVE DEBRIDEMENT <20,97597,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,43.04,297.96,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,57.37,,fee schedule,57.37,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,58.46,,fee schedule,58.46,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,54.64,,fee schedule,54.64,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,58.46,percent of total billed charges,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,58.46,percent of total billed charges,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,58.46,percent of total billed charges,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,58.46,fee schedule,
DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,58.46,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,57.37,,fee schedule,57.37,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,58.46,,fee schedule,58.46,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,54.64,,fee schedule,54.64,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,54.64,252,percent of total billed charges,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,54.64,252,percent of total billed charges,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,54.64,252,percent of total billed charges,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,ALLIANT,ALLIANT,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,AMBETTER,AMBETTER,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,MEDICARE,MEDICARE,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,TRICARE,TRICARE,,252,,fee schedule,252,54.64,252,fee schedule,
PT PULSE LAVAGE >20SQ CM,97598,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,252,,fee schedule,252,54.64,252,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,AMERIGROUP,AMERIGROUP,,57.37,,fee schedule,57.37,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,58.46,,fee schedule,58.46,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,54.64,,fee schedule,54.64,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,54.64,262,percent of total billed charges,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,54.64,262,percent of total billed charges,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,54.64,262,percent of total billed charges,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,ALLIANT,ALLIANT,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,AMBETTER,AMBETTER,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,MEDICARE,MEDICARE,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,TRICARE,TRICARE,,262,,fee schedule,262,54.64,262,fee schedule,
RN DEBRIDEMENT > 20 SQ CM,97598,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,262,,fee schedule,262,54.64,262,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,57.37,,fee schedule,57.37,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,58.46,,fee schedule,58.46,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,54.64,,fee schedule,54.64,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,54.64,218,percent of total billed charges,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,54.64,218,percent of total billed charges,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,54.64,218,percent of total billed charges,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,ALLIANT,ALLIANT,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,AMBETTER,AMBETTER,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,MEDICARE,MEDICARE,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,TRICARE,TRICARE,,218,,fee schedule,218,54.64,218,fee schedule,
RN PULSE LAVAGE >20 SQ CM,97598,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,218,,fee schedule,218,54.64,218,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,35.82,,fee schedule,35.82,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,36.5,,fee schedule,36.5,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,34.11,,fee schedule,34.11,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,TRICARE,TRICARE,,180.58,,fee schedule,180.58,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,34.11,297.96,percent of total billed charges,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,34.11,297.96,percent of total billed charges,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,34.11,297.96,percent of total billed charges,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,34.11,297.96,fee schedule,
NON SELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AMERIGROUP,AMERIGROUP,,35.82,,fee schedule,35.82,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,36.5,,fee schedule,36.5,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,34.11,,fee schedule,34.11,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,TRICARE,TRICARE,,180.58,,fee schedule,180.58,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,34.11,297.96,percent of total billed charges,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,34.11,297.96,percent of total billed charges,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,34.11,297.96,percent of total billed charges,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,34.11,297.96,fee schedule,
NONSELECTIVE DEBRIDEMENT,97602,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,34.11,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,31.84,,fee schedule,31.84,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,32.44,,fee schedule,32.44,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,30.32,,fee schedule,30.32,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,TRICARE,TRICARE,,180.58,,fee schedule,180.58,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,30.32,297.96,percent of total billed charges,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,30.32,297.96,percent of total billed charges,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,30.32,297.96,percent of total billed charges,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,30.32,297.96,fee schedule,
NEG PRESS VAC<50SQ CM,97605,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,30.32,297.96,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,ALLIANT,ALLIANT,,297.96,,fee schedule,297.96,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,AMBETTER,AMBETTER,,234.75,,fee schedule,234.75,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,AMERIGROUP,AMERIGROUP,,31.84,,fee schedule,31.84,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,32.44,,fee schedule,32.44,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,MEDICARE,MEDICARE,,180.58,,fee schedule,180.58,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,30.32,,fee schedule,30.32,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,TRICARE,TRICARE,,180.58,,fee schedule,180.58,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,180.58,,fee schedule,180.58,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,30.32,477,percent of total billed charges,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,30.32,477,percent of total billed charges,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,30.32,477,percent of total billed charges,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,30.32,477,fee schedule,
RN NEG PRESS VAC<50SQ CM,97605,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,30.32,477,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,34.23,,fee schedule,34.23,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,34.88,,fee schedule,34.88,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,32.6,,fee schedule,32.6,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,TRICARE,TRICARE,,373.07,,fee schedule,373.07,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,32.6,615.57,percent of total billed charges,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,32.6,615.57,percent of total billed charges,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,32.6,615.57,percent of total billed charges,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,32.6,615.57,fee schedule,
NEG PRESS VAC>50SQ CM,97606,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,AMERIGROUP,AMERIGROUP,,34.23,,fee schedule,34.23,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,34.88,,fee schedule,34.88,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,32.6,,fee schedule,32.6,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,TRICARE,TRICARE,,373.07,,fee schedule,373.07,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,32.6,615.57,percent of total billed charges,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,32.6,615.57,percent of total billed charges,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,32.6,615.57,percent of total billed charges,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,32.6,615.57,fee schedule,
RN NEG PRESS VAC>50SQ CM,97606,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,32.6,615.57,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,TRICARE,TRICARE,,373.07,,fee schedule,373.07,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,AETNA,AETNA,,918.72,87,percent of total billed charges,918.72,373.07,1056,percent of total billed charges,
PREVENA  KIT,97607,CPT,both,,,1056,1056,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,918.72,87,percent of total billed charges,918.72,373.07,1056,percent of total billed charges,
PREVENA  KIT,97607,CPT,both,,,1056,1056,UNITED HEALTHCARE,UNITED HEALTHCARE,,929.28,88,percent of total billed charges,929.28,373.07,1056,percent of total billed charges,
PREVENA  KIT,97607,CPT,both,,,1056,1056,AETNA,AETNA,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,BEECH STREET,BEECH STREET,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,CARESOURCE,CARESOURCE,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,MEDICAID,MEDICAID,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,NOVA NET,NOVA NET,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,PEACHSTATE,PEACHSTATE,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,SELFPAY,SELFPAY,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA  KIT,97607,CPT,both,,,1056,1056,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1056,,fee schedule,1056,373.07,1056,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,ALLIANT,ALLIANT,,615.57,,fee schedule,615.57,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,AMBETTER,AMBETTER,,484.99,,fee schedule,484.99,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,MEDICARE,MEDICARE,,373.07,,fee schedule,373.07,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,TRICARE,TRICARE,,373.07,,fee schedule,373.07,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,UHC MEDICARE,UHC MEDICARE,,373.07,,fee schedule,373.07,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,AETNA,AETNA,,946.56,87,percent of total billed charges,946.56,373.07,1088,percent of total billed charges,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,946.56,87,percent of total billed charges,946.56,373.07,1088,percent of total billed charges,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,UNITED HEALTHCARE,UNITED HEALTHCARE,,957.44,88,percent of total billed charges,957.44,373.07,1088,percent of total billed charges,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,AETNA,AETNA,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,BEECH STREET,BEECH STREET,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,CARESOURCE,CARESOURCE,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,MEDICAID,MEDICAID,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,NOVA NET,NOVA NET,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,PEACHSTATE,PEACHSTATE,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,SELFPAY,SELFPAY,,1088,,fee schedule,1088,373.07,1088,fee schedule,
PREVENA 13CM KIT,97607,CPT,both,,,1088,1088,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1088,,fee schedule,1088,373.07,1088,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,AETNA,AETNA,,17974.64,87,percent of total billed charges,17974.64,17974.64,20660.51,percent of total billed charges,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17974.64,87,percent of total billed charges,17974.64,17974.64,20660.51,percent of total billed charges,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,UNITED HEALTHCARE,UNITED HEALTHCARE,,18181.25,88,percent of total billed charges,18181.25,17974.64,20660.51,percent of total billed charges,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,AETNA,AETNA,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,ALLIANT,ALLIANT,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,AMBETTER,AMBETTER,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,BEECH STREET,BEECH STREET,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,CARESOURCE,CARESOURCE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,MEDICAID,MEDICAID,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,MEDICARE,MEDICARE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,NOVA NET,NOVA NET,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,PEACHSTATE,PEACHSTATE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,SELFPAY,SELFPAY,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,TRICARE,TRICARE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
HIV W OR W/O OTHER RELATED CONDITION,977,DRG,inpatient,,,20660.51,20660.51,UHC MEDICARE,UHC MEDICARE,,20660.51,,fee schedule,20660.51,17974.64,20660.51,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,ALLIANT,ALLIANT,,57.75,,fee schedule,57.75,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,AMBETTER,AMBETTER,,45.5,,fee schedule,45.5,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,AMERIGROUP,AMERIGROUP,,22.03,,fee schedule,22.03,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,22.45,,fee schedule,22.45,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,MEDICARE,MEDICARE,,35,,fee schedule,35,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,20.98,,fee schedule,20.98,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,TRICARE,TRICARE,,35,,fee schedule,35,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,20.98,60,percent of total billed charges,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,20.98,60,percent of total billed charges,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,20.98,60,percent of total billed charges,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,20.98,60,fee schedule,
FUNCTION CAPACITY EVALUATION,97750,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,20.98,60,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,ALLIANT,ALLIANT,,57.75,,fee schedule,57.75,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,AMBETTER,AMBETTER,,45.5,,fee schedule,45.5,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,AMERIGROUP,AMERIGROUP,,22.03,,fee schedule,22.03,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,22.45,,fee schedule,22.45,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,MEDICARE,MEDICARE,,35,,fee schedule,35,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,20.98,,fee schedule,20.98,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,TRICARE,TRICARE,,35,,fee schedule,35,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,20.98,100,percent of total billed charges,
FUSIONETICS PT,97750,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,20.98,100,percent of total billed charges,
FUSIONETICS PT,97750,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,20.98,100,percent of total billed charges,
FUSIONETICS PT,97750,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,20.98,100,fee schedule,
FUSIONETICS PT,97750,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,20.98,100,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,ALLIANT,ALLIANT,,83.49,,fee schedule,83.49,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,AMBETTER,AMBETTER,,65.78,,fee schedule,65.78,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,MEDICARE,MEDICARE,,50.6,,fee schedule,50.6,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,TRICARE,TRICARE,,50.6,,fee schedule,50.6,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,UHC MEDICARE,UHC MEDICARE,,50.6,,fee schedule,50.6,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,AETNA,AETNA,,101.79,87,percent of total billed charges,101.79,50.6,117,percent of total billed charges,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101.79,87,percent of total billed charges,101.79,50.6,117,percent of total billed charges,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.96,88,percent of total billed charges,102.96,50.6,117,percent of total billed charges,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,AETNA,AETNA,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,BEECH STREET,BEECH STREET,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,MEDICAID,MEDICAID,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,NOVA NET,NOVA NET,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,SELFPAY,SELFPAY,,117,,fee schedule,117,50.6,117,fee schedule,
ORTHOTIC FIT/TRNG (OP),97760,CPT,both,,,117,117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,117,,fee schedule,117,50.6,117,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,ALLIANT,ALLIANT,,71.73,,fee schedule,71.73,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,AMBETTER,AMBETTER,,56.51,,fee schedule,56.51,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,MEDICARE,MEDICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,TRICARE,TRICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,43.47,126,percent of total billed charges,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,43.47,126,percent of total billed charges,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,43.47,126,percent of total billed charges,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,43.47,126,fee schedule,
PROST.TRAINUP.&/OR LOW.E,97761,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,ALLIANT,ALLIANT,,71.73,,fee schedule,71.73,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,AMBETTER,AMBETTER,,56.51,,fee schedule,56.51,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,MEDICARE,MEDICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,TRICARE,TRICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,43.47,126,percent of total billed charges,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,43.47,126,percent of total billed charges,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,43.47,126,percent of total billed charges,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (IP),97761,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,ALLIANT,ALLIANT,,71.73,,fee schedule,71.73,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,AMBETTER,AMBETTER,,56.51,,fee schedule,56.51,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,MEDICARE,MEDICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,TRICARE,TRICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,43.47,,fee schedule,43.47,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,43.47,126,percent of total billed charges,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,43.47,126,percent of total billed charges,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,43.47,126,percent of total billed charges,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,43.47,126,fee schedule,
PROSTHETIC TRAINING (OP),97761,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,43.47,126,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,ALLIANT,ALLIANT,,54.55,,fee schedule,54.55,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,AMBETTER,AMBETTER,,42.98,,fee schedule,42.98,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,MEDICARE,MEDICARE,,33.06,,fee schedule,33.06,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,TRICARE,TRICARE,,33.06,,fee schedule,33.06,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,33.06,,fee schedule,33.06,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,33.06,84,percent of total billed charges,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,33.06,84,percent of total billed charges,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,33.06,84,percent of total billed charges,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BASIC INI,97802,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,33.06,84,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,ALLIANT,ALLIANT,,54.55,,fee schedule,54.55,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,AMBETTER,AMBETTER,,42.98,,fee schedule,42.98,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,MEDICARE,MEDICARE,,33.06,,fee schedule,33.06,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,TRICARE,TRICARE,,33.06,,fee schedule,33.06,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,33.06,,fee schedule,33.06,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,33.06,54.55,percent of total billed charges,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,33.06,54.55,percent of total billed charges,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,33.06,54.55,percent of total billed charges,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER BRIEF INI,97802,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,33.06,54.55,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,ALLIANT,ALLIANT,,54.55,,fee schedule,54.55,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,AMBETTER,AMBETTER,,42.98,,fee schedule,42.98,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,MEDICARE,MEDICARE,,33.06,,fee schedule,33.06,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,TRICARE,TRICARE,,33.06,,fee schedule,33.06,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,33.06,,fee schedule,33.06,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,33.06,164,percent of total billed charges,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,33.06,164,percent of total billed charges,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,33.06,164,percent of total billed charges,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER COMPRE IN,97802,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,33.06,164,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,ALLIANT,ALLIANT,,54.55,,fee schedule,54.55,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,AMBETTER,AMBETTER,,42.98,,fee schedule,42.98,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,MEDICARE,MEDICARE,,33.06,,fee schedule,33.06,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,TRICARE,TRICARE,,33.06,,fee schedule,33.06,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,UHC MEDICARE,UHC MEDICARE,,33.06,,fee schedule,33.06,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,AETNA,AETNA,,108.75,87,percent of total billed charges,108.75,33.06,125,percent of total billed charges,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108.75,87,percent of total billed charges,108.75,33.06,125,percent of total billed charges,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,UNITED HEALTHCARE,UNITED HEALTHCARE,,110,88,percent of total billed charges,110,33.06,125,percent of total billed charges,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,AETNA,AETNA,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,BEECH STREET,BEECH STREET,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,MEDICAID,MEDICAID,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,NOVA NET,NOVA NET,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,SELFPAY,SELFPAY,,125,,fee schedule,125,33.06,125,fee schedule,
MED NUTRIT THER EXTEND IN,97802,CPT,both,,,125,125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,125,,fee schedule,125,33.06,125,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,ALLIANT,ALLIANT,,45.99,,fee schedule,45.99,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,AMBETTER,AMBETTER,,36.23,,fee schedule,36.23,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,MEDICARE,MEDICARE,,27.87,,fee schedule,27.87,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,TRICARE,TRICARE,,27.87,,fee schedule,27.87,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,27.87,,fee schedule,27.87,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,27.87,84,percent of total billed charges,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,27.87,84,percent of total billed charges,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,27.87,84,percent of total billed charges,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,27.87,84,fee schedule,
BASIC REASSESSMENT  30 MI,97803,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,27.87,84,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,ALLIANT,ALLIANT,,45.99,,fee schedule,45.99,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,AMBETTER,AMBETTER,,36.23,,fee schedule,36.23,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,MEDICARE,MEDICARE,,27.87,,fee schedule,27.87,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,TRICARE,TRICARE,,27.87,,fee schedule,27.87,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,27.87,,fee schedule,27.87,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,27.87,45.99,percent of total billed charges,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,27.87,45.99,percent of total billed charges,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,27.87,45.99,percent of total billed charges,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,27.87,45.99,fee schedule,
BRIEF REASSESSMENT  15 MI,97803,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,27.87,45.99,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,AETNA,AETNA,,114542.23,87,percent of total billed charges,114542.23,114542.23,131657.73,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114542.23,87,percent of total billed charges,114542.23,114542.23,131657.73,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,UNITED HEALTHCARE,UNITED HEALTHCARE,,115858.8,88,percent of total billed charges,115858.8,114542.23,131657.73,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,AETNA,AETNA,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,ALLIANT,ALLIANT,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,AMBETTER,AMBETTER,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,BEECH STREET,BEECH STREET,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,CARESOURCE,CARESOURCE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,MEDICAID,MEDICAID,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,MEDICARE,MEDICARE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,NOVA NET,NOVA NET,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,PEACHSTATE,PEACHSTATE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,SELFPAY,SELFPAY,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,TRICARE,TRICARE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,981,DRG,inpatient,,,131657.73,131657.73,UHC MEDICARE,UHC MEDICARE,,131657.73,,fee schedule,131657.73,114542.23,131657.73,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,AETNA,AETNA,,46616.32,87,percent of total billed charges,46616.32,46616.32,53581.98,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46616.32,87,percent of total billed charges,46616.32,46616.32,53581.98,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,UNITED HEALTHCARE,UNITED HEALTHCARE,,47152.14,88,percent of total billed charges,47152.14,46616.32,53581.98,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,AETNA,AETNA,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,ALLIANT,ALLIANT,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,AMBETTER,AMBETTER,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,BEECH STREET,BEECH STREET,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,CARESOURCE,CARESOURCE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,MEDICAID,MEDICAID,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,MEDICARE,MEDICARE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,NOVA NET,NOVA NET,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,PEACHSTATE,PEACHSTATE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,SELFPAY,SELFPAY,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,TRICARE,TRICARE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,982,DRG,inpatient,,,53581.98,53581.98,UHC MEDICARE,UHC MEDICARE,,53581.98,,fee schedule,53581.98,46616.32,53581.98,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,AETNA,AETNA,,90066.75,87,percent of total billed charges,90066.75,90066.75,103525,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90066.75,87,percent of total billed charges,90066.75,90066.75,103525,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,UNITED HEALTHCARE,UNITED HEALTHCARE,,91102,88,percent of total billed charges,91102,90066.75,103525,percent of total billed charges,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,AETNA,AETNA,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,ALLIANT,ALLIANT,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,AMBETTER,AMBETTER,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,BEECH STREET,BEECH STREET,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,CARESOURCE,CARESOURCE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,MEDICAID,MEDICAID,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,MEDICARE,MEDICARE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,NOVA NET,NOVA NET,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,PEACHSTATE,PEACHSTATE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,SELFPAY,SELFPAY,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,TRICARE,TRICARE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,983,DRG,inpatient,,,103525,103525,UHC MEDICARE,UHC MEDICARE,,103525,,fee schedule,103525,90066.75,103525,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,AETNA,AETNA,,45808.84,87,percent of total billed charges,45808.84,45808.84,52653.84,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45808.84,87,percent of total billed charges,45808.84,45808.84,52653.84,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,UNITED HEALTHCARE,UNITED HEALTHCARE,,46335.38,88,percent of total billed charges,46335.38,45808.84,52653.84,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,AETNA,AETNA,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,ALLIANT,ALLIANT,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,AMBETTER,AMBETTER,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,BEECH STREET,BEECH STREET,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,CARESOURCE,CARESOURCE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,MEDICAID,MEDICAID,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,MEDICARE,MEDICARE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,NOVA NET,NOVA NET,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,PEACHSTATE,PEACHSTATE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,SELFPAY,SELFPAY,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,TRICARE,TRICARE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,987,DRG,inpatient,,,52653.84,52653.84,UHC MEDICARE,UHC MEDICARE,,52653.84,,fee schedule,52653.84,45808.84,52653.84,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,AETNA,AETNA,,32429.65,87,percent of total billed charges,32429.65,32429.65,37275.46,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32429.65,87,percent of total billed charges,32429.65,32429.65,37275.46,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,UNITED HEALTHCARE,UNITED HEALTHCARE,,32802.4,88,percent of total billed charges,32802.4,32429.65,37275.46,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,AETNA,AETNA,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,ALLIANT,ALLIANT,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,AMBETTER,AMBETTER,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,BEECH STREET,BEECH STREET,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,CARESOURCE,CARESOURCE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,MEDICAID,MEDICAID,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,MEDICARE,MEDICARE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,NOVA NET,NOVA NET,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,PEACHSTATE,PEACHSTATE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,SELFPAY,SELFPAY,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,TRICARE,TRICARE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,988,DRG,inpatient,,,37275.46,37275.46,UHC MEDICARE,UHC MEDICARE,,37275.46,,fee schedule,37275.46,32429.65,37275.46,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,AETNA,AETNA,,26006.07,87,percent of total billed charges,26006.07,26006.07,29892.03,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26006.07,87,percent of total billed charges,26006.07,26006.07,29892.03,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,UNITED HEALTHCARE,UNITED HEALTHCARE,,26304.99,88,percent of total billed charges,26304.99,26006.07,29892.03,percent of total billed charges,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,AETNA,AETNA,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,ALLIANT,ALLIANT,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,AMBETTER,AMBETTER,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,BEECH STREET,BEECH STREET,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,CARESOURCE,CARESOURCE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,MEDICAID,MEDICAID,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,MEDICARE,MEDICARE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,NOVA NET,NOVA NET,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,PEACHSTATE,PEACHSTATE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,SELFPAY,SELFPAY,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,TRICARE,TRICARE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC,989,DRG,inpatient,,,29892.03,29892.03,UHC MEDICARE,UHC MEDICARE,,29892.03,,fee schedule,29892.03,26006.07,29892.03,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
ET FOLLOW UP VISIT,98960,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,91.35,105,percent of total billed charges,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,91.35,105,percent of total billed charges,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,91.35,105,percent of total billed charges,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,ALLIANT,ALLIANT,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,AMBETTER,AMBETTER,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,MEDICARE,MEDICARE,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,TRICARE,TRICARE,,105,,fee schedule,105,91.35,105,fee schedule,
ET INTERMEDIATE VISIT,98960,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,105,,fee schedule,105,91.35,105,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,46.11,53,percent of total billed charges,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,46.11,53,percent of total billed charges,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,46.11,53,percent of total billed charges,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,ALLIANT,ALLIANT,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,AMBETTER,AMBETTER,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,MEDICARE,MEDICARE,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,TRICARE,TRICARE,,53,,fee schedule,53,46.11,53,fee schedule,
PT ED INJECTION PROCEDURE,98960,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,53,,fee schedule,53,46.11,53,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,75.69,87,percent of total billed charges,
PRENATAL CLASSES,98962,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,75.69,87,percent of total billed charges,
PRENATAL CLASSES,98962,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,75.69,87,percent of total billed charges,
PRENATAL CLASSES,98962,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,ALLIANT,ALLIANT,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,AMBETTER,AMBETTER,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,MEDICARE,MEDICARE,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,TRICARE,TRICARE,,87,,fee schedule,87,75.69,87,fee schedule,
PRENATAL CLASSES,98962,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,87,,fee schedule,87,75.69,87,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
HANDLING CHARGE,99001,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
HANDLING CHARGE,99001,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
HANDLING CHARGE,99001,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
HANDLING CHARGE,99001,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,AMERIGROUP,AMERIGROUP,,123.06,,fee schedule,123.06,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,CARESOURCE,CARESOURCE,,125.4,,fee schedule,125.4,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,PEACHSTATE,PEACHSTATE,,117.2,,fee schedule,117.2,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,AETNA,AETNA,,93.09,87,percent of total billed charges,93.09,93.09,125.4,percent of total billed charges,
HBOT ~ CASH,99183,CPT,both,,,107,107,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93.09,87,percent of total billed charges,93.09,93.09,125.4,percent of total billed charges,
HBOT ~ CASH,99183,CPT,both,,,107,107,UNITED HEALTHCARE,UNITED HEALTHCARE,,94.16,88,percent of total billed charges,94.16,93.09,125.4,percent of total billed charges,
HBOT ~ CASH,99183,CPT,both,,,107,107,AETNA,AETNA,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,ALLIANT,ALLIANT,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,AMBETTER,AMBETTER,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,BEECH STREET,BEECH STREET,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,CARESOURCE,CARESOURCE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,MEDICAID,MEDICAID,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,MEDICARE,MEDICARE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,NOVA NET,NOVA NET,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,PEACHSTATE,PEACHSTATE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,SELFPAY,SELFPAY,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,TRICARE,TRICARE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HBOT ~ CASH,99183,CPT,both,,,107,107,UHC MEDICARE,UHC MEDICARE,,107,,fee schedule,107,93.09,125.4,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,AMERIGROUP,AMERIGROUP,,123.06,,fee schedule,123.06,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,125.4,,fee schedule,125.4,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,117.2,,fee schedule,117.2,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,117.2,322,percent of total billed charges,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,117.2,322,percent of total billed charges,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,117.2,322,percent of total billed charges,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,ALLIANT,ALLIANT,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,AMBETTER,AMBETTER,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,MEDICARE,MEDICARE,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,TRICARE,TRICARE,,322,,fee schedule,322,117.2,322,fee schedule,
HYPERBARIC OXYGEN THERAPY,99183,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,322,,fee schedule,322,117.2,322,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,16.1,,fee schedule,16.1,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,16.4,,fee schedule,16.4,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,15.33,,fee schedule,15.33,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,TRICARE,TRICARE,,116.11,,fee schedule,116.11,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,15.33,191.58,percent of total billed charges,
PHLEBOTOMY,99195,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,15.33,191.58,percent of total billed charges,
PHLEBOTOMY,99195,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,15.33,191.58,percent of total billed charges,
PHLEBOTOMY,99195,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY,99195,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,15.33,191.58,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,ALLIANT,ALLIANT,,191.58,,fee schedule,191.58,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,AMBETTER,AMBETTER,,150.94,,fee schedule,150.94,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,16.1,,fee schedule,16.1,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,16.4,,fee schedule,16.4,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,MEDICARE,MEDICARE,,116.11,,fee schedule,116.11,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,15.33,,fee schedule,15.33,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,TRICARE,TRICARE,,116.11,,fee schedule,116.11,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,116.11,,fee schedule,116.11,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,15.33,251,percent of total billed charges,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,15.33,251,percent of total billed charges,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,15.33,251,percent of total billed charges,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,15.33,251,fee schedule,
PHLEBOTOMY THERAPUTIC,99195,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,15.33,251,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,AETNA,AETNA,,120.93,87,percent of total billed charges,120.93,120.93,139,percent of total billed charges,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.93,87,percent of total billed charges,120.93,120.93,139,percent of total billed charges,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,UNITED HEALTHCARE,UNITED HEALTHCARE,,122.32,88,percent of total billed charges,122.32,120.93,139,percent of total billed charges,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,AETNA,AETNA,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,ALLIANT,ALLIANT,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,AMBETTER,AMBETTER,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,BEECH STREET,BEECH STREET,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,CARESOURCE,CARESOURCE,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,MEDICAID,MEDICAID,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,MEDICARE,MEDICARE,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,NOVA NET,NOVA NET,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,PEACHSTATE,PEACHSTATE,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,SELFPAY,SELFPAY,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,TRICARE,TRICARE,,139,,fee schedule,139,120.93,139,fee schedule,
CONSULT OFFICE PROB FOCUS,99201,CPT,both,,,139,139,UHC MEDICARE,UHC MEDICARE,,139,,fee schedule,139,120.93,139,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,69.6,80,percent of total billed charges,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,69.6,80,percent of total billed charges,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,69.6,80,percent of total billed charges,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PATIENT LEVEL 1,99201,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,69.6,80,percent of total billed charges,
NEW PT LV 1,99201,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,69.6,80,percent of total billed charges,
NEW PT LV 1,99201,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,69.6,80,percent of total billed charges,
NEW PT LV 1,99201,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT LV 1,99201,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,69.6,80,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,80.04,92,percent of total billed charges,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,80.04,92,percent of total billed charges,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,80.04,92,percent of total billed charges,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,ALLIANT,ALLIANT,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,AMBETTER,AMBETTER,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,MEDICARE,MEDICARE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,TRICARE,TRICARE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PT OFV - LEVEL 1,99201,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,80.04,92,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,80.04,92,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,80.04,92,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,ALLIANT,ALLIANT,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,AMBETTER,AMBETTER,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,MEDICARE,MEDICARE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,TRICARE,TRICARE,,92,,fee schedule,92,80.04,92,fee schedule,
OFFICE/OUTPATIENT VISIT N,99201,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,92,,fee schedule,92,80.04,92,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,57.3,,fee schedule,57.3,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,58.39,,fee schedule,58.39,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,54.57,,fee schedule,54.57,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,54.57,170,percent of total billed charges,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,54.57,170,percent of total billed charges,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,54.57,170,percent of total billed charges,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LEVE 2,99202,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,57.3,,fee schedule,57.3,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,58.39,,fee schedule,58.39,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,54.57,,fee schedule,54.57,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,54.57,80,percent of total billed charges,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,54.57,80,percent of total billed charges,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,54.57,80,percent of total billed charges,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PATIENT LV 2,99202,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,54.57,80,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,AMERIGROUP,AMERIGROUP,,57.3,,fee schedule,57.3,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,58.39,,fee schedule,58.39,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,54.57,,fee schedule,54.57,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,AETNA,AETNA,,128.76,87,percent of total billed charges,128.76,54.57,148,percent of total billed charges,
NEW PT LV 2,99202,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128.76,87,percent of total billed charges,128.76,54.57,148,percent of total billed charges,
NEW PT LV 2,99202,CPT,both,,,148,148,UNITED HEALTHCARE,UNITED HEALTHCARE,,130.24,88,percent of total billed charges,130.24,54.57,148,percent of total billed charges,
NEW PT LV 2,99202,CPT,both,,,148,148,AETNA,AETNA,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,ALLIANT,ALLIANT,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,AMBETTER,AMBETTER,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,BEECH STREET,BEECH STREET,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,CARESOURCE,CARESOURCE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,MEDICAID,MEDICAID,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,MEDICARE,MEDICARE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,NOVA NET,NOVA NET,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,PEACHSTATE,PEACHSTATE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,SELFPAY,SELFPAY,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,TRICARE,TRICARE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT LV 2,99202,CPT,both,,,148,148,UHC MEDICARE,UHC MEDICARE,,148,,fee schedule,148,54.57,148,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,57.3,,fee schedule,57.3,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,58.39,,fee schedule,58.39,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,54.57,,fee schedule,54.57,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,54.57,170,percent of total billed charges,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,54.57,170,percent of total billed charges,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,54.57,170,percent of total billed charges,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,54.57,170,fee schedule,
NEW PT OFV - LEVEL 2,99202,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,57.3,,fee schedule,57.3,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,58.39,,fee schedule,58.39,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,54.57,,fee schedule,54.57,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,54.57,170,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,54.57,170,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,54.57,170,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,54.57,170,fee schedule,
OFFICE/OUTPATIENT VISIT N,99202,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,54.57,170,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,AMERIGROUP,AMERIGROUP,,57.3,,fee schedule,57.3,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,CARESOURCE,CARESOURCE,,58.39,,fee schedule,58.39,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,PEACHSTATE,PEACHSTATE,,54.57,,fee schedule,54.57,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,AETNA,AETNA,,340.17,87,percent of total billed charges,340.17,54.57,391,percent of total billed charges,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,340.17,87,percent of total billed charges,340.17,54.57,391,percent of total billed charges,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,UNITED HEALTHCARE,UNITED HEALTHCARE,,344.08,88,percent of total billed charges,344.08,54.57,391,percent of total billed charges,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,AETNA,AETNA,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,ALLIANT,ALLIANT,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,AMBETTER,AMBETTER,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,BEECH STREET,BEECH STREET,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,CARESOURCE,CARESOURCE,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,MEDICAID,MEDICAID,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,MEDICARE,MEDICARE,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,NOVA NET,NOVA NET,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,PEACHSTATE,PEACHSTATE,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,SELFPAY,SELFPAY,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,TRICARE,TRICARE,,391,,fee schedule,391,54.57,391,fee schedule,
TREATMENT ROOM LEVEL 2,99202,CPT,both,,,391,391,UHC MEDICARE,UHC MEDICARE,,391,,fee schedule,391,54.57,391,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,76.53,258,percent of total billed charges,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,76.53,258,percent of total billed charges,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,76.53,258,percent of total billed charges,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,ALLIANT,ALLIANT,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,AMBETTER,AMBETTER,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,MEDICARE,MEDICARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,TRICARE,TRICARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LEVE 3,99203,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,69.6,81.89,percent of total billed charges,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,69.6,81.89,percent of total billed charges,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,69.6,81.89,percent of total billed charges,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PATIENT LV 3,99203,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,69.6,81.89,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,76.53,221,percent of total billed charges,
NEW PT LV 3,99203,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,76.53,221,percent of total billed charges,
NEW PT LV 3,99203,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,76.53,221,percent of total billed charges,
NEW PT LV 3,99203,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,ALLIANT,ALLIANT,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,AMBETTER,AMBETTER,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,MEDICARE,MEDICARE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,TRICARE,TRICARE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT LV 3,99203,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,221,,fee schedule,221,76.53,221,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,76.53,258,percent of total billed charges,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,76.53,258,percent of total billed charges,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,76.53,258,percent of total billed charges,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,ALLIANT,ALLIANT,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,AMBETTER,AMBETTER,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,MEDICARE,MEDICARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,TRICARE,TRICARE,,258,,fee schedule,258,76.53,258,fee schedule,
NEW PT OFV - LEVEL 3,99203,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,76.53,258,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,76.53,258,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,76.53,258,percent of total billed charges,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,ALLIANT,ALLIANT,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,AMBETTER,AMBETTER,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,MEDICARE,MEDICARE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,TRICARE,TRICARE,,258,,fee schedule,258,76.53,258,fee schedule,
OFFICE/OUTPATIENT VISIT N,99203,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,258,,fee schedule,258,76.53,258,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,80.36,,fee schedule,80.36,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,81.89,,fee schedule,81.89,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,76.53,,fee schedule,76.53,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,76.53,307,percent of total billed charges,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,76.53,307,percent of total billed charges,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,76.53,307,percent of total billed charges,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,ALLIANT,ALLIANT,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,AMBETTER,AMBETTER,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,MEDICARE,MEDICARE,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,TRICARE,TRICARE,,307,,fee schedule,307,76.53,307,fee schedule,
PAIN CLINIC OP NEW PT 30,99203,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,307,,fee schedule,307,76.53,307,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,AMERIGROUP,AMERIGROUP,,116.04,,fee schedule,116.04,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,118.25,,fee schedule,118.25,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,110.51,,fee schedule,110.51,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,AETNA,AETNA,,429.78,87,percent of total billed charges,429.78,110.51,494,percent of total billed charges,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,429.78,87,percent of total billed charges,429.78,110.51,494,percent of total billed charges,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,UNITED HEALTHCARE,UNITED HEALTHCARE,,434.72,88,percent of total billed charges,434.72,110.51,494,percent of total billed charges,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,AETNA,AETNA,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,ALLIANT,ALLIANT,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,AMBETTER,AMBETTER,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,BEECH STREET,BEECH STREET,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,CARESOURCE,CARESOURCE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,MEDICAID,MEDICAID,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,MEDICARE,MEDICARE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,NOVA NET,NOVA NET,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,PEACHSTATE,PEACHSTATE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,SELFPAY,SELFPAY,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,TRICARE,TRICARE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LEVE 4,99204,CPT,both,,,494,494,UHC MEDICARE,UHC MEDICARE,,494,,fee schedule,494,110.51,494,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,116.04,,fee schedule,116.04,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,118.25,,fee schedule,118.25,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,110.51,,fee schedule,110.51,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,69.6,118.25,percent of total billed charges,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,69.6,118.25,percent of total billed charges,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,69.6,118.25,percent of total billed charges,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PATIENT LV 4,99204,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,69.6,118.25,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,AMERIGROUP,AMERIGROUP,,116.04,,fee schedule,116.04,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,118.25,,fee schedule,118.25,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,110.51,,fee schedule,110.51,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,110.51,373,percent of total billed charges,
NEW PT LV 4,99204,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,110.51,373,percent of total billed charges,
NEW PT LV 4,99204,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,110.51,373,percent of total billed charges,
NEW PT LV 4,99204,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,ALLIANT,ALLIANT,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,AMBETTER,AMBETTER,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,MEDICARE,MEDICARE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,TRICARE,TRICARE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT LV 4,99204,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,373,,fee schedule,373,110.51,373,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,AMERIGROUP,AMERIGROUP,,116.04,,fee schedule,116.04,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,CARESOURCE,CARESOURCE,,118.25,,fee schedule,118.25,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,PEACHSTATE,PEACHSTATE,,110.51,,fee schedule,110.51,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,AETNA,AETNA,,477.63,87,percent of total billed charges,477.63,110.51,549,percent of total billed charges,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477.63,87,percent of total billed charges,477.63,110.51,549,percent of total billed charges,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,UNITED HEALTHCARE,UNITED HEALTHCARE,,483.12,88,percent of total billed charges,483.12,110.51,549,percent of total billed charges,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,AETNA,AETNA,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,ALLIANT,ALLIANT,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,AMBETTER,AMBETTER,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,BEECH STREET,BEECH STREET,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,CARESOURCE,CARESOURCE,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,MEDICAID,MEDICAID,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,MEDICARE,MEDICARE,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,NOVA NET,NOVA NET,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,PEACHSTATE,PEACHSTATE,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,SELFPAY,SELFPAY,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,TRICARE,TRICARE,,549,,fee schedule,549,110.51,549,fee schedule,
NEW PT OFV - LEVEL 4,99204,CPT,both,,,549,549,UHC MEDICARE,UHC MEDICARE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,AMERIGROUP,AMERIGROUP,,116.04,,fee schedule,116.04,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,CARESOURCE,CARESOURCE,,118.25,,fee schedule,118.25,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,PEACHSTATE,PEACHSTATE,,110.51,,fee schedule,110.51,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,AETNA,AETNA,,477.63,87,percent of total billed charges,477.63,110.51,549,percent of total billed charges,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477.63,87,percent of total billed charges,477.63,110.51,549,percent of total billed charges,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,UNITED HEALTHCARE,UNITED HEALTHCARE,,483.12,88,percent of total billed charges,483.12,110.51,549,percent of total billed charges,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,AETNA,AETNA,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,ALLIANT,ALLIANT,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,AMBETTER,AMBETTER,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,BEECH STREET,BEECH STREET,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,CARESOURCE,CARESOURCE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,MEDICAID,MEDICAID,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,MEDICARE,MEDICARE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,NOVA NET,NOVA NET,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,PEACHSTATE,PEACHSTATE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,SELFPAY,SELFPAY,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,TRICARE,TRICARE,,549,,fee schedule,549,110.51,549,fee schedule,
OFFICE/OUTPATIENT LV 4,99204,CPT,both,,,549,549,UHC MEDICARE,UHC MEDICARE,,549,,fee schedule,549,110.51,549,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,116.04,,fee schedule,116.04,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,118.25,,fee schedule,118.25,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,110.51,,fee schedule,110.51,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,110.51,542,percent of total billed charges,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,110.51,542,percent of total billed charges,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,110.51,542,percent of total billed charges,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,ALLIANT,ALLIANT,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,AMBETTER,AMBETTER,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,MEDICARE,MEDICARE,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,TRICARE,TRICARE,,542,,fee schedule,542,110.51,542,fee schedule,
OP PAIN CLINIC NEW 45 MIN,99204,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,542,,fee schedule,542,110.51,542,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,AMERIGROUP,AMERIGROUP,,143.98,,fee schedule,143.98,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,146.72,,fee schedule,146.72,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,137.12,,fee schedule,137.12,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,AETNA,AETNA,,488.94,87,percent of total billed charges,488.94,137.12,562,percent of total billed charges,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,488.94,87,percent of total billed charges,488.94,137.12,562,percent of total billed charges,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,UNITED HEALTHCARE,UNITED HEALTHCARE,,494.56,88,percent of total billed charges,494.56,137.12,562,percent of total billed charges,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,AETNA,AETNA,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,ALLIANT,ALLIANT,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,AMBETTER,AMBETTER,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,BEECH STREET,BEECH STREET,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,MEDICAID,MEDICAID,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,MEDICARE,MEDICARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,NOVA NET,NOVA NET,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,SELFPAY,SELFPAY,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,TRICARE,TRICARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LEVE 5,99205,CPT,both,,,562,562,UHC MEDICARE,UHC MEDICARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,143.98,,fee schedule,143.98,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,146.72,,fee schedule,146.72,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,137.12,,fee schedule,137.12,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,69.6,146.72,percent of total billed charges,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,69.6,146.72,percent of total billed charges,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,69.6,146.72,percent of total billed charges,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PATIENT LV 5,99205,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,69.6,146.72,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,AMERIGROUP,AMERIGROUP,,143.98,,fee schedule,143.98,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,146.72,,fee schedule,146.72,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,137.12,,fee schedule,137.12,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,AETNA,AETNA,,422.82,87,percent of total billed charges,422.82,137.12,486,percent of total billed charges,
NEW PT LV 5,99205,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,422.82,87,percent of total billed charges,422.82,137.12,486,percent of total billed charges,
NEW PT LV 5,99205,CPT,both,,,486,486,UNITED HEALTHCARE,UNITED HEALTHCARE,,427.68,88,percent of total billed charges,427.68,137.12,486,percent of total billed charges,
NEW PT LV 5,99205,CPT,both,,,486,486,AETNA,AETNA,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,ALLIANT,ALLIANT,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,AMBETTER,AMBETTER,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,BEECH STREET,BEECH STREET,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,MEDICAID,MEDICAID,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,MEDICARE,MEDICARE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,NOVA NET,NOVA NET,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,SELFPAY,SELFPAY,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,TRICARE,TRICARE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT LV 5,99205,CPT,both,,,486,486,UHC MEDICARE,UHC MEDICARE,,486,,fee schedule,486,137.12,486,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,AMERIGROUP,AMERIGROUP,,143.98,,fee schedule,143.98,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,146.72,,fee schedule,146.72,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,137.12,,fee schedule,137.12,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,AETNA,AETNA,,488.94,87,percent of total billed charges,488.94,137.12,562,percent of total billed charges,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,488.94,87,percent of total billed charges,488.94,137.12,562,percent of total billed charges,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,UNITED HEALTHCARE,UNITED HEALTHCARE,,494.56,88,percent of total billed charges,494.56,137.12,562,percent of total billed charges,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,AETNA,AETNA,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,ALLIANT,ALLIANT,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,AMBETTER,AMBETTER,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,BEECH STREET,BEECH STREET,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,MEDICAID,MEDICAID,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,MEDICARE,MEDICARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,NOVA NET,NOVA NET,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,SELFPAY,SELFPAY,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,TRICARE,TRICARE,,562,,fee schedule,562,137.12,562,fee schedule,
NEW PT OFV - LEVEL 5,99205,CPT,both,,,562,562,UHC MEDICARE,UHC MEDICARE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,AMERIGROUP,AMERIGROUP,,143.98,,fee schedule,143.98,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,146.72,,fee schedule,146.72,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,137.12,,fee schedule,137.12,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,AETNA,AETNA,,488.94,87,percent of total billed charges,488.94,137.12,562,percent of total billed charges,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,488.94,87,percent of total billed charges,488.94,137.12,562,percent of total billed charges,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,UNITED HEALTHCARE,UNITED HEALTHCARE,,494.56,88,percent of total billed charges,494.56,137.12,562,percent of total billed charges,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,AETNA,AETNA,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,ALLIANT,ALLIANT,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,AMBETTER,AMBETTER,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,BEECH STREET,BEECH STREET,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,MEDICAID,MEDICAID,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,MEDICARE,MEDICARE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,NOVA NET,NOVA NET,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,SELFPAY,SELFPAY,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,TRICARE,TRICARE,,562,,fee schedule,562,137.12,562,fee schedule,
OFFICE/OUTPATIENT LV 5,99205,CPT,both,,,562,562,UHC MEDICARE,UHC MEDICARE,,562,,fee schedule,562,137.12,562,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,17.46,160,percent of total billed charges,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,17.46,160,percent of total billed charges,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,17.46,160,percent of total billed charges,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LEVEL 1,99211,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,17.46,160,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,17.46,80,percent of total billed charges,
EST PATIENT LV 1,99211,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,17.46,80,percent of total billed charges,
EST PATIENT LV 1,99211,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,17.46,80,percent of total billed charges,
EST PATIENT LV 1,99211,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PATIENT LV 1,99211,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,17.46,80,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,17.46,227,percent of total billed charges,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,17.46,227,percent of total billed charges,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,17.46,227,percent of total billed charges,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,ALLIANT,ALLIANT,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,AMBETTER,AMBETTER,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,MEDICARE,MEDICARE,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,TRICARE,TRICARE,,227,,fee schedule,227,17.46,227,fee schedule,
EST PT OFV LEVEL 1,99211,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,227,,fee schedule,227,17.46,227,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,17.46,28,percent of total billed charges,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,17.46,28,percent of total billed charges,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,17.46,28,percent of total billed charges,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,17.46,28,fee schedule,
ESTABLISHED  PT LV 1,99211,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,17.46,28,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,AETNA,AETNA,,232.29,87,percent of total billed charges,232.29,17.46,267,percent of total billed charges,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232.29,87,percent of total billed charges,232.29,17.46,267,percent of total billed charges,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.96,88,percent of total billed charges,234.96,17.46,267,percent of total billed charges,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,AETNA,AETNA,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,ALLIANT,ALLIANT,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,AMBETTER,AMBETTER,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,BEECH STREET,BEECH STREET,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,CARESOURCE,CARESOURCE,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,MEDICAID,MEDICAID,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,MEDICARE,MEDICARE,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,NOVA NET,NOVA NET,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,PEACHSTATE,PEACHSTATE,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,SELFPAY,SELFPAY,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,TRICARE,TRICARE,,267,,fee schedule,267,17.46,267,fee schedule,
LEVEL 1 OB OP,99211,CPT,both,,,267,267,UHC MEDICARE,UHC MEDICARE,,267,,fee schedule,267,17.46,267,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,17.46,227,percent of total billed charges,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,17.46,227,percent of total billed charges,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,17.46,227,percent of total billed charges,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,ALLIANT,ALLIANT,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,AMBETTER,AMBETTER,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,MEDICARE,MEDICARE,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,TRICARE,TRICARE,,227,,fee schedule,227,17.46,227,fee schedule,
OFFICE/OUTPATIENT LV 1,99211,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,227,,fee schedule,227,17.46,227,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,AMERIGROUP,AMERIGROUP,,18.33,,fee schedule,18.33,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,18.68,,fee schedule,18.68,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,17.46,,fee schedule,17.46,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,17.46,206,percent of total billed charges,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,17.46,206,percent of total billed charges,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,17.46,206,percent of total billed charges,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,ALLIANT,ALLIANT,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,AMBETTER,AMBETTER,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,MEDICARE,MEDICARE,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,TRICARE,TRICARE,,206,,fee schedule,206,17.46,206,fee schedule,
TREATMENT ROOM LEVEL 1,99211,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,206,,fee schedule,206,17.46,206,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,29.67,160,percent of total billed charges,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,29.67,160,percent of total billed charges,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,29.67,160,percent of total billed charges,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LEVEL 2,99212,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,29.67,160,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,29.67,80,percent of total billed charges,
EST PATIENT LV 2,99212,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,29.67,80,percent of total billed charges,
EST PATIENT LV 2,99212,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,29.67,80,percent of total billed charges,
EST PATIENT LV 2,99212,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PATIENT LV 2,99212,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,29.67,80,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,AETNA,AETNA,,217.5,87,percent of total billed charges,217.5,29.67,250,percent of total billed charges,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217.5,87,percent of total billed charges,217.5,29.67,250,percent of total billed charges,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,UNITED HEALTHCARE,UNITED HEALTHCARE,,220,88,percent of total billed charges,220,29.67,250,percent of total billed charges,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,AETNA,AETNA,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,ALLIANT,ALLIANT,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,AMBETTER,AMBETTER,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,BEECH STREET,BEECH STREET,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,MEDICAID,MEDICAID,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,MEDICARE,MEDICARE,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,NOVA NET,NOVA NET,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,SELFPAY,SELFPAY,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,TRICARE,TRICARE,,250,,fee schedule,250,29.67,250,fee schedule,
EST PT OFV LEVEL 2,99212,CPT,both,,,250,250,UHC MEDICARE,UHC MEDICARE,,250,,fee schedule,250,29.67,250,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,29.67,76,percent of total billed charges,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,29.67,76,percent of total billed charges,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,29.67,76,percent of total billed charges,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,ALLIANT,ALLIANT,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,AMBETTER,AMBETTER,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,MEDICARE,MEDICARE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,TRICARE,TRICARE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED  PT LV 2,99212,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,76,,fee schedule,76,29.67,76,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,AETNA,AETNA,,340.17,87,percent of total billed charges,340.17,29.67,391,percent of total billed charges,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,340.17,87,percent of total billed charges,340.17,29.67,391,percent of total billed charges,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,UNITED HEALTHCARE,UNITED HEALTHCARE,,344.08,88,percent of total billed charges,344.08,29.67,391,percent of total billed charges,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,AETNA,AETNA,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,ALLIANT,ALLIANT,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,AMBETTER,AMBETTER,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,BEECH STREET,BEECH STREET,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,CARESOURCE,CARESOURCE,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,MEDICAID,MEDICAID,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,MEDICARE,MEDICARE,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,NOVA NET,NOVA NET,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,PEACHSTATE,PEACHSTATE,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,SELFPAY,SELFPAY,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,TRICARE,TRICARE,,391,,fee schedule,391,29.67,391,fee schedule,
ESTABLISHED TRACH CHANGE,99212,CPT,both,,,391,391,UHC MEDICARE,UHC MEDICARE,,391,,fee schedule,391,29.67,391,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,29.67,231,percent of total billed charges,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,29.67,231,percent of total billed charges,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,29.67,231,percent of total billed charges,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,ALLIANT,ALLIANT,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,AMBETTER,AMBETTER,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,MEDICARE,MEDICARE,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,TRICARE,TRICARE,,231,,fee schedule,231,29.67,231,fee schedule,
INITIAL WOUND VISIT,99212,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,231,,fee schedule,231,29.67,231,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,AETNA,AETNA,,217.5,87,percent of total billed charges,217.5,29.67,250,percent of total billed charges,
LEVEL 2,99212,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217.5,87,percent of total billed charges,217.5,29.67,250,percent of total billed charges,
LEVEL 2,99212,CPT,both,,,250,250,UNITED HEALTHCARE,UNITED HEALTHCARE,,220,88,percent of total billed charges,220,29.67,250,percent of total billed charges,
LEVEL 2,99212,CPT,both,,,250,250,AETNA,AETNA,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,ALLIANT,ALLIANT,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,AMBETTER,AMBETTER,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,BEECH STREET,BEECH STREET,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,MEDICAID,MEDICAID,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,MEDICARE,MEDICARE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,NOVA NET,NOVA NET,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,SELFPAY,SELFPAY,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,TRICARE,TRICARE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2,99212,CPT,both,,,250,250,UHC MEDICARE,UHC MEDICARE,,250,,fee schedule,250,29.67,250,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,AETNA,AETNA,,261,87,percent of total billed charges,261,29.67,300,percent of total billed charges,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261,87,percent of total billed charges,261,29.67,300,percent of total billed charges,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,UNITED HEALTHCARE,UNITED HEALTHCARE,,264,88,percent of total billed charges,264,29.67,300,percent of total billed charges,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,AETNA,AETNA,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,ALLIANT,ALLIANT,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,AMBETTER,AMBETTER,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,BEECH STREET,BEECH STREET,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,CARESOURCE,CARESOURCE,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,MEDICAID,MEDICAID,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,MEDICARE,MEDICARE,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,NOVA NET,NOVA NET,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,PEACHSTATE,PEACHSTATE,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,SELFPAY,SELFPAY,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,TRICARE,TRICARE,,300,,fee schedule,300,29.67,300,fee schedule,
LEVEL 2 OB OP,99212,CPT,both,,,300,300,UHC MEDICARE,UHC MEDICARE,,300,,fee schedule,300,29.67,300,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,AETNA,AETNA,,217.5,87,percent of total billed charges,217.5,29.67,250,percent of total billed charges,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217.5,87,percent of total billed charges,217.5,29.67,250,percent of total billed charges,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,UNITED HEALTHCARE,UNITED HEALTHCARE,,220,88,percent of total billed charges,220,29.67,250,percent of total billed charges,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,AETNA,AETNA,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,ALLIANT,ALLIANT,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,AMBETTER,AMBETTER,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,BEECH STREET,BEECH STREET,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,CARESOURCE,CARESOURCE,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,MEDICAID,MEDICAID,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,MEDICARE,MEDICARE,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,NOVA NET,NOVA NET,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,PEACHSTATE,PEACHSTATE,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,SELFPAY,SELFPAY,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,TRICARE,TRICARE,,250,,fee schedule,250,29.67,250,fee schedule,
OFFICE/OUTPATIENT LV 2,99212,CPT,both,,,250,250,UHC MEDICARE,UHC MEDICARE,,250,,fee schedule,250,29.67,250,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,31.15,,fee schedule,31.15,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,31.75,,fee schedule,31.75,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,29.67,,fee schedule,29.67,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,29.67,268,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,29.67,268,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,29.67,268,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,29.67,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99212,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,29.67,268,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,40.7,162,percent of total billed charges,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,40.7,162,percent of total billed charges,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,40.7,162,percent of total billed charges,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LEVEL 3,99213,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,40.7,162,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,40.7,80,percent of total billed charges,
EST PATIENT LV 3,99213,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,40.7,80,percent of total billed charges,
EST PATIENT LV 3,99213,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,40.7,80,percent of total billed charges,
EST PATIENT LV 3,99213,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PATIENT LV 3,99213,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,40.7,80,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,40.7,268,percent of total billed charges,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,40.7,268,percent of total billed charges,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,40.7,268,percent of total billed charges,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,40.7,268,fee schedule,
EST PT OFV LEVEL 3,99213,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,40.7,268,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,40.7,149,percent of total billed charges,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,40.7,149,percent of total billed charges,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,40.7,149,percent of total billed charges,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,ALLIANT,ALLIANT,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,AMBETTER,AMBETTER,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,MEDICARE,MEDICARE,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,TRICARE,TRICARE,,149,,fee schedule,149,40.7,149,fee schedule,
ESTABLISHED  PT LV 3,99213,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,149,,fee schedule,149,40.7,149,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,40.7,268,percent of total billed charges,
LEVEL 3,99213,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,40.7,268,percent of total billed charges,
LEVEL 3,99213,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,40.7,268,percent of total billed charges,
LEVEL 3,99213,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3,99213,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,40.7,268,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,AETNA,AETNA,,379.32,87,percent of total billed charges,379.32,40.7,436,percent of total billed charges,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,379.32,87,percent of total billed charges,379.32,40.7,436,percent of total billed charges,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,UNITED HEALTHCARE,UNITED HEALTHCARE,,383.68,88,percent of total billed charges,383.68,40.7,436,percent of total billed charges,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,AETNA,AETNA,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,ALLIANT,ALLIANT,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,AMBETTER,AMBETTER,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,BEECH STREET,BEECH STREET,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,CARESOURCE,CARESOURCE,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,MEDICAID,MEDICAID,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,MEDICARE,MEDICARE,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,NOVA NET,NOVA NET,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,PEACHSTATE,PEACHSTATE,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,SELFPAY,SELFPAY,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,TRICARE,TRICARE,,436,,fee schedule,436,40.7,436,fee schedule,
LEVEL 3 OB OP,99213,CPT,both,,,436,436,UHC MEDICARE,UHC MEDICARE,,436,,fee schedule,436,40.7,436,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,40.7,268,percent of total billed charges,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,40.7,268,percent of total billed charges,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,40.7,268,percent of total billed charges,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,40.7,268,fee schedule,
OFFICE/OUTPATIENT LV 3,99213,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,40.7,268,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,42.74,,fee schedule,42.74,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,43.55,,fee schedule,43.55,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,40.7,,fee schedule,40.7,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,40.7,307,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,40.7,307,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,40.7,307,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,ALLIANT,ALLIANT,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,AMBETTER,AMBETTER,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,MEDICARE,MEDICARE,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,TRICARE,TRICARE,,307,,fee schedule,307,40.7,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,99213,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,307,,fee schedule,307,40.7,307,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,62.71,263,percent of total billed charges,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,62.71,263,percent of total billed charges,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,62.71,263,percent of total billed charges,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LEVEL 4,99214,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,62.71,263,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,62.71,80,percent of total billed charges,
EST PATIENT LV 4,99214,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,62.71,80,percent of total billed charges,
EST PATIENT LV 4,99214,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,62.71,80,percent of total billed charges,
EST PATIENT LV 4,99214,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PATIENT LV 4,99214,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,62.71,80,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,62.71,307,percent of total billed charges,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,62.71,307,percent of total billed charges,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,62.71,307,percent of total billed charges,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,ALLIANT,ALLIANT,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,AMBETTER,AMBETTER,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,MEDICARE,MEDICARE,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,TRICARE,TRICARE,,307,,fee schedule,307,62.71,307,fee schedule,
EST PT OFV LEVEL 4,99214,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,307,,fee schedule,307,62.71,307,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,AETNA,AETNA,,199.23,87,percent of total billed charges,199.23,62.71,229,percent of total billed charges,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,199.23,87,percent of total billed charges,199.23,62.71,229,percent of total billed charges,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,UNITED HEALTHCARE,UNITED HEALTHCARE,,201.52,88,percent of total billed charges,201.52,62.71,229,percent of total billed charges,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,AETNA,AETNA,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,ALLIANT,ALLIANT,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,AMBETTER,AMBETTER,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,BEECH STREET,BEECH STREET,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,MEDICAID,MEDICAID,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,MEDICARE,MEDICARE,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,NOVA NET,NOVA NET,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,SELFPAY,SELFPAY,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,TRICARE,TRICARE,,229,,fee schedule,229,62.71,229,fee schedule,
ESTABLISHED  PT LV 4,99214,CPT,both,,,229,229,UHC MEDICARE,UHC MEDICARE,,229,,fee schedule,229,62.71,229,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,AETNA,AETNA,,473.28,87,percent of total billed charges,473.28,62.71,544,percent of total billed charges,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,473.28,87,percent of total billed charges,473.28,62.71,544,percent of total billed charges,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,UNITED HEALTHCARE,UNITED HEALTHCARE,,478.72,88,percent of total billed charges,478.72,62.71,544,percent of total billed charges,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,AETNA,AETNA,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,ALLIANT,ALLIANT,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,AMBETTER,AMBETTER,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,BEECH STREET,BEECH STREET,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,CARESOURCE,CARESOURCE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,MEDICAID,MEDICAID,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,MEDICARE,MEDICARE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,NOVA NET,NOVA NET,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,PEACHSTATE,PEACHSTATE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,SELFPAY,SELFPAY,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,TRICARE,TRICARE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 OB OP,99214,CPT,both,,,544,544,UHC MEDICARE,UHC MEDICARE,,544,,fee schedule,544,62.71,544,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,AETNA,AETNA,,247.95,87,percent of total billed charges,247.95,62.71,285,percent of total billed charges,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.95,87,percent of total billed charges,247.95,62.71,285,percent of total billed charges,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,UNITED HEALTHCARE,UNITED HEALTHCARE,,250.8,88,percent of total billed charges,250.8,62.71,285,percent of total billed charges,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,AETNA,AETNA,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,ALLIANT,ALLIANT,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,AMBETTER,AMBETTER,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,BEECH STREET,BEECH STREET,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,MEDICAID,MEDICAID,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,MEDICARE,MEDICARE,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,NOVA NET,NOVA NET,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,SELFPAY,SELFPAY,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,TRICARE,TRICARE,,285,,fee schedule,285,62.71,285,fee schedule,
LEVEL 4 VISIT,99214,CPT,both,,,285,285,UHC MEDICARE,UHC MEDICARE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,AETNA,AETNA,,247.95,87,percent of total billed charges,247.95,62.71,285,percent of total billed charges,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.95,87,percent of total billed charges,247.95,62.71,285,percent of total billed charges,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,UNITED HEALTHCARE,UNITED HEALTHCARE,,250.8,88,percent of total billed charges,250.8,62.71,285,percent of total billed charges,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,AETNA,AETNA,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,ALLIANT,ALLIANT,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,AMBETTER,AMBETTER,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,BEECH STREET,BEECH STREET,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,MEDICAID,MEDICAID,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,MEDICARE,MEDICARE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,NOVA NET,NOVA NET,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,SELFPAY,SELFPAY,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,TRICARE,TRICARE,,285,,fee schedule,285,62.71,285,fee schedule,
OFFICE/OUTPATIENT VISIT E,99214,CPT,both,,,285,285,UHC MEDICARE,UHC MEDICARE,,285,,fee schedule,285,62.71,285,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,AMERIGROUP,AMERIGROUP,,65.85,,fee schedule,65.85,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,67.1,,fee schedule,67.1,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,62.71,,fee schedule,62.71,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,AETNA,AETNA,,421.08,87,percent of total billed charges,421.08,62.71,484,percent of total billed charges,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.08,87,percent of total billed charges,421.08,62.71,484,percent of total billed charges,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,UNITED HEALTHCARE,UNITED HEALTHCARE,,425.92,88,percent of total billed charges,425.92,62.71,484,percent of total billed charges,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,AETNA,AETNA,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,ALLIANT,ALLIANT,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,AMBETTER,AMBETTER,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,BEECH STREET,BEECH STREET,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,MEDICAID,MEDICAID,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,MEDICARE,MEDICARE,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,NOVA NET,NOVA NET,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,SELFPAY,SELFPAY,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,TRICARE,TRICARE,,484,,fee schedule,484,62.71,484,fee schedule,
PAIN CLINIC-EST PATIENT,99214,CPT,both,,,484,484,UHC MEDICARE,UHC MEDICARE,,484,,fee schedule,484,62.71,484,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,93.46,263,percent of total billed charges,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,93.46,263,percent of total billed charges,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,93.46,263,percent of total billed charges,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL 5,99215,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,93.46,263,percent of total billed charges,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,93.46,263,percent of total billed charges,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,93.46,263,percent of total billed charges,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PATIENT LEVEL E (OT),99215,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,93.46,263,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,100,,fee schedule,100,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,AETNA,AETNA,,69.6,87,percent of total billed charges,69.6,69.6,100,percent of total billed charges,
EST PT LV 5,99215,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69.6,87,percent of total billed charges,69.6,69.6,100,percent of total billed charges,
EST PT LV 5,99215,CPT,both,,,80,80,UNITED HEALTHCARE,UNITED HEALTHCARE,,70.4,88,percent of total billed charges,70.4,69.6,100,percent of total billed charges,
EST PT LV 5,99215,CPT,both,,,80,80,AETNA,AETNA,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,ALLIANT,ALLIANT,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,AMBETTER,AMBETTER,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,BEECH STREET,BEECH STREET,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,CARESOURCE,CARESOURCE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,MEDICAID,MEDICAID,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,MEDICARE,MEDICARE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,NOVA NET,NOVA NET,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,PEACHSTATE,PEACHSTATE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,SELFPAY,SELFPAY,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,TRICARE,TRICARE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT LV 5,99215,CPT,both,,,80,80,UHC MEDICARE,UHC MEDICARE,,80,,fee schedule,80,69.6,100,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,93.46,373,percent of total billed charges,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,93.46,373,percent of total billed charges,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,93.46,373,percent of total billed charges,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,ALLIANT,ALLIANT,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,AMBETTER,AMBETTER,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,MEDICARE,MEDICARE,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,TRICARE,TRICARE,,373,,fee schedule,373,93.46,373,fee schedule,
EST PT OFV LEVEL 5,99215,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,373,,fee schedule,373,93.46,373,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,AETNA,AETNA,,279.27,87,percent of total billed charges,279.27,93.46,321,percent of total billed charges,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279.27,87,percent of total billed charges,279.27,93.46,321,percent of total billed charges,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,UNITED HEALTHCARE,UNITED HEALTHCARE,,282.48,88,percent of total billed charges,282.48,93.46,321,percent of total billed charges,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,AETNA,AETNA,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,ALLIANT,ALLIANT,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,AMBETTER,AMBETTER,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,BEECH STREET,BEECH STREET,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,CARESOURCE,CARESOURCE,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,MEDICAID,MEDICAID,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,MEDICARE,MEDICARE,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,NOVA NET,NOVA NET,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,PEACHSTATE,PEACHSTATE,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,SELFPAY,SELFPAY,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,TRICARE,TRICARE,,321,,fee schedule,321,93.46,321,fee schedule,
ESTABLISHED  PT LV 5,99215,CPT,both,,,321,321,UHC MEDICARE,UHC MEDICARE,,321,,fee schedule,321,93.46,321,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,AETNA,AETNA,,258.39,87,percent of total billed charges,258.39,93.46,297,percent of total billed charges,
LEVEL 5,99215,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258.39,87,percent of total billed charges,258.39,93.46,297,percent of total billed charges,
LEVEL 5,99215,CPT,both,,,297,297,UNITED HEALTHCARE,UNITED HEALTHCARE,,261.36,88,percent of total billed charges,261.36,93.46,297,percent of total billed charges,
LEVEL 5,99215,CPT,both,,,297,297,AETNA,AETNA,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,ALLIANT,ALLIANT,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,AMBETTER,AMBETTER,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,BEECH STREET,BEECH STREET,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,CARESOURCE,CARESOURCE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,MEDICAID,MEDICAID,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,MEDICARE,MEDICARE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,NOVA NET,NOVA NET,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,PEACHSTATE,PEACHSTATE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,SELFPAY,SELFPAY,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,TRICARE,TRICARE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5,99215,CPT,both,,,297,297,UHC MEDICARE,UHC MEDICARE,,297,,fee schedule,297,93.46,297,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,AETNA,AETNA,,763.86,87,percent of total billed charges,763.86,93.46,878,percent of total billed charges,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,763.86,87,percent of total billed charges,763.86,93.46,878,percent of total billed charges,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,UNITED HEALTHCARE,UNITED HEALTHCARE,,772.64,88,percent of total billed charges,772.64,93.46,878,percent of total billed charges,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,AETNA,AETNA,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,ALLIANT,ALLIANT,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,AMBETTER,AMBETTER,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,BEECH STREET,BEECH STREET,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,MEDICAID,MEDICAID,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,MEDICARE,MEDICARE,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,NOVA NET,NOVA NET,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,SELFPAY,SELFPAY,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,TRICARE,TRICARE,,878,,fee schedule,878,93.46,878,fee schedule,
LEVEL 5 OB OP,99215,CPT,both,,,878,878,UHC MEDICARE,UHC MEDICARE,,878,,fee schedule,878,93.46,878,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,AMERIGROUP,AMERIGROUP,,98.13,,fee schedule,98.13,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,100,,fee schedule,100,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,93.46,,fee schedule,93.46,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,93.46,373,percent of total billed charges,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,93.46,373,percent of total billed charges,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,93.46,373,percent of total billed charges,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,ALLIANT,ALLIANT,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,AMBETTER,AMBETTER,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,MEDICARE,MEDICARE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,TRICARE,TRICARE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE/OUTPATIENT LV 5,99215,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,373,,fee schedule,373,93.46,373,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,204,percent of total billed charges,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,204,percent of total billed charges,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,204,percent of total billed charges,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,ALLIANT,ALLIANT,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,AMBETTER,AMBETTER,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,MEDICARE,MEDICARE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,TRICARE,TRICARE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 1,99241,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,204,,fee schedule,204,177.48,204,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,AMERIGROUP,AMERIGROUP,,82.72,,fee schedule,82.72,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,84.29,,fee schedule,84.29,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,78.78,,fee schedule,78.78,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,78.78,304,percent of total billed charges,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,78.78,304,percent of total billed charges,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,78.78,304,percent of total billed charges,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 2,99242,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,78.78,304,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,AMERIGROUP,AMERIGROUP,,105.53,,fee schedule,105.53,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,CARESOURCE,CARESOURCE,,107.54,,fee schedule,107.54,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,PEACHSTATE,PEACHSTATE,,100.5,,fee schedule,100.5,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,AETNA,AETNA,,348.87,87,percent of total billed charges,348.87,100.5,401,percent of total billed charges,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348.87,87,percent of total billed charges,348.87,100.5,401,percent of total billed charges,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,UNITED HEALTHCARE,UNITED HEALTHCARE,,352.88,88,percent of total billed charges,352.88,100.5,401,percent of total billed charges,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,AETNA,AETNA,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,ALLIANT,ALLIANT,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,AMBETTER,AMBETTER,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,BEECH STREET,BEECH STREET,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,CARESOURCE,CARESOURCE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,MEDICAID,MEDICAID,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,MEDICARE,MEDICARE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,NOVA NET,NOVA NET,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,PEACHSTATE,PEACHSTATE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,SELFPAY,SELFPAY,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,TRICARE,TRICARE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 3,99243,CPT,both,,,401,401,UHC MEDICARE,UHC MEDICARE,,401,,fee schedule,401,100.5,401,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,AMERIGROUP,AMERIGROUP,,146.08,,fee schedule,146.08,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,CARESOURCE,CARESOURCE,,148.86,,fee schedule,148.86,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,PEACHSTATE,PEACHSTATE,,139.12,,fee schedule,139.12,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,AETNA,AETNA,,468.06,87,percent of total billed charges,468.06,139.12,538,percent of total billed charges,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,468.06,87,percent of total billed charges,468.06,139.12,538,percent of total billed charges,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,UNITED HEALTHCARE,UNITED HEALTHCARE,,473.44,88,percent of total billed charges,473.44,139.12,538,percent of total billed charges,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,AETNA,AETNA,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,ALLIANT,ALLIANT,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,AMBETTER,AMBETTER,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,BEECH STREET,BEECH STREET,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,CARESOURCE,CARESOURCE,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,MEDICAID,MEDICAID,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,MEDICARE,MEDICARE,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,NOVA NET,NOVA NET,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,PEACHSTATE,PEACHSTATE,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,SELFPAY,SELFPAY,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,TRICARE,TRICARE,,538,,fee schedule,538,139.12,538,fee schedule,
OFFICE CONSULT LV 4,99244,CPT,both,,,538,538,UHC MEDICARE,UHC MEDICARE,,538,,fee schedule,538,139.12,538,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,231.42,266,percent of total billed charges,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT FOLLOWUP 10 M,99251,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,129.19,,fee schedule,129.19,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,131.65,,fee schedule,131.65,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,123.04,,fee schedule,123.04,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,123.04,331,percent of total billed charges,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,123.04,331,percent of total billed charges,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,123.04,331,percent of total billed charges,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,ALLIANT,ALLIANT,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,AMBETTER,AMBETTER,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,MEDICARE,MEDICARE,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,TRICARE,TRICARE,,331,,fee schedule,331,123.04,331,fee schedule,
INP CONSULT NEW 80 MIN,99254,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,331,,fee schedule,331,123.04,331,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,ALLIANT,ALLIANT,,123.9,,fee schedule,123.9,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,AMBETTER,AMBETTER,,97.62,,fee schedule,97.62,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,MEDICARE,MEDICARE,,75.09,,fee schedule,75.09,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,TRICARE,TRICARE,,75.09,,fee schedule,75.09,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,75.09,,fee schedule,75.09,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,17.28,192,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,17.28,192,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,17.28,192,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,17.28,192,fee schedule,
EMERGENCY DEPTI VSIT LV 1,99281,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,17.28,192,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,ALLIANT,ALLIANT,,123.9,,fee schedule,123.9,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,AMBETTER,AMBETTER,,97.62,,fee schedule,97.62,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,MEDICARE,MEDICARE,,75.09,,fee schedule,75.09,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,TRICARE,TRICARE,,75.09,,fee schedule,75.09,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,75.09,,fee schedule,75.09,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,17.28,123.9,percent of total billed charges,
ER FOLLOW UP,99281,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,17.28,123.9,percent of total billed charges,
ER FOLLOW UP,99281,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,17.28,123.9,percent of total billed charges,
ER FOLLOW UP,99281,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER FOLLOW UP,99281,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,17.28,123.9,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,ALLIANT,ALLIANT,,123.9,,fee schedule,123.9,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,AMBETTER,AMBETTER,,97.62,,fee schedule,97.62,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,MEDICARE,MEDICARE,,75.09,,fee schedule,75.09,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,TRICARE,TRICARE,,75.09,,fee schedule,75.09,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,UHC MEDICARE,UHC MEDICARE,,75.09,,fee schedule,75.09,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,AETNA,AETNA,,292.32,87,percent of total billed charges,292.32,17.28,336,percent of total billed charges,
ER LEVEL 1,99281,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,292.32,87,percent of total billed charges,292.32,17.28,336,percent of total billed charges,
ER LEVEL 1,99281,CPT,both,,,336,336,UNITED HEALTHCARE,UNITED HEALTHCARE,,295.68,88,percent of total billed charges,295.68,17.28,336,percent of total billed charges,
ER LEVEL 1,99281,CPT,both,,,336,336,AETNA,AETNA,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,BEECH STREET,BEECH STREET,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,MEDICAID,MEDICAID,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,NOVA NET,NOVA NET,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,SELFPAY,SELFPAY,,336,,fee schedule,336,17.28,336,fee schedule,
ER LEVEL 1,99281,CPT,both,,,336,336,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,336,,fee schedule,336,17.28,336,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,ALLIANT,ALLIANT,,123.9,,fee schedule,123.9,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,AMBETTER,AMBETTER,,97.62,,fee schedule,97.62,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,AMERIGROUP,AMERIGROUP,,18.14,,fee schedule,18.14,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,CARESOURCE,CARESOURCE,,18.49,,fee schedule,18.49,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,MEDICARE,MEDICARE,,75.09,,fee schedule,75.09,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,PEACHSTATE,PEACHSTATE,,17.28,,fee schedule,17.28,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,TRICARE,TRICARE,,75.09,,fee schedule,75.09,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,UHC MEDICARE,UHC MEDICARE,,75.09,,fee schedule,75.09,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,AETNA,AETNA,,784.74,87,percent of total billed charges,784.74,17.28,902,percent of total billed charges,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,784.74,87,percent of total billed charges,784.74,17.28,902,percent of total billed charges,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,UNITED HEALTHCARE,UNITED HEALTHCARE,,793.76,88,percent of total billed charges,793.76,17.28,902,percent of total billed charges,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,AETNA,AETNA,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,BEECH STREET,BEECH STREET,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,CARESOURCE,CARESOURCE,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,MEDICAID,MEDICAID,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,NOVA NET,NOVA NET,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,PEACHSTATE,PEACHSTATE,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,SELFPAY,SELFPAY,,902,,fee schedule,902,17.28,902,fee schedule,
NC & REM FB SQ; SMPL,99281,CPT,both,,,902,902,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,902,,fee schedule,902,17.28,902,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,ALLIANT,ALLIANT,,230.49,,fee schedule,230.49,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,AMBETTER,AMBETTER,,181.6,,fee schedule,181.6,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,AMERIGROUP,AMERIGROUP,,28.35,,fee schedule,28.35,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,28.89,,fee schedule,28.89,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,MEDICARE,MEDICARE,,139.69,,fee schedule,139.69,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,TRICARE,TRICARE,,139.69,,fee schedule,139.69,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,139.69,,fee schedule,139.69,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,27,304,percent of total billed charges,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,27,304,percent of total billed charges,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,27,304,percent of total billed charges,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,27,304,fee schedule,
EMERGENCY DEPT VISIT LV 2,99282,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,27,304,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,ALLIANT,ALLIANT,,230.49,,fee schedule,230.49,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,AMBETTER,AMBETTER,,181.6,,fee schedule,181.6,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,AMERIGROUP,AMERIGROUP,,28.35,,fee schedule,28.35,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,CARESOURCE,CARESOURCE,,28.89,,fee schedule,28.89,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,MEDICARE,MEDICARE,,139.69,,fee schedule,139.69,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,TRICARE,TRICARE,,139.69,,fee schedule,139.69,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,UHC MEDICARE,UHC MEDICARE,,139.69,,fee schedule,139.69,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,AETNA,AETNA,,420.21,87,percent of total billed charges,420.21,27,483,percent of total billed charges,
ER LEVEL 2,99282,CPT,both,,,483,483,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,420.21,87,percent of total billed charges,420.21,27,483,percent of total billed charges,
ER LEVEL 2,99282,CPT,both,,,483,483,UNITED HEALTHCARE,UNITED HEALTHCARE,,425.04,88,percent of total billed charges,425.04,27,483,percent of total billed charges,
ER LEVEL 2,99282,CPT,both,,,483,483,AETNA,AETNA,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,BEECH STREET,BEECH STREET,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,CARESOURCE,CARESOURCE,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,MEDICAID,MEDICAID,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,NOVA NET,NOVA NET,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,PEACHSTATE,PEACHSTATE,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,SELFPAY,SELFPAY,,483,,fee schedule,483,27,483,fee schedule,
ER LEVEL 2,99282,CPT,both,,,483,483,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,483,,fee schedule,483,27,483,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,ALLIANT,ALLIANT,,230.49,,fee schedule,230.49,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,AMBETTER,AMBETTER,,181.6,,fee schedule,181.6,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,28.35,,fee schedule,28.35,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,28.89,,fee schedule,28.89,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,MEDICARE,MEDICARE,,139.69,,fee schedule,139.69,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,TRICARE,TRICARE,,139.69,,fee schedule,139.69,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,139.69,,fee schedule,139.69,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,27,230.49,percent of total billed charges,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,27,230.49,percent of total billed charges,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,27,230.49,percent of total billed charges,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,27,230.49,fee schedule,
ER VISIT EXP PROB FOC,99282,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,27,230.49,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,ALLIANT,ALLIANT,,404.3,,fee schedule,404.3,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,AMBETTER,AMBETTER,,318.54,,fee schedule,318.54,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,AMERIGROUP,AMERIGROUP,,57.54,,fee schedule,57.54,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,CARESOURCE,CARESOURCE,,58.64,,fee schedule,58.64,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,MEDICARE,MEDICARE,,245.03,,fee schedule,245.03,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,PEACHSTATE,PEACHSTATE,,54.8,,fee schedule,54.8,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,TRICARE,TRICARE,,245.03,,fee schedule,245.03,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,UHC MEDICARE,UHC MEDICARE,,245.03,,fee schedule,245.03,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,AETNA,AETNA,,443.7,87,percent of total billed charges,443.7,54.8,510,percent of total billed charges,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443.7,87,percent of total billed charges,443.7,54.8,510,percent of total billed charges,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,UNITED HEALTHCARE,UNITED HEALTHCARE,,448.8,88,percent of total billed charges,448.8,54.8,510,percent of total billed charges,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,AETNA,AETNA,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,BEECH STREET,BEECH STREET,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,CARESOURCE,CARESOURCE,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,MEDICAID,MEDICAID,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,NOVA NET,NOVA NET,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,PEACHSTATE,PEACHSTATE,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,SELFPAY,SELFPAY,,510,,fee schedule,510,54.8,510,fee schedule,
EMERGENCY DEPT VISIT LV 3,99283,CPT,both,,,510,510,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,510,,fee schedule,510,54.8,510,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,ALLIANT,ALLIANT,,404.3,,fee schedule,404.3,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,AMBETTER,AMBETTER,,318.54,,fee schedule,318.54,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,AMERIGROUP,AMERIGROUP,,57.54,,fee schedule,57.54,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,CARESOURCE,CARESOURCE,,58.64,,fee schedule,58.64,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,MEDICARE,MEDICARE,,245.03,,fee schedule,245.03,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,PEACHSTATE,PEACHSTATE,,54.8,,fee schedule,54.8,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,TRICARE,TRICARE,,245.03,,fee schedule,245.03,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,UHC MEDICARE,UHC MEDICARE,,245.03,,fee schedule,245.03,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,AETNA,AETNA,,622.92,87,percent of total billed charges,622.92,54.8,716,percent of total billed charges,
ER LEVEL 3,99283,CPT,both,,,716,716,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,622.92,87,percent of total billed charges,622.92,54.8,716,percent of total billed charges,
ER LEVEL 3,99283,CPT,both,,,716,716,UNITED HEALTHCARE,UNITED HEALTHCARE,,630.08,88,percent of total billed charges,630.08,54.8,716,percent of total billed charges,
ER LEVEL 3,99283,CPT,both,,,716,716,AETNA,AETNA,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,BEECH STREET,BEECH STREET,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,CARESOURCE,CARESOURCE,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,MEDICAID,MEDICAID,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,NOVA NET,NOVA NET,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,PEACHSTATE,PEACHSTATE,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,SELFPAY,SELFPAY,,716,,fee schedule,716,54.8,716,fee schedule,
ER LEVEL 3,99283,CPT,both,,,716,716,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,716,,fee schedule,716,54.8,716,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,ALLIANT,ALLIANT,,629.66,,fee schedule,629.66,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,AMBETTER,AMBETTER,,496.09,,fee schedule,496.09,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,AMERIGROUP,AMERIGROUP,,88.42,,fee schedule,88.42,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,CARESOURCE,CARESOURCE,,90.1,,fee schedule,90.1,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,MEDICARE,MEDICARE,,381.61,,fee schedule,381.61,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,PEACHSTATE,PEACHSTATE,,84.21,,fee schedule,84.21,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,TRICARE,TRICARE,,381.61,,fee schedule,381.61,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,UHC MEDICARE,UHC MEDICARE,,381.61,,fee schedule,381.61,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,AETNA,AETNA,,783.87,87,percent of total billed charges,783.87,84.21,901,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,783.87,87,percent of total billed charges,783.87,84.21,901,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,UNITED HEALTHCARE,UNITED HEALTHCARE,,792.88,88,percent of total billed charges,792.88,84.21,901,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,AETNA,AETNA,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,BEECH STREET,BEECH STREET,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,CARESOURCE,CARESOURCE,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,MEDICAID,MEDICAID,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,NOVA NET,NOVA NET,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,PEACHSTATE,PEACHSTATE,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,SELFPAY,SELFPAY,,901,,fee schedule,901,84.21,901,fee schedule,
EMERGENCY DEPTI VSIT LV 4,99284,CPT,both,,,901,901,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,901,,fee schedule,901,84.21,901,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,ALLIANT,ALLIANT,,629.66,,fee schedule,629.66,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,AMBETTER,AMBETTER,,496.09,,fee schedule,496.09,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,AMERIGROUP,AMERIGROUP,,88.42,,fee schedule,88.42,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,CARESOURCE,CARESOURCE,,90.1,,fee schedule,90.1,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,MEDICARE,MEDICARE,,381.61,,fee schedule,381.61,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,PEACHSTATE,PEACHSTATE,,84.21,,fee schedule,84.21,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,TRICARE,TRICARE,,381.61,,fee schedule,381.61,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,UHC MEDICARE,UHC MEDICARE,,381.61,,fee schedule,381.61,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,AETNA,AETNA,,919.59,87,percent of total billed charges,919.59,84.21,1057,percent of total billed charges,
ER LEVEL 4,99284,CPT,both,,,1057,1057,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,919.59,87,percent of total billed charges,919.59,84.21,1057,percent of total billed charges,
ER LEVEL 4,99284,CPT,both,,,1057,1057,UNITED HEALTHCARE,UNITED HEALTHCARE,,930.16,88,percent of total billed charges,930.16,84.21,1057,percent of total billed charges,
ER LEVEL 4,99284,CPT,both,,,1057,1057,AETNA,AETNA,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,BEECH STREET,BEECH STREET,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,CARESOURCE,CARESOURCE,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,MEDICAID,MEDICAID,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,NOVA NET,NOVA NET,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,PEACHSTATE,PEACHSTATE,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,SELFPAY,SELFPAY,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER LEVEL 4,99284,CPT,both,,,1057,1057,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1057,,fee schedule,1057,84.21,1057,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,ALLIANT,ALLIANT,,629.66,,fee schedule,629.66,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,AMBETTER,AMBETTER,,496.09,,fee schedule,496.09,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,88.42,,fee schedule,88.42,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,90.1,,fee schedule,90.1,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,MEDICARE,MEDICARE,,381.61,,fee schedule,381.61,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,84.21,,fee schedule,84.21,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,TRICARE,TRICARE,,381.61,,fee schedule,381.61,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,381.61,,fee schedule,381.61,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,84.21,629.66,percent of total billed charges,
ER VISIT DETAILED,99284,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,84.21,629.66,percent of total billed charges,
ER VISIT DETAILED,99284,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,84.21,629.66,percent of total billed charges,
ER VISIT DETAILED,99284,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,84.21,629.66,fee schedule,
ER VISIT DETAILED,99284,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,84.21,629.66,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,AMERIGROUP,AMERIGROUP,,139.03,,fee schedule,139.03,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,CARESOURCE,CARESOURCE,,141.68,,fee schedule,141.68,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,PEACHSTATE,PEACHSTATE,,132.41,,fee schedule,132.41,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,TRICARE,TRICARE,,548.11,,fee schedule,548.11,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,AETNA,AETNA,,1147.53,87,percent of total billed charges,1147.53,132.41,1319,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1147.53,87,percent of total billed charges,1147.53,132.41,1319,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,UNITED HEALTHCARE,UNITED HEALTHCARE,,1160.72,88,percent of total billed charges,1160.72,132.41,1319,percent of total billed charges,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,AETNA,AETNA,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,BEECH STREET,BEECH STREET,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,CARESOURCE,CARESOURCE,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,MEDICAID,MEDICAID,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,NOVA NET,NOVA NET,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,PEACHSTATE,PEACHSTATE,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,SELFPAY,SELFPAY,,1319,,fee schedule,1319,132.41,1319,fee schedule,
EMERGENCY DEPTI VSIT LV 5,99285,CPT,both,,,1319,1319,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1319,,fee schedule,1319,132.41,1319,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,AMERIGROUP,AMERIGROUP,,139.03,,fee schedule,139.03,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,CARESOURCE,CARESOURCE,,141.68,,fee schedule,141.68,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,PEACHSTATE,PEACHSTATE,,132.41,,fee schedule,132.41,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,TRICARE,TRICARE,,548.11,,fee schedule,548.11,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,AETNA,AETNA,,1292.82,87,percent of total billed charges,1292.82,132.41,1486,percent of total billed charges,
ER LEVEL 5,99285,CPT,both,,,1486,1486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1292.82,87,percent of total billed charges,1292.82,132.41,1486,percent of total billed charges,
ER LEVEL 5,99285,CPT,both,,,1486,1486,UNITED HEALTHCARE,UNITED HEALTHCARE,,1307.68,88,percent of total billed charges,1307.68,132.41,1486,percent of total billed charges,
ER LEVEL 5,99285,CPT,both,,,1486,1486,AETNA,AETNA,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,BEECH STREET,BEECH STREET,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,CARESOURCE,CARESOURCE,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,MEDICAID,MEDICAID,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,NOVA NET,NOVA NET,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,PEACHSTATE,PEACHSTATE,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,SELFPAY,SELFPAY,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER LEVEL 5,99285,CPT,both,,,1486,1486,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1486,,fee schedule,1486,132.41,1486,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,AMERIGROUP,AMERIGROUP,,139.03,,fee schedule,139.03,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,141.68,,fee schedule,141.68,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,132.41,,fee schedule,132.41,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,TRICARE,TRICARE,,548.11,,fee schedule,548.11,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,AETNA,AETNA,,342.78,87,percent of total billed charges,342.78,132.41,904.38,percent of total billed charges,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342.78,87,percent of total billed charges,342.78,132.41,904.38,percent of total billed charges,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,UNITED HEALTHCARE,UNITED HEALTHCARE,,346.72,88,percent of total billed charges,346.72,132.41,904.38,percent of total billed charges,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,AETNA,AETNA,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,BEECH STREET,BEECH STREET,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,MEDICAID,MEDICAID,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,NOVA NET,NOVA NET,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,SELFPAY,SELFPAY,,394,,fee schedule,394,132.41,904.38,fee schedule,
ER VISIT COMPREHENSIVE,99285,CPT,both,,,394,394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,394,,fee schedule,394,132.41,904.38,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,ALLIANT,ALLIANT,,1266.74,,fee schedule,1266.74,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,AMBETTER,AMBETTER,,998.04,,fee schedule,998.04,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,AMERIGROUP,AMERIGROUP,,171.65,,fee schedule,171.65,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,CARESOURCE,CARESOURCE,,174.92,,fee schedule,174.92,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,MEDICARE,MEDICARE,,767.72,,fee schedule,767.72,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,PEACHSTATE,PEACHSTATE,,163.48,,fee schedule,163.48,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,TRICARE,TRICARE,,767.72,,fee schedule,767.72,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,UHC MEDICARE,UHC MEDICARE,,767.72,,fee schedule,767.72,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,AETNA,AETNA,,2099.31,87,percent of total billed charges,2099.31,163.48,2413,percent of total billed charges,
CRITICAL CARE,99291,CPT,both,,,2413,2413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2099.31,87,percent of total billed charges,2099.31,163.48,2413,percent of total billed charges,
CRITICAL CARE,99291,CPT,both,,,2413,2413,UNITED HEALTHCARE,UNITED HEALTHCARE,,2123.44,88,percent of total billed charges,2123.44,163.48,2413,percent of total billed charges,
CRITICAL CARE,99291,CPT,both,,,2413,2413,AETNA,AETNA,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,BEECH STREET,BEECH STREET,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,CARESOURCE,CARESOURCE,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,MEDICAID,MEDICAID,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,NOVA NET,NOVA NET,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,PEACHSTATE,PEACHSTATE,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,SELFPAY,SELFPAY,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE,99291,CPT,both,,,2413,2413,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2413,,fee schedule,2413,163.48,2413,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,ALLIANT,ALLIANT,,1266.74,,fee schedule,1266.74,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,AMBETTER,AMBETTER,,998.04,,fee schedule,998.04,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,AMERIGROUP,AMERIGROUP,,171.65,,fee schedule,171.65,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,CARESOURCE,CARESOURCE,,174.92,,fee schedule,174.92,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,MEDICARE,MEDICARE,,767.72,,fee schedule,767.72,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,PEACHSTATE,PEACHSTATE,,163.48,,fee schedule,163.48,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,TRICARE,TRICARE,,767.72,,fee schedule,767.72,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,UHC MEDICARE,UHC MEDICARE,,767.72,,fee schedule,767.72,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,AETNA,AETNA,,1151.01,87,percent of total billed charges,1151.01,163.48,1323,percent of total billed charges,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1151.01,87,percent of total billed charges,1151.01,163.48,1323,percent of total billed charges,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,UNITED HEALTHCARE,UNITED HEALTHCARE,,1164.24,88,percent of total billed charges,1164.24,163.48,1323,percent of total billed charges,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,AETNA,AETNA,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,BEECH STREET,BEECH STREET,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,CARESOURCE,CARESOURCE,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,MEDICAID,MEDICAID,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,NOVA NET,NOVA NET,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,PEACHSTATE,PEACHSTATE,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,SELFPAY,SELFPAY,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE 1ST HOUR,99291,CPT,both,,,1323,1323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1323,,fee schedule,1323,163.48,1323,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,AMERIGROUP,AMERIGROUP,,85.63,,fee schedule,85.63,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,CARESOURCE,CARESOURCE,,87.26,,fee schedule,87.26,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,PEACHSTATE,PEACHSTATE,,81.55,,fee schedule,81.55,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,AETNA,AETNA,,578.55,87,percent of total billed charges,578.55,81.55,665,percent of total billed charges,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,578.55,87,percent of total billed charges,578.55,81.55,665,percent of total billed charges,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,UNITED HEALTHCARE,UNITED HEALTHCARE,,585.2,88,percent of total billed charges,585.2,81.55,665,percent of total billed charges,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,AETNA,AETNA,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,ALLIANT,ALLIANT,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,AMBETTER,AMBETTER,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,BEECH STREET,BEECH STREET,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,CARESOURCE,CARESOURCE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,MEDICAID,MEDICAID,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,MEDICARE,MEDICARE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,NOVA NET,NOVA NET,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,PEACHSTATE,PEACHSTATE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,SELFPAY,SELFPAY,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,TRICARE,TRICARE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE ADDL 30 MIN,99292,CPT,both,,,665,665,UHC MEDICARE,UHC MEDICARE,,665,,fee schedule,665,81.55,665,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,AMERIGROUP,AMERIGROUP,,85.63,,fee schedule,85.63,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,CARESOURCE,CARESOURCE,,87.26,,fee schedule,87.26,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,PEACHSTATE,PEACHSTATE,,81.55,,fee schedule,81.55,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,AETNA,AETNA,,773.43,87,percent of total billed charges,773.43,81.55,889,percent of total billed charges,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,773.43,87,percent of total billed charges,773.43,81.55,889,percent of total billed charges,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,UNITED HEALTHCARE,UNITED HEALTHCARE,,782.32,88,percent of total billed charges,782.32,81.55,889,percent of total billed charges,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,AETNA,AETNA,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,ALLIANT,ALLIANT,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,AMBETTER,AMBETTER,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,BEECH STREET,BEECH STREET,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,CARESOURCE,CARESOURCE,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,MEDICAID,MEDICAID,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,MEDICARE,MEDICARE,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,NOVA NET,NOVA NET,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,PEACHSTATE,PEACHSTATE,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,SELFPAY,SELFPAY,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,TRICARE,TRICARE,,889,,fee schedule,889,81.55,889,fee schedule,
CRITICAL CARE-EA ADD'L 1,99292,CPT,both,,,889,889,UHC MEDICARE,UHC MEDICARE,,889,,fee schedule,889,81.55,889,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,255.78,294,percent of total billed charges,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,255.78,294,percent of total billed charges,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,255.78,294,percent of total billed charges,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,ALLIANT,ALLIANT,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,AMBETTER,AMBETTER,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,MEDICARE,MEDICARE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,TRICARE,TRICARE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED OV 30-74 MINUTE,99354,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,294,,fee schedule,294,255.78,294,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,190.53,219,percent of total billed charges,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,ALLIANT,ALLIANT,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,AMBETTER,AMBETTER,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,MEDICARE,MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,TRICARE,TRICARE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV FIRST HOUR,99356,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,AETNA,AETNA,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206.19,87,percent of total billed charges,206.19,206.19,237,percent of total billed charges,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,UNITED HEALTHCARE,UNITED HEALTHCARE,,208.56,88,percent of total billed charges,208.56,206.19,237,percent of total billed charges,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,AETNA,AETNA,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,ALLIANT,ALLIANT,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,AMBETTER,AMBETTER,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,BEECH STREET,BEECH STREET,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,CARESOURCE,CARESOURCE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,MEDICAID,MEDICAID,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,MEDICARE,MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,NOVA NET,NOVA NET,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,PEACHSTATE,PEACHSTATE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,SELFPAY,SELFPAY,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,TRICARE,TRICARE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED HV EA ADDTL 30,99357,CPT,both,,,237,237,UHC MEDICARE,UHC MEDICARE,,237,,fee schedule,237,206.19,237,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,98.31,113,percent of total billed charges,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,98.31,113,percent of total billed charges,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,98.31,113,percent of total billed charges,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,ALLIANT,ALLIANT,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,AMBETTER,AMBETTER,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,MEDICARE,MEDICARE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,TRICARE,TRICARE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFOR/AFT A,99358,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,113,,fee schedule,113,98.31,113,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,AETNA,AETNA,,275.79,87,percent of total billed charges,275.79,275.79,317,percent of total billed charges,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275.79,87,percent of total billed charges,275.79,275.79,317,percent of total billed charges,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.96,88,percent of total billed charges,278.96,275.79,317,percent of total billed charges,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,AETNA,AETNA,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,ALLIANT,ALLIANT,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,AMBETTER,AMBETTER,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,BEECH STREET,BEECH STREET,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,CARESOURCE,CARESOURCE,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,MEDICAID,MEDICAID,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,MEDICARE,MEDICARE,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,NOVA NET,NOVA NET,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,PEACHSTATE,PEACHSTATE,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,SELFPAY,SELFPAY,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,TRICARE,TRICARE,,317,,fee schedule,317,275.79,317,fee schedule,
PROLONGED E&M BEFORE/AFTE,99358,CPT,both,,,317,317,UHC MEDICARE,UHC MEDICARE,,317,,fee schedule,317,275.79,317,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,ALLIANT,ALLIANT,,48.97,,fee schedule,48.97,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AMBETTER,AMBETTER,,38.58,,fee schedule,38.58,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AMERIGROUP,AMERIGROUP,,11.04,,fee schedule,11.04,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,11.25,,fee schedule,11.25,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,MEDICARE,MEDICARE,,29.68,,fee schedule,29.68,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,10.51,,fee schedule,10.51,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,TRICARE,TRICARE,,29.68,,fee schedule,29.68,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,UHC MEDICARE,UHC MEDICARE,,29.68,,fee schedule,29.68,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AETNA,AETNA,,107.88,87,percent of total billed charges,107.88,10.51,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.88,87,percent of total billed charges,107.88,10.51,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,UNITED HEALTHCARE,UNITED HEALTHCARE,,109.12,88,percent of total billed charges,109.12,10.51,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AETNA,AETNA,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,BEECH STREET,BEECH STREET,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,MEDICAID,MEDICAID,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,NOVA NET,NOVA NET,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,SELFPAY,SELFPAY,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,ALLIANT,ALLIANT,,48.97,,fee schedule,48.97,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AMBETTER,AMBETTER,,38.58,,fee schedule,38.58,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AMERIGROUP,AMERIGROUP,,11.04,,fee schedule,11.04,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,11.25,,fee schedule,11.25,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,MEDICARE,MEDICARE,,29.68,,fee schedule,29.68,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,10.51,,fee schedule,10.51,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,TRICARE,TRICARE,,29.68,,fee schedule,29.68,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,UHC MEDICARE,UHC MEDICARE,,29.68,,fee schedule,29.68,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AETNA,AETNA,,107.88,87,percent of total billed charges,107.88,10.51,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.88,87,percent of total billed charges,107.88,10.51,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,UNITED HEALTHCARE,UNITED HEALTHCARE,,109.12,88,percent of total billed charges,109.12,10.51,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,AETNA,AETNA,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,BEECH STREET,BEECH STREET,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,MEDICAID,MEDICAID,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,NOVA NET,NOVA NET,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,SELFPAY,SELFPAY,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99406,CPT,both,,,124,124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,124,,fee schedule,124,10.51,124,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,ALLIANT,ALLIANT,,48.97,,fee schedule,48.97,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,AMBETTER,AMBETTER,,38.58,,fee schedule,38.58,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,21.75,,fee schedule,21.75,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,22.16,,fee schedule,22.16,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,MEDICARE,MEDICARE,,29.68,,fee schedule,29.68,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,20.71,,fee schedule,20.71,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,TRICARE,TRICARE,,29.68,,fee schedule,29.68,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,29.68,,fee schedule,29.68,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,20.71,82,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,20.71,82,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,20.71,82,percent of total billed charges,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING,99407,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,20.71,82,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,ALLIANT,ALLIANT,,48.97,,fee schedule,48.97,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,AMBETTER,AMBETTER,,38.58,,fee schedule,38.58,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,AMERIGROUP,AMERIGROUP,,21.75,,fee schedule,21.75,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,22.16,,fee schedule,22.16,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,MEDICARE,MEDICARE,,29.68,,fee schedule,29.68,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,20.71,,fee schedule,20.71,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,TRICARE,TRICARE,,29.68,,fee schedule,29.68,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,UHC MEDICARE,UHC MEDICARE,,29.68,,fee schedule,29.68,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,AETNA,AETNA,,107.88,87,percent of total billed charges,107.88,20.71,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.88,87,percent of total billed charges,107.88,20.71,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,UNITED HEALTHCARE,UNITED HEALTHCARE,,109.12,88,percent of total billed charges,109.12,20.71,124,percent of total billed charges,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,AETNA,AETNA,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,BEECH STREET,BEECH STREET,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,MEDICAID,MEDICAID,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,NOVA NET,NOVA NET,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,SELFPAY,SELFPAY,,124,,fee schedule,124,20.71,124,fee schedule,
SMOKE/TOBACCO COUNSELING>10M,99407,CPT,both,,,124,124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,124,,fee schedule,124,20.71,124,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,220.11,253,percent of total billed charges,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,220.11,253,percent of total billed charges,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,220.11,253,percent of total billed charges,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,ALLIANT,ALLIANT,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,AMBETTER,AMBETTER,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,MEDICARE,MEDICARE,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,TRICARE,TRICARE,,253,,fee schedule,253,220.11,253,fee schedule,
MEDICAL DISABILITY ASSESSMENT,99455,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,253,,fee schedule,253,220.11,253,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,AMERIGROUP,AMERIGROUP,,86.66,,fee schedule,86.66,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,88.31,,fee schedule,88.31,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,82.53,,fee schedule,82.53,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,AETNA,AETNA,,269.7,87,percent of total billed charges,269.7,82.53,310,percent of total billed charges,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,269.7,87,percent of total billed charges,269.7,82.53,310,percent of total billed charges,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,UNITED HEALTHCARE,UNITED HEALTHCARE,,272.8,88,percent of total billed charges,272.8,82.53,310,percent of total billed charges,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,AETNA,AETNA,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,ALLIANT,ALLIANT,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,AMBETTER,AMBETTER,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,BEECH STREET,BEECH STREET,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,MEDICAID,MEDICAID,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,MEDICARE,MEDICARE,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,NOVA NET,NOVA NET,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,SELFPAY,SELFPAY,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,TRICARE,TRICARE,,310,,fee schedule,310,82.53,310,fee schedule,
DELIVERY ASSISTANT,99464,CPT,both,,,310,310,UHC MEDICARE,UHC MEDICARE,,310,,fee schedule,310,82.53,310,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
ALS MILEAGE,A0425,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
ALS MILEAGE,A0425,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
ALS MILEAGE,A0425,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
ALS MILEAGE,A0425,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER MILE,A0425,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,AETNA,AETNA,,2.61,87,percent of total billed charges,2.61,2.61,3,percent of total billed charges,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.61,87,percent of total billed charges,2.61,2.61,3,percent of total billed charges,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.64,88,percent of total billed charges,2.64,2.61,3,percent of total billed charges,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,AETNA,AETNA,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,ALLIANT,ALLIANT,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,AMBETTER,AMBETTER,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,BEECH STREET,BEECH STREET,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,CARESOURCE,CARESOURCE,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,MEDICAID,MEDICAID,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,MEDICARE,MEDICARE,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,NOVA NET,NOVA NET,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,PEACHSTATE,PEACHSTATE,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,SELFPAY,SELFPAY,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,TRICARE,TRICARE,,3,,fee schedule,3,2.61,3,fee schedule,
GROUND MILEAGE PER TENTH,A0425,CPT,both,,,3,3,UHC MEDICARE,UHC MEDICARE,,3,,fee schedule,3,2.61,3,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSP MILEAGE/,A0425,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,AETNA,AETNA,,705.57,87,percent of total billed charges,705.57,705.57,811,percent of total billed charges,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,705.57,87,percent of total billed charges,705.57,705.57,811,percent of total billed charges,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,UNITED HEALTHCARE,UNITED HEALTHCARE,,713.68,88,percent of total billed charges,713.68,705.57,811,percent of total billed charges,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,AETNA,AETNA,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,ALLIANT,ALLIANT,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,AMBETTER,AMBETTER,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,BEECH STREET,BEECH STREET,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,CARESOURCE,CARESOURCE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,MEDICAID,MEDICAID,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,MEDICARE,MEDICARE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,NOVA NET,NOVA NET,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,PEACHSTATE,PEACHSTATE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,SELFPAY,SELFPAY,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,TRICARE,TRICARE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT NON-EME,A0426,CPT,both,,,811,811,UHC MEDICARE,UHC MEDICARE,,811,,fee schedule,811,705.57,811,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,AETNA,AETNA,,1071.84,87,percent of total billed charges,1071.84,1071.84,1232,percent of total billed charges,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1071.84,87,percent of total billed charges,1071.84,1071.84,1232,percent of total billed charges,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,UNITED HEALTHCARE,UNITED HEALTHCARE,,1084.16,88,percent of total billed charges,1084.16,1071.84,1232,percent of total billed charges,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,AETNA,AETNA,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,ALLIANT,ALLIANT,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,AMBETTER,AMBETTER,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,BEECH STREET,BEECH STREET,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,CARESOURCE,CARESOURCE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,MEDICAID,MEDICAID,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,MEDICARE,MEDICARE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,NOVA NET,NOVA NET,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,PEACHSTATE,PEACHSTATE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,SELFPAY,SELFPAY,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,TRICARE,TRICARE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
ADV LIFE SUPPORT EMERGEN,A0427,CPT,both,,,1232,1232,UHC MEDICARE,UHC MEDICARE,,1232,,fee schedule,1232,1071.84,1232,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,AETNA,AETNA,,804.75,87,percent of total billed charges,804.75,804.75,925,percent of total billed charges,
TRANSPORT ALS,A0427,CPT,both,,,925,925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,804.75,87,percent of total billed charges,804.75,804.75,925,percent of total billed charges,
TRANSPORT ALS,A0427,CPT,both,,,925,925,UNITED HEALTHCARE,UNITED HEALTHCARE,,814,88,percent of total billed charges,814,804.75,925,percent of total billed charges,
TRANSPORT ALS,A0427,CPT,both,,,925,925,AETNA,AETNA,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,ALLIANT,ALLIANT,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,AMBETTER,AMBETTER,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,BEECH STREET,BEECH STREET,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,CARESOURCE,CARESOURCE,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,MEDICAID,MEDICAID,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,MEDICARE,MEDICARE,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,NOVA NET,NOVA NET,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,PEACHSTATE,PEACHSTATE,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,SELFPAY,SELFPAY,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,TRICARE,TRICARE,,925,,fee schedule,925,804.75,925,fee schedule,
TRANSPORT ALS,A0427,CPT,both,,,925,925,UHC MEDICARE,UHC MEDICARE,,925,,fee schedule,925,804.75,925,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,AETNA,AETNA,,667.29,87,percent of total billed charges,667.29,667.29,767,percent of total billed charges,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,667.29,87,percent of total billed charges,667.29,667.29,767,percent of total billed charges,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,UNITED HEALTHCARE,UNITED HEALTHCARE,,674.96,88,percent of total billed charges,674.96,667.29,767,percent of total billed charges,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,AETNA,AETNA,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,ALLIANT,ALLIANT,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,AMBETTER,AMBETTER,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,BEECH STREET,BEECH STREET,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,CARESOURCE,CARESOURCE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,MEDICAID,MEDICAID,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,MEDICARE,MEDICARE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,NOVA NET,NOVA NET,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,PEACHSTATE,PEACHSTATE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,SELFPAY,SELFPAY,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,TRICARE,TRICARE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT NON-E,A0428,CPT,both,,,767,767,UHC MEDICARE,UHC MEDICARE,,767,,fee schedule,767,667.29,767,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,AETNA,AETNA,,942.21,87,percent of total billed charges,942.21,942.21,1083,percent of total billed charges,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,942.21,87,percent of total billed charges,942.21,942.21,1083,percent of total billed charges,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,UNITED HEALTHCARE,UNITED HEALTHCARE,,953.04,88,percent of total billed charges,953.04,942.21,1083,percent of total billed charges,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,AETNA,AETNA,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,ALLIANT,ALLIANT,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,AMBETTER,AMBETTER,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,BEECH STREET,BEECH STREET,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,CARESOURCE,CARESOURCE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,MEDICAID,MEDICAID,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,MEDICARE,MEDICARE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,NOVA NET,NOVA NET,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,PEACHSTATE,PEACHSTATE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,SELFPAY,SELFPAY,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,TRICARE,TRICARE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
BASIC LIFE SUPPORT EMERG,A0429,CPT,both,,,1083,1083,UHC MEDICARE,UHC MEDICARE,,1083,,fee schedule,1083,942.21,1083,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,AETNA,AETNA,,718.62,87,percent of total billed charges,718.62,718.62,826,percent of total billed charges,
TRANSPORT BLS,A0429,CPT,both,,,826,826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,718.62,87,percent of total billed charges,718.62,718.62,826,percent of total billed charges,
TRANSPORT BLS,A0429,CPT,both,,,826,826,UNITED HEALTHCARE,UNITED HEALTHCARE,,726.88,88,percent of total billed charges,726.88,718.62,826,percent of total billed charges,
TRANSPORT BLS,A0429,CPT,both,,,826,826,AETNA,AETNA,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,ALLIANT,ALLIANT,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,AMBETTER,AMBETTER,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,BEECH STREET,BEECH STREET,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,CARESOURCE,CARESOURCE,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,MEDICAID,MEDICAID,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,MEDICARE,MEDICARE,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,NOVA NET,NOVA NET,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,PEACHSTATE,PEACHSTATE,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,SELFPAY,SELFPAY,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,TRICARE,TRICARE,,826,,fee schedule,826,718.62,826,fee schedule,
TRANSPORT BLS,A0429,CPT,both,,,826,826,UHC MEDICARE,UHC MEDICARE,,826,,fee schedule,826,718.62,826,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,AETNA,AETNA,,1590.36,87,percent of total billed charges,1590.36,1590.36,1828,percent of total billed charges,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1590.36,87,percent of total billed charges,1590.36,1590.36,1828,percent of total billed charges,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,UNITED HEALTHCARE,UNITED HEALTHCARE,,1608.64,88,percent of total billed charges,1608.64,1590.36,1828,percent of total billed charges,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,AETNA,AETNA,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,ALLIANT,ALLIANT,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,AMBETTER,AMBETTER,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,BEECH STREET,BEECH STREET,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,CARESOURCE,CARESOURCE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,MEDICAID,MEDICAID,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,MEDICARE,MEDICARE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,NOVA NET,NOVA NET,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,PEACHSTATE,PEACHSTATE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,SELFPAY,SELFPAY,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,TRICARE,TRICARE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
ADV LIFE SUPPORT LEVEL 2,A0433,CPT,both,,,1828,1828,UHC MEDICARE,UHC MEDICARE,,1828,,fee schedule,1828,1590.36,1828,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,AETNA,AETNA,,1794.81,87,percent of total billed charges,1794.81,1794.81,2063,percent of total billed charges,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1794.81,87,percent of total billed charges,1794.81,1794.81,2063,percent of total billed charges,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,UNITED HEALTHCARE,UNITED HEALTHCARE,,1815.44,88,percent of total billed charges,1815.44,1794.81,2063,percent of total billed charges,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,AETNA,AETNA,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,ALLIANT,ALLIANT,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,AMBETTER,AMBETTER,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,BEECH STREET,BEECH STREET,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,CARESOURCE,CARESOURCE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,MEDICAID,MEDICAID,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,MEDICARE,MEDICARE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,NOVA NET,NOVA NET,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,PEACHSTATE,PEACHSTATE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,SELFPAY,SELFPAY,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,TRICARE,TRICARE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
SPECIALTY CARE TRANSPORT,A0434,CPT,both,,,2063,2063,UHC MEDICARE,UHC MEDICARE,,2063,,fee schedule,2063,1794.81,2063,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
NON-COVERED MILEAGE PER M,A0888,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,111.36,128,percent of total billed charges,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,ALLIANT,ALLIANT,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,AMBETTER,AMBETTER,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,MEDICARE,MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,TRICARE,TRICARE,,128,,fee schedule,128,111.36,128,fee schedule,
TREATMENT W/O TRANSPORT,A0998,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC ACC. KIT - PUMP,A4220,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,66.12,76,percent of total billed charges,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,66.12,76,percent of total billed charges,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,66.12,76,percent of total billed charges,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,ALLIANT,ALLIANT,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,AMBETTER,AMBETTER,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,MEDICARE,MEDICARE,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,TRICARE,TRICARE,,76,,fee schedule,76,66.12,76,fee schedule,
MEDTRONIC REFILL KIT,A4220,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,76,,fee schedule,76,66.12,76,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,63.51,73,percent of total billed charges,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,ALLIANT,ALLIANT,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,AMBETTER,AMBETTER,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,MEDICARE,MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,TRICARE,TRICARE,,73,,fee schedule,73,63.51,73,fee schedule,
PAIN PUMP REFILL KIT,A4220,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,274.92,316,percent of total billed charges,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,274.92,316,percent of total billed charges,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,274.92,316,percent of total billed charges,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,ALLIANT,ALLIANT,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,AMBETTER,AMBETTER,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,MEDICARE,MEDICARE,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,TRICARE,TRICARE,,316,,fee schedule,316,274.92,316,fee schedule,
LACRIMAL DUCT TUBE,A4263,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,316,,fee schedule,316,274.92,316,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,53.07,61,percent of total billed charges,
FILSHIE CLIP,A4264,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,53.07,61,percent of total billed charges,
FILSHIE CLIP,A4264,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,53.07,61,percent of total billed charges,
FILSHIE CLIP,A4264,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,ALLIANT,ALLIANT,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,AMBETTER,AMBETTER,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,MEDICARE,MEDICARE,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,TRICARE,TRICARE,,61,,fee schedule,61,53.07,61,fee schedule,
FILSHIE CLIP,A4264,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,61,,fee schedule,61,53.07,61,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLE CATH TRAY W/CATH 16&,A4314,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,48.72,56,percent of total billed charges,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,48.72,56,percent of total billed charges,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,48.72,56,percent of total billed charges,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,ALLIANT,ALLIANT,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,AMBETTER,AMBETTER,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,MEDICARE,MEDICARE,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,TRICARE,TRICARE,,56,,fee schedule,56,48.72,56,fee schedule,
16 FR FOLEY CATH TRAY W/S,A4315,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,48.72,56,percent of total billed charges,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,48.72,56,percent of total billed charges,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,48.72,56,percent of total billed charges,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,ALLIANT,ALLIANT,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,AMBETTER,AMBETTER,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,MEDICARE,MEDICARE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,TRICARE,TRICARE,,56,,fee schedule,56,48.72,56,fee schedule,
18 FR FOLEY CATH TRAY W/,A4315,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,56,,fee schedule,56,48.72,56,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
DAVOL 70CC IRRIGATING SYR,A4320,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
TRAY IRRIGATION 4093,A4320,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
SYRINGE PISTON IRRIG 70CC,A4322,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URINARY EXT 9806,A4326,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER URNIARY EXT 980,A4326,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
CATHETER:  URINARY EXTER,A4326,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
CATH FEMALE CKF105L,A4328,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,50,percent of total billed charges,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 20 &,A4338,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
20FR. MUSHROOM CATH. #860,A4340,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,70.47,81,percent of total billed charges,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,70.47,81,percent of total billed charges,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,70.47,81,percent of total billed charges,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,70.47,81,fee schedule,
34FR MUSHROOM CATH. #0860,A4340,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,70.47,81,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 26FR,A4340,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
CATH. MUSHROOM 40FR #0860,A4340,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 16 FR,A4340,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 18 FR,A4340,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CATHETER COUDE 20 FR,A4340,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
COUDE CATH. 14FR #168L14,A4340,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,67.86,78,percent of total billed charges,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,67.86,78,percent of total billed charges,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,67.86,78,percent of total billed charges,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,ALLIANT,ALLIANT,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,AMBETTER,AMBETTER,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,MEDICARE,MEDICARE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,TRICARE,TRICARE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATH 24FR,A4340,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,78,,fee schedule,78,67.86,78,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,70.47,81,percent of total billed charges,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,70.47,81,percent of total billed charges,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,70.47,81,percent of total billed charges,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,70.47,81,fee schedule,
MUSHROOM CATHETER 30FR,A4340,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,70.47,81,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
CATH FOLEY 2-WAY 20FR 30,A4344,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHERTER FOLEY 14 FR SIL,A4344,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 10 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 12 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 18 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 20 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 22 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER FOLEY 8 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CATHETER:  FOLEY 24 FR,A4344,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 22 FR 3,A4344,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,27.84,32,percent of total billed charges,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATH 2-WAY 24FR. X,A4344,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,27.84,32,percent of total billed charges,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,27.84,32,fee schedule,
FOLEY CATHETER 2-WAY 26FR,A4344,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,27.84,32,percent of total billed charges,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 12 &,A4344,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,50,percent of total billed charges,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,43.5,50,fee schedule,
SILICONE FOLEY CATH 16 &,A4344,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 18 F,A4346,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 20 F,A4346,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 22 F,A4346,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 24 F,A4346,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CATHETER FOLEY 3 WAY 26 F,A4346,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,65.25,75,percent of total billed charges,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,ALLIANT,ALLIANT,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,AMBETTER,AMBETTER,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,MEDICARE,MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,TRICARE,TRICARE,,75,,fee schedule,75,65.25,75,fee schedule,
FOLEY CATH 3 WAY W/30CC B,A4346,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
TRAY CATH A 772415,A4353,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
FOLEY TRAY W/O CATH -6175,A4354,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD A FOLEY,A4354,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
TRAY ADD-A-FOLEY LATEX,A4355,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DAIN BARD #15,A4357,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
BAG URINARY DRAINAGE,A4357,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
UROMETER #6500,A4357,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
UROMETER #6500,A4357,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,47.85,55,percent of total billed charges,
UROMETER #6500,A4357,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,47.85,55,fee schedule,
UROMETER #6500,A4357,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG LARGE,A4358,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG MEDIUM,A4358,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
URINARY LEG BAG SMALL,A4358,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
DERMABOND #DB12,A4364,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
DERMABOND #DB12,A4364,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,94.83,109,percent of total billed charges,
DERMABOND #DB12,A4364,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,94.83,109,fee schedule,
DERMABOND #DB12,A4364,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL (DERMABOND),A4364,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,81.78,94,percent of total billed charges,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,81.78,94,percent of total billed charges,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,81.78,94,percent of total billed charges,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,ALLIANT,ALLIANT,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,AMBETTER,AMBETTER,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,MEDICARE,MEDICARE,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,TRICARE,TRICARE,,94,,fee schedule,94,81.78,94,fee schedule,
INDERMIL TISSUE ADHESS. I,A4364,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,94,,fee schedule,94,81.78,94,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
SET BUTTERFLY 25 X 3/8 45,A4369,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,58,percent of total billed charges,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,ALLIANT,ALLIANT,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,AMBETTER,AMBETTER,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,MEDICARE,MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,TRICARE,TRICARE,,58,,fee schedule,58,50.46,58,fee schedule,
POUCH OSTOMY DRAIN 22771,A4375,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 1IN,A4450,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE DURAPORE 2IN,A4450,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM,A4450,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 1IN,A4450,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 2IN,A4450,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROFOAM 3IN,A4450,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 1IN,A4450,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE MICROPORE 2IN,A4450,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE TRANSPORE 1IN,A4450,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1/2IN,A4450,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 1IN,A4450,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 2IN,A4450,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TAPE ZONAS ADH 3IN,A4450,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
FEMALE URINE DIAPER,A4520,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,AETNA,AETNA,,443.7,87,percent of total billed charges,443.7,443.7,510,percent of total billed charges,
BIOPSY TRAY,A4550,CPT,both,,,510,510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443.7,87,percent of total billed charges,443.7,443.7,510,percent of total billed charges,
BIOPSY TRAY,A4550,CPT,both,,,510,510,UNITED HEALTHCARE,UNITED HEALTHCARE,,448.8,88,percent of total billed charges,448.8,443.7,510,percent of total billed charges,
BIOPSY TRAY,A4550,CPT,both,,,510,510,AETNA,AETNA,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,ALLIANT,ALLIANT,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,AMBETTER,AMBETTER,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,BEECH STREET,BEECH STREET,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,CARESOURCE,CARESOURCE,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,MEDICAID,MEDICAID,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,MEDICARE,MEDICARE,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,NOVA NET,NOVA NET,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,PEACHSTATE,PEACHSTATE,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,SELFPAY,SELFPAY,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,TRICARE,TRICARE,,510,,fee schedule,510,443.7,510,fee schedule,
BIOPSY TRAY,A4550,CPT,both,,,510,510,UHC MEDICARE,UHC MEDICARE,,510,,fee schedule,510,443.7,510,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
ARM SLING - ALL SIZES,A4565,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM CHILD 880101,A4565,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM LG 800104,A4565,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM MED 800103,A4565,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SLING ARM SMALL 800102,A4565,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,42.63,49,percent of total billed charges,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,42.63,49,fee schedule,
2IN ROLL EACH   150001,A4580,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,66.12,76,percent of total billed charges,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,66.12,76,percent of total billed charges,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,66.12,76,percent of total billed charges,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,ALLIANT,ALLIANT,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,AMBETTER,AMBETTER,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,MEDICARE,MEDICARE,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,TRICARE,TRICARE,,76,,fee schedule,76,66.12,76,fee schedule,
4IN ROLL EACH   150003,A4590,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,76,,fee schedule,76,66.12,76,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,79.17,91,percent of total billed charges,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,79.17,91,percent of total billed charges,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,79.17,91,percent of total billed charges,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,79.17,91,fee schedule,
5IN ROLL EACH   150004,A4590,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,79.17,91,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,314.07,361,percent of total billed charges,
CAST LINER,A4590,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,314.07,361,percent of total billed charges,
CAST LINER,A4590,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,314.07,361,percent of total billed charges,
CAST LINER,A4590,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,ALLIANT,ALLIANT,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,AMBETTER,AMBETTER,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,MEDICARE,MEDICARE,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,TRICARE,TRICARE,,361,,fee schedule,361,314.07,361,fee schedule,
CAST LINER,A4590,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,361,,fee schedule,361,314.07,361,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CATH.OXYGEN SUCTION 14FR.,A4624,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
KIT TRACH CARE,A4629,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
KIT TRACH CARE,A4629,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
KIT TRACH CARE,A4629,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
KIT TRACH CARE,A4629,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,AETNA,AETNA,,2305.5,87,percent of total billed charges,2305.5,2305.5,2650,percent of total billed charges,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2305.5,87,percent of total billed charges,2305.5,2305.5,2650,percent of total billed charges,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,UNITED HEALTHCARE,UNITED HEALTHCARE,,2332,88,percent of total billed charges,2332,2305.5,2650,percent of total billed charges,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,AETNA,AETNA,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,ALLIANT,ALLIANT,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,AMBETTER,AMBETTER,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,BEECH STREET,BEECH STREET,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,CARESOURCE,CARESOURCE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,MEDICAID,MEDICAID,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,MEDICARE,MEDICARE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,NOVA NET,NOVA NET,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,PEACHSTATE,PEACHSTATE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,SELFPAY,SELFPAY,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,TRICARE,TRICARE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
DIAGNOSTIC IMAGING AGENT,A4641,CPT,both,,,2650,2650,UHC MEDICARE,UHC MEDICARE,,2650,,fee schedule,2650,2305.5,2650,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,AETNA,AETNA,,95.7,87,percent of total billed charges,95.7,95.7,110,percent of total billed charges,
TISSUE MARKER,A4648,CPT,both,,,110,110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95.7,87,percent of total billed charges,95.7,95.7,110,percent of total billed charges,
TISSUE MARKER,A4648,CPT,both,,,110,110,UNITED HEALTHCARE,UNITED HEALTHCARE,,96.8,88,percent of total billed charges,96.8,95.7,110,percent of total billed charges,
TISSUE MARKER,A4648,CPT,both,,,110,110,AETNA,AETNA,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,ALLIANT,ALLIANT,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,AMBETTER,AMBETTER,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,BEECH STREET,BEECH STREET,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,CARESOURCE,CARESOURCE,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,MEDICAID,MEDICAID,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,MEDICARE,MEDICARE,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,NOVA NET,NOVA NET,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,PEACHSTATE,PEACHSTATE,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,SELFPAY,SELFPAY,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,TRICARE,TRICARE,,110,,fee schedule,110,95.7,110,fee schedule,
TISSUE MARKER,A4648,CPT,both,,,110,110,UHC MEDICARE,UHC MEDICARE,,110,,fee schedule,110,95.7,110,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,AETNA,AETNA,,2999.76,87,percent of total billed charges,2999.76,2999.76,3448,percent of total billed charges,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2999.76,87,percent of total billed charges,2999.76,2999.76,3448,percent of total billed charges,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,UNITED HEALTHCARE,UNITED HEALTHCARE,,3034.24,88,percent of total billed charges,3034.24,2999.76,3448,percent of total billed charges,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,AETNA,AETNA,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,ALLIANT,ALLIANT,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,AMBETTER,AMBETTER,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,BEECH STREET,BEECH STREET,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,CARESOURCE,CARESOURCE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,MEDICAID,MEDICAID,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,MEDICARE,MEDICARE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,NOVA NET,NOVA NET,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,PEACHSTATE,PEACHSTATE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,SELFPAY,SELFPAY,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,TRICARE,TRICARE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
OSTEOCHONDRITIS KIT DISP OCD,A4649,CPT,both,,,3448,3448,UHC MEDICARE,UHC MEDICARE,,3448,,fee schedule,3448,2999.76,3448,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INJECTION SUPPLY,A4657,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
IV TUBING AND SOLUTION,A4913,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 1.5 IN,A5062,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
FLEXIBLE POUCH 2 1/4,A5062,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 1 3/4IN,A5062,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH DRAIN 2 3/4IN,A5062,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,47.85,55,percent of total billed charges,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,47.85,55,fee schedule,
POUCH UROSTOMY 1 3/4IN #4,A5062,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,53.07,61,percent of total billed charges,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,53.07,61,percent of total billed charges,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,53.07,61,percent of total billed charges,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,ALLIANT,ALLIANT,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,AMBETTER,AMBETTER,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,MEDICARE,MEDICARE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,TRICARE,TRICARE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER DURAHESIVE 1 3/4IN#,A5063,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,61,,fee schedule,61,53.07,61,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 1.5 #12526,A5063,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER FLEXIBLE 2 1/4 #125,A5063,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 1 3/4IN 1252,A5063,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFER SURFIT 2 3/4IN,A5063,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,60.03,69,percent of total billed charges,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,60.03,69,fee schedule,
WAFERS DURAHESIVE 1 3/4,A5063,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,27.84,32,percent of total billed charges,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,27.84,32,percent of total billed charges,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,27.84,32,fee schedule,
STRAP CATHETER LEG,A5113,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,27.84,32,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,AETNA,AETNA,,1220.61,87,percent of total billed charges,1220.61,1220.61,1403,percent of total billed charges,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1220.61,87,percent of total billed charges,1220.61,1220.61,1403,percent of total billed charges,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,UNITED HEALTHCARE,UNITED HEALTHCARE,,1234.64,88,percent of total billed charges,1234.64,1220.61,1403,percent of total billed charges,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,AETNA,AETNA,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,ALLIANT,ALLIANT,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,AMBETTER,AMBETTER,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,BEECH STREET,BEECH STREET,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,CARESOURCE,CARESOURCE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,MEDICAID,MEDICAID,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,MEDICARE,MEDICARE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,NOVA NET,NOVA NET,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,PEACHSTATE,PEACHSTATE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,SELFPAY,SELFPAY,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,TRICARE,TRICARE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
CELLERATE RX 1GM,A6010,CPT,both,,,1403,1403,UHC MEDICARE,UHC MEDICARE,,1403,,fee schedule,1403,1220.61,1403,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAMANA DRESSING,A6021,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,382.8,440,percent of total billed charges,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,382.8,440,percent of total billed charges,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,382.8,440,percent of total billed charges,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,ALLIANT,ALLIANT,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,AMBETTER,AMBETTER,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,MEDICARE,MEDICARE,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,TRICARE,TRICARE,,440,,fee schedule,440,382.8,440,fee schedule,
EAKIN FISTULA WOUND POUCH,A6154,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,440,,fee schedule,440,382.8,440,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ALGISITE HI SHEET,A6196,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
AQUACEL 6X6,A6196,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
AQUACEL 6X6,A6196,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
AQUACEL 6X6,A6196,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL 6X6,A6196,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
AQUACEL AG SHEET 4X4,A6196,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ALGISITE HI ROPE,A6199,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
DRESSING ROP ALGINATE 12I,A6199,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
STRATASORB 4X4,A6203,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
STRATASORB 4X4,A6203,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
STRATASORB 4X4,A6203,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4,A6203,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,AETNA,AETNA,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.04,88,percent of total billed charges,7.04,6.96,8,percent of total billed charges,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,AETNA,AETNA,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,ALLIANT,ALLIANT,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,AMBETTER,AMBETTER,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,BEECH STREET,BEECH STREET,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,CARESOURCE,CARESOURCE,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,MEDICAID,MEDICAID,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,MEDICARE,MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,NOVA NET,NOVA NET,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,PEACHSTATE,PEACHSTATE,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,SELFPAY,SELFPAY,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,TRICARE,TRICARE,,8,,fee schedule,8,6.96,8,fee schedule,
STRATASORB 4X4 DRESSING,A6203,CPT,both,,,8,8,UHC MEDICARE,UHC MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING OPSITE 4X5 1/2,A6204,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
OPSITE DRISSING 5 1/2X10,A6204,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
STRATASORB 6X6,A6204,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
STRATASORB 6X6,A6204,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
STRATASORB 6X6,A6204,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB 6X6,A6204,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRATASORB WOUND DRSG 6X6,A6204,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 3X4,A6206,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
MEPITEL ONE 4X7.2,A6207,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ALLEVYN FOAM,A6209,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,46.98,54,percent of total billed charges,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,46.98,54,fee schedule,
DRESSING MEPILEX FOAM AG 6X6,A6209,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MEPILEX 4X4,A6209,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MEPILEX 4X4,A6209,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
MEPILEX 4X4,A6209,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX 4X4,A6209,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
VERSIVA FOAM DRS W/O BORD,A6209,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MEPILEX BORDER 4X4,A6212,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
VERSIVA FOAM DRSG 4X4 W/B,A6212,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
MEPILEX BORDER 6X6,A6213,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
DRESSING COVERLET,A6219,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
DRESSING COVERLET,A6219,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
DRESSING COVERLET,A6219,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET,A6219,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING COVERLET 4X6,A6219,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 3,A6223,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING ADAPTIC 3 X 8,A6223,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DRESSING SCARLET RED 5X9,A6223,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 1 X 8,A6223,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE VASELINE 3 X 9,A6223,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 1 X 8,A6223,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
GAUZE XEROFORM 5 X 9,A6223,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 10X10,A6234,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SQUARE 15X15,A6235,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
TEG SACRAL,A6237,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
TEG SACRAL,A6237,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
TEG SACRAL,A6237,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG SACRAL,A6237,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
TEG TH OVAL,A6237,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
TEG TH OVAL,A6237,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
TEG TH OVAL,A6237,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEG TH OVAL,A6237,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEGASORB ULCER #90001,A6237,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
TEG OVAL 14X17,A6238,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
CARRASYN V HYDROGEL,A6248,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
HYPERGEL,A6248,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
HYPERGEL,A6248,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
HYPERGEL,A6248,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL,A6248,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYPERGEL WOUND GEL 17OZ T,A6248,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MOISTURE BARRIER CREAM,A6250,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PAD ABD 9192,A6252,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PAD ABD 9192,A6252,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PAD ABD 9192,A6252,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PAD ABD 9192,A6252,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TEGADERM 6X7,A6257,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TEGADERM 6X7,A6257,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TEGADERM 6X7,A6257,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM 6X7,A6257,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
TEGADERM,A6258,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
TEGADERM,A6258,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
TEGADERM,A6258,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM,A6258,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TEGADERM 10X14,A6258,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TEGADERM 10X14,A6258,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TEGADERM 10X14,A6258,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 10X14,A6258,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TEGADERM 15X20,A6258,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
TEGADERM 15X20,A6258,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
TEGADERM 15X20,A6258,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
TEGADERM 15X20,A6258,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1/,A6266,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
IODOFORM PACKING STRIP 1I,A6266,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GAUZE 3 X 3 STERILE 2/PK,A6402,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
TELFA 3X4,A6402,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
TELFA 3X4,A6402,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
TELFA 3X4,A6402,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X4,A6402,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
TELFA 3X6,A6403,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
TELFA 3X6,A6403,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
TELFA 3X6,A6403,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TELFA 3X6,A6403,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/2IN,A6407,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1/4IN,A6407,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
PLAIN PACK STRIPS 1IN,A6407,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
BANDAGE CONFORM 3 2232,A6443,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CONFORM 3IN,A6443,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CONFORM 3IN,A6443,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CONFORM 3IN,A6443,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 3IN,A6443,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
CONFORM 4IN,A6443,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
CONFORM 4IN,A6443,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
CONFORM 4IN,A6443,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 4IN,A6443,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CONFORM 2IN,A6446,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CONFORM 2IN,A6446,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CONFORM 2IN,A6446,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CONFORM 2IN,A6446,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BANDAGE ACE 6IN,A6449,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
MEDICOPASTE,A6456,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
MEDICOPASTE,A6456,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
MEDICOPASTE,A6456,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
MEDICOPASTE,A6456,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
CHEST DRAIN HEIMLICH,A7040,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,53.94,62,percent of total billed charges,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HEIMLICH CHEST DRAIN VALV,A7040,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,AETNA,AETNA,,300.15,87,percent of total billed charges,300.15,300.15,345,percent of total billed charges,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300.15,87,percent of total billed charges,300.15,300.15,345,percent of total billed charges,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,UNITED HEALTHCARE,UNITED HEALTHCARE,,303.6,88,percent of total billed charges,303.6,300.15,345,percent of total billed charges,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,AETNA,AETNA,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,ALLIANT,ALLIANT,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,AMBETTER,AMBETTER,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,BEECH STREET,BEECH STREET,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,CARESOURCE,CARESOURCE,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,MEDICAID,MEDICAID,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,MEDICARE,MEDICARE,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,NOVA NET,NOVA NET,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,PEACHSTATE,PEACHSTATE,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,SELFPAY,SELFPAY,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,TRICARE,TRICARE,,345,,fee schedule,345,300.15,345,fee schedule,
THORA-KLEX (200203),A7048,CPT,both,,,345,345,UHC MEDICARE,UHC MEDICARE,,345,,fee schedule,345,300.15,345,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,160.08,184,percent of total billed charges,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,160.08,184,percent of total billed charges,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,160.08,184,percent of total billed charges,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,ALLIANT,ALLIANT,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,AMBETTER,AMBETTER,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,MEDICARE,MEDICARE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,TRICARE,TRICARE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY FEN TRACH TBE CUFL,A7520,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,184,,fee schedule,184,160.08,184,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,195.75,225,percent of total billed charges,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,195.75,225,percent of total billed charges,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,195.75,225,percent of total billed charges,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,ALLIANT,ALLIANT,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,AMBETTER,AMBETTER,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,MEDICARE,MEDICARE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,TRICARE,TRICARE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 7.0 XLT UNCU,A7520,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,225,,fee schedule,225,195.75,225,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,129.63,149,percent of total billed charges,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,129.63,149,percent of total billed charges,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,129.63,149,percent of total billed charges,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,ALLIANT,ALLIANT,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,AMBETTER,AMBETTER,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,MEDICARE,MEDICARE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,TRICARE,TRICARE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH 8.0 XLT CUFF,A7520,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,149,,fee schedule,149,129.63,149,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,220.11,253,percent of total billed charges,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,220.11,253,percent of total billed charges,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,220.11,253,percent of total billed charges,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,ALLIANT,ALLIANT,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,AMBETTER,AMBETTER,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,MEDICARE,MEDICARE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,TRICARE,TRICARE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE #8.0XLT,A7520,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,253,,fee schedule,253,220.11,253,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,ALLIANT,ALLIANT,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,AMBETTER,AMBETTER,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,MEDICARE,MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,TRICARE,TRICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 4 CUFFL,A7520,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,107.01,123,percent of total billed charges,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,107.01,123,percent of total billed charges,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,107.01,123,percent of total billed charges,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,ALLIANT,ALLIANT,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,AMBETTER,AMBETTER,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,MEDICARE,MEDICARE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,TRICARE,TRICARE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 6 CUFFL,A7520,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,123,,fee schedule,123,107.01,123,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,AETNA,AETNA,,173.13,87,percent of total billed charges,173.13,173.13,199,percent of total billed charges,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173.13,87,percent of total billed charges,173.13,173.13,199,percent of total billed charges,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,UNITED HEALTHCARE,UNITED HEALTHCARE,,175.12,88,percent of total billed charges,175.12,173.13,199,percent of total billed charges,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,AETNA,AETNA,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,ALLIANT,ALLIANT,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,AMBETTER,AMBETTER,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,BEECH STREET,BEECH STREET,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,CARESOURCE,CARESOURCE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,MEDICAID,MEDICAID,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,MEDICARE,MEDICARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,NOVA NET,NOVA NET,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,PEACHSTATE,PEACHSTATE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,SELFPAY,SELFPAY,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,TRICARE,TRICARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 7.0LXTC,A7520,CPT,both,,,199,199,UHC MEDICARE,UHC MEDICARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,119.19,137,percent of total billed charges,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,119.19,137,percent of total billed charges,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,119.19,137,percent of total billed charges,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,ALLIANT,ALLIANT,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,AMBETTER,AMBETTER,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,MEDICARE,MEDICARE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,TRICARE,TRICARE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8 DCFS,A7520,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,119.19,137,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,AETNA,AETNA,,173.13,87,percent of total billed charges,173.13,173.13,199,percent of total billed charges,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173.13,87,percent of total billed charges,173.13,173.13,199,percent of total billed charges,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,UNITED HEALTHCARE,UNITED HEALTHCARE,,175.12,88,percent of total billed charges,175.12,173.13,199,percent of total billed charges,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,AETNA,AETNA,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,ALLIANT,ALLIANT,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,AMBETTER,AMBETTER,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,BEECH STREET,BEECH STREET,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,CARESOURCE,CARESOURCE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,MEDICAID,MEDICAID,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,MEDICARE,MEDICARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,NOVA NET,NOVA NET,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,PEACHSTATE,PEACHSTATE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,SELFPAY,SELFPAY,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,TRICARE,TRICARE,,199,,fee schedule,199,173.13,199,fee schedule,
SHILEY TRACH TUBE 8.0XLTC,A7520,CPT,both,,,199,199,UHC MEDICARE,UHC MEDICARE,,199,,fee schedule,199,173.13,199,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,168.78,194,percent of total billed charges,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,ALLIANT,ALLIANT,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,AMBETTER,AMBETTER,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,MEDICARE,MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,TRICARE,TRICARE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #4 4CFS,A7520,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,AETNA,AETNA,,196.62,87,percent of total billed charges,196.62,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,196.62,87,percent of total billed charges,196.62,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,UNITED HEALTHCARE,UNITED HEALTHCARE,,198.88,88,percent of total billed charges,198.88,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,AETNA,AETNA,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,ALLIANT,ALLIANT,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,AMBETTER,AMBETTER,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,BEECH STREET,BEECH STREET,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,CARESOURCE,CARESOURCE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,MEDICAID,MEDICAID,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,MEDICARE,MEDICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,NOVA NET,NOVA NET,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,PEACHSTATE,PEACHSTATE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,SELFPAY,SELFPAY,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,TRICARE,TRICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6CFS,A7520,CPT,both,,,226,226,UHC MEDICARE,UHC MEDICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,204,percent of total billed charges,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,204,percent of total billed charges,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,204,percent of total billed charges,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,ALLIANT,ALLIANT,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,AMBETTER,AMBETTER,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,MEDICARE,MEDICARE,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,TRICARE,TRICARE,,204,,fee schedule,204,177.48,204,fee schedule,
TRACH TUBE SHILEY #8 8CFS,A7520,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,204,,fee schedule,204,177.48,204,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,156.6,180,percent of total billed charges,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,156.6,180,percent of total billed charges,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,156.6,180,percent of total billed charges,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,ALLIANT,ALLIANT,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,AMBETTER,AMBETTER,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,MEDICARE,MEDICARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,TRICARE,TRICARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 10 CUFFL,A7520,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,AETNA,AETNA,,143.55,87,percent of total billed charges,143.55,143.55,165,percent of total billed charges,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143.55,87,percent of total billed charges,143.55,143.55,165,percent of total billed charges,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,UNITED HEALTHCARE,UNITED HEALTHCARE,,145.2,88,percent of total billed charges,145.2,143.55,165,percent of total billed charges,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,AETNA,AETNA,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,ALLIANT,ALLIANT,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,AMBETTER,AMBETTER,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,BEECH STREET,BEECH STREET,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,MEDICAID,MEDICAID,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,MEDICARE,MEDICARE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,NOVA NET,NOVA NET,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,SELFPAY,SELFPAY,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,TRICARE,TRICARE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 4 / CUFFL,A7520,CPT,both,,,165,165,UHC MEDICARE,UHC MEDICARE,,165,,fee schedule,165,143.55,165,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,156.6,180,percent of total billed charges,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,156.6,180,percent of total billed charges,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,156.6,180,percent of total billed charges,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,ALLIANT,ALLIANT,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,AMBETTER,AMBETTER,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,MEDICARE,MEDICARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,TRICARE,TRICARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 6 CUFFLE,A7520,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,180,,fee schedule,180,156.6,180,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,166.17,191,percent of total billed charges,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,166.17,191,percent of total billed charges,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,166.17,191,percent of total billed charges,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,ALLIANT,ALLIANT,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,AMBETTER,AMBETTER,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,MEDICARE,MEDICARE,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,TRICARE,TRICARE,,191,,fee schedule,191,166.17,191,fee schedule,
TUBE SHILEY CFS 8 CUFFLES,A7520,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,191,,fee schedule,191,166.17,191,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,201.84,232,percent of total billed charges,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,201.84,232,percent of total billed charges,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,201.84,232,percent of total billed charges,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,ALLIANT,ALLIANT,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,AMBETTER,AMBETTER,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,MEDICARE,MEDICARE,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,TRICARE,TRICARE,,232,,fee schedule,232,201.84,232,fee schedule,
7.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,201.84,232,percent of total billed charges,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,201.84,232,percent of total billed charges,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,201.84,232,percent of total billed charges,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,ALLIANT,ALLIANT,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,AMBETTER,AMBETTER,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,MEDICARE,MEDICARE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,TRICARE,TRICARE,,232,,fee schedule,232,201.84,232,fee schedule,
8.0 SHILEY TRACH TUBE CUF,A7521,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,232,,fee schedule,232,201.84,232,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,118.32,136,percent of total billed charges,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,ALLIANT,ALLIANT,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,AMBETTER,AMBETTER,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,MEDICARE,MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,TRICARE,TRICARE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY PED. TUBE #3PT,A7521,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,ALLIANT,ALLIANT,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,AMBETTER,AMBETTER,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,MEDICARE,MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,TRICARE,TRICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 6DCT CU,A7521,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,131.37,151,percent of total billed charges,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,ALLIANT,ALLIANT,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,AMBETTER,AMBETTER,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,MEDICARE,MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,TRICARE,TRICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE 8DCT CU,A7521,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACH TUBE FEN 4 C,A7521,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,166.17,191,percent of total billed charges,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,166.17,191,percent of total billed charges,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,166.17,191,percent of total billed charges,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,ALLIANT,ALLIANT,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,AMBETTER,AMBETTER,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,MEDICARE,MEDICARE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,TRICARE,TRICARE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TRACT TUBE 4 / CUF,A7521,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,191,,fee schedule,191,166.17,191,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,115.71,133,percent of total billed charges,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,ALLIANT,ALLIANT,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,AMBETTER,AMBETTER,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,MEDICARE,MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,TRICARE,TRICARE,,133,,fee schedule,133,115.71,133,fee schedule,
SHILEY TUBE 8SCT CUFFED,A7521,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
SHIRLEY TRACH TUBE 10MM/C,A7521,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,120.06,138,percent of total billed charges,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,120.06,138,percent of total billed charges,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,120.06,138,percent of total billed charges,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,ALLIANT,ALLIANT,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,AMBETTER,AMBETTER,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,MEDICARE,MEDICARE,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,TRICARE,TRICARE,,138,,fee schedule,138,120.06,138,fee schedule,
SINGLE CANNULA CUFFED TUB,A7521,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,138,,fee schedule,138,120.06,138,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,AETNA,AETNA,,196.62,87,percent of total billed charges,196.62,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,196.62,87,percent of total billed charges,196.62,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,UNITED HEALTHCARE,UNITED HEALTHCARE,,198.88,88,percent of total billed charges,198.88,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,AETNA,AETNA,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,ALLIANT,ALLIANT,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,AMBETTER,AMBETTER,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,BEECH STREET,BEECH STREET,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,CARESOURCE,CARESOURCE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,MEDICAID,MEDICAID,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,MEDICARE,MEDICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,NOVA NET,NOVA NET,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,PEACHSTATE,PEACHSTATE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,SELFPAY,SELFPAY,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,TRICARE,TRICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #6 6LPC,A7521,CPT,both,,,226,226,UHC MEDICARE,UHC MEDICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,AETNA,AETNA,,196.62,87,percent of total billed charges,196.62,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,196.62,87,percent of total billed charges,196.62,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,UNITED HEALTHCARE,UNITED HEALTHCARE,,198.88,88,percent of total billed charges,198.88,196.62,226,percent of total billed charges,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,AETNA,AETNA,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,ALLIANT,ALLIANT,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,AMBETTER,AMBETTER,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,BEECH STREET,BEECH STREET,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,CARESOURCE,CARESOURCE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,MEDICAID,MEDICAID,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,MEDICARE,MEDICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,NOVA NET,NOVA NET,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,PEACHSTATE,PEACHSTATE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,SELFPAY,SELFPAY,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,TRICARE,TRICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TRACH TUBE SHILEY #8 8LPC,A7521,CPT,both,,,226,226,UHC MEDICARE,UHC MEDICARE,,226,,fee schedule,226,196.62,226,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,240.12,276,percent of total billed charges,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,ALLIANT,ALLIANT,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,AMBETTER,AMBETTER,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,MEDICARE,MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,TRICARE,TRICARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 6 / CUFFE,A7521,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,240.12,276,percent of total billed charges,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,ALLIANT,ALLIANT,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,AMBETTER,AMBETTER,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,MEDICARE,MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,TRICARE,TRICARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY FEN 8 / CUFFE,A7521,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,228.81,263,percent of total billed charges,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC  10 / CUF,A7521,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,183.57,211,percent of total billed charges,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,ALLIANT,ALLIANT,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,AMBETTER,AMBETTER,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,MEDICARE,MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,TRICARE,TRICARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 6 / CUFF,A7521,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,183.57,211,percent of total billed charges,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,ALLIANT,ALLIANT,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,AMBETTER,AMBETTER,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,MEDICARE,MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,TRICARE,TRICARE,,211,,fee schedule,211,183.57,211,fee schedule,
TUBE SHILEY LPC 9 / CUFF,A7521,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
A & D OINT. 60 GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,71.34,82,percent of total billed charges,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 10MG TABLET 30S,A9270,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,71.34,82,percent of total billed charges,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 2MG TAB,A9270,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,58,percent of total billed charges,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,ALLIANT,ALLIANT,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,AMBETTER,AMBETTER,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,MEDICARE,MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,TRICARE,TRICARE,,58,,fee schedule,58,50.46,58,fee schedule,
ABILIFY 5MG 30S,A9270,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
ABREVA 10% CRE 2GM,A9270,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 120,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 325MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAMINOPHEN SUPP 650MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ACETAZOLAMIDE TABS 250 MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSE/SORBITOL 50GM,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIDOSESORBITOL 25MG,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTIGALL 300MG CAP,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,AETNA,AETNA,,977.01,87,percent of total billed charges,977.01,977.01,1123,percent of total billed charges,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,977.01,87,percent of total billed charges,977.01,977.01,1123,percent of total billed charges,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,UNITED HEALTHCARE,UNITED HEALTHCARE,,988.24,88,percent of total billed charges,988.24,977.01,1123,percent of total billed charges,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,AETNA,AETNA,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,ALLIANT,ALLIANT,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,AMBETTER,AMBETTER,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,BEECH STREET,BEECH STREET,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,CARESOURCE,CARESOURCE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,MEDICAID,MEDICAID,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,MEDICARE,MEDICARE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,NOVA NET,NOVA NET,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,PEACHSTATE,PEACHSTATE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,SELFPAY,SELFPAY,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,TRICARE,TRICARE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTONEL 150 MG TAB,A9270,CPT,both,,,1123,1123,UHC MEDICARE,UHC MEDICARE,,1123,,fee schedule,1123,977.01,1123,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
ACTOS 15MG TABLET,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,179.22,206,percent of total billed charges,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,ALLIANT,ALLIANT,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,AMBETTER,AMBETTER,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,MEDICARE,MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,TRICARE,TRICARE,,206,,fee schedule,206,179.22,206,fee schedule,
ACULAR OPH 0.5% 5ML,A9270,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
ADDERALL 20MG TAB,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,233.16,268,percent of total billed charges,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,233.16,268,fee schedule,
ADENOSINE 30MG,A9270,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,AETNA,AETNA,,205.32,87,percent of total billed charges,205.32,205.32,236,percent of total billed charges,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205.32,87,percent of total billed charges,205.32,205.32,236,percent of total billed charges,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,UNITED HEALTHCARE,UNITED HEALTHCARE,,207.68,88,percent of total billed charges,207.68,205.32,236,percent of total billed charges,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,AETNA,AETNA,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,ALLIANT,ALLIANT,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,AMBETTER,AMBETTER,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,BEECH STREET,BEECH STREET,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,CARESOURCE,CARESOURCE,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,MEDICAID,MEDICAID,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,MEDICARE,MEDICARE,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,NOVA NET,NOVA NET,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,PEACHSTATE,PEACHSTATE,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,SELFPAY,SELFPAY,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,TRICARE,TRICARE,,236,,fee schedule,236,205.32,236,fee schedule,
ADVAIR DISKUS 500/50MCG 1,A9270,CPT,both,,,236,236,UHC MEDICARE,UHC MEDICARE,,236,,fee schedule,236,205.32,236,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
AFRIN NASAL SPRAY 15ML,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
AGGRENOX CAP,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
AGGRENOX CAP,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
AGGRENOX CAP,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
AGGRENOX CAP,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL 2MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SOLN; 3ML 25'S,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALBUTEROL SYRUP 2MG./5ML.,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALDACTONE TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINAL 100MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALLOPURINOL 300MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,94.83,109,percent of total billed charges,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN OP. DROPS 5ML,A9270,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,188.79,217,percent of total billed charges,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,ALLIANT,ALLIANT,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,AMBETTER,AMBETTER,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,MEDICARE,MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,TRICARE,TRICARE,,217,,fee schedule,217,188.79,217,fee schedule,
ALPHAGAN P 0.1% 10ML OPH,A9270,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 1MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMARYL 2MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBESOL GEL 20% 9GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMBIEN TAB 5MG,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMITRIPTYLINE TAB 75MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOLORIDE 5MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILL SUSP 250MG/5CC,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXICILLIN CAPS 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMOXIL TAB 875MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
AMPICILLIN CAPS 500MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL OINT 30GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC CREAM 10 OZ.,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ANUSOL-HC SUPP,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,73.95,85,percent of total billed charges,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,73.95,85,percent of total billed charges,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,73.95,85,percent of total billed charges,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,ALLIANT,ALLIANT,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,AMBETTER,AMBETTER,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,MEDICARE,MEDICARE,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,TRICARE,TRICARE,,85,,fee schedule,85,73.95,85,fee schedule,
ARAVA 10MG TAB,A9270,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,85,,fee schedule,85,73.95,85,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
ARICEPT 5MG TAB,A9270,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,AETNA,AETNA,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,UNITED HEALTHCARE,UNITED HEALTHCARE,,57.2,88,percent of total billed charges,57.2,56.55,65,percent of total billed charges,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,AETNA,AETNA,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,ALLIANT,ALLIANT,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,AMBETTER,AMBETTER,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,BEECH STREET,BEECH STREET,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,MEDICAID,MEDICAID,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,MEDICARE,MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,NOVA NET,NOVA NET,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,SELFPAY,SELFPAY,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,TRICARE,TRICARE,,65,,fee schedule,65,56.55,65,fee schedule,
ARIMIDEX 1MG TAB,A9270,CPT,both,,,65,65,UHC MEDICARE,UHC MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 2MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ARTANE TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASCORBIC ACID TABS 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN E.C. TABS 325MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 300MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN SUPP 600MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN TABS 325 MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASPIRIN-CHILDRENS'S,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,156.6,180,percent of total billed charges,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,156.6,180,percent of total billed charges,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,156.6,180,percent of total billed charges,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,ALLIANT,ALLIANT,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,AMBETTER,AMBETTER,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,MEDICARE,MEDICARE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,TRICARE,TRICARE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTELIN NASAL SPRAY,A9270,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,180,,fee schedule,180,156.6,180,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,197.49,227,percent of total billed charges,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,197.49,227,percent of total billed charges,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,197.49,227,percent of total billed charges,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,ALLIANT,ALLIANT,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,AMBETTER,AMBETTER,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,MEDICARE,MEDICARE,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,TRICARE,TRICARE,,227,,fee schedule,227,197.49,227,fee schedule,
ASTEPRO NS 137MCG 30ML,A9270,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,227,,fee schedule,227,197.49,227,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ATENOLOL 25 MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,AETNA,AETNA,,574.2,87,percent of total billed charges,574.2,574.2,660,percent of total billed charges,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,574.2,87,percent of total billed charges,574.2,574.2,660,percent of total billed charges,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,UNITED HEALTHCARE,UNITED HEALTHCARE,,580.8,88,percent of total billed charges,580.8,574.2,660,percent of total billed charges,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,AETNA,AETNA,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,ALLIANT,ALLIANT,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,AMBETTER,AMBETTER,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,BEECH STREET,BEECH STREET,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,CARESOURCE,CARESOURCE,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,MEDICAID,MEDICAID,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,MEDICARE,MEDICARE,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,NOVA NET,NOVA NET,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,PEACHSTATE,PEACHSTATE,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,SELFPAY,SELFPAY,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,TRICARE,TRICARE,,660,,fee schedule,660,574.2,660,fee schedule,
ATROVENT HFA MDI 12.9GM,A9270,CPT,both,,,660,660,UHC MEDICARE,UHC MEDICARE,,660,,fee schedule,660,574.2,660,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN 400MG/5ML UD,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN ES-600 SUSP 75M,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TAB 875MG,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN TABS 500,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
AUGMENTIN XR 1000MG,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,453.27,521,percent of total billed charges,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,453.27,521,percent of total billed charges,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,453.27,521,percent of total billed charges,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,ALLIANT,ALLIANT,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,AMBETTER,AMBETTER,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,MEDICARE,MEDICARE,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,TRICARE,TRICARE,,521,,fee schedule,521,453.27,521,fee schedule,
AVITENE N/W WEB 70X35 EAC,A9270,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,521,,fee schedule,521,453.27,521,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
AVODART 0.5MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
AVODART 0.5MG,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
AVODART 0.5MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
AVODART 0.5MG,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
AYR SALINE NASAL GEL 14.1,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
AZITHROMYCIN 100 MG/5 ML,A9270,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AZO CRANBERRY 450MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,53.94,62,percent of total billed charges,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,53.94,62,fee schedule,
AZOPT 1 % 5ML SUSP OPTHAL,A9270,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
B & O SUPP 16A,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
B & O SUPP 16A,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
B & O SUPP 16A,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
B & O SUPP 16A,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BABY AYR NOSE SPRAY/DROPS,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 1 OZ,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,AETNA,AETNA,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.04,88,percent of total billed charges,7.04,6.96,8,percent of total billed charges,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,AETNA,AETNA,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,ALLIANT,ALLIANT,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,AMBETTER,AMBETTER,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,BEECH STREET,BEECH STREET,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,CARESOURCE,CARESOURCE,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,MEDICAID,MEDICAID,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,MEDICARE,MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,NOVA NET,NOVA NET,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,PEACHSTATE,PEACHSTATE,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,SELFPAY,SELFPAY,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,TRICARE,TRICARE,,8,,fee schedule,8,6.96,8,fee schedule,
BACITRACIN OINT 500U/GM 0,A9270,CPT,both,,,8,8,UHC MEDICARE,UHC MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTRIM PED SUSP 5CC,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,AETNA,AETNA,,83.52,87,percent of total billed charges,83.52,83.52,96,percent of total billed charges,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83.52,87,percent of total billed charges,83.52,83.52,96,percent of total billed charges,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,UNITED HEALTHCARE,UNITED HEALTHCARE,,84.48,88,percent of total billed charges,84.48,83.52,96,percent of total billed charges,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,AETNA,AETNA,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,ALLIANT,ALLIANT,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,AMBETTER,AMBETTER,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,BEECH STREET,BEECH STREET,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,MEDICAID,MEDICAID,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,MEDICARE,MEDICARE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,NOVA NET,NOVA NET,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,SELFPAY,SELFPAY,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,TRICARE,TRICARE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN 2% OINT 15GM,A9270,CPT,both,,,96,96,UHC MEDICARE,UHC MEDICARE,,96,,fee schedule,96,83.52,96,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,94.83,109,percent of total billed charges,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,94.83,109,fee schedule,
BACTROBAN CR 2% 15MG,A9270,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BD GLUCOSE 5GM CHEW,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BEN GAY 1 1/4 OZ,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENADRYL CREAM 1/2 OZ.,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENEMID TAB 0.5GM,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BENICAR 20MG TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL CAPS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENTYL SYRUP 5CC,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BENZOIN TINC 120CC,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BETAPACE 80MG; UD,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
BETHANECHOL TABS 25MG,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
BETIMOL .5% 5MG OPTHALMIC,A9270,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,AETNA,AETNA,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,UNITED HEALTHCARE,UNITED HEALTHCARE,,469.92,88,percent of total billed charges,469.92,464.58,534,percent of total billed charges,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,AETNA,AETNA,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,ALLIANT,ALLIANT,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,AMBETTER,AMBETTER,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,BEECH STREET,BEECH STREET,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,CARESOURCE,CARESOURCE,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,MEDICAID,MEDICAID,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,MEDICARE,MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,NOVA NET,NOVA NET,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,PEACHSTATE,PEACHSTATE,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,SELFPAY,SELFPAY,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,TRICARE,TRICARE,,534,,fee schedule,534,464.58,534,fee schedule,
BETOPTIC-S O.S. 0.25%;5ML,A9270,CPT,both,,,534,534,UHC MEDICARE,UHC MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
BIAXIN 500MG TAB,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
BICITRA 30ML:UD,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
BIOTIN 5000MCG CAP,A9270,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL SUPP 10MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BISACODYL TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,AETNA,AETNA,,368.88,87,percent of total billed charges,368.88,368.88,424,percent of total billed charges,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.88,87,percent of total billed charges,368.88,368.88,424,percent of total billed charges,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,UNITED HEALTHCARE,UNITED HEALTHCARE,,373.12,88,percent of total billed charges,373.12,368.88,424,percent of total billed charges,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,AETNA,AETNA,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,ALLIANT,ALLIANT,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,AMBETTER,AMBETTER,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,BEECH STREET,BEECH STREET,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,MEDICAID,MEDICAID,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,MEDICARE,MEDICARE,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,NOVA NET,NOVA NET,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,SELFPAY,SELFPAY,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,TRICARE,TRICARE,,424,,fee schedule,424,368.88,424,fee schedule,
BONIVA 150MG 3X 1UD (ONCE,A9270,CPT,both,,,424,424,UHC MEDICARE,UHC MEDICARE,,424,,fee schedule,424,368.88,424,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 2.5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRETHINE TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,131.37,151,percent of total billed charges,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,ALLIANT,ALLIANT,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,AMBETTER,AMBETTER,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,MEDICARE,MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,TRICARE,TRICARE,,151,,fee schedule,151,131.37,151,fee schedule,
BRIMONIDINE OPH 0.2% 5ML,A9270,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BROMFED DM COUGH SYRUP 5M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
BSS 15ML,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
BSS 15ML,A9270,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
BSS 15ML,A9270,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
BSS 15ML,A9270,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BUMEX 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
BUMEX 1MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
BUMEX 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BUMEX 1MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
BUSPAR 15MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
BUSPAR 15MG,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
BUSPAR 15MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR 15MG,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
BUSPAR TABS 10MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,390.63,449,percent of total billed charges,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,390.63,449,percent of total billed charges,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,390.63,449,percent of total billed charges,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,ALLIANT,ALLIANT,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,AMBETTER,AMBETTER,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,MEDICARE,MEDICARE,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,TRICARE,TRICARE,,449,,fee schedule,449,390.63,449,fee schedule,
BYETTA PEN 250MCG/ML 1.2M,A9270,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,449,,fee schedule,449,390.63,449,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
BYSTOLIC 2.5MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALADRYL LOTION 180ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALAMINE LOTION 120ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIFEROL TABS 1.25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALCIUM CARBONATE 600MG T,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CALTRATE 600 + D TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CAMPRAL 333MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE SUSP 1GM 10ML UD,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARAFATE TABS 1GM,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM 30MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 120MG CAP,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 180MG CAP,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 240MG CAP,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDIZEM CD 300MG CAPS,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARDURA 2MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CARISPRODOL 350MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,89.61,103,percent of total billed charges,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,89.61,103,fee schedule,
CASODEX 50MG TAB,A9270,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CASTOR OIL 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES TABS 0.1MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,94.83,109,percent of total billed charges,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 1 PATCH,A9270,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,AETNA,AETNA,,214.02,87,percent of total billed charges,214.02,214.02,246,percent of total billed charges,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.02,87,percent of total billed charges,214.02,214.02,246,percent of total billed charges,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,UNITED HEALTHCARE,UNITED HEALTHCARE,,216.48,88,percent of total billed charges,216.48,214.02,246,percent of total billed charges,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,AETNA,AETNA,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,ALLIANT,ALLIANT,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,AMBETTER,AMBETTER,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,BEECH STREET,BEECH STREET,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,CARESOURCE,CARESOURCE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,MEDICAID,MEDICAID,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,MEDICARE,MEDICARE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,NOVA NET,NOVA NET,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,PEACHSTATE,PEACHSTATE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,SELFPAY,SELFPAY,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,TRICARE,TRICARE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 2 PATCH,A9270,CPT,both,,,246,246,UHC MEDICARE,UHC MEDICARE,,246,,fee schedule,246,214.02,246,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,AETNA,AETNA,,301.02,87,percent of total billed charges,301.02,301.02,346,percent of total billed charges,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.02,87,percent of total billed charges,301.02,301.02,346,percent of total billed charges,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,UNITED HEALTHCARE,UNITED HEALTHCARE,,304.48,88,percent of total billed charges,304.48,301.02,346,percent of total billed charges,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,AETNA,AETNA,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,ALLIANT,ALLIANT,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,AMBETTER,AMBETTER,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,BEECH STREET,BEECH STREET,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,CARESOURCE,CARESOURCE,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,MEDICAID,MEDICAID,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,MEDICARE,MEDICARE,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,NOVA NET,NOVA NET,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,PEACHSTATE,PEACHSTATE,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,SELFPAY,SELFPAY,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,TRICARE,TRICARE,,346,,fee schedule,346,301.02,346,fee schedule,
CATAPRES-TTS 3 PATCH,A9270,CPT,both,,,346,346,UHC MEDICARE,UHC MEDICARE,,346,,fee schedule,346,301.02,346,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CEFTIN 250MG TABS,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 100MG CAP,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEBREX 400MG CAP,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
CELEXA TAB 20MG,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
CELLCEPT 250MG CAP,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,AETNA,AETNA,,1128.39,87,percent of total billed charges,1128.39,1128.39,1297,percent of total billed charges,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1128.39,87,percent of total billed charges,1128.39,1128.39,1297,percent of total billed charges,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,UNITED HEALTHCARE,UNITED HEALTHCARE,,1141.36,88,percent of total billed charges,1141.36,1128.39,1297,percent of total billed charges,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,AETNA,AETNA,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,ALLIANT,ALLIANT,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,AMBETTER,AMBETTER,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,BEECH STREET,BEECH STREET,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,CARESOURCE,CARESOURCE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,MEDICAID,MEDICAID,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,MEDICARE,MEDICARE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,NOVA NET,NOVA NET,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,PEACHSTATE,PEACHSTATE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,SELFPAY,SELFPAY,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,TRICARE,TRICARE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CERVIDIL 10MG SUPP,A9270,CPT,both,,,1297,1297,UHC MEDICARE,UHC MEDICARE,,1297,,fee schedule,1297,1128.39,1297,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHERRY SYRUP,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHERRY SYRUP,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHERRY SYRUP,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHERRY SYRUP,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC LOZENGES 18',A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLORASEPTIC SPRAY 180ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLOROTHIAZIDE 500MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORPROMAZINE TABS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHLORTHALIDONE TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CHRONULAC SYRUP ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO HC OTIC SUSP 10ML,A9270,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,AETNA,AETNA,,212.28,87,percent of total billed charges,212.28,212.28,244,percent of total billed charges,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212.28,87,percent of total billed charges,212.28,212.28,244,percent of total billed charges,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,UNITED HEALTHCARE,UNITED HEALTHCARE,,214.72,88,percent of total billed charges,214.72,212.28,244,percent of total billed charges,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,AETNA,AETNA,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,ALLIANT,ALLIANT,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,AMBETTER,AMBETTER,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,BEECH STREET,BEECH STREET,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,CARESOURCE,CARESOURCE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,MEDICAID,MEDICAID,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,MEDICARE,MEDICARE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,NOVA NET,NOVA NET,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,PEACHSTATE,PEACHSTATE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,SELFPAY,SELFPAY,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,TRICARE,TRICARE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO ORAL SUSP 5GM/100ML,A9270,CPT,both,,,244,244,UHC MEDICARE,UHC MEDICARE,,244,,fee schedule,244,212.28,244,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 250MG,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRO TABS 500MG,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,147.9,170,percent of total billed charges,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,147.9,170,percent of total billed charges,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,147.9,170,percent of total billed charges,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,147.9,170,fee schedule,
CIPRODEX OTIC 7.5ML,A9270,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,147.9,170,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN CAPS 150MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
CLEOCIN OS 75MG 5ML UD,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLINORIL 200MG TABS,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CLONIDINE 0.1MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
CO Q-10 200MG CAP,A9270,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 15 M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CODEINE SULFATE TABS 30 M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COGENTIN TABS 1 MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLACE SYRUP 50MG/5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COL-BENEMID TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COLCHICINE TABS 0.6MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE SUPP 25 MG,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COMPAZINE TAB 10MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
CORDARONE TABS 200MG,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 12.5MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
COREG TAB 3.125MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CORGARD TABS 40MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
CORTEF 5MG TAB,A9270,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
CORT-ENEMA 60ML,A9270,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,118.32,136,percent of total billed charges,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,ALLIANT,ALLIANT,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,AMBETTER,AMBETTER,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,MEDICARE,MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,TRICARE,TRICARE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OPH SUSP 7.5,A9270,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SOLN 10,A9270,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
CORTISPORIN OTIC SUSP 10M,A9270,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,AETNA,AETNA,,261.87,87,percent of total billed charges,261.87,261.87,301,percent of total billed charges,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261.87,87,percent of total billed charges,261.87,261.87,301,percent of total billed charges,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,UNITED HEALTHCARE,UNITED HEALTHCARE,,264.88,88,percent of total billed charges,264.88,261.87,301,percent of total billed charges,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,AETNA,AETNA,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,ALLIANT,ALLIANT,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,AMBETTER,AMBETTER,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,BEECH STREET,BEECH STREET,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,CARESOURCE,CARESOURCE,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,MEDICAID,MEDICAID,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,MEDICARE,MEDICARE,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,NOVA NET,NOVA NET,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,PEACHSTATE,PEACHSTATE,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,SELFPAY,SELFPAY,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,TRICARE,TRICARE,,301,,fee schedule,301,261.87,301,fee schedule,
COSOPT OPTHALMIC DROPS 5M,A9270,CPT,both,,,301,301,UHC MEDICARE,UHC MEDICARE,,301,,fee schedule,301,261.87,301,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 10MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
COUMADIN 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 10MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 1MG TABLET,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2 1/2MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 2MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
COUMADIN 2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 2MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 3MG TAB,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 4MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COUMADIN 7 1/2MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
COZAAR 25MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
COZAAR 25MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
COZAAR 25MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
COZAAR 25MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CREON 10 CAP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
CREON 10 CAP,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
CREON 10 CAP,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON 10 CAP,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
CREON CAPS,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
CREON CAPS,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
CREON CAPS,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
CREON CAPS,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 10MG TAB,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
CRESTOR 20MG TAB,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYANOCOBALAMIN TAB 500MCG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,59.16,68,percent of total billed charges,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,59.16,68,percent of total billed charges,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,59.16,68,percent of total billed charges,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,ALLIANT,ALLIANT,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,AMBETTER,AMBETTER,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,MEDICARE,MEDICARE,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,TRICARE,TRICARE,,68,,fee schedule,68,59.16,68,fee schedule,
CYCLOGYL OPH 1% 5ML,A9270,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,68,,fee schedule,68,59.16,68,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 20MG CAP,A9270,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
CYMBALTA 30MG CAP,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,32.19,37,percent of total billed charges,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,32.19,37,fee schedule,
DALIRESP 500MCG TABLET,A9270,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DANTRIUM CAPS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DAPSONE 100MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,111.36,128,percent of total billed charges,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,ALLIANT,ALLIANT,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,AMBETTER,AMBETTER,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,MEDICARE,MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,TRICARE,TRICARE,,128,,fee schedule,128,111.36,128,fee schedule,
DEBROX OTIC DROPS 15CC,A9270,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
DECLOMYCIN 150MG,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DELTA D3 TAB 400 IU,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEMADEX TAB 20MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE CAPS 250 MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKENE SYRUP 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 250MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE ER 500MG TAB(EXT,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE SPRINKLE 125MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TAB 500MG,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DEPAKOTE TABS 250MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
DESENEX PWD. 42.5GM,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
DESMOPRESSIN ACETATE 0.1M,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DESTININ OINT 1 OZ,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL DIVIDOSE 150MG,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DESYREL TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE 2MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ATB 4MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DEXAMETHASONE ELIZ. 0.5MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIABETA TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAMOX SEQUELS 500MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
DIAPER GOO,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
DIAPER GOO,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
DIAPER GOO,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIAPER GOO,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,AETNA,AETNA,,321.03,87,percent of total billed charges,321.03,321.03,369,percent of total billed charges,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.03,87,percent of total billed charges,321.03,321.03,369,percent of total billed charges,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,UNITED HEALTHCARE,UNITED HEALTHCARE,,324.72,88,percent of total billed charges,324.72,321.03,369,percent of total billed charges,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,AETNA,AETNA,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,ALLIANT,ALLIANT,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,AMBETTER,AMBETTER,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,BEECH STREET,BEECH STREET,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,CARESOURCE,CARESOURCE,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,MEDICAID,MEDICAID,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,MEDICARE,MEDICARE,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,NOVA NET,NOVA NET,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,PEACHSTATE,PEACHSTATE,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,SELFPAY,SELFPAY,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,TRICARE,TRICARE,,369,,fee schedule,369,321.03,369,fee schedule,
DIASTAT PED RECTAL GEL 2.,A9270,CPT,both,,,369,369,UHC MEDICARE,UHC MEDICARE,,369,,fee schedule,369,321.03,369,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIATX TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIATX TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIATX TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIATX TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 2MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIAZEPAM 5MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,AETNA,AETNA,,716.88,87,percent of total billed charges,716.88,716.88,824,percent of total billed charges,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,716.88,87,percent of total billed charges,716.88,716.88,824,percent of total billed charges,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,UNITED HEALTHCARE,UNITED HEALTHCARE,,725.12,88,percent of total billed charges,725.12,716.88,824,percent of total billed charges,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,AETNA,AETNA,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,ALLIANT,ALLIANT,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,AMBETTER,AMBETTER,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,BEECH STREET,BEECH STREET,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,CARESOURCE,CARESOURCE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,MEDICAID,MEDICAID,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,MEDICARE,MEDICARE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,NOVA NET,NOVA NET,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,PEACHSTATE,PEACHSTATE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,SELFPAY,SELFPAY,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,TRICARE,TRICARE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFICID 200MG TAB,A9270,CPT,both,,,824,824,UHC MEDICARE,UHC MEDICARE,,824,,fee schedule,824,716.88,824,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN 100MG TAB,A9270,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,62.64,72,percent of total billed charges,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,62.64,72,percent of total billed charges,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,62.64,72,percent of total billed charges,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,62.64,72,fee schedule,
DIFLUCAN TAB 150MG,A9270,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,62.64,72,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN CAPS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DILANTIN-125 SUSP 5ML,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID 4MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DILAUDID TABS 2MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIMENHYDRINATE TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 160MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 40 MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DIOVAN 80MG TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE CAP 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,AETNA,AETNA,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.04,88,percent of total billed charges,7.04,6.96,8,percent of total billed charges,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,AETNA,AETNA,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,ALLIANT,ALLIANT,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,AMBETTER,AMBETTER,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,BEECH STREET,BEECH STREET,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,CARESOURCE,CARESOURCE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,MEDICAID,MEDICAID,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,MEDICARE,MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,NOVA NET,NOVA NET,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,PEACHSTATE,PEACHSTATE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,SELFPAY,SELFPAY,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,TRICARE,TRICARE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE ELIX 5ML,A9270,CPT,both,,,8,8,UHC MEDICARE,UHC MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENHYDRAMINE HCL 2% 15,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXLATE/ATROPINE LIQ,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPHENOXYLATE/ATROPINE TA,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,119.19,137,percent of total billed charges,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,119.19,137,percent of total billed charges,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,119.19,137,percent of total billed charges,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,ALLIANT,ALLIANT,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,AMBETTER,AMBETTER,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,MEDICARE,MEDICARE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,TRICARE,TRICARE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPROLENE AF CR 0.05%; 15,A9270,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,119.19,137,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DIPYRIDAMOLE TAB 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN SYRUP 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DITROPAN TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE CALCUIM CAPS 240,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOCUSATE SODIUM CAPS 100M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DOLOBID TAB 500MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DONNATAL ELIXIR 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 100MG TABS,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DOXYCYCLINE 50MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
DRONABINOL 2.5 MG CAP,A9270,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DUONEB 3ML NEB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,228.81,263,percent of total billed charges,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 100MCG/HR,A9270,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,60.9,70,percent of total billed charges,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 12MCG/HR,A9270,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,AETNA,AETNA,,114.84,87,percent of total billed charges,114.84,114.84,132,percent of total billed charges,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114.84,87,percent of total billed charges,114.84,114.84,132,percent of total billed charges,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,UNITED HEALTHCARE,UNITED HEALTHCARE,,116.16,88,percent of total billed charges,116.16,114.84,132,percent of total billed charges,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,AETNA,AETNA,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,ALLIANT,ALLIANT,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,AMBETTER,AMBETTER,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,BEECH STREET,BEECH STREET,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,MEDICAID,MEDICAID,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,MEDICARE,MEDICARE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,NOVA NET,NOVA NET,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,SELFPAY,SELFPAY,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,TRICARE,TRICARE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 50MCG/HR,A9270,CPT,both,,,132,132,UHC MEDICARE,UHC MEDICARE,,132,,fee schedule,132,114.84,132,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,AETNA,AETNA,,174,87,percent of total billed charges,174,174,200,percent of total billed charges,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,87,percent of total billed charges,174,174,200,percent of total billed charges,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,UNITED HEALTHCARE,UNITED HEALTHCARE,,176,88,percent of total billed charges,176,174,200,percent of total billed charges,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,AETNA,AETNA,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,ALLIANT,ALLIANT,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,AMBETTER,AMBETTER,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,BEECH STREET,BEECH STREET,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,CARESOURCE,CARESOURCE,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,MEDICAID,MEDICAID,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,MEDICARE,MEDICARE,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,NOVA NET,NOVA NET,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,PEACHSTATE,PEACHSTATE,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,SELFPAY,SELFPAY,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,TRICARE,TRICARE,,200,,fee schedule,200,174,200,fee schedule,
DURAGESIC PATCH 75MCG/HR,A9270,CPT,both,,,200,200,UHC MEDICARE,UHC MEDICARE,,200,,fee schedule,200,174,200,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,100.92,116,percent of total billed charges,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,ALLIANT,ALLIANT,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,AMBETTER,AMBETTER,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,MEDICARE,MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,TRICARE,TRICARE,,116,,fee schedule,116,100.92,116,fee schedule,
DURAGETIC PATCH 25MCG/HR,A9270,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,AETNA,AETNA,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6.96,87,percent of total billed charges,6.96,6.96,8,percent of total billed charges,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.04,88,percent of total billed charges,7.04,6.96,8,percent of total billed charges,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,AETNA,AETNA,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,ALLIANT,ALLIANT,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,AMBETTER,AMBETTER,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,BEECH STREET,BEECH STREET,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,CARESOURCE,CARESOURCE,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,MEDICAID,MEDICAID,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,MEDICARE,MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,NOVA NET,NOVA NET,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,PEACHSTATE,PEACHSTATE,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,SELFPAY,SELFPAY,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,TRICARE,TRICARE,,8,,fee schedule,8,6.96,8,fee schedule,
DYNAPEN CAPS 250MG,A9270,CPT,both,,,8,8,UHC MEDICARE,UHC MEDICARE,,8,,fee schedule,8,6.96,8,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 25MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR 75MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 37.5MG CAP,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFEXOR XR 75MG CAP,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,32.19,37,percent of total billed charges,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,32.19,37,fee schedule,
EFFIENT 10 MG TABLET,A9270,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,47.85,55,percent of total billed charges,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,47.85,55,fee schedule,
ELA-MAX 4% CR 5GM,A9270,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ELMIRON 100MG CAP,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 24-26 MG TABLET,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ENTRESTO 49-51 MG TABLET,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
EPIVIR TAB 150MG,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
EPSOM SALTS 454 GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERY-TAB 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0 3.5GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,50,percent of total billed charges,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN 0.0. 1GM U.D,A9270,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ERYTHROMYCIN BASE TAB 500,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE TAB 1MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,201.84,232,percent of total billed charges,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,201.84,232,percent of total billed charges,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,201.84,232,percent of total billed charges,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,ALLIANT,ALLIANT,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,AMBETTER,AMBETTER,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,MEDICARE,MEDICARE,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,TRICARE,TRICARE,,232,,fee schedule,232,201.84,232,fee schedule,
ESTRACE VAG CR 0.01%; 42.,A9270,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,232,,fee schedule,232,201.84,232,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EVISTA 60MG TAB,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
EVOXAC 30MG CAP,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
EXCEDRIN MIGRAINE GELTAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON 1.5MG CAP,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,46.98,54,percent of total billed charges,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 13.3MG/24HR,A9270,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
EXELON PATCH 9.5MG/24 HRS,A9270,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,AETNA,AETNA,,401.07,87,percent of total billed charges,401.07,401.07,461,percent of total billed charges,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.07,87,percent of total billed charges,401.07,401.07,461,percent of total billed charges,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,UNITED HEALTHCARE,UNITED HEALTHCARE,,405.68,88,percent of total billed charges,405.68,401.07,461,percent of total billed charges,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,AETNA,AETNA,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,ALLIANT,ALLIANT,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,AMBETTER,AMBETTER,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,BEECH STREET,BEECH STREET,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,MEDICAID,MEDICAID,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,MEDICARE,MEDICARE,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,NOVA NET,NOVA NET,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,SELFPAY,SELFPAY,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,TRICARE,TRICARE,,461,,fee schedule,461,401.07,461,fee schedule,
EXENATIDE 10MCG INJ,A9270,CPT,both,,,461,461,UHC MEDICARE,UHC MEDICARE,,461,,fee schedule,461,401.07,461,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,64,percent of total billed charges,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,64,fee schedule,
FAMVIR 500MG TAB,A9270,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,32.19,37,percent of total billed charges,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,32.19,37,fee schedule,
FEMARA 2.5MG TAB,A9270,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,AETNA,AETNA,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,UNITED HEALTHCARE,UNITED HEALTHCARE,,57.2,88,percent of total billed charges,57.2,56.55,65,percent of total billed charges,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,AETNA,AETNA,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,ALLIANT,ALLIANT,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,AMBETTER,AMBETTER,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,BEECH STREET,BEECH STREET,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,MEDICAID,MEDICAID,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,MEDICARE,MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,NOVA NET,NOVA NET,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,SELFPAY,SELFPAY,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,TRICARE,TRICARE,,65,,fee schedule,65,56.55,65,fee schedule,
FEROCON CAPSULE BOTTLE OF,A9270,CPT,both,,,65,65,UHC MEDICARE,UHC MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE ELIX 220M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FERROUS SULFATE TABS 300M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
FEVERALL SUPP 80MG,A9270,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FIORICET TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FIORICET TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FIORICET TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORICET TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FIORINAL CAPS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FIORINAL CAPS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FIORINAL CAPS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FIORINAL CAPS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
FLECTOR PATCH 1.3%  5'S,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
FLEETS ENEMA,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
FLEETS ENEMA,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
FLEETS ENEMA,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS ENEMA,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS MINERAL OIL ENEMA,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEETS PED. ENEMA,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL 5MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLEXERIL TABS 10 MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
FLOMAX 0.4MG CAP,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,139.2,160,percent of total billed charges,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,139.2,160,fee schedule,
FLONASE NS 0.05% 16GM,A9270,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLORINEF TABS 0.1MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,129.63,149,percent of total billed charges,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,129.63,149,percent of total billed charges,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,129.63,149,percent of total billed charges,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,ALLIANT,ALLIANT,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,AMBETTER,AMBETTER,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,MEDICARE,MEDICARE,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,TRICARE,TRICARE,,149,,fee schedule,149,129.63,149,fee schedule,
FLOXIN OTIC 0.3% 5ML,A9270,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,149,,fee schedule,149,129.63,149,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,AETNA,AETNA,,410.64,87,percent of total billed charges,410.64,410.64,472,percent of total billed charges,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,410.64,87,percent of total billed charges,410.64,410.64,472,percent of total billed charges,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,UNITED HEALTHCARE,UNITED HEALTHCARE,,415.36,88,percent of total billed charges,415.36,410.64,472,percent of total billed charges,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,AETNA,AETNA,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,ALLIANT,ALLIANT,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,AMBETTER,AMBETTER,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,BEECH STREET,BEECH STREET,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,CARESOURCE,CARESOURCE,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,MEDICAID,MEDICAID,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,MEDICARE,MEDICARE,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,NOVA NET,NOVA NET,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,PEACHSTATE,PEACHSTATE,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,SELFPAY,SELFPAY,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,TRICARE,TRICARE,,472,,fee schedule,472,410.64,472,fee schedule,
FLURESS OPH. 5ML,A9270,CPT,both,,,472,472,UHC MEDICARE,UHC MEDICARE,,472,,fee schedule,472,410.64,472,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FOLIC ACID 1MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
FORADIL 12MCG CAP 60S W/D,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,AETNA,AETNA,,967.44,87,percent of total billed charges,967.44,967.44,1112,percent of total billed charges,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,967.44,87,percent of total billed charges,967.44,967.44,1112,percent of total billed charges,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,UNITED HEALTHCARE,UNITED HEALTHCARE,,978.56,88,percent of total billed charges,978.56,967.44,1112,percent of total billed charges,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,AETNA,AETNA,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,ALLIANT,ALLIANT,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,AMBETTER,AMBETTER,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,BEECH STREET,BEECH STREET,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,CARESOURCE,CARESOURCE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,MEDICAID,MEDICAID,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,MEDICARE,MEDICARE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,NOVA NET,NOVA NET,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,PEACHSTATE,PEACHSTATE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,SELFPAY,SELFPAY,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,TRICARE,TRICARE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FORTICAL 2200IU/ML NASAL,A9270,CPT,both,,,1112,1112,UHC MEDICARE,UHC MEDICARE,,1112,,fee schedule,1112,967.44,1112,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,89.61,103,percent of total billed charges,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 35MG TAB,A9270,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,AETNA,AETNA,,108.75,87,percent of total billed charges,108.75,108.75,125,percent of total billed charges,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108.75,87,percent of total billed charges,108.75,108.75,125,percent of total billed charges,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,UNITED HEALTHCARE,UNITED HEALTHCARE,,110,88,percent of total billed charges,110,108.75,125,percent of total billed charges,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,AETNA,AETNA,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,ALLIANT,ALLIANT,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,AMBETTER,AMBETTER,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,BEECH STREET,BEECH STREET,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,MEDICAID,MEDICAID,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,MEDICARE,MEDICARE,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,NOVA NET,NOVA NET,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,SELFPAY,SELFPAY,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,TRICARE,TRICARE,,125,,fee schedule,125,108.75,125,fee schedule,
FOSAMAX 70MG TAB,A9270,CPT,both,,,125,125,UHC MEDICARE,UHC MEDICARE,,125,,fee schedule,125,108.75,125,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMDIE TAB 40MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
FUROSEMIDE TAB. 20MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
GALANTAMINE HBR ER 8MG CA,A9270,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
GEMTESA 75MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
GENTAMICIN OPH 5ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 20MG CAP,A9270,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,33.93,39,percent of total billed charges,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,33.93,39,percent of total billed charges,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,33.93,39,fee schedule,
GEODON 40MG CAP,A9270,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,33.93,39,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
GI COCKTAIL (40ML),A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCATROL TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE 500MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE TAB 850MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOPHAGE XR 500MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOSAMINE RELIEF 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 2.5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLUCOTROL XL 5MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
GLYCERIN SUPP ADULT,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,50,percent of total billed charges,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,43.5,50,fee schedule,
GOLYTELY 4000ML,A9270,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN SYR 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUAIFENESIN-DM SYR 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GUANFACINE 1MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
GYNE-LOTRIMIN VAG CR 45GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALFPRIN 81MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 1MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HALOPERIDOL 5MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HEMOCYTE PLUS TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
HUMALOG U-100 1 DOSE,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYCODAN SYRUP 5ML,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE 10MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDRALAZINE TAB 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDREA CAPSULES 500MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE 12.5M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCHLOROTHIAZIDE TBAS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCOD/APAP 10-325MG50,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCODON/APAP 7.5/325MG,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROCORTISONE CR 1% 30GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL SYRUP 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYDROXYZINE HCL TABS 25MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYPOTEARS 15ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTONE CR 2.5% 1OZ,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN 1MG; 1/2 X 2MG CAP,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYTRIN TAB 5MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 100/12.5MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
HYZAAR 50-12.5 TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 200MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 600MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN 800MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IBUPROFEN SUSP 100MG/5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR 60MG; TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMDUR ER 30MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMIPRAMINE TABS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,87,100,percent of total billed charges,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,ALLIANT,ALLIANT,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,AMBETTER,AMBETTER,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,MEDICARE,MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,TRICARE,TRICARE,,100,,fee schedule,100,87,100,fee schedule,
IMITREX TAB 50MG,A9270,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM CAPS 2MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMODIUM LIQUID 5CC,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
IMURAN TABS 50MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL LA 60MG,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL TABS 40MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDERAL-LA 80MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,AETNA,AETNA,,45.24,87,percent of total billed charges,45.24,45.24,52,percent of total billed charges,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45.24,87,percent of total billed charges,45.24,45.24,52,percent of total billed charges,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,UNITED HEALTHCARE,UNITED HEALTHCARE,,45.76,88,percent of total billed charges,45.76,45.24,52,percent of total billed charges,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,AETNA,AETNA,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,ALLIANT,ALLIANT,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,AMBETTER,AMBETTER,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,BEECH STREET,BEECH STREET,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,CARESOURCE,CARESOURCE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,MEDICAID,MEDICAID,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,MEDICARE,MEDICARE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,NOVA NET,NOVA NET,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,PEACHSTATE,PEACHSTATE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,SELFPAY,SELFPAY,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,TRICARE,TRICARE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN 50MG SUPP,A9270,CPT,both,,,52,52,UHC MEDICARE,UHC MEDICARE,,52,,fee schedule,52,45.24,52,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOCIN SR CAPS 75MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INDOMETHACIN CAPS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,AETNA,AETNA,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,UNITED HEALTHCARE,UNITED HEALTHCARE,,57.2,88,percent of total billed charges,57.2,56.55,65,percent of total billed charges,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,AETNA,AETNA,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,ALLIANT,ALLIANT,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,AMBETTER,AMBETTER,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,BEECH STREET,BEECH STREET,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,MEDICAID,MEDICAID,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,MEDICARE,MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,NOVA NET,NOVA NET,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,SELFPAY,SELFPAY,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,TRICARE,TRICARE,,65,,fee schedule,65,56.55,65,fee schedule,
INVEGA 3 MG TAB,A9270,CPT,both,,,65,65,UHC MEDICARE,UHC MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,97.44,112,percent of total billed charges,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,97.44,112,percent of total billed charges,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,97.44,112,percent of total billed charges,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,ALLIANT,ALLIANT,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,AMBETTER,AMBETTER,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,MEDICARE,MEDICARE,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,TRICARE,TRICARE,,112,,fee schedule,112,97.44,112,fee schedule,
IODOSORB GEL 40GM,A9270,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,112,,fee schedule,112,97.44,112,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,127.02,146,percent of total billed charges,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,127.02,146,percent of total billed charges,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,127.02,146,percent of total billed charges,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,ALLIANT,ALLIANT,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,AMBETTER,AMBETTER,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,MEDICARE,MEDICARE,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,TRICARE,TRICARE,,146,,fee schedule,146,127.02,146,fee schedule,
ISENTRESS 400MG TABLET,A9270,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,146,,fee schedule,146,127.02,146,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISMO TAB 20MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISONIAZID TABS 300MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ISOSORBIDE DINITRATE TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 10MG TAB,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
JARDIANCE 25MG TAB,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
KAOCHLOR-S-F 10% 5ML,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-DUR 20MEG. TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 25MG/5ML UD,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX 500MG CAPS,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KEFLEX CAPS 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,82.65,95,percent of total billed charges,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,ALLIANT,ALLIANT,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,AMBETTER,AMBETTER,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,MEDICARE,MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,TRICARE,TRICARE,,95,,fee schedule,95,82.65,95,fee schedule,
KENALOG IN ORABASE 5GM,A9270,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPPRA ORAL SOLN 500MG/5M,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
KEPRA 500MG TAB,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 0.5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
KLONOPIN TABS 1MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LOR POWDER 20MEQ,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
K-LYTE TABS 25MEQ,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LACRI-LUBE OPH OINT,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX GRANULES,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LACTINEX TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LACTINEX TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LACTINEX TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTINEX TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
LACTULOSE 10GM/15ML 30ML,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 100MG TAB,A9270,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 150MG TAB,A9270,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMICTAL 25MG TAB,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,65.25,75,percent of total billed charges,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,ALLIANT,ALLIANT,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,AMBETTER,AMBETTER,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,MEDICARE,MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,TRICARE,TRICARE,,75,,fee schedule,75,65.25,75,fee schedule,
LAMISIL TAB 250MG,A9270,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.125MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANOXIN 0.25MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
LANSINOH BREAST CREAM 7GM,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
LANTUS INSULIN U-100 1 DO,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LASIX ORAL SOLN 60CC,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEUKERAN TABS 2MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVAQUIN 500MG TAB,A9270,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
LEVBID ER TABS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
LEVBID ER TABS,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
LEVBID ER TABS,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVBID ER TABS,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 125MCG; UD,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID 25MCG. TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOTHROID TABS 0.2MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVOXYL 137MCG TABLET,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN DROPS 15ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN ELIXIR 5CC,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEVSIN/SL TAB 0.125MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 10MG TABLET,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LEXAPRO 20MG,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIBRIUM CAPS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDEX CREAM 0.05% 15GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
LIDODERM 5% PATCH,A9270,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIORESAL TABS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR 10MG TAB,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
LIPITOR TAB 40MG,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LITHOBID TAB 300MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,53.94,62,percent of total billed charges,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,53.94,62,fee schedule,
LIZNESS 145 MCG CAP,A9270,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPID TABS 600MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR 25 MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPRESSOR TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
LOPROX CREAM 1% 15GM,A9270,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 0.5MG TABS,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 1MG TABS,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,AETNA,AETNA,,114.84,87,percent of total billed charges,114.84,114.84,132,percent of total billed charges,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114.84,87,percent of total billed charges,114.84,114.84,132,percent of total billed charges,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,UNITED HEALTHCARE,UNITED HEALTHCARE,,116.16,88,percent of total billed charges,116.16,114.84,132,percent of total billed charges,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,AETNA,AETNA,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,ALLIANT,ALLIANT,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,AMBETTER,AMBETTER,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,BEECH STREET,BEECH STREET,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,MEDICAID,MEDICAID,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,MEDICARE,MEDICARE,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,NOVA NET,NOVA NET,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,SELFPAY,SELFPAY,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,TRICARE,TRICARE,,132,,fee schedule,132,114.84,132,fee schedule,
LORAZEPAM 2 MG/ML ORAL CO,A9270,CPT,both,,,132,132,UHC MEDICARE,UHC MEDICARE,,132,,fee schedule,132,114.84,132,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
LOSARTAN K+ 50 MG TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN CREAM 1% 15GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRIMIN SOLN 1% 30ML,A9270,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,AETNA,AETNA,,45.24,87,percent of total billed charges,45.24,45.24,52,percent of total billed charges,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45.24,87,percent of total billed charges,45.24,45.24,52,percent of total billed charges,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,UNITED HEALTHCARE,UNITED HEALTHCARE,,45.76,88,percent of total billed charges,45.76,45.24,52,percent of total billed charges,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,AETNA,AETNA,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,ALLIANT,ALLIANT,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,AMBETTER,AMBETTER,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,BEECH STREET,BEECH STREET,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,CARESOURCE,CARESOURCE,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,MEDICAID,MEDICAID,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,MEDICARE,MEDICARE,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,NOVA NET,NOVA NET,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,PEACHSTATE,PEACHSTATE,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,SELFPAY,SELFPAY,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,TRICARE,TRICARE,,52,,fee schedule,52,45.24,52,fee schedule,
LOTRISONE CREAM 15GM,A9270,CPT,both,,,52,52,UHC MEDICARE,UHC MEDICARE,,52,,fee schedule,52,45.24,52,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LOZOL 1.25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUBRIDERM LOTION 473ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUGOL'S SOLUTION,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 1MG TAB,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
LUNESTA 3MG TAB,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 25MG CAP,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
LYRICA 75MG CAP,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MACROBID CAP 100MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MACRODANTIN CAPS 50MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MAGNESIUM CITRATE 10 OZ,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAG-OX 400 TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,AETNA,AETNA,,93.96,87,percent of total billed charges,93.96,93.96,108,percent of total billed charges,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93.96,87,percent of total billed charges,93.96,93.96,108,percent of total billed charges,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.04,88,percent of total billed charges,95.04,93.96,108,percent of total billed charges,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,AETNA,AETNA,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,ALLIANT,ALLIANT,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,AMBETTER,AMBETTER,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,BEECH STREET,BEECH STREET,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,MEDICAID,MEDICAID,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,MEDICARE,MEDICARE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,NOVA NET,NOVA NET,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,SELFPAY,SELFPAY,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,TRICARE,TRICARE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXALT-MLT 10MG TAB,A9270,CPT,both,,,108,108,UHC MEDICARE,UHC MEDICARE,,108,,fee schedule,108,93.96,108,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH 5ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXITROL OPH OINT,A9270,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MAXZIDE-25 TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MECLIZINE TABS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL DOSEPACK 21'S,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROL TABS 4MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE 2.5MG,A9270,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEDROXYPROGESTERONE ACETA,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MEGACE TABS 40MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPERIDINE TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MEPHYTON TABS 5MG,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MESTINON TABS 60MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL CAP .52GM,A9270,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METAMUCIL PACKS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHADONE 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHADONE 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METHADONE 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHADONE TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
METHERGINE TABS 0.2MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHIMAZOLE 5MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
METHOTREXATE TABS 2.5MG,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METHYLDOPA TABS 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METOCLOPRAMIDE TAB 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,120.06,138,percent of total billed charges,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,120.06,138,percent of total billed charges,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,120.06,138,percent of total billed charges,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,ALLIANT,ALLIANT,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,AMBETTER,AMBETTER,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,MEDICARE,MEDICARE,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,TRICARE,TRICARE,,138,,fee schedule,138,120.06,138,fee schedule,
METROGEL VAG 0.75%; 70GM,A9270,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,138,,fee schedule,138,120.06,138,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
METRONIDAZOLE 500MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MEXITIL CAPS 150MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
MGW ENEMA,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
MGW ENEMA,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
MGW ENEMA,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
MGW ENEMA,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MILK OF MAGNESIA SUSP,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL HEAVY,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
MINERAL OIL STERILE 10ML,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 1MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MINIPRESS CAPS 5MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 100MG,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOCIN CAPS 50MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 10MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MINOXIDIL 2.5MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRALAX POWDER 17GM UD,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRAPEX 0.5MG TAB,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MIRTAZAPINE 15MG 30S,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MITROLAN TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MITROLAN TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MITROLAN TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MITROLAN TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
MOBIC 7.5MG TAB,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MODIFIED DAKINS SOLUTION,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 3 VAG SUPP 3'S 2,A9270,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT 7VAG CREAM 47GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT DERM 15GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONISTAT VAG TABS 7'S,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MONOPRIL 10 MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TAB 15MG; RN,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MS CONTIN TABS 30MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX 600MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MUCINEX GRANULES 100MG PA,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTAQ 400 MG TAB,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MULTIVITAMIN TABS W/MINER,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO #128 OPH OINT,A9270,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
MURO 128 5% OPH COLN; 15M,A9270,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MYAMBUTOL TABS 400MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCELEX TROCHE 10MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,59.16,68,percent of total billed charges,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,59.16,68,percent of total billed charges,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,59.16,68,percent of total billed charges,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,ALLIANT,ALLIANT,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,AMBETTER,AMBETTER,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,MEDICARE,MEDICARE,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,TRICARE,TRICARE,,68,,fee schedule,68,59.16,68,fee schedule,
MYCOSTATIN PWDR 15GM,A9270,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,68,,fee schedule,68,59.16,68,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLANTA SUSP 30ML UD,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON DROPS 30ML,A9270,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYLICON TABS 80MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,AETNA,AETNA,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56.55,87,percent of total billed charges,56.55,56.55,65,percent of total billed charges,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,UNITED HEALTHCARE,UNITED HEALTHCARE,,57.2,88,percent of total billed charges,57.2,56.55,65,percent of total billed charges,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,AETNA,AETNA,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,ALLIANT,ALLIANT,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,AMBETTER,AMBETTER,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,BEECH STREET,BEECH STREET,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,MEDICAID,MEDICAID,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,MEDICARE,MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,NOVA NET,NOVA NET,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,SELFPAY,SELFPAY,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,TRICARE,TRICARE,,65,,fee schedule,65,56.55,65,fee schedule,
MYRBETRIQ 25MG ER TAB,A9270,CPT,both,,,65,65,UHC MEDICARE,UHC MEDICARE,,65,,fee schedule,65,56.55,65,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
MYSOLINE TABS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 10MG TAB,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAMENDA 5MG TAB 60S,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NAPROSYN TABS 500MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEILMED SINUS RINSE KIT,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEOMYCIN SULFATE TABS 500,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NEORAL 25MG CAP,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 0.9GM,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OINT 1 OZ,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,64,percent of total billed charges,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH 10ML,A9270,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
NEOSPORIN OPH OINT,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NASAL SP 1,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEO-SYNEPHRINE NOSE DROPS,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEPHRO-VITE TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 300MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
NEURONTIN CAP 400 MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEUTRA-PHOS CAPS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NEWMAN'S NIPPLE CREAM 0.5,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NIACIN 100MG TABLET,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
NIASPAN 500MG SA,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NICO-BID CAPS 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 1,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 2 KIT 14,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
NICODERM CQ STEP 3,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
NIFEDIPINE 10MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 10MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROGLYCERINE PATCH 5MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROL OINT 2% 3GM UD,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,147.03,169,percent of total billed charges,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,ALLIANT,ALLIANT,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,AMBETTER,AMBETTER,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,MEDICARE,MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,TRICARE,TRICARE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROLINGUAL SPRAY,A9270,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NITROSTAT SL TABS 0.4MG 2,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,42.63,49,percent of total billed charges,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,42.63,49,fee schedule,
NIX SHAMPOO 60CC,A9270,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,32.19,37,percent of total billed charges,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL CR. 2% 15GM,A9270,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
NIZORAL TABS 200MG,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
NOLVADEX 20MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,7.83,9,percent of total billed charges,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,7.83,9,percent of total billed charges,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5-325MG TABLET,A9270,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,7.83,9,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
NORCO 5MG/325MG ER #3,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NORFLEX TABS 100MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TAB 10MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NORPRAMIN TABS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 10MG; TAB UD,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
NORVASC 5MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NUCYNTA TAB 50MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
NUVIGIL 250 MG TAB,A9270,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN CM 15GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN OINT 15GM,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN SUSP 60CC,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN TRIAMC OINT 15GM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,67.86,78,percent of total billed charges,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,67.86,78,percent of total billed charges,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,67.86,78,percent of total billed charges,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,ALLIANT,ALLIANT,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,AMBETTER,AMBETTER,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,MEDICARE,MEDICARE,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,TRICARE,TRICARE,,78,,fee schedule,78,67.86,78,fee schedule,
NYSTATIN-TRIAMCINOLONE 15,A9270,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,78,,fee schedule,78,67.86,78,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
OCEAN NASAL MIST 45ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
OGEN TAB 0.625MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
OMNICEF 300MG CAPSULE,A9270,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ORAPRED SYRUP 15MG/5ML UD,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
ORA-SWEET 5ML,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,48,percent of total billed charges,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,48,fee schedule,
OSPHENA 60MG TAB,A9270,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCODONE IR 15MG TABLET,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN 20 MG TAB,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYCONTIN TAB 10MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
OXYIR CAP 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PAMELOR CAPS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PARLODEL TABS 2.5MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,181.83,209,percent of total billed charges,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,ALLIANT,ALLIANT,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,AMBETTER,AMBETTER,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,MEDICARE,MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,TRICARE,TRICARE,,209,,fee schedule,209,181.83,209,fee schedule,
PATADAY OPH 0.2% 2.5 ML,A9270,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,AETNA,AETNA,,160.95,87,percent of total billed charges,160.95,160.95,185,percent of total billed charges,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.95,87,percent of total billed charges,160.95,160.95,185,percent of total billed charges,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,UNITED HEALTHCARE,UNITED HEALTHCARE,,162.8,88,percent of total billed charges,162.8,160.95,185,percent of total billed charges,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,AETNA,AETNA,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,ALLIANT,ALLIANT,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,AMBETTER,AMBETTER,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,BEECH STREET,BEECH STREET,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,CARESOURCE,CARESOURCE,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,MEDICAID,MEDICAID,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,MEDICARE,MEDICARE,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,NOVA NET,NOVA NET,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,PEACHSTATE,PEACHSTATE,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,SELFPAY,SELFPAY,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,TRICARE,TRICARE,,185,,fee schedule,185,160.95,185,fee schedule,
PATANOL 0.1% OPH 5ML,A9270,CPT,both,,,185,185,UHC MEDICARE,UHC MEDICARE,,185,,fee schedule,185,160.95,185,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
PAXIL 20MG TAB,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK SOLN 125/5 1,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PENCILLIN VK TABS 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PENTASA SA 250MG CAP,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPCID 20MG TABS,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PEPTO BISMOL SUSP 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 10MG/325MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 5/325MG TAB (ER,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET 7.5MG/325MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PERCOCET TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PERCOCET TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PERCOCET TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERCOCET TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIACTIN TABS 4MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PERIDEX ORAL RINSE; 473ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHAZYME-125,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHAZYME-125,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHAZYME-125,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHAZYME-125,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENAZOPYRIDINE HCL TAB 1,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP 12.5MG,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SUPP. 25MG,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN SYR 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENERGAN TABS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL ELIXIR,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 30MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHENOBARBITAL TABS 60MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PHOSLO GELCAPS 667MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
PILOCAR OPH 2% 15ML,A9270,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PIN-X 50MG/ML SUSPENSION,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAQUENIL TABS,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,AETNA,AETNA,,101.79,87,percent of total billed charges,101.79,101.79,117,percent of total billed charges,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101.79,87,percent of total billed charges,101.79,101.79,117,percent of total billed charges,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.96,88,percent of total billed charges,102.96,101.79,117,percent of total billed charges,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,AETNA,AETNA,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,ALLIANT,ALLIANT,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,AMBETTER,AMBETTER,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,BEECH STREET,BEECH STREET,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,MEDICAID,MEDICAID,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,MEDICARE,MEDICARE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,NOVA NET,NOVA NET,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,SELFPAY,SELFPAY,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,TRICARE,TRICARE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 300MG TAB,A9270,CPT,both,,,117,117,UHC MEDICARE,UHC MEDICARE,,117,,fee schedule,117,101.79,117,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
PLAVIX 75MG,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
PLAVIX 75MG,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
PLAVIX 75MG,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
PLAVIX 75MG,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLENDIL 20MG TAB,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 100MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
PLETAL 50MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OINT 1 OZ,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,73.95,85,percent of total billed charges,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,73.95,85,percent of total billed charges,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,73.95,85,percent of total billed charges,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,ALLIANT,ALLIANT,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,AMBETTER,AMBETTER,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,MEDICARE,MEDICARE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,TRICARE,TRICARE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYSPORIN OPH OINT,A9270,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,85,,fee schedule,85,73.95,85,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,32.19,37,percent of total billed charges,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,32.19,37,percent of total billed charges,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,32.19,37,fee schedule,
POLYTRIM OPH SOLN: 10ML,A9270,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,32.19,37,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,AETNA,AETNA,,1.74,87,percent of total billed charges,1.74,1.74,2,percent of total billed charges,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1.74,87,percent of total billed charges,1.74,1.74,2,percent of total billed charges,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,UNITED HEALTHCARE,UNITED HEALTHCARE,,1.76,88,percent of total billed charges,1.76,1.74,2,percent of total billed charges,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,AETNA,AETNA,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,ALLIANT,ALLIANT,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,AMBETTER,AMBETTER,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,BEECH STREET,BEECH STREET,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,CARESOURCE,CARESOURCE,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,MEDICAID,MEDICAID,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,MEDICARE,MEDICARE,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,NOVA NET,NOVA NET,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,SELFPAY,SELFPAY,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,TRICARE,TRICARE,,2,,fee schedule,2,1.74,2,fee schedule,
PRAZOSIN HCL 5MG CAP,A9270,CPT,both,,,2,2,UHC MEDICARE,UHC MEDICARE,,2,,fee schedule,2,1.74,2,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PRED FORTE OPH 1% 5ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,AETNA,AETNA,,0.87,87,percent of total billed charges,0.87,0.87,1,percent of total billed charges,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,0.87,87,percent of total billed charges,0.87,0.87,1,percent of total billed charges,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,UNITED HEALTHCARE,UNITED HEALTHCARE,,0.88,88,percent of total billed charges,0.88,0.87,1,percent of total billed charges,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,AETNA,AETNA,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,ALLIANT,ALLIANT,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,AMBETTER,AMBETTER,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,BEECH STREET,BEECH STREET,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,MEDICAID,MEDICAID,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,MEDICARE,MEDICARE,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,NOVA NET,NOVA NET,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,PEACHSTATE,PEACHSTATE,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,SELFPAY,SELFPAY,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,TRICARE,TRICARE,,1,,fee schedule,1,0.87,1,fee schedule,
PREGABALIN 100 MG CAP,A9270,CPT,both,,,1,1,UHC MEDICARE,UHC MEDICARE,,1,,fee schedule,1,0.87,1,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN 0.45MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.3MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN TABS 0.625MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMARIN VAG CREAM 1 1/2,A9270,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PREMPRO 0.45MG/1.5MG TAB,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PRENATAL 19 TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PREPARATION-H OINT 2 OZ,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,AETNA,AETNA,,1464.21,87,percent of total billed charges,1464.21,1464.21,1683,percent of total billed charges,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1464.21,87,percent of total billed charges,1464.21,1464.21,1683,percent of total billed charges,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,UNITED HEALTHCARE,UNITED HEALTHCARE,,1481.04,88,percent of total billed charges,1481.04,1464.21,1683,percent of total billed charges,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,AETNA,AETNA,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,ALLIANT,ALLIANT,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,AMBETTER,AMBETTER,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,BEECH STREET,BEECH STREET,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,CARESOURCE,CARESOURCE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,MEDICAID,MEDICAID,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,MEDICARE,MEDICARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,NOVA NET,NOVA NET,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,PEACHSTATE,PEACHSTATE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,SELFPAY,SELFPAY,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,TRICARE,TRICARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PREZISTA 400MG TABLET,A9270,CPT,both,,,1683,1683,UHC MEDICARE,UHC MEDICARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
PRISTIQ 50 MG TAB,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
PROAMATINE 5MG TAB,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROBANTHINE TABS 15MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCARDIA XL 90MG TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCAROLA XL 30MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCHLORPERAZINE 5MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,78.3,90,percent of total billed charges,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,78.3,90,percent of total billed charges,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,78.3,90,percent of total billed charges,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,ALLIANT,ALLIANT,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,AMBETTER,AMBETTER,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,MEDICARE,MEDICARE,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,TRICARE,TRICARE,,90,,fee schedule,90,78.3,90,fee schedule,
PROCTOFOAM 15GM,A9270,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,90,,fee schedule,90,78.3,90,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGESTERONE 200MG CAP,A9270,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROGRAF 1MG CAP,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPAFENONE 150MG TAB,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROPYLTHIOURACIL TABS 50M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
PROSCAR 5MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 20MG TAB,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROTONIX 40MG TAB,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
PROVIGIL 200MG TABLET,A9270,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC 20MG; 1/2 X 20MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PROZAC CAPS 20MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PSEUDOEPHEDRINE 30MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRAZINAMIDE 500MG TAB,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PYRIDOXINE 25MG TABLET,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
QUESTRAN POWDER PACKS,A9270,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
RAPAFLO 8MG CAP,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFEN 750 MG TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
RELAFIN 500MG TAB,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
REMERON SOLTAB 15MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
REMINYL 4MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
RENVELA 0.8GM PAK (ORAL M,A9270,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 0.25MG TAB,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
REQUIP 1MG TAB,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTASIS OPH 0.05% 32X0.4,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
RESTORIL 15MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
RESTORIL 15MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
RESTORIL 15MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL 15MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,AETNA,AETNA,,45.24,87,percent of total billed charges,45.24,45.24,52,percent of total billed charges,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45.24,87,percent of total billed charges,45.24,45.24,52,percent of total billed charges,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,UNITED HEALTHCARE,UNITED HEALTHCARE,,45.76,88,percent of total billed charges,45.76,45.24,52,percent of total billed charges,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,AETNA,AETNA,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,ALLIANT,ALLIANT,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,AMBETTER,AMBETTER,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,BEECH STREET,BEECH STREET,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,CARESOURCE,CARESOURCE,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,MEDICAID,MEDICAID,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,MEDICARE,MEDICARE,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,NOVA NET,NOVA NET,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,PEACHSTATE,PEACHSTATE,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,SELFPAY,SELFPAY,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,TRICARE,TRICARE,,52,,fee schedule,52,45.24,52,fee schedule,
RESTORIL CAP 7.5MG,A9270,CPT,both,,,52,52,UHC MEDICARE,UHC MEDICARE,,52,,fee schedule,52,45.24,52,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,AETNA,AETNA,,54.81,87,percent of total billed charges,54.81,54.81,63,percent of total billed charges,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54.81,87,percent of total billed charges,54.81,54.81,63,percent of total billed charges,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,UNITED HEALTHCARE,UNITED HEALTHCARE,,55.44,88,percent of total billed charges,55.44,54.81,63,percent of total billed charges,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,AETNA,AETNA,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,ALLIANT,ALLIANT,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,AMBETTER,AMBETTER,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,BEECH STREET,BEECH STREET,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,CARESOURCE,CARESOURCE,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,MEDICAID,MEDICAID,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,MEDICARE,MEDICARE,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,NOVA NET,NOVA NET,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,PEACHSTATE,PEACHSTATE,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,SELFPAY,SELFPAY,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,TRICARE,TRICARE,,63,,fee schedule,63,54.81,63,fee schedule,
REVATIO 20MG 90S TAB,A9270,CPT,both,,,63,63,UHC MEDICARE,UHC MEDICARE,,63,,fee schedule,63,54.81,63,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,78.3,90,percent of total billed charges,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,78.3,90,percent of total billed charges,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,78.3,90,percent of total billed charges,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,ALLIANT,ALLIANT,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,AMBETTER,AMBETTER,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,MEDICARE,MEDICARE,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,TRICARE,TRICARE,,90,,fee schedule,90,78.3,90,fee schedule,
REYATAZ 150MG CAP,A9270,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,90,,fee schedule,90,78.3,90,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN 150MG CAP,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
RIFAMPIN CAPS 300MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.25MG TAB,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 0.5MG TAB,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,42.63,49,percent of total billed charges,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,42.63,49,fee schedule,
RISPERDAL 2MG TAB,A9270,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
RITALIN TABS 5MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
RIVASTIGMINE TARTRATE 3 M,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBAXIN TABS 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROBITUSSIN-AC 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ROCALTROL CAP 0.25MCG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROXANOL 2OMG/ML DOSE,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,AETNA,AETNA,,1290.21,87,percent of total billed charges,1290.21,1290.21,1483,percent of total billed charges,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1290.21,87,percent of total billed charges,1290.21,1290.21,1483,percent of total billed charges,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,UNITED HEALTHCARE,UNITED HEALTHCARE,,1305.04,88,percent of total billed charges,1305.04,1290.21,1483,percent of total billed charges,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,AETNA,AETNA,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,ALLIANT,ALLIANT,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,AMBETTER,AMBETTER,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,BEECH STREET,BEECH STREET,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,CARESOURCE,CARESOURCE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,MEDICAID,MEDICAID,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,MEDICARE,MEDICARE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,NOVA NET,NOVA NET,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,PEACHSTATE,PEACHSTATE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,SELFPAY,SELFPAY,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,TRICARE,TRICARE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SAMSCA 15MG TAB,A9270,CPT,both,,,1483,1483,UHC MEDICARE,UHC MEDICARE,,1483,,fee schedule,1483,1290.21,1483,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,140.94,162,percent of total billed charges,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,140.94,162,fee schedule,
SANTYL OINT 30GM,A9270,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
SARNA LOTION 7.5 OZ,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT - S TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT SYRUP,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SENOKOT TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SENOKOT TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SENOKOT TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENOKOT TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,63.51,73,percent of total billed charges,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,ALLIANT,ALLIANT,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,AMBETTER,AMBETTER,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,MEDICARE,MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,TRICARE,TRICARE,,73,,fee schedule,73,63.51,73,fee schedule,
SENSIPAR 30MG TABLET,A9270,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 100MG TAB,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
SEROQUEL 25MG TAB,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
SILVER SULFADIAZINE CR 50,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET CR 25-100MG 100S,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 10/100,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/100,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEMET TABS 25/250,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 10MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 25MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINEQUAN CAPS 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR CHEW TAB 5MG,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,22.62,26,percent of total billed charges,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,22.62,26,percent of total billed charges,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SINGULAIR TAB 10MG,A9270,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,22.62,26,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
SKELAXIN 800MG TABLET,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
SOD POLYSTRENE SULF. 15GM,A9270,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SODIUM BICARBONATE 325MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SOLFOTON TABS/PHENOBARB 1,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SORBITOL SON 70% 5ML,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
STARLIX 120MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
STRATTERA 25MG CAP,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
STRESSTABS 600/ZINC,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
SUBOXONE 2MG/0.5MG TABLET,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,AETNA,AETNA,,286.23,87,percent of total billed charges,286.23,286.23,329,percent of total billed charges,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,286.23,87,percent of total billed charges,286.23,286.23,329,percent of total billed charges,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,UNITED HEALTHCARE,UNITED HEALTHCARE,,289.52,88,percent of total billed charges,289.52,286.23,329,percent of total billed charges,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,AETNA,AETNA,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,ALLIANT,ALLIANT,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,AMBETTER,AMBETTER,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,BEECH STREET,BEECH STREET,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,CARESOURCE,CARESOURCE,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,MEDICAID,MEDICAID,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,MEDICARE,MEDICARE,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,NOVA NET,NOVA NET,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,PEACHSTATE,PEACHSTATE,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,SELFPAY,SELFPAY,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,TRICARE,TRICARE,,329,,fee schedule,329,286.23,329,fee schedule,
SUPREP BOWEL PREP,A9270,CPT,both,,,329,329,UHC MEDICARE,UHC MEDICARE,,329,,fee schedule,329,286.23,329,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYMMETREL CAPS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 0.075 MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID 88MCG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME .05M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME 0.1M,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID BRAND NAME TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
SYNTHROID TAB 112MCG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMBOCOR TABS 100MG,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,47.85,55,percent of total billed charges,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU 75MG CAP,A9270,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,63.51,73,percent of total billed charges,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,ALLIANT,ALLIANT,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,AMBETTER,AMBETTER,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,MEDICARE,MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,TRICARE,TRICARE,,73,,fee schedule,73,63.51,73,fee schedule,
TAMIFLU SUSP 6MG/ML (30MG,A9270,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL CHEW TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL SUSP 100MG/5ML 5,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL TABS 200MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEGRETOL-XR 100MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TEKTURNA 150MG TAB,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
TEMOVATE CR 0.05% 30GM,A9270,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TEN-K 10MEQ TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TENORMIN TAB 50MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,77.43,89,percent of total billed charges,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,77.43,89,percent of total billed charges,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,77.43,89,percent of total billed charges,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,ALLIANT,ALLIANT,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,AMBETTER,AMBETTER,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,MEDICARE,MEDICARE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,TRICARE,TRICARE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 3 VAG CR ; 20GM,A9270,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,89,,fee schedule,89,77.43,89,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,AETNA,AETNA,,101.79,87,percent of total billed charges,101.79,101.79,117,percent of total billed charges,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101.79,87,percent of total billed charges,101.79,101.79,117,percent of total billed charges,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.96,88,percent of total billed charges,102.96,101.79,117,percent of total billed charges,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,AETNA,AETNA,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,ALLIANT,ALLIANT,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,AMBETTER,AMBETTER,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,BEECH STREET,BEECH STREET,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,MEDICAID,MEDICAID,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,MEDICARE,MEDICARE,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,NOVA NET,NOVA NET,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,SELFPAY,SELFPAY,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,TRICARE,TRICARE,,117,,fee schedule,117,101.79,117,fee schedule,
TERAZOL 7 VAGINAL CM: 45M,A9270,CPT,both,,,117,117,UHC MEDICARE,UHC MEDICARE,,117,,fee schedule,117,101.79,117,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TESSALON PERLES 100MG CAP,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TETRACYCLINE CAPS 250MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THEO-DUR TABS 300MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THERMOTAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THERMOTAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
THERMOTAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THERMOTAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
THIAMINE HCL TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TIKOSYN 125MCG CAP,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,99.18,114,percent of total billed charges,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,99.18,114,percent of total billed charges,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,99.18,114,percent of total billed charges,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,ALLIANT,ALLIANT,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,AMBETTER,AMBETTER,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,MEDICARE,MEDICARE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,TRICARE,TRICARE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRADEX OPH OINT 3.5GM,A9270,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,114,,fee schedule,114,99.18,114,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,71.34,82,percent of total billed charges,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBRAMYCIN-DEXAMETHASONE,A9270,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,71.34,82,percent of total billed charges,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOBREX OPH 0.3% 5ML,A9270,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 100MG TAB,A9270,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPAMAX 50MG TAB,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL 25MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TOPROL XL TAB 50MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TORADL TAB 10MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,309.72,356,percent of total billed charges,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,ALLIANT,ALLIANT,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,AMBETTER,AMBETTER,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,MEDICARE,MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,TRICARE,TRICARE,,356,,fee schedule,356,309.72,356,fee schedule,
TRADJENTA 5MG TABLETS,A9270,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRAMADOL HCL 50 MG TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANDATE TABS 200MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,46.98,54,percent of total billed charges,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,46.98,54,fee schedule,
TRANSDERM-SCOP,A9270,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,AETNA,AETNA,,180.09,87,percent of total billed charges,180.09,180.09,207,percent of total billed charges,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.09,87,percent of total billed charges,180.09,180.09,207,percent of total billed charges,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,UNITED HEALTHCARE,UNITED HEALTHCARE,,182.16,88,percent of total billed charges,182.16,180.09,207,percent of total billed charges,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,AETNA,AETNA,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,ALLIANT,ALLIANT,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,AMBETTER,AMBETTER,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,BEECH STREET,BEECH STREET,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,MEDICAID,MEDICAID,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,MEDICARE,MEDICARE,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,NOVA NET,NOVA NET,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,SELFPAY,SELFPAY,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,TRICARE,TRICARE,,207,,fee schedule,207,180.09,207,fee schedule,
TRAVATAN Z OPH 2.5ML,A9270,CPT,both,,,207,207,UHC MEDICARE,UHC MEDICARE,,207,,fee schedule,207,180.09,207,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRENTAL TABS 400MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% CREAM,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE 0.1% OINT 1,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMCINOLONE CR 0.1% 80G,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,79.17,91,percent of total billed charges,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,79.17,91,percent of total billed charges,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,79.17,91,percent of total billed charges,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,79.17,91,fee schedule,
TRIAMINOLONE ACETONIDE .1,A9270,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,79.17,91,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 160MG TAB,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TRICOR 48MG TAB,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 150MG TAB,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRILEPTAL 300MG/5ML SUSPE,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRIMPEX TABS 100MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TRONOLANE CREAM 1 OZ,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TUCK'S PADS 40'S,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TUMS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TUMS 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TUMS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUMS 500MG  TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TUSSIONEX SUSP 5ML,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL #3 ER3,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL 500MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL DROPS 15ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL ES CAPLETS 500MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 3 TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL NO 4 TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 160MG 5ML UD,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL OS 650MG 20.3ML U,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL TABS 325MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
TYLENOL/CODEINE OS 120MG/,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
ULORIC 40MG TAB,A9270,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ULTRACET TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ULTRACET TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ULTRACET TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRACET TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ULTRAM 50MG TABS ER#3,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
URISPAS TABS 100MG,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
UROCIT-K 10 TAB,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
UROXATRAL 10MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VAGISIL CREME; 60MG,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VALISONE OINT 15GM,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 1GM TAB,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
VALTREX 500MG TAB,A9270,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,115.71,133,percent of total billed charges,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,ALLIANT,ALLIANT,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,AMBETTER,AMBETTER,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,MEDICARE,MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,TRICARE,TRICARE,,133,,fee schedule,133,115.71,133,fee schedule,
VANCOMYCIN 250MG/7.5ML OR,A9270,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,53.07,61,percent of total billed charges,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,53.07,61,percent of total billed charges,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,53.07,61,percent of total billed charges,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,ALLIANT,ALLIANT,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,AMBETTER,AMBETTER,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,MEDICARE,MEDICARE,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,TRICARE,TRICARE,,61,,fee schedule,61,53.07,61,fee schedule,
VENTOLIN HFA 8 GM INHALER,A9270,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,61,,fee schedule,61,53.07,61,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL 120MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 180MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,20,percent of total billed charges,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,20,percent of total billed charges,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,20,fee schedule,
VERAPAMIL SR 240MG TABS,A9270,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,20,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VERELAN PM 100MG CAP,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,29,percent of total billed charges,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,29,percent of total billed charges,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,29,fee schedule,
VESICARE 5MG TAB,A9270,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,29,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VICKS VAPORUB 3 OZ.,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VICOPROFEN TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
VIMPAT 100MG TAB,A9270,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,63.51,73,percent of total billed charges,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,ALLIANT,ALLIANT,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,AMBETTER,AMBETTER,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,MEDICARE,MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,TRICARE,TRICARE,,73,,fee schedule,73,63.51,73,fee schedule,
VIREAD 300MG 30 TABLET,A9270,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VISINE OPH 15ML,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
VITAMIN E CAPS 400 I.U.,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,53.94,62,percent of total billed charges,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN  GEL 1% TOP,A9270,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
VOLTAREN TAB 75 MG,A9270,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCHOL 625MG TAB,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
WELCOVORIN TABS 5MG,A9270,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN 100MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,19.14,22,percent of total billed charges,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,19.14,22,percent of total billed charges,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 100MG TAB,A9270,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,19.14,22,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN SR 150MG TAB,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN TAB 75MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 150MG TAB,A9270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
WELLBUTRIN XL 300MG TAB,A9270,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,139.2,160,percent of total billed charges,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,139.2,160,fee schedule,
XALATAN OPH 0.005% 2.5 ML,A9270,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX .25MG TABS,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
XANAX 1MG TABS,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,94.83,109,percent of total billed charges,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,94.83,109,fee schedule,
XIFAXAN TAB 550MG,A9270,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 0.63MG/3ML NEB SO,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,23.49,27,percent of total billed charges,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,23.49,27,percent of total billed charges,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,23.49,27,fee schedule,
XOPENEX 1.25MG/3ML NEB SO,A9270,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,23.49,27,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 2% 100M,A9270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
XYLOCAINE VISCOUS 20ML,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,AETNA,AETNA,,187.92,87,percent of total billed charges,187.92,187.92,216,percent of total billed charges,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.92,87,percent of total billed charges,187.92,187.92,216,percent of total billed charges,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.08,88,percent of total billed charges,190.08,187.92,216,percent of total billed charges,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,AETNA,AETNA,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,ALLIANT,ALLIANT,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,AMBETTER,AMBETTER,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,BEECH STREET,BEECH STREET,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,MEDICAID,MEDICAID,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,MEDICARE,MEDICARE,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,NOVA NET,NOVA NET,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,SELFPAY,SELFPAY,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,TRICARE,TRICARE,,216,,fee schedule,216,187.92,216,fee schedule,
ZADITOR OPH 0.025% 5ML,A9270,CPT,both,,,216,216,UHC MEDICARE,UHC MEDICARE,,216,,fee schedule,216,187.92,216,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANAFLEX 4MG TAB,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZANTAC SYRUP,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZAROXOLYN TABS 5MG,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZEDSTRIL 5GM TAB UD,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 10/12.5,A9270,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTORETIC 20/12.5 TAB,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRETIC 20/25 TAB,A9270,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZESTRIL TAB 20MG,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20.01,87,percent of total billed charges,20.01,20.01,23,percent of total billed charges,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,UNITED HEALTHCARE,UNITED HEALTHCARE,,20.24,88,percent of total billed charges,20.24,20.01,23,percent of total billed charges,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,AETNA,AETNA,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,ALLIANT,ALLIANT,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,AMBETTER,AMBETTER,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,BEECH STREET,BEECH STREET,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,CARESOURCE,CARESOURCE,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,MEDICAID,MEDICAID,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,MEDICARE,MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,NOVA NET,NOVA NET,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,PEACHSTATE,PEACHSTATE,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,SELFPAY,SELFPAY,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,TRICARE,TRICARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZETIA 10MG TAB,A9270,CPT,both,,,23,23,UHC MEDICARE,UHC MEDICARE,,23,,fee schedule,23,20.01,23,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 10MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAC 5MG TAB,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,50,percent of total billed charges,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIAGEN 300MG TAB,A9270,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 250MG CAP,A9270,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,65.25,75,percent of total billed charges,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,ALLIANT,ALLIANT,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,AMBETTER,AMBETTER,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,MEDICARE,MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,TRICARE,TRICARE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX 600MG TABLET,A9270,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
ZITHROMAX SUSP 200MG 5ML,A9270,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,113.97,131,percent of total billed charges,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,113.97,131,percent of total billed charges,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,113.97,131,percent of total billed charges,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,ALLIANT,ALLIANT,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,AMBETTER,AMBETTER,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,MEDICARE,MEDICARE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,TRICARE,TRICARE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOFRAN ODT 4MG TAB,A9270,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,131,,fee schedule,131,113.97,131,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT 25MG TAB,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOLOFT TAB 50MG,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15.66,87,percent of total billed charges,15.66,15.66,18,percent of total billed charges,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,UNITED HEALTHCARE,UNITED HEALTHCARE,,15.84,88,percent of total billed charges,15.84,15.66,18,percent of total billed charges,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,AETNA,AETNA,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,ALLIANT,ALLIANT,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,AMBETTER,AMBETTER,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,BEECH STREET,BEECH STREET,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,CARESOURCE,CARESOURCE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,MEDICAID,MEDICAID,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,MEDICARE,MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,NOVA NET,NOVA NET,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,PEACHSTATE,PEACHSTATE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,SELFPAY,SELFPAY,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,TRICARE,TRICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX CAPS 200MG,A9270,CPT,both,,,18,18,UHC MEDICARE,UHC MEDICARE,,18,,fee schedule,18,15.66,18,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,280.14,322,percent of total billed charges,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,ALLIANT,ALLIANT,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,AMBETTER,AMBETTER,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,MEDICARE,MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,TRICARE,TRICARE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINT 5% 15GM,A9270,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,AETNA,AETNA,,176.61,87,percent of total billed charges,176.61,176.61,203,percent of total billed charges,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176.61,87,percent of total billed charges,176.61,176.61,203,percent of total billed charges,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,UNITED HEALTHCARE,UNITED HEALTHCARE,,178.64,88,percent of total billed charges,178.64,176.61,203,percent of total billed charges,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,AETNA,AETNA,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,ALLIANT,ALLIANT,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,AMBETTER,AMBETTER,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,BEECH STREET,BEECH STREET,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,MEDICAID,MEDICAID,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,MEDICARE,MEDICARE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,NOVA NET,NOVA NET,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,SELFPAY,SELFPAY,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,TRICARE,TRICARE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX OINTMENT 5% 3GM,A9270,CPT,both,,,203,203,UHC MEDICARE,UHC MEDICARE,,203,,fee schedule,203,176.61,203,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,9.57,11,percent of total billed charges,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,9.57,11,percent of total billed charges,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX SUSP 200MG/5ML,A9270,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,9.57,11,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZOVIRAX TAB 400MG,A9270,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ZULFIDINE TABS 500 MG,A9270,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,40.89,47,percent of total billed charges,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,40.89,47,percent of total billed charges,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 2.5MG,A9270,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,40.89,47,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,47.85,55,percent of total billed charges,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,47.85,55,percent of total billed charges,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA 5MG UD,A9270,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,47.85,55,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,AETNA,AETNA,,890.01,87,percent of total billed charges,890.01,890.01,1023,percent of total billed charges,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,890.01,87,percent of total billed charges,890.01,890.01,1023,percent of total billed charges,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,UNITED HEALTHCARE,UNITED HEALTHCARE,,900.24,88,percent of total billed charges,900.24,890.01,1023,percent of total billed charges,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,AETNA,AETNA,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,ALLIANT,ALLIANT,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,AMBETTER,AMBETTER,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,BEECH STREET,BEECH STREET,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,CARESOURCE,CARESOURCE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,MEDICAID,MEDICAID,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,MEDICARE,MEDICARE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,NOVA NET,NOVA NET,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,PEACHSTATE,PEACHSTATE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,SELFPAY,SELFPAY,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,TRICARE,TRICARE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYPREXA ZYDIS 5MG TAB (30,A9270,CPT,both,,,1023,1023,UHC MEDICARE,UHC MEDICARE,,1023,,fee schedule,1023,890.01,1023,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,19,percent of total billed charges,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,19,percent of total billed charges,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYRTEC 10MG TAB,A9270,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,19,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,377.58,434,percent of total billed charges,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,377.58,434,percent of total billed charges,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,377.58,434,percent of total billed charges,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,ALLIANT,ALLIANT,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,AMBETTER,AMBETTER,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,MEDICARE,MEDICARE,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,TRICARE,TRICARE,,434,,fee schedule,434,377.58,434,fee schedule,
ZYVOX 600MG TAB,A9270,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,434,,fee schedule,434,377.58,434,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oxymetazoline 0.05% Bottle,A9270,CPT,both,1,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIPiprazole 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Docosanol 10% Cream,A9270,CPT,both,2,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 160 mg/5 ml ud.cup,A9270,CPT,both,160,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg/20.3 ml ud.cup,A9270,CPT,both,650,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 25 gm/120 ml Bottle,A9270,CPT,both,25,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Charcoal/Sorbitol 50 gm/240 ml Bottle,A9270,CPT,both,50,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ursodiol 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pioglitazone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketorolac Tromethamine 0.5% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Allopurinol 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine Tartrate 0.1% OPTH SOLN  5 ML,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 0.25 mg Tab,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ALPRAZolam 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mg Hydrox/Al Hydrox/Simethicon 30 ML UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amantadine 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glimepiride 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Zolpidem 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
aMILoride 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amitriptyline,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin 875 mg Tablet,A9270,CPT,both,875,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ampicillin Trihydrate,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 500 mg Tab.Chew,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine 120-12 mg/5 ml ud.cup,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leflunomide,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Donepezil 5 mg tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Anastrozole,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ascorbic Acid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 300 mg Suppository,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg tablet,A9270,CPT,both,325,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 325 mg Tab.DR,A9270,CPT,both,325,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet.DR,A9270,CPT,both,81,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azelastine,A9270,CPT,both,16440,F2,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atenolol,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 400-57 MG/5 ML SUSP (U.D.),A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 500-125 MG TABLET,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 875-125 MG TABLET,A9270,CPT,both,875,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Amoxicillin/Clavulanate 600 MG/5 ML Suspension,A9270,CPT,both,600,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Amoxicillin/Clavulanate XR 1,000-62.5 MG TABLET",A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Microfibriller Collagen Hemostat (70MM X 70MM X1 MM),A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dutasteride,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride/Aloe Vera 14.1 GM TU,A9270,CPT,both,1,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azo Cranberry 1 TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dextrose 4 GM TAB.CHEW,A9270,CPT,both,4,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride 1 spr/ml Bottle,A9270,CPT,both,30,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 1 0.9 gm PKT,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 28 gram tube,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Bacitracin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin 0.9 GM PACKET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bacitracin/Polymyxin B Oint,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mupirocin 2% 22 GM Tube,A9270,CPT,both,22,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydRAMINE 2% Cream 28 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Methyl Salicylate 57 gram tube,A9270,CPT,both,57,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DICYCLOMINE HCL 10 MG/5 ML ORAL SOLUTION,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzonatate 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benztropine 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzoin,A9270,CPT,both,60,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone Valerate (0.1%) 15 GM OINT,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sotalol 80 mg tablet,A9270,CPT,both,80,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bethanechol,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clarithromycin,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid/Sodium Citrate,A9270,CPT,both,30,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine/Chondroitin 500-400 MG CAP/TAB,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Biotin,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisacodyl,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Belladonna Alkaloids/Opium 16.2-60 MG SUPP RECT,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Brimonidine 0.2% OPTH SOLN 5 ML,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromphen/Dextromethorphan/Pseu,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Balanced Salt Irrig Soln 15 ML,A9270,CPT,both,300,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bumetanide 1 mg tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
busPIRone 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nebivolol 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,180,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,240,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine 180 ML Lotion,A9270,CPT,both,180,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calamine/Pramoxine,A9270,CPT,both,177,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Carbonate 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium/Vitamin D 600 MG-400 IU Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acamprosate,A9270,CPT,both,333,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM/10 ML UD.CUP,A9270,CPT,both,1,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sucralfate 1 GM TABLET,A9270,CPT,both,1,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 120 mg Capsule,A9270,CPT,both,120,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 180 mg Capsule,A9270,CPT,both,180,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 240 mg Capsule,A9270,CPT,both,240,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxazosin,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem CD 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carisoprodol,A9270,CPT,both,350,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bicalutamide,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Castor Oil,A9270,CPT,both,60,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.2 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.3 mg/Day Patch,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cefUROXime 250 mg Tab,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 400 mg Capsule,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Celecoxib 100 mg Capsule,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citalopram 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mycophenolate Mofetil 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NULL,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NULL,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
NULL,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NULL,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 500 mg Cap,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dinoprostone,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cherry Syrup 5 ML,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlorproMAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorambucil,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sore Throat (Benzocaine/Menthol) Lozenge,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenol 20 ml Throat Spray,A9270,CPT,both,1,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin 250 mg/5 ml,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Dexamethasone 7.5 ML OTIC SUSP,A9270,CPT,both,150,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciprofloxacin/Hydrocortisone 10 ML OTIC SUSP,A9270,CPT,both,200,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Citrate 296 ml Bottle,A9270,CPT,both,296,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin 75 MG/5 ML,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clindamycin,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clobetasol (0.05%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cloNIDine 0.1 mg Tablet,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ubidecarenone,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Collagenase 30 gm Tube,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Amiodarone 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 12.5 mg Tablet,A9270,CPT,both,13,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carvedilol 3.125 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nadolol,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 10 ML OTIC SOLN,A9270,CPT,both,1,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone10 ML OTIC.SUSP,A9270,CPT,both,200,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dorzolamide/Timolol OPTH SOLN 10 ML,A9270,CPT,both,200,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Warfarin,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyanocobalamin (Vitamin B-12) 500 MCG TABLET,A9270,CPT,both,500,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclopentolate (1%) 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DULoxetine 30 mg Capsule,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyproheptadine,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Roflumilast,A9270,CPT,both,500,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dantrolene,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dapsone,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desmopressin,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desmopressin,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Desmopressin,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desmopressin,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Demeclocycline,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 85 GM POWDER,A9270,CPT,both,85,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholecalciferol (Vit D3) 400 Unit (10 mcg) Tablet,A9270,CPT,both,400,UN,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Torsemide,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproic Acid,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valproate Sodium,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 250 MG TAB.ER,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium 500 MG TAB.ER,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Divalproex Sodium,A9270,CPT,both,125,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cod Liver Oil/Zinc Oxide 113 GM OINT,A9270,CPT,both,113,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 5 ML OPTH SUSP,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 0.5 mg/5 ml Elixir,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 4 mg Tab,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glyBURIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan SF Liquid 100-10 mg/5 ml,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
acetaZOLAMIDE ER 500 mg Capsule,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM Rectal Gel 2.5 mg Kit,A9270,CPT,both,3,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diazePAM 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicloxacillin,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dicyclomine,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fidaxomicin,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluconazole,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diflunisal,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin ER,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenytoin,A9270,CPT,both,125,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dilTIAZem 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dimenhyDRINATE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium 100 mg/10 ml UD.Cup,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,160,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Valsartan,A9270,CPT,both,80,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate/Atropine 2.5-0.025 MG/5 ML LIQUID,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diphenoxylate HCl/Atropine  2.5-0.025 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
diphenhydrAMINE 1% Cream 28.3 gm Tube,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Betamethasone/Propylene Glyc (0.05%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dipyridamole,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Docusate Sodium,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna/Docusate Sodium 1 TAB,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxepin 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Doxycycline,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronabinol 2.5 mg Cap,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,AETNA,AETNA,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.01,88,percent of total billed charges,10.01,9.89,11.37,percent of total billed charges,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,AETNA,AETNA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,AMBETTER,AMBETTER,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,BEECH STREET,BEECH STREET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,CARESOURCE,CARESOURCE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,MEDICAID,MEDICAID,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,MEDICARE,MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,NOVA NET,NOVA NET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,SELFPAY,SELFPAY,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,TRICARE,TRICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol/Ipratropium 2.5-0.5 MG/3 ML NEB,A9270,CPT,both,3,ML,11.37,11.37,UHC MEDICARE,UHC MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 100 mcg/hr Patch,A9270,CPT,both,100,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 12 mcg/hr Patch,A9270,CPT,both,12,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 25 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 50 mcg/hr Patch,A9270,CPT,both,50,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
fentaNYL 75 mcg/hr Patch,A9270,CPT,both,75,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbamide Peroxide (6.5%) 15 ML OTIC,A9270,CPT,both,300,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 37.5 MG CAP.ER,A9270,CPT,both,38,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine 75 MG CAP.ER,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Venlafaxine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prasugrel,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine/Transparent Dressing (4%) Kit,A9270,CPT,both,5,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentosan Polysulfate Sodium,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 24-26 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sacubitril/Valsartan 49 MG-51 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamiVUDine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Erythromycin 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estradiol (0.01%) 42.5 GM CREAM,A9270,CPT,both,43,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raloxifene,A9270,CPT,both,60,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cevimeline,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin/Acetaminophen/Caffeine 250-250-65 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 13.3 MG/PATCH,A9270,CPT,both,13,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rivastigmine 9.5 MG PATCH,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famciclovir,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Letrozole,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fe Fum/Vit C/Folic/Vit B12,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate 300 mg/5 ml UD Cup,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ferrous Sulfate,A9270,CPT,both,325,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 120 mg Suppository,A9270,CPT,both,120,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Suppository,A9270,CPT,both,325,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 650 mg Suppository,A9270,CPT,both,650,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 80 mg Suppository,A9270,CPT,both,80,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk 3.4 GM POWD.PACK,A9270,CPT,both,3,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Butalbital/Caffeine  325-50-40 mg tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Phos/BiPhos 66 ML ENEMA,A9270,CPT,both,66,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclobenzaprine,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamsulosin,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,A9270,CPT,both,6000,F2,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fludrocortisone,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ofloxacin (0.3%) OTIC SOLN 5 ML,A9270,CPT,both,5,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluorescein/Benoxinate 5 ML OPTH SOLN,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/FA TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Folic Acid 1 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Calcitonin Salmon 200 UNITS/DOSE Nasal Spray,A9270,CPT,both,6000,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Alendronate,A9270,CPT,both,70,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fosinopril,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,10,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Furosemide,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR 8 MG CAP,A9270,CPT,both,8,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gemfibrozil 600 mg Tab,A9270,CPT,both,600,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 40 MG/0.6 ML Drops,A9270,CPT,both,40,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone,A9270,CPT,both,80,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ziprasidone,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glucosamine,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE XL 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
glipiZIDE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN 850 mg Tablet,A9270,CPT,both,850,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metFORMIN XR 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Adult Supp,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin Ped Supp,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"PEG 3350/Electrolytes 4,000 ML Jug",A9270,CPT,both,4000,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg/5 ml Liquid,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Dextromethorphan Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin/Codeine 100-10 mg/5 ml Liquid,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 45 GM VAG.CREAM,A9270,CPT,both,45,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Haloperidol,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
B-Complex/FE Fumarate/FA Cap,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone 25 MG SUPP,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Insulin Lispro 100 unit/ml Inj,A9270,CPT,both,300,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Homatropine Syrup 5 ml,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 12.5 mg Capsule,A9270,CPT,both,13,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
diphenhydrAMINE Liquid 12.5 mg/5 ml Oral Syringe,A9270,CPT,both,13,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (1%) 28 GM CREAM,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 2 mg Tab,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROmorphone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxyurea,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrALAZINE 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Acetaminophen 7.5-325 mg/15 ml Soln,A9270,CPT,both,15,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydroCHLOROthiazide 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hydrocortisone (2.5%) 20 GM CREAM,A9270,CPT,both,20,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine HCL Soln 10 mg/5 ml,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Witch Hazel Pads (Jar),A9270,CPT,both,40,EA,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorthalidone,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.375 mg Tab.ER.12H,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polyethylene Glycol/Polyvinyl (1%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terazosin,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 100/12.5 MG,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Losartan/HCTZ 50/12.5 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen,A9270,CPT,both,600,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ibuprofen 800 MG *(TO GO)*,A9270,CPT,both,800,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate 60 MG TAB.ER,A9270,CPT,both,60,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Imipramine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SUMAtriptan 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
azaTHIOprine 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,60,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indomethacin ER,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Paliperidone,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cadexomer Iodine (0.9%) 40 GM GEL,A9270,CPT,both,40,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Raltegravir,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isoniazid,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Dinitrate 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Isosorbide Mononitrate,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Empaglifozin,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 10 meq Tab.ER,A9270,CPT,both,10,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Tab.ER,A9270,CPT,both,20,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cephALEXin 250 MG/5 ML SUSP,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%)  5 GM DENTAL PASTE,A9270,CPT,both,5,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam Soln 500 mg/5 ml,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levETIRAcetam 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 0.5 mg Tab,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
clonazePAM 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Mineral Oil/Petrolatum, White 3.5 GM OPTH OINT",A9270,CPT,both,4,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactulose 20 GM/30 ML UD.CUP,A9270,CPT,both,20,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric 1 GM GRAN.PACK,A9270,CPT,both,1,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lactobacillus Acidoph/Bulgaric TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terbinafine 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
lamoTRIgine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,125,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Digoxin,A9270,CPT,both,250,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lanolin 7 GM CREAM..G.,A9270,CPT,both,7,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium Soln 125 mg/5 ml,A9270,CPT,both,125,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Leucovorin Calcium 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
levoFLOXacin 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 25 mcg Tablet,A9270,CPT,both,25,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 88 mcg Tablet,A9270,CPT,both,88,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 112 mcg Tablet,A9270,CPT,both,112,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 125 mcg Tablet,A9270,CPT,both,125,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 137 mcg Tablet,A9270,CPT,both,137,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 125 mcg/5 ml Elixir,A9270,CPT,both,125,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg/ml Drops,A9270,CPT,both,,,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hyoscyamine 0.125 mg SL Tab,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Escitalopram,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
chlordiazePOXIDE 5 mg Cap,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluocinonide 0.05% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2% 15 ML SOLN,A9270,CPT,both,15,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine Viscous 2%,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lidocaine 5% Patch,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Baclofen,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 10 mg Tab,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atorvastatin 40 mg Tab,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lithium Carbonate,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Loperamide,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ciclopirox 0.77% 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
LORazepam Oral Conc 2 mg/ml,A9270,CPT,both,2,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole/Betamethasone 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aspirin 81 mg Tablet Chewable,A9270,CPT,both,81,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Indapamide,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Emollient Lotion 473 ML,A9270,CPT,both,473,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Eszopiclone,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Monohydrate,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Oxide 400 mg Tab,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meclizine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
medroxyPROGESTERone 2.5mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Megestrol,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Meloxicam 7.5 mg Tablet,A9270,CPT,both,8,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phytonadione 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridostigmine,A9270,CPT,both,60,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Psyllium Husk,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylergonovine,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metHOTREXate 2.5 mg Tab,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Dose Pak,A9270,CPT,both,4,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methylPREDNISolone 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methocarbamol 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methadone,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
methIMAzole 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoclopramide,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Tartrate,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 0.75% Vag Gel 70 gm Tube,A9270,CPT,both,14,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metroNIDAZOLE 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Glycerin (MGW) Enema 60 ML,A9270,CPT,both,60,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazoled Nitrate (2%) 45 GM VAG CREAM.APPL,A9270,CPT,both,45,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate (2%) 30 GM CREAM,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Magnesium Hydroxide 30 ml UD.Cup,A9270,CPT,both,30,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil,A9270,CPT,both,10,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minocycline,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Mineral Oil 133 ML Enema,A9270,CPT,both,133,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Minoxidil,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramipexole Di-HCl,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polyethylene Glycol 17 gm Packet,A9270,CPT,both,17,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Polycarbophil,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Hypochlorite (0.5%) 473 ML SOLUTION,A9270,CPT,both,473,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Miconazole Nitrate,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 10 mg tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Montelukast 5 MG Tab.Chewable,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 100 mg/5 ml ud.cup,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ibuprofen 800 mg Tablet,A9270,CPT,both,800,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin 100 mg Packet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
guaiFENesin ER 600 mg Tablet,A9270,CPT,both,600,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dronedarone,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mineral Oil (Heavy),A9270,CPT,both,30,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 15 ML OPTH SOLN,A9270,CPT,both,300,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (5%) 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ethambutol,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Clotrimazole (1%) 30 ML TOP SOLN,A9270,CPT,both,30,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone 15 GM Cream,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 GM POWDER,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Memantine,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Naproxen 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride (0.65%) 44 ML NASAL SPRAY,A9270,CPT,both,44,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium Chloride & Bicarb/Squeez Bottle,A9270,CPT,both,1,EA,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.125%) 15 ML NASAL DROPS,A9270,CPT,both,15,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.5%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine (0.25%) 15 ML NASAL SPRAY,A9270,CPT,both,15,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenylephrine  (1%) 30 ML NASAL DROPS,A9270,CPT,both,30,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Dexamethasone 3.5 GM OPTH OINT,A9270,CPT,both,4,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Hydrocortisone 7.5 ML OPTH.SUSP,A9270,CPT,both,150,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin/Polymyxin/Gramicidin 10 ML OPTH SOLN,A9270,CPT,both,200,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Neomycin,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin B Complex/Vit C/Folic Acid (Nephro-Vite) TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 100 mg Cap,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 300 mg Cap,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Gabapentin 400 mg Cap,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium/Sodium Phos 1 Packet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystat/Betameth/Mupirocin/Clot (NIPPLE) Cream 30gm,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Niacin,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 14 mg/24 hr Patch,A9270,CPT,both,14,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 21 mg/24 hr patch,A9270,CPT,both,21,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nicotine 7 mg/24 hr Patch,A9270,CPT,both,7,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 mg/tab Bottle,A9270,CPT,both,,,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin (2%) 1 GM OINT PAK,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitrofurantoin Macrocrystals 50 mg Cap,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nitroglycerin 0.4 MG/SPRAY,A9270,CPT,both,1,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Permethrin (1%) 59 ML CREAM RINSE,A9270,CPT,both,59,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketoconazole (2%) 15 GM CREAM,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/APAP 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Orphenadrine,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desipramine,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nortriptyline,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
amLODIPine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Ointment,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"Nystatin 100,000 Unit/ml Oral Susp (60ml)",A9270,CPT,both,100000,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Nystatin/Triamcinolone Oint 30 gm,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cefdinir 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Sod Phos Soln 15 mg/5 ml Oral Syringe,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ora Sweet 473 ML Bottle,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oxybutynin 5 mg IR Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE ER 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bromocriptine 2.5 mg tablet,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.1%) 5 ml Opth Drops,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Olopatadine (0.2%) 2.5 ML Opth Drops,A9270,CPT,both,50,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PARoxetine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
penicillin V Potassium 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mesalamine,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Famotidine 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 10-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg *(TO GO)*,A9270,CPT,both,1,EA,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 7.5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Chlorhexidine 0.12%,A9270,CPT,both,473,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Simethicone 125 mg capsule,A9270,CPT,both,125,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenazopyridine 100 mg tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,13,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital Elixir 20 mg/5 ml Oral Syringe,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine 25 MG Supp.Rect,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PHENobarbital 32.4 mg Tablet,A9270,CPT,both,32,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcium Acetate 667 mg Capsule,A9270,CPT,both,667,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pilocarpine (2%) 15 ml Opth Drops,A9270,CPT,both,300,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrantel Pamoate 50 MG/ML Oral Susp,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bismuth Subsalicylate 524 MG/30 ML Oral Susp,A9270,CPT,both,524,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Hydroxychloroquine,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Clopidogrel,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cilostazol 50 mg Tab,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Polymyxin/Trimethoprim 10 ML OPTH DROPS,A9270,CPT,both,200,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Bicarbonate/Cit AC 25 meq Tab.EFF,A9270,CPT,both,25,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride,A9270,CPT,both,20,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium Chloride 20 meq Packet,A9270,CPT,both,20,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prazosin 5 mg Capsule,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pregabalin,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
prednisoLONE Acetate 1% Ophth Susp 5 ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conjugated 30gm Vaginal Cream,A9270,CPT,both,1,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Estrogens Conj/Medroxyprogest Acetate 0.45-1.5MG TAB,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prenatal Vit w/Iron/FA/Docusate Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Darunavir,A9270,CPT,both,800,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Primidone,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-25 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 20-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Desvenlafaxine Succinate,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Midodrine,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colchicine/Probenecid 0.5-500 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Probenecid 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 30 mg Tablet,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
NIFEdipine XL 90 mg Tablet,A9270,CPT,both,90,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Prochlorperazine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tacrolimus 1 mg Capsule,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Progesterone, Micronized",A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Promethazine,A9270,CPT,both,6,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Phenyleph/Mineral Oil/Petrolat 57 GM TU,A9270,CPT,both,57,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propafenone,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propylthiouracil,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Propranolol,A9270,CPT,both,80,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pantoprazole 40 mg Tablet,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Modafinil,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 10 mg Capsule,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
FLUoxetine 20 mg Capsule,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Finasteride,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pseudoephedrine,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyrazinamide,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pyridoxine,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cholestyramine (With Sugar) 4 GM POWD.PACK,A9270,CPT,both,4,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone,A9270,CPT,both,750,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nabumetone 500 mg Tab,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Galantamine HBR,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Mirtazapine,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sevelamer 0.8 GM POWD.PACK,A9270,CPT,both,1,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rOPINIRole 1 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
cycloSPORINE 0.05%  0.4 ml Droperette,A9270,CPT,both,8,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,8,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sildenafil,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atazanavir,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 150 mg Capsule,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAMPin 300 mg Capsule,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.25 mg Tablet,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 0.5 mg Tablet,A9270,CPT,both,1,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
risperiDONE 2 mg Tablet,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Methylphenidate 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcitriol,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Calcitriol,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Calcitriol,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Calcitriol,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Rosuvastatin 20 mg Tablet,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Morphine 10mg/0.5ml Oral Syringe,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE IR 15 mg Tablet,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
oxyCODONE/Acetaminophen 5-325 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tolvaptan,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Menthol/Camphor 222 ML LOTION,A9270,CPT,both,222,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sennosides 8.6 mg Tablet,A9270,CPT,both,9,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Senna Leaf Extract 176 MG/5 ML SYRUP,A9270,CPT,both,15,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cinacalcet,A9270,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 25 mg Tablet,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
QUEtiapine 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Silver Sulfadiazine 50 GM CREAM..G.,A9270,CPT,both,50,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 10-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa 25-250 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Carbidopa/Levodopa ER 25-100 MG TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metaxalone,A9270,CPT,both,800,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Polystyrene Sulfonate 15 GM/60 ML BOTTLE,A9270,CPT,both,15,GR,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Spironolactone 25 mg Tab,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nateglinide,A9270,CPT,both,120,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Atomoxetine 25 mg Capsule,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Multivit,Stress-B Formula/Zinc Tab",A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Buprenorphine/Naloxone 2-0.5mg SL Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulfamethoxazole/Trimethoprim 200-40 mg/5 ml Susp,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
sulfaSALAzine 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sulindac 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Sodium/Potassium/Mag Sulfates 180 ML Bowel Prep,A9270,CPT,both,180,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 75 mcg Tablet,A9270,CPT,both,75,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levothyroxine 100 mcg Tablet,A9270,CPT,both,100,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamins with Minerals-Iron Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Flecainide,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp (Bulk),A9270,CPT,both,360,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 6 mg/ml Susp UD,A9270,CPT,both,6,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Oseltamivir 75 mg Cap,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tamoxifen 20 mg Tab,A9270,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Chewable 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine Susp 100 mg/5 ml Oral Syringe,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine 200 mg Tablet,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
carBAMazepine XR 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aliskiren 150 mg Tab,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Temazepam,A9270,CPT,both,15,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.4%) 45 gm Cream,A9270,CPT,both,45,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Terconazole (0.8%) 20 gm Cream,A9270,CPT,both,20,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetracycline 250 mg Cap,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Theophylline Anhydrous,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Multivitamin Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sodium Cl/Potassium Chloride Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Thiamine,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Dofetilide 125 mcg Cap,A9270,CPT,both,125,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin 0.3% Opth Drops 5 ml,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 3.5 gm Opth Oint,A9270,CPT,both,4,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tobramycin/Dexamethasone 2.5 ML OPTH DROPS.SUSP,A9270,CPT,both,50,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Topiramate,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Metoprolol Succinate,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ketorolac,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linagliptin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Scopolamine 1.5 mg patch.TD72H,A9270,CPT,both,2,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin 0.2 MG/HR PATCH.TD24,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Nitroglycerin,A9270,CPT,both,,,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Labetalol 200 mg Tab,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Travoprost (0.004%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traZODone 50 mg Tablet,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pentoxifylline 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 15 gm Cream,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 60 ml Lotion,A9270,CPT,both,60,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide 0.1% 15 gm Oint,A9270,CPT,both,15,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamterene/HCTZ 37.5-25 mg Tab,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Triamcinolone Acetonide (0.1%) 80 GM CREAM..G.,A9270,CPT,both,80,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 145 mg Tab,A9270,CPT,both,145,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Fenofibrate 48 mg Tab,A9270,CPT,both,48,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trihexyphenidyl 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 150 mg Tablet,A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine Susp 300 mg/5 ml Oral Syringe,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OXcarbazepine 300 mg Tablet,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Trimethoprim 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Pramoxine  1%/Zinc Oxide 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROcodone/Chlorpheniramine Polistirex 5 ml,A9270,CPT,both,5,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 325 mg Tablet,A9270,CPT,both,325,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetaminophen/Codeine (300mg/30mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Febuxostat 40 mg tab,A9270,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
traMADol 50 MG *(TO GO)*,A9270,CPT,both,50,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
flavoxATE 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Potassium CITrate,A9270,CPT,both,10,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Benzocaine/Resorcinol 28 gm Cream,A9270,CPT,both,28,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"valACYclovir 1,000 mg Tablet",A9270,CPT,both,1000,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
valACYclovir 500 mg Tablet,A9270,CPT,both,500,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vancomycin 250 mg/7.5 ml Bottle,A9270,CPT,both,3000,ME,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Eucalyptus/Menthol/Camphor 50 gm Oint,A9270,CPT,both,50,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,AETNA,AETNA,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.01,88,percent of total billed charges,10.01,9.89,11.37,percent of total billed charges,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,AETNA,AETNA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,AMBETTER,AMBETTER,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,BEECH STREET,BEECH STREET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,CARESOURCE,CARESOURCE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,MEDICAID,MEDICAID,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,MEDICARE,MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,NOVA NET,NOVA NET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,SELFPAY,SELFPAY,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,TRICARE,TRICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 2.5 mg/3 ml Neb,A9270,CPT,both,3,ME,11.37,11.37,UHC MEDICARE,UHC MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Albuterol 8 G HFA Inhaler,A9270,CPT,both,60,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil,A9270,CPT,both,120,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Verapamil ER 100 mg ER Cap - 24Hrs,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Solifenacin 5 mg Tab,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vibegron 75 mg Tablet,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lacosamide 100 mg Tab,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tenofovir 300 mg Tab,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Tetrahydrozoline (0.05%) 15 ML OPTH DROPS,A9270,CPT,both,300,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vitamin E 400 Unit Cap,A9270,CPT,both,400,UN,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
"Ergocalciferol [Vit D2] 50,000 Unit (1.25 mg) Cap",A9270,CPT,both,50000,UN,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Vits A & D/White Pet/Lanolin 60 GM OINT,A9270,CPT,both,60,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac,A9270,CPT,both,75,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Diclofenac 100 gm Gel,A9270,CPT,both,100,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 100 mg Tablet (12 hour),A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Colesevelam 625 mg Tab,A9270,CPT,both,625,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion 100 mg Tablet,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion SR 150 mg Tablet (12 hour),A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 150 mg Tablet (24 hour),A9270,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
buPROPion XL 300 mg Tablet (24 hour),A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Latanoprost (0.005%) 2.5 ML OPTH DROPS,A9270,CPT,both,50,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
rifAXIMin 550 mg Tablet,A9270,CPT,both,550,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,AETNA,AETNA,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.01,88,percent of total billed charges,10.01,9.89,11.37,percent of total billed charges,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,AETNA,AETNA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,AMBETTER,AMBETTER,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,BEECH STREET,BEECH STREET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CARESOURCE,CARESOURCE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,MEDICAID,MEDICAID,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,MEDICARE,MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,NOVA NET,NOVA NET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,SELFPAY,SELFPAY,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,TRICARE,TRICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 0.63 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,UHC MEDICARE,UHC MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,AETNA,AETNA,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.01,88,percent of total billed charges,10.01,9.89,11.37,percent of total billed charges,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,AETNA,AETNA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,AMBETTER,AMBETTER,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,BEECH STREET,BEECH STREET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CARESOURCE,CARESOURCE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,MEDICAID,MEDICAID,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,MEDICARE,MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,NOVA NET,NOVA NET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,SELFPAY,SELFPAY,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,TRICARE,TRICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Levalbuterol 1.25 MG/3 ML Neb,A9270,CPT,both,1,ME,11.37,11.37,UHC MEDICARE,UHC MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Ketotifen Fumarate 0.025% 20 drop/ml Bottle,A9270,CPT,both,100,ML,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
tiZANidine 4 mg Tablet,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
metOLazone 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Lisinopril/Hydrochlorothiazide 10-12.5 mg Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ezetimibe,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol Fumarate/HCTZ (10-6.25 MG) TABLET,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Bisoprolol/HCTZ (5-6.25 mg) Tablet,A9270,CPT,both,1,EA,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Abacavir,A9270,CPT,both,300,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 250 mg Tablet,A9270,CPT,both,250,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Azithromycin 600 mg tab,A9270,CPT,both,600,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron 4 MG ODT,A9270,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Sertraline,A9270,CPT,both,50,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg Capsule,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 200 mg/5 ml Oral Susp,A9270,CPT,both,200,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir 400 mg Tablet,A9270,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Acyclovir (5%) 30 g Oint,A9270,CPT,both,30,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 5 mg Tablet,A9270,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
OLANZapine 2.5 mg Tablet,A9270,CPT,both,3,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cetirizine 10 mg Tablet,A9270,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Linezolid 600 mg tablet,A9270,CPT,both,600,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,AMERIGROUP,AMERIGROUP,,99.75,,fee schedule,99.75,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,CARESOURCE,CARESOURCE,,101.65,,fee schedule,101.65,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,AETNA,AETNA,,778.65,87,percent of total billed charges,778.65,95,895,percent of total billed charges,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,778.65,87,percent of total billed charges,778.65,95,895,percent of total billed charges,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,UNITED HEALTHCARE,UNITED HEALTHCARE,,787.6,88,percent of total billed charges,787.6,95,895,percent of total billed charges,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,AETNA,AETNA,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,ALLIANT,ALLIANT,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,AMBETTER,AMBETTER,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,BEECH STREET,BEECH STREET,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,CARESOURCE,CARESOURCE,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,MEDICAID,MEDICAID,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,MEDICARE,MEDICARE,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,NOVA NET,NOVA NET,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,PEACHSTATE,PEACHSTATE,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,SELFPAY,SELFPAY,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,TRICARE,TRICARE,,895,,fee schedule,895,95,895,fee schedule,
CARDIOLITE RADIOPHARMACEU,A9500,CPT,both,,,895,895,UHC MEDICARE,UHC MEDICARE,,895,,fee schedule,895,95,895,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,AMERIGROUP,AMERIGROUP,,99.75,,fee schedule,99.75,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,101.65,,fee schedule,101.65,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,95,251,percent of total billed charges,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,95,251,percent of total billed charges,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,95,251,percent of total billed charges,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,ALLIANT,ALLIANT,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,AMBETTER,AMBETTER,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,MEDICARE,MEDICARE,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,TRICARE,TRICARE,,251,,fee schedule,251,95,251,fee schedule,
CONTRAST ENHANCEMENT,A9500,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,251,,fee schedule,251,95,251,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,99.75,,fee schedule,99.75,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,101.65,,fee schedule,101.65,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,95,290,percent of total billed charges,
SESTAMIBI,A9500,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,95,290,percent of total billed charges,
SESTAMIBI,A9500,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,95,290,percent of total billed charges,
SESTAMIBI,A9500,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,ALLIANT,ALLIANT,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,AMBETTER,AMBETTER,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,MEDICARE,MEDICARE,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,TRICARE,TRICARE,,290,,fee schedule,290,95,290,fee schedule,
SESTAMIBI,A9500,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,290,,fee schedule,290,95,290,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,AETNA,AETNA,,176.61,87,percent of total billed charges,176.61,176.61,203,percent of total billed charges,
MDP PER DOSE,A9503,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176.61,87,percent of total billed charges,176.61,176.61,203,percent of total billed charges,
MDP PER DOSE,A9503,CPT,both,,,203,203,UNITED HEALTHCARE,UNITED HEALTHCARE,,178.64,88,percent of total billed charges,178.64,176.61,203,percent of total billed charges,
MDP PER DOSE,A9503,CPT,both,,,203,203,AETNA,AETNA,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,ALLIANT,ALLIANT,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,AMBETTER,AMBETTER,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,BEECH STREET,BEECH STREET,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,MEDICAID,MEDICAID,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,MEDICARE,MEDICARE,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,NOVA NET,NOVA NET,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,SELFPAY,SELFPAY,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,TRICARE,TRICARE,,203,,fee schedule,203,176.61,203,fee schedule,
MDP PER DOSE,A9503,CPT,both,,,203,203,UHC MEDICARE,UHC MEDICARE,,203,,fee schedule,203,176.61,203,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,AETNA,AETNA,,80.04,87,percent of total billed charges,80.04,80.04,92,percent of total billed charges,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.04,87,percent of total billed charges,80.04,80.04,92,percent of total billed charges,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.96,88,percent of total billed charges,80.96,80.04,92,percent of total billed charges,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,AETNA,AETNA,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,ALLIANT,ALLIANT,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,AMBETTER,AMBETTER,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,BEECH STREET,BEECH STREET,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,CARESOURCE,CARESOURCE,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,MEDICAID,MEDICAID,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,MEDICARE,MEDICARE,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,NOVA NET,NOVA NET,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,PEACHSTATE,PEACHSTATE,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,SELFPAY,SELFPAY,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,TRICARE,TRICARE,,92,,fee schedule,92,80.04,92,fee schedule,
MEDRONATE UP TO 30 MCI,A9503,CPT,both,,,92,92,UHC MEDICARE,UHC MEDICARE,,92,,fee schedule,92,80.04,92,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,AMERIGROUP,AMERIGROUP,,75.51,,fee schedule,75.51,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,CARESOURCE,CARESOURCE,,76.94,,fee schedule,76.94,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,PEACHSTATE,PEACHSTATE,,71.91,,fee schedule,71.91,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,AETNA,AETNA,,274.05,87,percent of total billed charges,274.05,71.91,315,percent of total billed charges,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.05,87,percent of total billed charges,274.05,71.91,315,percent of total billed charges,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,UNITED HEALTHCARE,UNITED HEALTHCARE,,277.2,88,percent of total billed charges,277.2,71.91,315,percent of total billed charges,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,AETNA,AETNA,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,ALLIANT,ALLIANT,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,AMBETTER,AMBETTER,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,BEECH STREET,BEECH STREET,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,CARESOURCE,CARESOURCE,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,MEDICAID,MEDICAID,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,MEDICARE,MEDICARE,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,NOVA NET,NOVA NET,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,PEACHSTATE,PEACHSTATE,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,SELFPAY,SELFPAY,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,TRICARE,TRICARE,,315,,fee schedule,315,71.91,315,fee schedule,
TL201 RADIOPHARM PER MCI,A9505,CPT,both,,,315,315,UHC MEDICARE,UHC MEDICARE,,315,,fee schedule,315,71.91,315,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,AETNA,AETNA,,3995.04,87,percent of total billed charges,3995.04,3995.04,4592,percent of total billed charges,
IN-111,A9507,CPT,both,,,4592,4592,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3995.04,87,percent of total billed charges,3995.04,3995.04,4592,percent of total billed charges,
IN-111,A9507,CPT,both,,,4592,4592,UNITED HEALTHCARE,UNITED HEALTHCARE,,4040.96,88,percent of total billed charges,4040.96,3995.04,4592,percent of total billed charges,
IN-111,A9507,CPT,both,,,4592,4592,AETNA,AETNA,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,ALLIANT,ALLIANT,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,AMBETTER,AMBETTER,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,BEECH STREET,BEECH STREET,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,CARESOURCE,CARESOURCE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,MEDICAID,MEDICAID,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,MEDICARE,MEDICARE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,NOVA NET,NOVA NET,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,PEACHSTATE,PEACHSTATE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,SELFPAY,SELFPAY,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,TRICARE,TRICARE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
IN-111,A9507,CPT,both,,,4592,4592,UHC MEDICARE,UHC MEDICARE,,4592,,fee schedule,4592,3995.04,4592,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,AETNA,AETNA,,5251.32,87,percent of total billed charges,5251.32,5251.32,6036,percent of total billed charges,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5251.32,87,percent of total billed charges,5251.32,5251.32,6036,percent of total billed charges,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,UNITED HEALTHCARE,UNITED HEALTHCARE,,5311.68,88,percent of total billed charges,5311.68,5251.32,6036,percent of total billed charges,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,AETNA,AETNA,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,ALLIANT,ALLIANT,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,AMBETTER,AMBETTER,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,BEECH STREET,BEECH STREET,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,CARESOURCE,CARESOURCE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,MEDICAID,MEDICAID,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,MEDICARE,MEDICARE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,NOVA NET,NOVA NET,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,PEACHSTATE,PEACHSTATE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,SELFPAY,SELFPAY,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,TRICARE,TRICARE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
I-131 MIBG PER 1MCI,A9508,CPT,both,,,6036,6036,UHC MEDICARE,UHC MEDICARE,,6036,,fee schedule,6036,5251.32,6036,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,AETNA,AETNA,,176.61,87,percent of total billed charges,176.61,176.61,203,percent of total billed charges,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176.61,87,percent of total billed charges,176.61,176.61,203,percent of total billed charges,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,UNITED HEALTHCARE,UNITED HEALTHCARE,,178.64,88,percent of total billed charges,178.64,176.61,203,percent of total billed charges,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,AETNA,AETNA,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,ALLIANT,ALLIANT,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,AMBETTER,AMBETTER,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,BEECH STREET,BEECH STREET,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,CARESOURCE,CARESOURCE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,MEDICAID,MEDICAID,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,MEDICARE,MEDICARE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,NOVA NET,NOVA NET,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,PEACHSTATE,PEACHSTATE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,SELFPAY,SELFPAY,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,TRICARE,TRICARE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M CHOLETEC PER VIAL,A9510,CPT,both,,,203,203,UHC MEDICARE,UHC MEDICARE,,203,,fee schedule,203,176.61,203,fee schedule,
TC99M,A9512,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,116.58,134,percent of total billed charges,
TC99M,A9512,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,116.58,134,percent of total billed charges,
TC99M,A9512,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,116.58,134,percent of total billed charges,
TC99M,A9512,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,116.58,134,fee schedule,
TC99M,A9512,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,116.58,134,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,AETNA,AETNA,,437.61,87,percent of total billed charges,437.61,437.61,503,percent of total billed charges,
I123 CAP/UCI,A9516,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437.61,87,percent of total billed charges,437.61,437.61,503,percent of total billed charges,
I123 CAP/UCI,A9516,CPT,both,,,503,503,UNITED HEALTHCARE,UNITED HEALTHCARE,,442.64,88,percent of total billed charges,442.64,437.61,503,percent of total billed charges,
I123 CAP/UCI,A9516,CPT,both,,,503,503,AETNA,AETNA,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,ALLIANT,ALLIANT,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,AMBETTER,AMBETTER,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,BEECH STREET,BEECH STREET,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,MEDICAID,MEDICAID,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,MEDICARE,MEDICARE,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,NOVA NET,NOVA NET,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,SELFPAY,SELFPAY,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,TRICARE,TRICARE,,503,,fee schedule,503,437.61,503,fee schedule,
I123 CAP/UCI,A9516,CPT,both,,,503,503,UHC MEDICARE,UHC MEDICARE,,503,,fee schedule,503,437.61,503,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,ALLIANT,ALLIANT,,39.15,,fee schedule,39.15,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,AMBETTER,AMBETTER,,30.85,,fee schedule,30.85,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,MEDICARE,MEDICARE,,23.73,,fee schedule,23.73,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,TRICARE,TRICARE,,23.73,,fee schedule,23.73,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,UHC MEDICARE,UHC MEDICARE,,23.73,,fee schedule,23.73,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,AETNA,AETNA,,874.35,87,percent of total billed charges,874.35,23.73,1005,percent of total billed charges,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,874.35,87,percent of total billed charges,874.35,23.73,1005,percent of total billed charges,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,UNITED HEALTHCARE,UNITED HEALTHCARE,,884.4,88,percent of total billed charges,884.4,23.73,1005,percent of total billed charges,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,AETNA,AETNA,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,BEECH STREET,BEECH STREET,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,CARESOURCE,CARESOURCE,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,MEDICAID,MEDICAID,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,NOVA NET,NOVA NET,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,PEACHSTATE,PEACHSTATE,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,SELFPAY,SELFPAY,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I-131 ABLATION DOSE,A9517,CPT,both,,,1005,1005,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1005,,fee schedule,1005,23.73,1005,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,ALLIANT,ALLIANT,,39.15,,fee schedule,39.15,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,AMBETTER,AMBETTER,,30.85,,fee schedule,30.85,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,MEDICARE,MEDICARE,,23.73,,fee schedule,23.73,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,TRICARE,TRICARE,,23.73,,fee schedule,23.73,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,23.73,,fee schedule,23.73,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,23.73,62,percent of total billed charges,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,23.73,62,percent of total billed charges,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,23.73,62,percent of total billed charges,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,23.73,62,fee schedule,
I131 IODIDE CAP RX 1 MILLICURI,A9517,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,23.73,62,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,AETNA,AETNA,,874.35,87,percent of total billed charges,874.35,874.35,1005,percent of total billed charges,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,874.35,87,percent of total billed charges,874.35,874.35,1005,percent of total billed charges,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,UNITED HEALTHCARE,UNITED HEALTHCARE,,884.4,88,percent of total billed charges,884.4,874.35,1005,percent of total billed charges,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,AETNA,AETNA,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,ALLIANT,ALLIANT,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,AMBETTER,AMBETTER,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,BEECH STREET,BEECH STREET,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,CARESOURCE,CARESOURCE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,MEDICAID,MEDICAID,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,MEDICARE,MEDICARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,NOVA NET,NOVA NET,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,PEACHSTATE,PEACHSTATE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,SELFPAY,SELFPAY,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,TRICARE,TRICARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
I-131 IODINE CAP DIAGNOST,A9528,CPT,both,,,1005,1005,UHC MEDICARE,UHC MEDICARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,AMERIGROUP,AMERIGROUP,,21.26,,fee schedule,21.26,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,21.67,,fee schedule,21.67,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,20.25,,fee schedule,20.25,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,20.25,249,percent of total billed charges,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,20.25,249,percent of total billed charges,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,20.25,249,percent of total billed charges,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,20.25,249,fee schedule,
PHYROPHOSPHATE/VIAL,A9538,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,20.25,249,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,242.73,279,percent of total billed charges,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,242.73,279,percent of total billed charges,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,242.73,279,percent of total billed charges,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,ALLIANT,ALLIANT,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,AMBETTER,AMBETTER,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,MEDICARE,MEDICARE,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,TRICARE,TRICARE,,279,,fee schedule,279,242.73,279,fee schedule,
TC99M ALBUMIN AGGR/VIAL,A9540,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,279,,fee schedule,279,242.73,279,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,AMERIGROUP,AMERIGROUP,,45.79,,fee schedule,45.79,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,CARESOURCE,CARESOURCE,,46.66,,fee schedule,46.66,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,PEACHSTATE,PEACHSTATE,,43.61,,fee schedule,43.61,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,AETNA,AETNA,,1168.41,87,percent of total billed charges,1168.41,43.61,1343,percent of total billed charges,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1168.41,87,percent of total billed charges,1168.41,43.61,1343,percent of total billed charges,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,UNITED HEALTHCARE,UNITED HEALTHCARE,,1181.84,88,percent of total billed charges,1181.84,43.61,1343,percent of total billed charges,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,AETNA,AETNA,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,ALLIANT,ALLIANT,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,AMBETTER,AMBETTER,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,BEECH STREET,BEECH STREET,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,CARESOURCE,CARESOURCE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,MEDICAID,MEDICAID,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,MEDICARE,MEDICARE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,NOVA NET,NOVA NET,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,PEACHSTATE,PEACHSTATE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,SELFPAY,SELFPAY,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,TRICARE,TRICARE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
SC LYMPHOSCINTOGRAPHY INJ,A9541,CPT,both,,,1343,1343,UHC MEDICARE,UHC MEDICARE,,1343,,fee schedule,1343,43.61,1343,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,AMERIGROUP,AMERIGROUP,,45.79,,fee schedule,45.79,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,46.66,,fee schedule,46.66,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,43.61,,fee schedule,43.61,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,AETNA,AETNA,,403.68,87,percent of total billed charges,403.68,43.61,464,percent of total billed charges,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,403.68,87,percent of total billed charges,403.68,43.61,464,percent of total billed charges,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,UNITED HEALTHCARE,UNITED HEALTHCARE,,408.32,88,percent of total billed charges,408.32,43.61,464,percent of total billed charges,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,AETNA,AETNA,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,ALLIANT,ALLIANT,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,AMBETTER,AMBETTER,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,BEECH STREET,BEECH STREET,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,MEDICAID,MEDICAID,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,MEDICARE,MEDICARE,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,NOVA NET,NOVA NET,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,SELFPAY,SELFPAY,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,TRICARE,TRICARE,,464,,fee schedule,464,43.61,464,fee schedule,
TC99M SULFUR COLLOID/DOSE,A9541,CPT,both,,,464,464,UHC MEDICARE,UHC MEDICARE,,464,,fee schedule,464,43.61,464,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,AMERIGROUP,AMERIGROUP,,213.31,,fee schedule,213.31,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,217.37,,fee schedule,217.37,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,203.15,,fee schedule,203.15,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,AETNA,AETNA,,699.48,87,percent of total billed charges,699.48,203.15,804,percent of total billed charges,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,699.48,87,percent of total billed charges,699.48,203.15,804,percent of total billed charges,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,UNITED HEALTHCARE,UNITED HEALTHCARE,,707.52,88,percent of total billed charges,707.52,203.15,804,percent of total billed charges,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,AETNA,AETNA,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,ALLIANT,ALLIANT,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,AMBETTER,AMBETTER,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,BEECH STREET,BEECH STREET,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,MEDICAID,MEDICAID,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,MEDICARE,MEDICARE,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,NOVA NET,NOVA NET,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,SELFPAY,SELFPAY,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,TRICARE,TRICARE,,804,,fee schedule,804,203.15,804,fee schedule,
FDG DOSE4-40 MCI/ML,A9552,CPT,both,,,804,804,UHC MEDICARE,UHC MEDICARE,,804,,fee schedule,804,203.15,804,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,162.69,187,percent of total billed charges,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,162.69,187,fee schedule,
GALLIUM 67 PER MCI,A9556,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,AETNA,AETNA,,446.31,87,percent of total billed charges,446.31,446.31,513,percent of total billed charges,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,446.31,87,percent of total billed charges,446.31,446.31,513,percent of total billed charges,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,UNITED HEALTHCARE,UNITED HEALTHCARE,,451.44,88,percent of total billed charges,451.44,446.31,513,percent of total billed charges,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,AETNA,AETNA,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,ALLIANT,ALLIANT,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,AMBETTER,AMBETTER,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,BEECH STREET,BEECH STREET,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,MEDICAID,MEDICAID,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,MEDICARE,MEDICARE,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,NOVA NET,NOVA NET,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,SELFPAY,SELFPAY,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,TRICARE,TRICARE,,513,,fee schedule,513,446.31,513,fee schedule,
XENON 133 PER 10MCI,A9558,CPT,both,,,513,513,UHC MEDICARE,UHC MEDICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,87,100,percent of total billed charges,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,ALLIANT,ALLIANT,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,AMBETTER,AMBETTER,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,MEDICARE,MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,TRICARE,TRICARE,,100,,fee schedule,100,87,100,fee schedule,
TCPPM LABELED RBC PER MCI,A9560,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,AETNA,AETNA,,404.55,87,percent of total billed charges,404.55,404.55,465,percent of total billed charges,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,404.55,87,percent of total billed charges,404.55,404.55,465,percent of total billed charges,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,UNITED HEALTHCARE,UNITED HEALTHCARE,,409.2,88,percent of total billed charges,409.2,404.55,465,percent of total billed charges,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,AETNA,AETNA,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,ALLIANT,ALLIANT,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,AMBETTER,AMBETTER,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,BEECH STREET,BEECH STREET,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,CARESOURCE,CARESOURCE,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,MEDICAID,MEDICAID,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,MEDICARE,MEDICARE,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,NOVA NET,NOVA NET,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,PEACHSTATE,PEACHSTATE,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,SELFPAY,SELFPAY,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,TRICARE,TRICARE,,465,,fee schedule,465,404.55,465,fee schedule,
TC99M MERTIATIDE(MAG3) PER STU,A9562,CPT,both,,,465,465,UHC MEDICARE,UHC MEDICARE,,465,,fee schedule,465,404.55,465,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,AETNA,AETNA,,6393.63,87,percent of total billed charges,6393.63,6393.63,7349,percent of total billed charges,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6393.63,87,percent of total billed charges,6393.63,6393.63,7349,percent of total billed charges,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,UNITED HEALTHCARE,UNITED HEALTHCARE,,6467.12,88,percent of total billed charges,6467.12,6393.63,7349,percent of total billed charges,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,AETNA,AETNA,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,ALLIANT,ALLIANT,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,AMBETTER,AMBETTER,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,BEECH STREET,BEECH STREET,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,CARESOURCE,CARESOURCE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,MEDICAID,MEDICAID,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,MEDICARE,MEDICARE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,NOVA NET,NOVA NET,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,PEACHSTATE,PEACHSTATE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,SELFPAY,SELFPAY,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,TRICARE,TRICARE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
IN-111 PENTETREOTODE PER,A9572,CPT,both,,,7349,7349,UHC MEDICARE,UHC MEDICARE,,7349,,fee schedule,7349,6393.63,7349,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,ALLIANT,ALLIANT,,255.24,,fee schedule,255.24,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,AMBETTER,AMBETTER,,201.1,,fee schedule,201.1,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,AMERIGROUP,AMERIGROUP,,167.29,,fee schedule,167.29,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,170.47,,fee schedule,170.47,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,MEDICARE,MEDICARE,,154.69,,fee schedule,154.69,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,159.32,,fee schedule,159.32,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,TRICARE,TRICARE,,154.69,,fee schedule,154.69,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,154.69,,fee schedule,154.69,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,87.87,255.24,percent of total billed charges,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,87.87,255.24,percent of total billed charges,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,87.87,255.24,percent of total billed charges,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,87.87,255.24,fee schedule,
BRACHYTX STRANDED I-125,A9606,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,87.87,255.24,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,ALLIANT,ALLIANT,,255.24,,fee schedule,255.24,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,AMBETTER,AMBETTER,,201.1,,fee schedule,201.1,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,AMERIGROUP,AMERIGROUP,,167.29,,fee schedule,167.29,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,170.47,,fee schedule,170.47,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,MEDICARE,MEDICARE,,154.69,,fee schedule,154.69,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,159.32,,fee schedule,159.32,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,TRICARE,TRICARE,,154.69,,fee schedule,154.69,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,UHC MEDICARE,UHC MEDICARE,,154.69,,fee schedule,154.69,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,AETNA,AETNA,,344.52,87,percent of total billed charges,344.52,154.69,396,percent of total billed charges,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344.52,87,percent of total billed charges,344.52,154.69,396,percent of total billed charges,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,UNITED HEALTHCARE,UNITED HEALTHCARE,,348.48,88,percent of total billed charges,348.48,154.69,396,percent of total billed charges,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,AETNA,AETNA,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,BEECH STREET,BEECH STREET,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,CARESOURCE,CARESOURCE,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,MEDICAID,MEDICAID,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,NOVA NET,NOVA NET,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,PEACHSTATE,PEACHSTATE,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,SELFPAY,SELFPAY,,396,,fee schedule,396,154.69,396,fee schedule,
RADIUM RA223 DICHLORIDE THER,A9606,CPT,both,,,396,396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,396,,fee schedule,396,154.69,396,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,140.07,161,percent of total billed charges,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,140.07,161,percent of total billed charges,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,140.07,161,percent of total billed charges,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,ALLIANT,ALLIANT,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,AMBETTER,AMBETTER,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,MEDICARE,MEDICARE,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,TRICARE,TRICARE,,161,,fee schedule,161,140.07,161,fee schedule,
TUBES GASTROSTOMY 155,B4087,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,161,,fee schedule,161,140.07,161,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,AETNA,AETNA,,695.13,87,percent of total billed charges,695.13,695.13,799,percent of total billed charges,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695.13,87,percent of total billed charges,695.13,695.13,799,percent of total billed charges,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,UNITED HEALTHCARE,UNITED HEALTHCARE,,703.12,88,percent of total billed charges,703.12,695.13,799,percent of total billed charges,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,AETNA,AETNA,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,ALLIANT,ALLIANT,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,AMBETTER,AMBETTER,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,BEECH STREET,BEECH STREET,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,CARESOURCE,CARESOURCE,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,MEDICAID,MEDICAID,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,MEDICARE,MEDICARE,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,NOVA NET,NOVA NET,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,PEACHSTATE,PEACHSTATE,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,SELFPAY,SELFPAY,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,TRICARE,TRICARE,,799,,fee schedule,799,695.13,799,fee schedule,
AMINOSYN 15%; 500ML 347,B4178,CPT,both,,,799,799,UHC MEDICARE,UHC MEDICARE,,799,,fee schedule,799,695.13,799,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,AETNA,AETNA,,5195.64,87,percent of total billed charges,5195.64,5195.64,5972,percent of total billed charges,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5195.64,87,percent of total billed charges,5195.64,5195.64,5972,percent of total billed charges,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,UNITED HEALTHCARE,UNITED HEALTHCARE,,5255.36,88,percent of total billed charges,5255.36,5195.64,5972,percent of total billed charges,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,AETNA,AETNA,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,ALLIANT,ALLIANT,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,AMBETTER,AMBETTER,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,BEECH STREET,BEECH STREET,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,CARESOURCE,CARESOURCE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,MEDICAID,MEDICAID,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,MEDICARE,MEDICARE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,NOVA NET,NOVA NET,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,PEACHSTATE,PEACHSTATE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,SELFPAY,SELFPAY,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,TRICARE,TRICARE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
+3 RETEN #/HUM BEARING,C1713,CPT,both,,,5972,5972,UHC MEDICARE,UHC MEDICARE,,5972,,fee schedule,5972,5195.64,5972,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,AETNA,AETNA,,707.31,87,percent of total billed charges,707.31,707.31,813,percent of total billed charges,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,707.31,87,percent of total billed charges,707.31,707.31,813,percent of total billed charges,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,UNITED HEALTHCARE,UNITED HEALTHCARE,,715.44,88,percent of total billed charges,715.44,707.31,813,percent of total billed charges,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,AETNA,AETNA,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,ALLIANT,ALLIANT,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,AMBETTER,AMBETTER,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,BEECH STREET,BEECH STREET,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,CARESOURCE,CARESOURCE,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,MEDICAID,MEDICAID,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,MEDICARE,MEDICARE,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,NOVA NET,NOVA NET,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,PEACHSTATE,PEACHSTATE,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,SELFPAY,SELFPAY,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,TRICARE,TRICARE,,813,,fee schedule,813,707.31,813,fee schedule,
1/3 TUBULAR PLATE,C1713,CPT,both,,,813,813,UHC MEDICARE,UHC MEDICARE,,813,,fee schedule,813,707.31,813,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,AETNA,AETNA,,2029.71,87,percent of total billed charges,2029.71,2029.71,2333,percent of total billed charges,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2029.71,87,percent of total billed charges,2029.71,2029.71,2333,percent of total billed charges,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,UNITED HEALTHCARE,UNITED HEALTHCARE,,2053.04,88,percent of total billed charges,2053.04,2029.71,2333,percent of total billed charges,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,AETNA,AETNA,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,ALLIANT,ALLIANT,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,AMBETTER,AMBETTER,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,BEECH STREET,BEECH STREET,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CARESOURCE,CARESOURCE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,MEDICAID,MEDICAID,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,MEDICARE,MEDICARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,NOVA NET,NOVA NET,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,PEACHSTATE,PEACHSTATE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,SELFPAY,SELFPAY,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,TRICARE,TRICARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX100 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,UHC MEDICARE,UHC MEDICARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,AETNA,AETNA,,2029.71,87,percent of total billed charges,2029.71,2029.71,2333,percent of total billed charges,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2029.71,87,percent of total billed charges,2029.71,2029.71,2333,percent of total billed charges,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,UNITED HEALTHCARE,UNITED HEALTHCARE,,2053.04,88,percent of total billed charges,2053.04,2029.71,2333,percent of total billed charges,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,AETNA,AETNA,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,ALLIANT,ALLIANT,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,AMBETTER,AMBETTER,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,BEECH STREET,BEECH STREET,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CARESOURCE,CARESOURCE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,MEDICAID,MEDICAID,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,MEDICARE,MEDICARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,NOVA NET,NOVA NET,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,PEACHSTATE,PEACHSTATE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,SELFPAY,SELFPAY,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,TRICARE,TRICARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11MMX85 TELESCOPING LAG SCREW,C1713,CPT,both,,,2333,2333,UHC MEDICARE,UHC MEDICARE,,2333,,fee schedule,2333,2029.71,2333,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,AETNA,AETNA,,1740.87,87,percent of total billed charges,1740.87,1740.87,2001,percent of total billed charges,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1740.87,87,percent of total billed charges,1740.87,1740.87,2001,percent of total billed charges,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,UNITED HEALTHCARE,UNITED HEALTHCARE,,1760.88,88,percent of total billed charges,1760.88,1740.87,2001,percent of total billed charges,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,AETNA,AETNA,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,ALLIANT,ALLIANT,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,AMBETTER,AMBETTER,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,BEECH STREET,BEECH STREET,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,CARESOURCE,CARESOURCE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,MEDICAID,MEDICAID,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,MEDICARE,MEDICARE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,NOVA NET,NOVA NET,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,PEACHSTATE,PEACHSTATE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,SELFPAY,SELFPAY,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,TRICARE,TRICARE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X110 TELESCOPING LAG SCREW,C1713,CPT,both,,,2001,2001,UHC MEDICARE,UHC MEDICARE,,2001,,fee schedule,2001,1740.87,2001,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,AETNA,AETNA,,4131.63,87,percent of total billed charges,4131.63,4131.63,4749,percent of total billed charges,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4131.63,87,percent of total billed charges,4131.63,4131.63,4749,percent of total billed charges,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,UNITED HEALTHCARE,UNITED HEALTHCARE,,4179.12,88,percent of total billed charges,4179.12,4131.63,4749,percent of total billed charges,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,AETNA,AETNA,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,ALLIANT,ALLIANT,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,AMBETTER,AMBETTER,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,BEECH STREET,BEECH STREET,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,CARESOURCE,CARESOURCE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,MEDICAID,MEDICAID,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,MEDICARE,MEDICARE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,NOVA NET,NOVA NET,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,PEACHSTATE,PEACHSTATE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,SELFPAY,SELFPAY,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,TRICARE,TRICARE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
11X170PTN EXTRA SHORT,C1713,CPT,both,,,4749,4749,UHC MEDICARE,UHC MEDICARE,,4749,,fee schedule,4749,4131.63,4749,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,AETNA,AETNA,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,UNITED HEALTHCARE,UNITED HEALTHCARE,,469.92,88,percent of total billed charges,469.92,464.58,534,percent of total billed charges,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,AETNA,AETNA,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,ALLIANT,ALLIANT,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,AMBETTER,AMBETTER,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,BEECH STREET,BEECH STREET,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,CARESOURCE,CARESOURCE,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,MEDICAID,MEDICAID,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,MEDICARE,MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,NOVA NET,NOVA NET,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,PEACHSTATE,PEACHSTATE,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,SELFPAY,SELFPAY,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,TRICARE,TRICARE,,534,,fee schedule,534,464.58,534,fee schedule,
12MM DISTAL CENTRALIZER,C1713,CPT,both,,,534,534,UHC MEDICARE,UHC MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,AETNA,AETNA,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,UNITED HEALTHCARE,UNITED HEALTHCARE,,2719.2,88,percent of total billed charges,2719.2,2688.3,3090,percent of total billed charges,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,AETNA,AETNA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,ALLIANT,ALLIANT,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,AMBETTER,AMBETTER,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,BEECH STREET,BEECH STREET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,MEDICAID,MEDICAID,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,MEDICARE,MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,NOVA NET,NOVA NET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,SELFPAY,SELFPAY,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,TRICARE,TRICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
13MM TI FLUTED STEM,C1713,CPT,both,,,3090,3090,UHC MEDICARE,UHC MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,AETNA,AETNA,,4253.43,87,percent of total billed charges,4253.43,4253.43,4889,percent of total billed charges,
14X80 STEM,C1713,CPT,both,,,4889,4889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4253.43,87,percent of total billed charges,4253.43,4253.43,4889,percent of total billed charges,
14X80 STEM,C1713,CPT,both,,,4889,4889,UNITED HEALTHCARE,UNITED HEALTHCARE,,4302.32,88,percent of total billed charges,4302.32,4253.43,4889,percent of total billed charges,
14X80 STEM,C1713,CPT,both,,,4889,4889,AETNA,AETNA,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,ALLIANT,ALLIANT,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,AMBETTER,AMBETTER,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,BEECH STREET,BEECH STREET,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,CARESOURCE,CARESOURCE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,MEDICAID,MEDICAID,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,MEDICARE,MEDICARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,NOVA NET,NOVA NET,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,PEACHSTATE,PEACHSTATE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,SELFPAY,SELFPAY,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,TRICARE,TRICARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
14X80 STEM,C1713,CPT,both,,,4889,4889,UHC MEDICARE,UHC MEDICARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,AETNA,AETNA,,4253.43,87,percent of total billed charges,4253.43,4253.43,4889,percent of total billed charges,
16X120 STEM,C1713,CPT,both,,,4889,4889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4253.43,87,percent of total billed charges,4253.43,4253.43,4889,percent of total billed charges,
16X120 STEM,C1713,CPT,both,,,4889,4889,UNITED HEALTHCARE,UNITED HEALTHCARE,,4302.32,88,percent of total billed charges,4302.32,4253.43,4889,percent of total billed charges,
16X120 STEM,C1713,CPT,both,,,4889,4889,AETNA,AETNA,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,ALLIANT,ALLIANT,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,AMBETTER,AMBETTER,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,BEECH STREET,BEECH STREET,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,CARESOURCE,CARESOURCE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,MEDICAID,MEDICAID,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,MEDICARE,MEDICARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,NOVA NET,NOVA NET,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,PEACHSTATE,PEACHSTATE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,SELFPAY,SELFPAY,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,TRICARE,TRICARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
16X120 STEM,C1713,CPT,both,,,4889,4889,UHC MEDICARE,UHC MEDICARE,,4889,,fee schedule,4889,4253.43,4889,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,58,percent of total billed charges,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,ALLIANT,ALLIANT,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,AMBETTER,AMBETTER,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,MEDICARE,MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,TRICARE,TRICARE,,58,,fee schedule,58,50.46,58,fee schedule,
2 SELF-TAP CORTICAL SCREW,C1713,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,AETNA,AETNA,,1008.33,87,percent of total billed charges,1008.33,1008.33,1159,percent of total billed charges,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1008.33,87,percent of total billed charges,1008.33,1008.33,1159,percent of total billed charges,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,UNITED HEALTHCARE,UNITED HEALTHCARE,,1019.92,88,percent of total billed charges,1019.92,1008.33,1159,percent of total billed charges,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,AETNA,AETNA,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,ALLIANT,ALLIANT,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,AMBETTER,AMBETTER,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,BEECH STREET,BEECH STREET,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,CARESOURCE,CARESOURCE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,MEDICAID,MEDICAID,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,MEDICARE,MEDICARE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,NOVA NET,NOVA NET,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,PEACHSTATE,PEACHSTATE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,SELFPAY,SELFPAY,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,TRICARE,TRICARE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 ACCORD CABLE FOR GRIP PLAT,C1713,CPT,both,,,1159,1159,UHC MEDICARE,UHC MEDICARE,,1159,,fee schedule,1159,1008.33,1159,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,AETNA,AETNA,,1501.62,87,percent of total billed charges,1501.62,1501.62,1726,percent of total billed charges,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1501.62,87,percent of total billed charges,1501.62,1501.62,1726,percent of total billed charges,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,UNITED HEALTHCARE,UNITED HEALTHCARE,,1518.88,88,percent of total billed charges,1518.88,1501.62,1726,percent of total billed charges,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,AETNA,AETNA,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,ALLIANT,ALLIANT,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,AMBETTER,AMBETTER,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,BEECH STREET,BEECH STREET,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,CARESOURCE,CARESOURCE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,MEDICAID,MEDICAID,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,MEDICARE,MEDICARE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,NOVA NET,NOVA NET,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,PEACHSTATE,PEACHSTATE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,SELFPAY,SELFPAY,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,TRICARE,TRICARE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340007,C1713,CPT,both,,,1726,1726,UHC MEDICARE,UHC MEDICARE,,1726,,fee schedule,1726,1501.62,1726,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,AETNA,AETNA,,1529.46,87,percent of total billed charges,1529.46,1529.46,1758,percent of total billed charges,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1529.46,87,percent of total billed charges,1529.46,1529.46,1758,percent of total billed charges,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,UNITED HEALTHCARE,UNITED HEALTHCARE,,1547.04,88,percent of total billed charges,1547.04,1529.46,1758,percent of total billed charges,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,AETNA,AETNA,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,ALLIANT,ALLIANT,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,AMBETTER,AMBETTER,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,BEECH STREET,BEECH STREET,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,CARESOURCE,CARESOURCE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,MEDICAID,MEDICAID,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,MEDICARE,MEDICARE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,NOVA NET,NOVA NET,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,PEACHSTATE,PEACHSTATE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,SELFPAY,SELFPAY,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,TRICARE,TRICARE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.0 CABLE 71340008,C1713,CPT,both,,,1758,1758,UHC MEDICARE,UHC MEDICARE,,1758,,fee schedule,1758,1529.46,1758,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,AETNA,AETNA,,505.47,87,percent of total billed charges,505.47,505.47,581,percent of total billed charges,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,505.47,87,percent of total billed charges,505.47,505.47,581,percent of total billed charges,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,UNITED HEALTHCARE,UNITED HEALTHCARE,,511.28,88,percent of total billed charges,511.28,505.47,581,percent of total billed charges,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,AETNA,AETNA,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,ALLIANT,ALLIANT,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,AMBETTER,AMBETTER,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,BEECH STREET,BEECH STREET,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,CARESOURCE,CARESOURCE,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,MEDICAID,MEDICAID,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,MEDICARE,MEDICARE,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,NOVA NET,NOVA NET,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,PEACHSTATE,PEACHSTATE,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,SELFPAY,SELFPAY,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,TRICARE,TRICARE,,581,,fee schedule,581,505.47,581,fee schedule,
2.4X20 VARIABLE ANGLE SCREW,C1713,CPT,both,,,581,581,UHC MEDICARE,UHC MEDICARE,,581,,fee schedule,581,505.47,581,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,385.41,443,percent of total billed charges,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,385.41,443,percent of total billed charges,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,385.41,443,percent of total billed charges,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,ALLIANT,ALLIANT,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,AMBETTER,AMBETTER,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,MEDICARE,MEDICARE,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,TRICARE,TRICARE,,443,,fee schedule,443,385.41,443,fee schedule,
2.7X12 MM MULTIDIRECT SCREW,C1713,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,443,,fee schedule,443,385.41,443,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
25MM ACET SCREW,C1713,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
25MM ACET SCREW,C1713,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,190.53,219,percent of total billed charges,
25MM ACET SCREW,C1713,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,ALLIANT,ALLIANT,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,AMBETTER,AMBETTER,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,MEDICARE,MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,TRICARE,TRICARE,,219,,fee schedule,219,190.53,219,fee schedule,
25MM ACET SCREW,C1713,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,AETNA,AETNA,,6264.87,87,percent of total billed charges,6264.87,6264.87,7201,percent of total billed charges,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6264.87,87,percent of total billed charges,6264.87,6264.87,7201,percent of total billed charges,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,UNITED HEALTHCARE,UNITED HEALTHCARE,,6336.88,88,percent of total billed charges,6336.88,6264.87,7201,percent of total billed charges,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,AETNA,AETNA,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,ALLIANT,ALLIANT,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,AMBETTER,AMBETTER,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,BEECH STREET,BEECH STREET,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,CARESOURCE,CARESOURCE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,MEDICAID,MEDICAID,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,MEDICARE,MEDICARE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,NOVA NET,NOVA NET,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,PEACHSTATE,PEACHSTATE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,SELFPAY,SELFPAY,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,TRICARE,TRICARE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3 CABLE STANDARD TROCH GRIP,C1713,CPT,both,,,7201,7201,UHC MEDICARE,UHC MEDICARE,,7201,,fee schedule,7201,6264.87,7201,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,AETNA,AETNA,,543.75,87,percent of total billed charges,543.75,543.75,625,percent of total billed charges,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,543.75,87,percent of total billed charges,543.75,543.75,625,percent of total billed charges,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,UNITED HEALTHCARE,UNITED HEALTHCARE,,550,88,percent of total billed charges,550,543.75,625,percent of total billed charges,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,AETNA,AETNA,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,ALLIANT,ALLIANT,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,AMBETTER,AMBETTER,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,BEECH STREET,BEECH STREET,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,CARESOURCE,CARESOURCE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,MEDICAID,MEDICAID,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,MEDICARE,MEDICARE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,NOVA NET,NOVA NET,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,PEACHSTATE,PEACHSTATE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,SELFPAY,SELFPAY,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,TRICARE,TRICARE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CANNULATED SCRW 28MM,C1713,CPT,both,,,625,625,UHC MEDICARE,UHC MEDICARE,,625,,fee schedule,625,543.75,625,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,UNITED HEALTHCARE,UNITED HEALTHCARE,,403.92,88,percent of total billed charges,403.92,399.33,459,percent of total billed charges,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,ALLIANT,ALLIANT,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,AMBETTER,AMBETTER,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,BEECH STREET,BEECH STREET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,CARESOURCE,CARESOURCE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,MEDICAID,MEDICAID,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,MEDICARE,MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,NOVA NET,NOVA NET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,PEACHSTATE,PEACHSTATE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,SELFPAY,SELFPAY,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,TRICARE,TRICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORT SCREW 18MM,C1713,CPT,both,,,459,459,UHC MEDICARE,UHC MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,UNITED HEALTHCARE,UNITED HEALTHCARE,,403.92,88,percent of total billed charges,403.92,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,ALLIANT,ALLIANT,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,AMBETTER,AMBETTER,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,BEECH STREET,BEECH STREET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,CARESOURCE,CARESOURCE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,MEDICAID,MEDICAID,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,MEDICARE,MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,NOVA NET,NOVA NET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,PEACHSTATE,PEACHSTATE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,SELFPAY,SELFPAY,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,TRICARE,TRICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 14MM,C1713,CPT,both,,,459,459,UHC MEDICARE,UHC MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,UNITED HEALTHCARE,UNITED HEALTHCARE,,403.92,88,percent of total billed charges,403.92,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,ALLIANT,ALLIANT,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,AMBETTER,AMBETTER,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,BEECH STREET,BEECH STREET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,CARESOURCE,CARESOURCE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,MEDICAID,MEDICAID,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,MEDICARE,MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,NOVA NET,NOVA NET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,PEACHSTATE,PEACHSTATE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,SELFPAY,SELFPAY,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,TRICARE,TRICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 20MM,C1713,CPT,both,,,459,459,UHC MEDICARE,UHC MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,UNITED HEALTHCARE,UNITED HEALTHCARE,,403.92,88,percent of total billed charges,403.92,399.33,459,percent of total billed charges,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,AETNA,AETNA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,ALLIANT,ALLIANT,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,AMBETTER,AMBETTER,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,BEECH STREET,BEECH STREET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,CARESOURCE,CARESOURCE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,MEDICAID,MEDICAID,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,MEDICARE,MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,NOVA NET,NOVA NET,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,PEACHSTATE,PEACHSTATE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,SELFPAY,SELFPAY,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,TRICARE,TRICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 CORTICAL SCRW 22MM,C1713,CPT,both,,,459,459,UHC MEDICARE,UHC MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,AETNA,AETNA,,927.42,87,percent of total billed charges,927.42,927.42,1066,percent of total billed charges,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,927.42,87,percent of total billed charges,927.42,927.42,1066,percent of total billed charges,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,UNITED HEALTHCARE,UNITED HEALTHCARE,,938.08,88,percent of total billed charges,938.08,927.42,1066,percent of total billed charges,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,AETNA,AETNA,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,ALLIANT,ALLIANT,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,AMBETTER,AMBETTER,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,BEECH STREET,BEECH STREET,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,CARESOURCE,CARESOURCE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,MEDICAID,MEDICAID,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,MEDICARE,MEDICARE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,NOVA NET,NOVA NET,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,PEACHSTATE,PEACHSTATE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,SELFPAY,SELFPAY,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,TRICARE,TRICARE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.0 TITANIUM ELASTIC NAIL,C1713,CPT,both,,,1066,1066,UHC MEDICARE,UHC MEDICARE,,1066,,fee schedule,1066,927.42,1066,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,AETNA,AETNA,,871.74,87,percent of total billed charges,871.74,871.74,1002,percent of total billed charges,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,871.74,87,percent of total billed charges,871.74,871.74,1002,percent of total billed charges,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,UNITED HEALTHCARE,UNITED HEALTHCARE,,881.76,88,percent of total billed charges,881.76,871.74,1002,percent of total billed charges,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,AETNA,AETNA,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,ALLIANT,ALLIANT,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,AMBETTER,AMBETTER,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,BEECH STREET,BEECH STREET,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,CARESOURCE,CARESOURCE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,MEDICAID,MEDICAID,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,MEDICARE,MEDICARE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,NOVA NET,NOVA NET,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,PEACHSTATE,PEACHSTATE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,SELFPAY,SELFPAY,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,TRICARE,TRICARE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
3.5X38MM SCREW,C1713,CPT,both,,,1002,1002,UHC MEDICARE,UHC MEDICARE,,1002,,fee schedule,1002,871.74,1002,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,AETNA,AETNA,,2506.47,87,percent of total billed charges,2506.47,2506.47,2881,percent of total billed charges,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2506.47,87,percent of total billed charges,2506.47,2506.47,2881,percent of total billed charges,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,UNITED HEALTHCARE,UNITED HEALTHCARE,,2535.28,88,percent of total billed charges,2535.28,2506.47,2881,percent of total billed charges,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,AETNA,AETNA,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,ALLIANT,ALLIANT,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,AMBETTER,AMBETTER,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,BEECH STREET,BEECH STREET,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,CARESOURCE,CARESOURCE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,MEDICAID,MEDICAID,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,MEDICARE,MEDICARE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,NOVA NET,NOVA NET,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,PEACHSTATE,PEACHSTATE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,SELFPAY,SELFPAY,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,TRICARE,TRICARE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4 HOLE PLATE,C1713,CPT,both,,,2881,2881,UHC MEDICARE,UHC MEDICARE,,2881,,fee schedule,2881,2506.47,2881,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,42.63,49,percent of total billed charges,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X26 PARTIAL THREAD SCREW,C1713,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,181.83,209,percent of total billed charges,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,ALLIANT,ALLIANT,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,AMBETTER,AMBETTER,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,MEDICARE,MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,TRICARE,TRICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X40 LOCKING SCREW,C1713,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,181.83,209,percent of total billed charges,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,ALLIANT,ALLIANT,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,AMBETTER,AMBETTER,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,MEDICARE,MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,TRICARE,TRICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X44 LOCKING SCREW,C1713,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,AETNA,AETNA,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181.83,87,percent of total billed charges,181.83,181.83,209,percent of total billed charges,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,UNITED HEALTHCARE,UNITED HEALTHCARE,,183.92,88,percent of total billed charges,183.92,181.83,209,percent of total billed charges,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,AETNA,AETNA,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,ALLIANT,ALLIANT,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,AMBETTER,AMBETTER,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,BEECH STREET,BEECH STREET,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,CARESOURCE,CARESOURCE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,MEDICAID,MEDICAID,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,MEDICARE,MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,NOVA NET,NOVA NET,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,PEACHSTATE,PEACHSTATE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,SELFPAY,SELFPAY,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,TRICARE,TRICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X55 LOCKING SCREW,C1713,CPT,both,,,209,209,UHC MEDICARE,UHC MEDICARE,,209,,fee schedule,209,181.83,209,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,AETNA,AETNA,,4818.06,87,percent of total billed charges,4818.06,4818.06,5538,percent of total billed charges,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4818.06,87,percent of total billed charges,4818.06,4818.06,5538,percent of total billed charges,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,UNITED HEALTHCARE,UNITED HEALTHCARE,,4873.44,88,percent of total billed charges,4873.44,4818.06,5538,percent of total billed charges,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,AETNA,AETNA,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,ALLIANT,ALLIANT,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,AMBETTER,AMBETTER,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,BEECH STREET,BEECH STREET,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,CARESOURCE,CARESOURCE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,MEDICAID,MEDICAID,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,MEDICARE,MEDICARE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,NOVA NET,NOVA NET,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,PEACHSTATE,PEACHSTATE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,SELFPAY,SELFPAY,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,TRICARE,TRICARE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.0X60MM CANN JONES FX SCREW,C1713,CPT,both,,,5538,5538,UHC MEDICARE,UHC MEDICARE,,5538,,fee schedule,5538,4818.06,5538,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,AETNA,AETNA,,1065.75,87,percent of total billed charges,1065.75,1065.75,1225,percent of total billed charges,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1065.75,87,percent of total billed charges,1065.75,1065.75,1225,percent of total billed charges,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,UNITED HEALTHCARE,UNITED HEALTHCARE,,1078,88,percent of total billed charges,1078,1065.75,1225,percent of total billed charges,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,AETNA,AETNA,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,ALLIANT,ALLIANT,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,AMBETTER,AMBETTER,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,BEECH STREET,BEECH STREET,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,CARESOURCE,CARESOURCE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,MEDICAID,MEDICAID,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,MEDICARE,MEDICARE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,NOVA NET,NOVA NET,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,PEACHSTATE,PEACHSTATE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,SELFPAY,SELFPAY,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,TRICARE,TRICARE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.5X14 PEEK CORKSCREW,C1713,CPT,both,,,1225,1225,UHC MEDICARE,UHC MEDICARE,,1225,,fee schedule,1225,1065.75,1225,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,AETNA,AETNA,,2870.13,87,percent of total billed charges,2870.13,2870.13,3299,percent of total billed charges,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2870.13,87,percent of total billed charges,2870.13,2870.13,3299,percent of total billed charges,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,UNITED HEALTHCARE,UNITED HEALTHCARE,,2903.12,88,percent of total billed charges,2903.12,2870.13,3299,percent of total billed charges,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,AETNA,AETNA,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,ALLIANT,ALLIANT,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,AMBETTER,AMBETTER,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,BEECH STREET,BEECH STREET,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,CARESOURCE,CARESOURCE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,MEDICAID,MEDICAID,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,MEDICARE,MEDICARE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,NOVA NET,NOVA NET,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,PEACHSTATE,PEACHSTATE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,SELFPAY,SELFPAY,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,TRICARE,TRICARE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
4.75X47-60MM MLTI-SPN CRSLINK,C1713,CPT,both,,,3299,3299,UHC MEDICARE,UHC MEDICARE,,3299,,fee schedule,3299,2870.13,3299,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,AETNA,AETNA,,316.68,87,percent of total billed charges,316.68,316.68,364,percent of total billed charges,
45 CORT SCREW,C1713,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316.68,87,percent of total billed charges,316.68,316.68,364,percent of total billed charges,
45 CORT SCREW,C1713,CPT,both,,,364,364,UNITED HEALTHCARE,UNITED HEALTHCARE,,320.32,88,percent of total billed charges,320.32,316.68,364,percent of total billed charges,
45 CORT SCREW,C1713,CPT,both,,,364,364,AETNA,AETNA,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,ALLIANT,ALLIANT,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,AMBETTER,AMBETTER,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,BEECH STREET,BEECH STREET,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,CARESOURCE,CARESOURCE,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,MEDICAID,MEDICAID,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,MEDICARE,MEDICARE,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,NOVA NET,NOVA NET,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,PEACHSTATE,PEACHSTATE,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,SELFPAY,SELFPAY,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,TRICARE,TRICARE,,364,,fee schedule,364,316.68,364,fee schedule,
45 CORT SCREW,C1713,CPT,both,,,364,364,UHC MEDICARE,UHC MEDICARE,,364,,fee schedule,364,316.68,364,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,AETNA,AETNA,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,UNITED HEALTHCARE,UNITED HEALTHCARE,,7270.56,88,percent of total billed charges,7270.56,7187.94,8262,percent of total billed charges,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,AETNA,AETNA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,ALLIANT,ALLIANT,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,AMBETTER,AMBETTER,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,BEECH STREET,BEECH STREET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,CARESOURCE,CARESOURCE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,MEDICAID,MEDICAID,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,MEDICARE,MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,NOVA NET,NOVA NET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,PEACHSTATE,PEACHSTATE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,SELFPAY,SELFPAY,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,TRICARE,TRICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE ALIF,C1713,CPT,both,,,8262,8262,UHC MEDICARE,UHC MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,AETNA,AETNA,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,UNITED HEALTHCARE,UNITED HEALTHCARE,,7270.56,88,percent of total billed charges,7270.56,7187.94,8262,percent of total billed charges,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,AETNA,AETNA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,ALLIANT,ALLIANT,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,AMBETTER,AMBETTER,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,BEECH STREET,BEECH STREET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,CARESOURCE,CARESOURCE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,MEDICAID,MEDICAID,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,MEDICARE,MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,NOVA NET,NOVA NET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,PEACHSTATE,PEACHSTATE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,SELFPAY,SELFPAY,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,TRICARE,TRICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
4WEB ANT SPINE INTRBDY FUSION,C1713,CPT,both,,,8262,8262,UHC MEDICARE,UHC MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,AETNA,AETNA,,2748.33,87,percent of total billed charges,2748.33,2748.33,3159,percent of total billed charges,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2748.33,87,percent of total billed charges,2748.33,2748.33,3159,percent of total billed charges,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,UNITED HEALTHCARE,UNITED HEALTHCARE,,2779.92,88,percent of total billed charges,2779.92,2748.33,3159,percent of total billed charges,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,AETNA,AETNA,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,ALLIANT,ALLIANT,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,AMBETTER,AMBETTER,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,BEECH STREET,BEECH STREET,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,CARESOURCE,CARESOURCE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,MEDICAID,MEDICAID,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,MEDICARE,MEDICARE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,NOVA NET,NOVA NET,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,PEACHSTATE,PEACHSTATE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,SELFPAY,SELFPAY,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,TRICARE,TRICARE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5 HOLE NARROW OLECRANON,C1713,CPT,both,,,3159,3159,UHC MEDICARE,UHC MEDICARE,,3159,,fee schedule,3159,2748.33,3159,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,AETNA,AETNA,,5999.52,87,percent of total billed charges,5999.52,5999.52,6896,percent of total billed charges,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5999.52,87,percent of total billed charges,5999.52,5999.52,6896,percent of total billed charges,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,UNITED HEALTHCARE,UNITED HEALTHCARE,,6068.48,88,percent of total billed charges,6068.48,5999.52,6896,percent of total billed charges,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,AETNA,AETNA,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,ALLIANT,ALLIANT,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,AMBETTER,AMBETTER,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,BEECH STREET,BEECH STREET,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,CARESOURCE,CARESOURCE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,MEDICAID,MEDICAID,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,MEDICARE,MEDICARE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,NOVA NET,NOVA NET,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,PEACHSTATE,PEACHSTATE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,SELFPAY,SELFPAY,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,TRICARE,TRICARE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5.9X28MM LEFT TITANIUM POST,C1713,CPT,both,,,6896,6896,UHC MEDICARE,UHC MEDICARE,,6896,,fee schedule,6896,5999.52,6896,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,AETNA,AETNA,,598.56,87,percent of total billed charges,598.56,598.56,688,percent of total billed charges,
5X30 SCREW,C1713,CPT,both,,,688,688,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598.56,87,percent of total billed charges,598.56,598.56,688,percent of total billed charges,
5X30 SCREW,C1713,CPT,both,,,688,688,UNITED HEALTHCARE,UNITED HEALTHCARE,,605.44,88,percent of total billed charges,605.44,598.56,688,percent of total billed charges,
5X30 SCREW,C1713,CPT,both,,,688,688,AETNA,AETNA,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,ALLIANT,ALLIANT,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,AMBETTER,AMBETTER,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,BEECH STREET,BEECH STREET,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,CARESOURCE,CARESOURCE,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,MEDICAID,MEDICAID,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,MEDICARE,MEDICARE,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,NOVA NET,NOVA NET,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,PEACHSTATE,PEACHSTATE,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,SELFPAY,SELFPAY,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,TRICARE,TRICARE,,688,,fee schedule,688,598.56,688,fee schedule,
5X30 SCREW,C1713,CPT,both,,,688,688,UHC MEDICARE,UHC MEDICARE,,688,,fee schedule,688,598.56,688,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,240.12,276,percent of total billed charges,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,ALLIANT,ALLIANT,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,AMBETTER,AMBETTER,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,MEDICARE,MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,TRICARE,TRICARE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5 INTERLOCKING SCREW,C1713,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,115.71,133,percent of total billed charges,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,ALLIANT,ALLIANT,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,AMBETTER,AMBETTER,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,MEDICARE,MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,TRICARE,TRICARE,,133,,fee schedule,133,115.71,133,fee schedule,
6.5MMX40 CORT SCRW FULL THREAD,C1713,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,AETNA,AETNA,,2422.08,87,percent of total billed charges,2422.08,2422.08,2784,percent of total billed charges,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2422.08,87,percent of total billed charges,2422.08,2422.08,2784,percent of total billed charges,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,UNITED HEALTHCARE,UNITED HEALTHCARE,,2449.92,88,percent of total billed charges,2449.92,2422.08,2784,percent of total billed charges,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,AETNA,AETNA,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,ALLIANT,ALLIANT,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,AMBETTER,AMBETTER,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,BEECH STREET,BEECH STREET,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,CARESOURCE,CARESOURCE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,MEDICAID,MEDICAID,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,MEDICARE,MEDICARE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,NOVA NET,NOVA NET,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,PEACHSTATE,PEACHSTATE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,SELFPAY,SELFPAY,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,TRICARE,TRICARE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
75MM LAG SCREW X11MM SOLID FIX,C1713,CPT,both,,,2784,2784,UHC MEDICARE,UHC MEDICARE,,2784,,fee schedule,2784,2422.08,2784,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACHILLES SPEEDBRIDGE MIDSUB,C1713,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,AETNA,AETNA,,1513.8,87,percent of total billed charges,1513.8,1513.8,1740,percent of total billed charges,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1513.8,87,percent of total billed charges,1513.8,1513.8,1740,percent of total billed charges,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,UNITED HEALTHCARE,UNITED HEALTHCARE,,1531.2,88,percent of total billed charges,1531.2,1513.8,1740,percent of total billed charges,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,AETNA,AETNA,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,ALLIANT,ALLIANT,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,AMBETTER,AMBETTER,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,BEECH STREET,BEECH STREET,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,CARESOURCE,CARESOURCE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,MEDICAID,MEDICAID,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,MEDICARE,MEDICARE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,NOVA NET,NOVA NET,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,PEACHSTATE,PEACHSTATE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,SELFPAY,SELFPAY,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,TRICARE,TRICARE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACL GUIDE SCREWS/WIRES,C1713,CPT,both,,,1740,1740,UHC MEDICARE,UHC MEDICARE,,1740,,fee schedule,1740,1513.8,1740,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,257.52,296,percent of total billed charges,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,257.52,296,percent of total billed charges,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,257.52,296,percent of total billed charges,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,ALLIANT,ALLIANT,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,AMBETTER,AMBETTER,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,MEDICARE,MEDICARE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,TRICARE,TRICARE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 2.7 CORTICAL SCREW,C1713,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,296,,fee schedule,296,257.52,296,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,AETNA,AETNA,,5286.99,87,percent of total billed charges,5286.99,5286.99,6077,percent of total billed charges,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5286.99,87,percent of total billed charges,5286.99,5286.99,6077,percent of total billed charges,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,UNITED HEALTHCARE,UNITED HEALTHCARE,,5347.76,88,percent of total billed charges,5347.76,5286.99,6077,percent of total billed charges,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,AETNA,AETNA,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,ALLIANT,ALLIANT,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,AMBETTER,AMBETTER,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,BEECH STREET,BEECH STREET,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,CARESOURCE,CARESOURCE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,MEDICAID,MEDICAID,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,MEDICARE,MEDICARE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,NOVA NET,NOVA NET,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,PEACHSTATE,PEACHSTATE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,SELFPAY,SELFPAY,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,TRICARE,TRICARE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 3.6X110 FIB ROD,C1713,CPT,both,,,6077,6077,UHC MEDICARE,UHC MEDICARE,,6077,,fee schedule,6077,5286.99,6077,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,AETNA,AETNA,,1540.77,87,percent of total billed charges,1540.77,1540.77,1771,percent of total billed charges,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1540.77,87,percent of total billed charges,1540.77,1540.77,1771,percent of total billed charges,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,UNITED HEALTHCARE,UNITED HEALTHCARE,,1558.48,88,percent of total billed charges,1558.48,1540.77,1771,percent of total billed charges,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,AETNA,AETNA,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,ALLIANT,ALLIANT,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,AMBETTER,AMBETTER,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,BEECH STREET,BEECH STREET,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,CARESOURCE,CARESOURCE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,MEDICAID,MEDICAID,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,MEDICARE,MEDICARE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,NOVA NET,NOVA NET,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,PEACHSTATE,PEACHSTATE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,SELFPAY,SELFPAY,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,TRICARE,TRICARE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED 7.5 ACUTRAK HEADLESS SC,C1713,CPT,both,,,1771,1771,UHC MEDICARE,UHC MEDICARE,,1771,,fee schedule,1771,1540.77,1771,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,AETNA,AETNA,,1606.02,87,percent of total billed charges,1606.02,1606.02,1846,percent of total billed charges,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1606.02,87,percent of total billed charges,1606.02,1606.02,1846,percent of total billed charges,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,UNITED HEALTHCARE,UNITED HEALTHCARE,,1624.48,88,percent of total billed charges,1624.48,1606.02,1846,percent of total billed charges,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,AETNA,AETNA,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,ALLIANT,ALLIANT,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,AMBETTER,AMBETTER,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,BEECH STREET,BEECH STREET,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,CARESOURCE,CARESOURCE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,MEDICAID,MEDICAID,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,MEDICARE,MEDICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,NOVA NET,NOVA NET,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,PEACHSTATE,PEACHSTATE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,SELFPAY,SELFPAY,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,TRICARE,TRICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED BIOTRACK PIN,C1713,CPT,both,,,1846,1846,UHC MEDICARE,UHC MEDICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,AETNA,AETNA,,3962.85,87,percent of total billed charges,3962.85,3962.85,4555,percent of total billed charges,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3962.85,87,percent of total billed charges,3962.85,3962.85,4555,percent of total billed charges,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,UNITED HEALTHCARE,UNITED HEALTHCARE,,4008.4,88,percent of total billed charges,4008.4,3962.85,4555,percent of total billed charges,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,AETNA,AETNA,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,ALLIANT,ALLIANT,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,AMBETTER,AMBETTER,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,BEECH STREET,BEECH STREET,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,CARESOURCE,CARESOURCE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,MEDICAID,MEDICAID,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,MEDICARE,MEDICARE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,NOVA NET,NOVA NET,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,PEACHSTATE,PEACHSTATE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,SELFPAY,SELFPAY,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,TRICARE,TRICARE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED CLAVICLE PLATE,C1713,CPT,both,,,4555,4555,UHC MEDICARE,UHC MEDICARE,,4555,,fee schedule,4555,3962.85,4555,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,AETNA,AETNA,,3044.13,87,percent of total billed charges,3044.13,3044.13,3499,percent of total billed charges,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3044.13,87,percent of total billed charges,3044.13,3044.13,3499,percent of total billed charges,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,UNITED HEALTHCARE,UNITED HEALTHCARE,,3079.12,88,percent of total billed charges,3079.12,3044.13,3499,percent of total billed charges,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,AETNA,AETNA,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,ALLIANT,ALLIANT,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,AMBETTER,AMBETTER,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,BEECH STREET,BEECH STREET,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,CARESOURCE,CARESOURCE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,MEDICAID,MEDICAID,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,MEDICARE,MEDICARE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,NOVA NET,NOVA NET,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,PEACHSTATE,PEACHSTATE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,SELFPAY,SELFPAY,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,TRICARE,TRICARE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED DORSALETERIAL PLT 6 HOL,C1713,CPT,both,,,3499,3499,UHC MEDICARE,UHC MEDICARE,,3499,,fee schedule,3499,3044.13,3499,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,AETNA,AETNA,,1356.33,87,percent of total billed charges,1356.33,1356.33,1559,percent of total billed charges,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1356.33,87,percent of total billed charges,1356.33,1356.33,1559,percent of total billed charges,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,UNITED HEALTHCARE,UNITED HEALTHCARE,,1371.92,88,percent of total billed charges,1371.92,1356.33,1559,percent of total billed charges,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,AETNA,AETNA,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,ALLIANT,ALLIANT,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,AMBETTER,AMBETTER,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,BEECH STREET,BEECH STREET,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,MEDICAID,MEDICAID,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,MEDICARE,MEDICARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,NOVA NET,NOVA NET,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,SELFPAY,SELFPAY,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,TRICARE,TRICARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED HEADLESS COMPRES,C1713,CPT,both,,,1559,1559,UHC MEDICARE,UHC MEDICARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,AETNA,AETNA,,1287.6,87,percent of total billed charges,1287.6,1287.6,1480,percent of total billed charges,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1287.6,87,percent of total billed charges,1287.6,1287.6,1480,percent of total billed charges,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,UNITED HEALTHCARE,UNITED HEALTHCARE,,1302.4,88,percent of total billed charges,1302.4,1287.6,1480,percent of total billed charges,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,AETNA,AETNA,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,ALLIANT,ALLIANT,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,AMBETTER,AMBETTER,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,BEECH STREET,BEECH STREET,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,CARESOURCE,CARESOURCE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,MEDICAID,MEDICAID,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,MEDICARE,MEDICARE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,NOVA NET,NOVA NET,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,PEACHSTATE,PEACHSTATE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,SELFPAY,SELFPAY,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,TRICARE,TRICARE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED LOCKING PLATE,C1713,CPT,both,,,1480,1480,UHC MEDICARE,UHC MEDICARE,,1480,,fee schedule,1480,1287.6,1480,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,AETNA,AETNA,,2242.86,87,percent of total billed charges,2242.86,2242.86,2578,percent of total billed charges,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2242.86,87,percent of total billed charges,2242.86,2242.86,2578,percent of total billed charges,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,UNITED HEALTHCARE,UNITED HEALTHCARE,,2268.64,88,percent of total billed charges,2268.64,2242.86,2578,percent of total billed charges,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,AETNA,AETNA,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,ALLIANT,ALLIANT,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,AMBETTER,AMBETTER,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,BEECH STREET,BEECH STREET,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,CARESOURCE,CARESOURCE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,MEDICAID,MEDICAID,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,MEDICARE,MEDICARE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,NOVA NET,NOVA NET,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,PEACHSTATE,PEACHSTATE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,SELFPAY,SELFPAY,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,TRICARE,TRICARE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED MCP PLAT,C1713,CPT,both,,,2578,2578,UHC MEDICARE,UHC MEDICARE,,2578,,fee schedule,2578,2242.86,2578,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,AETNA,AETNA,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,UNITED HEALTHCARE,UNITED HEALTHCARE,,340.56,88,percent of total billed charges,340.56,336.69,387,percent of total billed charges,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,AETNA,AETNA,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,ALLIANT,ALLIANT,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,AMBETTER,AMBETTER,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,BEECH STREET,BEECH STREET,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,CARESOURCE,CARESOURCE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,MEDICAID,MEDICAID,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,MEDICARE,MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,NOVA NET,NOVA NET,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,PEACHSTATE,PEACHSTATE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,SELFPAY,SELFPAY,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,TRICARE,TRICARE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED PL-TACK PT CODE,C1713,CPT,both,,,387,387,UHC MEDICARE,UHC MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,AETNA,AETNA,,262.74,87,percent of total billed charges,262.74,262.74,302,percent of total billed charges,
ACUMED SCREW,C1713,CPT,both,,,302,302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262.74,87,percent of total billed charges,262.74,262.74,302,percent of total billed charges,
ACUMED SCREW,C1713,CPT,both,,,302,302,UNITED HEALTHCARE,UNITED HEALTHCARE,,265.76,88,percent of total billed charges,265.76,262.74,302,percent of total billed charges,
ACUMED SCREW,C1713,CPT,both,,,302,302,AETNA,AETNA,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,ALLIANT,ALLIANT,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,AMBETTER,AMBETTER,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,BEECH STREET,BEECH STREET,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,CARESOURCE,CARESOURCE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,MEDICAID,MEDICAID,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,MEDICARE,MEDICARE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,NOVA NET,NOVA NET,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,PEACHSTATE,PEACHSTATE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,SELFPAY,SELFPAY,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,TRICARE,TRICARE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUMED SCREW,C1713,CPT,both,,,302,302,UHC MEDICARE,UHC MEDICARE,,302,,fee schedule,302,262.74,302,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,AETNA,AETNA,,1285.86,87,percent of total billed charges,1285.86,1285.86,1478,percent of total billed charges,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1285.86,87,percent of total billed charges,1285.86,1285.86,1478,percent of total billed charges,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,UNITED HEALTHCARE,UNITED HEALTHCARE,,1300.64,88,percent of total billed charges,1300.64,1285.86,1478,percent of total billed charges,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,AETNA,AETNA,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,ALLIANT,ALLIANT,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,AMBETTER,AMBETTER,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,BEECH STREET,BEECH STREET,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,CARESOURCE,CARESOURCE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,MEDICAID,MEDICAID,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,MEDICARE,MEDICARE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,NOVA NET,NOVA NET,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,PEACHSTATE,PEACHSTATE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,SELFPAY,SELFPAY,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,TRICARE,TRICARE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK 27MM FUSION DEVICED,C1713,CPT,both,,,1478,1478,UHC MEDICARE,UHC MEDICARE,,1478,,fee schedule,1478,1285.86,1478,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,139.2,160,percent of total billed charges,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,139.2,160,fee schedule,
ACUTRAK GUIDE PIN,C1713,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,AETNA,AETNA,,2394.24,87,percent of total billed charges,2394.24,2394.24,2752,percent of total billed charges,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2394.24,87,percent of total billed charges,2394.24,2394.24,2752,percent of total billed charges,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,UNITED HEALTHCARE,UNITED HEALTHCARE,,2421.76,88,percent of total billed charges,2421.76,2394.24,2752,percent of total billed charges,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,AETNA,AETNA,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,ALLIANT,ALLIANT,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,AMBETTER,AMBETTER,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,BEECH STREET,BEECH STREET,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,CARESOURCE,CARESOURCE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,MEDICAID,MEDICAID,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,MEDICARE,MEDICARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,NOVA NET,NOVA NET,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,PEACHSTATE,PEACHSTATE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,SELFPAY,SELFPAY,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,TRICARE,TRICARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 2.5MM OFFSET,C1713,CPT,both,,,2752,2752,UHC MEDICARE,UHC MEDICARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,AETNA,AETNA,,2394.24,87,percent of total billed charges,2394.24,2394.24,2752,percent of total billed charges,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2394.24,87,percent of total billed charges,2394.24,2394.24,2752,percent of total billed charges,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,UNITED HEALTHCARE,UNITED HEALTHCARE,,2421.76,88,percent of total billed charges,2421.76,2394.24,2752,percent of total billed charges,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,AETNA,AETNA,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,ALLIANT,ALLIANT,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,AMBETTER,AMBETTER,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,BEECH STREET,BEECH STREET,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,CARESOURCE,CARESOURCE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,MEDICAID,MEDICAID,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,MEDICARE,MEDICARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,NOVA NET,NOVA NET,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,PEACHSTATE,PEACHSTATE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,SELFPAY,SELFPAY,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,TRICARE,TRICARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR 5MM OFFSET,C1713,CPT,both,,,2752,2752,UHC MEDICARE,UHC MEDICARE,,2752,,fee schedule,2752,2394.24,2752,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,AETNA,AETNA,,4469.19,87,percent of total billed charges,4469.19,4469.19,5137,percent of total billed charges,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4469.19,87,percent of total billed charges,4469.19,4469.19,5137,percent of total billed charges,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,UNITED HEALTHCARE,UNITED HEALTHCARE,,4520.56,88,percent of total billed charges,4520.56,4469.19,5137,percent of total billed charges,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,AETNA,AETNA,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,ALLIANT,ALLIANT,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,AMBETTER,AMBETTER,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,BEECH STREET,BEECH STREET,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,CARESOURCE,CARESOURCE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,MEDICAID,MEDICAID,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,MEDICARE,MEDICARE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,NOVA NET,NOVA NET,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,PEACHSTATE,PEACHSTATE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,SELFPAY,SELFPAY,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,TRICARE,TRICARE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ADAPTOR J1600C,C1713,CPT,both,,,5137,5137,UHC MEDICARE,UHC MEDICARE,,5137,,fee schedule,5137,4469.19,5137,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,AETNA,AETNA,,4858.08,87,percent of total billed charges,4858.08,4858.08,5584,percent of total billed charges,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4858.08,87,percent of total billed charges,4858.08,4858.08,5584,percent of total billed charges,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,UNITED HEALTHCARE,UNITED HEALTHCARE,,4913.92,88,percent of total billed charges,4913.92,4858.08,5584,percent of total billed charges,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,AETNA,AETNA,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,ALLIANT,ALLIANT,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,AMBETTER,AMBETTER,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,BEECH STREET,BEECH STREET,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,CARESOURCE,CARESOURCE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,MEDICAID,MEDICAID,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,MEDICARE,MEDICARE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,NOVA NET,NOVA NET,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,PEACHSTATE,PEACHSTATE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,SELFPAY,SELFPAY,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,TRICARE,TRICARE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX 10CC,C1713,CPT,both,,,5584,5584,UHC MEDICARE,UHC MEDICARE,,5584,,fee schedule,5584,4858.08,5584,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,AETNA,AETNA,,8254.56,87,percent of total billed charges,8254.56,8254.56,9488,percent of total billed charges,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8254.56,87,percent of total billed charges,8254.56,8254.56,9488,percent of total billed charges,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,UNITED HEALTHCARE,UNITED HEALTHCARE,,8349.44,88,percent of total billed charges,8349.44,8254.56,9488,percent of total billed charges,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,AETNA,AETNA,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,ALLIANT,ALLIANT,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,AMBETTER,AMBETTER,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,BEECH STREET,BEECH STREET,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,CARESOURCE,CARESOURCE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,MEDICAID,MEDICAID,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,MEDICARE,MEDICARE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,NOVA NET,NOVA NET,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,PEACHSTATE,PEACHSTATE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,SELFPAY,SELFPAY,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,TRICARE,TRICARE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 20CC,C1713,CPT,both,,,9488,9488,UHC MEDICARE,UHC MEDICARE,,9488,,fee schedule,9488,8254.56,9488,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,AETNA,AETNA,,3291.21,87,percent of total billed charges,3291.21,3291.21,3783,percent of total billed charges,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3291.21,87,percent of total billed charges,3291.21,3291.21,3783,percent of total billed charges,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,UNITED HEALTHCARE,UNITED HEALTHCARE,,3329.04,88,percent of total billed charges,3329.04,3291.21,3783,percent of total billed charges,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,AETNA,AETNA,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,ALLIANT,ALLIANT,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,AMBETTER,AMBETTER,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,BEECH STREET,BEECH STREET,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,CARESOURCE,CARESOURCE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,MEDICAID,MEDICAID,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,MEDICARE,MEDICARE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,NOVA NET,NOVA NET,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,PEACHSTATE,PEACHSTATE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,SELFPAY,SELFPAY,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,TRICARE,TRICARE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOMATRIX C 5CC,C1713,CPT,both,,,3783,3783,UHC MEDICARE,UHC MEDICARE,,3783,,fee schedule,3783,3291.21,3783,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,AETNA,AETNA,,6126.54,87,percent of total billed charges,6126.54,6126.54,7042,percent of total billed charges,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6126.54,87,percent of total billed charges,6126.54,6126.54,7042,percent of total billed charges,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,UNITED HEALTHCARE,UNITED HEALTHCARE,,6196.96,88,percent of total billed charges,6196.96,6126.54,7042,percent of total billed charges,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,AETNA,AETNA,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,ALLIANT,ALLIANT,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,AMBETTER,AMBETTER,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,BEECH STREET,BEECH STREET,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,CARESOURCE,CARESOURCE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,MEDICAID,MEDICAID,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,MEDICARE,MEDICARE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,NOVA NET,NOVA NET,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,PEACHSTATE,PEACHSTATE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,SELFPAY,SELFPAY,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,TRICARE,TRICARE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 10CC,C1713,CPT,both,,,7042,7042,UHC MEDICARE,UHC MEDICARE,,7042,,fee schedule,7042,6126.54,7042,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,AETNA,AETNA,,3136.35,87,percent of total billed charges,3136.35,3136.35,3605,percent of total billed charges,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3136.35,87,percent of total billed charges,3136.35,3136.35,3605,percent of total billed charges,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,UNITED HEALTHCARE,UNITED HEALTHCARE,,3172.4,88,percent of total billed charges,3172.4,3136.35,3605,percent of total billed charges,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,AETNA,AETNA,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,ALLIANT,ALLIANT,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,AMBETTER,AMBETTER,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,BEECH STREET,BEECH STREET,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,CARESOURCE,CARESOURCE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,MEDICAID,MEDICAID,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,MEDICARE,MEDICARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,NOVA NET,NOVA NET,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,PEACHSTATE,PEACHSTATE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,SELFPAY,SELFPAY,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,TRICARE,TRICARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ALLOSYNC PURE 5CC,C1713,CPT,both,,,3605,3605,UHC MEDICARE,UHC MEDICARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,AETNA,AETNA,,2240.25,87,percent of total billed charges,2240.25,2240.25,2575,percent of total billed charges,
ANCHOR,C1713,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2240.25,87,percent of total billed charges,2240.25,2240.25,2575,percent of total billed charges,
ANCHOR,C1713,CPT,both,,,2575,2575,UNITED HEALTHCARE,UNITED HEALTHCARE,,2266,88,percent of total billed charges,2266,2240.25,2575,percent of total billed charges,
ANCHOR,C1713,CPT,both,,,2575,2575,AETNA,AETNA,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,ALLIANT,ALLIANT,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,AMBETTER,AMBETTER,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,BEECH STREET,BEECH STREET,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,CARESOURCE,CARESOURCE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,MEDICAID,MEDICAID,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,MEDICARE,MEDICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,NOVA NET,NOVA NET,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,PEACHSTATE,PEACHSTATE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,SELFPAY,SELFPAY,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,TRICARE,TRICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANCHOR,C1713,CPT,both,,,2575,2575,UHC MEDICARE,UHC MEDICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,AETNA,AETNA,,1665.18,87,percent of total billed charges,1665.18,1665.18,1914,percent of total billed charges,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1665.18,87,percent of total billed charges,1665.18,1665.18,1914,percent of total billed charges,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,UNITED HEALTHCARE,UNITED HEALTHCARE,,1684.32,88,percent of total billed charges,1684.32,1665.18,1914,percent of total billed charges,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,AETNA,AETNA,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,ALLIANT,ALLIANT,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,AMBETTER,AMBETTER,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,BEECH STREET,BEECH STREET,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,CARESOURCE,CARESOURCE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,MEDICAID,MEDICAID,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,MEDICARE,MEDICARE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,NOVA NET,NOVA NET,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,PEACHSTATE,PEACHSTATE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,SELFPAY,SELFPAY,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,TRICARE,TRICARE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANKEL FIXATION ZIPTIGHT,C1713,CPT,both,,,1914,1914,UHC MEDICARE,UHC MEDICARE,,1914,,fee schedule,1914,1665.18,1914,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,AETNA,AETNA,,14077.47,87,percent of total billed charges,14077.47,14077.47,16181,percent of total billed charges,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14077.47,87,percent of total billed charges,14077.47,14077.47,16181,percent of total billed charges,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,UNITED HEALTHCARE,UNITED HEALTHCARE,,14239.28,88,percent of total billed charges,14239.28,14077.47,16181,percent of total billed charges,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,AETNA,AETNA,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,ALLIANT,ALLIANT,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,AMBETTER,AMBETTER,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,BEECH STREET,BEECH STREET,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,CARESOURCE,CARESOURCE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,MEDICAID,MEDICAID,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,MEDICARE,MEDICARE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,NOVA NET,NOVA NET,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,PEACHSTATE,PEACHSTATE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,SELFPAY,SELFPAY,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,TRICARE,TRICARE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
ANTIBIOTIC HIP MOLD,C1713,CPT,both,,,16181,16181,UHC MEDICARE,UHC MEDICARE,,16181,,fee schedule,16181,14077.47,16181,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA CMP SCREWS CORTICALLI,C1713,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,48,percent of total billed charges,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW MALLEOLAR,C1713,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,48,percent of total billed charges,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,48,fee schedule,
AOA COMP SCREW SPONGIOSA,C1713,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,AETNA,AETNA,,3883.68,87,percent of total billed charges,3883.68,3883.68,4464,percent of total billed charges,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3883.68,87,percent of total billed charges,3883.68,3883.68,4464,percent of total billed charges,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,UNITED HEALTHCARE,UNITED HEALTHCARE,,3928.32,88,percent of total billed charges,3928.32,3883.68,4464,percent of total billed charges,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,AETNA,AETNA,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,ALLIANT,ALLIANT,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,AMBETTER,AMBETTER,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,BEECH STREET,BEECH STREET,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,CARESOURCE,CARESOURCE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,MEDICAID,MEDICAID,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,MEDICARE,MEDICARE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,NOVA NET,NOVA NET,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,PEACHSTATE,PEACHSTATE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,SELFPAY,SELFPAY,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,TRICARE,TRICARE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARROW HUMERAL STEM,C1713,CPT,both,,,4464,4464,UHC MEDICARE,UHC MEDICARE,,4464,,fee schedule,4464,3883.68,4464,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,85.26,98,percent of total billed charges,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,85.26,98,percent of total billed charges,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,85.26,98,percent of total billed charges,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,ALLIANT,ALLIANT,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,AMBETTER,AMBETTER,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,MEDICARE,MEDICARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,TRICARE,TRICARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 10X3 PASSPORT,C1713,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,AETNA,AETNA,,768.21,87,percent of total billed charges,768.21,768.21,883,percent of total billed charges,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,768.21,87,percent of total billed charges,768.21,768.21,883,percent of total billed charges,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,UNITED HEALTHCARE,UNITED HEALTHCARE,,777.04,88,percent of total billed charges,777.04,768.21,883,percent of total billed charges,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,AETNA,AETNA,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,ALLIANT,ALLIANT,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,AMBETTER,AMBETTER,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,BEECH STREET,BEECH STREET,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,CARESOURCE,CARESOURCE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,MEDICAID,MEDICAID,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,MEDICARE,MEDICARE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,NOVA NET,NOVA NET,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,PEACHSTATE,PEACHSTATE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,SELFPAY,SELFPAY,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,TRICARE,TRICARE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.5 MICRO SCREW,C1713,CPT,both,,,883,883,UHC MEDICARE,UHC MEDICARE,,883,,fee schedule,883,768.21,883,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,118.32,136,percent of total billed charges,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,ALLIANT,ALLIANT,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,AMBETTER,AMBETTER,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,MEDICARE,MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,TRICARE,TRICARE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7 CORTICAL SCREW,C1713,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,AETNA,AETNA,,301.02,87,percent of total billed charges,301.02,301.02,346,percent of total billed charges,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.02,87,percent of total billed charges,301.02,301.02,346,percent of total billed charges,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,UNITED HEALTHCARE,UNITED HEALTHCARE,,304.48,88,percent of total billed charges,304.48,301.02,346,percent of total billed charges,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,AETNA,AETNA,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,ALLIANT,ALLIANT,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,AMBETTER,AMBETTER,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,BEECH STREET,BEECH STREET,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,CARESOURCE,CARESOURCE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,MEDICAID,MEDICAID,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,MEDICARE,MEDICARE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,NOVA NET,NOVA NET,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,PEACHSTATE,PEACHSTATE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,SELFPAY,SELFPAY,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,TRICARE,TRICARE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 2.7X26 LCK,C1713,CPT,both,,,346,346,UHC MEDICARE,UHC MEDICARE,,346,,fee schedule,346,301.02,346,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,92.22,106,percent of total billed charges,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,92.22,106,percent of total billed charges,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,92.22,106,percent of total billed charges,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,ALLIANT,ALLIANT,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,AMBETTER,AMBETTER,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,MEDICARE,MEDICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,TRICARE,TRICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 3.0 CANC SCREW,C1713,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,92.22,106,percent of total billed charges,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,92.22,106,percent of total billed charges,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,92.22,106,percent of total billed charges,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,ALLIANT,ALLIANT,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,AMBETTER,AMBETTER,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,MEDICARE,MEDICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,TRICARE,TRICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANC SCREW,C1713,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,AETNA,AETNA,,448.05,87,percent of total billed charges,448.05,448.05,515,percent of total billed charges,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448.05,87,percent of total billed charges,448.05,448.05,515,percent of total billed charges,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,UNITED HEALTHCARE,UNITED HEALTHCARE,,453.2,88,percent of total billed charges,453.2,448.05,515,percent of total billed charges,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,AETNA,AETNA,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,ALLIANT,ALLIANT,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,AMBETTER,AMBETTER,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,BEECH STREET,BEECH STREET,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,CARESOURCE,CARESOURCE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,MEDICAID,MEDICAID,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,MEDICARE,MEDICARE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,NOVA NET,NOVA NET,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,PEACHSTATE,PEACHSTATE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,SELFPAY,SELFPAY,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,TRICARE,TRICARE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX 4.0 CANNU SCREW,C1713,CPT,both,,,515,515,UHC MEDICARE,UHC MEDICARE,,515,,fee schedule,515,448.05,515,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,AETNA,AETNA,,421.95,87,percent of total billed charges,421.95,421.95,485,percent of total billed charges,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.95,87,percent of total billed charges,421.95,421.95,485,percent of total billed charges,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,UNITED HEALTHCARE,UNITED HEALTHCARE,,426.8,88,percent of total billed charges,426.8,421.95,485,percent of total billed charges,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,AETNA,AETNA,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,ALLIANT,ALLIANT,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,AMBETTER,AMBETTER,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,BEECH STREET,BEECH STREET,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,CARESOURCE,CARESOURCE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,MEDICAID,MEDICAID,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,MEDICARE,MEDICARE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,NOVA NET,NOVA NET,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,PEACHSTATE,PEACHSTATE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,SELFPAY,SELFPAY,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,TRICARE,TRICARE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL DRILL PIN,C1713,CPT,both,,,485,485,UHC MEDICARE,UHC MEDICARE,,485,,fee schedule,485,421.95,485,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,AETNA,AETNA,,924.81,87,percent of total billed charges,924.81,924.81,1063,percent of total billed charges,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924.81,87,percent of total billed charges,924.81,924.81,1063,percent of total billed charges,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,UNITED HEALTHCARE,UNITED HEALTHCARE,,935.44,88,percent of total billed charges,935.44,924.81,1063,percent of total billed charges,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,AETNA,AETNA,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,ALLIANT,ALLIANT,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,AMBETTER,AMBETTER,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,BEECH STREET,BEECH STREET,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,CARESOURCE,CARESOURCE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,MEDICAID,MEDICAID,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,MEDICARE,MEDICARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,NOVA NET,NOVA NET,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,PEACHSTATE,PEACHSTATE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,SELFPAY,SELFPAY,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,TRICARE,TRICARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACL TIGER ROPE,C1713,CPT,both,,,1063,1063,UHC MEDICARE,UHC MEDICARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,AETNA,AETNA,,3937.62,87,percent of total billed charges,3937.62,3937.62,4526,percent of total billed charges,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3937.62,87,percent of total billed charges,3937.62,3937.62,4526,percent of total billed charges,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,UNITED HEALTHCARE,UNITED HEALTHCARE,,3982.88,88,percent of total billed charges,3982.88,3937.62,4526,percent of total billed charges,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,AETNA,AETNA,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,ALLIANT,ALLIANT,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,AMBETTER,AMBETTER,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,BEECH STREET,BEECH STREET,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,CARESOURCE,CARESOURCE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,MEDICAID,MEDICAID,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,MEDICARE,MEDICARE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,NOVA NET,NOVA NET,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,PEACHSTATE,PEACHSTATE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,SELFPAY,SELFPAY,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,TRICARE,TRICARE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ACUTE AC REPAIR,C1713,CPT,both,,,4526,4526,UHC MEDICARE,UHC MEDICARE,,4526,,fee schedule,4526,3937.62,4526,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,AETNA,AETNA,,5076.45,87,percent of total billed charges,5076.45,5076.45,5835,percent of total billed charges,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5076.45,87,percent of total billed charges,5076.45,5076.45,5835,percent of total billed charges,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,UNITED HEALTHCARE,UNITED HEALTHCARE,,5134.8,88,percent of total billed charges,5134.8,5076.45,5835,percent of total billed charges,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,AETNA,AETNA,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,ALLIANT,ALLIANT,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,AMBETTER,AMBETTER,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,BEECH STREET,BEECH STREET,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,CARESOURCE,CARESOURCE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,MEDICAID,MEDICAID,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,MEDICARE,MEDICARE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,NOVA NET,NOVA NET,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,PEACHSTATE,PEACHSTATE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,SELFPAY,SELFPAY,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,TRICARE,TRICARE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX ANT LAT PLATE,C1713,CPT,both,,,5835,5835,UHC MEDICARE,UHC MEDICARE,,5835,,fee schedule,5835,5076.45,5835,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,221.85,255,percent of total billed charges,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BB-TAK,C1713,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,AETNA,AETNA,,815.19,87,percent of total billed charges,815.19,815.19,937,percent of total billed charges,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,815.19,87,percent of total billed charges,815.19,815.19,937,percent of total billed charges,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,UNITED HEALTHCARE,UNITED HEALTHCARE,,824.56,88,percent of total billed charges,824.56,815.19,937,percent of total billed charges,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,AETNA,AETNA,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,ALLIANT,ALLIANT,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,AMBETTER,AMBETTER,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,BEECH STREET,BEECH STREET,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,CARESOURCE,CARESOURCE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,MEDICAID,MEDICAID,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,MEDICARE,MEDICARE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,NOVA NET,NOVA NET,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,PEACHSTATE,PEACHSTATE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,SELFPAY,SELFPAY,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,TRICARE,TRICARE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEP BUTTON,C1713,CPT,both,,,937,937,UHC MEDICARE,UHC MEDICARE,,937,,fee schedule,937,815.19,937,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,AETNA,AETNA,,3024.12,87,percent of total billed charges,3024.12,3024.12,3476,percent of total billed charges,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3024.12,87,percent of total billed charges,3024.12,3024.12,3476,percent of total billed charges,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,UNITED HEALTHCARE,UNITED HEALTHCARE,,3058.88,88,percent of total billed charges,3058.88,3024.12,3476,percent of total billed charges,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,AETNA,AETNA,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,ALLIANT,ALLIANT,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,AMBETTER,AMBETTER,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,BEECH STREET,BEECH STREET,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,CARESOURCE,CARESOURCE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,MEDICAID,MEDICAID,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,MEDICARE,MEDICARE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,NOVA NET,NOVA NET,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,PEACHSTATE,PEACHSTATE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,SELFPAY,SELFPAY,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,TRICARE,TRICARE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BICEPS IMPLANT,C1713,CPT,both,,,3476,3476,UHC MEDICARE,UHC MEDICARE,,3476,,fee schedule,3476,3024.12,3476,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,AETNA,AETNA,,1023.99,87,percent of total billed charges,1023.99,1023.99,1177,percent of total billed charges,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1023.99,87,percent of total billed charges,1023.99,1023.99,1177,percent of total billed charges,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,UNITED HEALTHCARE,UNITED HEALTHCARE,,1035.76,88,percent of total billed charges,1035.76,1023.99,1177,percent of total billed charges,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,AETNA,AETNA,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,ALLIANT,ALLIANT,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,AMBETTER,AMBETTER,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,BEECH STREET,BEECH STREET,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,CARESOURCE,CARESOURCE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,MEDICAID,MEDICAID,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,MEDICARE,MEDICARE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,NOVA NET,NOVA NET,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,PEACHSTATE,PEACHSTATE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,SELFPAY,SELFPAY,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,TRICARE,TRICARE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO CORKSCREW,C1713,CPT,both,,,1177,1177,UHC MEDICARE,UHC MEDICARE,,1177,,fee schedule,1177,1023.99,1177,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,AETNA,AETNA,,756.9,87,percent of total billed charges,756.9,756.9,870,percent of total billed charges,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,756.9,87,percent of total billed charges,756.9,756.9,870,percent of total billed charges,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,UNITED HEALTHCARE,UNITED HEALTHCARE,,765.6,88,percent of total billed charges,765.6,756.9,870,percent of total billed charges,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,AETNA,AETNA,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,ALLIANT,ALLIANT,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,AMBETTER,AMBETTER,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,BEECH STREET,BEECH STREET,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,CARESOURCE,CARESOURCE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,MEDICAID,MEDICAID,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,MEDICARE,MEDICARE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,NOVA NET,NOVA NET,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,PEACHSTATE,PEACHSTATE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,SELFPAY,SELFPAY,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,TRICARE,TRICARE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO SCREW,C1713,CPT,both,,,870,870,UHC MEDICARE,UHC MEDICARE,,870,,fee schedule,870,756.9,870,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,AETNA,AETNA,,789.09,87,percent of total billed charges,789.09,789.09,907,percent of total billed charges,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,789.09,87,percent of total billed charges,789.09,789.09,907,percent of total billed charges,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,UNITED HEALTHCARE,UNITED HEALTHCARE,,798.16,88,percent of total billed charges,798.16,789.09,907,percent of total billed charges,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,AETNA,AETNA,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,ALLIANT,ALLIANT,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,AMBETTER,AMBETTER,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,BEECH STREET,BEECH STREET,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,CARESOURCE,CARESOURCE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,MEDICAID,MEDICAID,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,MEDICARE,MEDICARE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,NOVA NET,NOVA NET,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,PEACHSTATE,PEACHSTATE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,SELFPAY,SELFPAY,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,TRICARE,TRICARE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BIO-FASTAK,C1713,CPT,both,,,907,907,UHC MEDICARE,UHC MEDICARE,,907,,fee schedule,907,789.09,907,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,AETNA,AETNA,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,UNITED HEALTHCARE,UNITED HEALTHCARE,,1631.52,88,percent of total billed charges,1631.52,1612.98,1854,percent of total billed charges,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,AETNA,AETNA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,ALLIANT,ALLIANT,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,AMBETTER,AMBETTER,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,BEECH STREET,BEECH STREET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,CARESOURCE,CARESOURCE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,MEDICAID,MEDICAID,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,MEDICARE,MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,NOVA NET,NOVA NET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,PEACHSTATE,PEACHSTATE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,SELFPAY,SELFPAY,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,TRICARE,TRICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX BTB TIGHTROPE,C1713,CPT,both,,,1854,1854,UHC MEDICARE,UHC MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,264.48,304,percent of total billed charges,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CANNULATED SCREW,C1713,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,AETNA,AETNA,,2861.43,87,percent of total billed charges,2861.43,2861.43,3289,percent of total billed charges,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2861.43,87,percent of total billed charges,2861.43,2861.43,3289,percent of total billed charges,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,UNITED HEALTHCARE,UNITED HEALTHCARE,,2894.32,88,percent of total billed charges,2894.32,2861.43,3289,percent of total billed charges,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,AETNA,AETNA,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,ALLIANT,ALLIANT,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,AMBETTER,AMBETTER,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,BEECH STREET,BEECH STREET,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,CARESOURCE,CARESOURCE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,MEDICAID,MEDICAID,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,MEDICARE,MEDICARE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,NOVA NET,NOVA NET,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,PEACHSTATE,PEACHSTATE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,SELFPAY,SELFPAY,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,TRICARE,TRICARE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CMC TIGHTROPE,C1713,CPT,both,,,3289,3289,UHC MEDICARE,UHC MEDICARE,,3289,,fee schedule,3289,2861.43,3289,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,AETNA,AETNA,,705.57,87,percent of total billed charges,705.57,705.57,811,percent of total billed charges,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,705.57,87,percent of total billed charges,705.57,705.57,811,percent of total billed charges,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,UNITED HEALTHCARE,UNITED HEALTHCARE,,713.68,88,percent of total billed charges,713.68,705.57,811,percent of total billed charges,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,AETNA,AETNA,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,ALLIANT,ALLIANT,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,AMBETTER,AMBETTER,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,BEECH STREET,BEECH STREET,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,CARESOURCE,CARESOURCE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,MEDICAID,MEDICAID,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,MEDICARE,MEDICARE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,NOVA NET,NOVA NET,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,PEACHSTATE,PEACHSTATE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,SELFPAY,SELFPAY,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,TRICARE,TRICARE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX CORKSCREW ANCHOR,C1713,CPT,both,,,811,811,UHC MEDICARE,UHC MEDICARE,,811,,fee schedule,811,705.57,811,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,AETNA,AETNA,,746.46,87,percent of total billed charges,746.46,746.46,858,percent of total billed charges,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,746.46,87,percent of total billed charges,746.46,746.46,858,percent of total billed charges,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,UNITED HEALTHCARE,UNITED HEALTHCARE,,755.04,88,percent of total billed charges,755.04,746.46,858,percent of total billed charges,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,AETNA,AETNA,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,ALLIANT,ALLIANT,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,AMBETTER,AMBETTER,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,BEECH STREET,BEECH STREET,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,CARESOURCE,CARESOURCE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,MEDICAID,MEDICAID,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,MEDICARE,MEDICARE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,NOVA NET,NOVA NET,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,PEACHSTATE,PEACHSTATE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,SELFPAY,SELFPAY,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,TRICARE,TRICARE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX FST THREAD INTERF SCW,C1713,CPT,both,,,858,858,UHC MEDICARE,UHC MEDICARE,,858,,fee schedule,858,746.46,858,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,AETNA,AETNA,,4082.04,87,percent of total billed charges,4082.04,4082.04,4692,percent of total billed charges,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4082.04,87,percent of total billed charges,4082.04,4082.04,4692,percent of total billed charges,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,UNITED HEALTHCARE,UNITED HEALTHCARE,,4128.96,88,percent of total billed charges,4128.96,4082.04,4692,percent of total billed charges,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,AETNA,AETNA,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,ALLIANT,ALLIANT,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,AMBETTER,AMBETTER,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,BEECH STREET,BEECH STREET,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,CARESOURCE,CARESOURCE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,MEDICAID,MEDICAID,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,MEDICARE,MEDICARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,NOVA NET,NOVA NET,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,PEACHSTATE,PEACHSTATE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,SELFPAY,SELFPAY,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,TRICARE,TRICARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX INTERNAL BRACE,C1713,CPT,both,,,4692,4692,UHC MEDICARE,UHC MEDICARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,AETNA,AETNA,,3686.19,87,percent of total billed charges,3686.19,3686.19,4237,percent of total billed charges,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3686.19,87,percent of total billed charges,3686.19,3686.19,4237,percent of total billed charges,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,UNITED HEALTHCARE,UNITED HEALTHCARE,,3728.56,88,percent of total billed charges,3728.56,3686.19,4237,percent of total billed charges,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,AETNA,AETNA,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,ALLIANT,ALLIANT,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,AMBETTER,AMBETTER,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,BEECH STREET,BEECH STREET,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,CARESOURCE,CARESOURCE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,MEDICAID,MEDICAID,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,MEDICARE,MEDICARE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,NOVA NET,NOVA NET,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,PEACHSTATE,PEACHSTATE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,SELFPAY,SELFPAY,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,TRICARE,TRICARE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX KNOTLESS TIGHTROP,C1713,CPT,both,,,4237,4237,UHC MEDICARE,UHC MEDICARE,,4237,,fee schedule,4237,3686.19,4237,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,AETNA,AETNA,,2144.55,87,percent of total billed charges,2144.55,2144.55,2465,percent of total billed charges,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2144.55,87,percent of total billed charges,2144.55,2144.55,2465,percent of total billed charges,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,UNITED HEALTHCARE,UNITED HEALTHCARE,,2169.2,88,percent of total billed charges,2169.2,2144.55,2465,percent of total billed charges,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,AETNA,AETNA,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,ALLIANT,ALLIANT,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,AMBETTER,AMBETTER,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,BEECH STREET,BEECH STREET,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,CARESOURCE,CARESOURCE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,MEDICAID,MEDICAID,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,MEDICARE,MEDICARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,NOVA NET,NOVA NET,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,PEACHSTATE,PEACHSTATE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,SELFPAY,SELFPAY,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,TRICARE,TRICARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MEDIAL HOOK PLATE,C1713,CPT,both,,,2465,2465,UHC MEDICARE,UHC MEDICARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,AETNA,AETNA,,1431.15,87,percent of total billed charges,1431.15,1431.15,1645,percent of total billed charges,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1431.15,87,percent of total billed charges,1431.15,1431.15,1645,percent of total billed charges,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,UNITED HEALTHCARE,UNITED HEALTHCARE,,1447.6,88,percent of total billed charges,1447.6,1431.15,1645,percent of total billed charges,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,AETNA,AETNA,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,ALLIANT,ALLIANT,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,AMBETTER,AMBETTER,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,BEECH STREET,BEECH STREET,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,CARESOURCE,CARESOURCE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,MEDICAID,MEDICAID,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,MEDICARE,MEDICARE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,NOVA NET,NOVA NET,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,PEACHSTATE,PEACHSTATE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,SELFPAY,SELFPAY,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,TRICARE,TRICARE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX MIDSHAFT (L) CLAVICLE,C1713,CPT,both,,,1645,1645,UHC MEDICARE,UHC MEDICARE,,1645,,fee schedule,1645,1431.15,1645,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,AETNA,AETNA,,1164.93,87,percent of total billed charges,1164.93,1164.93,1339,percent of total billed charges,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1164.93,87,percent of total billed charges,1164.93,1164.93,1339,percent of total billed charges,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,UNITED HEALTHCARE,UNITED HEALTHCARE,,1178.32,88,percent of total billed charges,1178.32,1164.93,1339,percent of total billed charges,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,AETNA,AETNA,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,ALLIANT,ALLIANT,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,AMBETTER,AMBETTER,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,BEECH STREET,BEECH STREET,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,CARESOURCE,CARESOURCE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,MEDICAID,MEDICAID,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,MEDICARE,MEDICARE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,NOVA NET,NOVA NET,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,PEACHSTATE,PEACHSTATE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,SELFPAY,SELFPAY,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,TRICARE,TRICARE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEC REPAIR BUTTON,C1713,CPT,both,,,1339,1339,UHC MEDICARE,UHC MEDICARE,,1339,,fee schedule,1339,1164.93,1339,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,AETNA,AETNA,,651.63,87,percent of total billed charges,651.63,651.63,749,percent of total billed charges,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,651.63,87,percent of total billed charges,651.63,651.63,749,percent of total billed charges,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,UNITED HEALTHCARE,UNITED HEALTHCARE,,659.12,88,percent of total billed charges,659.12,651.63,749,percent of total billed charges,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,AETNA,AETNA,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,ALLIANT,ALLIANT,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,AMBETTER,AMBETTER,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,BEECH STREET,BEECH STREET,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,CARESOURCE,CARESOURCE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,MEDICAID,MEDICAID,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,MEDICARE,MEDICARE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,NOVA NET,NOVA NET,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,PEACHSTATE,PEACHSTATE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,SELFPAY,SELFPAY,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,TRICARE,TRICARE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK INTERFER SCREW,C1713,CPT,both,,,749,749,UHC MEDICARE,UHC MEDICARE,,749,,fee schedule,749,651.63,749,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,AETNA,AETNA,,4879.83,87,percent of total billed charges,4879.83,4879.83,5609,percent of total billed charges,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4879.83,87,percent of total billed charges,4879.83,4879.83,5609,percent of total billed charges,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,UNITED HEALTHCARE,UNITED HEALTHCARE,,4935.92,88,percent of total billed charges,4935.92,4879.83,5609,percent of total billed charges,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,AETNA,AETNA,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,ALLIANT,ALLIANT,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,AMBETTER,AMBETTER,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,BEECH STREET,BEECH STREET,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,CARESOURCE,CARESOURCE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,MEDICAID,MEDICAID,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,MEDICARE,MEDICARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,NOVA NET,NOVA NET,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,PEACHSTATE,PEACHSTATE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,SELFPAY,SELFPAY,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,TRICARE,TRICARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK REPAIR,C1713,CPT,both,,,5609,5609,UHC MEDICARE,UHC MEDICARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,AETNA,AETNA,,1068.36,87,percent of total billed charges,1068.36,1068.36,1228,percent of total billed charges,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1068.36,87,percent of total billed charges,1068.36,1068.36,1228,percent of total billed charges,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1080.64,88,percent of total billed charges,1080.64,1068.36,1228,percent of total billed charges,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,AETNA,AETNA,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,ALLIANT,ALLIANT,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,AMBETTER,AMBETTER,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,BEECH STREET,BEECH STREET,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,CARESOURCE,CARESOURCE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,MEDICAID,MEDICAID,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,MEDICARE,MEDICARE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,NOVA NET,NOVA NET,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,PEACHSTATE,PEACHSTATE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,SELFPAY,SELFPAY,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,TRICARE,TRICARE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX PEEK SWIVEL LOCK,C1713,CPT,both,,,1228,1228,UHC MEDICARE,UHC MEDICARE,,1228,,fee schedule,1228,1068.36,1228,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,AETNA,AETNA,,4796.31,87,percent of total billed charges,4796.31,4796.31,5513,percent of total billed charges,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4796.31,87,percent of total billed charges,4796.31,4796.31,5513,percent of total billed charges,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,UNITED HEALTHCARE,UNITED HEALTHCARE,,4851.44,88,percent of total billed charges,4851.44,4796.31,5513,percent of total billed charges,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,AETNA,AETNA,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,ALLIANT,ALLIANT,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,AMBETTER,AMBETTER,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,BEECH STREET,BEECH STREET,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,CARESOURCE,CARESOURCE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,MEDICAID,MEDICAID,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,MEDICARE,MEDICARE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,NOVA NET,NOVA NET,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,PEACHSTATE,PEACHSTATE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,SELFPAY,SELFPAY,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,TRICARE,TRICARE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX SPEEDBRIDGE IMPLA,C1713,CPT,both,,,5513,5513,UHC MEDICARE,UHC MEDICARE,,5513,,fee schedule,5513,4796.31,5513,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,AETNA,AETNA,,1010.94,87,percent of total billed charges,1010.94,1010.94,1162,percent of total billed charges,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1010.94,87,percent of total billed charges,1010.94,1010.94,1162,percent of total billed charges,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,UNITED HEALTHCARE,UNITED HEALTHCARE,,1022.56,88,percent of total billed charges,1022.56,1010.94,1162,percent of total billed charges,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,AETNA,AETNA,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,ALLIANT,ALLIANT,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,AMBETTER,AMBETTER,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,BEECH STREET,BEECH STREET,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,CARESOURCE,CARESOURCE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,MEDICAID,MEDICAID,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,MEDICARE,MEDICARE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,NOVA NET,NOVA NET,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,PEACHSTATE,PEACHSTATE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,SELFPAY,SELFPAY,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,TRICARE,TRICARE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SCREW,C1713,CPT,both,,,1162,1162,UHC MEDICARE,UHC MEDICARE,,1162,,fee schedule,1162,1010.94,1162,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,AETNA,AETNA,,1135.35,87,percent of total billed charges,1135.35,1135.35,1305,percent of total billed charges,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1135.35,87,percent of total billed charges,1135.35,1135.35,1305,percent of total billed charges,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,UNITED HEALTHCARE,UNITED HEALTHCARE,,1148.4,88,percent of total billed charges,1148.4,1135.35,1305,percent of total billed charges,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,AETNA,AETNA,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,ALLIANT,ALLIANT,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,AMBETTER,AMBETTER,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,BEECH STREET,BEECH STREET,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,CARESOURCE,CARESOURCE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,MEDICAID,MEDICAID,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,MEDICARE,MEDICARE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,NOVA NET,NOVA NET,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,PEACHSTATE,PEACHSTATE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,SELFPAY,SELFPAY,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,TRICARE,TRICARE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TENODESIS SW PEEK 4X10,C1713,CPT,both,,,1305,1305,UHC MEDICARE,UHC MEDICARE,,1305,,fee schedule,1305,1135.35,1305,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,AETNA,AETNA,,268.83,87,percent of total billed charges,268.83,268.83,309,percent of total billed charges,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268.83,87,percent of total billed charges,268.83,268.83,309,percent of total billed charges,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,UNITED HEALTHCARE,UNITED HEALTHCARE,,271.92,88,percent of total billed charges,271.92,268.83,309,percent of total billed charges,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,AETNA,AETNA,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,ALLIANT,ALLIANT,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,AMBETTER,AMBETTER,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,BEECH STREET,BEECH STREET,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,CARESOURCE,CARESOURCE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,MEDICAID,MEDICAID,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,MEDICARE,MEDICARE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,NOVA NET,NOVA NET,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,PEACHSTATE,PEACHSTATE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,SELFPAY,SELFPAY,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,TRICARE,TRICARE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TIGER LOOP,C1713,CPT,both,,,309,309,UHC MEDICARE,UHC MEDICARE,,309,,fee schedule,309,268.83,309,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,183.57,211,percent of total billed charges,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,ALLIANT,ALLIANT,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,AMBETTER,AMBETTER,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,MEDICARE,MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,TRICARE,TRICARE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX TISSUE BUTTON,C1713,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,85.26,98,percent of total billed charges,
ARTHREX WASHER,C1713,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,85.26,98,percent of total billed charges,
ARTHREX WASHER,C1713,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,85.26,98,percent of total billed charges,
ARTHREX WASHER,C1713,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,ALLIANT,ALLIANT,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,AMBETTER,AMBETTER,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,MEDICARE,MEDICARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,TRICARE,TRICARE,,98,,fee schedule,98,85.26,98,fee schedule,
ARTHREX WASHER,C1713,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,98,,fee schedule,98,85.26,98,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,228.81,263,percent of total billed charges,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,228.81,263,fee schedule,
A-SURE ANCHORS ONLY,C1713,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,AETNA,AETNA,,4196.01,87,percent of total billed charges,4196.01,4196.01,4823,percent of total billed charges,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4196.01,87,percent of total billed charges,4196.01,4196.01,4823,percent of total billed charges,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,UNITED HEALTHCARE,UNITED HEALTHCARE,,4244.24,88,percent of total billed charges,4244.24,4196.01,4823,percent of total billed charges,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,AETNA,AETNA,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,ALLIANT,ALLIANT,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,AMBETTER,AMBETTER,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,BEECH STREET,BEECH STREET,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,CARESOURCE,CARESOURCE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,MEDICAID,MEDICAID,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,MEDICARE,MEDICARE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,NOVA NET,NOVA NET,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,PEACHSTATE,PEACHSTATE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,SELFPAY,SELFPAY,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,TRICARE,TRICARE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS PLATE,C1713,CPT,both,,,4823,4823,UHC MEDICARE,UHC MEDICARE,,4823,,fee schedule,4823,4196.01,4823,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,AETNA,AETNA,,1003.98,87,percent of total billed charges,1003.98,1003.98,1154,percent of total billed charges,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1003.98,87,percent of total billed charges,1003.98,1003.98,1154,percent of total billed charges,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,UNITED HEALTHCARE,UNITED HEALTHCARE,,1015.52,88,percent of total billed charges,1015.52,1003.98,1154,percent of total billed charges,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,AETNA,AETNA,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,ALLIANT,ALLIANT,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,AMBETTER,AMBETTER,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,BEECH STREET,BEECH STREET,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,CARESOURCE,CARESOURCE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,MEDICAID,MEDICAID,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,MEDICARE,MEDICARE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,NOVA NET,NOVA NET,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,PEACHSTATE,PEACHSTATE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,SELFPAY,SELFPAY,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,TRICARE,TRICARE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
ATLANTIS SCREW,C1713,CPT,both,,,1154,1154,UHC MEDICARE,UHC MEDICARE,,1154,,fee schedule,1154,1003.98,1154,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,AETNA,AETNA,,938.73,87,percent of total billed charges,938.73,938.73,1079,percent of total billed charges,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,938.73,87,percent of total billed charges,938.73,938.73,1079,percent of total billed charges,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,UNITED HEALTHCARE,UNITED HEALTHCARE,,949.52,88,percent of total billed charges,949.52,938.73,1079,percent of total billed charges,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,AETNA,AETNA,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,ALLIANT,ALLIANT,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,AMBETTER,AMBETTER,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,BEECH STREET,BEECH STREET,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,CARESOURCE,CARESOURCE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,MEDICAID,MEDICAID,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,MEDICARE,MEDICARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,NOVA NET,NOVA NET,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,PEACHSTATE,PEACHSTATE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,SELFPAY,SELFPAY,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,TRICARE,TRICARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BACTERIN DBM PUTTY 2.5CC,C1713,CPT,both,,,1079,1079,UHC MEDICARE,UHC MEDICARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
BARBED STAPLES(ALL) 2229-,C1713,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIMET 7.0X85MM CANSCR 16 PART,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,AETNA,AETNA,,458.49,87,percent of total billed charges,458.49,458.49,527,percent of total billed charges,
BIO RCI SCREW,C1713,CPT,both,,,527,527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,458.49,87,percent of total billed charges,458.49,458.49,527,percent of total billed charges,
BIO RCI SCREW,C1713,CPT,both,,,527,527,UNITED HEALTHCARE,UNITED HEALTHCARE,,463.76,88,percent of total billed charges,463.76,458.49,527,percent of total billed charges,
BIO RCI SCREW,C1713,CPT,both,,,527,527,AETNA,AETNA,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,ALLIANT,ALLIANT,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,AMBETTER,AMBETTER,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,BEECH STREET,BEECH STREET,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,CARESOURCE,CARESOURCE,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,MEDICAID,MEDICAID,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,MEDICARE,MEDICARE,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,NOVA NET,NOVA NET,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,PEACHSTATE,PEACHSTATE,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,SELFPAY,SELFPAY,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,TRICARE,TRICARE,,527,,fee schedule,527,458.49,527,fee schedule,
BIO RCI SCREW,C1713,CPT,both,,,527,527,UHC MEDICARE,UHC MEDICARE,,527,,fee schedule,527,458.49,527,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,AETNA,AETNA,,3378.21,87,percent of total billed charges,3378.21,3378.21,3883,percent of total billed charges,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3378.21,87,percent of total billed charges,3378.21,3378.21,3883,percent of total billed charges,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,UNITED HEALTHCARE,UNITED HEALTHCARE,,3417.04,88,percent of total billed charges,3417.04,3378.21,3883,percent of total billed charges,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,AETNA,AETNA,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,ALLIANT,ALLIANT,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,AMBETTER,AMBETTER,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,BEECH STREET,BEECH STREET,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,CARESOURCE,CARESOURCE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,MEDICAID,MEDICAID,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,MEDICARE,MEDICARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,NOVA NET,NOVA NET,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,PEACHSTATE,PEACHSTATE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,SELFPAY,SELFPAY,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,TRICARE,TRICARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOCOMPOSITES STIM.ABX BEADS,C1713,CPT,both,,,3883,3883,UHC MEDICARE,UHC MEDICARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,AETNA,AETNA,,7649.91,87,percent of total billed charges,7649.91,7649.91,8793,percent of total billed charges,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7649.91,87,percent of total billed charges,7649.91,7649.91,8793,percent of total billed charges,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,UNITED HEALTHCARE,UNITED HEALTHCARE,,7737.84,88,percent of total billed charges,7737.84,7649.91,8793,percent of total billed charges,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,AETNA,AETNA,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,ALLIANT,ALLIANT,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,AMBETTER,AMBETTER,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,BEECH STREET,BEECH STREET,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,CARESOURCE,CARESOURCE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,MEDICAID,MEDICAID,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,MEDICARE,MEDICARE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,NOVA NET,NOVA NET,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,PEACHSTATE,PEACHSTATE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,SELFPAY,SELFPAY,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,TRICARE,TRICARE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMENT CONSTRAINED POLY,C1713,CPT,both,,,8793,8793,UHC MEDICARE,UHC MEDICARE,,8793,,fee schedule,8793,7649.91,8793,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,150.51,173,percent of total billed charges,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,150.51,173,percent of total billed charges,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,150.51,173,percent of total billed charges,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,ALLIANT,ALLIANT,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,AMBETTER,AMBETTER,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,MEDICARE,MEDICARE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,TRICARE,TRICARE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET  SCREWX,C1713,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,173,,fee schedule,173,150.51,173,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 1.4 KWIRE,C1713,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,AETNA,AETNA,,5755.92,87,percent of total billed charges,5755.92,5755.92,6616,percent of total billed charges,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5755.92,87,percent of total billed charges,5755.92,5755.92,6616,percent of total billed charges,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,UNITED HEALTHCARE,UNITED HEALTHCARE,,5822.08,88,percent of total billed charges,5822.08,5755.92,6616,percent of total billed charges,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,AETNA,AETNA,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,ALLIANT,ALLIANT,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,AMBETTER,AMBETTER,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,BEECH STREET,BEECH STREET,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,CARESOURCE,CARESOURCE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,MEDICAID,MEDICAID,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,MEDICARE,MEDICARE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,NOVA NET,NOVA NET,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,PEACHSTATE,PEACHSTATE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,SELFPAY,SELFPAY,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,TRICARE,TRICARE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10MM PS PLUS BEAR,C1713,CPT,both,,,6616,6616,UHC MEDICARE,UHC MEDICARE,,6616,,fee schedule,6616,5755.92,6616,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,AETNA,AETNA,,3250.32,87,percent of total billed charges,3250.32,3250.32,3736,percent of total billed charges,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3250.32,87,percent of total billed charges,3250.32,3250.32,3736,percent of total billed charges,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,UNITED HEALTHCARE,UNITED HEALTHCARE,,3287.68,88,percent of total billed charges,3287.68,3250.32,3736,percent of total billed charges,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,AETNA,AETNA,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,ALLIANT,ALLIANT,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,AMBETTER,AMBETTER,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,BEECH STREET,BEECH STREET,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CARESOURCE,CARESOURCE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,MEDICAID,MEDICAID,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,MEDICARE,MEDICARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,NOVA NET,NOVA NET,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,PEACHSTATE,PEACHSTATE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,SELFPAY,SELFPAY,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,TRICARE,TRICARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 10X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,UHC MEDICARE,UHC MEDICARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,AETNA,AETNA,,5137.35,87,percent of total billed charges,5137.35,5137.35,5905,percent of total billed charges,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5137.35,87,percent of total billed charges,5137.35,5137.35,5905,percent of total billed charges,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,UNITED HEALTHCARE,UNITED HEALTHCARE,,5196.4,88,percent of total billed charges,5196.4,5137.35,5905,percent of total billed charges,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,AETNA,AETNA,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,ALLIANT,ALLIANT,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,AMBETTER,AMBETTER,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,BEECH STREET,BEECH STREET,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,CARESOURCE,CARESOURCE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,MEDICAID,MEDICAID,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,MEDICARE,MEDICARE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,NOVA NET,NOVA NET,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,PEACHSTATE,PEACHSTATE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,SELFPAY,SELFPAY,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,TRICARE,TRICARE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 13.5X400 RETRO NAIL,C1713,CPT,both,,,5905,5905,UHC MEDICARE,UHC MEDICARE,,5905,,fee schedule,5905,5137.35,5905,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,168.78,194,percent of total billed charges,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,ALLIANT,ALLIANT,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,AMBETTER,AMBETTER,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,MEDICARE,MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,TRICARE,TRICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 FP LOCK SCREW 18MM,C1713,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,AETNA,AETNA,,1002.24,87,percent of total billed charges,1002.24,1002.24,1152,percent of total billed charges,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1002.24,87,percent of total billed charges,1002.24,1002.24,1152,percent of total billed charges,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,UNITED HEALTHCARE,UNITED HEALTHCARE,,1013.76,88,percent of total billed charges,1013.76,1002.24,1152,percent of total billed charges,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,AETNA,AETNA,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,ALLIANT,ALLIANT,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,AMBETTER,AMBETTER,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,BEECH STREET,BEECH STREET,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,MEDICAID,MEDICAID,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,MEDICARE,MEDICARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,NOVA NET,NOVA NET,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,SELFPAY,SELFPAY,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,TRICARE,TRICARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5 MAX VPC SCREW,C1713,CPT,both,,,1152,1152,UHC MEDICARE,UHC MEDICARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,547.23,629,percent of total billed charges,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM AO DRIVER HEX,C1713,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,606.39,697,percent of total billed charges,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,ALLIANT,ALLIANT,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,AMBETTER,AMBETTER,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,MEDICARE,MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,TRICARE,TRICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5MM HCS SCREW,C1713,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,168.78,194,percent of total billed charges,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,ALLIANT,ALLIANT,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,AMBETTER,AMBETTER,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,MEDICARE,MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,TRICARE,TRICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10 FP LOCK SCREW,C1713,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,274.92,316,percent of total billed charges,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,274.92,316,percent of total billed charges,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,274.92,316,percent of total billed charges,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,ALLIANT,ALLIANT,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,AMBETTER,AMBETTER,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,MEDICARE,MEDICARE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,TRICARE,TRICARE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X10MLTDIR PEG THREAD,C1713,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,316,,fee schedule,316,274.92,316,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,AETNA,AETNA,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168.78,87,percent of total billed charges,168.78,168.78,194,percent of total billed charges,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,UNITED HEALTHCARE,UNITED HEALTHCARE,,170.72,88,percent of total billed charges,170.72,168.78,194,percent of total billed charges,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,AETNA,AETNA,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,ALLIANT,ALLIANT,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,AMBETTER,AMBETTER,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,BEECH STREET,BEECH STREET,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,CARESOURCE,CARESOURCE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,MEDICAID,MEDICAID,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,MEDICARE,MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,NOVA NET,NOVA NET,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,PEACHSTATE,PEACHSTATE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,SELFPAY,SELFPAY,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,TRICARE,TRICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X12 FP LOCK SCREW,C1713,CPT,both,,,194,194,UHC MEDICARE,UHC MEDICARE,,194,,fee schedule,194,168.78,194,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,606.39,697,percent of total billed charges,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,ALLIANT,ALLIANT,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,AMBETTER,AMBETTER,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,MEDICARE,MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,TRICARE,TRICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X20 HCS SCREW,C1713,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,606.39,697,percent of total billed charges,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,ALLIANT,ALLIANT,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,AMBETTER,AMBETTER,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,MEDICARE,MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,TRICARE,TRICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.5X22MM HCS SCREW,C1713,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,AETNA,AETNA,,385.41,87,percent of total billed charges,385.41,385.41,443,percent of total billed charges,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385.41,87,percent of total billed charges,385.41,385.41,443,percent of total billed charges,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,UNITED HEALTHCARE,UNITED HEALTHCARE,,389.84,88,percent of total billed charges,389.84,385.41,443,percent of total billed charges,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,AETNA,AETNA,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,ALLIANT,ALLIANT,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,AMBETTER,AMBETTER,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,BEECH STREET,BEECH STREET,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,CARESOURCE,CARESOURCE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,MEDICAID,MEDICAID,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,MEDICARE,MEDICARE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,NOVA NET,NOVA NET,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,PEACHSTATE,PEACHSTATE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,SELFPAY,SELFPAY,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,TRICARE,TRICARE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 2.7 MD SCREW,C1713,CPT,both,,,443,443,UHC MEDICARE,UHC MEDICARE,,443,,fee schedule,443,385.41,443,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,224.46,258,percent of total billed charges,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,224.46,258,percent of total billed charges,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,224.46,258,percent of total billed charges,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,ALLIANT,ALLIANT,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,AMBETTER,AMBETTER,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,MEDICARE,MEDICARE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,TRICARE,TRICARE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 LOCK CORTICAL SCREW,C1713,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,258,,fee schedule,258,224.46,258,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,152.25,175,percent of total billed charges,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,152.25,175,percent of total billed charges,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,152.25,175,percent of total billed charges,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,ALLIANT,ALLIANT,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,AMBETTER,AMBETTER,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,MEDICARE,MEDICARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,TRICARE,TRICARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 26 NONLOCK CORTICAL SCR,C1713,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,AETNA,AETNA,,329.73,87,percent of total billed charges,329.73,329.73,379,percent of total billed charges,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329.73,87,percent of total billed charges,329.73,329.73,379,percent of total billed charges,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,UNITED HEALTHCARE,UNITED HEALTHCARE,,333.52,88,percent of total billed charges,333.52,329.73,379,percent of total billed charges,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,AETNA,AETNA,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,ALLIANT,ALLIANT,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,AMBETTER,AMBETTER,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,BEECH STREET,BEECH STREET,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,CARESOURCE,CARESOURCE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,MEDICAID,MEDICAID,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,MEDICARE,MEDICARE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,NOVA NET,NOVA NET,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,PEACHSTATE,PEACHSTATE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,SELFPAY,SELFPAY,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,TRICARE,TRICARE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 GUIDEPIN,C1713,CPT,both,,,379,379,UHC MEDICARE,UHC MEDICARE,,379,,fee schedule,379,329.73,379,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,195.75,225,percent of total billed charges,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,195.75,225,percent of total billed charges,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,195.75,225,percent of total billed charges,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,ALLIANT,ALLIANT,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,AMBETTER,AMBETTER,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,MEDICARE,MEDICARE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,TRICARE,TRICARE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2 TROCAR TIPGUIDE PIN,C1713,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,225,,fee schedule,225,195.75,225,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,UNITED HEALTHCARE,UNITED HEALTHCARE,,325.6,88,percent of total billed charges,325.6,321.9,370,percent of total billed charges,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,ALLIANT,ALLIANT,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,AMBETTER,AMBETTER,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,BEECH STREET,BEECH STREET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,MEDICAID,MEDICAID,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,MEDICARE,MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET,NOVA NET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,SELFPAY,SELFPAY,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,TRICARE,TRICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X40 LOCK PEG,C1713,CPT,both,,,370,370,UHC MEDICARE,UHC MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,UNITED HEALTHCARE,UNITED HEALTHCARE,,325.6,88,percent of total billed charges,325.6,321.9,370,percent of total billed charges,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,ALLIANT,ALLIANT,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,AMBETTER,AMBETTER,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,BEECH STREET,BEECH STREET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,MEDICAID,MEDICAID,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,MEDICARE,MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET,NOVA NET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,SELFPAY,SELFPAY,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,TRICARE,TRICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X42 LOCK PEG,C1713,CPT,both,,,370,370,UHC MEDICARE,UHC MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,UNITED HEALTHCARE,UNITED HEALTHCARE,,325.6,88,percent of total billed charges,325.6,321.9,370,percent of total billed charges,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,ALLIANT,ALLIANT,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,AMBETTER,AMBETTER,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,BEECH STREET,BEECH STREET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,MEDICAID,MEDICAID,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,MEDICARE,MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET,NOVA NET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,SELFPAY,SELFPAY,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,TRICARE,TRICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X44 LOCK PEG,C1713,CPT,both,,,370,370,UHC MEDICARE,UHC MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,UNITED HEALTHCARE,UNITED HEALTHCARE,,325.6,88,percent of total billed charges,325.6,321.9,370,percent of total billed charges,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,AETNA,AETNA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,ALLIANT,ALLIANT,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,AMBETTER,AMBETTER,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,BEECH STREET,BEECH STREET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,MEDICAID,MEDICAID,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,MEDICARE,MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET,NOVA NET,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,SELFPAY,SELFPAY,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,TRICARE,TRICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.2X46 LOCK PEG,C1713,CPT,both,,,370,370,UHC MEDICARE,UHC MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,118.32,136,percent of total billed charges,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,ALLIANT,ALLIANT,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,AMBETTER,AMBETTER,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,MEDICARE,MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,TRICARE,TRICARE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X18 CORT SCW,C1713,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,152.25,175,percent of total billed charges,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,152.25,175,percent of total billed charges,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,152.25,175,percent of total billed charges,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,ALLIANT,ALLIANT,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,AMBETTER,AMBETTER,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,MEDICARE,MEDICARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,TRICARE,TRICARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X24 NONLOCK SCREW,C1713,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,175,,fee schedule,175,152.25,175,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,AETNA,AETNA,,306.24,87,percent of total billed charges,306.24,306.24,352,percent of total billed charges,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306.24,87,percent of total billed charges,306.24,306.24,352,percent of total billed charges,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,UNITED HEALTHCARE,UNITED HEALTHCARE,,309.76,88,percent of total billed charges,309.76,306.24,352,percent of total billed charges,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,AETNA,AETNA,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,ALLIANT,ALLIANT,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,AMBETTER,AMBETTER,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,BEECH STREET,BEECH STREET,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,MEDICAID,MEDICAID,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,MEDICARE,MEDICARE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,NOVA NET,NOVA NET,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,SELFPAY,SELFPAY,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,TRICARE,TRICARE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 3.5X38MM CANN CORT SCRW,C1713,CPT,both,,,352,352,UHC MEDICARE,UHC MEDICARE,,352,,fee schedule,352,306.24,352,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,AETNA,AETNA,,4157.73,87,percent of total billed charges,4157.73,4157.73,4779,percent of total billed charges,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4157.73,87,percent of total billed charges,4157.73,4157.73,4779,percent of total billed charges,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,UNITED HEALTHCARE,UNITED HEALTHCARE,,4205.52,88,percent of total billed charges,4205.52,4157.73,4779,percent of total billed charges,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,AETNA,AETNA,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,ALLIANT,ALLIANT,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,AMBETTER,AMBETTER,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,BEECH STREET,BEECH STREET,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,CARESOURCE,CARESOURCE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,MEDICAID,MEDICAID,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,MEDICARE,MEDICARE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,NOVA NET,NOVA NET,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,PEACHSTATE,PEACHSTATE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,SELFPAY,SELFPAY,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,TRICARE,TRICARE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 32MM~3 HEAD,C1713,CPT,both,,,4779,4779,UHC MEDICARE,UHC MEDICARE,,4779,,fee schedule,4779,4157.73,4779,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,AETNA,AETNA,,1351.11,87,percent of total billed charges,1351.11,1351.11,1553,percent of total billed charges,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1351.11,87,percent of total billed charges,1351.11,1351.11,1553,percent of total billed charges,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,UNITED HEALTHCARE,UNITED HEALTHCARE,,1366.64,88,percent of total billed charges,1366.64,1351.11,1553,percent of total billed charges,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,AETNA,AETNA,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,ALLIANT,ALLIANT,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,AMBETTER,AMBETTER,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,BEECH STREET,BEECH STREET,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,CARESOURCE,CARESOURCE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,MEDICAID,MEDICAID,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,MEDICARE,MEDICARE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,NOVA NET,NOVA NET,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,PEACHSTATE,PEACHSTATE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,SELFPAY,SELFPAY,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,TRICARE,TRICARE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE DIST/LAT FIB PLT,C1713,CPT,both,,,1553,1553,UHC MEDICARE,UHC MEDICARE,,1553,,fee schedule,1553,1351.11,1553,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,AETNA,AETNA,,4182.96,87,percent of total billed charges,4182.96,4182.96,4808,percent of total billed charges,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4182.96,87,percent of total billed charges,4182.96,4182.96,4808,percent of total billed charges,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,UNITED HEALTHCARE,UNITED HEALTHCARE,,4231.04,88,percent of total billed charges,4231.04,4182.96,4808,percent of total billed charges,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,AETNA,AETNA,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,ALLIANT,ALLIANT,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,AMBETTER,AMBETTER,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,BEECH STREET,BEECH STREET,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,CARESOURCE,CARESOURCE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,MEDICAID,MEDICAID,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,MEDICARE,MEDICARE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,NOVA NET,NOVA NET,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,PEACHSTATE,PEACHSTATE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,SELFPAY,SELFPAY,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,TRICARE,TRICARE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4 HOLE PROX HUM PLATE,C1713,CPT,both,,,4808,4808,UHC MEDICARE,UHC MEDICARE,,4808,,fee schedule,4808,4182.96,4808,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,AETNA,AETNA,,1002.24,87,percent of total billed charges,1002.24,1002.24,1152,percent of total billed charges,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1002.24,87,percent of total billed charges,1002.24,1002.24,1152,percent of total billed charges,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,UNITED HEALTHCARE,UNITED HEALTHCARE,,1013.76,88,percent of total billed charges,1013.76,1002.24,1152,percent of total billed charges,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,AETNA,AETNA,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,ALLIANT,ALLIANT,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,AMBETTER,AMBETTER,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,BEECH STREET,BEECH STREET,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CARESOURCE,CARESOURCE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,MEDICAID,MEDICAID,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,MEDICARE,MEDICARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,NOVA NET,NOVA NET,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,PEACHSTATE,PEACHSTATE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,SELFPAY,SELFPAY,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,TRICARE,TRICARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0MM MAX VPC SCREW,C1713,CPT,both,,,1152,1152,UHC MEDICARE,UHC MEDICARE,,1152,,fee schedule,1152,1002.24,1152,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,140.94,162,percent of total billed charges,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.0X36 STD SCREW,C1713,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,272.31,313,percent of total billed charges,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,272.31,313,percent of total billed charges,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,272.31,313,percent of total billed charges,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,ALLIANT,ALLIANT,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,AMBETTER,AMBETTER,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,MEDICARE,MEDICARE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,TRICARE,TRICARE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 LOCK SCREW,C1713,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,313,,fee schedule,313,272.31,313,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,140.07,161,percent of total billed charges,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,140.07,161,percent of total billed charges,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,140.07,161,percent of total billed charges,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,ALLIANT,ALLIANT,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,AMBETTER,AMBETTER,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,MEDICARE,MEDICARE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,TRICARE,TRICARE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.5 NON LOCK SCREW,C1713,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,161,,fee schedule,161,140.07,161,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,AETNA,AETNA,,432.39,87,percent of total billed charges,432.39,432.39,497,percent of total billed charges,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432.39,87,percent of total billed charges,432.39,432.39,497,percent of total billed charges,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,UNITED HEALTHCARE,UNITED HEALTHCARE,,437.36,88,percent of total billed charges,437.36,432.39,497,percent of total billed charges,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,AETNA,AETNA,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,ALLIANT,ALLIANT,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,AMBETTER,AMBETTER,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,BEECH STREET,BEECH STREET,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,CARESOURCE,CARESOURCE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,MEDICAID,MEDICAID,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,MEDICARE,MEDICARE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,NOVA NET,NOVA NET,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,PEACHSTATE,PEACHSTATE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,SELFPAY,SELFPAY,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,TRICARE,TRICARE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 4.75 LOCK SCREW,C1713,CPT,both,,,497,497,UHC MEDICARE,UHC MEDICARE,,497,,fee schedule,497,432.39,497,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,AETNA,AETNA,,635.1,87,percent of total billed charges,635.1,635.1,730,percent of total billed charges,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,635.1,87,percent of total billed charges,635.1,635.1,730,percent of total billed charges,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,UNITED HEALTHCARE,UNITED HEALTHCARE,,642.4,88,percent of total billed charges,642.4,635.1,730,percent of total billed charges,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,AETNA,AETNA,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,ALLIANT,ALLIANT,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,AMBETTER,AMBETTER,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,BEECH STREET,BEECH STREET,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,CARESOURCE,CARESOURCE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,MEDICAID,MEDICAID,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,MEDICARE,MEDICARE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,NOVA NET,NOVA NET,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,PEACHSTATE,PEACHSTATE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,SELFPAY,SELFPAY,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,TRICARE,TRICARE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.0 SCREW,C1713,CPT,both,,,730,730,UHC MEDICARE,UHC MEDICARE,,730,,fee schedule,730,635.1,730,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,AETNA,AETNA,,405.42,87,percent of total billed charges,405.42,405.42,466,percent of total billed charges,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,405.42,87,percent of total billed charges,405.42,405.42,466,percent of total billed charges,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,UNITED HEALTHCARE,UNITED HEALTHCARE,,410.08,88,percent of total billed charges,410.08,405.42,466,percent of total billed charges,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,AETNA,AETNA,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,ALLIANT,ALLIANT,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,AMBETTER,AMBETTER,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,BEECH STREET,BEECH STREET,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,CARESOURCE,CARESOURCE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,MEDICAID,MEDICAID,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,MEDICARE,MEDICARE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,NOVA NET,NOVA NET,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,PEACHSTATE,PEACHSTATE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,SELFPAY,SELFPAY,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,TRICARE,TRICARE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5.5 CAN LOCK SCREW,C1713,CPT,both,,,466,466,UHC MEDICARE,UHC MEDICARE,,466,,fee schedule,466,405.42,466,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,AETNA,AETNA,,3250.32,87,percent of total billed charges,3250.32,3250.32,3736,percent of total billed charges,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3250.32,87,percent of total billed charges,3250.32,3250.32,3736,percent of total billed charges,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,UNITED HEALTHCARE,UNITED HEALTHCARE,,3287.68,88,percent of total billed charges,3287.68,3250.32,3736,percent of total billed charges,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,AETNA,AETNA,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,ALLIANT,ALLIANT,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,AMBETTER,AMBETTER,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,BEECH STREET,BEECH STREET,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CARESOURCE,CARESOURCE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,MEDICAID,MEDICAID,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,MEDICARE,MEDICARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,NOVA NET,NOVA NET,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,PEACHSTATE,PEACHSTATE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,SELFPAY,SELFPAY,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,TRICARE,TRICARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 5X65 RM AUGMENT,C1713,CPT,both,,,3736,3736,UHC MEDICARE,UHC MEDICARE,,3736,,fee schedule,3736,3250.32,3736,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,78.3,90,percent of total billed charges,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,78.3,90,percent of total billed charges,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,78.3,90,percent of total billed charges,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,ALLIANT,ALLIANT,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,AMBETTER,AMBETTER,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,MEDICARE,MEDICARE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,TRICARE,TRICARE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW,C1713,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,90,,fee schedule,90,78.3,90,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,AETNA,AETNA,,447.18,87,percent of total billed charges,447.18,447.18,514,percent of total billed charges,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,447.18,87,percent of total billed charges,447.18,447.18,514,percent of total billed charges,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,UNITED HEALTHCARE,UNITED HEALTHCARE,,452.32,88,percent of total billed charges,452.32,447.18,514,percent of total billed charges,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,AETNA,AETNA,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,ALLIANT,ALLIANT,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,AMBETTER,AMBETTER,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,BEECH STREET,BEECH STREET,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,CARESOURCE,CARESOURCE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,MEDICAID,MEDICAID,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,MEDICARE,MEDICARE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,NOVA NET,NOVA NET,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,PEACHSTATE,PEACHSTATE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,SELFPAY,SELFPAY,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,TRICARE,TRICARE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 6.5 SCREW LOCK & N,C1713,CPT,both,,,514,514,UHC MEDICARE,UHC MEDICARE,,514,,fee schedule,514,447.18,514,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X40 CANN SCREW,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X45 CANN SCREW,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X75MM C SCR 16 PART,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET 7.0X80MM CANSCR 16 PART,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,AETNA,AETNA,,528.09,87,percent of total billed charges,528.09,528.09,607,percent of total billed charges,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,528.09,87,percent of total billed charges,528.09,528.09,607,percent of total billed charges,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,UNITED HEALTHCARE,UNITED HEALTHCARE,,534.16,88,percent of total billed charges,534.16,528.09,607,percent of total billed charges,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,AETNA,AETNA,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,ALLIANT,ALLIANT,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,AMBETTER,AMBETTER,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,BEECH STREET,BEECH STREET,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,CARESOURCE,CARESOURCE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,MEDICAID,MEDICAID,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,MEDICARE,MEDICARE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,NOVA NET,NOVA NET,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,PEACHSTATE,PEACHSTATE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,SELFPAY,SELFPAY,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,TRICARE,TRICARE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ACETAB LOCK RING,C1713,CPT,both,,,607,607,UHC MEDICARE,UHC MEDICARE,,607,,fee schedule,607,528.09,607,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,AETNA,AETNA,,5168.67,87,percent of total billed charges,5168.67,5168.67,5941,percent of total billed charges,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5168.67,87,percent of total billed charges,5168.67,5168.67,5941,percent of total billed charges,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,UNITED HEALTHCARE,UNITED HEALTHCARE,,5228.08,88,percent of total billed charges,5228.08,5168.67,5941,percent of total billed charges,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,AETNA,AETNA,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,ALLIANT,ALLIANT,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,AMBETTER,AMBETTER,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,BEECH STREET,BEECH STREET,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,CARESOURCE,CARESOURCE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,MEDICAID,MEDICAID,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,MEDICARE,MEDICARE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,NOVA NET,NOVA NET,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,PEACHSTATE,PEACHSTATE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,SELFPAY,SELFPAY,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,TRICARE,TRICARE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ANKLE NAIL,C1713,CPT,both,,,5941,5941,UHC MEDICARE,UHC MEDICARE,,5941,,fee schedule,5941,5168.67,5941,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,AETNA,AETNA,,10815.84,87,percent of total billed charges,10815.84,10815.84,12432,percent of total billed charges,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10815.84,87,percent of total billed charges,10815.84,10815.84,12432,percent of total billed charges,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,UNITED HEALTHCARE,UNITED HEALTHCARE,,10940.16,88,percent of total billed charges,10940.16,10815.84,12432,percent of total billed charges,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,AETNA,AETNA,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,ALLIANT,ALLIANT,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,AMBETTER,AMBETTER,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,BEECH STREET,BEECH STREET,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,CARESOURCE,CARESOURCE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,MEDICAID,MEDICAID,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,MEDICARE,MEDICARE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,NOVA NET,NOVA NET,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,PEACHSTATE,PEACHSTATE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,SELFPAY,SELFPAY,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,TRICARE,TRICARE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS DISTAL STEM,C1713,CPT,both,,,12432,12432,UHC MEDICARE,UHC MEDICARE,,12432,,fee schedule,12432,10815.84,12432,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,AETNA,AETNA,,20979.18,87,percent of total billed charges,20979.18,20979.18,24114,percent of total billed charges,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20979.18,87,percent of total billed charges,20979.18,20979.18,24114,percent of total billed charges,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,UNITED HEALTHCARE,UNITED HEALTHCARE,,21220.32,88,percent of total billed charges,21220.32,20979.18,24114,percent of total billed charges,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,AETNA,AETNA,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,ALLIANT,ALLIANT,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,AMBETTER,AMBETTER,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,BEECH STREET,BEECH STREET,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,CARESOURCE,CARESOURCE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,MEDICAID,MEDICAID,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,MEDICARE,MEDICARE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,NOVA NET,NOVA NET,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,PEACHSTATE,PEACHSTATE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,SELFPAY,SELFPAY,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,TRICARE,TRICARE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET ARCOS PROX CONE BO,C1713,CPT,both,,,24114,24114,UHC MEDICARE,UHC MEDICARE,,24114,,fee schedule,24114,20979.18,24114,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,AETNA,AETNA,,1113.6,87,percent of total billed charges,1113.6,1113.6,1280,percent of total billed charges,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1113.6,87,percent of total billed charges,1113.6,1113.6,1280,percent of total billed charges,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,UNITED HEALTHCARE,UNITED HEALTHCARE,,1126.4,88,percent of total billed charges,1126.4,1113.6,1280,percent of total billed charges,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,AETNA,AETNA,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,ALLIANT,ALLIANT,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,AMBETTER,AMBETTER,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,BEECH STREET,BEECH STREET,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,CARESOURCE,CARESOURCE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,MEDICAID,MEDICAID,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,MEDICARE,MEDICARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,NOVA NET,NOVA NET,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,PEACHSTATE,PEACHSTATE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,SELFPAY,SELFPAY,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,TRICARE,TRICARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET BONE MULCH KIT,C1713,CPT,both,,,1280,1280,UHC MEDICARE,UHC MEDICARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,AETNA,AETNA,,902.19,87,percent of total billed charges,902.19,902.19,1037,percent of total billed charges,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,902.19,87,percent of total billed charges,902.19,902.19,1037,percent of total billed charges,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,UNITED HEALTHCARE,UNITED HEALTHCARE,,912.56,88,percent of total billed charges,912.56,902.19,1037,percent of total billed charges,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,AETNA,AETNA,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,ALLIANT,ALLIANT,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,AMBETTER,AMBETTER,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,BEECH STREET,BEECH STREET,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,CARESOURCE,CARESOURCE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,MEDICAID,MEDICAID,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,MEDICARE,MEDICARE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,NOVA NET,NOVA NET,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,PEACHSTATE,PEACHSTATE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,SELFPAY,SELFPAY,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,TRICARE,TRICARE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN 5MG,C1713,CPT,both,,,1037,1037,UHC MEDICARE,UHC MEDICARE,,1037,,fee schedule,1037,902.19,1037,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,AETNA,AETNA,,1334.58,87,percent of total billed charges,1334.58,1334.58,1534,percent of total billed charges,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1334.58,87,percent of total billed charges,1334.58,1334.58,1534,percent of total billed charges,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,UNITED HEALTHCARE,UNITED HEALTHCARE,,1349.92,88,percent of total billed charges,1349.92,1334.58,1534,percent of total billed charges,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,AETNA,AETNA,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,ALLIANT,ALLIANT,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,AMBETTER,AMBETTER,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,BEECH STREET,BEECH STREET,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,CARESOURCE,CARESOURCE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,MEDICAID,MEDICAID,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,MEDICARE,MEDICARE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,NOVA NET,NOVA NET,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,PEACHSTATE,PEACHSTATE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,SELFPAY,SELFPAY,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,TRICARE,TRICARE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET CALCIGEN S 10GM ABX BDS,C1713,CPT,both,,,1534,1534,UHC MEDICARE,UHC MEDICARE,,1534,,fee schedule,1534,1334.58,1534,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,AETNA,AETNA,,1273.68,87,percent of total billed charges,1273.68,1273.68,1464,percent of total billed charges,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1273.68,87,percent of total billed charges,1273.68,1273.68,1464,percent of total billed charges,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,UNITED HEALTHCARE,UNITED HEALTHCARE,,1288.32,88,percent of total billed charges,1288.32,1273.68,1464,percent of total billed charges,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,AETNA,AETNA,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,ALLIANT,ALLIANT,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,AMBETTER,AMBETTER,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,BEECH STREET,BEECH STREET,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,CARESOURCE,CARESOURCE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,MEDICAID,MEDICAID,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,MEDICARE,MEDICARE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,NOVA NET,NOVA NET,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,PEACHSTATE,PEACHSTATE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,SELFPAY,SELFPAY,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,TRICARE,TRICARE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CABLE SET,C1713,CPT,both,,,1464,1464,UHC MEDICARE,UHC MEDICARE,,1464,,fee schedule,1464,1273.68,1464,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,AETNA,AETNA,,946.56,87,percent of total billed charges,946.56,946.56,1088,percent of total billed charges,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,946.56,87,percent of total billed charges,946.56,946.56,1088,percent of total billed charges,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,UNITED HEALTHCARE,UNITED HEALTHCARE,,957.44,88,percent of total billed charges,957.44,946.56,1088,percent of total billed charges,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,AETNA,AETNA,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,ALLIANT,ALLIANT,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,AMBETTER,AMBETTER,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,BEECH STREET,BEECH STREET,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,CARESOURCE,CARESOURCE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,MEDICAID,MEDICAID,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,MEDICARE,MEDICARE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,NOVA NET,NOVA NET,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,PEACHSTATE,PEACHSTATE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,SELFPAY,SELFPAY,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,TRICARE,TRICARE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COBALT CHROME CABL,C1713,CPT,both,,,1088,1088,UHC MEDICARE,UHC MEDICARE,,1088,,fee schedule,1088,946.56,1088,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,AETNA,AETNA,,646.41,87,percent of total billed charges,646.41,646.41,743,percent of total billed charges,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,646.41,87,percent of total billed charges,646.41,646.41,743,percent of total billed charges,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,UNITED HEALTHCARE,UNITED HEALTHCARE,,653.84,88,percent of total billed charges,653.84,646.41,743,percent of total billed charges,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,AETNA,AETNA,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,ALLIANT,ALLIANT,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,AMBETTER,AMBETTER,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,BEECH STREET,BEECH STREET,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,CARESOURCE,CARESOURCE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,MEDICAID,MEDICAID,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,MEDICARE,MEDICARE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,NOVA NET,NOVA NET,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,PEACHSTATE,PEACHSTATE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,SELFPAY,SELFPAY,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,TRICARE,TRICARE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET COMPSI TCP SCREW,C1713,CPT,both,,,743,743,UHC MEDICARE,UHC MEDICARE,,743,,fee schedule,743,646.41,743,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,AETNA,AETNA,,72.21,87,percent of total billed charges,72.21,72.21,83,percent of total billed charges,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72.21,87,percent of total billed charges,72.21,72.21,83,percent of total billed charges,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.04,88,percent of total billed charges,73.04,72.21,83,percent of total billed charges,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,AETNA,AETNA,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,ALLIANT,ALLIANT,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,AMBETTER,AMBETTER,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,BEECH STREET,BEECH STREET,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,CARESOURCE,CARESOURCE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,MEDICAID,MEDICAID,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,MEDICARE,MEDICARE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,NOVA NET,NOVA NET,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,PEACHSTATE,PEACHSTATE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,SELFPAY,SELFPAY,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,TRICARE,TRICARE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CORTICAL SCREW,C1713,CPT,both,,,83,83,UHC MEDICARE,UHC MEDICARE,,83,,fee schedule,83,72.21,83,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,AETNA,AETNA,,1991.43,87,percent of total billed charges,1991.43,1991.43,2289,percent of total billed charges,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1991.43,87,percent of total billed charges,1991.43,1991.43,2289,percent of total billed charges,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,UNITED HEALTHCARE,UNITED HEALTHCARE,,2014.32,88,percent of total billed charges,2014.32,1991.43,2289,percent of total billed charges,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,AETNA,AETNA,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,ALLIANT,ALLIANT,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,AMBETTER,AMBETTER,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,BEECH STREET,BEECH STREET,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,CARESOURCE,CARESOURCE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,MEDICAID,MEDICAID,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,MEDICARE,MEDICARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,NOVA NET,NOVA NET,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,PEACHSTATE,PEACHSTATE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,SELFPAY,SELFPAY,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,TRICARE,TRICARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET CROSSLOCK PLATE,C1713,CPT,both,,,2289,2289,UHC MEDICARE,UHC MEDICARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,AETNA,AETNA,,1491.18,87,percent of total billed charges,1491.18,1491.18,1714,percent of total billed charges,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1491.18,87,percent of total billed charges,1491.18,1491.18,1714,percent of total billed charges,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,UNITED HEALTHCARE,UNITED HEALTHCARE,,1508.32,88,percent of total billed charges,1508.32,1491.18,1714,percent of total billed charges,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,AETNA,AETNA,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,ALLIANT,ALLIANT,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,AMBETTER,AMBETTER,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,BEECH STREET,BEECH STREET,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,CARESOURCE,CARESOURCE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,MEDICAID,MEDICAID,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,MEDICARE,MEDICARE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,NOVA NET,NOVA NET,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,PEACHSTATE,PEACHSTATE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,SELFPAY,SELFPAY,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,TRICARE,TRICARE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET EZLOC FEMORAL FIXT,C1713,CPT,both,,,1714,1714,UHC MEDICARE,UHC MEDICARE,,1714,,fee schedule,1714,1491.18,1714,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,AETNA,AETNA,,1392,87,percent of total billed charges,1392,1392,1600,percent of total billed charges,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1392,87,percent of total billed charges,1392,1392,1600,percent of total billed charges,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,UNITED HEALTHCARE,UNITED HEALTHCARE,,1408,88,percent of total billed charges,1408,1392,1600,percent of total billed charges,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,AETNA,AETNA,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,ALLIANT,ALLIANT,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,AMBETTER,AMBETTER,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,BEECH STREET,BEECH STREET,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,CARESOURCE,CARESOURCE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,MEDICAID,MEDICAID,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,MEDICARE,MEDICARE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,NOVA NET,NOVA NET,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,PEACHSTATE,PEACHSTATE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,SELFPAY,SELFPAY,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,TRICARE,TRICARE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GENT THRD INTERFER,C1713,CPT,both,,,1600,1600,UHC MEDICARE,UHC MEDICARE,,1600,,fee schedule,1600,1392,1600,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,AETNA,AETNA,,5220.87,87,percent of total billed charges,5220.87,5220.87,6001,percent of total billed charges,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5220.87,87,percent of total billed charges,5220.87,5220.87,6001,percent of total billed charges,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,UNITED HEALTHCARE,UNITED HEALTHCARE,,5280.88,88,percent of total billed charges,5280.88,5220.87,6001,percent of total billed charges,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,AETNA,AETNA,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,ALLIANT,ALLIANT,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,AMBETTER,AMBETTER,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,BEECH STREET,BEECH STREET,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,CARESOURCE,CARESOURCE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,MEDICAID,MEDICAID,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,MEDICARE,MEDICARE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,NOVA NET,NOVA NET,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,PEACHSTATE,PEACHSTATE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,SELFPAY,SELFPAY,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,TRICARE,TRICARE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET GLENOSPHERE BASEPL,C1713,CPT,both,,,6001,6001,UHC MEDICARE,UHC MEDICARE,,6001,,fee schedule,6001,5220.87,6001,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HA EXT FIX SCREW,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,AETNA,AETNA,,608.13,87,percent of total billed charges,608.13,608.13,699,percent of total billed charges,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,608.13,87,percent of total billed charges,608.13,608.13,699,percent of total billed charges,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,UNITED HEALTHCARE,UNITED HEALTHCARE,,615.12,88,percent of total billed charges,615.12,608.13,699,percent of total billed charges,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,AETNA,AETNA,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,ALLIANT,ALLIANT,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,AMBETTER,AMBETTER,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,BEECH STREET,BEECH STREET,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,CARESOURCE,CARESOURCE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,MEDICAID,MEDICAID,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,MEDICARE,MEDICARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,NOVA NET,NOVA NET,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,PEACHSTATE,PEACHSTATE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,SELFPAY,SELFPAY,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,TRICARE,TRICARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X12MM,C1713,CPT,both,,,699,699,UHC MEDICARE,UHC MEDICARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,AETNA,AETNA,,608.13,87,percent of total billed charges,608.13,608.13,699,percent of total billed charges,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,608.13,87,percent of total billed charges,608.13,608.13,699,percent of total billed charges,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,UNITED HEALTHCARE,UNITED HEALTHCARE,,615.12,88,percent of total billed charges,615.12,608.13,699,percent of total billed charges,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,AETNA,AETNA,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,ALLIANT,ALLIANT,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,AMBETTER,AMBETTER,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,BEECH STREET,BEECH STREET,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,CARESOURCE,CARESOURCE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,MEDICAID,MEDICAID,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,MEDICARE,MEDICARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,NOVA NET,NOVA NET,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,PEACHSTATE,PEACHSTATE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,SELFPAY,SELFPAY,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,TRICARE,TRICARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 2.5X18MM,C1713,CPT,both,,,699,699,UHC MEDICARE,UHC MEDICARE,,699,,fee schedule,699,608.13,699,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,606.39,697,percent of total billed charges,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,ALLIANT,ALLIANT,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,AMBETTER,AMBETTER,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,MEDICARE,MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,TRICARE,TRICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X26 EXPLAN,C1713,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,606.39,697,percent of total billed charges,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,ALLIANT,ALLIANT,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,AMBETTER,AMBETTER,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,MEDICARE,MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,TRICARE,TRICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCREW 3.0X34,C1713,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,AETNA,AETNA,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,606.39,87,percent of total billed charges,606.39,606.39,697,percent of total billed charges,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,UNITED HEALTHCARE,UNITED HEALTHCARE,,613.36,88,percent of total billed charges,613.36,606.39,697,percent of total billed charges,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,AETNA,AETNA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,ALLIANT,ALLIANT,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,AMBETTER,AMBETTER,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,BEECH STREET,BEECH STREET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,CARESOURCE,CARESOURCE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,MEDICAID,MEDICAID,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,MEDICARE,MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,NOVA NET,NOVA NET,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,PEACHSTATE,PEACHSTATE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,SELFPAY,SELFPAY,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,TRICARE,TRICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HCS SCW,C1713,CPT,both,,,697,697,UHC MEDICARE,UHC MEDICARE,,697,,fee schedule,697,606.39,697,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,AETNA,AETNA,,4014.18,87,percent of total billed charges,4014.18,4014.18,4614,percent of total billed charges,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4014.18,87,percent of total billed charges,4014.18,4014.18,4614,percent of total billed charges,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,UNITED HEALTHCARE,UNITED HEALTHCARE,,4060.32,88,percent of total billed charges,4060.32,4014.18,4614,percent of total billed charges,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,AETNA,AETNA,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,ALLIANT,ALLIANT,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,AMBETTER,AMBETTER,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,BEECH STREET,BEECH STREET,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,CARESOURCE,CARESOURCE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,MEDICAID,MEDICAID,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,MEDICARE,MEDICARE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,NOVA NET,NOVA NET,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,PEACHSTATE,PEACHSTATE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,SELFPAY,SELFPAY,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,TRICARE,TRICARE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET HIGHWALL E1 LINER,C1713,CPT,both,,,4614,4614,UHC MEDICARE,UHC MEDICARE,,4614,,fee schedule,4614,4014.18,4614,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,AETNA,AETNA,,826.5,87,percent of total billed charges,826.5,826.5,950,percent of total billed charges,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,826.5,87,percent of total billed charges,826.5,826.5,950,percent of total billed charges,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,UNITED HEALTHCARE,UNITED HEALTHCARE,,836,88,percent of total billed charges,836,826.5,950,percent of total billed charges,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,AETNA,AETNA,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,ALLIANT,ALLIANT,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,AMBETTER,AMBETTER,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,BEECH STREET,BEECH STREET,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,CARESOURCE,CARESOURCE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,MEDICAID,MEDICAID,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,MEDICARE,MEDICARE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,NOVA NET,NOVA NET,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,PEACHSTATE,PEACHSTATE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,SELFPAY,SELFPAY,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,TRICARE,TRICARE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET JUGGERNOT,C1713,CPT,both,,,950,950,UHC MEDICARE,UHC MEDICARE,,950,,fee schedule,950,826.5,950,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,AETNA,AETNA,,1966.2,87,percent of total billed charges,1966.2,1966.2,2260,percent of total billed charges,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1966.2,87,percent of total billed charges,1966.2,1966.2,2260,percent of total billed charges,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,UNITED HEALTHCARE,UNITED HEALTHCARE,,1988.8,88,percent of total billed charges,1988.8,1966.2,2260,percent of total billed charges,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,AETNA,AETNA,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,ALLIANT,ALLIANT,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,AMBETTER,AMBETTER,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,BEECH STREET,BEECH STREET,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,CARESOURCE,CARESOURCE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,MEDICAID,MEDICAID,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,MEDICARE,MEDICARE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,NOVA NET,NOVA NET,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,PEACHSTATE,PEACHSTATE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,SELFPAY,SELFPAY,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,TRICARE,TRICARE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAG SCREW,C1713,CPT,both,,,2260,2260,UHC MEDICARE,UHC MEDICARE,,2260,,fee schedule,2260,1966.2,2260,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,AETNA,AETNA,,3322.53,87,percent of total billed charges,3322.53,3322.53,3819,percent of total billed charges,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3322.53,87,percent of total billed charges,3322.53,3322.53,3819,percent of total billed charges,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,UNITED HEALTHCARE,UNITED HEALTHCARE,,3360.72,88,percent of total billed charges,3360.72,3322.53,3819,percent of total billed charges,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,AETNA,AETNA,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,ALLIANT,ALLIANT,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,AMBETTER,AMBETTER,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,BEECH STREET,BEECH STREET,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,CARESOURCE,CARESOURCE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,MEDICAID,MEDICAID,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,MEDICARE,MEDICARE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,NOVA NET,NOVA NET,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,PEACHSTATE,PEACHSTATE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,SELFPAY,SELFPAY,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,TRICARE,TRICARE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LAT DIST FEMUR PLA,C1713,CPT,both,,,3819,3819,UHC MEDICARE,UHC MEDICARE,,3819,,fee schedule,3819,3322.53,3819,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,AETNA,AETNA,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,UNITED HEALTHCARE,UNITED HEALTHCARE,,564.96,88,percent of total billed charges,564.96,558.54,642,percent of total billed charges,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,AETNA,AETNA,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,ALLIANT,ALLIANT,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,AMBETTER,AMBETTER,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,BEECH STREET,BEECH STREET,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,CARESOURCE,CARESOURCE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,MEDICAID,MEDICAID,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,MEDICARE,MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,NOVA NET,NOVA NET,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,PEACHSTATE,PEACHSTATE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,SELFPAY,SELFPAY,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,TRICARE,TRICARE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET LOCKING APC PLATE,C1713,CPT,both,,,642,642,UHC MEDICARE,UHC MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,AETNA,AETNA,,17913.3,87,percent of total billed charges,17913.3,17913.3,20590,percent of total billed charges,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17913.3,87,percent of total billed charges,17913.3,17913.3,20590,percent of total billed charges,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,UNITED HEALTHCARE,UNITED HEALTHCARE,,18119.2,88,percent of total billed charges,18119.2,17913.3,20590,percent of total billed charges,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,AETNA,AETNA,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,ALLIANT,ALLIANT,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,AMBETTER,AMBETTER,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,BEECH STREET,BEECH STREET,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,CARESOURCE,CARESOURCE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,MEDICAID,MEDICAID,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,MEDICARE,MEDICARE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,NOVA NET,NOVA NET,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,PEACHSTATE,PEACHSTATE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,SELFPAY,SELFPAY,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,TRICARE,TRICARE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE,C1713,CPT,both,,,20590,20590,UHC MEDICARE,UHC MEDICARE,,20590,,fee schedule,20590,17913.3,20590,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,AETNA,AETNA,,3378.21,87,percent of total billed charges,3378.21,3378.21,3883,percent of total billed charges,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3378.21,87,percent of total billed charges,3378.21,3378.21,3883,percent of total billed charges,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,UNITED HEALTHCARE,UNITED HEALTHCARE,,3417.04,88,percent of total billed charges,3417.04,3378.21,3883,percent of total billed charges,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,AETNA,AETNA,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,ALLIANT,ALLIANT,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,AMBETTER,AMBETTER,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,BEECH STREET,BEECH STREET,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,CARESOURCE,CARESOURCE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,MEDICAID,MEDICAID,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,MEDICARE,MEDICARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,NOVA NET,NOVA NET,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,PEACHSTATE,PEACHSTATE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,SELFPAY,SELFPAY,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,TRICARE,TRICARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET MAXTI CAGE TRIAL,C1713,CPT,both,,,3883,3883,UHC MEDICARE,UHC MEDICARE,,3883,,fee schedule,3883,3378.21,3883,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,AETNA,AETNA,,582.9,87,percent of total billed charges,582.9,582.9,670,percent of total billed charges,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,582.9,87,percent of total billed charges,582.9,582.9,670,percent of total billed charges,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,UNITED HEALTHCARE,UNITED HEALTHCARE,,589.6,88,percent of total billed charges,589.6,582.9,670,percent of total billed charges,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,AETNA,AETNA,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,ALLIANT,ALLIANT,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,AMBETTER,AMBETTER,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,BEECH STREET,BEECH STREET,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,CARESOURCE,CARESOURCE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,MEDICAID,MEDICAID,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,MEDICARE,MEDICARE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,NOVA NET,NOVA NET,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,PEACHSTATE,PEACHSTATE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,SELFPAY,SELFPAY,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,TRICARE,TRICARE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NAIL SCREW,C1713,CPT,both,,,670,670,UHC MEDICARE,UHC MEDICARE,,670,,fee schedule,670,582.9,670,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,AETNA,AETNA,,1706.94,87,percent of total billed charges,1706.94,1706.94,1962,percent of total billed charges,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1706.94,87,percent of total billed charges,1706.94,1706.94,1962,percent of total billed charges,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,UNITED HEALTHCARE,UNITED HEALTHCARE,,1726.56,88,percent of total billed charges,1726.56,1706.94,1962,percent of total billed charges,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,AETNA,AETNA,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,ALLIANT,ALLIANT,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,AMBETTER,AMBETTER,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,BEECH STREET,BEECH STREET,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,CARESOURCE,CARESOURCE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,MEDICAID,MEDICAID,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,MEDICARE,MEDICARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,NOVA NET,NOVA NET,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,PEACHSTATE,PEACHSTATE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,SELFPAY,SELFPAY,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,TRICARE,TRICARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET NEXTRA HMRTOE IMPLANT,C1713,CPT,both,,,1962,1962,UHC MEDICARE,UHC MEDICARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,AETNA,AETNA,,285.36,87,percent of total billed charges,285.36,285.36,328,percent of total billed charges,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285.36,87,percent of total billed charges,285.36,285.36,328,percent of total billed charges,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,UNITED HEALTHCARE,UNITED HEALTHCARE,,288.64,88,percent of total billed charges,288.64,285.36,328,percent of total billed charges,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,AETNA,AETNA,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,ALLIANT,ALLIANT,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,AMBETTER,AMBETTER,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,BEECH STREET,BEECH STREET,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,CARESOURCE,CARESOURCE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,MEDICAID,MEDICAID,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,MEDICARE,MEDICARE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,NOVA NET,NOVA NET,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,PEACHSTATE,PEACHSTATE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,SELFPAY,SELFPAY,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,TRICARE,TRICARE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET OPTILOK SCREW,C1713,CPT,both,,,328,328,UHC MEDICARE,UHC MEDICARE,,328,,fee schedule,328,285.36,328,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,AETNA,AETNA,,4055.94,87,percent of total billed charges,4055.94,4055.94,4662,percent of total billed charges,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4055.94,87,percent of total billed charges,4055.94,4055.94,4662,percent of total billed charges,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,UNITED HEALTHCARE,UNITED HEALTHCARE,,4102.56,88,percent of total billed charges,4102.56,4055.94,4662,percent of total billed charges,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,AETNA,AETNA,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,ALLIANT,ALLIANT,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,AMBETTER,AMBETTER,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,BEECH STREET,BEECH STREET,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,CARESOURCE,CARESOURCE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,MEDICAID,MEDICAID,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,MEDICARE,MEDICARE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,NOVA NET,NOVA NET,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,PEACHSTATE,PEACHSTATE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,SELFPAY,SELFPAY,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,TRICARE,TRICARE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET ORBITAL FX IMPLANT,C1713,CPT,both,,,4662,4662,UHC MEDICARE,UHC MEDICARE,,4662,,fee schedule,4662,4055.94,4662,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,282.75,325,percent of total billed charges,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,ALLIANT,ALLIANT,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,AMBETTER,AMBETTER,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,MEDICARE,MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,TRICARE,TRICARE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET PARTIAL THREAD CAN SRW,C1713,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET POLY REMOVAL SCREW,C1713,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,AETNA,AETNA,,26478.45,87,percent of total billed charges,26478.45,26478.45,30435,percent of total billed charges,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26478.45,87,percent of total billed charges,26478.45,26478.45,30435,percent of total billed charges,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,UNITED HEALTHCARE,UNITED HEALTHCARE,,26782.8,88,percent of total billed charges,26782.8,26478.45,30435,percent of total billed charges,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,AETNA,AETNA,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,ALLIANT,ALLIANT,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,AMBETTER,AMBETTER,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,BEECH STREET,BEECH STREET,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,CARESOURCE,CARESOURCE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,MEDICAID,MEDICAID,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,MEDICARE,MEDICARE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,NOVA NET,NOVA NET,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,PEACHSTATE,PEACHSTATE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,SELFPAY,SELFPAY,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,TRICARE,TRICARE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET REACH REV STEM,C1713,CPT,both,,,30435,30435,UHC MEDICARE,UHC MEDICARE,,30435,,fee schedule,30435,26478.45,30435,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,AETNA,AETNA,,398.46,87,percent of total billed charges,398.46,398.46,458,percent of total billed charges,
BIOMET SCREW,C1713,CPT,both,,,458,458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,398.46,87,percent of total billed charges,398.46,398.46,458,percent of total billed charges,
BIOMET SCREW,C1713,CPT,both,,,458,458,UNITED HEALTHCARE,UNITED HEALTHCARE,,403.04,88,percent of total billed charges,403.04,398.46,458,percent of total billed charges,
BIOMET SCREW,C1713,CPT,both,,,458,458,AETNA,AETNA,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,ALLIANT,ALLIANT,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,AMBETTER,AMBETTER,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,BEECH STREET,BEECH STREET,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,CARESOURCE,CARESOURCE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,MEDICAID,MEDICAID,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,MEDICARE,MEDICARE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,NOVA NET,NOVA NET,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,PEACHSTATE,PEACHSTATE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,SELFPAY,SELFPAY,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,TRICARE,TRICARE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET SCREW,C1713,CPT,both,,,458,458,UHC MEDICARE,UHC MEDICARE,,458,,fee schedule,458,398.46,458,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,AETNA,AETNA,,5690.67,87,percent of total billed charges,5690.67,5690.67,6541,percent of total billed charges,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5690.67,87,percent of total billed charges,5690.67,5690.67,6541,percent of total billed charges,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,UNITED HEALTHCARE,UNITED HEALTHCARE,,5756.08,88,percent of total billed charges,5756.08,5690.67,6541,percent of total billed charges,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,AETNA,AETNA,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,ALLIANT,ALLIANT,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,AMBETTER,AMBETTER,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,BEECH STREET,BEECH STREET,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,CARESOURCE,CARESOURCE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,MEDICAID,MEDICAID,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,MEDICARE,MEDICARE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,NOVA NET,NOVA NET,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,PEACHSTATE,PEACHSTATE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,SELFPAY,SELFPAY,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,TRICARE,TRICARE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STAGE 1 HIP MOLD,C1713,CPT,both,,,6541,6541,UHC MEDICARE,UHC MEDICARE,,6541,,fee schedule,6541,5690.67,6541,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,AETNA,AETNA,,357.57,87,percent of total billed charges,357.57,357.57,411,percent of total billed charges,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357.57,87,percent of total billed charges,357.57,357.57,411,percent of total billed charges,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,UNITED HEALTHCARE,UNITED HEALTHCARE,,361.68,88,percent of total billed charges,361.68,357.57,411,percent of total billed charges,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,AETNA,AETNA,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,ALLIANT,ALLIANT,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,AMBETTER,AMBETTER,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,BEECH STREET,BEECH STREET,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,CARESOURCE,CARESOURCE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,MEDICAID,MEDICAID,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,MEDICARE,MEDICARE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,NOVA NET,NOVA NET,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,PEACHSTATE,PEACHSTATE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,SELFPAY,SELFPAY,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,TRICARE,TRICARE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET STEINMAN PIN,C1713,CPT,both,,,411,411,UHC MEDICARE,UHC MEDICARE,,411,,fee schedule,411,357.57,411,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,AETNA,AETNA,,638.58,87,percent of total billed charges,638.58,638.58,734,percent of total billed charges,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,638.58,87,percent of total billed charges,638.58,638.58,734,percent of total billed charges,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,UNITED HEALTHCARE,UNITED HEALTHCARE,,645.92,88,percent of total billed charges,645.92,638.58,734,percent of total billed charges,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,AETNA,AETNA,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,ALLIANT,ALLIANT,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,AMBETTER,AMBETTER,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,BEECH STREET,BEECH STREET,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,CARESOURCE,CARESOURCE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,MEDICAID,MEDICAID,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,MEDICARE,MEDICARE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,NOVA NET,NOVA NET,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,PEACHSTATE,PEACHSTATE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,SELFPAY,SELFPAY,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,TRICARE,TRICARE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET SUTURE ANCHOR,C1713,CPT,both,,,734,734,UHC MEDICARE,UHC MEDICARE,,734,,fee schedule,734,638.58,734,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,AETNA,AETNA,,905.67,87,percent of total billed charges,905.67,905.67,1041,percent of total billed charges,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,905.67,87,percent of total billed charges,905.67,905.67,1041,percent of total billed charges,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,UNITED HEALTHCARE,UNITED HEALTHCARE,,916.08,88,percent of total billed charges,916.08,905.67,1041,percent of total billed charges,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,AETNA,AETNA,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,ALLIANT,ALLIANT,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,AMBETTER,AMBETTER,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,BEECH STREET,BEECH STREET,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,CARESOURCE,CARESOURCE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,MEDICAID,MEDICAID,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,MEDICARE,MEDICARE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,NOVA NET,NOVA NET,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,PEACHSTATE,PEACHSTATE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,SELFPAY,SELFPAY,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,TRICARE,TRICARE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TCP30 SCREW,C1713,CPT,both,,,1041,1041,UHC MEDICARE,UHC MEDICARE,,1041,,fee schedule,1041,905.67,1041,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,AETNA,AETNA,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,UNITED HEALTHCARE,UNITED HEALTHCARE,,1631.52,88,percent of total billed charges,1631.52,1612.98,1854,percent of total billed charges,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,AETNA,AETNA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,ALLIANT,ALLIANT,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,AMBETTER,AMBETTER,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,BEECH STREET,BEECH STREET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,CARESOURCE,CARESOURCE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,MEDICAID,MEDICAID,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,MEDICARE,MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,NOVA NET,NOVA NET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,PEACHSTATE,PEACHSTATE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,SELFPAY,SELFPAY,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,TRICARE,TRICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL CRUCIATE WING,C1713,CPT,both,,,1854,1854,UHC MEDICARE,UHC MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,AETNA,AETNA,,4763.25,87,percent of total billed charges,4763.25,4763.25,5475,percent of total billed charges,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4763.25,87,percent of total billed charges,4763.25,4763.25,5475,percent of total billed charges,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,UNITED HEALTHCARE,UNITED HEALTHCARE,,4818,88,percent of total billed charges,4818,4763.25,5475,percent of total billed charges,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,AETNA,AETNA,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,ALLIANT,ALLIANT,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,AMBETTER,AMBETTER,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,BEECH STREET,BEECH STREET,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,CARESOURCE,CARESOURCE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,MEDICAID,MEDICAID,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,MEDICARE,MEDICARE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,NOVA NET,NOVA NET,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,PEACHSTATE,PEACHSTATE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,SELFPAY,SELFPAY,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,TRICARE,TRICARE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TIBIAL NAIL,C1713,CPT,both,,,5475,5475,UHC MEDICARE,UHC MEDICARE,,5475,,fee schedule,5475,4763.25,5475,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,AETNA,AETNA,,1277.16,87,percent of total billed charges,1277.16,1277.16,1468,percent of total billed charges,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1277.16,87,percent of total billed charges,1277.16,1277.16,1468,percent of total billed charges,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,UNITED HEALTHCARE,UNITED HEALTHCARE,,1291.84,88,percent of total billed charges,1291.84,1277.16,1468,percent of total billed charges,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,AETNA,AETNA,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,ALLIANT,ALLIANT,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,AMBETTER,AMBETTER,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,BEECH STREET,BEECH STREET,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,CARESOURCE,CARESOURCE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,MEDICAID,MEDICAID,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,MEDICARE,MEDICARE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,NOVA NET,NOVA NET,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,PEACHSTATE,PEACHSTATE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,SELFPAY,SELFPAY,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,TRICARE,TRICARE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TISSUE FIXTION,C1713,CPT,both,,,1468,1468,UHC MEDICARE,UHC MEDICARE,,1468,,fee schedule,1468,1277.16,1468,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,AETNA,AETNA,,1793.07,87,percent of total billed charges,1793.07,1793.07,2061,percent of total billed charges,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1793.07,87,percent of total billed charges,1793.07,1793.07,2061,percent of total billed charges,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,UNITED HEALTHCARE,UNITED HEALTHCARE,,1813.68,88,percent of total billed charges,1813.68,1793.07,2061,percent of total billed charges,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,AETNA,AETNA,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,ALLIANT,ALLIANT,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,AMBETTER,AMBETTER,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,BEECH STREET,BEECH STREET,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,CARESOURCE,CARESOURCE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,MEDICAID,MEDICAID,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,MEDICARE,MEDICARE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,NOVA NET,NOVA NET,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,PEACHSTATE,PEACHSTATE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,SELFPAY,SELFPAY,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,TRICARE,TRICARE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOGGLELOC KIT,C1713,CPT,both,,,2061,2061,UHC MEDICARE,UHC MEDICARE,,2061,,fee schedule,2061,1793.07,2061,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,AETNA,AETNA,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,UNITED HEALTHCARE,UNITED HEALTHCARE,,340.56,88,percent of total billed charges,340.56,336.69,387,percent of total billed charges,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,AETNA,AETNA,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,ALLIANT,ALLIANT,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,AMBETTER,AMBETTER,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,BEECH STREET,BEECH STREET,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,CARESOURCE,CARESOURCE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,MEDICAID,MEDICAID,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,MEDICARE,MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,NOVA NET,NOVA NET,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,PEACHSTATE,PEACHSTATE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,SELFPAY,SELFPAY,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,TRICARE,TRICARE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET TOTAL HIP SCREW,C1713,CPT,both,,,387,387,UHC MEDICARE,UHC MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,AETNA,AETNA,,7460.25,87,percent of total billed charges,7460.25,7460.25,8575,percent of total billed charges,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7460.25,87,percent of total billed charges,7460.25,7460.25,8575,percent of total billed charges,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,UNITED HEALTHCARE,UNITED HEALTHCARE,,7546,88,percent of total billed charges,7546,7460.25,8575,percent of total billed charges,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,AETNA,AETNA,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,ALLIANT,ALLIANT,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,AMBETTER,AMBETTER,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,BEECH STREET,BEECH STREET,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,CARESOURCE,CARESOURCE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,MEDICAID,MEDICAID,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,MEDICARE,MEDICARE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,NOVA NET,NOVA NET,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,PEACHSTATE,PEACHSTATE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,SELFPAY,SELFPAY,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,TRICARE,TRICARE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSA DIAL HEAD,C1713,CPT,both,,,8575,8575,UHC MEDICARE,UHC MEDICARE,,8575,,fee schedule,8575,7460.25,8575,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,AETNA,AETNA,,5967.33,87,percent of total billed charges,5967.33,5967.33,6859,percent of total billed charges,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5967.33,87,percent of total billed charges,5967.33,5967.33,6859,percent of total billed charges,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,UNITED HEALTHCARE,UNITED HEALTHCARE,,6035.92,88,percent of total billed charges,6035.92,5967.33,6859,percent of total billed charges,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,AETNA,AETNA,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,ALLIANT,ALLIANT,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,AMBETTER,AMBETTER,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,BEECH STREET,BEECH STREET,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,CARESOURCE,CARESOURCE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,MEDICAID,MEDICAID,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,MEDICARE,MEDICARE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,NOVA NET,NOVA NET,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,PEACHSTATE,PEACHSTATE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,SELFPAY,SELFPAY,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,TRICARE,TRICARE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET VERSADIAL HUMERAL,C1713,CPT,both,,,6859,6859,UHC MEDICARE,UHC MEDICARE,,6859,,fee schedule,6859,5967.33,6859,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,AETNA,AETNA,,1299.78,87,percent of total billed charges,1299.78,1299.78,1494,percent of total billed charges,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1299.78,87,percent of total billed charges,1299.78,1299.78,1494,percent of total billed charges,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,UNITED HEALTHCARE,UNITED HEALTHCARE,,1314.72,88,percent of total billed charges,1314.72,1299.78,1494,percent of total billed charges,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,AETNA,AETNA,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,ALLIANT,ALLIANT,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,AMBETTER,AMBETTER,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,BEECH STREET,BEECH STREET,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,CARESOURCE,CARESOURCE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,MEDICAID,MEDICAID,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,MEDICARE,MEDICARE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,NOVA NET,NOVA NET,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,PEACHSTATE,PEACHSTATE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,SELFPAY,SELFPAY,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,TRICARE,TRICARE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET WASHERLOC SCREW,C1713,CPT,both,,,1494,1494,UHC MEDICARE,UHC MEDICARE,,1494,,fee schedule,1494,1299.78,1494,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,AETNA,AETNA,,1845.27,87,percent of total billed charges,1845.27,1845.27,2121,percent of total billed charges,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1845.27,87,percent of total billed charges,1845.27,1845.27,2121,percent of total billed charges,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,UNITED HEALTHCARE,UNITED HEALTHCARE,,1866.48,88,percent of total billed charges,1866.48,1845.27,2121,percent of total billed charges,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,AETNA,AETNA,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,ALLIANT,ALLIANT,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,AMBETTER,AMBETTER,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,BEECH STREET,BEECH STREET,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,CARESOURCE,CARESOURCE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,MEDICAID,MEDICAID,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,MEDICARE,MEDICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,NOVA NET,NOVA NET,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,PEACHSTATE,PEACHSTATE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,SELFPAY,SELFPAY,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,TRICARE,TRICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BIOMET ZIP LOOP,C1713,CPT,both,,,2121,2121,UHC MEDICARE,UHC MEDICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,AETNA,AETNA,,863.04,87,percent of total billed charges,863.04,863.04,992,percent of total billed charges,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,863.04,87,percent of total billed charges,863.04,863.04,992,percent of total billed charges,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,UNITED HEALTHCARE,UNITED HEALTHCARE,,872.96,88,percent of total billed charges,872.96,863.04,992,percent of total billed charges,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,AETNA,AETNA,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,ALLIANT,ALLIANT,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,AMBETTER,AMBETTER,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,BEECH STREET,BEECH STREET,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,CARESOURCE,CARESOURCE,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,MEDICAID,MEDICAID,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,MEDICARE,MEDICARE,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,NOVA NET,NOVA NET,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,PEACHSTATE,PEACHSTATE,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,SELFPAY,SELFPAY,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,TRICARE,TRICARE,,992,,fee schedule,992,863.04,992,fee schedule,
BME OS STAPLE 117828,C1713,CPT,both,,,992,992,UHC MEDICARE,UHC MEDICARE,,992,,fee schedule,992,863.04,992,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,AETNA,AETNA,,676.86,87,percent of total billed charges,676.86,676.86,778,percent of total billed charges,
BOLT J1072N,C1713,CPT,both,,,778,778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,676.86,87,percent of total billed charges,676.86,676.86,778,percent of total billed charges,
BOLT J1072N,C1713,CPT,both,,,778,778,UNITED HEALTHCARE,UNITED HEALTHCARE,,684.64,88,percent of total billed charges,684.64,676.86,778,percent of total billed charges,
BOLT J1072N,C1713,CPT,both,,,778,778,AETNA,AETNA,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,ALLIANT,ALLIANT,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,AMBETTER,AMBETTER,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,BEECH STREET,BEECH STREET,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,CARESOURCE,CARESOURCE,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,MEDICAID,MEDICAID,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,MEDICARE,MEDICARE,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,NOVA NET,NOVA NET,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,PEACHSTATE,PEACHSTATE,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,SELFPAY,SELFPAY,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,TRICARE,TRICARE,,778,,fee schedule,778,676.86,778,fee schedule,
BOLT J1072N,C1713,CPT,both,,,778,778,UHC MEDICARE,UHC MEDICARE,,778,,fee schedule,778,676.86,778,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
BONE CEMENT,C1713,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
BONE CEMENT,C1713,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,381.06,438,percent of total billed charges,
BONE CEMENT,C1713,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,ALLIANT,ALLIANT,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,AMBETTER,AMBETTER,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,MEDICARE,MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,TRICARE,TRICARE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE CEMENT,C1713,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,AETNA,AETNA,,3430.41,87,percent of total billed charges,3430.41,3430.41,3943,percent of total billed charges,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3430.41,87,percent of total billed charges,3430.41,3430.41,3943,percent of total billed charges,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,UNITED HEALTHCARE,UNITED HEALTHCARE,,3469.84,88,percent of total billed charges,3469.84,3430.41,3943,percent of total billed charges,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,AETNA,AETNA,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,ALLIANT,ALLIANT,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,AMBETTER,AMBETTER,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,BEECH STREET,BEECH STREET,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,CARESOURCE,CARESOURCE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,MEDICAID,MEDICAID,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,MEDICARE,MEDICARE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,NOVA NET,NOVA NET,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,PEACHSTATE,PEACHSTATE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,SELFPAY,SELFPAY,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,TRICARE,TRICARE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER & NEEDLE (NOR,C1713,CPT,both,,,3943,3943,UHC MEDICARE,UHC MEDICARE,,3943,,fee schedule,3943,3430.41,3943,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,AETNA,AETNA,,448.05,87,percent of total billed charges,448.05,448.05,515,percent of total billed charges,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,448.05,87,percent of total billed charges,448.05,448.05,515,percent of total billed charges,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,UNITED HEALTHCARE,UNITED HEALTHCARE,,453.2,88,percent of total billed charges,453.2,448.05,515,percent of total billed charges,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,AETNA,AETNA,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,ALLIANT,ALLIANT,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,AMBETTER,AMBETTER,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,BEECH STREET,BEECH STREET,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,CARESOURCE,CARESOURCE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,MEDICAID,MEDICAID,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,MEDICARE,MEDICARE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,NOVA NET,NOVA NET,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,PEACHSTATE,PEACHSTATE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,SELFPAY,SELFPAY,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,TRICARE,TRICARE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE FILLER OTOMIMIX,C1713,CPT,both,,,515,515,UHC MEDICARE,UHC MEDICARE,,515,,fee schedule,515,448.05,515,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,AETNA,AETNA,,270.57,87,percent of total billed charges,270.57,270.57,311,percent of total billed charges,
BONE PINS 4X140,C1713,CPT,both,,,311,311,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270.57,87,percent of total billed charges,270.57,270.57,311,percent of total billed charges,
BONE PINS 4X140,C1713,CPT,both,,,311,311,UNITED HEALTHCARE,UNITED HEALTHCARE,,273.68,88,percent of total billed charges,273.68,270.57,311,percent of total billed charges,
BONE PINS 4X140,C1713,CPT,both,,,311,311,AETNA,AETNA,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,ALLIANT,ALLIANT,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,AMBETTER,AMBETTER,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,BEECH STREET,BEECH STREET,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,CARESOURCE,CARESOURCE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,MEDICAID,MEDICAID,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,MEDICARE,MEDICARE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,NOVA NET,NOVA NET,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,PEACHSTATE,PEACHSTATE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,SELFPAY,SELFPAY,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,TRICARE,TRICARE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PINS 4X140,C1713,CPT,both,,,311,311,UHC MEDICARE,UHC MEDICARE,,311,,fee schedule,311,270.57,311,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,438.48,504,percent of total billed charges,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,438.48,504,percent of total billed charges,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,438.48,504,percent of total billed charges,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,ALLIANT,ALLIANT,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,AMBETTER,AMBETTER,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,MEDICARE,MEDICARE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,TRICARE,TRICARE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE PLUG- STANDARD,C1713,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,504,,fee schedule,504,438.48,504,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,60.03,69,percent of total billed charges,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 2.0MM CORTEX S,C1713,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,64,percent of total billed charges,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 3.5MM CORTEX S,C1713,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,60.03,69,percent of total billed charges,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE SCREW 4.0 CANCELLOUS,C1713,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,AETNA,AETNA,,16577.85,87,percent of total billed charges,16577.85,16577.85,19055,percent of total billed charges,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16577.85,87,percent of total billed charges,16577.85,16577.85,19055,percent of total billed charges,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,UNITED HEALTHCARE,UNITED HEALTHCARE,,16768.4,88,percent of total billed charges,16768.4,16577.85,19055,percent of total billed charges,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,AETNA,AETNA,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,ALLIANT,ALLIANT,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,AMBETTER,AMBETTER,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,BEECH STREET,BEECH STREET,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,CARESOURCE,CARESOURCE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,MEDICAID,MEDICAID,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,MEDICARE,MEDICARE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,NOVA NET,NOVA NET,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,PEACHSTATE,PEACHSTATE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,SELFPAY,SELFPAY,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,TRICARE,TRICARE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONE VOID FILLER W/GENTAMICIN,C1713,CPT,both,,,19055,19055,UHC MEDICARE,UHC MEDICARE,,19055,,fee schedule,19055,16577.85,19055,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,AETNA,AETNA,,5947.32,87,percent of total billed charges,5947.32,5947.32,6836,percent of total billed charges,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5947.32,87,percent of total billed charges,5947.32,5947.32,6836,percent of total billed charges,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,UNITED HEALTHCARE,UNITED HEALTHCARE,,6015.68,88,percent of total billed charges,6015.68,5947.32,6836,percent of total billed charges,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,AETNA,AETNA,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,ALLIANT,ALLIANT,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,AMBETTER,AMBETTER,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,BEECH STREET,BEECH STREET,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,CARESOURCE,CARESOURCE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,MEDICAID,MEDICAID,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,MEDICARE,MEDICARE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,NOVA NET,NOVA NET,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,PEACHSTATE,PEACHSTATE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,SELFPAY,SELFPAY,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,TRICARE,TRICARE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BONESYNC 5CC'S,C1713,CPT,both,,,6836,6836,UHC MEDICARE,UHC MEDICARE,,6836,,fee schedule,6836,5947.32,6836,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,AETNA,AETNA,,2957.13,87,percent of total billed charges,2957.13,2957.13,3399,percent of total billed charges,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2957.13,87,percent of total billed charges,2957.13,2957.13,3399,percent of total billed charges,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,UNITED HEALTHCARE,UNITED HEALTHCARE,,2991.12,88,percent of total billed charges,2991.12,2957.13,3399,percent of total billed charges,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,AETNA,AETNA,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,ALLIANT,ALLIANT,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,AMBETTER,AMBETTER,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,BEECH STREET,BEECH STREET,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,CARESOURCE,CARESOURCE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,MEDICAID,MEDICAID,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,MEDICARE,MEDICARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,NOVA NET,NOVA NET,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,PEACHSTATE,PEACHSTATE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,SELFPAY,SELFPAY,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,TRICARE,TRICARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
BRACE INTERNAL,C1713,CPT,both,,,3399,3399,UHC MEDICARE,UHC MEDICARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,AETNA,AETNA,,1029.21,87,percent of total billed charges,1029.21,1029.21,1183,percent of total billed charges,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1029.21,87,percent of total billed charges,1029.21,1029.21,1183,percent of total billed charges,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,UNITED HEALTHCARE,UNITED HEALTHCARE,,1041.04,88,percent of total billed charges,1041.04,1029.21,1183,percent of total billed charges,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,AETNA,AETNA,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,ALLIANT,ALLIANT,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,AMBETTER,AMBETTER,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,BEECH STREET,BEECH STREET,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,CARESOURCE,CARESOURCE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,MEDICAID,MEDICAID,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,MEDICARE,MEDICARE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,NOVA NET,NOVA NET,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,PEACHSTATE,PEACHSTATE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,SELFPAY,SELFPAY,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,TRICARE,TRICARE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CABLE/SLEEVE COMBO 2.0,C1713,CPT,both,,,1183,1183,UHC MEDICARE,UHC MEDICARE,,1183,,fee schedule,1183,1029.21,1183,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,AETNA,AETNA,,14337.6,87,percent of total billed charges,14337.6,14337.6,16480,percent of total billed charges,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14337.6,87,percent of total billed charges,14337.6,14337.6,16480,percent of total billed charges,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,UNITED HEALTHCARE,UNITED HEALTHCARE,,14502.4,88,percent of total billed charges,14502.4,14337.6,16480,percent of total billed charges,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,AETNA,AETNA,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,ALLIANT,ALLIANT,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,AMBETTER,AMBETTER,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,BEECH STREET,BEECH STREET,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,CARESOURCE,CARESOURCE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,MEDICAID,MEDICAID,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,MEDICARE,MEDICARE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,NOVA NET,NOVA NET,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,PEACHSTATE,PEACHSTATE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,SELFPAY,SELFPAY,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,TRICARE,TRICARE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CAGE OBELISC,C1713,CPT,both,,,16480,16480,UHC MEDICARE,UHC MEDICARE,,16480,,fee schedule,16480,14337.6,16480,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,100.92,116,percent of total billed charges,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,ALLIANT,ALLIANT,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,AMBETTER,AMBETTER,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,MEDICARE,MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,TRICARE,TRICARE,,116,,fee schedule,116,100.92,116,fee schedule,
CANC. SCREW 6.5M 216.60-2,C1713,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,309.72,356,percent of total billed charges,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,ALLIANT,ALLIANT,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,AMBETTER,AMBETTER,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,MEDICARE,MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,TRICARE,TRICARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLEOUS 4.5~ARTHREX,C1713,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,309.72,356,percent of total billed charges,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,ALLIANT,ALLIANT,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,AMBETTER,AMBETTER,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,MEDICARE,MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,TRICARE,TRICARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS 6.5~ARTHREX,C1713,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,60.03,69,percent of total billed charges,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,60.03,69,fee schedule,
CANCELLOUS SCREW 3.5 206.,C1713,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,AETNA,AETNA,,368.01,87,percent of total billed charges,368.01,368.01,423,percent of total billed charges,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.01,87,percent of total billed charges,368.01,368.01,423,percent of total billed charges,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,UNITED HEALTHCARE,UNITED HEALTHCARE,,372.24,88,percent of total billed charges,372.24,368.01,423,percent of total billed charges,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,AETNA,AETNA,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,ALLIANT,ALLIANT,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,AMBETTER,AMBETTER,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,BEECH STREET,BEECH STREET,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,MEDICAID,MEDICAID,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,MEDICARE,MEDICARE,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,NOVA NET,NOVA NET,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,SELFPAY,SELFPAY,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,TRICARE,TRICARE,,423,,fee schedule,423,368.01,423,fee schedule,
CANELLOUS BONE SCREW,C1713,CPT,both,,,423,423,UHC MEDICARE,UHC MEDICARE,,423,,fee schedule,423,368.01,423,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,60.9,70,percent of total billed charges,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,60.9,70,fee schedule,
CANNULA 8.5X7.2 S&N,C1713,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,AETNA,AETNA,,997.89,87,percent of total billed charges,997.89,997.89,1147,percent of total billed charges,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,997.89,87,percent of total billed charges,997.89,997.89,1147,percent of total billed charges,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,UNITED HEALTHCARE,UNITED HEALTHCARE,,1009.36,88,percent of total billed charges,1009.36,997.89,1147,percent of total billed charges,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,AETNA,AETNA,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,ALLIANT,ALLIANT,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,AMBETTER,AMBETTER,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,BEECH STREET,BEECH STREET,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,CARESOURCE,CARESOURCE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,MEDICAID,MEDICAID,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,MEDICARE,MEDICARE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,NOVA NET,NOVA NET,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,PEACHSTATE,PEACHSTATE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,SELFPAY,SELFPAY,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,TRICARE,TRICARE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT 70 G GENTAMYCIN,C1713,CPT,both,,,1147,1147,UHC MEDICARE,UHC MEDICARE,,1147,,fee schedule,1147,997.89,1147,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,AETNA,AETNA,,310.59,87,percent of total billed charges,310.59,310.59,357,percent of total billed charges,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310.59,87,percent of total billed charges,310.59,310.59,357,percent of total billed charges,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,UNITED HEALTHCARE,UNITED HEALTHCARE,,314.16,88,percent of total billed charges,314.16,310.59,357,percent of total billed charges,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,AETNA,AETNA,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,ALLIANT,ALLIANT,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,AMBETTER,AMBETTER,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,BEECH STREET,BEECH STREET,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,CARESOURCE,CARESOURCE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,MEDICAID,MEDICAID,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,MEDICARE,MEDICARE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,NOVA NET,NOVA NET,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,PEACHSTATE,PEACHSTATE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,SELFPAY,SELFPAY,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,TRICARE,TRICARE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENT RESTRICTOR TPA-18,C1713,CPT,both,,,357,357,UHC MEDICARE,UHC MEDICARE,,357,,fee schedule,357,310.59,357,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,AETNA,AETNA,,3137.22,87,percent of total billed charges,3137.22,3137.22,3606,percent of total billed charges,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3137.22,87,percent of total billed charges,3137.22,3137.22,3606,percent of total billed charges,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,UNITED HEALTHCARE,UNITED HEALTHCARE,,3173.28,88,percent of total billed charges,3173.28,3137.22,3606,percent of total billed charges,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,AETNA,AETNA,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,ALLIANT,ALLIANT,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,AMBETTER,AMBETTER,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,BEECH STREET,BEECH STREET,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,CARESOURCE,CARESOURCE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,MEDICAID,MEDICAID,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,MEDICARE,MEDICARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,NOVA NET,NOVA NET,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,PEACHSTATE,PEACHSTATE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,SELFPAY,SELFPAY,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,TRICARE,TRICARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CEMENTED TIBIAL BASEPLATE,C1713,CPT,both,,,3606,3606,UHC MEDICARE,UHC MEDICARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,274.92,316,percent of total billed charges,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,274.92,316,percent of total billed charges,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,274.92,316,percent of total billed charges,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,ALLIANT,ALLIANT,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,AMBETTER,AMBETTER,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,MEDICARE,MEDICARE,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,TRICARE,TRICARE,,316,,fee schedule,316,274.92,316,fee schedule,
CENTERPULSE SCREW,C1713,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,316,,fee schedule,316,274.92,316,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,AETNA,AETNA,,1930.53,87,percent of total billed charges,1930.53,1930.53,2219,percent of total billed charges,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1930.53,87,percent of total billed charges,1930.53,1930.53,2219,percent of total billed charges,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,UNITED HEALTHCARE,UNITED HEALTHCARE,,1952.72,88,percent of total billed charges,1952.72,1930.53,2219,percent of total billed charges,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,AETNA,AETNA,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,ALLIANT,ALLIANT,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,AMBETTER,AMBETTER,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,BEECH STREET,BEECH STREET,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,CARESOURCE,CARESOURCE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,MEDICAID,MEDICAID,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,MEDICARE,MEDICARE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,NOVA NET,NOVA NET,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,PEACHSTATE,PEACHSTATE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,SELFPAY,SELFPAY,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,TRICARE,TRICARE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
CHILD ATTACHMENT BOLT,C1713,CPT,both,,,2219,2219,UHC MEDICARE,UHC MEDICARE,,2219,,fee schedule,2219,1930.53,2219,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,AETNA,AETNA,,763.86,87,percent of total billed charges,763.86,763.86,878,percent of total billed charges,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,763.86,87,percent of total billed charges,763.86,763.86,878,percent of total billed charges,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,UNITED HEALTHCARE,UNITED HEALTHCARE,,772.64,88,percent of total billed charges,772.64,763.86,878,percent of total billed charges,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,AETNA,AETNA,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,ALLIANT,ALLIANT,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,AMBETTER,AMBETTER,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,BEECH STREET,BEECH STREET,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,CARESOURCE,CARESOURCE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,MEDICAID,MEDICAID,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,MEDICARE,MEDICARE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,NOVA NET,NOVA NET,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,PEACHSTATE,PEACHSTATE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,SELFPAY,SELFPAY,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,TRICARE,TRICARE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT G-HV,C1713,CPT,both,,,878,878,UHC MEDICARE,UHC MEDICARE,,878,,fee schedule,878,763.86,878,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,AETNA,AETNA,,214.89,87,percent of total billed charges,214.89,214.89,247,percent of total billed charges,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.89,87,percent of total billed charges,214.89,214.89,247,percent of total billed charges,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,UNITED HEALTHCARE,UNITED HEALTHCARE,,217.36,88,percent of total billed charges,217.36,214.89,247,percent of total billed charges,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,AETNA,AETNA,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,ALLIANT,ALLIANT,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,AMBETTER,AMBETTER,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,BEECH STREET,BEECH STREET,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,CARESOURCE,CARESOURCE,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,MEDICAID,MEDICAID,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,MEDICARE,MEDICARE,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,NOVA NET,NOVA NET,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,PEACHSTATE,PEACHSTATE,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,SELFPAY,SELFPAY,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,TRICARE,TRICARE,,247,,fee schedule,247,214.89,247,fee schedule,
COBALT BONE CEMENT HV,C1713,CPT,both,,,247,247,UHC MEDICARE,UHC MEDICARE,,247,,fee schedule,247,214.89,247,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,AETNA,AETNA,,13889.55,87,percent of total billed charges,13889.55,13889.55,15965,percent of total billed charges,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13889.55,87,percent of total billed charges,13889.55,13889.55,15965,percent of total billed charges,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,UNITED HEALTHCARE,UNITED HEALTHCARE,,14049.2,88,percent of total billed charges,14049.2,13889.55,15965,percent of total billed charges,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,AETNA,AETNA,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,ALLIANT,ALLIANT,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,AMBETTER,AMBETTER,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,BEECH STREET,BEECH STREET,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,CARESOURCE,CARESOURCE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,MEDICAID,MEDICAID,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,MEDICARE,MEDICARE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,NOVA NET,NOVA NET,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,PEACHSTATE,PEACHSTATE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,SELFPAY,SELFPAY,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,TRICARE,TRICARE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
COMPONENT FEM,C1713,CPT,both,,,15965,15965,UHC MEDICARE,UHC MEDICARE,,15965,,fee schedule,15965,13889.55,15965,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,AETNA,AETNA,,3605.28,87,percent of total billed charges,3605.28,3605.28,4144,percent of total billed charges,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3605.28,87,percent of total billed charges,3605.28,3605.28,4144,percent of total billed charges,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,UNITED HEALTHCARE,UNITED HEALTHCARE,,3646.72,88,percent of total billed charges,3646.72,3605.28,4144,percent of total billed charges,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,AETNA,AETNA,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,ALLIANT,ALLIANT,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,AMBETTER,AMBETTER,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,BEECH STREET,BEECH STREET,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,CARESOURCE,CARESOURCE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,MEDICAID,MEDICAID,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,MEDICARE,MEDICARE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,NOVA NET,NOVA NET,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,PEACHSTATE,PEACHSTATE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,SELFPAY,SELFPAY,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,TRICARE,TRICARE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CONTOURLOCK HTO PLATE~ARTHREX,C1713,CPT,both,,,4144,4144,UHC MEDICARE,UHC MEDICARE,,4144,,fee schedule,4144,3605.28,4144,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,AETNA,AETNA,,368.01,87,percent of total billed charges,368.01,368.01,423,percent of total billed charges,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.01,87,percent of total billed charges,368.01,368.01,423,percent of total billed charges,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,UNITED HEALTHCARE,UNITED HEALTHCARE,,372.24,88,percent of total billed charges,372.24,368.01,423,percent of total billed charges,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,AETNA,AETNA,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,ALLIANT,ALLIANT,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,AMBETTER,AMBETTER,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,BEECH STREET,BEECH STREET,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,MEDICAID,MEDICAID,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,MEDICARE,MEDICARE,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,NOVA NET,NOVA NET,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,SELFPAY,SELFPAY,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,TRICARE,TRICARE,,423,,fee schedule,423,368.01,423,fee schedule,
CORTICOL BONE SCREW,C1713,CPT,both,,,423,423,UHC MEDICARE,UHC MEDICARE,,423,,fee schedule,423,368.01,423,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,AETNA,AETNA,,1254.54,87,percent of total billed charges,1254.54,1254.54,1442,percent of total billed charges,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1254.54,87,percent of total billed charges,1254.54,1254.54,1442,percent of total billed charges,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,UNITED HEALTHCARE,UNITED HEALTHCARE,,1268.96,88,percent of total billed charges,1268.96,1254.54,1442,percent of total billed charges,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,AETNA,AETNA,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,ALLIANT,ALLIANT,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,AMBETTER,AMBETTER,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,BEECH STREET,BEECH STREET,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,CARESOURCE,CARESOURCE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,MEDICAID,MEDICAID,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,MEDICARE,MEDICARE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,NOVA NET,NOVA NET,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,PEACHSTATE,PEACHSTATE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,SELFPAY,SELFPAY,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,TRICARE,TRICARE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO CROSS CONNECTOR,C1713,CPT,both,,,1442,1442,UHC MEDICARE,UHC MEDICARE,,1442,,fee schedule,1442,1254.54,1442,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,AETNA,AETNA,,977.88,87,percent of total billed charges,977.88,977.88,1124,percent of total billed charges,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,977.88,87,percent of total billed charges,977.88,977.88,1124,percent of total billed charges,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,UNITED HEALTHCARE,UNITED HEALTHCARE,,989.12,88,percent of total billed charges,989.12,977.88,1124,percent of total billed charges,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,AETNA,AETNA,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,ALLIANT,ALLIANT,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,AMBETTER,AMBETTER,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,BEECH STREET,BEECH STREET,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,CARESOURCE,CARESOURCE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,MEDICAID,MEDICAID,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,MEDICARE,MEDICARE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,NOVA NET,NOVA NET,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,PEACHSTATE,PEACHSTATE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,SELFPAY,SELFPAY,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,TRICARE,TRICARE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO LOCKING CAP,C1713,CPT,both,,,1124,1124,UHC MEDICARE,UHC MEDICARE,,1124,,fee schedule,1124,977.88,1124,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,AETNA,AETNA,,855.21,87,percent of total billed charges,855.21,855.21,983,percent of total billed charges,
CREO ROD,C1713,CPT,both,,,983,983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,855.21,87,percent of total billed charges,855.21,855.21,983,percent of total billed charges,
CREO ROD,C1713,CPT,both,,,983,983,UNITED HEALTHCARE,UNITED HEALTHCARE,,865.04,88,percent of total billed charges,865.04,855.21,983,percent of total billed charges,
CREO ROD,C1713,CPT,both,,,983,983,AETNA,AETNA,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,ALLIANT,ALLIANT,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,AMBETTER,AMBETTER,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,BEECH STREET,BEECH STREET,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,CARESOURCE,CARESOURCE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,MEDICAID,MEDICAID,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,MEDICARE,MEDICARE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,NOVA NET,NOVA NET,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,PEACHSTATE,PEACHSTATE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,SELFPAY,SELFPAY,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,TRICARE,TRICARE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO ROD,C1713,CPT,both,,,983,983,UHC MEDICARE,UHC MEDICARE,,983,,fee schedule,983,855.21,983,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,AETNA,AETNA,,3473.91,87,percent of total billed charges,3473.91,3473.91,3993,percent of total billed charges,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3473.91,87,percent of total billed charges,3473.91,3473.91,3993,percent of total billed charges,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,UNITED HEALTHCARE,UNITED HEALTHCARE,,3513.84,88,percent of total billed charges,3513.84,3473.91,3993,percent of total billed charges,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,AETNA,AETNA,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,ALLIANT,ALLIANT,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,AMBETTER,AMBETTER,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,BEECH STREET,BEECH STREET,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,CARESOURCE,CARESOURCE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,MEDICAID,MEDICAID,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,MEDICARE,MEDICARE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,NOVA NET,NOVA NET,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,PEACHSTATE,PEACHSTATE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,SELFPAY,SELFPAY,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,TRICARE,TRICARE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 5.5,C1713,CPT,both,,,3993,3993,UHC MEDICARE,UHC MEDICARE,,3993,,fee schedule,3993,3473.91,3993,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,AETNA,AETNA,,4032.45,87,percent of total billed charges,4032.45,4032.45,4635,percent of total billed charges,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4032.45,87,percent of total billed charges,4032.45,4032.45,4635,percent of total billed charges,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,UNITED HEALTHCARE,UNITED HEALTHCARE,,4078.8,88,percent of total billed charges,4078.8,4032.45,4635,percent of total billed charges,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,AETNA,AETNA,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,ALLIANT,ALLIANT,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,AMBETTER,AMBETTER,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,BEECH STREET,BEECH STREET,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,CARESOURCE,CARESOURCE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,MEDICAID,MEDICAID,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,MEDICARE,MEDICARE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,NOVA NET,NOVA NET,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,PEACHSTATE,PEACHSTATE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,SELFPAY,SELFPAY,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,TRICARE,TRICARE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CREO SCREW 6.5MM,C1713,CPT,both,,,4635,4635,UHC MEDICARE,UHC MEDICARE,,4635,,fee schedule,4635,4032.45,4635,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,AETNA,AETNA,,2535.18,87,percent of total billed charges,2535.18,2535.18,2914,percent of total billed charges,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2535.18,87,percent of total billed charges,2535.18,2535.18,2914,percent of total billed charges,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,UNITED HEALTHCARE,UNITED HEALTHCARE,,2564.32,88,percent of total billed charges,2564.32,2535.18,2914,percent of total billed charges,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,AETNA,AETNA,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,ALLIANT,ALLIANT,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,AMBETTER,AMBETTER,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,BEECH STREET,BEECH STREET,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,CARESOURCE,CARESOURCE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,MEDICAID,MEDICAID,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,MEDICARE,MEDICARE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,NOVA NET,NOVA NET,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,PEACHSTATE,PEACHSTATE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,SELFPAY,SELFPAY,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,TRICARE,TRICARE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
CROSSROADS 9X9X9 MOTOCLIPMAX,C1713,CPT,both,,,2914,2914,UHC MEDICARE,UHC MEDICARE,,2914,,fee schedule,2914,2535.18,2914,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,AETNA,AETNA,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,UNITED HEALTHCARE,UNITED HEALTHCARE,,2719.2,88,percent of total billed charges,2719.2,2688.3,3090,percent of total billed charges,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,AETNA,AETNA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,ALLIANT,ALLIANT,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,AMBETTER,AMBETTER,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,BEECH STREET,BEECH STREET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,MEDICAID,MEDICAID,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,MEDICARE,MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,NOVA NET,NOVA NET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,SELFPAY,SELFPAY,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,TRICARE,TRICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK ATLANTIS CERV PLATE,C1713,CPT,both,,,3090,3090,UHC MEDICARE,UHC MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,AETNA,AETNA,,408.9,87,percent of total billed charges,408.9,408.9,470,percent of total billed charges,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408.9,87,percent of total billed charges,408.9,408.9,470,percent of total billed charges,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,UNITED HEALTHCARE,UNITED HEALTHCARE,,413.6,88,percent of total billed charges,413.6,408.9,470,percent of total billed charges,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,AETNA,AETNA,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,ALLIANT,ALLIANT,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,AMBETTER,AMBETTER,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,BEECH STREET,BEECH STREET,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,CARESOURCE,CARESOURCE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,MEDICAID,MEDICAID,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,MEDICARE,MEDICARE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,NOVA NET,NOVA NET,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,PEACHSTATE,PEACHSTATE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,SELFPAY,SELFPAY,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,TRICARE,TRICARE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK M-8 BREAKOFF SCREWS,C1713,CPT,both,,,470,470,UHC MEDICARE,UHC MEDICARE,,470,,fee schedule,470,408.9,470,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,AETNA,AETNA,,720.36,87,percent of total billed charges,720.36,720.36,828,percent of total billed charges,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,720.36,87,percent of total billed charges,720.36,720.36,828,percent of total billed charges,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,UNITED HEALTHCARE,UNITED HEALTHCARE,,728.64,88,percent of total billed charges,728.64,720.36,828,percent of total billed charges,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,AETNA,AETNA,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,ALLIANT,ALLIANT,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,AMBETTER,AMBETTER,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,BEECH STREET,BEECH STREET,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,CARESOURCE,CARESOURCE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,MEDICAID,MEDICAID,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,MEDICARE,MEDICARE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,NOVA NET,NOVA NET,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,PEACHSTATE,PEACHSTATE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,SELFPAY,SELFPAY,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,TRICARE,TRICARE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SELF DRILLING SCREW,C1713,CPT,both,,,828,828,UHC MEDICARE,UHC MEDICARE,,828,,fee schedule,828,720.36,828,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,AETNA,AETNA,,267.96,87,percent of total billed charges,267.96,267.96,308,percent of total billed charges,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.96,87,percent of total billed charges,267.96,267.96,308,percent of total billed charges,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,UNITED HEALTHCARE,UNITED HEALTHCARE,,271.04,88,percent of total billed charges,271.04,267.96,308,percent of total billed charges,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,AETNA,AETNA,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,ALLIANT,ALLIANT,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,AMBETTER,AMBETTER,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,BEECH STREET,BEECH STREET,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,CARESOURCE,CARESOURCE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,MEDICAID,MEDICAID,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,MEDICARE,MEDICARE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,NOVA NET,NOVA NET,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,PEACHSTATE,PEACHSTATE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,SELFPAY,SELFPAY,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,TRICARE,TRICARE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA MAS SCREW,C1713,CPT,both,,,308,308,UHC MEDICARE,UHC MEDICARE,,308,,fee schedule,308,267.96,308,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,AETNA,AETNA,,992.67,87,percent of total billed charges,992.67,992.67,1141,percent of total billed charges,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,992.67,87,percent of total billed charges,992.67,992.67,1141,percent of total billed charges,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,UNITED HEALTHCARE,UNITED HEALTHCARE,,1004.08,88,percent of total billed charges,1004.08,992.67,1141,percent of total billed charges,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,AETNA,AETNA,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,ALLIANT,ALLIANT,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,AMBETTER,AMBETTER,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,BEECH STREET,BEECH STREET,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,CARESOURCE,CARESOURCE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,MEDICAID,MEDICAID,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,MEDICARE,MEDICARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,NOVA NET,NOVA NET,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,PEACHSTATE,PEACHSTATE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,SELFPAY,SELFPAY,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,TRICARE,TRICARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA ROD,C1713,CPT,both,,,1141,1141,UHC MEDICARE,UHC MEDICARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,AETNA,AETNA,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,UNITED HEALTHCARE,UNITED HEALTHCARE,,340.56,88,percent of total billed charges,340.56,336.69,387,percent of total billed charges,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,AETNA,AETNA,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,ALLIANT,ALLIANT,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,AMBETTER,AMBETTER,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,BEECH STREET,BEECH STREET,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,CARESOURCE,CARESOURCE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,MEDICAID,MEDICAID,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,MEDICARE,MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,NOVA NET,NOVA NET,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,PEACHSTATE,PEACHSTATE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,SELFPAY,SELFPAY,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,TRICARE,TRICARE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK SOLERA SET SCREW,C1713,CPT,both,,,387,387,UHC MEDICARE,UHC MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,AETNA,AETNA,,1155.36,87,percent of total billed charges,1155.36,1155.36,1328,percent of total billed charges,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1155.36,87,percent of total billed charges,1155.36,1155.36,1328,percent of total billed charges,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,UNITED HEALTHCARE,UNITED HEALTHCARE,,1168.64,88,percent of total billed charges,1168.64,1155.36,1328,percent of total billed charges,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,AETNA,AETNA,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,ALLIANT,ALLIANT,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,AMBETTER,AMBETTER,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,BEECH STREET,BEECH STREET,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,CARESOURCE,CARESOURCE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,MEDICAID,MEDICAID,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,MEDICARE,MEDICARE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,NOVA NET,NOVA NET,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,PEACHSTATE,PEACHSTATE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,SELFPAY,SELFPAY,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,TRICARE,TRICARE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DANEK VENTURE CERV SCREW,C1713,CPT,both,,,1328,1328,UHC MEDICARE,UHC MEDICARE,,1328,,fee schedule,1328,1155.36,1328,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,AETNA,AETNA,,997.02,87,percent of total billed charges,997.02,997.02,1146,percent of total billed charges,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,997.02,87,percent of total billed charges,997.02,997.02,1146,percent of total billed charges,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,UNITED HEALTHCARE,UNITED HEALTHCARE,,1008.48,88,percent of total billed charges,1008.48,997.02,1146,percent of total billed charges,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,AETNA,AETNA,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,ALLIANT,ALLIANT,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,AMBETTER,AMBETTER,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,BEECH STREET,BEECH STREET,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,CARESOURCE,CARESOURCE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,MEDICAID,MEDICAID,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,MEDICARE,MEDICARE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,NOVA NET,NOVA NET,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,PEACHSTATE,PEACHSTATE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,SELFPAY,SELFPAY,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,TRICARE,TRICARE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS CLIK ANCHOR,C1713,CPT,both,,,1146,1146,UHC MEDICARE,UHC MEDICARE,,1146,,fee schedule,1146,997.02,1146,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,AETNA,AETNA,,648.15,87,percent of total billed charges,648.15,648.15,745,percent of total billed charges,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,648.15,87,percent of total billed charges,648.15,648.15,745,percent of total billed charges,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,UNITED HEALTHCARE,UNITED HEALTHCARE,,655.6,88,percent of total billed charges,655.6,648.15,745,percent of total billed charges,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,AETNA,AETNA,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,ALLIANT,ALLIANT,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,AMBETTER,AMBETTER,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,BEECH STREET,BEECH STREET,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,CARESOURCE,CARESOURCE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,MEDICAID,MEDICAID,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,MEDICARE,MEDICARE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,NOVA NET,NOVA NET,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,PEACHSTATE,PEACHSTATE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,SELFPAY,SELFPAY,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,TRICARE,TRICARE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS INJEX BUMPY ANCHOR,C1713,CPT,both,,,745,745,UHC MEDICARE,UHC MEDICARE,,745,,fee schedule,745,648.15,745,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,AETNA,AETNA,,965.7,87,percent of total billed charges,965.7,965.7,1110,percent of total billed charges,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,965.7,87,percent of total billed charges,965.7,965.7,1110,percent of total billed charges,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,UNITED HEALTHCARE,UNITED HEALTHCARE,,976.8,88,percent of total billed charges,976.8,965.7,1110,percent of total billed charges,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,AETNA,AETNA,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,ALLIANT,ALLIANT,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,AMBETTER,AMBETTER,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,BEECH STREET,BEECH STREET,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,CARESOURCE,CARESOURCE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,MEDICAID,MEDICAID,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,MEDICARE,MEDICARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,NOVA NET,NOVA NET,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,PEACHSTATE,PEACHSTATE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,SELFPAY,SELFPAY,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,TRICARE,TRICARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DCS MRI CLIKX ANCHOR,C1713,CPT,both,,,1110,1110,UHC MEDICARE,UHC MEDICARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,221.85,255,percent of total billed charges,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY 6.5 SCREW,C1713,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,AETNA,AETNA,,2623.92,87,percent of total billed charges,2623.92,2623.92,3016,percent of total billed charges,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623.92,87,percent of total billed charges,2623.92,2623.92,3016,percent of total billed charges,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,UNITED HEALTHCARE,UNITED HEALTHCARE,,2654.08,88,percent of total billed charges,2654.08,2623.92,3016,percent of total billed charges,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,AETNA,AETNA,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,ALLIANT,ALLIANT,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,AMBETTER,AMBETTER,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,BEECH STREET,BEECH STREET,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,CARESOURCE,CARESOURCE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,MEDICAID,MEDICAID,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,MEDICARE,MEDICARE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,NOVA NET,NOVA NET,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,PEACHSTATE,PEACHSTATE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,SELFPAY,SELFPAY,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,TRICARE,TRICARE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEPUY TIBIAL INSERT,C1713,CPT,both,,,3016,3016,UHC MEDICARE,UHC MEDICARE,,3016,,fee schedule,3016,2623.92,3016,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,AETNA,AETNA,,12097.35,87,percent of total billed charges,12097.35,12097.35,13905,percent of total billed charges,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12097.35,87,percent of total billed charges,12097.35,12097.35,13905,percent of total billed charges,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,UNITED HEALTHCARE,UNITED HEALTHCARE,,12236.4,88,percent of total billed charges,12236.4,12097.35,13905,percent of total billed charges,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,AETNA,AETNA,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,ALLIANT,ALLIANT,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,AMBETTER,AMBETTER,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,BEECH STREET,BEECH STREET,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,CARESOURCE,CARESOURCE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,MEDICAID,MEDICAID,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,MEDICARE,MEDICARE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,NOVA NET,NOVA NET,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,PEACHSTATE,PEACHSTATE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,SELFPAY,SELFPAY,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,TRICARE,TRICARE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DEVICE FUSION,C1713,CPT,both,,,13905,13905,UHC MEDICARE,UHC MEDICARE,,13905,,fee schedule,13905,12097.35,13905,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,AETNA,AETNA,,1982.73,87,percent of total billed charges,1982.73,1982.73,2279,percent of total billed charges,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1982.73,87,percent of total billed charges,1982.73,1982.73,2279,percent of total billed charges,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,UNITED HEALTHCARE,UNITED HEALTHCARE,,2005.52,88,percent of total billed charges,2005.52,1982.73,2279,percent of total billed charges,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,AETNA,AETNA,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,ALLIANT,ALLIANT,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,AMBETTER,AMBETTER,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,BEECH STREET,BEECH STREET,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,CARESOURCE,CARESOURCE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,MEDICAID,MEDICAID,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,MEDICARE,MEDICARE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,NOVA NET,NOVA NET,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,PEACHSTATE,PEACHSTATE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,SELFPAY,SELFPAY,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,TRICARE,TRICARE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL CLAV PLATE,C1713,CPT,both,,,2279,2279,UHC MEDICARE,UHC MEDICARE,,2279,,fee schedule,2279,1982.73,2279,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,AETNA,AETNA,,3090.24,87,percent of total billed charges,3090.24,3090.24,3552,percent of total billed charges,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090.24,87,percent of total billed charges,3090.24,3090.24,3552,percent of total billed charges,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,UNITED HEALTHCARE,UNITED HEALTHCARE,,3125.76,88,percent of total billed charges,3125.76,3090.24,3552,percent of total billed charges,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,AETNA,AETNA,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,ALLIANT,ALLIANT,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,AMBETTER,AMBETTER,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,BEECH STREET,BEECH STREET,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,CARESOURCE,CARESOURCE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,MEDICAID,MEDICAID,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,MEDICARE,MEDICARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,NOVA NET,NOVA NET,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,PEACHSTATE,PEACHSTATE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,SELFPAY,SELFPAY,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,TRICARE,TRICARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DISTAL LAT TIBIAL LOCK PLT 6 H,C1713,CPT,both,,,3552,3552,UHC MEDICARE,UHC MEDICARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,AETNA,AETNA,,2573.46,87,percent of total billed charges,2573.46,2573.46,2958,percent of total billed charges,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2573.46,87,percent of total billed charges,2573.46,2573.46,2958,percent of total billed charges,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,UNITED HEALTHCARE,UNITED HEALTHCARE,,2603.04,88,percent of total billed charges,2603.04,2573.46,2958,percent of total billed charges,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,AETNA,AETNA,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,ALLIANT,ALLIANT,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,AMBETTER,AMBETTER,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,BEECH STREET,BEECH STREET,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,CARESOURCE,CARESOURCE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,MEDICAID,MEDICAID,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,MEDICARE,MEDICARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,NOVA NET,NOVA NET,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,PEACHSTATE,PEACHSTATE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,SELFPAY,SELFPAY,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,TRICARE,TRICARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DORSAL PLATE RIGHT,C1713,CPT,both,,,2958,2958,UHC MEDICARE,UHC MEDICARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,AETNA,AETNA,,1390.26,87,percent of total billed charges,1390.26,1390.26,1598,percent of total billed charges,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1390.26,87,percent of total billed charges,1390.26,1390.26,1598,percent of total billed charges,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,UNITED HEALTHCARE,UNITED HEALTHCARE,,1406.24,88,percent of total billed charges,1406.24,1390.26,1598,percent of total billed charges,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,AETNA,AETNA,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,ALLIANT,ALLIANT,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,AMBETTER,AMBETTER,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,BEECH STREET,BEECH STREET,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,CARESOURCE,CARESOURCE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,MEDICAID,MEDICAID,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,MEDICARE,MEDICARE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,NOVA NET,NOVA NET,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,PEACHSTATE,PEACHSTATE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,SELFPAY,SELFPAY,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,TRICARE,TRICARE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
DVR-A NARROW SHORT LEFT PLATE,C1713,CPT,both,,,1598,1598,UHC MEDICARE,UHC MEDICARE,,1598,,fee schedule,1598,1390.26,1598,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,AETNA,AETNA,,838.68,87,percent of total billed charges,838.68,838.68,964,percent of total billed charges,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,838.68,87,percent of total billed charges,838.68,838.68,964,percent of total billed charges,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,UNITED HEALTHCARE,UNITED HEALTHCARE,,848.32,88,percent of total billed charges,848.32,838.68,964,percent of total billed charges,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,AETNA,AETNA,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,ALLIANT,ALLIANT,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,AMBETTER,AMBETTER,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,BEECH STREET,BEECH STREET,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,CARESOURCE,CARESOURCE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,MEDICAID,MEDICAID,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,MEDICARE,MEDICARE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,NOVA NET,NOVA NET,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,PEACHSTATE,PEACHSTATE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,SELFPAY,SELFPAY,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,TRICARE,TRICARE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDOBUTTON CL PAC,C1713,CPT,both,,,964,964,UHC MEDICARE,UHC MEDICARE,,964,,fee schedule,964,838.68,964,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,AETNA,AETNA,,5989.95,87,percent of total billed charges,5989.95,5989.95,6885,percent of total billed charges,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5989.95,87,percent of total billed charges,5989.95,5989.95,6885,percent of total billed charges,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,UNITED HEALTHCARE,UNITED HEALTHCARE,,6058.8,88,percent of total billed charges,6058.8,5989.95,6885,percent of total billed charges,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,AETNA,AETNA,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,ALLIANT,ALLIANT,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,AMBETTER,AMBETTER,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,BEECH STREET,BEECH STREET,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,CARESOURCE,CARESOURCE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,MEDICAID,MEDICAID,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,MEDICARE,MEDICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,NOVA NET,NOVA NET,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,PEACHSTATE,PEACHSTATE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,SELFPAY,SELFPAY,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,TRICARE,TRICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENDPLATE 10 DEGREE,C1713,CPT,both,,,6885,6885,UHC MEDICARE,UHC MEDICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,AETNA,AETNA,,2756.16,87,percent of total billed charges,2756.16,2756.16,3168,percent of total billed charges,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2756.16,87,percent of total billed charges,2756.16,2756.16,3168,percent of total billed charges,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,UNITED HEALTHCARE,UNITED HEALTHCARE,,2787.84,88,percent of total billed charges,2787.84,2756.16,3168,percent of total billed charges,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,AETNA,AETNA,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,ALLIANT,ALLIANT,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,AMBETTER,AMBETTER,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,BEECH STREET,BEECH STREET,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,CARESOURCE,CARESOURCE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,MEDICAID,MEDICAID,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,MEDICARE,MEDICARE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,NOVA NET,NOVA NET,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,PEACHSTATE,PEACHSTATE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,SELFPAY,SELFPAY,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,TRICARE,TRICARE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  10CC,C1713,CPT,both,,,3168,3168,UHC MEDICARE,UHC MEDICARE,,3168,,fee schedule,3168,2756.16,3168,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,AETNA,AETNA,,415.86,87,percent of total billed charges,415.86,415.86,478,percent of total billed charges,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,415.86,87,percent of total billed charges,415.86,415.86,478,percent of total billed charges,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,UNITED HEALTHCARE,UNITED HEALTHCARE,,420.64,88,percent of total billed charges,420.64,415.86,478,percent of total billed charges,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,AETNA,AETNA,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,ALLIANT,ALLIANT,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,AMBETTER,AMBETTER,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,BEECH STREET,BEECH STREET,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,CARESOURCE,CARESOURCE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,MEDICAID,MEDICAID,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,MEDICARE,MEDICARE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,NOVA NET,NOVA NET,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,PEACHSTATE,PEACHSTATE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,SELFPAY,SELFPAY,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,TRICARE,TRICARE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  1CC,C1713,CPT,both,,,478,478,UHC MEDICARE,UHC MEDICARE,,478,,fee schedule,478,415.86,478,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,AETNA,AETNA,,4961.61,87,percent of total billed charges,4961.61,4961.61,5703,percent of total billed charges,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4961.61,87,percent of total billed charges,4961.61,4961.61,5703,percent of total billed charges,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,UNITED HEALTHCARE,UNITED HEALTHCARE,,5018.64,88,percent of total billed charges,5018.64,4961.61,5703,percent of total billed charges,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,AETNA,AETNA,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,ALLIANT,ALLIANT,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,AMBETTER,AMBETTER,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,BEECH STREET,BEECH STREET,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,CARESOURCE,CARESOURCE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,MEDICAID,MEDICAID,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,MEDICARE,MEDICARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,NOVA NET,NOVA NET,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,PEACHSTATE,PEACHSTATE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,SELFPAY,SELFPAY,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,TRICARE,TRICARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  20CC,C1713,CPT,both,,,5703,5703,UHC MEDICARE,UHC MEDICARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,829.11,953,percent of total billed charges,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,829.11,953,percent of total billed charges,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,829.11,953,percent of total billed charges,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,ALLIANT,ALLIANT,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,AMBETTER,AMBETTER,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,MEDICARE,MEDICARE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,TRICARE,TRICARE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  2CC,C1713,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,953,,fee schedule,953,829.11,953,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,AETNA,AETNA,,1654.74,87,percent of total billed charges,1654.74,1654.74,1902,percent of total billed charges,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1654.74,87,percent of total billed charges,1654.74,1654.74,1902,percent of total billed charges,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,UNITED HEALTHCARE,UNITED HEALTHCARE,,1673.76,88,percent of total billed charges,1673.76,1654.74,1902,percent of total billed charges,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,AETNA,AETNA,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,ALLIANT,ALLIANT,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,AMBETTER,AMBETTER,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,BEECH STREET,BEECH STREET,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,CARESOURCE,CARESOURCE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,MEDICAID,MEDICAID,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,MEDICARE,MEDICARE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,NOVA NET,NOVA NET,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,PEACHSTATE,PEACHSTATE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,SELFPAY,SELFPAY,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,TRICARE,TRICARE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM  5CC,C1713,CPT,both,,,1902,1902,UHC MEDICARE,UHC MEDICARE,,1902,,fee schedule,1902,1654.74,1902,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,AETNA,AETNA,,551.58,87,percent of total billed charges,551.58,551.58,634,percent of total billed charges,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,551.58,87,percent of total billed charges,551.58,551.58,634,percent of total billed charges,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,UNITED HEALTHCARE,UNITED HEALTHCARE,,557.92,88,percent of total billed charges,557.92,551.58,634,percent of total billed charges,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,AETNA,AETNA,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,ALLIANT,ALLIANT,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,AMBETTER,AMBETTER,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,BEECH STREET,BEECH STREET,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,CARESOURCE,CARESOURCE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,MEDICAID,MEDICAID,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,MEDICARE,MEDICARE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,NOVA NET,NOVA NET,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,PEACHSTATE,PEACHSTATE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,SELFPAY,SELFPAY,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,TRICARE,TRICARE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC  1CC,C1713,CPT,both,,,634,634,UHC MEDICARE,UHC MEDICARE,,634,,fee schedule,634,551.58,634,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,AETNA,AETNA,,3446.94,87,percent of total billed charges,3446.94,3446.94,3962,percent of total billed charges,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3446.94,87,percent of total billed charges,3446.94,3446.94,3962,percent of total billed charges,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,UNITED HEALTHCARE,UNITED HEALTHCARE,,3486.56,88,percent of total billed charges,3486.56,3446.94,3962,percent of total billed charges,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,AETNA,AETNA,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,ALLIANT,ALLIANT,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,AMBETTER,AMBETTER,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,BEECH STREET,BEECH STREET,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,CARESOURCE,CARESOURCE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,MEDICAID,MEDICAID,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,MEDICARE,MEDICARE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,NOVA NET,NOVA NET,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,PEACHSTATE,PEACHSTATE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,SELFPAY,SELFPAY,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,TRICARE,TRICARE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 10CC,C1713,CPT,both,,,3962,3962,UHC MEDICARE,UHC MEDICARE,,3962,,fee schedule,3962,3446.94,3962,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,AETNA,AETNA,,6477.15,87,percent of total billed charges,6477.15,6477.15,7445,percent of total billed charges,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6477.15,87,percent of total billed charges,6477.15,6477.15,7445,percent of total billed charges,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,UNITED HEALTHCARE,UNITED HEALTHCARE,,6551.6,88,percent of total billed charges,6551.6,6477.15,7445,percent of total billed charges,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,AETNA,AETNA,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,ALLIANT,ALLIANT,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,AMBETTER,AMBETTER,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,BEECH STREET,BEECH STREET,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,CARESOURCE,CARESOURCE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,MEDICAID,MEDICAID,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,MEDICARE,MEDICARE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,NOVA NET,NOVA NET,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,PEACHSTATE,PEACHSTATE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,SELFPAY,SELFPAY,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,TRICARE,TRICARE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 20CC,C1713,CPT,both,,,7445,7445,UHC MEDICARE,UHC MEDICARE,,7445,,fee schedule,7445,6477.15,7445,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,AETNA,AETNA,,965.7,87,percent of total billed charges,965.7,965.7,1110,percent of total billed charges,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,965.7,87,percent of total billed charges,965.7,965.7,1110,percent of total billed charges,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,UNITED HEALTHCARE,UNITED HEALTHCARE,,976.8,88,percent of total billed charges,976.8,965.7,1110,percent of total billed charges,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,AETNA,AETNA,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,ALLIANT,ALLIANT,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,AMBETTER,AMBETTER,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,BEECH STREET,BEECH STREET,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,CARESOURCE,CARESOURCE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,MEDICAID,MEDICAID,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,MEDICARE,MEDICARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,NOVA NET,NOVA NET,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,PEACHSTATE,PEACHSTATE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,SELFPAY,SELFPAY,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,TRICARE,TRICARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 2CC,C1713,CPT,both,,,1110,1110,UHC MEDICARE,UHC MEDICARE,,1110,,fee schedule,1110,965.7,1110,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,AETNA,AETNA,,1931.4,87,percent of total billed charges,1931.4,1931.4,2220,percent of total billed charges,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1931.4,87,percent of total billed charges,1931.4,1931.4,2220,percent of total billed charges,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,UNITED HEALTHCARE,UNITED HEALTHCARE,,1953.6,88,percent of total billed charges,1953.6,1931.4,2220,percent of total billed charges,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,AETNA,AETNA,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,ALLIANT,ALLIANT,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,AMBETTER,AMBETTER,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,BEECH STREET,BEECH STREET,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,CARESOURCE,CARESOURCE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,MEDICAID,MEDICAID,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,MEDICARE,MEDICARE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,NOVA NET,NOVA NET,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,PEACHSTATE,PEACHSTATE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,SELFPAY,SELFPAY,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,TRICARE,TRICARE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
ENTICE DBM W/CCC 5CC,C1713,CPT,both,,,2220,2220,UHC MEDICARE,UHC MEDICARE,,2220,,fee schedule,2220,1931.4,2220,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,AETNA,AETNA,,292.32,87,percent of total billed charges,292.32,292.32,336,percent of total billed charges,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,292.32,87,percent of total billed charges,292.32,292.32,336,percent of total billed charges,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,UNITED HEALTHCARE,UNITED HEALTHCARE,,295.68,88,percent of total billed charges,295.68,292.32,336,percent of total billed charges,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,AETNA,AETNA,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,ALLIANT,ALLIANT,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,AMBETTER,AMBETTER,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,BEECH STREET,BEECH STREET,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,CARESOURCE,CARESOURCE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,MEDICAID,MEDICAID,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,MEDICARE,MEDICARE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,NOVA NET,NOVA NET,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,PEACHSTATE,PEACHSTATE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,SELFPAY,SELFPAY,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,TRICARE,TRICARE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTECH 42MM SCREW,C1713,CPT,both,,,336,336,UHC MEDICARE,UHC MEDICARE,,336,,fee schedule,336,292.32,336,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,AETNA,AETNA,,11348.28,87,percent of total billed charges,11348.28,11348.28,13044,percent of total billed charges,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11348.28,87,percent of total billed charges,11348.28,11348.28,13044,percent of total billed charges,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,UNITED HEALTHCARE,UNITED HEALTHCARE,,11478.72,88,percent of total billed charges,11478.72,11348.28,13044,percent of total billed charges,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,AETNA,AETNA,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,ALLIANT,ALLIANT,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,AMBETTER,AMBETTER,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,BEECH STREET,BEECH STREET,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,CARESOURCE,CARESOURCE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,MEDICAID,MEDICAID,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,MEDICARE,MEDICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,NOVA NET,NOVA NET,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,PEACHSTATE,PEACHSTATE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,SELFPAY,SELFPAY,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,TRICARE,TRICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
EXACTTECH ANTIBIOTIC SPACER,C1713,CPT,both,,,13044,13044,UHC MEDICARE,UHC MEDICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,AETNA,AETNA,,5632.38,87,percent of total billed charges,5632.38,5632.38,6474,percent of total billed charges,
FEM STEM,C1713,CPT,both,,,6474,6474,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5632.38,87,percent of total billed charges,5632.38,5632.38,6474,percent of total billed charges,
FEM STEM,C1713,CPT,both,,,6474,6474,UNITED HEALTHCARE,UNITED HEALTHCARE,,5697.12,88,percent of total billed charges,5697.12,5632.38,6474,percent of total billed charges,
FEM STEM,C1713,CPT,both,,,6474,6474,AETNA,AETNA,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,ALLIANT,ALLIANT,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,AMBETTER,AMBETTER,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,BEECH STREET,BEECH STREET,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,CARESOURCE,CARESOURCE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,MEDICAID,MEDICAID,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,MEDICARE,MEDICARE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,NOVA NET,NOVA NET,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,PEACHSTATE,PEACHSTATE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,SELFPAY,SELFPAY,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,TRICARE,TRICARE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEM STEM,C1713,CPT,both,,,6474,6474,UHC MEDICARE,UHC MEDICARE,,6474,,fee schedule,6474,5632.38,6474,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,AETNA,AETNA,,7225.35,87,percent of total billed charges,7225.35,7225.35,8305,percent of total billed charges,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7225.35,87,percent of total billed charges,7225.35,7225.35,8305,percent of total billed charges,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,UNITED HEALTHCARE,UNITED HEALTHCARE,,7308.4,88,percent of total billed charges,7308.4,7225.35,8305,percent of total billed charges,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,AETNA,AETNA,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,ALLIANT,ALLIANT,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,AMBETTER,AMBETTER,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,BEECH STREET,BEECH STREET,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,CARESOURCE,CARESOURCE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,MEDICAID,MEDICAID,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,MEDICARE,MEDICARE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,NOVA NET,NOVA NET,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,PEACHSTATE,PEACHSTATE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,SELFPAY,SELFPAY,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,TRICARE,TRICARE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ADAPTER BOLT,C1713,CPT,both,,,8305,8305,UHC MEDICARE,UHC MEDICARE,,8305,,fee schedule,8305,7225.35,8305,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,AETNA,AETNA,,14578.59,87,percent of total billed charges,14578.59,14578.59,16757,percent of total billed charges,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14578.59,87,percent of total billed charges,14578.59,14578.59,16757,percent of total billed charges,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,UNITED HEALTHCARE,UNITED HEALTHCARE,,14746.16,88,percent of total billed charges,14746.16,14578.59,16757,percent of total billed charges,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,AETNA,AETNA,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,ALLIANT,ALLIANT,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,AMBETTER,AMBETTER,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,BEECH STREET,BEECH STREET,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,CARESOURCE,CARESOURCE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,MEDICAID,MEDICAID,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,MEDICARE,MEDICARE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,NOVA NET,NOVA NET,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,PEACHSTATE,PEACHSTATE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,SELFPAY,SELFPAY,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,TRICARE,TRICARE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL ROTATING HINGE,C1713,CPT,both,,,16757,16757,UHC MEDICARE,UHC MEDICARE,,16757,,fee schedule,16757,14578.59,16757,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,AETNA,AETNA,,7615.11,87,percent of total billed charges,7615.11,7615.11,8753,percent of total billed charges,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7615.11,87,percent of total billed charges,7615.11,7615.11,8753,percent of total billed charges,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,UNITED HEALTHCARE,UNITED HEALTHCARE,,7702.64,88,percent of total billed charges,7702.64,7615.11,8753,percent of total billed charges,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,AETNA,AETNA,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,ALLIANT,ALLIANT,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,AMBETTER,AMBETTER,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,BEECH STREET,BEECH STREET,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,CARESOURCE,CARESOURCE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,MEDICAID,MEDICAID,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,MEDICARE,MEDICARE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,NOVA NET,NOVA NET,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,PEACHSTATE,PEACHSTATE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,SELFPAY,SELFPAY,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,TRICARE,TRICARE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FEMORAL SLEEVE,C1713,CPT,both,,,8753,8753,UHC MEDICARE,UHC MEDICARE,,8753,,fee schedule,8753,7615.11,8753,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,AETNA,AETNA,,1996.65,87,percent of total billed charges,1996.65,1996.65,2295,percent of total billed charges,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1996.65,87,percent of total billed charges,1996.65,1996.65,2295,percent of total billed charges,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,UNITED HEALTHCARE,UNITED HEALTHCARE,,2019.6,88,percent of total billed charges,2019.6,1996.65,2295,percent of total billed charges,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,AETNA,AETNA,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,ALLIANT,ALLIANT,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,AMBETTER,AMBETTER,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,BEECH STREET,BEECH STREET,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,CARESOURCE,CARESOURCE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,MEDICAID,MEDICAID,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,MEDICARE,MEDICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,NOVA NET,NOVA NET,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,PEACHSTATE,PEACHSTATE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,SELFPAY,SELFPAY,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,TRICARE,TRICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBERTAPE TENDON COMPRESS KIT,C1713,CPT,both,,,2295,2295,UHC MEDICARE,UHC MEDICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,AETNA,AETNA,,1452.03,87,percent of total billed charges,1452.03,1452.03,1669,percent of total billed charges,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1452.03,87,percent of total billed charges,1452.03,1452.03,1669,percent of total billed charges,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,UNITED HEALTHCARE,UNITED HEALTHCARE,,1468.72,88,percent of total billed charges,1468.72,1452.03,1669,percent of total billed charges,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,AETNA,AETNA,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,ALLIANT,ALLIANT,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,AMBETTER,AMBETTER,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,BEECH STREET,BEECH STREET,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,CARESOURCE,CARESOURCE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,MEDICAID,MEDICAID,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,MEDICARE,MEDICARE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,NOVA NET,NOVA NET,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,PEACHSTATE,PEACHSTATE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,SELFPAY,SELFPAY,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,TRICARE,TRICARE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIBULA PLATE 6 HOLE RIGHT,C1713,CPT,both,,,1669,1669,UHC MEDICARE,UHC MEDICARE,,1669,,fee schedule,1669,1452.03,1669,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,AETNA,AETNA,,1421.58,87,percent of total billed charges,1421.58,1421.58,1634,percent of total billed charges,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1421.58,87,percent of total billed charges,1421.58,1421.58,1634,percent of total billed charges,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,UNITED HEALTHCARE,UNITED HEALTHCARE,,1437.92,88,percent of total billed charges,1437.92,1421.58,1634,percent of total billed charges,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,AETNA,AETNA,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,ALLIANT,ALLIANT,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,AMBETTER,AMBETTER,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,BEECH STREET,BEECH STREET,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,CARESOURCE,CARESOURCE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,MEDICAID,MEDICAID,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,MEDICARE,MEDICARE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,NOVA NET,NOVA NET,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,PEACHSTATE,PEACHSTATE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,SELFPAY,SELFPAY,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,TRICARE,TRICARE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXATION DEVICE,C1713,CPT,both,,,1634,1634,UHC MEDICARE,UHC MEDICARE,,1634,,fee schedule,1634,1421.58,1634,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,AETNA,AETNA,,11348.28,87,percent of total billed charges,11348.28,11348.28,13044,percent of total billed charges,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11348.28,87,percent of total billed charges,11348.28,11348.28,13044,percent of total billed charges,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,UNITED HEALTHCARE,UNITED HEALTHCARE,,11478.72,88,percent of total billed charges,11478.72,11348.28,13044,percent of total billed charges,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,AETNA,AETNA,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,ALLIANT,ALLIANT,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,AMBETTER,AMBETTER,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,BEECH STREET,BEECH STREET,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,CARESOURCE,CARESOURCE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,MEDICAID,MEDICAID,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,MEDICARE,MEDICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,NOVA NET,NOVA NET,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,PEACHSTATE,PEACHSTATE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,SELFPAY,SELFPAY,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,TRICARE,TRICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FIXED PLATE 30MM,C1713,CPT,both,,,13044,13044,UHC MEDICARE,UHC MEDICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
FLAT WASHER,C1713,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
FLAT WASHER,C1713,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,162.69,187,percent of total billed charges,
FLAT WASHER,C1713,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,162.69,187,fee schedule,
FLAT WASHER,C1713,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,829.11,953,percent of total billed charges,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,829.11,953,percent of total billed charges,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,829.11,953,percent of total billed charges,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,ALLIANT,ALLIANT,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,AMBETTER,AMBETTER,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,MEDICARE,MEDICARE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,TRICARE,TRICARE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 3.6MM BONE SCREW,C1713,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,953,,fee schedule,953,829.11,953,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,AETNA,AETNA,,2068.86,87,percent of total billed charges,2068.86,2068.86,2378,percent of total billed charges,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2068.86,87,percent of total billed charges,2068.86,2068.86,2378,percent of total billed charges,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,UNITED HEALTHCARE,UNITED HEALTHCARE,,2092.64,88,percent of total billed charges,2092.64,2068.86,2378,percent of total billed charges,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,AETNA,AETNA,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,ALLIANT,ALLIANT,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,AMBETTER,AMBETTER,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,BEECH STREET,BEECH STREET,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,CARESOURCE,CARESOURCE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,MEDICAID,MEDICAID,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,MEDICARE,MEDICARE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,NOVA NET,NOVA NET,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,PEACHSTATE,PEACHSTATE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,SELFPAY,SELFPAY,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,TRICARE,TRICARE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS 5.5 VAR ANGLE SCREW,C1713,CPT,both,,,2378,2378,UHC MEDICARE,UHC MEDICARE,,2378,,fee schedule,2378,2068.86,2378,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,AETNA,AETNA,,4490.07,87,percent of total billed charges,4490.07,4490.07,5161,percent of total billed charges,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4490.07,87,percent of total billed charges,4490.07,4490.07,5161,percent of total billed charges,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,UNITED HEALTHCARE,UNITED HEALTHCARE,,4541.68,88,percent of total billed charges,4541.68,4490.07,5161,percent of total billed charges,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,AETNA,AETNA,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,ALLIANT,ALLIANT,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,AMBETTER,AMBETTER,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,BEECH STREET,BEECH STREET,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,CARESOURCE,CARESOURCE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,MEDICAID,MEDICAID,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,MEDICARE,MEDICARE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,NOVA NET,NOVA NET,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,PEACHSTATE,PEACHSTATE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,SELFPAY,SELFPAY,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,TRICARE,TRICARE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS ALLOGRAFT 10X16MM,C1713,CPT,both,,,5161,5161,UHC MEDICARE,UHC MEDICARE,,5161,,fee schedule,5161,4490.07,5161,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,AETNA,AETNA,,1243.23,87,percent of total billed charges,1243.23,1243.23,1429,percent of total billed charges,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1243.23,87,percent of total billed charges,1243.23,1243.23,1429,percent of total billed charges,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,UNITED HEALTHCARE,UNITED HEALTHCARE,,1257.52,88,percent of total billed charges,1257.52,1243.23,1429,percent of total billed charges,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,AETNA,AETNA,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,ALLIANT,ALLIANT,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,AMBETTER,AMBETTER,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,BEECH STREET,BEECH STREET,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,CARESOURCE,CARESOURCE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,MEDICAID,MEDICAID,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,MEDICARE,MEDICARE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,NOVA NET,NOVA NET,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,PEACHSTATE,PEACHSTATE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,SELFPAY,SELFPAY,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,TRICARE,TRICARE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS DISC SHIM,C1713,CPT,both,,,1429,1429,UHC MEDICARE,UHC MEDICARE,,1429,,fee schedule,1429,1243.23,1429,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,278.4,320,percent of total billed charges,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,278.4,320,percent of total billed charges,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,278.4,320,percent of total billed charges,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,ALLIANT,ALLIANT,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,AMBETTER,AMBETTER,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,MEDICARE,MEDICARE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,TRICARE,TRICARE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS STALIF SCREW,C1713,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,320,,fee schedule,320,278.4,320,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,AETNA,AETNA,,12401.85,87,percent of total billed charges,12401.85,12401.85,14255,percent of total billed charges,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12401.85,87,percent of total billed charges,12401.85,12401.85,14255,percent of total billed charges,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,UNITED HEALTHCARE,UNITED HEALTHCARE,,12544.4,88,percent of total billed charges,12544.4,12401.85,14255,percent of total billed charges,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,AETNA,AETNA,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,ALLIANT,ALLIANT,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,AMBETTER,AMBETTER,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,BEECH STREET,BEECH STREET,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,CARESOURCE,CARESOURCE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,MEDICAID,MEDICAID,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,MEDICARE,MEDICARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,NOVA NET,NOVA NET,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,PEACHSTATE,PEACHSTATE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,SELFPAY,SELFPAY,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,TRICARE,TRICARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GLOBUS TRANS M SPACER,C1713,CPT,both,,,14255,14255,UHC MEDICARE,UHC MEDICARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,AETNA,AETNA,,4390.89,87,percent of total billed charges,4390.89,4390.89,5047,percent of total billed charges,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4390.89,87,percent of total billed charges,4390.89,4390.89,5047,percent of total billed charges,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,UNITED HEALTHCARE,UNITED HEALTHCARE,,4441.36,88,percent of total billed charges,4441.36,4390.89,5047,percent of total billed charges,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,AETNA,AETNA,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,ALLIANT,ALLIANT,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,AMBETTER,AMBETTER,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,BEECH STREET,BEECH STREET,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,CARESOURCE,CARESOURCE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,MEDICAID,MEDICAID,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,MEDICARE,MEDICARE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,NOVA NET,NOVA NET,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,PEACHSTATE,PEACHSTATE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,SELFPAY,SELFPAY,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,TRICARE,TRICARE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GRAFTON DBM 5CM 42210,C1713,CPT,both,,,5047,5047,UHC MEDICARE,UHC MEDICARE,,5047,,fee schedule,5047,4390.89,5047,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,AETNA,AETNA,,1246.71,87,percent of total billed charges,1246.71,1246.71,1433,percent of total billed charges,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1246.71,87,percent of total billed charges,1246.71,1246.71,1433,percent of total billed charges,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,UNITED HEALTHCARE,UNITED HEALTHCARE,,1261.04,88,percent of total billed charges,1261.04,1246.71,1433,percent of total billed charges,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,AETNA,AETNA,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,ALLIANT,ALLIANT,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,AMBETTER,AMBETTER,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,BEECH STREET,BEECH STREET,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,CARESOURCE,CARESOURCE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,MEDICAID,MEDICAID,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,MEDICARE,MEDICARE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,NOVA NET,NOVA NET,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,PEACHSTATE,PEACHSTATE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,SELFPAY,SELFPAY,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,TRICARE,TRICARE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE ROD BALL TIP,C1713,CPT,both,,,1433,1433,UHC MEDICARE,UHC MEDICARE,,1433,,fee schedule,1433,1246.71,1433,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,AETNA,AETNA,,95.7,87,percent of total billed charges,95.7,95.7,110,percent of total billed charges,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95.7,87,percent of total billed charges,95.7,95.7,110,percent of total billed charges,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,UNITED HEALTHCARE,UNITED HEALTHCARE,,96.8,88,percent of total billed charges,96.8,95.7,110,percent of total billed charges,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,AETNA,AETNA,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,ALLIANT,ALLIANT,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,AMBETTER,AMBETTER,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,BEECH STREET,BEECH STREET,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,CARESOURCE,CARESOURCE,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,MEDICAID,MEDICAID,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,MEDICARE,MEDICARE,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,NOVA NET,NOVA NET,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,PEACHSTATE,PEACHSTATE,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,SELFPAY,SELFPAY,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,TRICARE,TRICARE,,110,,fee schedule,110,95.7,110,fee schedule,
GUIDE WIRE SGL TROCAR .045X6,C1713,CPT,both,,,110,110,UHC MEDICARE,UHC MEDICARE,,110,,fee schedule,110,95.7,110,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,AETNA,AETNA,,3414.75,87,percent of total billed charges,3414.75,3414.75,3925,percent of total billed charges,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3414.75,87,percent of total billed charges,3414.75,3414.75,3925,percent of total billed charges,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,UNITED HEALTHCARE,UNITED HEALTHCARE,,3454,88,percent of total billed charges,3454,3414.75,3925,percent of total billed charges,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,AETNA,AETNA,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,ALLIANT,ALLIANT,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,AMBETTER,AMBETTER,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,BEECH STREET,BEECH STREET,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,CARESOURCE,CARESOURCE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,MEDICAID,MEDICAID,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,MEDICARE,MEDICARE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,NOVA NET,NOVA NET,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,PEACHSTATE,PEACHSTATE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,SELFPAY,SELFPAY,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,TRICARE,TRICARE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE CORRECTION KIT,C1713,CPT,both,,,3925,3925,UHC MEDICARE,UHC MEDICARE,,3925,,fee schedule,3925,3414.75,3925,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,AETNA,AETNA,,4749.33,87,percent of total billed charges,4749.33,4749.33,5459,percent of total billed charges,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4749.33,87,percent of total billed charges,4749.33,4749.33,5459,percent of total billed charges,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,UNITED HEALTHCARE,UNITED HEALTHCARE,,4803.92,88,percent of total billed charges,4803.92,4749.33,5459,percent of total billed charges,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,AETNA,AETNA,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,ALLIANT,ALLIANT,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,AMBETTER,AMBETTER,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,BEECH STREET,BEECH STREET,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,CARESOURCE,CARESOURCE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,MEDICAID,MEDICAID,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,MEDICARE,MEDICARE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,NOVA NET,NOVA NET,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,PEACHSTATE,PEACHSTATE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,SELFPAY,SELFPAY,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,TRICARE,TRICARE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMMERTOE KIT,C1713,CPT,both,,,5459,5459,UHC MEDICARE,UHC MEDICARE,,5459,,fee schedule,5459,4749.33,5459,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,AETNA,AETNA,,2296.8,87,percent of total billed charges,2296.8,2296.8,2640,percent of total billed charges,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2296.8,87,percent of total billed charges,2296.8,2296.8,2640,percent of total billed charges,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,UNITED HEALTHCARE,UNITED HEALTHCARE,,2323.2,88,percent of total billed charges,2323.2,2296.8,2640,percent of total billed charges,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,AETNA,AETNA,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,ALLIANT,ALLIANT,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,AMBETTER,AMBETTER,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,BEECH STREET,BEECH STREET,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,CARESOURCE,CARESOURCE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,MEDICAID,MEDICAID,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,MEDICARE,MEDICARE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,NOVA NET,NOVA NET,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,PEACHSTATE,PEACHSTATE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,SELFPAY,SELFPAY,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,TRICARE,TRICARE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HAMRTOE CORREC TSYST NX3532K,C1713,CPT,both,,,2640,2640,UHC MEDICARE,UHC MEDICARE,,2640,,fee schedule,2640,2296.8,2640,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,AETNA,AETNA,,716.01,87,percent of total billed charges,716.01,716.01,823,percent of total billed charges,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,716.01,87,percent of total billed charges,716.01,716.01,823,percent of total billed charges,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,UNITED HEALTHCARE,UNITED HEALTHCARE,,724.24,88,percent of total billed charges,724.24,716.01,823,percent of total billed charges,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,AETNA,AETNA,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,ALLIANT,ALLIANT,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,AMBETTER,AMBETTER,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,BEECH STREET,BEECH STREET,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,CARESOURCE,CARESOURCE,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,MEDICAID,MEDICAID,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,MEDICARE,MEDICARE,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,NOVA NET,NOVA NET,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,PEACHSTATE,PEACHSTATE,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,SELFPAY,SELFPAY,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,TRICARE,TRICARE,,823,,fee schedule,823,716.01,823,fee schedule,
HARPOON SUTURE ANCHOR,C1713,CPT,both,,,823,823,UHC MEDICARE,UHC MEDICARE,,823,,fee schedule,823,716.01,823,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,AETNA,AETNA,,3565.26,87,percent of total billed charges,3565.26,3565.26,4098,percent of total billed charges,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3565.26,87,percent of total billed charges,3565.26,3565.26,4098,percent of total billed charges,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,UNITED HEALTHCARE,UNITED HEALTHCARE,,3606.24,88,percent of total billed charges,3606.24,3565.26,4098,percent of total billed charges,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,AETNA,AETNA,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,ALLIANT,ALLIANT,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,AMBETTER,AMBETTER,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,BEECH STREET,BEECH STREET,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,CARESOURCE,CARESOURCE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,MEDICAID,MEDICAID,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,MEDICARE,MEDICARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,NOVA NET,NOVA NET,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,PEACHSTATE,PEACHSTATE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,SELFPAY,SELFPAY,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,TRICARE,TRICARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HIP STEM FEM 132DEG 37X145MM,C1713,CPT,both,,,4098,4098,UHC MEDICARE,UHC MEDICARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,AETNA,AETNA,,143.55,87,percent of total billed charges,143.55,143.55,165,percent of total billed charges,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143.55,87,percent of total billed charges,143.55,143.55,165,percent of total billed charges,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,UNITED HEALTHCARE,UNITED HEALTHCARE,,145.2,88,percent of total billed charges,145.2,143.55,165,percent of total billed charges,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,AETNA,AETNA,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,ALLIANT,ALLIANT,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,AMBETTER,AMBETTER,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,BEECH STREET,BEECH STREET,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,MEDICAID,MEDICAID,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,MEDICARE,MEDICARE,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,NOVA NET,NOVA NET,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,SELFPAY,SELFPAY,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,TRICARE,TRICARE,,165,,fee schedule,165,143.55,165,fee schedule,
HOLE ELIMINATOR,C1713,CPT,both,,,165,165,UHC MEDICARE,UHC MEDICARE,,165,,fee schedule,165,143.55,165,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,AETNA,AETNA,,4182.09,87,percent of total billed charges,4182.09,4182.09,4807,percent of total billed charges,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4182.09,87,percent of total billed charges,4182.09,4182.09,4807,percent of total billed charges,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,UNITED HEALTHCARE,UNITED HEALTHCARE,,4230.16,88,percent of total billed charges,4230.16,4182.09,4807,percent of total billed charges,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,AETNA,AETNA,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,ALLIANT,ALLIANT,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,AMBETTER,AMBETTER,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,BEECH STREET,BEECH STREET,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,CARESOURCE,CARESOURCE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,MEDICAID,MEDICAID,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,MEDICARE,MEDICARE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,NOVA NET,NOVA NET,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,PEACHSTATE,PEACHSTATE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,SELFPAY,SELFPAY,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,TRICARE,TRICARE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM ~ AR-9911-CP,C1713,CPT,both,,,4807,4807,UHC MEDICARE,UHC MEDICARE,,4807,,fee schedule,4807,4182.09,4807,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,AETNA,AETNA,,2240.25,87,percent of total billed charges,2240.25,2240.25,2575,percent of total billed charges,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2240.25,87,percent of total billed charges,2240.25,2240.25,2575,percent of total billed charges,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,UNITED HEALTHCARE,UNITED HEALTHCARE,,2266,88,percent of total billed charges,2266,2240.25,2575,percent of total billed charges,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,AETNA,AETNA,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,ALLIANT,ALLIANT,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,AMBETTER,AMBETTER,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,BEECH STREET,BEECH STREET,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,CARESOURCE,CARESOURCE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,MEDICAID,MEDICAID,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,MEDICARE,MEDICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,NOVA NET,NOVA NET,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,PEACHSTATE,PEACHSTATE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,SELFPAY,SELFPAY,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,TRICARE,TRICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
IMPLANT SYSTEM BICEP,C1713,CPT,both,,,2575,2575,UHC MEDICARE,UHC MEDICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,AETNA,AETNA,,11775.45,87,percent of total billed charges,11775.45,11775.45,13535,percent of total billed charges,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11775.45,87,percent of total billed charges,11775.45,11775.45,13535,percent of total billed charges,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,UNITED HEALTHCARE,UNITED HEALTHCARE,,11910.8,88,percent of total billed charges,11910.8,11775.45,13535,percent of total billed charges,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,AETNA,AETNA,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,ALLIANT,ALLIANT,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,AMBETTER,AMBETTER,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,BEECH STREET,BEECH STREET,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,CARESOURCE,CARESOURCE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,MEDICAID,MEDICAID,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,MEDICARE,MEDICARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,NOVA NET,NOVA NET,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,PEACHSTATE,PEACHSTATE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,SELFPAY,SELFPAY,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,TRICARE,TRICARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT L,C1713,CPT,both,,,13535,13535,UHC MEDICARE,UHC MEDICARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,AETNA,AETNA,,11775.45,87,percent of total billed charges,11775.45,11775.45,13535,percent of total billed charges,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11775.45,87,percent of total billed charges,11775.45,11775.45,13535,percent of total billed charges,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,UNITED HEALTHCARE,UNITED HEALTHCARE,,11910.8,88,percent of total billed charges,11910.8,11775.45,13535,percent of total billed charges,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,AETNA,AETNA,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,ALLIANT,ALLIANT,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,AMBETTER,AMBETTER,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,BEECH STREET,BEECH STREET,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,CARESOURCE,CARESOURCE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,MEDICAID,MEDICAID,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,MEDICARE,MEDICARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,NOVA NET,NOVA NET,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,PEACHSTATE,PEACHSTATE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,SELFPAY,SELFPAY,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,TRICARE,TRICARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INCORE LAPIDUS DISPOSABLE KT R,C1713,CPT,both,,,13535,13535,UHC MEDICARE,UHC MEDICARE,,13535,,fee schedule,13535,11775.45,13535,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,AETNA,AETNA,,28241.07,87,percent of total billed charges,28241.07,28241.07,32461,percent of total billed charges,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28241.07,87,percent of total billed charges,28241.07,28241.07,32461,percent of total billed charges,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,UNITED HEALTHCARE,UNITED HEALTHCARE,,28565.68,88,percent of total billed charges,28565.68,28241.07,32461,percent of total billed charges,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,AETNA,AETNA,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,ALLIANT,ALLIANT,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,AMBETTER,AMBETTER,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,BEECH STREET,BEECH STREET,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,CARESOURCE,CARESOURCE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,MEDICAID,MEDICAID,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,MEDICARE,MEDICARE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,NOVA NET,NOVA NET,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,PEACHSTATE,PEACHSTATE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,SELFPAY,SELFPAY,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,TRICARE,TRICARE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
INTERLAMINAR FUSION DEVICE,C1713,CPT,both,,,32461,32461,UHC MEDICARE,UHC MEDICARE,,32461,,fee schedule,32461,28241.07,32461,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,AETNA,AETNA,,738.63,87,percent of total billed charges,738.63,738.63,849,percent of total billed charges,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,738.63,87,percent of total billed charges,738.63,738.63,849,percent of total billed charges,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,UNITED HEALTHCARE,UNITED HEALTHCARE,,747.12,88,percent of total billed charges,747.12,738.63,849,percent of total billed charges,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,AETNA,AETNA,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,ALLIANT,ALLIANT,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,AMBETTER,AMBETTER,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,BEECH STREET,BEECH STREET,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,CARESOURCE,CARESOURCE,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,MEDICAID,MEDICAID,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,MEDICARE,MEDICARE,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,NOVA NET,NOVA NET,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,PEACHSTATE,PEACHSTATE,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,SELFPAY,SELFPAY,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,TRICARE,TRICARE,,849,,fee schedule,849,738.63,849,fee schedule,
JUGGERKNOT ANCHOR,C1713,CPT,both,,,849,849,UHC MEDICARE,UHC MEDICARE,,849,,fee schedule,849,738.63,849,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,AETNA,AETNA,,470.67,87,percent of total billed charges,470.67,470.67,541,percent of total billed charges,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,470.67,87,percent of total billed charges,470.67,470.67,541,percent of total billed charges,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.08,88,percent of total billed charges,476.08,470.67,541,percent of total billed charges,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,AETNA,AETNA,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,ALLIANT,ALLIANT,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,AMBETTER,AMBETTER,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,BEECH STREET,BEECH STREET,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,CARESOURCE,CARESOURCE,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,MEDICAID,MEDICAID,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,MEDICARE,MEDICARE,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,NOVA NET,NOVA NET,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,PEACHSTATE,PEACHSTATE,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,SELFPAY,SELFPAY,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,TRICARE,TRICARE,,541,,fee schedule,541,470.67,541,fee schedule,
KYPHON BONE CEMENT,C1713,CPT,both,,,541,541,UHC MEDICARE,UHC MEDICARE,,541,,fee schedule,541,470.67,541,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,AETNA,AETNA,,15573,87,percent of total billed charges,15573,15573,17900,percent of total billed charges,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15573,87,percent of total billed charges,15573,15573,17900,percent of total billed charges,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,UNITED HEALTHCARE,UNITED HEALTHCARE,,15752,88,percent of total billed charges,15752,15573,17900,percent of total billed charges,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,AETNA,AETNA,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,ALLIANT,ALLIANT,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,AMBETTER,AMBETTER,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,BEECH STREET,BEECH STREET,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,CARESOURCE,CARESOURCE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,MEDICAID,MEDICAID,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,MEDICARE,MEDICARE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,NOVA NET,NOVA NET,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,PEACHSTATE,PEACHSTATE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,SELFPAY,SELFPAY,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,TRICARE,TRICARE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LAPIPLASTY ANCHOR,C1713,CPT,both,,,17900,17900,UHC MEDICARE,UHC MEDICARE,,17900,,fee schedule,17900,15573,17900,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,AETNA,AETNA,,14500.29,87,percent of total billed charges,14500.29,14500.29,16667,percent of total billed charges,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14500.29,87,percent of total billed charges,14500.29,14500.29,16667,percent of total billed charges,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,UNITED HEALTHCARE,UNITED HEALTHCARE,,14666.96,88,percent of total billed charges,14666.96,14500.29,16667,percent of total billed charges,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,AETNA,AETNA,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,ALLIANT,ALLIANT,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,AMBETTER,AMBETTER,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,BEECH STREET,BEECH STREET,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,CARESOURCE,CARESOURCE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,MEDICAID,MEDICAID,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,MEDICARE,MEDICARE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,NOVA NET,NOVA NET,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,PEACHSTATE,PEACHSTATE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,SELFPAY,SELFPAY,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,TRICARE,TRICARE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LATERAL INTERBODY FUSION DEV,C1713,CPT,both,,,16667,16667,UHC MEDICARE,UHC MEDICARE,,16667,,fee schedule,16667,14500.29,16667,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,AETNA,AETNA,,19665.48,87,percent of total billed charges,19665.48,19665.48,22604,percent of total billed charges,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19665.48,87,percent of total billed charges,19665.48,19665.48,22604,percent of total billed charges,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,UNITED HEALTHCARE,UNITED HEALTHCARE,,19891.52,88,percent of total billed charges,19891.52,19665.48,22604,percent of total billed charges,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,AETNA,AETNA,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,ALLIANT,ALLIANT,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,AMBETTER,AMBETTER,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,BEECH STREET,BEECH STREET,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,CARESOURCE,CARESOURCE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,MEDICAID,MEDICAID,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,MEDICARE,MEDICARE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,NOVA NET,NOVA NET,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,PEACHSTATE,PEACHSTATE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,SELFPAY,SELFPAY,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,TRICARE,TRICARE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK IMPLANT,C1713,CPT,both,,,22604,22604,UHC MEDICARE,UHC MEDICARE,,22604,,fee schedule,22604,19665.48,22604,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,AETNA,AETNA,,11448.33,87,percent of total billed charges,11448.33,11448.33,13159,percent of total billed charges,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11448.33,87,percent of total billed charges,11448.33,11448.33,13159,percent of total billed charges,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,UNITED HEALTHCARE,UNITED HEALTHCARE,,11579.92,88,percent of total billed charges,11579.92,11448.33,13159,percent of total billed charges,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,AETNA,AETNA,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,ALLIANT,ALLIANT,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,AMBETTER,AMBETTER,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,BEECH STREET,BEECH STREET,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,CARESOURCE,CARESOURCE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,MEDICAID,MEDICAID,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,MEDICARE,MEDICARE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,NOVA NET,NOVA NET,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,PEACHSTATE,PEACHSTATE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,SELFPAY,SELFPAY,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,TRICARE,TRICARE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LDR PEEK PLATE,C1713,CPT,both,,,13159,13159,UHC MEDICARE,UHC MEDICARE,,13159,,fee schedule,13159,11448.33,13159,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,AETNA,AETNA,,320.16,87,percent of total billed charges,320.16,320.16,368,percent of total billed charges,
LORENZ PLATE,C1713,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320.16,87,percent of total billed charges,320.16,320.16,368,percent of total billed charges,
LORENZ PLATE,C1713,CPT,both,,,368,368,UNITED HEALTHCARE,UNITED HEALTHCARE,,323.84,88,percent of total billed charges,323.84,320.16,368,percent of total billed charges,
LORENZ PLATE,C1713,CPT,both,,,368,368,AETNA,AETNA,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,ALLIANT,ALLIANT,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,AMBETTER,AMBETTER,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,BEECH STREET,BEECH STREET,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,MEDICAID,MEDICAID,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,MEDICARE,MEDICARE,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,NOVA NET,NOVA NET,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,SELFPAY,SELFPAY,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,TRICARE,TRICARE,,368,,fee schedule,368,320.16,368,fee schedule,
LORENZ PLATE,C1713,CPT,both,,,368,368,UHC MEDICARE,UHC MEDICARE,,368,,fee schedule,368,320.16,368,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,AETNA,AETNA,,414.99,87,percent of total billed charges,414.99,414.99,477,percent of total billed charges,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.99,87,percent of total billed charges,414.99,414.99,477,percent of total billed charges,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,UNITED HEALTHCARE,UNITED HEALTHCARE,,419.76,88,percent of total billed charges,419.76,414.99,477,percent of total billed charges,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,AETNA,AETNA,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,ALLIANT,ALLIANT,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,AMBETTER,AMBETTER,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,BEECH STREET,BEECH STREET,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,CARESOURCE,CARESOURCE,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,MEDICAID,MEDICAID,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,MEDICARE,MEDICARE,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,NOVA NET,NOVA NET,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,PEACHSTATE,PEACHSTATE,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,SELFPAY,SELFPAY,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,TRICARE,TRICARE,,477,,fee schedule,477,414.99,477,fee schedule,
MAGNA FX CANNULATED SCREW,C1713,CPT,both,,,477,477,UHC MEDICARE,UHC MEDICARE,,477,,fee schedule,477,414.99,477,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,AETNA,AETNA,,10217.28,87,percent of total billed charges,10217.28,10217.28,11744,percent of total billed charges,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10217.28,87,percent of total billed charges,10217.28,10217.28,11744,percent of total billed charges,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,UNITED HEALTHCARE,UNITED HEALTHCARE,,10334.72,88,percent of total billed charges,10334.72,10217.28,11744,percent of total billed charges,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,AETNA,AETNA,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,ALLIANT,ALLIANT,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,AMBETTER,AMBETTER,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,BEECH STREET,BEECH STREET,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,CARESOURCE,CARESOURCE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,MEDICAID,MEDICAID,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,MEDICARE,MEDICARE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,NOVA NET,NOVA NET,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,PEACHSTATE,PEACHSTATE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,SELFPAY,SELFPAY,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,TRICARE,TRICARE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MD MRH TIBIAL BASEPLATE,C1713,CPT,both,,,11744,11744,UHC MEDICARE,UHC MEDICARE,,11744,,fee schedule,11744,10217.28,11744,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,698.61,803,percent of total billed charges,
MEDPORE SHEET,C1713,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,698.61,803,percent of total billed charges,
MEDPORE SHEET,C1713,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,698.61,803,percent of total billed charges,
MEDPORE SHEET,C1713,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,ALLIANT,ALLIANT,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,AMBETTER,AMBETTER,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,MEDICARE,MEDICARE,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,TRICARE,TRICARE,,803,,fee schedule,803,698.61,803,fee schedule,
MEDPORE SHEET,C1713,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,803,,fee schedule,803,698.61,803,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,AETNA,AETNA,,7114.86,87,percent of total billed charges,7114.86,7114.86,8178,percent of total billed charges,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7114.86,87,percent of total billed charges,7114.86,7114.86,8178,percent of total billed charges,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,UNITED HEALTHCARE,UNITED HEALTHCARE,,7196.64,88,percent of total billed charges,7196.64,7114.86,8178,percent of total billed charges,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,AETNA,AETNA,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,ALLIANT,ALLIANT,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,AMBETTER,AMBETTER,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,BEECH STREET,BEECH STREET,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,CARESOURCE,CARESOURCE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,MEDICAID,MEDICAID,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,MEDICARE,MEDICARE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,NOVA NET,NOVA NET,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,PEACHSTATE,PEACHSTATE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,SELFPAY,SELFPAY,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,TRICARE,TRICARE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
METAPHYSEAL SLEEVE 37-REV.,C1713,CPT,both,,,8178,8178,UHC MEDICARE,UHC MEDICARE,,8178,,fee schedule,8178,7114.86,8178,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,AETNA,AETNA,,2957.13,87,percent of total billed charges,2957.13,2957.13,3399,percent of total billed charges,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2957.13,87,percent of total billed charges,2957.13,2957.13,3399,percent of total billed charges,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,UNITED HEALTHCARE,UNITED HEALTHCARE,,2991.12,88,percent of total billed charges,2991.12,2957.13,3399,percent of total billed charges,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,AETNA,AETNA,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,ALLIANT,ALLIANT,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,AMBETTER,AMBETTER,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,BEECH STREET,BEECH STREET,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,CARESOURCE,CARESOURCE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,MEDICAID,MEDICAID,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,MEDICARE,MEDICARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,NOVA NET,NOVA NET,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,PEACHSTATE,PEACHSTATE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,SELFPAY,SELFPAY,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,TRICARE,TRICARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MINI SCORPIOR IMPLANT SYSTEM,C1713,CPT,both,,,3399,3399,UHC MEDICARE,UHC MEDICARE,,3399,,fee schedule,3399,2957.13,3399,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,AETNA,AETNA,,582.9,87,percent of total billed charges,582.9,582.9,670,percent of total billed charges,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,582.9,87,percent of total billed charges,582.9,582.9,670,percent of total billed charges,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,UNITED HEALTHCARE,UNITED HEALTHCARE,,589.6,88,percent of total billed charges,589.6,582.9,670,percent of total billed charges,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,AETNA,AETNA,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,ALLIANT,ALLIANT,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,AMBETTER,AMBETTER,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,BEECH STREET,BEECH STREET,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,CARESOURCE,CARESOURCE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,MEDICAID,MEDICAID,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,MEDICARE,MEDICARE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,NOVA NET,NOVA NET,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,PEACHSTATE,PEACHSTATE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,SELFPAY,SELFPAY,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,TRICARE,TRICARE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK AUTOCAPTURE RETENT,C1713,CPT,both,,,670,670,UHC MEDICARE,UHC MEDICARE,,670,,fee schedule,670,582.9,670,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,AETNA,AETNA,,863.91,87,percent of total billed charges,863.91,863.91,993,percent of total billed charges,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,863.91,87,percent of total billed charges,863.91,863.91,993,percent of total billed charges,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,UNITED HEALTHCARE,UNITED HEALTHCARE,,873.84,88,percent of total billed charges,873.84,863.91,993,percent of total billed charges,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,AETNA,AETNA,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,ALLIANT,ALLIANT,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,AMBETTER,AMBETTER,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,BEECH STREET,BEECH STREET,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,CARESOURCE,CARESOURCE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,MEDICAID,MEDICAID,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,MEDICARE,MEDICARE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,NOVA NET,NOVA NET,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,PEACHSTATE,PEACHSTATE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,SELFPAY,SELFPAY,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,TRICARE,TRICARE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX SCREW,C1713,CPT,both,,,993,993,UHC MEDICARE,UHC MEDICARE,,993,,fee schedule,993,863.91,993,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,AETNA,AETNA,,917.85,87,percent of total billed charges,917.85,917.85,1055,percent of total billed charges,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,917.85,87,percent of total billed charges,917.85,917.85,1055,percent of total billed charges,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,UNITED HEALTHCARE,UNITED HEALTHCARE,,928.4,88,percent of total billed charges,928.4,917.85,1055,percent of total billed charges,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,AETNA,AETNA,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,ALLIANT,ALLIANT,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,AMBETTER,AMBETTER,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,BEECH STREET,BEECH STREET,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,CARESOURCE,CARESOURCE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,MEDICAID,MEDICAID,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,MEDICARE,MEDICARE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,NOVA NET,NOVA NET,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,PEACHSTATE,PEACHSTATE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,SELFPAY,SELFPAY,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,TRICARE,TRICARE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK BIO INTRAFIX TIB SH,C1713,CPT,both,,,1055,1055,UHC MEDICARE,UHC MEDICARE,,1055,,fee schedule,1055,917.85,1055,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
MITEK CANNULA,C1713,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
MITEK CANNULA,C1713,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,109.62,126,percent of total billed charges,
MITEK CANNULA,C1713,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,ALLIANT,ALLIANT,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,AMBETTER,AMBETTER,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,MEDICARE,MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,TRICARE,TRICARE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK CANNULA,C1713,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,AETNA,AETNA,,1814.82,87,percent of total billed charges,1814.82,1814.82,2086,percent of total billed charges,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1814.82,87,percent of total billed charges,1814.82,1814.82,2086,percent of total billed charges,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,UNITED HEALTHCARE,UNITED HEALTHCARE,,1835.68,88,percent of total billed charges,1835.68,1814.82,2086,percent of total billed charges,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,AETNA,AETNA,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,ALLIANT,ALLIANT,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,AMBETTER,AMBETTER,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,BEECH STREET,BEECH STREET,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,CARESOURCE,CARESOURCE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,MEDICAID,MEDICAID,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,MEDICARE,MEDICARE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,NOVA NET,NOVA NET,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,PEACHSTATE,PEACHSTATE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,SELFPAY,SELFPAY,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,TRICARE,TRICARE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK FEMORAL INTRFIX HAR,C1713,CPT,both,,,2086,2086,UHC MEDICARE,UHC MEDICARE,,2086,,fee schedule,2086,1814.82,2086,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,AETNA,AETNA,,1240.62,87,percent of total billed charges,1240.62,1240.62,1426,percent of total billed charges,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1240.62,87,percent of total billed charges,1240.62,1240.62,1426,percent of total billed charges,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,UNITED HEALTHCARE,UNITED HEALTHCARE,,1254.88,88,percent of total billed charges,1254.88,1240.62,1426,percent of total billed charges,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,AETNA,AETNA,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,ALLIANT,ALLIANT,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,AMBETTER,AMBETTER,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,BEECH STREET,BEECH STREET,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,CARESOURCE,CARESOURCE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,MEDICAID,MEDICAID,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,MEDICARE,MEDICARE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,NOVA NET,NOVA NET,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,PEACHSTATE,PEACHSTATE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,SELFPAY,SELFPAY,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,TRICARE,TRICARE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEALIX ANCHOR,C1713,CPT,both,,,1426,1426,UHC MEDICARE,UHC MEDICARE,,1426,,fee schedule,1426,1240.62,1426,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,AETNA,AETNA,,2636.97,87,percent of total billed charges,2636.97,2636.97,3031,percent of total billed charges,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2636.97,87,percent of total billed charges,2636.97,2636.97,3031,percent of total billed charges,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,UNITED HEALTHCARE,UNITED HEALTHCARE,,2667.28,88,percent of total billed charges,2667.28,2636.97,3031,percent of total billed charges,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,AETNA,AETNA,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,ALLIANT,ALLIANT,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,AMBETTER,AMBETTER,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,BEECH STREET,BEECH STREET,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,CARESOURCE,CARESOURCE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,MEDICAID,MEDICAID,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,MEDICARE,MEDICARE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,NOVA NET,NOVA NET,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,PEACHSTATE,PEACHSTATE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,SELFPAY,SELFPAY,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,TRICARE,TRICARE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK HEATIX TRANSTEND IM,C1713,CPT,both,,,3031,3031,UHC MEDICARE,UHC MEDICARE,,3031,,fee schedule,3031,2636.97,3031,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,AETNA,AETNA,,1113.6,87,percent of total billed charges,1113.6,1113.6,1280,percent of total billed charges,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1113.6,87,percent of total billed charges,1113.6,1113.6,1280,percent of total billed charges,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,UNITED HEALTHCARE,UNITED HEALTHCARE,,1126.4,88,percent of total billed charges,1126.4,1113.6,1280,percent of total billed charges,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,AETNA,AETNA,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,ALLIANT,ALLIANT,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,AMBETTER,AMBETTER,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,BEECH STREET,BEECH STREET,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,CARESOURCE,CARESOURCE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,MEDICAID,MEDICAID,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,MEDICARE,MEDICARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,NOVA NET,NOVA NET,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,PEACHSTATE,PEACHSTATE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,SELFPAY,SELFPAY,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,TRICARE,TRICARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK LUPINE ANCHOR,C1713,CPT,both,,,1280,1280,UHC MEDICARE,UHC MEDICARE,,1280,,fee schedule,1280,1113.6,1280,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,AETNA,AETNA,,1296.3,87,percent of total billed charges,1296.3,1296.3,1490,percent of total billed charges,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1296.3,87,percent of total billed charges,1296.3,1296.3,1490,percent of total billed charges,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,UNITED HEALTHCARE,UNITED HEALTHCARE,,1311.2,88,percent of total billed charges,1311.2,1296.3,1490,percent of total billed charges,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,AETNA,AETNA,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,ALLIANT,ALLIANT,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,AMBETTER,AMBETTER,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,BEECH STREET,BEECH STREET,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,CARESOURCE,CARESOURCE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,MEDICAID,MEDICAID,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,MEDICARE,MEDICARE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,NOVA NET,NOVA NET,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,PEACHSTATE,PEACHSTATE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,SELFPAY,SELFPAY,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,TRICARE,TRICARE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK MILAGRO SCREW,C1713,CPT,both,,,1490,1490,UHC MEDICARE,UHC MEDICARE,,1490,,fee schedule,1490,1296.3,1490,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,AETNA,AETNA,,1216.26,87,percent of total billed charges,1216.26,1216.26,1398,percent of total billed charges,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1216.26,87,percent of total billed charges,1216.26,1216.26,1398,percent of total billed charges,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,UNITED HEALTHCARE,UNITED HEALTHCARE,,1230.24,88,percent of total billed charges,1230.24,1216.26,1398,percent of total billed charges,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,AETNA,AETNA,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,ALLIANT,ALLIANT,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,AMBETTER,AMBETTER,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,BEECH STREET,BEECH STREET,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,CARESOURCE,CARESOURCE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,MEDICAID,MEDICAID,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,MEDICARE,MEDICARE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,NOVA NET,NOVA NET,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,PEACHSTATE,PEACHSTATE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,SELFPAY,SELFPAY,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,TRICARE,TRICARE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK QUICKANCHOR,C1713,CPT,both,,,1398,1398,UHC MEDICARE,UHC MEDICARE,,1398,,fee schedule,1398,1216.26,1398,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,99.18,114,percent of total billed charges,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,99.18,114,percent of total billed charges,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,99.18,114,percent of total billed charges,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,ALLIANT,ALLIANT,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,AMBETTER,AMBETTER,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,MEDICARE,MEDICARE,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,TRICARE,TRICARE,,114,,fee schedule,114,99.18,114,fee schedule,
MITEK THREADED CANNULA,C1713,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,114,,fee schedule,114,99.18,114,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,AETNA,AETNA,,3219,87,percent of total billed charges,3219,3219,3700,percent of total billed charges,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219,87,percent of total billed charges,3219,3219,3700,percent of total billed charges,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256,88,percent of total billed charges,3256,3219,3700,percent of total billed charges,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,AETNA,AETNA,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,ALLIANT,ALLIANT,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,AMBETTER,AMBETTER,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,BEECH STREET,BEECH STREET,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,CARESOURCE,CARESOURCE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,MEDICAID,MEDICAID,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,MEDICARE,MEDICARE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,NOVA NET,NOVA NET,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,PEACHSTATE,PEACHSTATE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,SELFPAY,SELFPAY,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,TRICARE,TRICARE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 10X300 T2,C1713,CPT,both,,,3700,3700,UHC MEDICARE,UHC MEDICARE,,3700,,fee schedule,3700,3219,3700,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,AETNA,AETNA,,3256.41,87,percent of total billed charges,3256.41,3256.41,3743,percent of total billed charges,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3256.41,87,percent of total billed charges,3256.41,3256.41,3743,percent of total billed charges,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,UNITED HEALTHCARE,UNITED HEALTHCARE,,3293.84,88,percent of total billed charges,3293.84,3256.41,3743,percent of total billed charges,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,AETNA,AETNA,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,ALLIANT,ALLIANT,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,AMBETTER,AMBETTER,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,BEECH STREET,BEECH STREET,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,CARESOURCE,CARESOURCE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,MEDICAID,MEDICAID,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,MEDICARE,MEDICARE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,NOVA NET,NOVA NET,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,PEACHSTATE,PEACHSTATE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,SELFPAY,SELFPAY,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,TRICARE,TRICARE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 130 11X180 AFFIXUS,C1713,CPT,both,,,3743,3743,UHC MEDICARE,UHC MEDICARE,,3743,,fee schedule,3743,3256.41,3743,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,AETNA,AETNA,,588.99,87,percent of total billed charges,588.99,588.99,677,percent of total billed charges,
NAIL 4MM,C1713,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588.99,87,percent of total billed charges,588.99,588.99,677,percent of total billed charges,
NAIL 4MM,C1713,CPT,both,,,677,677,UNITED HEALTHCARE,UNITED HEALTHCARE,,595.76,88,percent of total billed charges,595.76,588.99,677,percent of total billed charges,
NAIL 4MM,C1713,CPT,both,,,677,677,AETNA,AETNA,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,ALLIANT,ALLIANT,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,AMBETTER,AMBETTER,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,BEECH STREET,BEECH STREET,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,CARESOURCE,CARESOURCE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,MEDICAID,MEDICAID,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,MEDICARE,MEDICARE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,NOVA NET,NOVA NET,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,PEACHSTATE,PEACHSTATE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,SELFPAY,SELFPAY,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,TRICARE,TRICARE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL 4MM,C1713,CPT,both,,,677,677,UHC MEDICARE,UHC MEDICARE,,677,,fee schedule,677,588.99,677,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,AETNA,AETNA,,4492.68,87,percent of total billed charges,4492.68,4492.68,5164,percent of total billed charges,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4492.68,87,percent of total billed charges,4492.68,4492.68,5164,percent of total billed charges,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,UNITED HEALTHCARE,UNITED HEALTHCARE,,4544.32,88,percent of total billed charges,4544.32,4492.68,5164,percent of total billed charges,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,AETNA,AETNA,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,ALLIANT,ALLIANT,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,AMBETTER,AMBETTER,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,BEECH STREET,BEECH STREET,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,CARESOURCE,CARESOURCE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,MEDICAID,MEDICAID,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,MEDICARE,MEDICARE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,NOVA NET,NOVA NET,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,PEACHSTATE,PEACHSTATE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,SELFPAY,SELFPAY,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,TRICARE,TRICARE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL AFFIXUS 11MM,C1713,CPT,both,,,5164,5164,UHC MEDICARE,UHC MEDICARE,,5164,,fee schedule,5164,4492.68,5164,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,AETNA,AETNA,,4082.04,87,percent of total billed charges,4082.04,4082.04,4692,percent of total billed charges,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4082.04,87,percent of total billed charges,4082.04,4082.04,4692,percent of total billed charges,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,UNITED HEALTHCARE,UNITED HEALTHCARE,,4128.96,88,percent of total billed charges,4128.96,4082.04,4692,percent of total billed charges,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,AETNA,AETNA,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,ALLIANT,ALLIANT,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,AMBETTER,AMBETTER,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,BEECH STREET,BEECH STREET,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,CARESOURCE,CARESOURCE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,MEDICAID,MEDICAID,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,MEDICARE,MEDICARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,NOVA NET,NOVA NET,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,PEACHSTATE,PEACHSTATE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,SELFPAY,SELFPAY,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,TRICARE,TRICARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL CANN TIB 12MM,C1713,CPT,both,,,4692,4692,UHC MEDICARE,UHC MEDICARE,,4692,,fee schedule,4692,4082.04,4692,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,AETNA,AETNA,,7168.8,87,percent of total billed charges,7168.8,7168.8,8240,percent of total billed charges,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7168.8,87,percent of total billed charges,7168.8,7168.8,8240,percent of total billed charges,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,UNITED HEALTHCARE,UNITED HEALTHCARE,,7251.2,88,percent of total billed charges,7251.2,7168.8,8240,percent of total billed charges,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,AETNA,AETNA,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,ALLIANT,ALLIANT,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,AMBETTER,AMBETTER,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,BEECH STREET,BEECH STREET,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,CARESOURCE,CARESOURCE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,MEDICAID,MEDICAID,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,MEDICARE,MEDICARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,NOVA NET,NOVA NET,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,PEACHSTATE,PEACHSTATE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,SELFPAY,SELFPAY,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,TRICARE,TRICARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL FIBULOCK,C1713,CPT,both,,,8240,8240,UHC MEDICARE,UHC MEDICARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,AETNA,AETNA,,4029.84,87,percent of total billed charges,4029.84,4029.84,4632,percent of total billed charges,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4029.84,87,percent of total billed charges,4029.84,4029.84,4632,percent of total billed charges,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,UNITED HEALTHCARE,UNITED HEALTHCARE,,4076.16,88,percent of total billed charges,4076.16,4029.84,4632,percent of total billed charges,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,AETNA,AETNA,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,ALLIANT,ALLIANT,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,AMBETTER,AMBETTER,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,BEECH STREET,BEECH STREET,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,CARESOURCE,CARESOURCE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,MEDICAID,MEDICAID,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,MEDICARE,MEDICARE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,NOVA NET,NOVA NET,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,PEACHSTATE,PEACHSTATE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,SELFPAY,SELFPAY,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,TRICARE,TRICARE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL GREATER TROCH 11X42,C1713,CPT,both,,,4632,4632,UHC MEDICARE,UHC MEDICARE,,4632,,fee schedule,4632,4029.84,4632,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,AETNA,AETNA,,12359.22,87,percent of total billed charges,12359.22,12359.22,14206,percent of total billed charges,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12359.22,87,percent of total billed charges,12359.22,12359.22,14206,percent of total billed charges,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,UNITED HEALTHCARE,UNITED HEALTHCARE,,12501.28,88,percent of total billed charges,12501.28,12359.22,14206,percent of total billed charges,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,AETNA,AETNA,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,ALLIANT,ALLIANT,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,AMBETTER,AMBETTER,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,BEECH STREET,BEECH STREET,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,CARESOURCE,CARESOURCE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,MEDICAID,MEDICAID,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,MEDICARE,MEDICARE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,NOVA NET,NOVA NET,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,PEACHSTATE,PEACHSTATE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,SELFPAY,SELFPAY,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,TRICARE,TRICARE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL LEFT 125 DEG,C1713,CPT,both,,,14206,14206,UHC MEDICARE,UHC MEDICARE,,14206,,fee schedule,14206,12359.22,14206,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,AETNA,AETNA,,9857.1,87,percent of total billed charges,9857.1,9857.1,11330,percent of total billed charges,
NAIL RIGID,C1713,CPT,both,,,11330,11330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9857.1,87,percent of total billed charges,9857.1,9857.1,11330,percent of total billed charges,
NAIL RIGID,C1713,CPT,both,,,11330,11330,UNITED HEALTHCARE,UNITED HEALTHCARE,,9970.4,88,percent of total billed charges,9970.4,9857.1,11330,percent of total billed charges,
NAIL RIGID,C1713,CPT,both,,,11330,11330,AETNA,AETNA,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,ALLIANT,ALLIANT,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,AMBETTER,AMBETTER,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,BEECH STREET,BEECH STREET,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,CARESOURCE,CARESOURCE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,MEDICAID,MEDICAID,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,MEDICARE,MEDICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,NOVA NET,NOVA NET,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,PEACHSTATE,PEACHSTATE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,SELFPAY,SELFPAY,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,TRICARE,TRICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL RIGID,C1713,CPT,both,,,11330,11330,UHC MEDICARE,UHC MEDICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,AETNA,AETNA,,3942.84,87,percent of total billed charges,3942.84,3942.84,4532,percent of total billed charges,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3942.84,87,percent of total billed charges,3942.84,3942.84,4532,percent of total billed charges,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,UNITED HEALTHCARE,UNITED HEALTHCARE,,3988.16,88,percent of total billed charges,3988.16,3942.84,4532,percent of total billed charges,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,AETNA,AETNA,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,ALLIANT,ALLIANT,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,AMBETTER,AMBETTER,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,BEECH STREET,BEECH STREET,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,CARESOURCE,CARESOURCE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,MEDICAID,MEDICAID,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,MEDICARE,MEDICARE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,NOVA NET,NOVA NET,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,PEACHSTATE,PEACHSTATE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,SELFPAY,SELFPAY,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,TRICARE,TRICARE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL,C1713,CPT,both,,,4532,4532,UHC MEDICARE,UHC MEDICARE,,4532,,fee schedule,4532,3942.84,4532,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,AETNA,AETNA,,4358.7,87,percent of total billed charges,4358.7,4358.7,5010,percent of total billed charges,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4358.7,87,percent of total billed charges,4358.7,4358.7,5010,percent of total billed charges,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,UNITED HEALTHCARE,UNITED HEALTHCARE,,4408.8,88,percent of total billed charges,4408.8,4358.7,5010,percent of total billed charges,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,AETNA,AETNA,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,ALLIANT,ALLIANT,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,AMBETTER,AMBETTER,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,BEECH STREET,BEECH STREET,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,CARESOURCE,CARESOURCE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,MEDICAID,MEDICAID,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,MEDICARE,MEDICARE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,NOVA NET,NOVA NET,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,PEACHSTATE,PEACHSTATE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,SELFPAY,SELFPAY,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,TRICARE,TRICARE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIAL 9X36,C1713,CPT,both,,,5010,5010,UHC MEDICARE,UHC MEDICARE,,5010,,fee schedule,5010,4358.7,5010,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,AETNA,AETNA,,3831.48,87,percent of total billed charges,3831.48,3831.48,4404,percent of total billed charges,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3831.48,87,percent of total billed charges,3831.48,3831.48,4404,percent of total billed charges,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,UNITED HEALTHCARE,UNITED HEALTHCARE,,3875.52,88,percent of total billed charges,3875.52,3831.48,4404,percent of total billed charges,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,AETNA,AETNA,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,ALLIANT,ALLIANT,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,AMBETTER,AMBETTER,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,BEECH STREET,BEECH STREET,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,CARESOURCE,CARESOURCE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,MEDICAID,MEDICAID,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,MEDICARE,MEDICARE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,NOVA NET,NOVA NET,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,PEACHSTATE,PEACHSTATE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,SELFPAY,SELFPAY,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,TRICARE,TRICARE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TIBIL 9.3X34,C1713,CPT,both,,,4404,4404,UHC MEDICARE,UHC MEDICARE,,4404,,fee schedule,4404,3831.48,4404,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,AETNA,AETNA,,4658.85,87,percent of total billed charges,4658.85,4658.85,5355,percent of total billed charges,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4658.85,87,percent of total billed charges,4658.85,4658.85,5355,percent of total billed charges,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,UNITED HEALTHCARE,UNITED HEALTHCARE,,4712.4,88,percent of total billed charges,4712.4,4658.85,5355,percent of total billed charges,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,AETNA,AETNA,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,ALLIANT,ALLIANT,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,AMBETTER,AMBETTER,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,BEECH STREET,BEECH STREET,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,CARESOURCE,CARESOURCE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,MEDICAID,MEDICAID,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,MEDICARE,MEDICARE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,NOVA NET,NOVA NET,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,PEACHSTATE,PEACHSTATE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,SELFPAY,SELFPAY,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,TRICARE,TRICARE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH LONG 11MM,C1713,CPT,both,,,5355,5355,UHC MEDICARE,UHC MEDICARE,,5355,,fee schedule,5355,4658.85,5355,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,AETNA,AETNA,,2790.96,87,percent of total billed charges,2790.96,2790.96,3208,percent of total billed charges,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2790.96,87,percent of total billed charges,2790.96,2790.96,3208,percent of total billed charges,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,UNITED HEALTHCARE,UNITED HEALTHCARE,,2823.04,88,percent of total billed charges,2823.04,2790.96,3208,percent of total billed charges,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,AETNA,AETNA,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,ALLIANT,ALLIANT,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,AMBETTER,AMBETTER,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,BEECH STREET,BEECH STREET,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,CARESOURCE,CARESOURCE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,MEDICAID,MEDICAID,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,MEDICARE,MEDICARE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,NOVA NET,NOVA NET,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,PEACHSTATE,PEACHSTATE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,SELFPAY,SELFPAY,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,TRICARE,TRICARE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NAIL TROCH SHORT 11MM,C1713,CPT,both,,,3208,3208,UHC MEDICARE,UHC MEDICARE,,3208,,fee schedule,3208,2790.96,3208,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,AETNA,AETNA,,2143.68,87,percent of total billed charges,2143.68,2143.68,2464,percent of total billed charges,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2143.68,87,percent of total billed charges,2143.68,2143.68,2464,percent of total billed charges,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,UNITED HEALTHCARE,UNITED HEALTHCARE,,2168.32,88,percent of total billed charges,2168.32,2143.68,2464,percent of total billed charges,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,AETNA,AETNA,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,ALLIANT,ALLIANT,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,AMBETTER,AMBETTER,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,BEECH STREET,BEECH STREET,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,CARESOURCE,CARESOURCE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,MEDICAID,MEDICAID,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,MEDICARE,MEDICARE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,NOVA NET,NOVA NET,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,PEACHSTATE,PEACHSTATE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,SELFPAY,SELFPAY,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,TRICARE,TRICARE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
NOVABONE PUTTY 2.5CC,C1713,CPT,both,,,2464,2464,UHC MEDICARE,UHC MEDICARE,,2464,,fee schedule,2464,2143.68,2464,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,AETNA,AETNA,,2590.86,87,percent of total billed charges,2590.86,2590.86,2978,percent of total billed charges,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2590.86,87,percent of total billed charges,2590.86,2590.86,2978,percent of total billed charges,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,UNITED HEALTHCARE,UNITED HEALTHCARE,,2620.64,88,percent of total billed charges,2620.64,2590.86,2978,percent of total billed charges,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,AETNA,AETNA,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,ALLIANT,ALLIANT,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,AMBETTER,AMBETTER,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,BEECH STREET,BEECH STREET,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,CARESOURCE,CARESOURCE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,MEDICAID,MEDICAID,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,MEDICARE,MEDICARE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,NOVA NET,NOVA NET,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,PEACHSTATE,PEACHSTATE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,SELFPAY,SELFPAY,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,TRICARE,TRICARE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OSTEOTOMY PLATE 5 HOLE,C1713,CPT,both,,,2978,2978,UHC MEDICARE,UHC MEDICARE,,2978,,fee schedule,2978,2590.86,2978,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,AETNA,AETNA,,4421.34,87,percent of total billed charges,4421.34,4421.34,5082,percent of total billed charges,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4421.34,87,percent of total billed charges,4421.34,4421.34,5082,percent of total billed charges,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,UNITED HEALTHCARE,UNITED HEALTHCARE,,4472.16,88,percent of total billed charges,4472.16,4421.34,5082,percent of total billed charges,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,AETNA,AETNA,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,ALLIANT,ALLIANT,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,AMBETTER,AMBETTER,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,BEECH STREET,BEECH STREET,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,CARESOURCE,CARESOURCE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,MEDICAID,MEDICAID,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,MEDICARE,MEDICARE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,NOVA NET,NOVA NET,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,PEACHSTATE,PEACHSTATE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,SELFPAY,SELFPAY,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,TRICARE,TRICARE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
OXFORD TWIN PEG FEMUR MEDIUM,C1713,CPT,both,,,5082,5082,UHC MEDICARE,UHC MEDICARE,,5082,,fee schedule,5082,4421.34,5082,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,AETNA,AETNA,,856.08,87,percent of total billed charges,856.08,856.08,984,percent of total billed charges,
PATELLA 3 POST,C1713,CPT,both,,,984,984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,856.08,87,percent of total billed charges,856.08,856.08,984,percent of total billed charges,
PATELLA 3 POST,C1713,CPT,both,,,984,984,UNITED HEALTHCARE,UNITED HEALTHCARE,,865.92,88,percent of total billed charges,865.92,856.08,984,percent of total billed charges,
PATELLA 3 POST,C1713,CPT,both,,,984,984,AETNA,AETNA,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,ALLIANT,ALLIANT,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,AMBETTER,AMBETTER,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,BEECH STREET,BEECH STREET,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,CARESOURCE,CARESOURCE,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,MEDICAID,MEDICAID,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,MEDICARE,MEDICARE,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,NOVA NET,NOVA NET,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,PEACHSTATE,PEACHSTATE,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,SELFPAY,SELFPAY,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,TRICARE,TRICARE,,984,,fee schedule,984,856.08,984,fee schedule,
PATELLA 3 POST,C1713,CPT,both,,,984,984,UHC MEDICARE,UHC MEDICARE,,984,,fee schedule,984,856.08,984,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,147.03,169,percent of total billed charges,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,ALLIANT,ALLIANT,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,AMBETTER,AMBETTER,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,MEDICARE,MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,TRICARE,TRICARE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG SMOOTH 2.0X18,C1713,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,146.16,168,percent of total billed charges,
PEG THREADED 22M,C1713,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,146.16,168,percent of total billed charges,
PEG THREADED 22M,C1713,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,146.16,168,percent of total billed charges,
PEG THREADED 22M,C1713,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,ALLIANT,ALLIANT,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,AMBETTER,AMBETTER,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,MEDICARE,MEDICARE,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,TRICARE,TRICARE,,168,,fee schedule,168,146.16,168,fee schedule,
PEG THREADED 22M,C1713,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,168,,fee schedule,168,146.16,168,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,AETNA,AETNA,,1015.29,87,percent of total billed charges,1015.29,1015.29,1167,percent of total billed charges,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1015.29,87,percent of total billed charges,1015.29,1015.29,1167,percent of total billed charges,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,UNITED HEALTHCARE,UNITED HEALTHCARE,,1026.96,88,percent of total billed charges,1026.96,1015.29,1167,percent of total billed charges,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,AETNA,AETNA,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,ALLIANT,ALLIANT,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,AMBETTER,AMBETTER,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,BEECH STREET,BEECH STREET,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,CARESOURCE,CARESOURCE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,MEDICAID,MEDICAID,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,MEDICARE,MEDICARE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,NOVA NET,NOVA NET,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,PEACHSTATE,PEACHSTATE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,SELFPAY,SELFPAY,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,TRICARE,TRICARE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PINNING SYSTEM ~ REVISION,C1713,CPT,both,,,1167,1167,UHC MEDICARE,UHC MEDICARE,,1167,,fee schedule,1167,1015.29,1167,fee schedule,
PLATE,C1713,CPT,both,,,462,462,AETNA,AETNA,,401.94,87,percent of total billed charges,401.94,401.94,462,percent of total billed charges,
PLATE,C1713,CPT,both,,,462,462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.94,87,percent of total billed charges,401.94,401.94,462,percent of total billed charges,
PLATE,C1713,CPT,both,,,462,462,UNITED HEALTHCARE,UNITED HEALTHCARE,,406.56,88,percent of total billed charges,406.56,401.94,462,percent of total billed charges,
PLATE,C1713,CPT,both,,,462,462,AETNA,AETNA,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,ALLIANT,ALLIANT,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,AMBETTER,AMBETTER,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,BEECH STREET,BEECH STREET,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,CARESOURCE,CARESOURCE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,MEDICAID,MEDICAID,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,MEDICARE,MEDICARE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,NOVA NET,NOVA NET,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,PEACHSTATE,PEACHSTATE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,SELFPAY,SELFPAY,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,TRICARE,TRICARE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE,C1713,CPT,both,,,462,462,UHC MEDICARE,UHC MEDICARE,,462,,fee schedule,462,401.94,462,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,AETNA,AETNA,,4609.26,87,percent of total billed charges,4609.26,4609.26,5298,percent of total billed charges,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4609.26,87,percent of total billed charges,4609.26,4609.26,5298,percent of total billed charges,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,UNITED HEALTHCARE,UNITED HEALTHCARE,,4662.24,88,percent of total billed charges,4662.24,4609.26,5298,percent of total billed charges,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,AETNA,AETNA,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,ALLIANT,ALLIANT,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,AMBETTER,AMBETTER,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,BEECH STREET,BEECH STREET,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,CARESOURCE,CARESOURCE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,MEDICAID,MEDICAID,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,MEDICARE,MEDICARE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,NOVA NET,NOVA NET,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,PEACHSTATE,PEACHSTATE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,SELFPAY,SELFPAY,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,TRICARE,TRICARE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 10 HOLD NARROW,C1713,CPT,both,,,5298,5298,UHC MEDICARE,UHC MEDICARE,,5298,,fee schedule,5298,4609.26,5298,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,AETNA,AETNA,,11348.28,87,percent of total billed charges,11348.28,11348.28,13044,percent of total billed charges,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11348.28,87,percent of total billed charges,11348.28,11348.28,13044,percent of total billed charges,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,UNITED HEALTHCARE,UNITED HEALTHCARE,,11478.72,88,percent of total billed charges,11478.72,11348.28,13044,percent of total billed charges,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,AETNA,AETNA,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,ALLIANT,ALLIANT,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,AMBETTER,AMBETTER,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,BEECH STREET,BEECH STREET,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,CARESOURCE,CARESOURCE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,MEDICAID,MEDICAID,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,MEDICARE,MEDICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,NOVA NET,NOVA NET,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,PEACHSTATE,PEACHSTATE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,SELFPAY,SELFPAY,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,TRICARE,TRICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 70MM BODY FORM,C1713,CPT,both,,,13044,13044,UHC MEDICARE,UHC MEDICARE,,13044,,fee schedule,13044,11348.28,13044,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,147.03,169,percent of total billed charges,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,ALLIANT,ALLIANT,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,AMBETTER,AMBETTER,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,MEDICARE,MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,TRICARE,TRICARE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE 8 HOLE 1/3 TUBULAR,C1713,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,AETNA,AETNA,,2757.03,87,percent of total billed charges,2757.03,2757.03,3169,percent of total billed charges,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2757.03,87,percent of total billed charges,2757.03,2757.03,3169,percent of total billed charges,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,UNITED HEALTHCARE,UNITED HEALTHCARE,,2788.72,88,percent of total billed charges,2788.72,2757.03,3169,percent of total billed charges,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,AETNA,AETNA,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,ALLIANT,ALLIANT,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,AMBETTER,AMBETTER,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,BEECH STREET,BEECH STREET,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,CARESOURCE,CARESOURCE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,MEDICAID,MEDICAID,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,MEDICARE,MEDICARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,NOVA NET,NOVA NET,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,PEACHSTATE,PEACHSTATE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,SELFPAY,SELFPAY,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,TRICARE,TRICARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ANTERIOR CERV LVL 1,C1713,CPT,both,,,3169,3169,UHC MEDICARE,UHC MEDICARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,AETNA,AETNA,,2402.94,87,percent of total billed charges,2402.94,2402.94,2762,percent of total billed charges,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2402.94,87,percent of total billed charges,2402.94,2402.94,2762,percent of total billed charges,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,UNITED HEALTHCARE,UNITED HEALTHCARE,,2430.56,88,percent of total billed charges,2430.56,2402.94,2762,percent of total billed charges,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,AETNA,AETNA,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,ALLIANT,ALLIANT,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,AMBETTER,AMBETTER,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,BEECH STREET,BEECH STREET,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,CARESOURCE,CARESOURCE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,MEDICAID,MEDICAID,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,MEDICARE,MEDICARE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,NOVA NET,NOVA NET,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,PEACHSTATE,PEACHSTATE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,SELFPAY,SELFPAY,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,TRICARE,TRICARE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE ATLANTIS VISION CERVICAL,C1713,CPT,both,,,2762,2762,UHC MEDICARE,UHC MEDICARE,,2762,,fee schedule,2762,2402.94,2762,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,AETNA,AETNA,,1806.12,87,percent of total billed charges,1806.12,1806.12,2076,percent of total billed charges,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1806.12,87,percent of total billed charges,1806.12,1806.12,2076,percent of total billed charges,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,UNITED HEALTHCARE,UNITED HEALTHCARE,,1826.88,88,percent of total billed charges,1826.88,1806.12,2076,percent of total billed charges,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,AETNA,AETNA,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,ALLIANT,ALLIANT,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,AMBETTER,AMBETTER,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,BEECH STREET,BEECH STREET,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,CARESOURCE,CARESOURCE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,MEDICAID,MEDICAID,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,MEDICARE,MEDICARE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,NOVA NET,NOVA NET,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,PEACHSTATE,PEACHSTATE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,SELFPAY,SELFPAY,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,TRICARE,TRICARE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CALCANEOUS LOCKING,C1713,CPT,both,,,2076,2076,UHC MEDICARE,UHC MEDICARE,,2076,,fee schedule,2076,1806.12,2076,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,AETNA,AETNA,,3423.45,87,percent of total billed charges,3423.45,3423.45,3935,percent of total billed charges,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3423.45,87,percent of total billed charges,3423.45,3423.45,3935,percent of total billed charges,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,UNITED HEALTHCARE,UNITED HEALTHCARE,,3462.8,88,percent of total billed charges,3462.8,3423.45,3935,percent of total billed charges,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,AETNA,AETNA,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,ALLIANT,ALLIANT,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,AMBETTER,AMBETTER,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,BEECH STREET,BEECH STREET,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,CARESOURCE,CARESOURCE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,MEDICAID,MEDICAID,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,MEDICARE,MEDICARE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,NOVA NET,NOVA NET,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,PEACHSTATE,PEACHSTATE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,SELFPAY,SELFPAY,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,TRICARE,TRICARE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE CLAVICLE 10H,C1713,CPT,both,,,3935,3935,UHC MEDICARE,UHC MEDICARE,,3935,,fee schedule,3935,3423.45,3935,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,AETNA,AETNA,,1689.54,87,percent of total billed charges,1689.54,1689.54,1942,percent of total billed charges,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1689.54,87,percent of total billed charges,1689.54,1689.54,1942,percent of total billed charges,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,UNITED HEALTHCARE,UNITED HEALTHCARE,,1708.96,88,percent of total billed charges,1708.96,1689.54,1942,percent of total billed charges,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,AETNA,AETNA,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,ALLIANT,ALLIANT,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,AMBETTER,AMBETTER,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,BEECH STREET,BEECH STREET,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,CARESOURCE,CARESOURCE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,MEDICAID,MEDICAID,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,MEDICARE,MEDICARE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,NOVA NET,NOVA NET,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,PEACHSTATE,PEACHSTATE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,SELFPAY,SELFPAY,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,TRICARE,TRICARE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DHS 135 DEG 281.102S,C1713,CPT,both,,,1942,1942,UHC MEDICARE,UHC MEDICARE,,1942,,fee schedule,1942,1689.54,1942,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,AETNA,AETNA,,1308.48,87,percent of total billed charges,1308.48,1308.48,1504,percent of total billed charges,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1308.48,87,percent of total billed charges,1308.48,1308.48,1504,percent of total billed charges,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,UNITED HEALTHCARE,UNITED HEALTHCARE,,1323.52,88,percent of total billed charges,1323.52,1308.48,1504,percent of total billed charges,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,AETNA,AETNA,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,ALLIANT,ALLIANT,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,AMBETTER,AMBETTER,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,BEECH STREET,BEECH STREET,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,CARESOURCE,CARESOURCE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,MEDICAID,MEDICAID,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,MEDICARE,MEDICARE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,NOVA NET,NOVA NET,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,PEACHSTATE,PEACHSTATE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,SELFPAY,SELFPAY,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,TRICARE,TRICARE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR ANAT STD HEAD LT 4H,C1713,CPT,both,,,1504,1504,UHC MEDICARE,UHC MEDICARE,,1504,,fee schedule,1504,1308.48,1504,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,AETNA,AETNA,,1348.5,87,percent of total billed charges,1348.5,1348.5,1550,percent of total billed charges,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1348.5,87,percent of total billed charges,1348.5,1348.5,1550,percent of total billed charges,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,UNITED HEALTHCARE,UNITED HEALTHCARE,,1364,88,percent of total billed charges,1364,1348.5,1550,percent of total billed charges,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,AETNA,AETNA,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,ALLIANT,ALLIANT,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,AMBETTER,AMBETTER,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,BEECH STREET,BEECH STREET,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,CARESOURCE,CARESOURCE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,MEDICAID,MEDICAID,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,MEDICARE,MEDICARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,NOVA NET,NOVA NET,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,PEACHSTATE,PEACHSTATE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,SELFPAY,SELFPAY,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,TRICARE,TRICARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR SHORT LEFT,C1713,CPT,both,,,1550,1550,UHC MEDICARE,UHC MEDICARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,AETNA,AETNA,,1348.5,87,percent of total billed charges,1348.5,1348.5,1550,percent of total billed charges,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1348.5,87,percent of total billed charges,1348.5,1348.5,1550,percent of total billed charges,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,UNITED HEALTHCARE,UNITED HEALTHCARE,,1364,88,percent of total billed charges,1364,1348.5,1550,percent of total billed charges,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,AETNA,AETNA,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,ALLIANT,ALLIANT,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,AMBETTER,AMBETTER,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,BEECH STREET,BEECH STREET,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,CARESOURCE,CARESOURCE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,MEDICAID,MEDICAID,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,MEDICARE,MEDICARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,NOVA NET,NOVA NET,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,PEACHSTATE,PEACHSTATE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,SELFPAY,SELFPAY,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,TRICARE,TRICARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE DVR WIDE LFT,C1713,CPT,both,,,1550,1550,UHC MEDICARE,UHC MEDICARE,,1550,,fee schedule,1550,1348.5,1550,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,AETNA,AETNA,,5989.95,87,percent of total billed charges,5989.95,5989.95,6885,percent of total billed charges,
PLATE END,C1713,CPT,both,,,6885,6885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5989.95,87,percent of total billed charges,5989.95,5989.95,6885,percent of total billed charges,
PLATE END,C1713,CPT,both,,,6885,6885,UNITED HEALTHCARE,UNITED HEALTHCARE,,6058.8,88,percent of total billed charges,6058.8,5989.95,6885,percent of total billed charges,
PLATE END,C1713,CPT,both,,,6885,6885,AETNA,AETNA,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,ALLIANT,ALLIANT,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,AMBETTER,AMBETTER,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,BEECH STREET,BEECH STREET,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,CARESOURCE,CARESOURCE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,MEDICAID,MEDICAID,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,MEDICARE,MEDICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,NOVA NET,NOVA NET,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,PEACHSTATE,PEACHSTATE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,SELFPAY,SELFPAY,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,TRICARE,TRICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE END,C1713,CPT,both,,,6885,6885,UHC MEDICARE,UHC MEDICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,AETNA,AETNA,,1661.7,87,percent of total billed charges,1661.7,1661.7,1910,percent of total billed charges,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1661.7,87,percent of total billed charges,1661.7,1661.7,1910,percent of total billed charges,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,UNITED HEALTHCARE,UNITED HEALTHCARE,,1680.8,88,percent of total billed charges,1680.8,1661.7,1910,percent of total billed charges,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,AETNA,AETNA,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,ALLIANT,ALLIANT,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,AMBETTER,AMBETTER,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,BEECH STREET,BEECH STREET,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,CARESOURCE,CARESOURCE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,MEDICAID,MEDICAID,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,MEDICARE,MEDICARE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,NOVA NET,NOVA NET,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,PEACHSTATE,PEACHSTATE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,SELFPAY,SELFPAY,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,TRICARE,TRICARE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK DISTAL FIB 5H,C1713,CPT,both,,,1910,1910,UHC MEDICARE,UHC MEDICARE,,1910,,fee schedule,1910,1661.7,1910,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,AETNA,AETNA,,809.1,87,percent of total billed charges,809.1,809.1,930,percent of total billed charges,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,809.1,87,percent of total billed charges,809.1,809.1,930,percent of total billed charges,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,UNITED HEALTHCARE,UNITED HEALTHCARE,,818.4,88,percent of total billed charges,818.4,809.1,930,percent of total billed charges,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,AETNA,AETNA,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,ALLIANT,ALLIANT,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,AMBETTER,AMBETTER,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,BEECH STREET,BEECH STREET,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,CARESOURCE,CARESOURCE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,MEDICAID,MEDICAID,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,MEDICARE,MEDICARE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,NOVA NET,NOVA NET,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,PEACHSTATE,PEACHSTATE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,SELFPAY,SELFPAY,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,TRICARE,TRICARE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LOCK STRAIGHT,C1713,CPT,both,,,930,930,UHC MEDICARE,UHC MEDICARE,,930,,fee schedule,930,809.1,930,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,AETNA,AETNA,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,UNITED HEALTHCARE,UNITED HEALTHCARE,,6344.8,88,percent of total billed charges,6344.8,6272.7,7210,percent of total billed charges,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,AETNA,AETNA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,ALLIANT,ALLIANT,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,AMBETTER,AMBETTER,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,BEECH STREET,BEECH STREET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,CARESOURCE,CARESOURCE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,MEDICAID,MEDICAID,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,MEDICARE,MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,NOVA NET,NOVA NET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,PEACHSTATE,PEACHSTATE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,SELFPAY,SELFPAY,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,TRICARE,TRICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE LUMBAR,C1713,CPT,both,,,7210,7210,UHC MEDICARE,UHC MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,AETNA,AETNA,,5989.95,87,percent of total billed charges,5989.95,5989.95,6885,percent of total billed charges,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5989.95,87,percent of total billed charges,5989.95,5989.95,6885,percent of total billed charges,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,UNITED HEALTHCARE,UNITED HEALTHCARE,,6058.8,88,percent of total billed charges,6058.8,5989.95,6885,percent of total billed charges,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,AETNA,AETNA,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,ALLIANT,ALLIANT,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,AMBETTER,AMBETTER,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,BEECH STREET,BEECH STREET,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,CARESOURCE,CARESOURCE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,MEDICAID,MEDICAID,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,MEDICARE,MEDICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,NOVA NET,NOVA NET,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,PEACHSTATE,PEACHSTATE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,SELFPAY,SELFPAY,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,TRICARE,TRICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MED DIST TIB 8H,C1713,CPT,both,,,6885,6885,UHC MEDICARE,UHC MEDICARE,,6885,,fee schedule,6885,5989.95,6885,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,AETNA,AETNA,,4296.06,87,percent of total billed charges,4296.06,4296.06,4938,percent of total billed charges,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4296.06,87,percent of total billed charges,4296.06,4296.06,4938,percent of total billed charges,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,UNITED HEALTHCARE,UNITED HEALTHCARE,,4345.44,88,percent of total billed charges,4345.44,4296.06,4938,percent of total billed charges,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,AETNA,AETNA,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,ALLIANT,ALLIANT,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,AMBETTER,AMBETTER,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,BEECH STREET,BEECH STREET,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,CARESOURCE,CARESOURCE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,MEDICAID,MEDICAID,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,MEDICARE,MEDICARE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,NOVA NET,NOVA NET,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,PEACHSTATE,PEACHSTATE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,SELFPAY,SELFPAY,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,TRICARE,TRICARE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE MEDIAL 6 H,C1713,CPT,both,,,4938,4938,UHC MEDICARE,UHC MEDICARE,,4938,,fee schedule,4938,4296.06,4938,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,AETNA,AETNA,,2876.22,87,percent of total billed charges,2876.22,2876.22,3306,percent of total billed charges,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2876.22,87,percent of total billed charges,2876.22,2876.22,3306,percent of total billed charges,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,UNITED HEALTHCARE,UNITED HEALTHCARE,,2909.28,88,percent of total billed charges,2909.28,2876.22,3306,percent of total billed charges,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,AETNA,AETNA,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,ALLIANT,ALLIANT,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,AMBETTER,AMBETTER,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,BEECH STREET,BEECH STREET,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,CARESOURCE,CARESOURCE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,MEDICAID,MEDICAID,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,MEDICARE,MEDICARE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,NOVA NET,NOVA NET,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,PEACHSTATE,PEACHSTATE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,SELFPAY,SELFPAY,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,TRICARE,TRICARE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE POST MED PROX,C1713,CPT,both,,,3306,3306,UHC MEDICARE,UHC MEDICARE,,3306,,fee schedule,3306,2876.22,3306,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,AETNA,AETNA,,3147.66,87,percent of total billed charges,3147.66,3147.66,3618,percent of total billed charges,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3147.66,87,percent of total billed charges,3147.66,3147.66,3618,percent of total billed charges,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,UNITED HEALTHCARE,UNITED HEALTHCARE,,3183.84,88,percent of total billed charges,3183.84,3147.66,3618,percent of total billed charges,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,AETNA,AETNA,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,ALLIANT,ALLIANT,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,AMBETTER,AMBETTER,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,BEECH STREET,BEECH STREET,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,CARESOURCE,CARESOURCE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,MEDICAID,MEDICAID,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,MEDICARE,MEDICARE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,NOVA NET,NOVA NET,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,PEACHSTATE,PEACHSTATE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,SELFPAY,SELFPAY,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,TRICARE,TRICARE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE PROX TIB LOCK,C1713,CPT,both,,,3618,3618,UHC MEDICARE,UHC MEDICARE,,3618,,fee schedule,3618,3147.66,3618,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,AETNA,AETNA,,1124.04,87,percent of total billed charges,1124.04,1124.04,1292,percent of total billed charges,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1124.04,87,percent of total billed charges,1124.04,1124.04,1292,percent of total billed charges,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,UNITED HEALTHCARE,UNITED HEALTHCARE,,1136.96,88,percent of total billed charges,1136.96,1124.04,1292,percent of total billed charges,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,AETNA,AETNA,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,ALLIANT,ALLIANT,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,AMBETTER,AMBETTER,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,BEECH STREET,BEECH STREET,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,CARESOURCE,CARESOURCE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,MEDICAID,MEDICAID,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,MEDICARE,MEDICARE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,NOVA NET,NOVA NET,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,PEACHSTATE,PEACHSTATE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,SELFPAY,SELFPAY,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,TRICARE,TRICARE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE T LC-DCP 2.4MM,C1713,CPT,both,,,1292,1292,UHC MEDICARE,UHC MEDICARE,,1292,,fee schedule,1292,1124.04,1292,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,AETNA,AETNA,,2522.13,87,percent of total billed charges,2522.13,2522.13,2899,percent of total billed charges,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2522.13,87,percent of total billed charges,2522.13,2522.13,2899,percent of total billed charges,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,UNITED HEALTHCARE,UNITED HEALTHCARE,,2551.12,88,percent of total billed charges,2551.12,2522.13,2899,percent of total billed charges,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,AETNA,AETNA,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,ALLIANT,ALLIANT,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,AMBETTER,AMBETTER,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,BEECH STREET,BEECH STREET,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,CARESOURCE,CARESOURCE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,MEDICAID,MEDICAID,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,MEDICARE,MEDICARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,NOVA NET,NOVA NET,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,PEACHSTATE,PEACHSTATE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,SELFPAY,SELFPAY,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,TRICARE,TRICARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
PLATE~ANT INTBDY SYSTEM,C1713,CPT,both,,,2899,2899,UHC MEDICARE,UHC MEDICARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,AETNA,AETNA,,329.73,87,percent of total billed charges,329.73,329.73,379,percent of total billed charges,
POLARUS SCREW,C1713,CPT,both,,,379,379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,329.73,87,percent of total billed charges,329.73,329.73,379,percent of total billed charges,
POLARUS SCREW,C1713,CPT,both,,,379,379,UNITED HEALTHCARE,UNITED HEALTHCARE,,333.52,88,percent of total billed charges,333.52,329.73,379,percent of total billed charges,
POLARUS SCREW,C1713,CPT,both,,,379,379,AETNA,AETNA,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,ALLIANT,ALLIANT,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,AMBETTER,AMBETTER,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,BEECH STREET,BEECH STREET,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,CARESOURCE,CARESOURCE,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,MEDICAID,MEDICAID,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,MEDICARE,MEDICARE,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,NOVA NET,NOVA NET,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,PEACHSTATE,PEACHSTATE,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,SELFPAY,SELFPAY,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,TRICARE,TRICARE,,379,,fee schedule,379,329.73,379,fee schedule,
POLARUS SCREW,C1713,CPT,both,,,379,379,UHC MEDICARE,UHC MEDICARE,,379,,fee schedule,379,329.73,379,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,AETNA,AETNA,,3584.4,87,percent of total billed charges,3584.4,3584.4,4120,percent of total billed charges,
POST AUGMENT,C1713,CPT,both,,,4120,4120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3584.4,87,percent of total billed charges,3584.4,3584.4,4120,percent of total billed charges,
POST AUGMENT,C1713,CPT,both,,,4120,4120,UNITED HEALTHCARE,UNITED HEALTHCARE,,3625.6,88,percent of total billed charges,3625.6,3584.4,4120,percent of total billed charges,
POST AUGMENT,C1713,CPT,both,,,4120,4120,AETNA,AETNA,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,ALLIANT,ALLIANT,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,AMBETTER,AMBETTER,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,BEECH STREET,BEECH STREET,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,CARESOURCE,CARESOURCE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,MEDICAID,MEDICAID,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,MEDICARE,MEDICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,NOVA NET,NOVA NET,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,PEACHSTATE,PEACHSTATE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,SELFPAY,SELFPAY,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,TRICARE,TRICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST AUGMENT,C1713,CPT,both,,,4120,4120,UHC MEDICARE,UHC MEDICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,AETNA,AETNA,,7540.29,87,percent of total billed charges,7540.29,7540.29,8667,percent of total billed charges,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7540.29,87,percent of total billed charges,7540.29,7540.29,8667,percent of total billed charges,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,UNITED HEALTHCARE,UNITED HEALTHCARE,,7626.96,88,percent of total billed charges,7626.96,7540.29,8667,percent of total billed charges,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,AETNA,AETNA,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,ALLIANT,ALLIANT,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,AMBETTER,AMBETTER,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,BEECH STREET,BEECH STREET,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,CARESOURCE,CARESOURCE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,MEDICAID,MEDICAID,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,MEDICARE,MEDICARE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,NOVA NET,NOVA NET,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,PEACHSTATE,PEACHSTATE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,SELFPAY,SELFPAY,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,TRICARE,TRICARE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
POST TITAN TMT,C1713,CPT,both,,,8667,8667,UHC MEDICARE,UHC MEDICARE,,8667,,fee schedule,8667,7540.29,8667,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,AETNA,AETNA,,2396.85,87,percent of total billed charges,2396.85,2396.85,2755,percent of total billed charges,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2396.85,87,percent of total billed charges,2396.85,2396.85,2755,percent of total billed charges,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,UNITED HEALTHCARE,UNITED HEALTHCARE,,2424.4,88,percent of total billed charges,2424.4,2396.85,2755,percent of total billed charges,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,AETNA,AETNA,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,ALLIANT,ALLIANT,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,AMBETTER,AMBETTER,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,BEECH STREET,BEECH STREET,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,CARESOURCE,CARESOURCE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,MEDICAID,MEDICAID,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,MEDICARE,MEDICARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,NOVA NET,NOVA NET,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,PEACHSTATE,PEACHSTATE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,SELFPAY,SELFPAY,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,TRICARE,TRICARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
R-3 3 HOLD 48MM ACET SHELL,C1713,CPT,both,,,2755,2755,UHC MEDICARE,UHC MEDICARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,AETNA,AETNA,,2573.46,87,percent of total billed charges,2573.46,2573.46,2958,percent of total billed charges,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2573.46,87,percent of total billed charges,2573.46,2573.46,2958,percent of total billed charges,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,UNITED HEALTHCARE,UNITED HEALTHCARE,,2603.04,88,percent of total billed charges,2603.04,2573.46,2958,percent of total billed charges,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,AETNA,AETNA,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,ALLIANT,ALLIANT,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,AMBETTER,AMBETTER,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,BEECH STREET,BEECH STREET,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,CARESOURCE,CARESOURCE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,MEDICAID,MEDICAID,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,MEDICARE,MEDICARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,NOVA NET,NOVA NET,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,PEACHSTATE,PEACHSTATE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,SELFPAY,SELFPAY,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,TRICARE,TRICARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
RADIAL STYLOID PLATE RIGHT,C1713,CPT,both,,,2958,2958,UHC MEDICARE,UHC MEDICARE,,2958,,fee schedule,2958,2573.46,2958,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,AETNA,AETNA,,878.7,87,percent of total billed charges,878.7,878.7,1010,percent of total billed charges,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,878.7,87,percent of total billed charges,878.7,878.7,1010,percent of total billed charges,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,UNITED HEALTHCARE,UNITED HEALTHCARE,,888.8,88,percent of total billed charges,888.8,878.7,1010,percent of total billed charges,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,AETNA,AETNA,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,ALLIANT,ALLIANT,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,AMBETTER,AMBETTER,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,BEECH STREET,BEECH STREET,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,CARESOURCE,CARESOURCE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,MEDICAID,MEDICAID,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,MEDICARE,MEDICARE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,NOVA NET,NOVA NET,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,PEACHSTATE,PEACHSTATE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,SELFPAY,SELFPAY,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,TRICARE,TRICARE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM LORDOTIC ROD,C1713,CPT,both,,,1010,1010,UHC MEDICARE,UHC MEDICARE,,1010,,fee schedule,1010,878.7,1010,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,AETNA,AETNA,,1773.06,87,percent of total billed charges,1773.06,1773.06,2038,percent of total billed charges,
REFORM SCREW,C1713,CPT,both,,,2038,2038,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1773.06,87,percent of total billed charges,1773.06,1773.06,2038,percent of total billed charges,
REFORM SCREW,C1713,CPT,both,,,2038,2038,UNITED HEALTHCARE,UNITED HEALTHCARE,,1793.44,88,percent of total billed charges,1793.44,1773.06,2038,percent of total billed charges,
REFORM SCREW,C1713,CPT,both,,,2038,2038,AETNA,AETNA,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,ALLIANT,ALLIANT,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,AMBETTER,AMBETTER,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,BEECH STREET,BEECH STREET,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,CARESOURCE,CARESOURCE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,MEDICAID,MEDICAID,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,MEDICARE,MEDICARE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,NOVA NET,NOVA NET,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,PEACHSTATE,PEACHSTATE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,SELFPAY,SELFPAY,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,TRICARE,TRICARE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SCREW,C1713,CPT,both,,,2038,2038,UHC MEDICARE,UHC MEDICARE,,2038,,fee schedule,2038,1773.06,2038,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
REFORM SET SCREW,C1713,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
REFORM SET SCREW,C1713,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,231.42,266,percent of total billed charges,
REFORM SET SCREW,C1713,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,231.42,266,fee schedule,
REFORM SET SCREW,C1713,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,AETNA,AETNA,,6622.44,87,percent of total billed charges,6622.44,6622.44,7612,percent of total billed charges,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6622.44,87,percent of total billed charges,6622.44,6622.44,7612,percent of total billed charges,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,UNITED HEALTHCARE,UNITED HEALTHCARE,,6698.56,88,percent of total billed charges,6698.56,6622.44,7612,percent of total billed charges,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,AETNA,AETNA,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,ALLIANT,ALLIANT,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,AMBETTER,AMBETTER,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,BEECH STREET,BEECH STREET,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,CARESOURCE,CARESOURCE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,MEDICAID,MEDICAID,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,MEDICARE,MEDICARE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,NOVA NET,NOVA NET,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,PEACHSTATE,PEACHSTATE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,SELFPAY,SELFPAY,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,TRICARE,TRICARE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
REMEDY MJOD STEM/HEAD,C1713,CPT,both,,,7612,7612,UHC MEDICARE,UHC MEDICARE,,7612,,fee schedule,7612,6622.44,7612,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
RESTRICTOR CEMENT,C1713,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,AETNA,AETNA,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,UNITED HEALTHCARE,UNITED HEALTHCARE,,804.32,88,percent of total billed charges,804.32,795.18,914,percent of total billed charges,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,AETNA,AETNA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,ALLIANT,ALLIANT,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,AMBETTER,AMBETTER,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,BEECH STREET,BEECH STREET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,MEDICAID,MEDICAID,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,MEDICARE,MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,NOVA NET,NOVA NET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,SELFPAY,SELFPAY,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,TRICARE,TRICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBAT 60MM,C1713,CPT,both,,,914,914,UHC MEDICARE,UHC MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,AETNA,AETNA,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,UNITED HEALTHCARE,UNITED HEALTHCARE,,804.32,88,percent of total billed charges,804.32,795.18,914,percent of total billed charges,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,AETNA,AETNA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,ALLIANT,ALLIANT,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,AMBETTER,AMBETTER,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,BEECH STREET,BEECH STREET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,MEDICAID,MEDICAID,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,MEDICARE,MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,NOVA NET,NOVA NET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,SELFPAY,SELFPAY,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,TRICARE,TRICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 4.75X80,C1713,CPT,both,,,914,914,UHC MEDICARE,UHC MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,AETNA,AETNA,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,UNITED HEALTHCARE,UNITED HEALTHCARE,,804.32,88,percent of total billed charges,804.32,795.18,914,percent of total billed charges,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,AETNA,AETNA,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,ALLIANT,ALLIANT,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,AMBETTER,AMBETTER,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,BEECH STREET,BEECH STREET,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,MEDICAID,MEDICAID,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,MEDICARE,MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,NOVA NET,NOVA NET,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,SELFPAY,SELFPAY,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,TRICARE,TRICARE,,914,,fee schedule,914,795.18,914,fee schedule,
RODS SOLERA 4.75X35,C1713,CPT,both,,,914,914,UHC MEDICARE,UHC MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,AETNA,AETNA,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,115.71,87,percent of total billed charges,115.71,115.71,133,percent of total billed charges,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.04,88,percent of total billed charges,117.04,115.71,133,percent of total billed charges,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,AETNA,AETNA,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,ALLIANT,ALLIANT,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,AMBETTER,AMBETTER,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,BEECH STREET,BEECH STREET,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,CARESOURCE,CARESOURCE,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,MEDICAID,MEDICAID,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,MEDICARE,MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,NOVA NET,NOVA NET,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,PEACHSTATE,PEACHSTATE,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,SELFPAY,SELFPAY,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,TRICARE,TRICARE,,133,,fee schedule,133,115.71,133,fee schedule,
RUSH PIN 802-14,C1713,CPT,both,,,133,133,UHC MEDICARE,UHC MEDICARE,,133,,fee schedule,133,115.71,133,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,AETNA,AETNA,,1072.71,87,percent of total billed charges,1072.71,1072.71,1233,percent of total billed charges,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1072.71,87,percent of total billed charges,1072.71,1072.71,1233,percent of total billed charges,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,UNITED HEALTHCARE,UNITED HEALTHCARE,,1085.04,88,percent of total billed charges,1085.04,1072.71,1233,percent of total billed charges,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,AETNA,AETNA,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,ALLIANT,ALLIANT,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,AMBETTER,AMBETTER,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,BEECH STREET,BEECH STREET,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,CARESOURCE,CARESOURCE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,MEDICAID,MEDICAID,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,MEDICARE,MEDICARE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,NOVA NET,NOVA NET,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,PEACHSTATE,PEACHSTATE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,SELFPAY,SELFPAY,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,TRICARE,TRICARE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S & N BONE ANCHORS,C1713,CPT,both,,,1233,1233,UHC MEDICARE,UHC MEDICARE,,1233,,fee schedule,1233,1072.71,1233,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,AETNA,AETNA,,331.47,87,percent of total billed charges,331.47,331.47,381,percent of total billed charges,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331.47,87,percent of total billed charges,331.47,331.47,381,percent of total billed charges,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,UNITED HEALTHCARE,UNITED HEALTHCARE,,335.28,88,percent of total billed charges,335.28,331.47,381,percent of total billed charges,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,AETNA,AETNA,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,ALLIANT,ALLIANT,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,AMBETTER,AMBETTER,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,BEECH STREET,BEECH STREET,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,MEDICAID,MEDICAID,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,MEDICARE,MEDICARE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,NOVA NET,NOVA NET,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,SELFPAY,SELFPAY,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,TRICARE,TRICARE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N 9X25 SCREW,C1713,CPT,both,,,381,381,UHC MEDICARE,UHC MEDICARE,,381,,fee schedule,381,331.47,381,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,AETNA,AETNA,,348,87,percent of total billed charges,348,348,400,percent of total billed charges,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,348,87,percent of total billed charges,348,348,400,percent of total billed charges,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,UNITED HEALTHCARE,UNITED HEALTHCARE,,352,88,percent of total billed charges,352,348,400,percent of total billed charges,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,AETNA,AETNA,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,ALLIANT,ALLIANT,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,AMBETTER,AMBETTER,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,BEECH STREET,BEECH STREET,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,CARESOURCE,CARESOURCE,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,MEDICAID,MEDICAID,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,MEDICARE,MEDICARE,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,NOVA NET,NOVA NET,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,PEACHSTATE,PEACHSTATE,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,SELFPAY,SELFPAY,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,TRICARE,TRICARE,,400,,fee schedule,400,348,400,fee schedule,
S&N ENDO BUTTON,C1713,CPT,both,,,400,400,UHC MEDICARE,UHC MEDICARE,,400,,fee schedule,400,348,400,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,AETNA,AETNA,,839.55,87,percent of total billed charges,839.55,839.55,965,percent of total billed charges,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,839.55,87,percent of total billed charges,839.55,839.55,965,percent of total billed charges,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,UNITED HEALTHCARE,UNITED HEALTHCARE,,849.2,88,percent of total billed charges,849.2,839.55,965,percent of total billed charges,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,AETNA,AETNA,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,ALLIANT,ALLIANT,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,AMBETTER,AMBETTER,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,BEECH STREET,BEECH STREET,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,CARESOURCE,CARESOURCE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,MEDICAID,MEDICAID,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,MEDICARE,MEDICARE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,NOVA NET,NOVA NET,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,PEACHSTATE,PEACHSTATE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,SELFPAY,SELFPAY,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,TRICARE,TRICARE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 2.0 AUTOFIX SCREW,C1713,CPT,both,,,965,965,UHC MEDICARE,UHC MEDICARE,,965,,fee schedule,965,839.55,965,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,AETNA,AETNA,,874.35,87,percent of total billed charges,874.35,874.35,1005,percent of total billed charges,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,874.35,87,percent of total billed charges,874.35,874.35,1005,percent of total billed charges,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,UNITED HEALTHCARE,UNITED HEALTHCARE,,884.4,88,percent of total billed charges,884.4,874.35,1005,percent of total billed charges,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,AETNA,AETNA,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,ALLIANT,ALLIANT,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,AMBETTER,AMBETTER,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,BEECH STREET,BEECH STREET,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,CARESOURCE,CARESOURCE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,MEDICAID,MEDICAID,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,MEDICARE,MEDICARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,NOVA NET,NOVA NET,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,PEACHSTATE,PEACHSTATE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,SELFPAY,SELFPAY,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,TRICARE,TRICARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SBI 3.0 AUTOFIX SCREW,C1713,CPT,both,,,1005,1005,UHC MEDICARE,UHC MEDICARE,,1005,,fee schedule,1005,874.35,1005,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,AETNA,AETNA,,920.46,87,percent of total billed charges,920.46,920.46,1058,percent of total billed charges,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,920.46,87,percent of total billed charges,920.46,920.46,1058,percent of total billed charges,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,UNITED HEALTHCARE,UNITED HEALTHCARE,,931.04,88,percent of total billed charges,931.04,920.46,1058,percent of total billed charges,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,AETNA,AETNA,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,ALLIANT,ALLIANT,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,AMBETTER,AMBETTER,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,BEECH STREET,BEECH STREET,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,CARESOURCE,CARESOURCE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,MEDICAID,MEDICAID,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,MEDICARE,MEDICARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,NOVA NET,NOVA NET,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,PEACHSTATE,PEACHSTATE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,SELFPAY,SELFPAY,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,TRICARE,TRICARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCARLET BONE SCREW 25-S,C1713,CPT,both,,,1058,1058,UHC MEDICARE,UHC MEDICARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,AETNA,AETNA,,2279.4,87,percent of total billed charges,2279.4,2279.4,2620,percent of total billed charges,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2279.4,87,percent of total billed charges,2279.4,2279.4,2620,percent of total billed charges,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,UNITED HEALTHCARE,UNITED HEALTHCARE,,2305.6,88,percent of total billed charges,2305.6,2279.4,2620,percent of total billed charges,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,AETNA,AETNA,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,ALLIANT,ALLIANT,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,AMBETTER,AMBETTER,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,BEECH STREET,BEECH STREET,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,CARESOURCE,CARESOURCE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,MEDICAID,MEDICAID,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,MEDICARE,MEDICARE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,NOVA NET,NOVA NET,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,PEACHSTATE,PEACHSTATE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,SELFPAY,SELFPAY,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,TRICARE,TRICARE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCRES 4.5X40,C1713,CPT,both,,,2620,2620,UHC MEDICARE,UHC MEDICARE,,2620,,fee schedule,2620,2279.4,2620,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,390.63,449,percent of total billed charges,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,390.63,449,percent of total billed charges,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,390.63,449,percent of total billed charges,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,ALLIANT,ALLIANT,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,AMBETTER,AMBETTER,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,MEDICARE,MEDICARE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,TRICARE,TRICARE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 1/3 THREAD CANNU 4.0X44,C1713,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,449,,fee schedule,449,390.63,449,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,AETNA,AETNA,,1262.37,87,percent of total billed charges,1262.37,1262.37,1451,percent of total billed charges,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1262.37,87,percent of total billed charges,1262.37,1262.37,1451,percent of total billed charges,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,UNITED HEALTHCARE,UNITED HEALTHCARE,,1276.88,88,percent of total billed charges,1276.88,1262.37,1451,percent of total billed charges,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,AETNA,AETNA,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,ALLIANT,ALLIANT,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,AMBETTER,AMBETTER,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,BEECH STREET,BEECH STREET,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,CARESOURCE,CARESOURCE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,MEDICAID,MEDICAID,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,MEDICARE,MEDICARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,NOVA NET,NOVA NET,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,PEACHSTATE,PEACHSTATE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,SELFPAY,SELFPAY,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,TRICARE,TRICARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5 COMPRESSION 30MM,C1713,CPT,both,,,1451,1451,UHC MEDICARE,UHC MEDICARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,259.26,298,percent of total billed charges,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,259.26,298,percent of total billed charges,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,259.26,298,percent of total billed charges,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,ALLIANT,ALLIANT,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,AMBETTER,AMBETTER,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,MEDICARE,MEDICARE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,TRICARE,TRICARE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.5X20 MD,C1713,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,298,,fee schedule,298,259.26,298,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,AETNA,AETNA,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X12,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X12,C1713,CPT,both,,,240,240,UNITED HEALTHCARE,UNITED HEALTHCARE,,211.2,88,percent of total billed charges,211.2,208.8,240,percent of total billed charges,
SCREW 2.7X12,C1713,CPT,both,,,240,240,AETNA,AETNA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,ALLIANT,ALLIANT,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,AMBETTER,AMBETTER,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,BEECH STREET,BEECH STREET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,CARESOURCE,CARESOURCE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,MEDICAID,MEDICAID,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,MEDICARE,MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,NOVA NET,NOVA NET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,PEACHSTATE,PEACHSTATE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,SELFPAY,SELFPAY,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,TRICARE,TRICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12,C1713,CPT,both,,,240,240,UHC MEDICARE,UHC MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,46.98,54,percent of total billed charges,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X12 CORTICAL,C1713,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,AETNA,AETNA,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X14,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X14,C1713,CPT,both,,,240,240,UNITED HEALTHCARE,UNITED HEALTHCARE,,211.2,88,percent of total billed charges,211.2,208.8,240,percent of total billed charges,
SCREW 2.7X14,C1713,CPT,both,,,240,240,AETNA,AETNA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,ALLIANT,ALLIANT,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,AMBETTER,AMBETTER,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,BEECH STREET,BEECH STREET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,CARESOURCE,CARESOURCE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,MEDICAID,MEDICAID,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,MEDICARE,MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,NOVA NET,NOVA NET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,PEACHSTATE,PEACHSTATE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,SELFPAY,SELFPAY,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,TRICARE,TRICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X14,C1713,CPT,both,,,240,240,UHC MEDICARE,UHC MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,AETNA,AETNA,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X16,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X16,C1713,CPT,both,,,240,240,UNITED HEALTHCARE,UNITED HEALTHCARE,,211.2,88,percent of total billed charges,211.2,208.8,240,percent of total billed charges,
SCREW 2.7X16,C1713,CPT,both,,,240,240,AETNA,AETNA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,ALLIANT,ALLIANT,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,AMBETTER,AMBETTER,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,BEECH STREET,BEECH STREET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,CARESOURCE,CARESOURCE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,MEDICAID,MEDICAID,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,MEDICARE,MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,NOVA NET,NOVA NET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,PEACHSTATE,PEACHSTATE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,SELFPAY,SELFPAY,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,TRICARE,TRICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X16,C1713,CPT,both,,,240,240,UHC MEDICARE,UHC MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,AETNA,AETNA,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X20,C1713,CPT,both,,,240,240,UNITED HEALTHCARE,UNITED HEALTHCARE,,211.2,88,percent of total billed charges,211.2,208.8,240,percent of total billed charges,
SCREW 2.7X20,C1713,CPT,both,,,240,240,AETNA,AETNA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,ALLIANT,ALLIANT,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,AMBETTER,AMBETTER,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,BEECH STREET,BEECH STREET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CARESOURCE,CARESOURCE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,MEDICAID,MEDICAID,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,MEDICARE,MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,NOVA NET,NOVA NET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,PEACHSTATE,PEACHSTATE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,SELFPAY,SELFPAY,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,TRICARE,TRICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,UHC MEDICARE,UHC MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,AETNA,AETNA,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
SCREW 2.7X20,C1713,CPT,both,,,240,240,UNITED HEALTHCARE,UNITED HEALTHCARE,,211.2,88,percent of total billed charges,211.2,208.8,240,percent of total billed charges,
SCREW 2.7X20,C1713,CPT,both,,,240,240,AETNA,AETNA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,ALLIANT,ALLIANT,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,AMBETTER,AMBETTER,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,BEECH STREET,BEECH STREET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CARESOURCE,CARESOURCE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,MEDICAID,MEDICAID,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,MEDICARE,MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,NOVA NET,NOVA NET,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,PEACHSTATE,PEACHSTATE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,SELFPAY,SELFPAY,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,TRICARE,TRICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 2.7X20,C1713,CPT,both,,,240,240,UHC MEDICARE,UHC MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
SCREW 3.5X24,C1713,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
SCREW 3.5X24,C1713,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
SCREW 3.5X24,C1713,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X24,C1713,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW 3.5X26,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW 3.5X26,C1713,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,111.36,128,percent of total billed charges,
SCREW 3.5X26,C1713,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,ALLIANT,ALLIANT,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,AMBETTER,AMBETTER,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,MEDICARE,MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,TRICARE,TRICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X26,C1713,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
SCREW 3.5X28,C1713,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
SCREW 3.5X28,C1713,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
SCREW 3.5X28,C1713,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X28,C1713,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
SCREW 3.5X34,C1713,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
SCREW 3.5X34,C1713,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,211.41,243,percent of total billed charges,
SCREW 3.5X34,C1713,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,ALLIANT,ALLIANT,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,AMBETTER,AMBETTER,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,MEDICARE,MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,TRICARE,TRICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 3.5X34,C1713,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,AETNA,AETNA,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X30,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X30,C1713,CPT,both,,,520,520,UNITED HEALTHCARE,UNITED HEALTHCARE,,457.6,88,percent of total billed charges,457.6,452.4,520,percent of total billed charges,
SCREW 5.0X30,C1713,CPT,both,,,520,520,AETNA,AETNA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,ALLIANT,ALLIANT,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,AMBETTER,AMBETTER,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,BEECH STREET,BEECH STREET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,CARESOURCE,CARESOURCE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,MEDICAID,MEDICAID,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,MEDICARE,MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,NOVA NET,NOVA NET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,SELFPAY,SELFPAY,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,TRICARE,TRICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X30,C1713,CPT,both,,,520,520,UHC MEDICARE,UHC MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,AETNA,AETNA,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,UNITED HEALTHCARE,UNITED HEALTHCARE,,457.6,88,percent of total billed charges,457.6,452.4,520,percent of total billed charges,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,AETNA,AETNA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,ALLIANT,ALLIANT,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,AMBETTER,AMBETTER,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,BEECH STREET,BEECH STREET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,CARESOURCE,CARESOURCE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,MEDICAID,MEDICAID,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,MEDICARE,MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,NOVA NET,NOVA NET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,SELFPAY,SELFPAY,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,TRICARE,TRICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X32.5,C1713,CPT,both,,,520,520,UHC MEDICARE,UHC MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,AETNA,AETNA,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,UNITED HEALTHCARE,UNITED HEALTHCARE,,457.6,88,percent of total billed charges,457.6,452.4,520,percent of total billed charges,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,AETNA,AETNA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,ALLIANT,ALLIANT,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,AMBETTER,AMBETTER,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,BEECH STREET,BEECH STREET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,CARESOURCE,CARESOURCE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,MEDICAID,MEDICAID,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,MEDICARE,MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,NOVA NET,NOVA NET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,SELFPAY,SELFPAY,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,TRICARE,TRICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X37.5,C1713,CPT,both,,,520,520,UHC MEDICARE,UHC MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,AETNA,AETNA,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X40,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,452.4,87,percent of total billed charges,452.4,452.4,520,percent of total billed charges,
SCREW 5.0X40,C1713,CPT,both,,,520,520,UNITED HEALTHCARE,UNITED HEALTHCARE,,457.6,88,percent of total billed charges,457.6,452.4,520,percent of total billed charges,
SCREW 5.0X40,C1713,CPT,both,,,520,520,AETNA,AETNA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,ALLIANT,ALLIANT,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,AMBETTER,AMBETTER,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,BEECH STREET,BEECH STREET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,CARESOURCE,CARESOURCE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,MEDICAID,MEDICAID,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,MEDICARE,MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,NOVA NET,NOVA NET,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,PEACHSTATE,PEACHSTATE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,SELFPAY,SELFPAY,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,TRICARE,TRICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 5.0X40,C1713,CPT,both,,,520,520,UHC MEDICARE,UHC MEDICARE,,520,,fee schedule,520,452.4,520,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,AETNA,AETNA,,613.35,87,percent of total billed charges,613.35,613.35,705,percent of total billed charges,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613.35,87,percent of total billed charges,613.35,613.35,705,percent of total billed charges,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,UNITED HEALTHCARE,UNITED HEALTHCARE,,620.4,88,percent of total billed charges,620.4,613.35,705,percent of total billed charges,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,AETNA,AETNA,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,ALLIANT,ALLIANT,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,AMBETTER,AMBETTER,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,BEECH STREET,BEECH STREET,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,CARESOURCE,CARESOURCE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,MEDICAID,MEDICAID,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,MEDICARE,MEDICARE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,NOVA NET,NOVA NET,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,PEACHSTATE,PEACHSTATE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,SELFPAY,SELFPAY,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,TRICARE,TRICARE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.0X30 1926030V,C1713,CPT,both,,,705,705,UHC MEDICARE,UHC MEDICARE,,705,,fee schedule,705,613.35,705,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,AETNA,AETNA,,306.24,87,percent of total billed charges,306.24,306.24,352,percent of total billed charges,
SCREW 6.5X55,C1713,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306.24,87,percent of total billed charges,306.24,306.24,352,percent of total billed charges,
SCREW 6.5X55,C1713,CPT,both,,,352,352,UNITED HEALTHCARE,UNITED HEALTHCARE,,309.76,88,percent of total billed charges,309.76,306.24,352,percent of total billed charges,
SCREW 6.5X55,C1713,CPT,both,,,352,352,AETNA,AETNA,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,ALLIANT,ALLIANT,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,AMBETTER,AMBETTER,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,BEECH STREET,BEECH STREET,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,MEDICAID,MEDICAID,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,MEDICARE,MEDICARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,NOVA NET,NOVA NET,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,SELFPAY,SELFPAY,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,TRICARE,TRICARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW 6.5X55,C1713,CPT,both,,,352,352,UHC MEDICARE,UHC MEDICARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,AETNA,AETNA,,2615.22,87,percent of total billed charges,2615.22,2615.22,3006,percent of total billed charges,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2615.22,87,percent of total billed charges,2615.22,2615.22,3006,percent of total billed charges,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,UNITED HEALTHCARE,UNITED HEALTHCARE,,2645.28,88,percent of total billed charges,2645.28,2615.22,3006,percent of total billed charges,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,AETNA,AETNA,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,ALLIANT,ALLIANT,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,AMBETTER,AMBETTER,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,BEECH STREET,BEECH STREET,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,CARESOURCE,CARESOURCE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,MEDICAID,MEDICAID,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,MEDICARE,MEDICARE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,NOVA NET,NOVA NET,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,PEACHSTATE,PEACHSTATE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,SELFPAY,SELFPAY,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,TRICARE,TRICARE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW AND PLATE TORQ 300-21-00,C1713,CPT,both,,,3006,3006,UHC MEDICARE,UHC MEDICARE,,3006,,fee schedule,3006,2615.22,3006,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,AETNA,AETNA,,920.46,87,percent of total billed charges,920.46,920.46,1058,percent of total billed charges,
SCREW BONE,C1713,CPT,both,,,1058,1058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,920.46,87,percent of total billed charges,920.46,920.46,1058,percent of total billed charges,
SCREW BONE,C1713,CPT,both,,,1058,1058,UNITED HEALTHCARE,UNITED HEALTHCARE,,931.04,88,percent of total billed charges,931.04,920.46,1058,percent of total billed charges,
SCREW BONE,C1713,CPT,both,,,1058,1058,AETNA,AETNA,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,ALLIANT,ALLIANT,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,AMBETTER,AMBETTER,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,BEECH STREET,BEECH STREET,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,CARESOURCE,CARESOURCE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,MEDICAID,MEDICAID,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,MEDICARE,MEDICARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,NOVA NET,NOVA NET,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,PEACHSTATE,PEACHSTATE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,SELFPAY,SELFPAY,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,TRICARE,TRICARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE,C1713,CPT,both,,,1058,1058,UHC MEDICARE,UHC MEDICARE,,1058,,fee schedule,1058,920.46,1058,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,AETNA,AETNA,,1089.24,87,percent of total billed charges,1089.24,1089.24,1252,percent of total billed charges,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1089.24,87,percent of total billed charges,1089.24,1089.24,1252,percent of total billed charges,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,UNITED HEALTHCARE,UNITED HEALTHCARE,,1101.76,88,percent of total billed charges,1101.76,1089.24,1252,percent of total billed charges,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,AETNA,AETNA,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,ALLIANT,ALLIANT,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,AMBETTER,AMBETTER,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,BEECH STREET,BEECH STREET,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,CARESOURCE,CARESOURCE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,MEDICAID,MEDICAID,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,MEDICARE,MEDICARE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,NOVA NET,NOVA NET,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,PEACHSTATE,PEACHSTATE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,SELFPAY,SELFPAY,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,TRICARE,TRICARE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BONE ACUTRAK MINI 20MM,C1713,CPT,both,,,1252,1252,UHC MEDICARE,UHC MEDICARE,,1252,,fee schedule,1252,1089.24,1252,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,AETNA,AETNA,,247.95,87,percent of total billed charges,247.95,247.95,285,percent of total billed charges,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,247.95,87,percent of total billed charges,247.95,247.95,285,percent of total billed charges,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,UNITED HEALTHCARE,UNITED HEALTHCARE,,250.8,88,percent of total billed charges,250.8,247.95,285,percent of total billed charges,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,AETNA,AETNA,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,ALLIANT,ALLIANT,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,AMBETTER,AMBETTER,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,BEECH STREET,BEECH STREET,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,CARESOURCE,CARESOURCE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,MEDICAID,MEDICAID,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,MEDICARE,MEDICARE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,NOVA NET,NOVA NET,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,PEACHSTATE,PEACHSTATE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,SELFPAY,SELFPAY,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,TRICARE,TRICARE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW BREAK OFF LEGACY,C1713,CPT,both,,,285,285,UHC MEDICARE,UHC MEDICARE,,285,,fee schedule,285,247.95,285,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,AETNA,AETNA,,66.99,87,percent of total billed charges,66.99,66.99,77,percent of total billed charges,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.99,87,percent of total billed charges,66.99,66.99,77,percent of total billed charges,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,UNITED HEALTHCARE,UNITED HEALTHCARE,,67.76,88,percent of total billed charges,67.76,66.99,77,percent of total billed charges,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,AETNA,AETNA,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,ALLIANT,ALLIANT,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,AMBETTER,AMBETTER,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,BEECH STREET,BEECH STREET,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,CARESOURCE,CARESOURCE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,MEDICAID,MEDICAID,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,MEDICARE,MEDICARE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,NOVA NET,NOVA NET,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,PEACHSTATE,PEACHSTATE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,SELFPAY,SELFPAY,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,TRICARE,TRICARE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANCELLOUS FT 4.0X14,C1713,CPT,both,,,77,77,UHC MEDICARE,UHC MEDICARE,,77,,fee schedule,77,66.99,77,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,AETNA,AETNA,,733.41,87,percent of total billed charges,733.41,733.41,843,percent of total billed charges,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,733.41,87,percent of total billed charges,733.41,733.41,843,percent of total billed charges,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,UNITED HEALTHCARE,UNITED HEALTHCARE,,741.84,88,percent of total billed charges,741.84,733.41,843,percent of total billed charges,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,AETNA,AETNA,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,ALLIANT,ALLIANT,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,AMBETTER,AMBETTER,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,BEECH STREET,BEECH STREET,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,CARESOURCE,CARESOURCE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,MEDICAID,MEDICAID,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,MEDICARE,MEDICARE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,NOVA NET,NOVA NET,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,PEACHSTATE,PEACHSTATE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,SELFPAY,SELFPAY,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,TRICARE,TRICARE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW CANN 6MM/8MM,C1713,CPT,both,,,843,843,UHC MEDICARE,UHC MEDICARE,,843,,fee schedule,843,733.41,843,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,AETNA,AETNA,,856.08,87,percent of total billed charges,856.08,856.08,984,percent of total billed charges,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,856.08,87,percent of total billed charges,856.08,856.08,984,percent of total billed charges,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,UNITED HEALTHCARE,UNITED HEALTHCARE,,865.92,88,percent of total billed charges,865.92,856.08,984,percent of total billed charges,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,AETNA,AETNA,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,ALLIANT,ALLIANT,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,AMBETTER,AMBETTER,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,BEECH STREET,BEECH STREET,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,CARESOURCE,CARESOURCE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,MEDICAID,MEDICAID,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,MEDICARE,MEDICARE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,NOVA NET,NOVA NET,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,PEACHSTATE,PEACHSTATE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,SELFPAY,SELFPAY,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,TRICARE,TRICARE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMP 3.5X38,C1713,CPT,both,,,984,984,UHC MEDICARE,UHC MEDICARE,,984,,fee schedule,984,856.08,984,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD,C1713,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,AETNA,AETNA,,896.1,87,percent of total billed charges,896.1,896.1,1030,percent of total billed charges,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,896.1,87,percent of total billed charges,896.1,896.1,1030,percent of total billed charges,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,UNITED HEALTHCARE,UNITED HEALTHCARE,,906.4,88,percent of total billed charges,906.4,896.1,1030,percent of total billed charges,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,AETNA,AETNA,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,ALLIANT,ALLIANT,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,AMBETTER,AMBETTER,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,BEECH STREET,BEECH STREET,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,CARESOURCE,CARESOURCE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,MEDICAID,MEDICAID,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,MEDICARE,MEDICARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,NOVA NET,NOVA NET,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,PEACHSTATE,PEACHSTATE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,SELFPAY,SELFPAY,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,TRICARE,TRICARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW COMPRESS FTRD 2.5,C1713,CPT,both,,,1030,1030,UHC MEDICARE,UHC MEDICARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,AETNA,AETNA,,107.88,87,percent of total billed charges,107.88,107.88,124,percent of total billed charges,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.88,87,percent of total billed charges,107.88,107.88,124,percent of total billed charges,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,UNITED HEALTHCARE,UNITED HEALTHCARE,,109.12,88,percent of total billed charges,109.12,107.88,124,percent of total billed charges,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,AETNA,AETNA,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,ALLIANT,ALLIANT,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,AMBETTER,AMBETTER,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,BEECH STREET,BEECH STREET,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,MEDICAID,MEDICAID,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,MEDICARE,MEDICARE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,NOVA NET,NOVA NET,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,SELFPAY,SELFPAY,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,TRICARE,TRICARE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CONICAL LK 2.7X14MM,C1713,CPT,both,,,124,124,UHC MEDICARE,UHC MEDICARE,,124,,fee schedule,124,107.88,124,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,AETNA,AETNA,,146.16,87,percent of total billed charges,146.16,146.16,168,percent of total billed charges,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146.16,87,percent of total billed charges,146.16,146.16,168,percent of total billed charges,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,UNITED HEALTHCARE,UNITED HEALTHCARE,,147.84,88,percent of total billed charges,147.84,146.16,168,percent of total billed charges,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,AETNA,AETNA,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,ALLIANT,ALLIANT,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,AMBETTER,AMBETTER,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,BEECH STREET,BEECH STREET,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,CARESOURCE,CARESOURCE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,MEDICAID,MEDICAID,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,MEDICARE,MEDICARE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,NOVA NET,NOVA NET,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,PEACHSTATE,PEACHSTATE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,SELFPAY,SELFPAY,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,TRICARE,TRICARE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORD 3.5MM,C1713,CPT,both,,,168,168,UHC MEDICARE,UHC MEDICARE,,168,,fee schedule,168,146.16,168,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,AETNA,AETNA,,134.85,87,percent of total billed charges,134.85,134.85,155,percent of total billed charges,
SCREW CORT,C1713,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134.85,87,percent of total billed charges,134.85,134.85,155,percent of total billed charges,
SCREW CORT,C1713,CPT,both,,,155,155,UNITED HEALTHCARE,UNITED HEALTHCARE,,136.4,88,percent of total billed charges,136.4,134.85,155,percent of total billed charges,
SCREW CORT,C1713,CPT,both,,,155,155,AETNA,AETNA,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,ALLIANT,ALLIANT,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,AMBETTER,AMBETTER,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,BEECH STREET,BEECH STREET,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,CARESOURCE,CARESOURCE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,MEDICAID,MEDICAID,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,MEDICARE,MEDICARE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,NOVA NET,NOVA NET,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,PEACHSTATE,PEACHSTATE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,SELFPAY,SELFPAY,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,TRICARE,TRICARE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT,C1713,CPT,both,,,155,155,UHC MEDICARE,UHC MEDICARE,,155,,fee schedule,155,134.85,155,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,AETNA,AETNA,,461.1,87,percent of total billed charges,461.1,461.1,530,percent of total billed charges,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,461.1,87,percent of total billed charges,461.1,461.1,530,percent of total billed charges,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,UNITED HEALTHCARE,UNITED HEALTHCARE,,466.4,88,percent of total billed charges,466.4,461.1,530,percent of total billed charges,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,AETNA,AETNA,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,ALLIANT,ALLIANT,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,AMBETTER,AMBETTER,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,BEECH STREET,BEECH STREET,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,CARESOURCE,CARESOURCE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,MEDICAID,MEDICAID,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,MEDICARE,MEDICARE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,NOVA NET,NOVA NET,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,PEACHSTATE,PEACHSTATE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,SELFPAY,SELFPAY,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,TRICARE,TRICARE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT 5MM,C1713,CPT,both,,,530,530,UHC MEDICARE,UHC MEDICARE,,530,,fee schedule,530,461.1,530,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,AETNA,AETNA,,224.46,87,percent of total billed charges,224.46,224.46,258,percent of total billed charges,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,224.46,87,percent of total billed charges,224.46,224.46,258,percent of total billed charges,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.04,88,percent of total billed charges,227.04,224.46,258,percent of total billed charges,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,AETNA,AETNA,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,ALLIANT,ALLIANT,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,AMBETTER,AMBETTER,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,BEECH STREET,BEECH STREET,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,CARESOURCE,CARESOURCE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,MEDICAID,MEDICAID,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,MEDICARE,MEDICARE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,NOVA NET,NOVA NET,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,PEACHSTATE,PEACHSTATE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,SELFPAY,SELFPAY,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,TRICARE,TRICARE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOCK 3.5MM,C1713,CPT,both,,,258,258,UHC MEDICARE,UHC MEDICARE,,258,,fee schedule,258,224.46,258,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,ALLIANT,ALLIANT,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,AMBETTER,AMBETTER,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,MEDICARE,MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,TRICARE,TRICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X12,C1713,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,ALLIANT,ALLIANT,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,AMBETTER,AMBETTER,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,MEDICARE,MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,TRICARE,TRICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X14,C1713,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,111.36,128,percent of total billed charges,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,ALLIANT,ALLIANT,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,AMBETTER,AMBETTER,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,MEDICARE,MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,TRICARE,TRICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORT LOW PRO 3.5X20,C1713,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,128,,fee schedule,128,111.36,128,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,AETNA,AETNA,,239.25,87,percent of total billed charges,239.25,239.25,275,percent of total billed charges,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239.25,87,percent of total billed charges,239.25,239.25,275,percent of total billed charges,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,UNITED HEALTHCARE,UNITED HEALTHCARE,,242,88,percent of total billed charges,242,239.25,275,percent of total billed charges,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,AETNA,AETNA,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,ALLIANT,ALLIANT,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,AMBETTER,AMBETTER,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,BEECH STREET,BEECH STREET,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,CARESOURCE,CARESOURCE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,MEDICAID,MEDICAID,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,MEDICARE,MEDICARE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,NOVA NET,NOVA NET,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,PEACHSTATE,PEACHSTATE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,SELFPAY,SELFPAY,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,TRICARE,TRICARE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW CORTEX 2.4MM,C1713,CPT,both,,,275,275,UHC MEDICARE,UHC MEDICARE,,275,,fee schedule,275,239.25,275,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,AETNA,AETNA,,1224.96,87,percent of total billed charges,1224.96,1224.96,1408,percent of total billed charges,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1224.96,87,percent of total billed charges,1224.96,1224.96,1408,percent of total billed charges,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,UNITED HEALTHCARE,UNITED HEALTHCARE,,1239.04,88,percent of total billed charges,1239.04,1224.96,1408,percent of total billed charges,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,AETNA,AETNA,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,ALLIANT,ALLIANT,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,AMBETTER,AMBETTER,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,BEECH STREET,BEECH STREET,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,CARESOURCE,CARESOURCE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,MEDICAID,MEDICAID,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,MEDICARE,MEDICARE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,NOVA NET,NOVA NET,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,PEACHSTATE,PEACHSTATE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,SELFPAY,SELFPAY,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,TRICARE,TRICARE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HEADLESS 4.0,C1713,CPT,both,,,1408,1408,UHC MEDICARE,UHC MEDICARE,,1408,,fee schedule,1408,1224.96,1408,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,AETNA,AETNA,,167.91,87,percent of total billed charges,167.91,167.91,193,percent of total billed charges,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.91,87,percent of total billed charges,167.91,167.91,193,percent of total billed charges,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,UNITED HEALTHCARE,UNITED HEALTHCARE,,169.84,88,percent of total billed charges,169.84,167.91,193,percent of total billed charges,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,AETNA,AETNA,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,ALLIANT,ALLIANT,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,AMBETTER,AMBETTER,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,BEECH STREET,BEECH STREET,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,CARESOURCE,CARESOURCE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,MEDICAID,MEDICAID,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,MEDICARE,MEDICARE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,NOVA NET,NOVA NET,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,PEACHSTATE,PEACHSTATE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,SELFPAY,SELFPAY,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,TRICARE,TRICARE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW HOLE BLIND INSERT,C1713,CPT,both,,,193,193,UHC MEDICARE,UHC MEDICARE,,193,,fee schedule,193,167.91,193,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,AETNA,AETNA,,646.41,87,percent of total billed charges,646.41,646.41,743,percent of total billed charges,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,646.41,87,percent of total billed charges,646.41,646.41,743,percent of total billed charges,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,UNITED HEALTHCARE,UNITED HEALTHCARE,,653.84,88,percent of total billed charges,653.84,646.41,743,percent of total billed charges,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,AETNA,AETNA,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,ALLIANT,ALLIANT,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,AMBETTER,AMBETTER,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,BEECH STREET,BEECH STREET,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,CARESOURCE,CARESOURCE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,MEDICAID,MEDICAID,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,MEDICARE,MEDICARE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,NOVA NET,NOVA NET,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,PEACHSTATE,PEACHSTATE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,SELFPAY,SELFPAY,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,TRICARE,TRICARE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW KIT TORQUE,C1713,CPT,both,,,743,743,UHC MEDICARE,UHC MEDICARE,,743,,fee schedule,743,646.41,743,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,AETNA,AETNA,,1291.95,87,percent of total billed charges,1291.95,1291.95,1485,percent of total billed charges,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1291.95,87,percent of total billed charges,1291.95,1291.95,1485,percent of total billed charges,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,UNITED HEALTHCARE,UNITED HEALTHCARE,,1306.8,88,percent of total billed charges,1306.8,1291.95,1485,percent of total billed charges,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,AETNA,AETNA,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,ALLIANT,ALLIANT,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,AMBETTER,AMBETTER,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,BEECH STREET,BEECH STREET,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,CARESOURCE,CARESOURCE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,MEDICAID,MEDICAID,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,MEDICARE,MEDICARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,NOVA NET,NOVA NET,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,PEACHSTATE,PEACHSTATE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,SELFPAY,SELFPAY,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,TRICARE,TRICARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1485,1485,UHC MEDICARE,UHC MEDICARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,AETNA,AETNA,,1286.73,87,percent of total billed charges,1286.73,1286.73,1479,percent of total billed charges,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1286.73,87,percent of total billed charges,1286.73,1286.73,1479,percent of total billed charges,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,UNITED HEALTHCARE,UNITED HEALTHCARE,,1301.52,88,percent of total billed charges,1301.52,1286.73,1479,percent of total billed charges,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,AETNA,AETNA,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,ALLIANT,ALLIANT,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,AMBETTER,AMBETTER,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,BEECH STREET,BEECH STREET,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,CARESOURCE,CARESOURCE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,MEDICAID,MEDICAID,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,MEDICARE,MEDICARE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,NOVA NET,NOVA NET,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,PEACHSTATE,PEACHSTATE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,SELFPAY,SELFPAY,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,TRICARE,TRICARE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG 10.5MM,C1713,CPT,both,,,1479,1479,UHC MEDICARE,UHC MEDICARE,,1479,,fee schedule,1479,1286.73,1479,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,AETNA,AETNA,,989.19,87,percent of total billed charges,989.19,989.19,1137,percent of total billed charges,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,989.19,87,percent of total billed charges,989.19,989.19,1137,percent of total billed charges,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,UNITED HEALTHCARE,UNITED HEALTHCARE,,1000.56,88,percent of total billed charges,1000.56,989.19,1137,percent of total billed charges,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,AETNA,AETNA,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,ALLIANT,ALLIANT,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,AMBETTER,AMBETTER,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,BEECH STREET,BEECH STREET,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,CARESOURCE,CARESOURCE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,MEDICAID,MEDICAID,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,MEDICARE,MEDICARE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,NOVA NET,NOVA NET,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,PEACHSTATE,PEACHSTATE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,SELFPAY,SELFPAY,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,TRICARE,TRICARE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LAG DHS 280.305,C1713,CPT,both,,,1137,1137,UHC MEDICARE,UHC MEDICARE,,1137,,fee schedule,1137,989.19,1137,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,AETNA,AETNA,,358.44,87,percent of total billed charges,358.44,358.44,412,percent of total billed charges,
SCREW LOCK,C1713,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358.44,87,percent of total billed charges,358.44,358.44,412,percent of total billed charges,
SCREW LOCK,C1713,CPT,both,,,412,412,UNITED HEALTHCARE,UNITED HEALTHCARE,,362.56,88,percent of total billed charges,362.56,358.44,412,percent of total billed charges,
SCREW LOCK,C1713,CPT,both,,,412,412,AETNA,AETNA,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,ALLIANT,ALLIANT,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,AMBETTER,AMBETTER,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,BEECH STREET,BEECH STREET,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,MEDICAID,MEDICAID,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,MEDICARE,MEDICARE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,NOVA NET,NOVA NET,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,SELFPAY,SELFPAY,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,TRICARE,TRICARE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,412,412,UHC MEDICARE,UHC MEDICARE,,412,,fee schedule,412,358.44,412,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
SCREW LOCK,C1713,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
SCREW LOCK,C1713,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,190.53,219,percent of total billed charges,
SCREW LOCK,C1713,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,ALLIANT,ALLIANT,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,AMBETTER,AMBETTER,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,MEDICARE,MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,TRICARE,TRICARE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK,C1713,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,AETNA,AETNA,,157.47,87,percent of total billed charges,157.47,157.47,181,percent of total billed charges,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157.47,87,percent of total billed charges,157.47,157.47,181,percent of total billed charges,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,UNITED HEALTHCARE,UNITED HEALTHCARE,,159.28,88,percent of total billed charges,159.28,157.47,181,percent of total billed charges,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,AETNA,AETNA,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,ALLIANT,ALLIANT,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,AMBETTER,AMBETTER,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,BEECH STREET,BEECH STREET,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,CARESOURCE,CARESOURCE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,MEDICAID,MEDICAID,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,MEDICARE,MEDICARE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,NOVA NET,NOVA NET,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,PEACHSTATE,PEACHSTATE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,SELFPAY,SELFPAY,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,TRICARE,TRICARE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.5X16,C1713,CPT,both,,,181,181,UHC MEDICARE,UHC MEDICARE,,181,,fee schedule,181,157.47,181,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,211.41,243,percent of total billed charges,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,ALLIANT,ALLIANT,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,AMBETTER,AMBETTER,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,MEDICARE,MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,TRICARE,TRICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X14,C1713,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,211.41,243,percent of total billed charges,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,ALLIANT,ALLIANT,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,AMBETTER,AMBETTER,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,MEDICARE,MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,TRICARE,TRICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK 2.7X18,C1713,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LOCK FTRD 5MM,C1713,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,AETNA,AETNA,,331.47,87,percent of total billed charges,331.47,331.47,381,percent of total billed charges,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331.47,87,percent of total billed charges,331.47,331.47,381,percent of total billed charges,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,UNITED HEALTHCARE,UNITED HEALTHCARE,,335.28,88,percent of total billed charges,335.28,331.47,381,percent of total billed charges,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,AETNA,AETNA,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,ALLIANT,ALLIANT,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,AMBETTER,AMBETTER,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,BEECH STREET,BEECH STREET,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,MEDICAID,MEDICAID,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,MEDICARE,MEDICARE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,NOVA NET,NOVA NET,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,SELFPAY,SELFPAY,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,TRICARE,TRICARE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW LORENZ 01-7312,C1713,CPT,both,,,381,381,UHC MEDICARE,UHC MEDICARE,,381,,fee schedule,381,331.47,381,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,AETNA,AETNA,,1974.03,87,percent of total billed charges,1974.03,1974.03,2269,percent of total billed charges,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1974.03,87,percent of total billed charges,1974.03,1974.03,2269,percent of total billed charges,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,UNITED HEALTHCARE,UNITED HEALTHCARE,,1996.72,88,percent of total billed charges,1996.72,1974.03,2269,percent of total billed charges,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,AETNA,AETNA,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,ALLIANT,ALLIANT,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,AMBETTER,AMBETTER,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,BEECH STREET,BEECH STREET,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,CARESOURCE,CARESOURCE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,MEDICAID,MEDICAID,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,MEDICARE,MEDICARE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,NOVA NET,NOVA NET,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,PEACHSTATE,PEACHSTATE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,SELFPAY,SELFPAY,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,TRICARE,TRICARE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAS LEGACY,C1713,CPT,both,,,2269,2269,UHC MEDICARE,UHC MEDICARE,,2269,,fee schedule,2269,1974.03,2269,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,AETNA,AETNA,,986.58,87,percent of total billed charges,986.58,986.58,1134,percent of total billed charges,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,986.58,87,percent of total billed charges,986.58,986.58,1134,percent of total billed charges,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,UNITED HEALTHCARE,UNITED HEALTHCARE,,997.92,88,percent of total billed charges,997.92,986.58,1134,percent of total billed charges,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,AETNA,AETNA,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,ALLIANT,ALLIANT,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,AMBETTER,AMBETTER,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,BEECH STREET,BEECH STREET,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,CARESOURCE,CARESOURCE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,MEDICAID,MEDICAID,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,MEDICARE,MEDICARE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,NOVA NET,NOVA NET,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,PEACHSTATE,PEACHSTATE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,SELFPAY,SELFPAY,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,TRICARE,TRICARE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MAX VPC 3.4MM,C1713,CPT,both,,,1134,1134,UHC MEDICARE,UHC MEDICARE,,1134,,fee schedule,1134,986.58,1134,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,AETNA,AETNA,,1783.5,87,percent of total billed charges,1783.5,1783.5,2050,percent of total billed charges,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1783.5,87,percent of total billed charges,1783.5,1783.5,2050,percent of total billed charges,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,UNITED HEALTHCARE,UNITED HEALTHCARE,,1804,88,percent of total billed charges,1804,1783.5,2050,percent of total billed charges,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,AETNA,AETNA,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,ALLIANT,ALLIANT,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,AMBETTER,AMBETTER,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,BEECH STREET,BEECH STREET,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,CARESOURCE,CARESOURCE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,MEDICAID,MEDICAID,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,MEDICARE,MEDICARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,NOVA NET,NOVA NET,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,PEACHSTATE,PEACHSTATE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,SELFPAY,SELFPAY,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,TRICARE,TRICARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MIRUS MEDIAL SPINE,C1713,CPT,both,,,2050,2050,UHC MEDICARE,UHC MEDICARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,AETNA,AETNA,,475.89,87,percent of total billed charges,475.89,475.89,547,percent of total billed charges,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,475.89,87,percent of total billed charges,475.89,475.89,547,percent of total billed charges,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,UNITED HEALTHCARE,UNITED HEALTHCARE,,481.36,88,percent of total billed charges,481.36,475.89,547,percent of total billed charges,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,AETNA,AETNA,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,ALLIANT,ALLIANT,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,AMBETTER,AMBETTER,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,BEECH STREET,BEECH STREET,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,CARESOURCE,CARESOURCE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,MEDICAID,MEDICAID,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,MEDICARE,MEDICARE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,NOVA NET,NOVA NET,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,PEACHSTATE,PEACHSTATE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,SELFPAY,SELFPAY,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,TRICARE,TRICARE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW MULTI-DIR COCR 3.5MM,C1713,CPT,both,,,547,547,UHC MEDICARE,UHC MEDICARE,,547,,fee schedule,547,475.89,547,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,167.04,192,percent of total billed charges,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,167.04,192,percent of total billed charges,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,167.04,192,percent of total billed charges,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,ALLIANT,ALLIANT,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,AMBETTER,AMBETTER,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,MEDICARE,MEDICARE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,TRICARE,TRICARE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW NLOCK 2.6X26,C1713,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,192,,fee schedule,192,167.04,192,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,AETNA,AETNA,,2282.01,87,percent of total billed charges,2282.01,2282.01,2623,percent of total billed charges,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2282.01,87,percent of total billed charges,2282.01,2282.01,2623,percent of total billed charges,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,UNITED HEALTHCARE,UNITED HEALTHCARE,,2308.24,88,percent of total billed charges,2308.24,2282.01,2623,percent of total billed charges,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,AETNA,AETNA,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,ALLIANT,ALLIANT,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,AMBETTER,AMBETTER,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,BEECH STREET,BEECH STREET,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,CARESOURCE,CARESOURCE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,MEDICAID,MEDICAID,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,MEDICARE,MEDICARE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,NOVA NET,NOVA NET,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,PEACHSTATE,PEACHSTATE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,SELFPAY,SELFPAY,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,TRICARE,TRICARE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW PED CANN,C1713,CPT,both,,,2623,2623,UHC MEDICARE,UHC MEDICARE,,2623,,fee schedule,2623,2282.01,2623,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,AETNA,AETNA,,882.18,87,percent of total billed charges,882.18,882.18,1014,percent of total billed charges,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,882.18,87,percent of total billed charges,882.18,882.18,1014,percent of total billed charges,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,UNITED HEALTHCARE,UNITED HEALTHCARE,,892.32,88,percent of total billed charges,892.32,882.18,1014,percent of total billed charges,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,AETNA,AETNA,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,ALLIANT,ALLIANT,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,AMBETTER,AMBETTER,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,BEECH STREET,BEECH STREET,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,CARESOURCE,CARESOURCE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,MEDICAID,MEDICAID,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,MEDICARE,MEDICARE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,NOVA NET,NOVA NET,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,PEACHSTATE,PEACHSTATE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,SELFPAY,SELFPAY,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,TRICARE,TRICARE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW POST PLUG 4.9,C1713,CPT,both,,,1014,1014,UHC MEDICARE,UHC MEDICARE,,1014,,fee schedule,1014,882.18,1014,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,AETNA,AETNA,,303.63,87,percent of total billed charges,303.63,303.63,349,percent of total billed charges,
SCREW SEASPINE,C1713,CPT,both,,,349,349,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,303.63,87,percent of total billed charges,303.63,303.63,349,percent of total billed charges,
SCREW SEASPINE,C1713,CPT,both,,,349,349,UNITED HEALTHCARE,UNITED HEALTHCARE,,307.12,88,percent of total billed charges,307.12,303.63,349,percent of total billed charges,
SCREW SEASPINE,C1713,CPT,both,,,349,349,AETNA,AETNA,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,ALLIANT,ALLIANT,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,AMBETTER,AMBETTER,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,BEECH STREET,BEECH STREET,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,CARESOURCE,CARESOURCE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,MEDICAID,MEDICAID,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,MEDICARE,MEDICARE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,NOVA NET,NOVA NET,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,PEACHSTATE,PEACHSTATE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,SELFPAY,SELFPAY,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,TRICARE,TRICARE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SEASPINE,C1713,CPT,both,,,349,349,UHC MEDICARE,UHC MEDICARE,,349,,fee schedule,349,303.63,349,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,AETNA,AETNA,,187.92,87,percent of total billed charges,187.92,187.92,216,percent of total billed charges,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.92,87,percent of total billed charges,187.92,187.92,216,percent of total billed charges,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.08,88,percent of total billed charges,190.08,187.92,216,percent of total billed charges,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,AETNA,AETNA,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,ALLIANT,ALLIANT,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,AMBETTER,AMBETTER,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,BEECH STREET,BEECH STREET,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,CARESOURCE,CARESOURCE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,MEDICAID,MEDICAID,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,MEDICARE,MEDICARE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,NOVA NET,NOVA NET,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,PEACHSTATE,PEACHSTATE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,SELFPAY,SELFPAY,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,TRICARE,TRICARE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SET SEASPINE,C1713,CPT,both,,,216,216,UHC MEDICARE,UHC MEDICARE,,216,,fee schedule,216,187.92,216,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 5.5X40,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA 7.5X44,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 5.5X45,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAS 54840005535,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X25,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X30,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X35,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X40,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2120.19,87,percent of total billed charges,2120.19,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,UNITED HEALTHCARE,UNITED HEALTHCARE,,2144.56,88,percent of total billed charges,2144.56,2120.19,2437,percent of total billed charges,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,AETNA,AETNA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,ALLIANT,ALLIANT,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,AMBETTER,AMBETTER,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,BEECH STREET,BEECH STREET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,CARESOURCE,CARESOURCE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,MEDICAID,MEDICAID,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,MEDICARE,MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,NOVA NET,NOVA NET,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,PEACHSTATE,PEACHSTATE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,SELFPAY,SELFPAY,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,TRICARE,TRICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW SOLERA MAX 6.5X45,C1713,CPT,both,,,2437,2437,UHC MEDICARE,UHC MEDICARE,,2437,,fee schedule,2437,2120.19,2437,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,AETNA,AETNA,,903.93,87,percent of total billed charges,903.93,903.93,1039,percent of total billed charges,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,903.93,87,percent of total billed charges,903.93,903.93,1039,percent of total billed charges,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,UNITED HEALTHCARE,UNITED HEALTHCARE,,914.32,88,percent of total billed charges,914.32,903.93,1039,percent of total billed charges,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,AETNA,AETNA,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,ALLIANT,ALLIANT,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,AMBETTER,AMBETTER,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,BEECH STREET,BEECH STREET,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,CARESOURCE,CARESOURCE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,MEDICAID,MEDICAID,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,MEDICARE,MEDICARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,NOVA NET,NOVA NET,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,PEACHSTATE,PEACHSTATE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,SELFPAY,SELFPAY,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,TRICARE,TRICARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VA SD 5MM,C1713,CPT,both,,,1039,1039,UHC MEDICARE,UHC MEDICARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,AETNA,AETNA,,306.24,87,percent of total billed charges,306.24,306.24,352,percent of total billed charges,
SCREW VARIABLE,C1713,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306.24,87,percent of total billed charges,306.24,306.24,352,percent of total billed charges,
SCREW VARIABLE,C1713,CPT,both,,,352,352,UNITED HEALTHCARE,UNITED HEALTHCARE,,309.76,88,percent of total billed charges,309.76,306.24,352,percent of total billed charges,
SCREW VARIABLE,C1713,CPT,both,,,352,352,AETNA,AETNA,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,ALLIANT,ALLIANT,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,AMBETTER,AMBETTER,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,BEECH STREET,BEECH STREET,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,MEDICAID,MEDICAID,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,MEDICARE,MEDICARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,NOVA NET,NOVA NET,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,SELFPAY,SELFPAY,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,TRICARE,TRICARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW VARIABLE,C1713,CPT,both,,,352,352,UHC MEDICARE,UHC MEDICARE,,352,,fee schedule,352,306.24,352,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
SCREW WASHER,C1713,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
SCREW WASHER,C1713,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,60.9,70,percent of total billed charges,
SCREW WASHER,C1713,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW WASHER,C1713,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,AETNA,AETNA,,442.83,87,percent of total billed charges,442.83,442.83,509,percent of total billed charges,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,442.83,87,percent of total billed charges,442.83,442.83,509,percent of total billed charges,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,UNITED HEALTHCARE,UNITED HEALTHCARE,,447.92,88,percent of total billed charges,447.92,442.83,509,percent of total billed charges,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,AETNA,AETNA,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,ALLIANT,ALLIANT,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,AMBETTER,AMBETTER,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,BEECH STREET,BEECH STREET,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,CARESOURCE,CARESOURCE,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,MEDICAID,MEDICAID,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,MEDICARE,MEDICARE,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,NOVA NET,NOVA NET,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,PEACHSTATE,PEACHSTATE,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,SELFPAY,SELFPAY,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,TRICARE,TRICARE,,509,,fee schedule,509,442.83,509,fee schedule,
SCREW~SPINEWAVE,C1713,CPT,both,,,509,509,UHC MEDICARE,UHC MEDICARE,,509,,fee schedule,509,442.83,509,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,AETNA,AETNA,,6438.87,87,percent of total billed charges,6438.87,6438.87,7401,percent of total billed charges,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6438.87,87,percent of total billed charges,6438.87,6438.87,7401,percent of total billed charges,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,UNITED HEALTHCARE,UNITED HEALTHCARE,,6512.88,88,percent of total billed charges,6512.88,6438.87,7401,percent of total billed charges,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,AETNA,AETNA,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,ALLIANT,ALLIANT,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,AMBETTER,AMBETTER,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,BEECH STREET,BEECH STREET,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,CARESOURCE,CARESOURCE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,MEDICAID,MEDICAID,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,MEDICARE,MEDICARE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,NOVA NET,NOVA NET,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,PEACHSTATE,PEACHSTATE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,SELFPAY,SELFPAY,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,TRICARE,TRICARE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE BUTTRESS PLATE,C1713,CPT,both,,,7401,7401,UHC MEDICARE,UHC MEDICARE,,7401,,fee schedule,7401,6438.87,7401,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,AETNA,AETNA,,1900.95,87,percent of total billed charges,1900.95,1900.95,2185,percent of total billed charges,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1900.95,87,percent of total billed charges,1900.95,1900.95,2185,percent of total billed charges,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,UNITED HEALTHCARE,UNITED HEALTHCARE,,1922.8,88,percent of total billed charges,1922.8,1900.95,2185,percent of total billed charges,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,AETNA,AETNA,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,ALLIANT,ALLIANT,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,AMBETTER,AMBETTER,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,BEECH STREET,BEECH STREET,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,CARESOURCE,CARESOURCE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,MEDICAID,MEDICAID,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,MEDICARE,MEDICARE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,NOVA NET,NOVA NET,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,PEACHSTATE,PEACHSTATE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,SELFPAY,SELFPAY,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,TRICARE,TRICARE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SEASPINE SCREW,C1713,CPT,both,,,2185,2185,UHC MEDICARE,UHC MEDICARE,,2185,,fee schedule,2185,1900.95,2185,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,AETNA,AETNA,,3225.96,87,percent of total billed charges,3225.96,3225.96,3708,percent of total billed charges,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3225.96,87,percent of total billed charges,3225.96,3225.96,3708,percent of total billed charges,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,UNITED HEALTHCARE,UNITED HEALTHCARE,,3263.04,88,percent of total billed charges,3263.04,3225.96,3708,percent of total billed charges,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,AETNA,AETNA,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,ALLIANT,ALLIANT,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,AMBETTER,AMBETTER,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,BEECH STREET,BEECH STREET,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,CARESOURCE,CARESOURCE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,MEDICAID,MEDICAID,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,MEDICARE,MEDICARE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,NOVA NET,NOVA NET,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,PEACHSTATE,PEACHSTATE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,SELFPAY,SELFPAY,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,TRICARE,TRICARE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SHORT RIGHT MTP FUSION PLATE,C1713,CPT,both,,,3708,3708,UHC MEDICARE,UHC MEDICARE,,3708,,fee schedule,3708,3225.96,3708,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,AETNA,AETNA,,6638.1,87,percent of total billed charges,6638.1,6638.1,7630,percent of total billed charges,
SLEEVE,C1713,CPT,both,,,7630,7630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6638.1,87,percent of total billed charges,6638.1,6638.1,7630,percent of total billed charges,
SLEEVE,C1713,CPT,both,,,7630,7630,UNITED HEALTHCARE,UNITED HEALTHCARE,,6714.4,88,percent of total billed charges,6714.4,6638.1,7630,percent of total billed charges,
SLEEVE,C1713,CPT,both,,,7630,7630,AETNA,AETNA,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,ALLIANT,ALLIANT,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,AMBETTER,AMBETTER,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,BEECH STREET,BEECH STREET,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,CARESOURCE,CARESOURCE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,MEDICAID,MEDICAID,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,MEDICARE,MEDICARE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,NOVA NET,NOVA NET,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,PEACHSTATE,PEACHSTATE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,SELFPAY,SELFPAY,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,TRICARE,TRICARE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE,C1713,CPT,both,,,7630,7630,UHC MEDICARE,UHC MEDICARE,,7630,,fee schedule,7630,6638.1,7630,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,AETNA,AETNA,,7616.85,87,percent of total billed charges,7616.85,7616.85,8755,percent of total billed charges,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7616.85,87,percent of total billed charges,7616.85,7616.85,8755,percent of total billed charges,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,UNITED HEALTHCARE,UNITED HEALTHCARE,,7704.4,88,percent of total billed charges,7704.4,7616.85,8755,percent of total billed charges,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,AETNA,AETNA,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,ALLIANT,ALLIANT,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,AMBETTER,AMBETTER,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,BEECH STREET,BEECH STREET,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,CARESOURCE,CARESOURCE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,MEDICAID,MEDICAID,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,MEDICARE,MEDICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,NOVA NET,NOVA NET,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,PEACHSTATE,PEACHSTATE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,SELFPAY,SELFPAY,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,TRICARE,TRICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SLEEVE FEM,C1713,CPT,both,,,8755,8755,UHC MEDICARE,UHC MEDICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,AETNA,AETNA,,12608.04,87,percent of total billed charges,12608.04,12608.04,14492,percent of total billed charges,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12608.04,87,percent of total billed charges,12608.04,12608.04,14492,percent of total billed charges,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,UNITED HEALTHCARE,UNITED HEALTHCARE,,12752.96,88,percent of total billed charges,12752.96,12608.04,14492,percent of total billed charges,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,AETNA,AETNA,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,ALLIANT,ALLIANT,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,AMBETTER,AMBETTER,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,BEECH STREET,BEECH STREET,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,CARESOURCE,CARESOURCE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,MEDICAID,MEDICAID,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,MEDICARE,MEDICARE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,NOVA NET,NOVA NET,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,PEACHSTATE,PEACHSTATE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,SELFPAY,SELFPAY,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,TRICARE,TRICARE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPACER MOD~ANT INTBDY SYSTEM,C1713,CPT,both,,,14492,14492,UHC MEDICARE,UHC MEDICARE,,14492,,fee schedule,14492,12608.04,14492,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,AETNA,AETNA,,3207.69,87,percent of total billed charges,3207.69,3207.69,3687,percent of total billed charges,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3207.69,87,percent of total billed charges,3207.69,3207.69,3687,percent of total billed charges,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,UNITED HEALTHCARE,UNITED HEALTHCARE,,3244.56,88,percent of total billed charges,3244.56,3207.69,3687,percent of total billed charges,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,AETNA,AETNA,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,ALLIANT,ALLIANT,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,AMBETTER,AMBETTER,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,BEECH STREET,BEECH STREET,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,CARESOURCE,CARESOURCE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,MEDICAID,MEDICAID,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,MEDICARE,MEDICARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,NOVA NET,NOVA NET,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,PEACHSTATE,PEACHSTATE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,SELFPAY,SELFPAY,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,TRICARE,TRICARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH PLATE,C1713,CPT,both,,,3687,3687,UHC MEDICARE,UHC MEDICARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,AETNA,AETNA,,639.45,87,percent of total billed charges,639.45,639.45,735,percent of total billed charges,
SPINETECH SCREW,C1713,CPT,both,,,735,735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,639.45,87,percent of total billed charges,639.45,639.45,735,percent of total billed charges,
SPINETECH SCREW,C1713,CPT,both,,,735,735,UNITED HEALTHCARE,UNITED HEALTHCARE,,646.8,88,percent of total billed charges,646.8,639.45,735,percent of total billed charges,
SPINETECH SCREW,C1713,CPT,both,,,735,735,AETNA,AETNA,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,ALLIANT,ALLIANT,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,AMBETTER,AMBETTER,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,BEECH STREET,BEECH STREET,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,CARESOURCE,CARESOURCE,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,MEDICAID,MEDICAID,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,MEDICARE,MEDICARE,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,NOVA NET,NOVA NET,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,PEACHSTATE,PEACHSTATE,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,SELFPAY,SELFPAY,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,TRICARE,TRICARE,,735,,fee schedule,735,639.45,735,fee schedule,
SPINETECH SCREW,C1713,CPT,both,,,735,735,UHC MEDICARE,UHC MEDICARE,,735,,fee schedule,735,639.45,735,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,AETNA,AETNA,,1018.77,87,percent of total billed charges,1018.77,1018.77,1171,percent of total billed charges,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1018.77,87,percent of total billed charges,1018.77,1018.77,1171,percent of total billed charges,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,UNITED HEALTHCARE,UNITED HEALTHCARE,,1030.48,88,percent of total billed charges,1030.48,1018.77,1171,percent of total billed charges,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,AETNA,AETNA,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,ALLIANT,ALLIANT,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,AMBETTER,AMBETTER,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,BEECH STREET,BEECH STREET,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,CARESOURCE,CARESOURCE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,MEDICAID,MEDICAID,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,MEDICARE,MEDICARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,NOVA NET,NOVA NET,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,PEACHSTATE,PEACHSTATE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,SELFPAY,SELFPAY,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,TRICARE,TRICARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STA-GRAFT DBM PUTTY,C1713,CPT,both,,,1171,1171,UHC MEDICARE,UHC MEDICARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,AETNA,AETNA,,5824.65,87,percent of total billed charges,5824.65,5824.65,6695,percent of total billed charges,
STAPLE KIT,C1713,CPT,both,,,6695,6695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5824.65,87,percent of total billed charges,5824.65,5824.65,6695,percent of total billed charges,
STAPLE KIT,C1713,CPT,both,,,6695,6695,UNITED HEALTHCARE,UNITED HEALTHCARE,,5891.6,88,percent of total billed charges,5891.6,5824.65,6695,percent of total billed charges,
STAPLE KIT,C1713,CPT,both,,,6695,6695,AETNA,AETNA,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,ALLIANT,ALLIANT,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,AMBETTER,AMBETTER,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,BEECH STREET,BEECH STREET,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,CARESOURCE,CARESOURCE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,MEDICAID,MEDICAID,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,MEDICARE,MEDICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,NOVA NET,NOVA NET,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,PEACHSTATE,PEACHSTATE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,SELFPAY,SELFPAY,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,TRICARE,TRICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE KIT,C1713,CPT,both,,,6695,6695,UHC MEDICARE,UHC MEDICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,AETNA,AETNA,,1616.46,87,percent of total billed charges,1616.46,1616.46,1858,percent of total billed charges,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1616.46,87,percent of total billed charges,1616.46,1616.46,1858,percent of total billed charges,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,UNITED HEALTHCARE,UNITED HEALTHCARE,,1635.04,88,percent of total billed charges,1635.04,1616.46,1858,percent of total billed charges,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,AETNA,AETNA,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,ALLIANT,ALLIANT,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,AMBETTER,AMBETTER,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,BEECH STREET,BEECH STREET,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,CARESOURCE,CARESOURCE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,MEDICAID,MEDICAID,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,MEDICARE,MEDICARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,NOVA NET,NOVA NET,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,PEACHSTATE,PEACHSTATE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,SELFPAY,SELFPAY,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,TRICARE,TRICARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STAPLE PROCEDURE KIT,C1713,CPT,both,,,1858,1858,UHC MEDICARE,UHC MEDICARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,454.14,522,percent of total billed charges,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,454.14,522,percent of total billed charges,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,454.14,522,percent of total billed charges,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,ALLIANT,ALLIANT,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,AMBETTER,AMBETTER,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,MEDICARE,MEDICARE,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,TRICARE,TRICARE,,522,,fee schedule,522,454.14,522,fee schedule,
STATAK SUTURE ANCHORS,C1713,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,522,,fee schedule,522,454.14,522,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,70.47,81,percent of total billed charges,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,70.47,81,percent of total billed charges,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,70.47,81,percent of total billed charges,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,70.47,81,fee schedule,
STEIMAN INS 5/64-9IN 262-,C1713,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,70.47,81,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
STEINMAN PINS,C1713,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
STEINMAN PINS,C1713,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
STEINMAN PINS,C1713,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
STEINMAN PINS,C1713,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,AETNA,AETNA,,8774.82,87,percent of total billed charges,8774.82,8774.82,10086,percent of total billed charges,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8774.82,87,percent of total billed charges,8774.82,8774.82,10086,percent of total billed charges,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,UNITED HEALTHCARE,UNITED HEALTHCARE,,8875.68,88,percent of total billed charges,8875.68,8774.82,10086,percent of total billed charges,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,AETNA,AETNA,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,ALLIANT,ALLIANT,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,AMBETTER,AMBETTER,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,BEECH STREET,BEECH STREET,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,CARESOURCE,CARESOURCE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,MEDICAID,MEDICAID,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,MEDICARE,MEDICARE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,NOVA NET,NOVA NET,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,PEACHSTATE,PEACHSTATE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,SELFPAY,SELFPAY,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,TRICARE,TRICARE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM HIP SZ 1 105MM,C1713,CPT,both,,,10086,10086,UHC MEDICARE,UHC MEDICARE,,10086,,fee schedule,10086,8774.82,10086,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,AETNA,AETNA,,3553.95,87,percent of total billed charges,3553.95,3553.95,4085,percent of total billed charges,
STEM J07F51,C1713,CPT,both,,,4085,4085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3553.95,87,percent of total billed charges,3553.95,3553.95,4085,percent of total billed charges,
STEM J07F51,C1713,CPT,both,,,4085,4085,UNITED HEALTHCARE,UNITED HEALTHCARE,,3594.8,88,percent of total billed charges,3594.8,3553.95,4085,percent of total billed charges,
STEM J07F51,C1713,CPT,both,,,4085,4085,AETNA,AETNA,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,ALLIANT,ALLIANT,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,AMBETTER,AMBETTER,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,BEECH STREET,BEECH STREET,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,CARESOURCE,CARESOURCE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,MEDICAID,MEDICAID,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,MEDICARE,MEDICARE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,NOVA NET,NOVA NET,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,PEACHSTATE,PEACHSTATE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,SELFPAY,SELFPAY,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,TRICARE,TRICARE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM J07F51,C1713,CPT,both,,,4085,4085,UHC MEDICARE,UHC MEDICARE,,4085,,fee schedule,4085,3553.95,4085,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,AETNA,AETNA,,3809.73,87,percent of total billed charges,3809.73,3809.73,4379,percent of total billed charges,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3809.73,87,percent of total billed charges,3809.73,3809.73,4379,percent of total billed charges,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,UNITED HEALTHCARE,UNITED HEALTHCARE,,3853.52,88,percent of total billed charges,3853.52,3809.73,4379,percent of total billed charges,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,AETNA,AETNA,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,ALLIANT,ALLIANT,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,AMBETTER,AMBETTER,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,BEECH STREET,BEECH STREET,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,CARESOURCE,CARESOURCE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,MEDICAID,MEDICAID,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,MEDICARE,MEDICARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,NOVA NET,NOVA NET,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,PEACHSTATE,PEACHSTATE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,SELFPAY,SELFPAY,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,TRICARE,TRICARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X14,C1713,CPT,both,,,4379,4379,UHC MEDICARE,UHC MEDICARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,AETNA,AETNA,,3809.73,87,percent of total billed charges,3809.73,3809.73,4379,percent of total billed charges,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3809.73,87,percent of total billed charges,3809.73,3809.73,4379,percent of total billed charges,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,UNITED HEALTHCARE,UNITED HEALTHCARE,,3853.52,88,percent of total billed charges,3853.52,3809.73,4379,percent of total billed charges,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,AETNA,AETNA,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,ALLIANT,ALLIANT,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,AMBETTER,AMBETTER,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,BEECH STREET,BEECH STREET,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,CARESOURCE,CARESOURCE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,MEDICAID,MEDICAID,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,MEDICARE,MEDICARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,NOVA NET,NOVA NET,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,PEACHSTATE,PEACHSTATE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,SELFPAY,SELFPAY,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,TRICARE,TRICARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STEM UNIVERSAL FLUTED 75X16,C1713,CPT,both,,,4379,4379,UHC MEDICARE,UHC MEDICARE,,4379,,fee schedule,4379,3809.73,4379,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,AETNA,AETNA,,2132.37,87,percent of total billed charges,2132.37,2132.37,2451,percent of total billed charges,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2132.37,87,percent of total billed charges,2132.37,2132.37,2451,percent of total billed charges,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,UNITED HEALTHCARE,UNITED HEALTHCARE,,2156.88,88,percent of total billed charges,2156.88,2132.37,2451,percent of total billed charges,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,AETNA,AETNA,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,ALLIANT,ALLIANT,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,AMBETTER,AMBETTER,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,BEECH STREET,BEECH STREET,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,CARESOURCE,CARESOURCE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,MEDICAID,MEDICAID,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,MEDICARE,MEDICARE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,NOVA NET,NOVA NET,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,PEACHSTATE,PEACHSTATE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,SELFPAY,SELFPAY,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,TRICARE,TRICARE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STIMUBLAST 5CC,C1713,CPT,both,,,2451,2451,UHC MEDICARE,UHC MEDICARE,,2451,,fee schedule,2451,2132.37,2451,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,AETNA,AETNA,,5496.66,87,percent of total billed charges,5496.66,5496.66,6318,percent of total billed charges,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5496.66,87,percent of total billed charges,5496.66,5496.66,6318,percent of total billed charges,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,UNITED HEALTHCARE,UNITED HEALTHCARE,,5559.84,88,percent of total billed charges,5559.84,5496.66,6318,percent of total billed charges,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,AETNA,AETNA,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,ALLIANT,ALLIANT,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,AMBETTER,AMBETTER,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,BEECH STREET,BEECH STREET,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,CARESOURCE,CARESOURCE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,MEDICAID,MEDICAID,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,MEDICARE,MEDICARE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,NOVA NET,NOVA NET,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,PEACHSTATE,PEACHSTATE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,SELFPAY,SELFPAY,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,TRICARE,TRICARE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKE PROX LAT HUMER PLATE,C1713,CPT,both,,,6318,6318,UHC MEDICARE,UHC MEDICARE,,6318,,fee schedule,6318,5496.66,6318,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,264.48,304,percent of total billed charges,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER  COUNTERSINK,C1713,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,AETNA,AETNA,,665.55,87,percent of total billed charges,665.55,665.55,765,percent of total billed charges,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,665.55,87,percent of total billed charges,665.55,665.55,765,percent of total billed charges,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,UNITED HEALTHCARE,UNITED HEALTHCARE,,673.2,88,percent of total billed charges,673.2,665.55,765,percent of total billed charges,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,AETNA,AETNA,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,ALLIANT,ALLIANT,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,AMBETTER,AMBETTER,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,BEECH STREET,BEECH STREET,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,CARESOURCE,CARESOURCE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,MEDICAID,MEDICAID,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,MEDICARE,MEDICARE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,NOVA NET,NOVA NET,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,PEACHSTATE,PEACHSTATE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,SELFPAY,SELFPAY,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,TRICARE,TRICARE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 L LOCKING HAN,C1713,CPT,both,,,765,765,UHC MEDICARE,UHC MEDICARE,,765,,fee schedule,765,665.55,765,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,218.37,251,percent of total billed charges,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,218.37,251,percent of total billed charges,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,218.37,251,percent of total billed charges,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,ALLIANT,ALLIANT,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,AMBETTER,AMBETTER,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,MEDICARE,MEDICARE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,TRICARE,TRICARE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 NO LOCK SCREW,C1713,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,251,,fee schedule,251,218.37,251,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,AETNA,AETNA,,830.85,87,percent of total billed charges,830.85,830.85,955,percent of total billed charges,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,830.85,87,percent of total billed charges,830.85,830.85,955,percent of total billed charges,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,UNITED HEALTHCARE,UNITED HEALTHCARE,,840.4,88,percent of total billed charges,840.4,830.85,955,percent of total billed charges,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,AETNA,AETNA,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,ALLIANT,ALLIANT,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,AMBETTER,AMBETTER,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,BEECH STREET,BEECH STREET,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,CARESOURCE,CARESOURCE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,MEDICAID,MEDICAID,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,MEDICARE,MEDICARE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,NOVA NET,NOVA NET,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,PEACHSTATE,PEACHSTATE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,SELFPAY,SELFPAY,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,TRICARE,TRICARE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1.7 STR LOCK HAND,C1713,CPT,both,,,955,955,UHC MEDICARE,UHC MEDICARE,,955,,fee schedule,955,830.85,955,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,AETNA,AETNA,,1559.91,87,percent of total billed charges,1559.91,1559.91,1793,percent of total billed charges,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1559.91,87,percent of total billed charges,1559.91,1559.91,1793,percent of total billed charges,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,UNITED HEALTHCARE,UNITED HEALTHCARE,,1577.84,88,percent of total billed charges,1577.84,1559.91,1793,percent of total billed charges,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,AETNA,AETNA,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,ALLIANT,ALLIANT,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,AMBETTER,AMBETTER,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,BEECH STREET,BEECH STREET,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,CARESOURCE,CARESOURCE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,MEDICAID,MEDICAID,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,MEDICARE,MEDICARE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,NOVA NET,NOVA NET,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,PEACHSTATE,PEACHSTATE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,SELFPAY,SELFPAY,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,TRICARE,TRICARE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 1/3 TUBUALAR PLAT,C1713,CPT,both,,,1793,1793,UHC MEDICARE,UHC MEDICARE,,1793,,fee schedule,1793,1559.91,1793,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,AETNA,AETNA,,1126.65,87,percent of total billed charges,1126.65,1126.65,1295,percent of total billed charges,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1126.65,87,percent of total billed charges,1126.65,1126.65,1295,percent of total billed charges,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,UNITED HEALTHCARE,UNITED HEALTHCARE,,1139.6,88,percent of total billed charges,1139.6,1126.65,1295,percent of total billed charges,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,AETNA,AETNA,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,ALLIANT,ALLIANT,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,AMBETTER,AMBETTER,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,BEECH STREET,BEECH STREET,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,CARESOURCE,CARESOURCE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,MEDICAID,MEDICAID,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,MEDICARE,MEDICARE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,NOVA NET,NOVA NET,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,PEACHSTATE,PEACHSTATE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,SELFPAY,SELFPAY,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,TRICARE,TRICARE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CABLE/SLEEVE,C1713,CPT,both,,,1295,1295,UHC MEDICARE,UHC MEDICARE,,1295,,fee schedule,1295,1126.65,1295,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CAN SCREW BLD,C1713,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,AETNA,AETNA,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,UNITED HEALTHCARE,UNITED HEALTHCARE,,428.56,88,percent of total billed charges,428.56,423.69,487,percent of total billed charges,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,AETNA,AETNA,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,ALLIANT,ALLIANT,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,AMBETTER,AMBETTER,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,BEECH STREET,BEECH STREET,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,CARESOURCE,CARESOURCE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,MEDICAID,MEDICAID,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,MEDICARE,MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,NOVA NET,NOVA NET,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,PEACHSTATE,PEACHSTATE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,SELFPAY,SELFPAY,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,TRICARE,TRICARE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.0 CANNUL SCREW,C1713,CPT,both,,,487,487,UHC MEDICARE,UHC MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,AETNA,AETNA,,1787.85,87,percent of total billed charges,1787.85,1787.85,2055,percent of total billed charges,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1787.85,87,percent of total billed charges,1787.85,1787.85,2055,percent of total billed charges,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,UNITED HEALTHCARE,UNITED HEALTHCARE,,1808.4,88,percent of total billed charges,1808.4,1787.85,2055,percent of total billed charges,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,AETNA,AETNA,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,ALLIANT,ALLIANT,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,AMBETTER,AMBETTER,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,BEECH STREET,BEECH STREET,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,CARESOURCE,CARESOURCE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,MEDICAID,MEDICAID,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,MEDICARE,MEDICARE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,NOVA NET,NOVA NET,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,PEACHSTATE,PEACHSTATE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,SELFPAY,SELFPAY,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,TRICARE,TRICARE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK ROTATN P,C1713,CPT,both,,,2055,2055,UHC MEDICARE,UHC MEDICARE,,2055,,fee schedule,2055,1787.85,2055,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,250.56,288,percent of total billed charges,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,250.56,288,percent of total billed charges,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,250.56,288,percent of total billed charges,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,ALLIANT,ALLIANT,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,AMBETTER,AMBETTER,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,MEDICARE,MEDICARE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,TRICARE,TRICARE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK SCREW,C1713,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,288,,fee schedule,288,250.56,288,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,AETNA,AETNA,,1245.84,87,percent of total billed charges,1245.84,1245.84,1432,percent of total billed charges,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1245.84,87,percent of total billed charges,1245.84,1245.84,1432,percent of total billed charges,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,UNITED HEALTHCARE,UNITED HEALTHCARE,,1260.16,88,percent of total billed charges,1260.16,1245.84,1432,percent of total billed charges,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,AETNA,AETNA,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,ALLIANT,ALLIANT,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,AMBETTER,AMBETTER,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,BEECH STREET,BEECH STREET,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,CARESOURCE,CARESOURCE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,MEDICAID,MEDICAID,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,MEDICARE,MEDICARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,NOVA NET,NOVA NET,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,PEACHSTATE,PEACHSTATE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,SELFPAY,SELFPAY,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,TRICARE,TRICARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 LOCK Z HAND P,C1713,CPT,both,,,1432,1432,UHC MEDICARE,UHC MEDICARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,138.33,159,percent of total billed charges,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,138.33,159,percent of total billed charges,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,138.33,159,percent of total billed charges,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,ALLIANT,ALLIANT,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,AMBETTER,AMBETTER,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,MEDICARE,MEDICARE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,TRICARE,TRICARE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3 NO LOCK SCREW,C1713,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,159,,fee schedule,159,138.33,159,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,183.57,211,percent of total billed charges,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,ALLIANT,ALLIANT,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,AMBETTER,AMBETTER,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,MEDICARE,MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,TRICARE,TRICARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.3X8MM BONE SCREW,C1713,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,AETNA,AETNA,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,208.8,87,percent of total billed charges,208.8,208.8,240,percent of total billed charges,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,UNITED HEALTHCARE,UNITED HEALTHCARE,,211.2,88,percent of total billed charges,211.2,208.8,240,percent of total billed charges,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,AETNA,AETNA,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,ALLIANT,ALLIANT,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,AMBETTER,AMBETTER,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,BEECH STREET,BEECH STREET,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,CARESOURCE,CARESOURCE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,MEDICAID,MEDICAID,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,MEDICARE,MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,NOVA NET,NOVA NET,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,PEACHSTATE,PEACHSTATE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,SELFPAY,SELFPAY,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,TRICARE,TRICARE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4 T8 SCREW,C1713,CPT,both,,,240,240,UHC MEDICARE,UHC MEDICARE,,240,,fee schedule,240,208.8,240,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,AETNA,AETNA,,663.81,87,percent of total billed charges,663.81,663.81,763,percent of total billed charges,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,663.81,87,percent of total billed charges,663.81,663.81,763,percent of total billed charges,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,UNITED HEALTHCARE,UNITED HEALTHCARE,,671.44,88,percent of total billed charges,671.44,663.81,763,percent of total billed charges,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,AETNA,AETNA,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,ALLIANT,ALLIANT,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,AMBETTER,AMBETTER,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,BEECH STREET,BEECH STREET,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,CARESOURCE,CARESOURCE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,MEDICAID,MEDICAID,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,MEDICARE,MEDICARE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,NOVA NET,NOVA NET,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,PEACHSTATE,PEACHSTATE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,SELFPAY,SELFPAY,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,TRICARE,TRICARE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.4/2.7/3.5 TAP,C1713,CPT,both,,,763,763,UHC MEDICARE,UHC MEDICARE,,763,,fee schedule,763,663.81,763,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,AETNA,AETNA,,575.94,87,percent of total billed charges,575.94,575.94,662,percent of total billed charges,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,575.94,87,percent of total billed charges,575.94,575.94,662,percent of total billed charges,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,UNITED HEALTHCARE,UNITED HEALTHCARE,,582.56,88,percent of total billed charges,582.56,575.94,662,percent of total billed charges,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,AETNA,AETNA,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,ALLIANT,ALLIANT,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,AMBETTER,AMBETTER,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,BEECH STREET,BEECH STREET,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,CARESOURCE,CARESOURCE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,MEDICAID,MEDICAID,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,MEDICARE,MEDICARE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,NOVA NET,NOVA NET,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,PEACHSTATE,PEACHSTATE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,SELFPAY,SELFPAY,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,TRICARE,TRICARE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5 COMPRESSION SCREW,C1713,CPT,both,,,662,662,UHC MEDICARE,UHC MEDICARE,,662,,fee schedule,662,575.94,662,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,AETNA,AETNA,,565.5,87,percent of total billed charges,565.5,565.5,650,percent of total billed charges,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,565.5,87,percent of total billed charges,565.5,565.5,650,percent of total billed charges,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,UNITED HEALTHCARE,UNITED HEALTHCARE,,572,88,percent of total billed charges,572,565.5,650,percent of total billed charges,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,AETNA,AETNA,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,ALLIANT,ALLIANT,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,AMBETTER,AMBETTER,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,BEECH STREET,BEECH STREET,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,CARESOURCE,CARESOURCE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,MEDICAID,MEDICAID,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,MEDICARE,MEDICARE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,NOVA NET,NOVA NET,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,PEACHSTATE,PEACHSTATE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,SELFPAY,SELFPAY,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,TRICARE,TRICARE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.5X300 FLEX IM NAIL,C1713,CPT,both,,,650,650,UHC MEDICARE,UHC MEDICARE,,650,,fee schedule,650,565.5,650,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,AETNA,AETNA,,1823.52,87,percent of total billed charges,1823.52,1823.52,2096,percent of total billed charges,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1823.52,87,percent of total billed charges,1823.52,1823.52,2096,percent of total billed charges,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,UNITED HEALTHCARE,UNITED HEALTHCARE,,1844.48,88,percent of total billed charges,1844.48,1823.52,2096,percent of total billed charges,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,AETNA,AETNA,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,ALLIANT,ALLIANT,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,AMBETTER,AMBETTER,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,BEECH STREET,BEECH STREET,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,CARESOURCE,CARESOURCE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,MEDICAID,MEDICAID,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,MEDICARE,MEDICARE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,NOVA NET,NOVA NET,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,PEACHSTATE,PEACHSTATE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,SELFPAY,SELFPAY,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,TRICARE,TRICARE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 4 HOLE CRVD PLATE,C1713,CPT,both,,,2096,2096,UHC MEDICARE,UHC MEDICARE,,2096,,fee schedule,2096,1823.52,2096,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,AETNA,AETNA,,1981.86,87,percent of total billed charges,1981.86,1981.86,2278,percent of total billed charges,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1981.86,87,percent of total billed charges,1981.86,1981.86,2278,percent of total billed charges,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,UNITED HEALTHCARE,UNITED HEALTHCARE,,2004.64,88,percent of total billed charges,2004.64,1981.86,2278,percent of total billed charges,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,AETNA,AETNA,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,ALLIANT,ALLIANT,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,AMBETTER,AMBETTER,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,BEECH STREET,BEECH STREET,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,CARESOURCE,CARESOURCE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,MEDICAID,MEDICAID,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,MEDICARE,MEDICARE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,NOVA NET,NOVA NET,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,PEACHSTATE,PEACHSTATE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,SELFPAY,SELFPAY,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,TRICARE,TRICARE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 5 HOLE CRVD PLATE,C1713,CPT,both,,,2278,2278,UHC MEDICARE,UHC MEDICARE,,2278,,fee schedule,2278,1981.86,2278,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,AETNA,AETNA,,4905.06,87,percent of total billed charges,4905.06,4905.06,5638,percent of total billed charges,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4905.06,87,percent of total billed charges,4905.06,4905.06,5638,percent of total billed charges,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,UNITED HEALTHCARE,UNITED HEALTHCARE,,4961.44,88,percent of total billed charges,4961.44,4905.06,5638,percent of total billed charges,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,AETNA,AETNA,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,ALLIANT,ALLIANT,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,AMBETTER,AMBETTER,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,BEECH STREET,BEECH STREET,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,CARESOURCE,CARESOURCE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,MEDICAID,MEDICAID,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,MEDICARE,MEDICARE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,NOVA NET,NOVA NET,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,PEACHSTATE,PEACHSTATE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,SELFPAY,SELFPAY,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,TRICARE,TRICARE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 CUBOID PLATE,C1713,CPT,both,,,5638,5638,UHC MEDICARE,UHC MEDICARE,,5638,,fee schedule,5638,4905.06,5638,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,AETNA,AETNA,,197.49,87,percent of total billed charges,197.49,197.49,227,percent of total billed charges,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197.49,87,percent of total billed charges,197.49,197.49,227,percent of total billed charges,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,UNITED HEALTHCARE,UNITED HEALTHCARE,,199.76,88,percent of total billed charges,199.76,197.49,227,percent of total billed charges,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,AETNA,AETNA,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,ALLIANT,ALLIANT,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,AMBETTER,AMBETTER,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,BEECH STREET,BEECH STREET,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,CARESOURCE,CARESOURCE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,MEDICAID,MEDICAID,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,MEDICARE,MEDICARE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,NOVA NET,NOVA NET,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,PEACHSTATE,PEACHSTATE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,SELFPAY,SELFPAY,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,TRICARE,TRICARE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7 NONLOCKING SC,C1713,CPT,both,,,227,227,UHC MEDICARE,UHC MEDICARE,,227,,fee schedule,227,197.49,227,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,309.72,356,percent of total billed charges,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,309.72,356,percent of total billed charges,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,ALLIANT,ALLIANT,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,AMBETTER,AMBETTER,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,MEDICARE,MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,TRICARE,TRICARE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7/3.5 OVERDRILL,C1713,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,356,,fee schedule,356,309.72,356,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,454.14,522,percent of total billed charges,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,454.14,522,percent of total billed charges,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,454.14,522,percent of total billed charges,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,ALLIANT,ALLIANT,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,AMBETTER,AMBETTER,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,MEDICARE,MEDICARE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,TRICARE,TRICARE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.7T7 LOCK SCREW,C1713,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,522,,fee schedule,522,454.14,522,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,AETNA,AETNA,,568.98,87,percent of total billed charges,568.98,568.98,654,percent of total billed charges,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,568.98,87,percent of total billed charges,568.98,568.98,654,percent of total billed charges,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,UNITED HEALTHCARE,UNITED HEALTHCARE,,575.52,88,percent of total billed charges,575.52,568.98,654,percent of total billed charges,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,AETNA,AETNA,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,ALLIANT,ALLIANT,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,AMBETTER,AMBETTER,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,BEECH STREET,BEECH STREET,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,CARESOURCE,CARESOURCE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,MEDICAID,MEDICAID,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,MEDICARE,MEDICARE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,NOVA NET,NOVA NET,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,PEACHSTATE,PEACHSTATE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,SELFPAY,SELFPAY,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,TRICARE,TRICARE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 2.8 CANN COUNTERS,C1713,CPT,both,,,654,654,UHC MEDICARE,UHC MEDICARE,,654,,fee schedule,654,568.98,654,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,AETNA,AETNA,,422.82,87,percent of total billed charges,422.82,422.82,486,percent of total billed charges,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,422.82,87,percent of total billed charges,422.82,422.82,486,percent of total billed charges,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,UNITED HEALTHCARE,UNITED HEALTHCARE,,427.68,88,percent of total billed charges,427.68,422.82,486,percent of total billed charges,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,AETNA,AETNA,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,ALLIANT,ALLIANT,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,AMBETTER,AMBETTER,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,BEECH STREET,BEECH STREET,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,CARESOURCE,CARESOURCE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,MEDICAID,MEDICAID,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,MEDICARE,MEDICARE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,NOVA NET,NOVA NET,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,PEACHSTATE,PEACHSTATE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,SELFPAY,SELFPAY,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,TRICARE,TRICARE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 CANNULATED SC,C1713,CPT,both,,,486,486,UHC MEDICARE,UHC MEDICARE,,486,,fee schedule,486,422.82,486,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,AETNA,AETNA,,814.32,87,percent of total billed charges,814.32,814.32,936,percent of total billed charges,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,814.32,87,percent of total billed charges,814.32,814.32,936,percent of total billed charges,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,UNITED HEALTHCARE,UNITED HEALTHCARE,,823.68,88,percent of total billed charges,823.68,814.32,936,percent of total billed charges,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,AETNA,AETNA,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,ALLIANT,ALLIANT,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,AMBETTER,AMBETTER,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,BEECH STREET,BEECH STREET,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,CARESOURCE,CARESOURCE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,MEDICAID,MEDICAID,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,MEDICARE,MEDICARE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,NOVA NET,NOVA NET,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,PEACHSTATE,PEACHSTATE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,SELFPAY,SELFPAY,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,TRICARE,TRICARE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 LOCKING SCREW,C1713,CPT,both,,,936,936,UHC MEDICARE,UHC MEDICARE,,936,,fee schedule,936,814.32,936,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,AETNA,AETNA,,560.28,87,percent of total billed charges,560.28,560.28,644,percent of total billed charges,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,560.28,87,percent of total billed charges,560.28,560.28,644,percent of total billed charges,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,UNITED HEALTHCARE,UNITED HEALTHCARE,,566.72,88,percent of total billed charges,566.72,560.28,644,percent of total billed charges,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,AETNA,AETNA,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,ALLIANT,ALLIANT,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,AMBETTER,AMBETTER,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,BEECH STREET,BEECH STREET,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,CARESOURCE,CARESOURCE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,MEDICAID,MEDICAID,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,MEDICARE,MEDICARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,NOVA NET,NOVA NET,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,PEACHSTATE,PEACHSTATE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,SELFPAY,SELFPAY,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,TRICARE,TRICARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.0 NON-LOCK SCRE,C1713,CPT,both,,,644,644,UHC MEDICARE,UHC MEDICARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,AETNA,AETNA,,431.52,87,percent of total billed charges,431.52,431.52,496,percent of total billed charges,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,431.52,87,percent of total billed charges,431.52,431.52,496,percent of total billed charges,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,UNITED HEALTHCARE,UNITED HEALTHCARE,,436.48,88,percent of total billed charges,436.48,431.52,496,percent of total billed charges,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,AETNA,AETNA,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,ALLIANT,ALLIANT,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,AMBETTER,AMBETTER,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,BEECH STREET,BEECH STREET,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,CARESOURCE,CARESOURCE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,MEDICAID,MEDICAID,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,MEDICARE,MEDICARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,NOVA NET,NOVA NET,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,PEACHSTATE,PEACHSTATE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,SELFPAY,SELFPAY,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,TRICARE,TRICARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 LOCK SCREW,C1713,CPT,both,,,496,496,UHC MEDICARE,UHC MEDICARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,AETNA,AETNA,,431.52,87,percent of total billed charges,431.52,431.52,496,percent of total billed charges,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,431.52,87,percent of total billed charges,431.52,431.52,496,percent of total billed charges,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,UNITED HEALTHCARE,UNITED HEALTHCARE,,436.48,88,percent of total billed charges,436.48,431.52,496,percent of total billed charges,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,AETNA,AETNA,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,ALLIANT,ALLIANT,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,AMBETTER,AMBETTER,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,BEECH STREET,BEECH STREET,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,CARESOURCE,CARESOURCE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,MEDICAID,MEDICAID,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,MEDICARE,MEDICARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,NOVA NET,NOVA NET,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,PEACHSTATE,PEACHSTATE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,SELFPAY,SELFPAY,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,TRICARE,TRICARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.5 NO  LOCK SCRE,C1713,CPT,both,,,496,496,UHC MEDICARE,UHC MEDICARE,,496,,fee schedule,496,431.52,496,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,AETNA,AETNA,,530.7,87,percent of total billed charges,530.7,530.7,610,percent of total billed charges,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,530.7,87,percent of total billed charges,530.7,530.7,610,percent of total billed charges,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,UNITED HEALTHCARE,UNITED HEALTHCARE,,536.8,88,percent of total billed charges,536.8,530.7,610,percent of total billed charges,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,AETNA,AETNA,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,ALLIANT,ALLIANT,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,AMBETTER,AMBETTER,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,BEECH STREET,BEECH STREET,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,CARESOURCE,CARESOURCE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,MEDICAID,MEDICAID,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,MEDICARE,MEDICARE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,NOVA NET,NOVA NET,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,PEACHSTATE,PEACHSTATE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,SELFPAY,SELFPAY,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,TRICARE,TRICARE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 3.8 CANN COUNTERS,C1713,CPT,both,,,610,610,UHC MEDICARE,UHC MEDICARE,,610,,fee schedule,610,530.7,610,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,116.58,134,percent of total billed charges,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,116.58,134,percent of total billed charges,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,116.58,134,percent of total billed charges,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANCEL SCREW,C1713,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,116.58,134,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,AETNA,AETNA,,499.38,87,percent of total billed charges,499.38,499.38,574,percent of total billed charges,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,499.38,87,percent of total billed charges,499.38,499.38,574,percent of total billed charges,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,UNITED HEALTHCARE,UNITED HEALTHCARE,,505.12,88,percent of total billed charges,505.12,499.38,574,percent of total billed charges,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,AETNA,AETNA,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,ALLIANT,ALLIANT,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,AMBETTER,AMBETTER,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,BEECH STREET,BEECH STREET,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,CARESOURCE,CARESOURCE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,MEDICAID,MEDICAID,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,MEDICARE,MEDICARE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,NOVA NET,NOVA NET,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,PEACHSTATE,PEACHSTATE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,SELFPAY,SELFPAY,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,TRICARE,TRICARE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 CANN SCREW,C1713,CPT,both,,,574,574,UHC MEDICARE,UHC MEDICARE,,574,,fee schedule,574,499.38,574,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,AETNA,AETNA,,461.1,87,percent of total billed charges,461.1,461.1,530,percent of total billed charges,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,461.1,87,percent of total billed charges,461.1,461.1,530,percent of total billed charges,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,UNITED HEALTHCARE,UNITED HEALTHCARE,,466.4,88,percent of total billed charges,466.4,461.1,530,percent of total billed charges,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,AETNA,AETNA,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,ALLIANT,ALLIANT,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,AMBETTER,AMBETTER,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,BEECH STREET,BEECH STREET,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,CARESOURCE,CARESOURCE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,MEDICAID,MEDICAID,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,MEDICARE,MEDICARE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,NOVA NET,NOVA NET,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,PEACHSTATE,PEACHSTATE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,SELFPAY,SELFPAY,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,TRICARE,TRICARE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.0 LOCKING SCREW,C1713,CPT,both,,,530,530,UHC MEDICARE,UHC MEDICARE,,530,,fee schedule,530,461.1,530,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,AETNA,AETNA,,98.31,87,percent of total billed charges,98.31,98.31,113,percent of total billed charges,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98.31,87,percent of total billed charges,98.31,98.31,113,percent of total billed charges,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,UNITED HEALTHCARE,UNITED HEALTHCARE,,99.44,88,percent of total billed charges,99.44,98.31,113,percent of total billed charges,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,AETNA,AETNA,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,ALLIANT,ALLIANT,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,AMBETTER,AMBETTER,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,BEECH STREET,BEECH STREET,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,CARESOURCE,CARESOURCE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,MEDICAID,MEDICAID,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,MEDICARE,MEDICARE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,NOVA NET,NOVA NET,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,PEACHSTATE,PEACHSTATE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,SELFPAY,SELFPAY,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,TRICARE,TRICARE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5 CORT SCREW,C1713,CPT,both,,,113,113,UHC MEDICARE,UHC MEDICARE,,113,,fee schedule,113,98.31,113,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,AETNA,AETNA,,232.29,87,percent of total billed charges,232.29,232.29,267,percent of total billed charges,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232.29,87,percent of total billed charges,232.29,232.29,267,percent of total billed charges,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.96,88,percent of total billed charges,234.96,232.29,267,percent of total billed charges,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,AETNA,AETNA,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,ALLIANT,ALLIANT,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,AMBETTER,AMBETTER,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,BEECH STREET,BEECH STREET,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,CARESOURCE,CARESOURCE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,MEDICAID,MEDICAID,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,MEDICARE,MEDICARE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,NOVA NET,NOVA NET,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,PEACHSTATE,PEACHSTATE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,SELFPAY,SELFPAY,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,TRICARE,TRICARE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4.5/6.5/8.0 WASHE,C1713,CPT,both,,,267,267,UHC MEDICARE,UHC MEDICARE,,267,,fee schedule,267,232.29,267,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,AETNA,AETNA,,235.77,87,percent of total billed charges,235.77,235.77,271,percent of total billed charges,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,235.77,87,percent of total billed charges,235.77,235.77,271,percent of total billed charges,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,UNITED HEALTHCARE,UNITED HEALTHCARE,,238.48,88,percent of total billed charges,238.48,235.77,271,percent of total billed charges,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,AETNA,AETNA,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,ALLIANT,ALLIANT,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,AMBETTER,AMBETTER,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,BEECH STREET,BEECH STREET,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,MEDICAID,MEDICAID,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,MEDICARE,MEDICARE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,NOVA NET,NOVA NET,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,SELFPAY,SELFPAY,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,TRICARE,TRICARE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 4X120 APEX PIN,C1713,CPT,both,,,271,271,UHC MEDICARE,UHC MEDICARE,,271,,fee schedule,271,235.77,271,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,AETNA,AETNA,,2112.36,87,percent of total billed charges,2112.36,2112.36,2428,percent of total billed charges,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2112.36,87,percent of total billed charges,2112.36,2112.36,2428,percent of total billed charges,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,UNITED HEALTHCARE,UNITED HEALTHCARE,,2136.64,88,percent of total billed charges,2136.64,2112.36,2428,percent of total billed charges,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,AETNA,AETNA,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,ALLIANT,ALLIANT,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,AMBETTER,AMBETTER,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,BEECH STREET,BEECH STREET,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,CARESOURCE,CARESOURCE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,MEDICAID,MEDICAID,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,MEDICARE,MEDICARE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,NOVA NET,NOVA NET,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,PEACHSTATE,PEACHSTATE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,SELFPAY,SELFPAY,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,TRICARE,TRICARE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5 HOLE PIN CLAMP,C1713,CPT,both,,,2428,2428,UHC MEDICARE,UHC MEDICARE,,2428,,fee schedule,2428,2112.36,2428,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,AETNA,AETNA,,396.72,87,percent of total billed charges,396.72,396.72,456,percent of total billed charges,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,396.72,87,percent of total billed charges,396.72,396.72,456,percent of total billed charges,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,UNITED HEALTHCARE,UNITED HEALTHCARE,,401.28,88,percent of total billed charges,401.28,396.72,456,percent of total billed charges,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,AETNA,AETNA,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,ALLIANT,ALLIANT,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,AMBETTER,AMBETTER,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,BEECH STREET,BEECH STREET,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,CARESOURCE,CARESOURCE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,MEDICAID,MEDICAID,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,MEDICARE,MEDICARE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,NOVA NET,NOVA NET,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,PEACHSTATE,PEACHSTATE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,SELFPAY,SELFPAY,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,TRICARE,TRICARE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 CANNULATED SCREW,C1713,CPT,both,,,456,456,UHC MEDICARE,UHC MEDICARE,,456,,fee schedule,456,396.72,456,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,AETNA,AETNA,,1104.03,87,percent of total billed charges,1104.03,1104.03,1269,percent of total billed charges,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1104.03,87,percent of total billed charges,1104.03,1104.03,1269,percent of total billed charges,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,UNITED HEALTHCARE,UNITED HEALTHCARE,,1116.72,88,percent of total billed charges,1116.72,1104.03,1269,percent of total billed charges,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,AETNA,AETNA,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,ALLIANT,ALLIANT,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,AMBETTER,AMBETTER,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,BEECH STREET,BEECH STREET,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,CARESOURCE,CARESOURCE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,MEDICAID,MEDICAID,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,MEDICARE,MEDICARE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,NOVA NET,NOVA NET,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,PEACHSTATE,PEACHSTATE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,SELFPAY,SELFPAY,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,TRICARE,TRICARE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 COMPRESSION SCREW,C1713,CPT,both,,,1269,1269,UHC MEDICARE,UHC MEDICARE,,1269,,fee schedule,1269,1104.03,1269,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,AETNA,AETNA,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,UNITED HEALTHCARE,UNITED HEALTHCARE,,564.96,88,percent of total billed charges,564.96,558.54,642,percent of total billed charges,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,AETNA,AETNA,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,ALLIANT,ALLIANT,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,AMBETTER,AMBETTER,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,BEECH STREET,BEECH STREET,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,CARESOURCE,CARESOURCE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,MEDICAID,MEDICAID,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,MEDICARE,MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,NOVA NET,NOVA NET,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,PEACHSTATE,PEACHSTATE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,SELFPAY,SELFPAY,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,TRICARE,TRICARE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 5.0 LOCKING SCREW,C1713,CPT,both,,,642,642,UHC MEDICARE,UHC MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,AETNA,AETNA,,1947.93,87,percent of total billed charges,1947.93,1947.93,2239,percent of total billed charges,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1947.93,87,percent of total billed charges,1947.93,1947.93,2239,percent of total billed charges,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,UNITED HEALTHCARE,UNITED HEALTHCARE,,1970.32,88,percent of total billed charges,1970.32,1947.93,2239,percent of total billed charges,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,AETNA,AETNA,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,ALLIANT,ALLIANT,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,AMBETTER,AMBETTER,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,BEECH STREET,BEECH STREET,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,CARESOURCE,CARESOURCE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,MEDICAID,MEDICAID,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,MEDICARE,MEDICARE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,NOVA NET,NOVA NET,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,PEACHSTATE,PEACHSTATE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,SELFPAY,SELFPAY,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,TRICARE,TRICARE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6 HOLE LOCK PLATE,C1713,CPT,both,,,2239,2239,UHC MEDICARE,UHC MEDICARE,,2239,,fee schedule,2239,1947.93,2239,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,147.9,170,percent of total billed charges,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,147.9,170,percent of total billed charges,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,147.9,170,percent of total billed charges,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.0 CANCELLOUS SC,C1713,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,147.9,170,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,547.23,629,percent of total billed charges,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.35X85MM CAN SCREW,C1713,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,81.78,94,percent of total billed charges,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,81.78,94,percent of total billed charges,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,81.78,94,percent of total billed charges,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,ALLIANT,ALLIANT,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,AMBETTER,AMBETTER,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,MEDICARE,MEDICARE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,TRICARE,TRICARE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANCELLOUS SCREW,C1713,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,94,,fee schedule,94,81.78,94,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,AETNA,AETNA,,730.8,87,percent of total billed charges,730.8,730.8,840,percent of total billed charges,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,730.8,87,percent of total billed charges,730.8,730.8,840,percent of total billed charges,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,UNITED HEALTHCARE,UNITED HEALTHCARE,,739.2,88,percent of total billed charges,739.2,730.8,840,percent of total billed charges,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,AETNA,AETNA,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,ALLIANT,ALLIANT,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,AMBETTER,AMBETTER,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,BEECH STREET,BEECH STREET,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,CARESOURCE,CARESOURCE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,MEDICAID,MEDICAID,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,MEDICARE,MEDICARE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,NOVA NET,NOVA NET,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,PEACHSTATE,PEACHSTATE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,SELFPAY,SELFPAY,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,TRICARE,TRICARE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5 CANN SCREW,C1713,CPT,both,,,840,840,UHC MEDICARE,UHC MEDICARE,,840,,fee schedule,840,730.8,840,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5/8.0 COUNTERSINK,C1713,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,547.23,629,percent of total billed charges,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X80MM CAN SCREW,C1713,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,547.23,629,percent of total billed charges,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X90MM CAN SCREW,C1713,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,547.23,629,percent of total billed charges,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,547.23,629,percent of total billed charges,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 6.5X95MM CAN SCREW,C1713,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,547.23,629,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,AETNA,AETNA,,560.28,87,percent of total billed charges,560.28,560.28,644,percent of total billed charges,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,560.28,87,percent of total billed charges,560.28,560.28,644,percent of total billed charges,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,UNITED HEALTHCARE,UNITED HEALTHCARE,,566.72,88,percent of total billed charges,566.72,560.28,644,percent of total billed charges,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,AETNA,AETNA,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,ALLIANT,ALLIANT,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,AMBETTER,AMBETTER,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,BEECH STREET,BEECH STREET,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,CARESOURCE,CARESOURCE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,MEDICAID,MEDICAID,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,MEDICARE,MEDICARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,NOVA NET,NOVA NET,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,PEACHSTATE,PEACHSTATE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,SELFPAY,SELFPAY,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,TRICARE,TRICARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 8.0 CANNUL SCREW,C1713,CPT,both,,,644,644,UHC MEDICARE,UHC MEDICARE,,644,,fee schedule,644,560.28,644,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,AETNA,AETNA,,4048.11,87,percent of total billed charges,4048.11,4048.11,4653,percent of total billed charges,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4048.11,87,percent of total billed charges,4048.11,4048.11,4653,percent of total billed charges,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,UNITED HEALTHCARE,UNITED HEALTHCARE,,4094.64,88,percent of total billed charges,4094.64,4048.11,4653,percent of total billed charges,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,AETNA,AETNA,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,ALLIANT,ALLIANT,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,AMBETTER,AMBETTER,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,BEECH STREET,BEECH STREET,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,CARESOURCE,CARESOURCE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,MEDICAID,MEDICAID,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,MEDICARE,MEDICARE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,NOVA NET,NOVA NET,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,PEACHSTATE,PEACHSTATE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,SELFPAY,SELFPAY,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,TRICARE,TRICARE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER 9X360MM T2 FEM NAIL,C1713,CPT,both,,,4653,4653,UHC MEDICARE,UHC MEDICARE,,4653,,fee schedule,4653,4048.11,4653,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,AETNA,AETNA,,6621.57,87,percent of total billed charges,6621.57,6621.57,7611,percent of total billed charges,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6621.57,87,percent of total billed charges,6621.57,6621.57,7611,percent of total billed charges,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,UNITED HEALTHCARE,UNITED HEALTHCARE,,6697.68,88,percent of total billed charges,6697.68,6621.57,7611,percent of total billed charges,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,AETNA,AETNA,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,ALLIANT,ALLIANT,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,AMBETTER,AMBETTER,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,BEECH STREET,BEECH STREET,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,CARESOURCE,CARESOURCE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,MEDICAID,MEDICAID,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,MEDICARE,MEDICARE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,NOVA NET,NOVA NET,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,PEACHSTATE,PEACHSTATE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,SELFPAY,SELFPAY,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,TRICARE,TRICARE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANK ARTHRODESIS NAIL,C1713,CPT,both,,,7611,7611,UHC MEDICARE,UHC MEDICARE,,7611,,fee schedule,7611,6621.57,7611,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,AETNA,AETNA,,863.04,87,percent of total billed charges,863.04,863.04,992,percent of total billed charges,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,863.04,87,percent of total billed charges,863.04,863.04,992,percent of total billed charges,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,UNITED HEALTHCARE,UNITED HEALTHCARE,,872.96,88,percent of total billed charges,872.96,863.04,992,percent of total billed charges,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,AETNA,AETNA,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,ALLIANT,ALLIANT,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,AMBETTER,AMBETTER,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,BEECH STREET,BEECH STREET,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,CARESOURCE,CARESOURCE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,MEDICAID,MEDICAID,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,MEDICARE,MEDICARE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,NOVA NET,NOVA NET,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,PEACHSTATE,PEACHSTATE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,SELFPAY,SELFPAY,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,TRICARE,TRICARE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER ANTIBIOTIC CEMENT,C1713,CPT,both,,,992,992,UHC MEDICARE,UHC MEDICARE,,992,,fee schedule,992,863.04,992,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,282.75,325,percent of total billed charges,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,ALLIANT,ALLIANT,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,AMBETTER,AMBETTER,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,MEDICARE,MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,TRICARE,TRICARE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER CAN PIN,C1713,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,AETNA,AETNA,,1711.29,87,percent of total billed charges,1711.29,1711.29,1967,percent of total billed charges,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1711.29,87,percent of total billed charges,1711.29,1711.29,1967,percent of total billed charges,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,UNITED HEALTHCARE,UNITED HEALTHCARE,,1730.96,88,percent of total billed charges,1730.96,1711.29,1967,percent of total billed charges,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,AETNA,AETNA,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,ALLIANT,ALLIANT,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,AMBETTER,AMBETTER,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,BEECH STREET,BEECH STREET,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,CARESOURCE,CARESOURCE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,MEDICAID,MEDICAID,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,MEDICARE,MEDICARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,NOVA NET,NOVA NET,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,PEACHSTATE,PEACHSTATE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,SELFPAY,SELFPAY,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,TRICARE,TRICARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DALL BASE PLATE,C1713,CPT,both,,,1967,1967,UHC MEDICARE,UHC MEDICARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,AETNA,AETNA,,5622.81,87,percent of total billed charges,5622.81,5622.81,6463,percent of total billed charges,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5622.81,87,percent of total billed charges,5622.81,5622.81,6463,percent of total billed charges,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,UNITED HEALTHCARE,UNITED HEALTHCARE,,5687.44,88,percent of total billed charges,5687.44,5622.81,6463,percent of total billed charges,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,AETNA,AETNA,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,ALLIANT,ALLIANT,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,AMBETTER,AMBETTER,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,BEECH STREET,BEECH STREET,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,CARESOURCE,CARESOURCE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,MEDICAID,MEDICAID,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,MEDICARE,MEDICARE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,NOVA NET,NOVA NET,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,PEACHSTATE,PEACHSTATE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,SELFPAY,SELFPAY,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,TRICARE,TRICARE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS ANT LAT TIB PLATE,C1713,CPT,both,,,6463,6463,UHC MEDICARE,UHC MEDICARE,,6463,,fee schedule,6463,5622.81,6463,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,AETNA,AETNA,,6886.92,87,percent of total billed charges,6886.92,6886.92,7916,percent of total billed charges,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6886.92,87,percent of total billed charges,6886.92,6886.92,7916,percent of total billed charges,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,UNITED HEALTHCARE,UNITED HEALTHCARE,,6966.08,88,percent of total billed charges,6966.08,6886.92,7916,percent of total billed charges,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,AETNA,AETNA,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,ALLIANT,ALLIANT,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,AMBETTER,AMBETTER,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,BEECH STREET,BEECH STREET,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,CARESOURCE,CARESOURCE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,MEDICAID,MEDICAID,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,MEDICARE,MEDICARE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,NOVA NET,NOVA NET,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,PEACHSTATE,PEACHSTATE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,SELFPAY,SELFPAY,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,TRICARE,TRICARE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIS LAT FEMUR PLA,C1713,CPT,both,,,7916,7916,UHC MEDICARE,UHC MEDICARE,,7916,,fee schedule,7916,6886.92,7916,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,AETNA,AETNA,,5964.72,87,percent of total billed charges,5964.72,5964.72,6856,percent of total billed charges,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5964.72,87,percent of total billed charges,5964.72,5964.72,6856,percent of total billed charges,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,UNITED HEALTHCARE,UNITED HEALTHCARE,,6033.28,88,percent of total billed charges,6033.28,5964.72,6856,percent of total billed charges,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,AETNA,AETNA,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,ALLIANT,ALLIANT,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,AMBETTER,AMBETTER,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,BEECH STREET,BEECH STREET,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,CARESOURCE,CARESOURCE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,MEDICAID,MEDICAID,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,MEDICARE,MEDICARE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,NOVA NET,NOVA NET,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,PEACHSTATE,PEACHSTATE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,SELFPAY,SELFPAY,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,TRICARE,TRICARE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST ANT/LAT TIB 4 HOL,C1713,CPT,both,,,6856,6856,UHC MEDICARE,UHC MEDICARE,,6856,,fee schedule,6856,5964.72,6856,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,AETNA,AETNA,,6686.82,87,percent of total billed charges,6686.82,6686.82,7686,percent of total billed charges,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6686.82,87,percent of total billed charges,6686.82,6686.82,7686,percent of total billed charges,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,UNITED HEALTHCARE,UNITED HEALTHCARE,,6763.68,88,percent of total billed charges,6763.68,6686.82,7686,percent of total billed charges,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,AETNA,AETNA,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,ALLIANT,ALLIANT,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,AMBETTER,AMBETTER,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,BEECH STREET,BEECH STREET,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,CARESOURCE,CARESOURCE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,MEDICAID,MEDICAID,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,MEDICARE,MEDICARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,NOVA NET,NOVA NET,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,PEACHSTATE,PEACHSTATE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,SELFPAY,SELFPAY,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,TRICARE,TRICARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEM PLA,C1713,CPT,both,,,7686,7686,UHC MEDICARE,UHC MEDICARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,AETNA,AETNA,,4423.95,87,percent of total billed charges,4423.95,4423.95,5085,percent of total billed charges,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4423.95,87,percent of total billed charges,4423.95,4423.95,5085,percent of total billed charges,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,UNITED HEALTHCARE,UNITED HEALTHCARE,,4474.8,88,percent of total billed charges,4474.8,4423.95,5085,percent of total billed charges,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,AETNA,AETNA,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,ALLIANT,ALLIANT,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,AMBETTER,AMBETTER,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,BEECH STREET,BEECH STREET,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,CARESOURCE,CARESOURCE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,MEDICAID,MEDICAID,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,MEDICARE,MEDICARE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,NOVA NET,NOVA NET,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,PEACHSTATE,PEACHSTATE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,SELFPAY,SELFPAY,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,TRICARE,TRICARE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST FEMORAL LOCK,C1713,CPT,both,,,5085,5085,UHC MEDICARE,UHC MEDICARE,,5085,,fee schedule,5085,4423.95,5085,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,AETNA,AETNA,,5423.58,87,percent of total billed charges,5423.58,5423.58,6234,percent of total billed charges,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5423.58,87,percent of total billed charges,5423.58,5423.58,6234,percent of total billed charges,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,UNITED HEALTHCARE,UNITED HEALTHCARE,,5485.92,88,percent of total billed charges,5485.92,5423.58,6234,percent of total billed charges,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,AETNA,AETNA,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,ALLIANT,ALLIANT,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,AMBETTER,AMBETTER,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,BEECH STREET,BEECH STREET,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,CARESOURCE,CARESOURCE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,MEDICAID,MEDICAID,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,MEDICARE,MEDICARE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,NOVA NET,NOVA NET,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,PEACHSTATE,PEACHSTATE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,SELFPAY,SELFPAY,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,TRICARE,TRICARE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST MED TIB PLATE,C1713,CPT,both,,,6234,6234,UHC MEDICARE,UHC MEDICARE,,6234,,fee schedule,6234,5423.58,6234,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,AETNA,AETNA,,3781.89,87,percent of total billed charges,3781.89,3781.89,4347,percent of total billed charges,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3781.89,87,percent of total billed charges,3781.89,3781.89,4347,percent of total billed charges,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,UNITED HEALTHCARE,UNITED HEALTHCARE,,3825.36,88,percent of total billed charges,3825.36,3781.89,4347,percent of total billed charges,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,AETNA,AETNA,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,ALLIANT,ALLIANT,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,AMBETTER,AMBETTER,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,BEECH STREET,BEECH STREET,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,CARESOURCE,CARESOURCE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,MEDICAID,MEDICAID,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,MEDICARE,MEDICARE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,NOVA NET,NOVA NET,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,PEACHSTATE,PEACHSTATE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,SELFPAY,SELFPAY,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,TRICARE,TRICARE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST RAD LOCK PLA,C1713,CPT,both,,,4347,4347,UHC MEDICARE,UHC MEDICARE,,4347,,fee schedule,4347,3781.89,4347,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,AETNA,AETNA,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,UNITED HEALTHCARE,UNITED HEALTHCARE,,2801.04,88,percent of total billed charges,2801.04,2769.21,3183,percent of total billed charges,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,AETNA,AETNA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,ALLIANT,ALLIANT,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,AMBETTER,AMBETTER,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,BEECH STREET,BEECH STREET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,CARESOURCE,CARESOURCE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,MEDICAID,MEDICAID,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,MEDICARE,MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,NOVA NET,NOVA NET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,PEACHSTATE,PEACHSTATE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,SELFPAY,SELFPAY,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,TRICARE,TRICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER DIST TIBIAL PLATE,C1713,CPT,both,,,3183,3183,UHC MEDICARE,UHC MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,AETNA,AETNA,,4153.38,87,percent of total billed charges,4153.38,4153.38,4774,percent of total billed charges,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4153.38,87,percent of total billed charges,4153.38,4153.38,4774,percent of total billed charges,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,UNITED HEALTHCARE,UNITED HEALTHCARE,,4201.12,88,percent of total billed charges,4201.12,4153.38,4774,percent of total billed charges,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,AETNA,AETNA,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,ALLIANT,ALLIANT,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,AMBETTER,AMBETTER,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,BEECH STREET,BEECH STREET,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,CARESOURCE,CARESOURCE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,MEDICAID,MEDICAID,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,MEDICARE,MEDICARE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,NOVA NET,NOVA NET,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,PEACHSTATE,PEACHSTATE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,SELFPAY,SELFPAY,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,TRICARE,TRICARE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EASY CLIP STAPLE,C1713,CPT,both,,,4774,4774,UHC MEDICARE,UHC MEDICARE,,4774,,fee schedule,4774,4153.38,4774,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,AETNA,AETNA,,3720.99,87,percent of total billed charges,3720.99,3720.99,4277,percent of total billed charges,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3720.99,87,percent of total billed charges,3720.99,3720.99,4277,percent of total billed charges,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,UNITED HEALTHCARE,UNITED HEALTHCARE,,3763.76,88,percent of total billed charges,3763.76,3720.99,4277,percent of total billed charges,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,AETNA,AETNA,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,ALLIANT,ALLIANT,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,AMBETTER,AMBETTER,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,BEECH STREET,BEECH STREET,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,CARESOURCE,CARESOURCE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,MEDICAID,MEDICAID,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,MEDICARE,MEDICARE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,NOVA NET,NOVA NET,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,PEACHSTATE,PEACHSTATE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,SELFPAY,SELFPAY,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,TRICARE,TRICARE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX CPL 4922-1-030,C1713,CPT,both,,,4277,4277,UHC MEDICARE,UHC MEDICARE,,4277,,fee schedule,4277,3720.99,4277,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,AETNA,AETNA,,983.97,87,percent of total billed charges,983.97,983.97,1131,percent of total billed charges,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,983.97,87,percent of total billed charges,983.97,983.97,1131,percent of total billed charges,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,UNITED HEALTHCARE,UNITED HEALTHCARE,,995.28,88,percent of total billed charges,995.28,983.97,1131,percent of total billed charges,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,AETNA,AETNA,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,ALLIANT,ALLIANT,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,AMBETTER,AMBETTER,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,BEECH STREET,BEECH STREET,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,CARESOURCE,CARESOURCE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,MEDICAID,MEDICAID,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,MEDICARE,MEDICARE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,NOVA NET,NOVA NET,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,PEACHSTATE,PEACHSTATE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,SELFPAY,SELFPAY,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,TRICARE,TRICARE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4922-2-160,C1713,CPT,both,,,1131,1131,UHC MEDICARE,UHC MEDICARE,,1131,,fee schedule,1131,983.97,1131,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,167.04,192,percent of total billed charges,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,167.04,192,percent of total billed charges,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,167.04,192,percent of total billed charges,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,ALLIANT,ALLIANT,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,AMBETTER,AMBETTER,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,MEDICARE,MEDICARE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,TRICARE,TRICARE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 4941-2-140,C1713,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,192,,fee schedule,192,167.04,192,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,AETNA,AETNA,,1664.31,87,percent of total billed charges,1664.31,1664.31,1913,percent of total billed charges,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1664.31,87,percent of total billed charges,1664.31,1664.31,1913,percent of total billed charges,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,UNITED HEALTHCARE,UNITED HEALTHCARE,,1683.44,88,percent of total billed charges,1683.44,1664.31,1913,percent of total billed charges,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,AETNA,AETNA,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,ALLIANT,ALLIANT,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,AMBETTER,AMBETTER,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,BEECH STREET,BEECH STREET,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,CARESOURCE,CARESOURCE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,MEDICAID,MEDICAID,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,MEDICARE,MEDICARE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,NOVA NET,NOVA NET,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,PEACHSTATE,PEACHSTATE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,SELFPAY,SELFPAY,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,TRICARE,TRICARE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER EX FIX POST 499-2-120,C1713,CPT,both,,,1913,1913,UHC MEDICARE,UHC MEDICARE,,1913,,fee schedule,1913,1664.31,1913,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,AETNA,AETNA,,811.71,87,percent of total billed charges,811.71,811.71,933,percent of total billed charges,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,811.71,87,percent of total billed charges,811.71,811.71,933,percent of total billed charges,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,UNITED HEALTHCARE,UNITED HEALTHCARE,,821.04,88,percent of total billed charges,821.04,811.71,933,percent of total billed charges,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,AETNA,AETNA,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,ALLIANT,ALLIANT,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,AMBETTER,AMBETTER,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,BEECH STREET,BEECH STREET,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,CARESOURCE,CARESOURCE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,MEDICAID,MEDICAID,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,MEDICARE,MEDICARE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,NOVA NET,NOVA NET,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,PEACHSTATE,PEACHSTATE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,SELFPAY,SELFPAY,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,TRICARE,TRICARE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FLEXIBLE IM NAIL,C1713,CPT,both,,,933,933,UHC MEDICARE,UHC MEDICARE,,933,,fee schedule,933,811.71,933,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,AETNA,AETNA,,5184.33,87,percent of total billed charges,5184.33,5184.33,5959,percent of total billed charges,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5184.33,87,percent of total billed charges,5184.33,5184.33,5959,percent of total billed charges,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,UNITED HEALTHCARE,UNITED HEALTHCARE,,5243.92,88,percent of total billed charges,5243.92,5184.33,5959,percent of total billed charges,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,AETNA,AETNA,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,ALLIANT,ALLIANT,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,AMBETTER,AMBETTER,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,BEECH STREET,BEECH STREET,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,CARESOURCE,CARESOURCE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,MEDICAID,MEDICAID,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,MEDICARE,MEDICARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,NOVA NET,NOVA NET,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,PEACHSTATE,PEACHSTATE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,SELFPAY,SELFPAY,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,TRICARE,TRICARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER FUSION PLATE,C1713,CPT,both,,,5959,5959,UHC MEDICARE,UHC MEDICARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,AETNA,AETNA,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,UNITED HEALTHCARE,UNITED HEALTHCARE,,732.16,88,percent of total billed charges,732.16,723.84,832,percent of total billed charges,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,AETNA,AETNA,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,ALLIANT,ALLIANT,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,AMBETTER,AMBETTER,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,BEECH STREET,BEECH STREET,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,CARESOURCE,CARESOURCE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,MEDICAID,MEDICAID,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,MEDICARE,MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,NOVA NET,NOVA NET,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,PEACHSTATE,PEACHSTATE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,SELFPAY,SELFPAY,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,TRICARE,TRICARE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HAND PLATE,C1713,CPT,both,,,832,832,UHC MEDICARE,UHC MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,AETNA,AETNA,,5393.13,87,percent of total billed charges,5393.13,5393.13,6199,percent of total billed charges,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5393.13,87,percent of total billed charges,5393.13,5393.13,6199,percent of total billed charges,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,UNITED HEALTHCARE,UNITED HEALTHCARE,,5455.12,88,percent of total billed charges,5455.12,5393.13,6199,percent of total billed charges,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,AETNA,AETNA,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,ALLIANT,ALLIANT,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,AMBETTER,AMBETTER,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,BEECH STREET,BEECH STREET,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,CARESOURCE,CARESOURCE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,MEDICAID,MEDICAID,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,MEDICARE,MEDICARE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,NOVA NET,NOVA NET,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,PEACHSTATE,PEACHSTATE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,SELFPAY,SELFPAY,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,TRICARE,TRICARE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HIP  FEMORAL STEM,C1713,CPT,both,,,6199,6199,UHC MEDICARE,UHC MEDICARE,,6199,,fee schedule,6199,5393.13,6199,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,AETNA,AETNA,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,183.57,87,percent of total billed charges,183.57,183.57,211,percent of total billed charges,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,UNITED HEALTHCARE,UNITED HEALTHCARE,,185.68,88,percent of total billed charges,185.68,183.57,211,percent of total billed charges,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,AETNA,AETNA,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,ALLIANT,ALLIANT,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,AMBETTER,AMBETTER,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,BEECH STREET,BEECH STREET,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,CARESOURCE,CARESOURCE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,MEDICAID,MEDICAID,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,MEDICARE,MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,NOVA NET,NOVA NET,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,PEACHSTATE,PEACHSTATE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,SELFPAY,SELFPAY,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,TRICARE,TRICARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HND SCREW,C1713,CPT,both,,,211,211,UHC MEDICARE,UHC MEDICARE,,211,,fee schedule,211,183.57,211,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,AETNA,AETNA,,3928.92,87,percent of total billed charges,3928.92,3928.92,4516,percent of total billed charges,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3928.92,87,percent of total billed charges,3928.92,3928.92,4516,percent of total billed charges,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,UNITED HEALTHCARE,UNITED HEALTHCARE,,3974.08,88,percent of total billed charges,3974.08,3928.92,4516,percent of total billed charges,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,AETNA,AETNA,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,ALLIANT,ALLIANT,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,AMBETTER,AMBETTER,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,BEECH STREET,BEECH STREET,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,CARESOURCE,CARESOURCE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,MEDICAID,MEDICAID,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,MEDICARE,MEDICARE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,NOVA NET,NOVA NET,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,PEACHSTATE,PEACHSTATE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,SELFPAY,SELFPAY,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,TRICARE,TRICARE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HUMERAL PLATE,C1713,CPT,both,,,4516,4516,UHC MEDICARE,UHC MEDICARE,,4516,,fee schedule,4516,3928.92,4516,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,AETNA,AETNA,,6095.22,87,percent of total billed charges,6095.22,6095.22,7006,percent of total billed charges,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6095.22,87,percent of total billed charges,6095.22,6095.22,7006,percent of total billed charges,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,UNITED HEALTHCARE,UNITED HEALTHCARE,,6165.28,88,percent of total billed charges,6165.28,6095.22,7006,percent of total billed charges,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,AETNA,AETNA,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,ALLIANT,ALLIANT,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,AMBETTER,AMBETTER,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,BEECH STREET,BEECH STREET,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,CARESOURCE,CARESOURCE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,MEDICAID,MEDICAID,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,MEDICARE,MEDICARE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,NOVA NET,NOVA NET,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,PEACHSTATE,PEACHSTATE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,SELFPAY,SELFPAY,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,TRICARE,TRICARE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 10CC,C1713,CPT,both,,,7006,7006,UHC MEDICARE,UHC MEDICARE,,7006,,fee schedule,7006,6095.22,7006,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,AETNA,AETNA,,9968.46,87,percent of total billed charges,9968.46,9968.46,11458,percent of total billed charges,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9968.46,87,percent of total billed charges,9968.46,9968.46,11458,percent of total billed charges,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,UNITED HEALTHCARE,UNITED HEALTHCARE,,10083.04,88,percent of total billed charges,10083.04,9968.46,11458,percent of total billed charges,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,AETNA,AETNA,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,ALLIANT,ALLIANT,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,AMBETTER,AMBETTER,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,BEECH STREET,BEECH STREET,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,CARESOURCE,CARESOURCE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,MEDICAID,MEDICAID,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,MEDICARE,MEDICARE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,NOVA NET,NOVA NET,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,PEACHSTATE,PEACHSTATE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,SELFPAY,SELFPAY,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,TRICARE,TRICARE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 15CC,C1713,CPT,both,,,11458,11458,UHC MEDICARE,UHC MEDICARE,,11458,,fee schedule,11458,9968.46,11458,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,AETNA,AETNA,,3165.06,87,percent of total billed charges,3165.06,3165.06,3638,percent of total billed charges,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3165.06,87,percent of total billed charges,3165.06,3165.06,3638,percent of total billed charges,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,UNITED HEALTHCARE,UNITED HEALTHCARE,,3201.44,88,percent of total billed charges,3201.44,3165.06,3638,percent of total billed charges,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,AETNA,AETNA,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,ALLIANT,ALLIANT,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,AMBETTER,AMBETTER,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,BEECH STREET,BEECH STREET,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,CARESOURCE,CARESOURCE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,MEDICAID,MEDICAID,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,MEDICARE,MEDICARE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,NOVA NET,NOVA NET,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,PEACHSTATE,PEACHSTATE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,SELFPAY,SELFPAY,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,TRICARE,TRICARE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET 5CC,C1713,CPT,both,,,3638,3638,UHC MEDICARE,UHC MEDICARE,,3638,,fee schedule,3638,3165.06,3638,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,AETNA,AETNA,,4222.98,87,percent of total billed charges,4222.98,4222.98,4854,percent of total billed charges,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4222.98,87,percent of total billed charges,4222.98,4222.98,4854,percent of total billed charges,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,UNITED HEALTHCARE,UNITED HEALTHCARE,,4271.52,88,percent of total billed charges,4271.52,4222.98,4854,percent of total billed charges,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,AETNA,AETNA,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,ALLIANT,ALLIANT,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,AMBETTER,AMBETTER,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,BEECH STREET,BEECH STREET,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,CARESOURCE,CARESOURCE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,MEDICAID,MEDICAID,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,MEDICARE,MEDICARE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,NOVA NET,NOVA NET,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,PEACHSTATE,PEACHSTATE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,SELFPAY,SELFPAY,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,TRICARE,TRICARE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 3CC,C1713,CPT,both,,,4854,4854,UHC MEDICARE,UHC MEDICARE,,4854,,fee schedule,4854,4222.98,4854,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,AETNA,AETNA,,6973.05,87,percent of total billed charges,6973.05,6973.05,8015,percent of total billed charges,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6973.05,87,percent of total billed charges,6973.05,6973.05,8015,percent of total billed charges,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,UNITED HEALTHCARE,UNITED HEALTHCARE,,7053.2,88,percent of total billed charges,7053.2,6973.05,8015,percent of total billed charges,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,AETNA,AETNA,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,ALLIANT,ALLIANT,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,AMBETTER,AMBETTER,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,BEECH STREET,BEECH STREET,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,CARESOURCE,CARESOURCE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,MEDICAID,MEDICAID,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,MEDICARE,MEDICARE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,NOVA NET,NOVA NET,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,PEACHSTATE,PEACHSTATE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,SELFPAY,SELFPAY,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,TRICARE,TRICARE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER HYDROSET XT 5CC,C1713,CPT,both,,,8015,8015,UHC MEDICARE,UHC MEDICARE,,8015,,fee schedule,8015,6973.05,8015,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,91.35,105,percent of total billed charges,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,91.35,105,percent of total billed charges,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,91.35,105,percent of total billed charges,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,ALLIANT,ALLIANT,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,AMBETTER,AMBETTER,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,MEDICARE,MEDICARE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,TRICARE,TRICARE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING PLATE INS,C1713,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,105,,fee schedule,105,91.35,105,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,62.64,72,percent of total billed charges,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,62.64,72,percent of total billed charges,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,62.64,72,percent of total billed charges,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER LOCKING SCREW 371,C1713,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,AETNA,AETNA,,4947.69,87,percent of total billed charges,4947.69,4947.69,5687,percent of total billed charges,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4947.69,87,percent of total billed charges,4947.69,4947.69,5687,percent of total billed charges,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,UNITED HEALTHCARE,UNITED HEALTHCARE,,5004.56,88,percent of total billed charges,5004.56,4947.69,5687,percent of total billed charges,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,AETNA,AETNA,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,ALLIANT,ALLIANT,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,AMBETTER,AMBETTER,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,BEECH STREET,BEECH STREET,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,CARESOURCE,CARESOURCE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,MEDICAID,MEDICAID,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,MEDICARE,MEDICARE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,NOVA NET,NOVA NET,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,PEACHSTATE,PEACHSTATE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,SELFPAY,SELFPAY,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,TRICARE,TRICARE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MED PROX TIBIAL P,C1713,CPT,both,,,5687,5687,UHC MEDICARE,UHC MEDICARE,,5687,,fee schedule,5687,4947.69,5687,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,AETNA,AETNA,,14063.55,87,percent of total billed charges,14063.55,14063.55,16165,percent of total billed charges,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14063.55,87,percent of total billed charges,14063.55,14063.55,16165,percent of total billed charges,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,UNITED HEALTHCARE,UNITED HEALTHCARE,,14225.2,88,percent of total billed charges,14225.2,14063.55,16165,percent of total billed charges,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,AETNA,AETNA,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,ALLIANT,ALLIANT,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,AMBETTER,AMBETTER,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,BEECH STREET,BEECH STREET,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,CARESOURCE,CARESOURCE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,MEDICAID,MEDICAID,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,MEDICARE,MEDICARE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,NOVA NET,NOVA NET,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,PEACHSTATE,PEACHSTATE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,SELFPAY,SELFPAY,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,TRICARE,TRICARE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MOD CONE BODY,C1713,CPT,both,,,16165,16165,UHC MEDICARE,UHC MEDICARE,,16165,,fee schedule,16165,14063.55,16165,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,AETNA,AETNA,,7100.07,87,percent of total billed charges,7100.07,7100.07,8161,percent of total billed charges,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7100.07,87,percent of total billed charges,7100.07,7100.07,8161,percent of total billed charges,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,UNITED HEALTHCARE,UNITED HEALTHCARE,,7181.68,88,percent of total billed charges,7181.68,7100.07,8161,percent of total billed charges,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,AETNA,AETNA,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,ALLIANT,ALLIANT,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,AMBETTER,AMBETTER,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,BEECH STREET,BEECH STREET,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,CARESOURCE,CARESOURCE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,MEDICAID,MEDICAID,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,MEDICARE,MEDICARE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,NOVA NET,NOVA NET,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,PEACHSTATE,PEACHSTATE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,SELFPAY,SELFPAY,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,TRICARE,TRICARE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MRH TIBIAL BASE P,C1713,CPT,both,,,8161,8161,UHC MEDICARE,UHC MEDICARE,,8161,,fee schedule,8161,7100.07,8161,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER MTP PLATE,C1713,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,62.64,72,percent of total billed charges,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,62.64,72,percent of total billed charges,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,62.64,72,percent of total billed charges,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER NO-LOCK SCREW 338,C1713,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,62.64,72,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,AETNA,AETNA,,3854.1,87,percent of total billed charges,3854.1,3854.1,4430,percent of total billed charges,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3854.1,87,percent of total billed charges,3854.1,3854.1,4430,percent of total billed charges,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,UNITED HEALTHCARE,UNITED HEALTHCARE,,3898.4,88,percent of total billed charges,3898.4,3854.1,4430,percent of total billed charges,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,AETNA,AETNA,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,ALLIANT,ALLIANT,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,AMBETTER,AMBETTER,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,BEECH STREET,BEECH STREET,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,CARESOURCE,CARESOURCE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,MEDICAID,MEDICAID,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,MEDICARE,MEDICARE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,NOVA NET,NOVA NET,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,PEACHSTATE,PEACHSTATE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,SELFPAY,SELFPAY,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,TRICARE,TRICARE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER OMNIFIT FEMORAL HIP ST,C1713,CPT,both,,,4430,4430,UHC MEDICARE,UHC MEDICARE,,4430,,fee schedule,4430,3854.1,4430,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,AETNA,AETNA,,20295.36,87,percent of total billed charges,20295.36,20295.36,23328,percent of total billed charges,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20295.36,87,percent of total billed charges,20295.36,20295.36,23328,percent of total billed charges,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,UNITED HEALTHCARE,UNITED HEALTHCARE,,20528.64,88,percent of total billed charges,20528.64,20295.36,23328,percent of total billed charges,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,AETNA,AETNA,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,ALLIANT,ALLIANT,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,AMBETTER,AMBETTER,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,BEECH STREET,BEECH STREET,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,CARESOURCE,CARESOURCE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,MEDICAID,MEDICAID,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,MEDICARE,MEDICARE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,NOVA NET,NOVA NET,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,PEACHSTATE,PEACHSTATE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,SELFPAY,SELFPAY,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,TRICARE,TRICARE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ALIF SPACER,C1713,CPT,both,,,23328,23328,UHC MEDICARE,UHC MEDICARE,,23328,,fee schedule,23328,20295.36,23328,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,AETNA,AETNA,,7821.3,87,percent of total billed charges,7821.3,7821.3,8990,percent of total billed charges,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7821.3,87,percent of total billed charges,7821.3,7821.3,8990,percent of total billed charges,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,UNITED HEALTHCARE,UNITED HEALTHCARE,,7911.2,88,percent of total billed charges,7911.2,7821.3,8990,percent of total billed charges,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,AETNA,AETNA,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,ALLIANT,ALLIANT,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,AMBETTER,AMBETTER,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,BEECH STREET,BEECH STREET,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,CARESOURCE,CARESOURCE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,MEDICAID,MEDICAID,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,MEDICARE,MEDICARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,NOVA NET,NOVA NET,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,PEACHSTATE,PEACHSTATE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,SELFPAY,SELFPAY,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,TRICARE,TRICARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK ANCHOR PLATE,C1713,CPT,both,,,8990,8990,UHC MEDICARE,UHC MEDICARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,AETNA,AETNA,,7821.3,87,percent of total billed charges,7821.3,7821.3,8990,percent of total billed charges,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7821.3,87,percent of total billed charges,7821.3,7821.3,8990,percent of total billed charges,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,UNITED HEALTHCARE,UNITED HEALTHCARE,,7911.2,88,percent of total billed charges,7911.2,7821.3,8990,percent of total billed charges,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,AETNA,AETNA,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,ALLIANT,ALLIANT,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,AMBETTER,AMBETTER,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,BEECH STREET,BEECH STREET,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,CARESOURCE,CARESOURCE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,MEDICAID,MEDICAID,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,MEDICARE,MEDICARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,NOVA NET,NOVA NET,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,PEACHSTATE,PEACHSTATE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,SELFPAY,SELFPAY,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,TRICARE,TRICARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK IMPLANT,C1713,CPT,both,,,8990,8990,UHC MEDICARE,UHC MEDICARE,,8990,,fee schedule,8990,7821.3,8990,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,AETNA,AETNA,,11814.6,87,percent of total billed charges,11814.6,11814.6,13580,percent of total billed charges,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11814.6,87,percent of total billed charges,11814.6,11814.6,13580,percent of total billed charges,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,UNITED HEALTHCARE,UNITED HEALTHCARE,,11950.4,88,percent of total billed charges,11950.4,11814.6,13580,percent of total billed charges,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,AETNA,AETNA,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,ALLIANT,ALLIANT,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,AMBETTER,AMBETTER,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,BEECH STREET,BEECH STREET,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,CARESOURCE,CARESOURCE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,MEDICAID,MEDICAID,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,MEDICARE,MEDICARE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,NOVA NET,NOVA NET,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,PEACHSTATE,PEACHSTATE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,SELFPAY,SELFPAY,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,TRICARE,TRICARE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PEEK PLATE,C1713,CPT,both,,,13580,13580,UHC MEDICARE,UHC MEDICARE,,13580,,fee schedule,13580,11814.6,13580,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,AETNA,AETNA,,3366.03,87,percent of total billed charges,3366.03,3366.03,3869,percent of total billed charges,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3366.03,87,percent of total billed charges,3366.03,3366.03,3869,percent of total billed charges,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,UNITED HEALTHCARE,UNITED HEALTHCARE,,3404.72,88,percent of total billed charges,3404.72,3366.03,3869,percent of total billed charges,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,AETNA,AETNA,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,ALLIANT,ALLIANT,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,AMBETTER,AMBETTER,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,BEECH STREET,BEECH STREET,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,CARESOURCE,CARESOURCE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,MEDICAID,MEDICAID,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,MEDICARE,MEDICARE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,NOVA NET,NOVA NET,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,PEACHSTATE,PEACHSTATE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,SELFPAY,SELFPAY,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,TRICARE,TRICARE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT LCK PLATE,C1713,CPT,both,,,3869,3869,UHC MEDICARE,UHC MEDICARE,,3869,,fee schedule,3869,3366.03,3869,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,AETNA,AETNA,,5314.83,87,percent of total billed charges,5314.83,5314.83,6109,percent of total billed charges,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5314.83,87,percent of total billed charges,5314.83,5314.83,6109,percent of total billed charges,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,UNITED HEALTHCARE,UNITED HEALTHCARE,,5375.92,88,percent of total billed charges,5375.92,5314.83,6109,percent of total billed charges,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,AETNA,AETNA,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,ALLIANT,ALLIANT,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,AMBETTER,AMBETTER,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,BEECH STREET,BEECH STREET,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,CARESOURCE,CARESOURCE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,MEDICAID,MEDICAID,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,MEDICARE,MEDICARE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,NOVA NET,NOVA NET,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,PEACHSTATE,PEACHSTATE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,SELFPAY,SELFPAY,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,TRICARE,TRICARE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX LAT TIB PLATE,C1713,CPT,both,,,6109,6109,UHC MEDICARE,UHC MEDICARE,,6109,,fee schedule,6109,5314.83,6109,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,AETNA,AETNA,,3011.94,87,percent of total billed charges,3011.94,3011.94,3462,percent of total billed charges,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3011.94,87,percent of total billed charges,3011.94,3011.94,3462,percent of total billed charges,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,UNITED HEALTHCARE,UNITED HEALTHCARE,,3046.56,88,percent of total billed charges,3046.56,3011.94,3462,percent of total billed charges,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,AETNA,AETNA,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,ALLIANT,ALLIANT,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,AMBETTER,AMBETTER,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,BEECH STREET,BEECH STREET,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,CARESOURCE,CARESOURCE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,MEDICAID,MEDICAID,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,MEDICARE,MEDICARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,NOVA NET,NOVA NET,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,PEACHSTATE,PEACHSTATE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,SELFPAY,SELFPAY,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,TRICARE,TRICARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER PROX TIB LOCK PLATE,C1713,CPT,both,,,3462,3462,UHC MEDICARE,UHC MEDICARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,AETNA,AETNA,,930.03,87,percent of total billed charges,930.03,930.03,1069,percent of total billed charges,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,930.03,87,percent of total billed charges,930.03,930.03,1069,percent of total billed charges,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,UNITED HEALTHCARE,UNITED HEALTHCARE,,940.72,88,percent of total billed charges,940.72,930.03,1069,percent of total billed charges,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,AETNA,AETNA,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,ALLIANT,ALLIANT,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,AMBETTER,AMBETTER,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,BEECH STREET,BEECH STREET,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,CARESOURCE,CARESOURCE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,MEDICAID,MEDICAID,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,MEDICARE,MEDICARE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,NOVA NET,NOVA NET,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,PEACHSTATE,PEACHSTATE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,SELFPAY,SELFPAY,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,TRICARE,TRICARE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS LOCKING CA,C1713,CPT,both,,,1069,1069,UHC MEDICARE,UHC MEDICARE,,1069,,fee schedule,1069,930.03,1069,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,AETNA,AETNA,,1248.45,87,percent of total billed charges,1248.45,1248.45,1435,percent of total billed charges,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1248.45,87,percent of total billed charges,1248.45,1248.45,1435,percent of total billed charges,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,UNITED HEALTHCARE,UNITED HEALTHCARE,,1262.8,88,percent of total billed charges,1262.8,1248.45,1435,percent of total billed charges,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,AETNA,AETNA,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,ALLIANT,ALLIANT,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,AMBETTER,AMBETTER,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,BEECH STREET,BEECH STREET,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,CARESOURCE,CARESOURCE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,MEDICAID,MEDICAID,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,MEDICARE,MEDICARE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,NOVA NET,NOVA NET,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,PEACHSTATE,PEACHSTATE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,SELFPAY,SELFPAY,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,TRICARE,TRICARE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS ROD,C1713,CPT,both,,,1435,1435,UHC MEDICARE,UHC MEDICARE,,1435,,fee schedule,1435,1248.45,1435,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,AETNA,AETNA,,5131.26,87,percent of total billed charges,5131.26,5131.26,5898,percent of total billed charges,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5131.26,87,percent of total billed charges,5131.26,5131.26,5898,percent of total billed charges,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,UNITED HEALTHCARE,UNITED HEALTHCARE,,5190.24,88,percent of total billed charges,5190.24,5131.26,5898,percent of total billed charges,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,AETNA,AETNA,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,ALLIANT,ALLIANT,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,AMBETTER,AMBETTER,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,BEECH STREET,BEECH STREET,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,CARESOURCE,CARESOURCE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,MEDICAID,MEDICAID,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,MEDICARE,MEDICARE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,NOVA NET,NOVA NET,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,PEACHSTATE,PEACHSTATE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,SELFPAY,SELFPAY,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,TRICARE,TRICARE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RADIUS SCREW,C1713,CPT,both,,,5898,5898,UHC MEDICARE,UHC MEDICARE,,5898,,fee schedule,5898,5131.26,5898,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,AETNA,AETNA,,4230.81,87,percent of total billed charges,4230.81,4230.81,4863,percent of total billed charges,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4230.81,87,percent of total billed charges,4230.81,4230.81,4863,percent of total billed charges,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,UNITED HEALTHCARE,UNITED HEALTHCARE,,4279.44,88,percent of total billed charges,4279.44,4230.81,4863,percent of total billed charges,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,AETNA,AETNA,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,ALLIANT,ALLIANT,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,AMBETTER,AMBETTER,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,BEECH STREET,BEECH STREET,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,CARESOURCE,CARESOURCE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,MEDICAID,MEDICAID,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,MEDICARE,MEDICARE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,NOVA NET,NOVA NET,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,PEACHSTATE,PEACHSTATE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,SELFPAY,SELFPAY,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,TRICARE,TRICARE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RECON NAIL 9X340X125,C1713,CPT,both,,,4863,4863,UHC MEDICARE,UHC MEDICARE,,4863,,fee schedule,4863,4230.81,4863,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,AETNA,AETNA,,458.49,87,percent of total billed charges,458.49,458.49,527,percent of total billed charges,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,458.49,87,percent of total billed charges,458.49,458.49,527,percent of total billed charges,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,UNITED HEALTHCARE,UNITED HEALTHCARE,,463.76,88,percent of total billed charges,463.76,458.49,527,percent of total billed charges,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,AETNA,AETNA,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,ALLIANT,ALLIANT,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,AMBETTER,AMBETTER,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,BEECH STREET,BEECH STREET,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,CARESOURCE,CARESOURCE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,MEDICAID,MEDICAID,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,MEDICARE,MEDICARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,NOVA NET,NOVA NET,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,PEACHSTATE,PEACHSTATE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,SELFPAY,SELFPAY,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,TRICARE,TRICARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 4.5 PERIPHRL,C1713,CPT,both,,,527,527,UHC MEDICARE,UHC MEDICARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,AETNA,AETNA,,458.49,87,percent of total billed charges,458.49,458.49,527,percent of total billed charges,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,458.49,87,percent of total billed charges,458.49,458.49,527,percent of total billed charges,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,UNITED HEALTHCARE,UNITED HEALTHCARE,,463.76,88,percent of total billed charges,463.76,458.49,527,percent of total billed charges,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,AETNA,AETNA,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,ALLIANT,ALLIANT,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,AMBETTER,AMBETTER,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,BEECH STREET,BEECH STREET,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,CARESOURCE,CARESOURCE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,MEDICAID,MEDICAID,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,MEDICARE,MEDICARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,NOVA NET,NOVA NET,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,PEACHSTATE,PEACHSTATE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,SELFPAY,SELFPAY,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,TRICARE,TRICARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA 6.5 CENTER SC,C1713,CPT,both,,,527,527,UHC MEDICARE,UHC MEDICARE,,527,,fee schedule,527,458.49,527,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,AETNA,AETNA,,3802.77,87,percent of total billed charges,3802.77,3802.77,4371,percent of total billed charges,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3802.77,87,percent of total billed charges,3802.77,3802.77,4371,percent of total billed charges,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,UNITED HEALTHCARE,UNITED HEALTHCARE,,3846.48,88,percent of total billed charges,3846.48,3802.77,4371,percent of total billed charges,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,AETNA,AETNA,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,ALLIANT,ALLIANT,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,AMBETTER,AMBETTER,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,BEECH STREET,BEECH STREET,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,CARESOURCE,CARESOURCE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,MEDICAID,MEDICAID,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,MEDICARE,MEDICARE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,NOVA NET,NOVA NET,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,PEACHSTATE,PEACHSTATE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,SELFPAY,SELFPAY,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,TRICARE,TRICARE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER RVRS TSA GLENOID BASEP,C1713,CPT,both,,,4371,4371,UHC MEDICARE,UHC MEDICARE,,4371,,fee schedule,4371,3802.77,4371,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,AETNA,AETNA,,5184.33,87,percent of total billed charges,5184.33,5184.33,5959,percent of total billed charges,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5184.33,87,percent of total billed charges,5184.33,5184.33,5959,percent of total billed charges,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,UNITED HEALTHCARE,UNITED HEALTHCARE,,5243.92,88,percent of total billed charges,5243.92,5184.33,5959,percent of total billed charges,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,AETNA,AETNA,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,ALLIANT,ALLIANT,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,AMBETTER,AMBETTER,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,BEECH STREET,BEECH STREET,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,CARESOURCE,CARESOURCE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,MEDICAID,MEDICAID,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,MEDICARE,MEDICARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,NOVA NET,NOVA NET,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,PEACHSTATE,PEACHSTATE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,SELFPAY,SELFPAY,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,TRICARE,TRICARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SHRT FUS PLT,C1713,CPT,both,,,5959,5959,UHC MEDICARE,UHC MEDICARE,,5959,,fee schedule,5959,5184.33,5959,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,AETNA,AETNA,,4210.8,87,percent of total billed charges,4210.8,4210.8,4840,percent of total billed charges,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4210.8,87,percent of total billed charges,4210.8,4210.8,4840,percent of total billed charges,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,UNITED HEALTHCARE,UNITED HEALTHCARE,,4259.2,88,percent of total billed charges,4259.2,4210.8,4840,percent of total billed charges,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,AETNA,AETNA,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,ALLIANT,ALLIANT,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,AMBETTER,AMBETTER,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,BEECH STREET,BEECH STREET,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,CARESOURCE,CARESOURCE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,MEDICAID,MEDICAID,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,MEDICARE,MEDICARE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,NOVA NET,NOVA NET,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,PEACHSTATE,PEACHSTATE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,SELFPAY,SELFPAY,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,TRICARE,TRICARE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER SUPRACONDYLAR NAIL,C1713,CPT,both,,,4840,4840,UHC MEDICARE,UHC MEDICARE,,4840,,fee schedule,4840,4210.8,4840,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,AETNA,AETNA,,534.18,87,percent of total billed charges,534.18,534.18,614,percent of total billed charges,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534.18,87,percent of total billed charges,534.18,534.18,614,percent of total billed charges,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,UNITED HEALTHCARE,UNITED HEALTHCARE,,540.32,88,percent of total billed charges,540.32,534.18,614,percent of total billed charges,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,AETNA,AETNA,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,ALLIANT,ALLIANT,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,AMBETTER,AMBETTER,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,BEECH STREET,BEECH STREET,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,MEDICAID,MEDICAID,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,MEDICARE,MEDICARE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,NOVA NET,NOVA NET,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,SELFPAY,SELFPAY,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,TRICARE,TRICARE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 CANNUL COMPRESS SCR,C1713,CPT,both,,,614,614,UHC MEDICARE,UHC MEDICARE,,614,,fee schedule,614,534.18,614,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,AETNA,AETNA,,13300.56,87,percent of total billed charges,13300.56,13300.56,15288,percent of total billed charges,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13300.56,87,percent of total billed charges,13300.56,13300.56,15288,percent of total billed charges,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,UNITED HEALTHCARE,UNITED HEALTHCARE,,13453.44,88,percent of total billed charges,13453.44,13300.56,15288,percent of total billed charges,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,AETNA,AETNA,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,ALLIANT,ALLIANT,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,AMBETTER,AMBETTER,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,BEECH STREET,BEECH STREET,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,CARESOURCE,CARESOURCE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,MEDICAID,MEDICAID,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,MEDICARE,MEDICARE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,NOVA NET,NOVA NET,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,PEACHSTATE,PEACHSTATE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,SELFPAY,SELFPAY,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,TRICARE,TRICARE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER T2 FUSION NAIL,C1713,CPT,both,,,15288,15288,UHC MEDICARE,UHC MEDICARE,,15288,,fee schedule,15288,13300.56,15288,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,AETNA,AETNA,,4344.78,87,percent of total billed charges,4344.78,4344.78,4994,percent of total billed charges,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4344.78,87,percent of total billed charges,4344.78,4344.78,4994,percent of total billed charges,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,UNITED HEALTHCARE,UNITED HEALTHCARE,,4394.72,88,percent of total billed charges,4394.72,4344.78,4994,percent of total billed charges,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,AETNA,AETNA,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,ALLIANT,ALLIANT,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,AMBETTER,AMBETTER,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,BEECH STREET,BEECH STREET,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,CARESOURCE,CARESOURCE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,MEDICAID,MEDICAID,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,MEDICARE,MEDICARE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,NOVA NET,NOVA NET,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,PEACHSTATE,PEACHSTATE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,SELFPAY,SELFPAY,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,TRICARE,TRICARE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIA ALL POLY,C1713,CPT,both,,,4994,4994,UHC MEDICARE,UHC MEDICARE,,4994,,fee schedule,4994,4344.78,4994,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,AETNA,AETNA,,4522.26,87,percent of total billed charges,4522.26,4522.26,5198,percent of total billed charges,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4522.26,87,percent of total billed charges,4522.26,4522.26,5198,percent of total billed charges,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,UNITED HEALTHCARE,UNITED HEALTHCARE,,4574.24,88,percent of total billed charges,4574.24,4522.26,5198,percent of total billed charges,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,AETNA,AETNA,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,ALLIANT,ALLIANT,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,AMBETTER,AMBETTER,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,BEECH STREET,BEECH STREET,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,CARESOURCE,CARESOURCE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,MEDICAID,MEDICAID,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,MEDICARE,MEDICARE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,NOVA NET,NOVA NET,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,PEACHSTATE,PEACHSTATE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,SELFPAY,SELFPAY,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,TRICARE,TRICARE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TIBIAL NAIL,C1713,CPT,both,,,5198,5198,UHC MEDICARE,UHC MEDICARE,,5198,,fee schedule,5198,4522.26,5198,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,272.31,313,percent of total billed charges,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,272.31,313,percent of total billed charges,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,272.31,313,percent of total billed charges,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,ALLIANT,ALLIANT,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,AMBETTER,AMBETTER,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,MEDICARE,MEDICARE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,TRICARE,TRICARE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TRANSFXG PIN 5/6X300,C1713,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,313,,fee schedule,313,272.31,313,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,AETNA,AETNA,,569.85,87,percent of total billed charges,569.85,569.85,655,percent of total billed charges,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,569.85,87,percent of total billed charges,569.85,569.85,655,percent of total billed charges,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,UNITED HEALTHCARE,UNITED HEALTHCARE,,576.4,88,percent of total billed charges,576.4,569.85,655,percent of total billed charges,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,AETNA,AETNA,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,ALLIANT,ALLIANT,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,AMBETTER,AMBETTER,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,BEECH STREET,BEECH STREET,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,CARESOURCE,CARESOURCE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,MEDICAID,MEDICAID,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,MEDICARE,MEDICARE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,NOVA NET,NOVA NET,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,PEACHSTATE,PEACHSTATE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,SELFPAY,SELFPAY,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,TRICARE,TRICARE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX CANUL SC,C1713,CPT,both,,,655,655,UHC MEDICARE,UHC MEDICARE,,655,,fee schedule,655,569.85,655,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,AETNA,AETNA,,899.58,87,percent of total billed charges,899.58,899.58,1034,percent of total billed charges,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,899.58,87,percent of total billed charges,899.58,899.58,1034,percent of total billed charges,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,UNITED HEALTHCARE,UNITED HEALTHCARE,,909.92,88,percent of total billed charges,909.92,899.58,1034,percent of total billed charges,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,AETNA,AETNA,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,ALLIANT,ALLIANT,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,AMBETTER,AMBETTER,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,BEECH STREET,BEECH STREET,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,MEDICAID,MEDICAID,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,MEDICARE,MEDICARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,NOVA NET,NOVA NET,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,SELFPAY,SELFPAY,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,TRICARE,TRICARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX COMP SCR,C1713,CPT,both,,,1034,1034,UHC MEDICARE,UHC MEDICARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,AETNA,AETNA,,108.75,87,percent of total billed charges,108.75,108.75,125,percent of total billed charges,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108.75,87,percent of total billed charges,108.75,108.75,125,percent of total billed charges,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,UNITED HEALTHCARE,UNITED HEALTHCARE,,110,88,percent of total billed charges,110,108.75,125,percent of total billed charges,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,AETNA,AETNA,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,ALLIANT,ALLIANT,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,AMBETTER,AMBETTER,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,BEECH STREET,BEECH STREET,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,MEDICAID,MEDICAID,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,MEDICARE,MEDICARE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,NOVA NET,NOVA NET,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,SELFPAY,SELFPAY,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,TRICARE,TRICARE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER TWIN FIX WASHER,C1713,CPT,both,,,125,125,UHC MEDICARE,UHC MEDICARE,,125,,fee schedule,125,108.75,125,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,AETNA,AETNA,,2047.98,87,percent of total billed charges,2047.98,2047.98,2354,percent of total billed charges,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2047.98,87,percent of total billed charges,2047.98,2047.98,2354,percent of total billed charges,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,UNITED HEALTHCARE,UNITED HEALTHCARE,,2071.52,88,percent of total billed charges,2071.52,2047.98,2354,percent of total billed charges,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,AETNA,AETNA,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,ALLIANT,ALLIANT,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,AMBETTER,AMBETTER,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,BEECH STREET,BEECH STREET,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,CARESOURCE,CARESOURCE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,MEDICAID,MEDICAID,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,MEDICARE,MEDICARE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,NOVA NET,NOVA NET,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,PEACHSTATE,PEACHSTATE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,SELFPAY,SELFPAY,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,TRICARE,TRICARE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNITRAX FEMORAL HEAD,C1713,CPT,both,,,2354,2354,UHC MEDICARE,UHC MEDICARE,,2354,,fee schedule,2354,2047.98,2354,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,264.48,304,percent of total billed charges,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UNIV DISTAL/CEMNT SPCR,C1713,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,AETNA,AETNA,,4747.59,87,percent of total billed charges,4747.59,4747.59,5457,percent of total billed charges,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4747.59,87,percent of total billed charges,4747.59,4747.59,5457,percent of total billed charges,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,UNITED HEALTHCARE,UNITED HEALTHCARE,,4802.16,88,percent of total billed charges,4802.16,4747.59,5457,percent of total billed charges,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,AETNA,AETNA,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,ALLIANT,ALLIANT,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,AMBETTER,AMBETTER,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,BEECH STREET,BEECH STREET,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,CARESOURCE,CARESOURCE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,MEDICAID,MEDICAID,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,MEDICARE,MEDICARE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,NOVA NET,NOVA NET,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,PEACHSTATE,PEACHSTATE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,SELFPAY,SELFPAY,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,TRICARE,TRICARE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER UTIL FOOT PLATE,C1713,CPT,both,,,5457,5457,UHC MEDICARE,UHC MEDICARE,,5457,,fee schedule,5457,4747.59,5457,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,AETNA,AETNA,,1310.22,87,percent of total billed charges,1310.22,1310.22,1506,percent of total billed charges,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1310.22,87,percent of total billed charges,1310.22,1310.22,1506,percent of total billed charges,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,UNITED HEALTHCARE,UNITED HEALTHCARE,,1325.28,88,percent of total billed charges,1325.28,1310.22,1506,percent of total billed charges,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,AETNA,AETNA,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,ALLIANT,ALLIANT,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,AMBETTER,AMBETTER,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,BEECH STREET,BEECH STREET,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,CARESOURCE,CARESOURCE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,MEDICAID,MEDICAID,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,MEDICARE,MEDICARE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,NOVA NET,NOVA NET,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,PEACHSTATE,PEACHSTATE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,SELFPAY,SELFPAY,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,TRICARE,TRICARE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
STRYKER VARIAX LOCKING PL,C1713,CPT,both,,,1506,1506,UHC MEDICARE,UHC MEDICARE,,1506,,fee schedule,1506,1310.22,1506,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,AETNA,AETNA,,512.43,87,percent of total billed charges,512.43,512.43,589,percent of total billed charges,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,512.43,87,percent of total billed charges,512.43,512.43,589,percent of total billed charges,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,UNITED HEALTHCARE,UNITED HEALTHCARE,,518.32,88,percent of total billed charges,518.32,512.43,589,percent of total billed charges,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,AETNA,AETNA,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,ALLIANT,ALLIANT,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,AMBETTER,AMBETTER,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,BEECH STREET,BEECH STREET,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,CARESOURCE,CARESOURCE,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,MEDICAID,MEDICAID,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,MEDICARE,MEDICARE,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,NOVA NET,NOVA NET,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,PEACHSTATE,PEACHSTATE,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,SELFPAY,SELFPAY,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,TRICARE,TRICARE,,589,,fee schedule,589,512.43,589,fee schedule,
SURETAC FIXATOR,C1713,CPT,both,,,589,589,UHC MEDICARE,UHC MEDICARE,,589,,fee schedule,589,512.43,589,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,AETNA,AETNA,,899.58,87,percent of total billed charges,899.58,899.58,1034,percent of total billed charges,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,899.58,87,percent of total billed charges,899.58,899.58,1034,percent of total billed charges,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,UNITED HEALTHCARE,UNITED HEALTHCARE,,909.92,88,percent of total billed charges,909.92,899.58,1034,percent of total billed charges,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,AETNA,AETNA,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,ALLIANT,ALLIANT,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,AMBETTER,AMBETTER,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,BEECH STREET,BEECH STREET,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,MEDICAID,MEDICAID,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,MEDICARE,MEDICARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,NOVA NET,NOVA NET,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,SELFPAY,SELFPAY,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,TRICARE,TRICARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR,C1713,CPT,both,,,1034,1034,UHC MEDICARE,UHC MEDICARE,,1034,,fee schedule,1034,899.58,1034,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,AETNA,AETNA,,1401.57,87,percent of total billed charges,1401.57,1401.57,1611,percent of total billed charges,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1401.57,87,percent of total billed charges,1401.57,1401.57,1611,percent of total billed charges,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,UNITED HEALTHCARE,UNITED HEALTHCARE,,1417.68,88,percent of total billed charges,1417.68,1401.57,1611,percent of total billed charges,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,AETNA,AETNA,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,ALLIANT,ALLIANT,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,AMBETTER,AMBETTER,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,BEECH STREET,BEECH STREET,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,CARESOURCE,CARESOURCE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,MEDICAID,MEDICAID,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,MEDICARE,MEDICARE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,NOVA NET,NOVA NET,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,PEACHSTATE,PEACHSTATE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,SELFPAY,SELFPAY,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,TRICARE,TRICARE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR - AR 2324BCC,C1713,CPT,both,,,1611,1611,UHC MEDICARE,UHC MEDICARE,,1611,,fee schedule,1611,1401.57,1611,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,AETNA,AETNA,,808.23,87,percent of total billed charges,808.23,808.23,929,percent of total billed charges,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,808.23,87,percent of total billed charges,808.23,808.23,929,percent of total billed charges,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,UNITED HEALTHCARE,UNITED HEALTHCARE,,817.52,88,percent of total billed charges,817.52,808.23,929,percent of total billed charges,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,AETNA,AETNA,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,ALLIANT,ALLIANT,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,AMBETTER,AMBETTER,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,BEECH STREET,BEECH STREET,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,CARESOURCE,CARESOURCE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,MEDICAID,MEDICAID,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,MEDICARE,MEDICARE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,NOVA NET,NOVA NET,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,PEACHSTATE,PEACHSTATE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,SELFPAY,SELFPAY,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,TRICARE,TRICARE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 3X14.5,C1713,CPT,both,,,929,929,UHC MEDICARE,UHC MEDICARE,,929,,fee schedule,929,808.23,929,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,AETNA,AETNA,,784.74,87,percent of total billed charges,784.74,784.74,902,percent of total billed charges,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,784.74,87,percent of total billed charges,784.74,784.74,902,percent of total billed charges,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,UNITED HEALTHCARE,UNITED HEALTHCARE,,793.76,88,percent of total billed charges,793.76,784.74,902,percent of total billed charges,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,AETNA,AETNA,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,ALLIANT,ALLIANT,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,AMBETTER,AMBETTER,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,BEECH STREET,BEECH STREET,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,CARESOURCE,CARESOURCE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,MEDICAID,MEDICAID,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,MEDICARE,MEDICARE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,NOVA NET,NOVA NET,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,PEACHSTATE,PEACHSTATE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,SELFPAY,SELFPAY,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,TRICARE,TRICARE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.5MM,C1713,CPT,both,,,902,902,UHC MEDICARE,UHC MEDICARE,,902,,fee schedule,902,784.74,902,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,AETNA,AETNA,,1504.23,87,percent of total billed charges,1504.23,1504.23,1729,percent of total billed charges,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1504.23,87,percent of total billed charges,1504.23,1504.23,1729,percent of total billed charges,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,UNITED HEALTHCARE,UNITED HEALTHCARE,,1521.52,88,percent of total billed charges,1521.52,1504.23,1729,percent of total billed charges,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,AETNA,AETNA,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,ALLIANT,ALLIANT,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,AMBETTER,AMBETTER,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,BEECH STREET,BEECH STREET,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,CARESOURCE,CARESOURCE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,MEDICAID,MEDICAID,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,MEDICARE,MEDICARE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,NOVA NET,NOVA NET,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,PEACHSTATE,PEACHSTATE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,SELFPAY,SELFPAY,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,TRICARE,TRICARE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR 4.75X22,C1713,CPT,both,,,1729,1729,UHC MEDICARE,UHC MEDICARE,,1729,,fee schedule,1729,1504.23,1729,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,1141.44,1312,percent of total billed charges,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR FIBERWIRE 1.3MM,C1713,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,AETNA,AETNA,,830.85,87,percent of total billed charges,830.85,830.85,955,percent of total billed charges,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,830.85,87,percent of total billed charges,830.85,830.85,955,percent of total billed charges,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,UNITED HEALTHCARE,UNITED HEALTHCARE,,840.4,88,percent of total billed charges,840.4,830.85,955,percent of total billed charges,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,AETNA,AETNA,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,ALLIANT,ALLIANT,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,AMBETTER,AMBETTER,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,BEECH STREET,BEECH STREET,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,CARESOURCE,CARESOURCE,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,MEDICAID,MEDICAID,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,MEDICARE,MEDICARE,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,NOVA NET,NOVA NET,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,PEACHSTATE,PEACHSTATE,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,SELFPAY,SELFPAY,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,TRICARE,TRICARE,,955,,fee schedule,955,830.85,955,fee schedule,
SUTURE ANCHOR PEEK AR-2923PS,C1713,CPT,both,,,955,955,UHC MEDICARE,UHC MEDICARE,,955,,fee schedule,955,830.85,955,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,AETNA,AETNA,,3770.58,87,percent of total billed charges,3770.58,3770.58,4334,percent of total billed charges,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3770.58,87,percent of total billed charges,3770.58,3770.58,4334,percent of total billed charges,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,UNITED HEALTHCARE,UNITED HEALTHCARE,,3813.92,88,percent of total billed charges,3813.92,3770.58,4334,percent of total billed charges,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,AETNA,AETNA,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,ALLIANT,ALLIANT,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,AMBETTER,AMBETTER,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,BEECH STREET,BEECH STREET,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,CARESOURCE,CARESOURCE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,MEDICAID,MEDICAID,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,MEDICARE,MEDICARE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,NOVA NET,NOVA NET,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,PEACHSTATE,PEACHSTATE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,SELFPAY,SELFPAY,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,TRICARE,TRICARE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNDESMOSIS TIGHTROPE IMPLANT,C1713,CPT,both,,,4334,4334,UHC MEDICARE,UHC MEDICARE,,4334,,fee schedule,4334,3770.58,4334,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,AETNA,AETNA,,4540.53,87,percent of total billed charges,4540.53,4540.53,5219,percent of total billed charges,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4540.53,87,percent of total billed charges,4540.53,4540.53,5219,percent of total billed charges,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,UNITED HEALTHCARE,UNITED HEALTHCARE,,4592.72,88,percent of total billed charges,4592.72,4540.53,5219,percent of total billed charges,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,AETNA,AETNA,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,ALLIANT,ALLIANT,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,AMBETTER,AMBETTER,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,BEECH STREET,BEECH STREET,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,CARESOURCE,CARESOURCE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,MEDICAID,MEDICAID,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,MEDICARE,MEDICARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,NOVA NET,NOVA NET,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,PEACHSTATE,PEACHSTATE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,SELFPAY,SELFPAY,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,TRICARE,TRICARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNERGY 15 STEM,C1713,CPT,both,,,5219,5219,UHC MEDICARE,UHC MEDICARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,AETNA,AETNA,,6973.92,87,percent of total billed charges,6973.92,6973.92,8016,percent of total billed charges,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6973.92,87,percent of total billed charges,6973.92,6973.92,8016,percent of total billed charges,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,UNITED HEALTHCARE,UNITED HEALTHCARE,,7054.08,88,percent of total billed charges,7054.08,6973.92,8016,percent of total billed charges,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,AETNA,AETNA,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,ALLIANT,ALLIANT,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,AMBETTER,AMBETTER,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,BEECH STREET,BEECH STREET,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,CARESOURCE,CARESOURCE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,MEDICAID,MEDICAID,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,MEDICARE,MEDICARE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,NOVA NET,NOVA NET,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,PEACHSTATE,PEACHSTATE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,SELFPAY,SELFPAY,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,TRICARE,TRICARE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 10MM TFNA,C1713,CPT,both,,,8016,8016,UHC MEDICARE,UHC MEDICARE,,8016,,fee schedule,8016,6973.92,8016,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,AETNA,AETNA,,2267.22,87,percent of total billed charges,2267.22,2267.22,2606,percent of total billed charges,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2267.22,87,percent of total billed charges,2267.22,2267.22,2606,percent of total billed charges,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,UNITED HEALTHCARE,UNITED HEALTHCARE,,2293.28,88,percent of total billed charges,2293.28,2267.22,2606,percent of total billed charges,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,AETNA,AETNA,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,ALLIANT,ALLIANT,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,AMBETTER,AMBETTER,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,BEECH STREET,BEECH STREET,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,CARESOURCE,CARESOURCE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,MEDICAID,MEDICAID,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,MEDICARE,MEDICARE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,NOVA NET,NOVA NET,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,PEACHSTATE,PEACHSTATE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,SELFPAY,SELFPAY,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,TRICARE,TRICARE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES 95MM LAG SCREW,C1713,CPT,both,,,2606,2606,UHC MEDICARE,UHC MEDICARE,,2606,,fee schedule,2606,2267.22,2606,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,AETNA,AETNA,,372.36,87,percent of total billed charges,372.36,372.36,428,percent of total billed charges,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,372.36,87,percent of total billed charges,372.36,372.36,428,percent of total billed charges,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,UNITED HEALTHCARE,UNITED HEALTHCARE,,376.64,88,percent of total billed charges,376.64,372.36,428,percent of total billed charges,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,AETNA,AETNA,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,ALLIANT,ALLIANT,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,AMBETTER,AMBETTER,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,BEECH STREET,BEECH STREET,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,CARESOURCE,CARESOURCE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,MEDICAID,MEDICAID,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,MEDICARE,MEDICARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,NOVA NET,NOVA NET,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,PEACHSTATE,PEACHSTATE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,SELFPAY,SELFPAY,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,TRICARE,TRICARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES CANCELLOUS SCREWS,C1713,CPT,both,,,428,428,UHC MEDICARE,UHC MEDICARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,100.92,116,percent of total billed charges,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,ALLIANT,ALLIANT,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,AMBETTER,AMBETTER,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,MEDICARE,MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,TRICARE,TRICARE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS COMPRESSION S,C1713,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,46.11,53,percent of total billed charges,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,46.11,53,percent of total billed charges,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,46.11,53,percent of total billed charges,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,ALLIANT,ALLIANT,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,AMBETTER,AMBETTER,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,MEDICARE,MEDICARE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,TRICARE,TRICARE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS HIP SCREW,C1713,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,53,,fee schedule,53,46.11,53,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,AETNA,AETNA,,562.89,87,percent of total billed charges,562.89,562.89,647,percent of total billed charges,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562.89,87,percent of total billed charges,562.89,562.89,647,percent of total billed charges,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,UNITED HEALTHCARE,UNITED HEALTHCARE,,569.36,88,percent of total billed charges,569.36,562.89,647,percent of total billed charges,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,AETNA,AETNA,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,ALLIANT,ALLIANT,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,AMBETTER,AMBETTER,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,BEECH STREET,BEECH STREET,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,MEDICAID,MEDICAID,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,MEDICARE,MEDICARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,NOVA NET,NOVA NET,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,SELFPAY,SELFPAY,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,TRICARE,TRICARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,UHC MEDICARE,UHC MEDICARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,AETNA,AETNA,,562.89,87,percent of total billed charges,562.89,562.89,647,percent of total billed charges,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562.89,87,percent of total billed charges,562.89,562.89,647,percent of total billed charges,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,UNITED HEALTHCARE,UNITED HEALTHCARE,,569.36,88,percent of total billed charges,569.36,562.89,647,percent of total billed charges,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,AETNA,AETNA,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,ALLIANT,ALLIANT,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,AMBETTER,AMBETTER,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,BEECH STREET,BEECH STREET,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CARESOURCE,CARESOURCE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,MEDICAID,MEDICAID,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,MEDICARE,MEDICARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,NOVA NET,NOVA NET,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,PEACHSTATE,PEACHSTATE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,SELFPAY,SELFPAY,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,TRICARE,TRICARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DHS LAG SCREW,C1713,CPT,both,,,647,647,UHC MEDICARE,UHC MEDICARE,,647,,fee schedule,647,562.89,647,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,AETNA,AETNA,,2977.14,87,percent of total billed charges,2977.14,2977.14,3422,percent of total billed charges,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2977.14,87,percent of total billed charges,2977.14,2977.14,3422,percent of total billed charges,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,UNITED HEALTHCARE,UNITED HEALTHCARE,,3011.36,88,percent of total billed charges,3011.36,2977.14,3422,percent of total billed charges,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,AETNA,AETNA,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,ALLIANT,ALLIANT,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,AMBETTER,AMBETTER,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,BEECH STREET,BEECH STREET,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,CARESOURCE,CARESOURCE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,MEDICAID,MEDICAID,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,MEDICARE,MEDICARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,NOVA NET,NOVA NET,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,PEACHSTATE,PEACHSTATE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,SELFPAY,SELFPAY,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,TRICARE,TRICARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DIST RAD PLATE,C1713,CPT,both,,,3422,3422,UHC MEDICARE,UHC MEDICARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,241.86,278,percent of total billed charges,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,241.86,278,percent of total billed charges,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,241.86,278,percent of total billed charges,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,ALLIANT,ALLIANT,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,AMBETTER,AMBETTER,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,MEDICARE,MEDICARE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,TRICARE,TRICARE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES DISTRACTION PIN,C1713,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,278,,fee schedule,278,241.86,278,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,221.85,255,percent of total billed charges,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES ENT SCREW,C1713,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,AETNA,AETNA,,1640.82,87,percent of total billed charges,1640.82,1640.82,1886,percent of total billed charges,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640.82,87,percent of total billed charges,1640.82,1640.82,1886,percent of total billed charges,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,UNITED HEALTHCARE,UNITED HEALTHCARE,,1659.68,88,percent of total billed charges,1659.68,1640.82,1886,percent of total billed charges,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,AETNA,AETNA,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,ALLIANT,ALLIANT,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,AMBETTER,AMBETTER,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,BEECH STREET,BEECH STREET,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,CARESOURCE,CARESOURCE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,MEDICAID,MEDICAID,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,MEDICARE,MEDICARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,NOVA NET,NOVA NET,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,PEACHSTATE,PEACHSTATE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,SELFPAY,SELFPAY,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,TRICARE,TRICARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX CLAMP,C1713,CPT,both,,,1886,1886,UHC MEDICARE,UHC MEDICARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,AETNA,AETNA,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,UNITED HEALTHCARE,UNITED HEALTHCARE,,564.96,88,percent of total billed charges,564.96,558.54,642,percent of total billed charges,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,AETNA,AETNA,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,ALLIANT,ALLIANT,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,AMBETTER,AMBETTER,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,BEECH STREET,BEECH STREET,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,CARESOURCE,CARESOURCE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,MEDICAID,MEDICAID,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,MEDICARE,MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,NOVA NET,NOVA NET,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,PEACHSTATE,PEACHSTATE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,SELFPAY,SELFPAY,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,TRICARE,TRICARE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES EX FIX ROD,C1713,CPT,both,,,642,642,UHC MEDICARE,UHC MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,AETNA,AETNA,,480.24,87,percent of total billed charges,480.24,480.24,552,percent of total billed charges,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,480.24,87,percent of total billed charges,480.24,480.24,552,percent of total billed charges,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,UNITED HEALTHCARE,UNITED HEALTHCARE,,485.76,88,percent of total billed charges,485.76,480.24,552,percent of total billed charges,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,AETNA,AETNA,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,ALLIANT,ALLIANT,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,AMBETTER,AMBETTER,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,BEECH STREET,BEECH STREET,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,CARESOURCE,CARESOURCE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,MEDICAID,MEDICAID,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,MEDICARE,MEDICARE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,NOVA NET,NOVA NET,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,PEACHSTATE,PEACHSTATE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,SELFPAY,SELFPAY,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,TRICARE,TRICARE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES FEM LOCKING SCREW,C1713,CPT,both,,,552,552,UHC MEDICARE,UHC MEDICARE,,552,,fee schedule,552,480.24,552,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,169.65,195,percent of total billed charges,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,169.65,195,percent of total billed charges,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,169.65,195,percent of total billed charges,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,ALLIANT,ALLIANT,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,AMBETTER,AMBETTER,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,MEDICARE,MEDICARE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,TRICARE,TRICARE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES K-WIRES 1.25,C1713,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,195,,fee schedule,195,169.65,195,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,AETNA,AETNA,,372.36,87,percent of total billed charges,372.36,372.36,428,percent of total billed charges,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,372.36,87,percent of total billed charges,372.36,372.36,428,percent of total billed charges,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,UNITED HEALTHCARE,UNITED HEALTHCARE,,376.64,88,percent of total billed charges,376.64,372.36,428,percent of total billed charges,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,AETNA,AETNA,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,ALLIANT,ALLIANT,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,AMBETTER,AMBETTER,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,BEECH STREET,BEECH STREET,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,CARESOURCE,CARESOURCE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,MEDICAID,MEDICAID,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,MEDICARE,MEDICARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,NOVA NET,NOVA NET,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,PEACHSTATE,PEACHSTATE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,SELFPAY,SELFPAY,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,TRICARE,TRICARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SCHANZ SCREW,C1713,CPT,both,,,428,428,UHC MEDICARE,UHC MEDICARE,,428,,fee schedule,428,372.36,428,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,AETNA,AETNA,,714.27,87,percent of total billed charges,714.27,714.27,821,percent of total billed charges,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,714.27,87,percent of total billed charges,714.27,714.27,821,percent of total billed charges,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,UNITED HEALTHCARE,UNITED HEALTHCARE,,722.48,88,percent of total billed charges,722.48,714.27,821,percent of total billed charges,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,AETNA,AETNA,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,ALLIANT,ALLIANT,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,AMBETTER,AMBETTER,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,BEECH STREET,BEECH STREET,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,CARESOURCE,CARESOURCE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,MEDICAID,MEDICAID,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,MEDICARE,MEDICARE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,NOVA NET,NOVA NET,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,PEACHSTATE,PEACHSTATE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,SELFPAY,SELFPAY,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,TRICARE,TRICARE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SELF SCREW,C1713,CPT,both,,,821,821,UHC MEDICARE,UHC MEDICARE,,821,,fee schedule,821,714.27,821,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,AETNA,AETNA,,652.5,87,percent of total billed charges,652.5,652.5,750,percent of total billed charges,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,652.5,87,percent of total billed charges,652.5,652.5,750,percent of total billed charges,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,UNITED HEALTHCARE,UNITED HEALTHCARE,,660,88,percent of total billed charges,660,652.5,750,percent of total billed charges,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,AETNA,AETNA,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,ALLIANT,ALLIANT,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,AMBETTER,AMBETTER,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,BEECH STREET,BEECH STREET,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,CARESOURCE,CARESOURCE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,MEDICAID,MEDICAID,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,MEDICARE,MEDICARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,NOVA NET,NOVA NET,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,PEACHSTATE,PEACHSTATE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,SELFPAY,SELFPAY,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,TRICARE,TRICARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL ROD,C1713,CPT,both,,,750,750,UHC MEDICARE,UHC MEDICARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,AETNA,AETNA,,1577.31,87,percent of total billed charges,1577.31,1577.31,1813,percent of total billed charges,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1577.31,87,percent of total billed charges,1577.31,1577.31,1813,percent of total billed charges,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,UNITED HEALTHCARE,UNITED HEALTHCARE,,1595.44,88,percent of total billed charges,1595.44,1577.31,1813,percent of total billed charges,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,AETNA,AETNA,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,ALLIANT,ALLIANT,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,AMBETTER,AMBETTER,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,BEECH STREET,BEECH STREET,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,CARESOURCE,CARESOURCE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,MEDICAID,MEDICAID,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,MEDICARE,MEDICARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,NOVA NET,NOVA NET,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,PEACHSTATE,PEACHSTATE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,SELFPAY,SELFPAY,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,TRICARE,TRICARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES SPINAL SCREWS,C1713,CPT,both,,,1813,1813,UHC MEDICARE,UHC MEDICARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,AETNA,AETNA,,368.88,87,percent of total billed charges,368.88,368.88,424,percent of total billed charges,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.88,87,percent of total billed charges,368.88,368.88,424,percent of total billed charges,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,UNITED HEALTHCARE,UNITED HEALTHCARE,,373.12,88,percent of total billed charges,373.12,368.88,424,percent of total billed charges,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,AETNA,AETNA,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,ALLIANT,ALLIANT,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,AMBETTER,AMBETTER,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,BEECH STREET,BEECH STREET,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,MEDICAID,MEDICAID,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,MEDICARE,MEDICARE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,NOVA NET,NOVA NET,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,SELFPAY,SELFPAY,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,TRICARE,TRICARE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TEMP FIX PIN #387,C1713,CPT,both,,,424,424,UHC MEDICARE,UHC MEDICARE,,424,,fee schedule,424,368.88,424,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,AETNA,AETNA,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,UNITED HEALTHCARE,UNITED HEALTHCARE,,428.56,88,percent of total billed charges,428.56,423.69,487,percent of total billed charges,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,AETNA,AETNA,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,ALLIANT,ALLIANT,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,AMBETTER,AMBETTER,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,BEECH STREET,BEECH STREET,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,CARESOURCE,CARESOURCE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,MEDICAID,MEDICAID,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,MEDICARE,MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,NOVA NET,NOVA NET,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,PEACHSTATE,PEACHSTATE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,SELFPAY,SELFPAY,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,TRICARE,TRICARE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TITANIOM LOCKING,C1713,CPT,both,,,487,487,UHC MEDICARE,UHC MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,513.3,590,percent of total billed charges,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,513.3,590,percent of total billed charges,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,ALLIANT,ALLIANT,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,AMBETTER,AMBETTER,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,MEDICARE,MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,TRICARE,TRICARE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 1.25 HEADED WIR,C1713,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,590,,fee schedule,590,513.3,590,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,AETNA,AETNA,,171.39,87,percent of total billed charges,171.39,171.39,197,percent of total billed charges,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171.39,87,percent of total billed charges,171.39,171.39,197,percent of total billed charges,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,UNITED HEALTHCARE,UNITED HEALTHCARE,,173.36,88,percent of total billed charges,173.36,171.39,197,percent of total billed charges,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,AETNA,AETNA,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,ALLIANT,ALLIANT,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,AMBETTER,AMBETTER,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,BEECH STREET,BEECH STREET,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,CARESOURCE,CARESOURCE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,MEDICAID,MEDICAID,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,MEDICARE,MEDICARE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,NOVA NET,NOVA NET,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,PEACHSTATE,PEACHSTATE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,SELFPAY,SELFPAY,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,TRICARE,TRICARE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHES TRAUMA 2.4CORTEX SCREW,C1713,CPT,both,,,197,197,UHC MEDICARE,UHC MEDICARE,,197,,fee schedule,197,171.39,197,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,AETNA,AETNA,,669.03,87,percent of total billed charges,669.03,669.03,769,percent of total billed charges,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,669.03,87,percent of total billed charges,669.03,669.03,769,percent of total billed charges,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,UNITED HEALTHCARE,UNITED HEALTHCARE,,676.72,88,percent of total billed charges,676.72,669.03,769,percent of total billed charges,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,AETNA,AETNA,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,ALLIANT,ALLIANT,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,AMBETTER,AMBETTER,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,BEECH STREET,BEECH STREET,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,CARESOURCE,CARESOURCE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,MEDICAID,MEDICAID,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,MEDICARE,MEDICARE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,NOVA NET,NOVA NET,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,PEACHSTATE,PEACHSTATE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,SELFPAY,SELFPAY,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,TRICARE,TRICARE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESE 42MM SCREW,C1713,CPT,both,,,769,769,UHC MEDICARE,UHC MEDICARE,,769,,fee schedule,769,669.03,769,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,AETNA,AETNA,,652.5,87,percent of total billed charges,652.5,652.5,750,percent of total billed charges,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,652.5,87,percent of total billed charges,652.5,652.5,750,percent of total billed charges,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,UNITED HEALTHCARE,UNITED HEALTHCARE,,660,88,percent of total billed charges,660,652.5,750,percent of total billed charges,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,AETNA,AETNA,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,ALLIANT,ALLIANT,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,AMBETTER,AMBETTER,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,BEECH STREET,BEECH STREET,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,CARESOURCE,CARESOURCE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,MEDICAID,MEDICAID,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,MEDICARE,MEDICARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,NOVA NET,NOVA NET,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,PEACHSTATE,PEACHSTATE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,SELFPAY,SELFPAY,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,TRICARE,TRICARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYNTHESIS LOCKING CAP,C1713,CPT,both,,,750,750,UHC MEDICARE,UHC MEDICARE,,750,,fee schedule,750,652.5,750,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,84.39,97,percent of total billed charges,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,84.39,97,percent of total billed charges,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,84.39,97,percent of total billed charges,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,84.39,97,fee schedule,
SYTHES LOCKING SCREW,C1713,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,84.39,97,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,AETNA,AETNA,,3216.39,87,percent of total billed charges,3216.39,3216.39,3697,percent of total billed charges,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3216.39,87,percent of total billed charges,3216.39,3216.39,3697,percent of total billed charges,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,UNITED HEALTHCARE,UNITED HEALTHCARE,,3253.36,88,percent of total billed charges,3253.36,3216.39,3697,percent of total billed charges,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,AETNA,AETNA,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,ALLIANT,ALLIANT,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,AMBETTER,AMBETTER,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,BEECH STREET,BEECH STREET,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,CARESOURCE,CARESOURCE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,MEDICAID,MEDICAID,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,MEDICARE,MEDICARE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,NOVA NET,NOVA NET,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,PEACHSTATE,PEACHSTATE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,SELFPAY,SELFPAY,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,TRICARE,TRICARE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TALO-NAVICULAR LOCKING PLATE,C1713,CPT,both,,,3697,3697,UHC MEDICARE,UHC MEDICARE,,3697,,fee schedule,3697,3216.39,3697,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,AETNA,AETNA,,2307.24,87,percent of total billed charges,2307.24,2307.24,2652,percent of total billed charges,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2307.24,87,percent of total billed charges,2307.24,2307.24,2652,percent of total billed charges,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,UNITED HEALTHCARE,UNITED HEALTHCARE,,2333.76,88,percent of total billed charges,2333.76,2307.24,2652,percent of total billed charges,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,AETNA,AETNA,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,ALLIANT,ALLIANT,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,AMBETTER,AMBETTER,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,BEECH STREET,BEECH STREET,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,CARESOURCE,CARESOURCE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,MEDICAID,MEDICAID,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,MEDICARE,MEDICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,NOVA NET,NOVA NET,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,PEACHSTATE,PEACHSTATE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,SELFPAY,SELFPAY,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,TRICARE,TRICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TI. PLATE STD RIGHT,C1713,CPT,both,,,2652,2652,UHC MEDICARE,UHC MEDICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,AETNA,AETNA,,13337.97,87,percent of total billed charges,13337.97,13337.97,15331,percent of total billed charges,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13337.97,87,percent of total billed charges,13337.97,13337.97,15331,percent of total billed charges,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,UNITED HEALTHCARE,UNITED HEALTHCARE,,13491.28,88,percent of total billed charges,13491.28,13337.97,15331,percent of total billed charges,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,AETNA,AETNA,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,ALLIANT,ALLIANT,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,AMBETTER,AMBETTER,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,BEECH STREET,BEECH STREET,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,CARESOURCE,CARESOURCE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,MEDICAID,MEDICAID,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,MEDICARE,MEDICARE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,NOVA NET,NOVA NET,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,PEACHSTATE,PEACHSTATE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,SELFPAY,SELFPAY,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,TRICARE,TRICARE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIA INSERT HINGE,C1713,CPT,both,,,15331,15331,UHC MEDICARE,UHC MEDICARE,,15331,,fee schedule,15331,13337.97,15331,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,AETNA,AETNA,,1265.85,87,percent of total billed charges,1265.85,1265.85,1455,percent of total billed charges,
TIBIAL,C1713,CPT,both,,,1455,1455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1265.85,87,percent of total billed charges,1265.85,1265.85,1455,percent of total billed charges,
TIBIAL,C1713,CPT,both,,,1455,1455,UNITED HEALTHCARE,UNITED HEALTHCARE,,1280.4,88,percent of total billed charges,1280.4,1265.85,1455,percent of total billed charges,
TIBIAL,C1713,CPT,both,,,1455,1455,AETNA,AETNA,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,ALLIANT,ALLIANT,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,AMBETTER,AMBETTER,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,BEECH STREET,BEECH STREET,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,CARESOURCE,CARESOURCE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,MEDICAID,MEDICAID,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,MEDICARE,MEDICARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,NOVA NET,NOVA NET,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,PEACHSTATE,PEACHSTATE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,SELFPAY,SELFPAY,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,TRICARE,TRICARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL,C1713,CPT,both,,,1455,1455,UHC MEDICARE,UHC MEDICARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,AETNA,AETNA,,3232.92,87,percent of total billed charges,3232.92,3232.92,3716,percent of total billed charges,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3232.92,87,percent of total billed charges,3232.92,3232.92,3716,percent of total billed charges,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,UNITED HEALTHCARE,UNITED HEALTHCARE,,3270.08,88,percent of total billed charges,3270.08,3232.92,3716,percent of total billed charges,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,AETNA,AETNA,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,ALLIANT,ALLIANT,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,AMBETTER,AMBETTER,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,BEECH STREET,BEECH STREET,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,CARESOURCE,CARESOURCE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,MEDICAID,MEDICAID,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,MEDICARE,MEDICARE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,NOVA NET,NOVA NET,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,PEACHSTATE,PEACHSTATE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,SELFPAY,SELFPAY,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,TRICARE,TRICARE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING  E1,C1713,CPT,both,,,3716,3716,UHC MEDICARE,UHC MEDICARE,,3716,,fee schedule,3716,3232.92,3716,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,AETNA,AETNA,,3428.67,87,percent of total billed charges,3428.67,3428.67,3941,percent of total billed charges,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3428.67,87,percent of total billed charges,3428.67,3428.67,3941,percent of total billed charges,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,UNITED HEALTHCARE,UNITED HEALTHCARE,,3468.08,88,percent of total billed charges,3468.08,3428.67,3941,percent of total billed charges,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,AETNA,AETNA,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,ALLIANT,ALLIANT,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,AMBETTER,AMBETTER,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,BEECH STREET,BEECH STREET,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,CARESOURCE,CARESOURCE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,MEDICAID,MEDICAID,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,MEDICARE,MEDICARE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,NOVA NET,NOVA NET,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,PEACHSTATE,PEACHSTATE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,SELFPAY,SELFPAY,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,TRICARE,TRICARE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING 10MM,C1713,CPT,both,,,3941,3941,UHC MEDICARE,UHC MEDICARE,,3941,,fee schedule,3941,3428.67,3941,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,AETNA,AETNA,,1901.82,87,percent of total billed charges,1901.82,1901.82,2186,percent of total billed charges,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1901.82,87,percent of total billed charges,1901.82,1901.82,2186,percent of total billed charges,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,UNITED HEALTHCARE,UNITED HEALTHCARE,,1923.68,88,percent of total billed charges,1923.68,1901.82,2186,percent of total billed charges,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,AETNA,AETNA,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,ALLIANT,ALLIANT,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,AMBETTER,AMBETTER,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,BEECH STREET,BEECH STREET,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,CARESOURCE,CARESOURCE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,MEDICAID,MEDICAID,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,MEDICARE,MEDICARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,NOVA NET,NOVA NET,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,PEACHSTATE,PEACHSTATE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,SELFPAY,SELFPAY,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,TRICARE,TRICARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL BEARING LT & RT,C1713,CPT,both,,,2186,2186,UHC MEDICARE,UHC MEDICARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL INSERT XLPE,C1713,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,AETNA,AETNA,,3622.68,87,percent of total billed charges,3622.68,3622.68,4164,percent of total billed charges,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3622.68,87,percent of total billed charges,3622.68,3622.68,4164,percent of total billed charges,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,UNITED HEALTHCARE,UNITED HEALTHCARE,,3664.32,88,percent of total billed charges,3664.32,3622.68,4164,percent of total billed charges,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,AETNA,AETNA,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,ALLIANT,ALLIANT,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,AMBETTER,AMBETTER,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,BEECH STREET,BEECH STREET,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,CARESOURCE,CARESOURCE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,MEDICAID,MEDICAID,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,MEDICARE,MEDICARE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,NOVA NET,NOVA NET,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,PEACHSTATE,PEACHSTATE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,SELFPAY,SELFPAY,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,TRICARE,TRICARE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIBIAL TRAY MED RT & LT,C1713,CPT,both,,,4164,4164,UHC MEDICARE,UHC MEDICARE,,4164,,fee schedule,4164,3622.68,4164,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,AETNA,AETNA,,672.51,87,percent of total billed charges,672.51,672.51,773,percent of total billed charges,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,672.51,87,percent of total billed charges,672.51,672.51,773,percent of total billed charges,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,UNITED HEALTHCARE,UNITED HEALTHCARE,,680.24,88,percent of total billed charges,680.24,672.51,773,percent of total billed charges,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,AETNA,AETNA,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,ALLIANT,ALLIANT,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,AMBETTER,AMBETTER,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,BEECH STREET,BEECH STREET,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,CARESOURCE,CARESOURCE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,MEDICAID,MEDICAID,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,MEDICARE,MEDICARE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,NOVA NET,NOVA NET,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,PEACHSTATE,PEACHSTATE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,SELFPAY,SELFPAY,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,TRICARE,TRICARE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE BUTTON,C1713,CPT,both,,,773,773,UHC MEDICARE,UHC MEDICARE,,773,,fee schedule,773,672.51,773,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,AETNA,AETNA,,1740,87,percent of total billed charges,1740,1740,2000,percent of total billed charges,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1740,87,percent of total billed charges,1740,1740,2000,percent of total billed charges,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,UNITED HEALTHCARE,UNITED HEALTHCARE,,1760,88,percent of total billed charges,1760,1740,2000,percent of total billed charges,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,AETNA,AETNA,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,ALLIANT,ALLIANT,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,AMBETTER,AMBETTER,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,BEECH STREET,BEECH STREET,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,CARESOURCE,CARESOURCE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,MEDICAID,MEDICAID,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,MEDICARE,MEDICARE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,NOVA NET,NOVA NET,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,PEACHSTATE,PEACHSTATE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,SELFPAY,SELFPAY,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,TRICARE,TRICARE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TIGHTROPE FIBERTAG,C1713,CPT,both,,,2000,2000,UHC MEDICARE,UHC MEDICARE,,2000,,fee schedule,2000,1740,2000,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,AETNA,AETNA,,380.19,87,percent of total billed charges,380.19,380.19,437,percent of total billed charges,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380.19,87,percent of total billed charges,380.19,380.19,437,percent of total billed charges,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,UNITED HEALTHCARE,UNITED HEALTHCARE,,384.56,88,percent of total billed charges,384.56,380.19,437,percent of total billed charges,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,AETNA,AETNA,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,ALLIANT,ALLIANT,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,AMBETTER,AMBETTER,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,BEECH STREET,BEECH STREET,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,MEDICAID,MEDICAID,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,MEDICARE,MEDICARE,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,NOVA NET,NOVA NET,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,SELFPAY,SELFPAY,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,TRICARE,TRICARE,,437,,fee schedule,437,380.19,437,fee schedule,
TITAN ENDO TCS 14X3.5MM SCREW,C1713,CPT,both,,,437,437,UHC MEDICARE,UHC MEDICARE,,437,,fee schedule,437,380.19,437,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,AETNA,AETNA,,10194.66,87,percent of total billed charges,10194.66,10194.66,11718,percent of total billed charges,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10194.66,87,percent of total billed charges,10194.66,10194.66,11718,percent of total billed charges,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,UNITED HEALTHCARE,UNITED HEALTHCARE,,10311.84,88,percent of total billed charges,10311.84,10194.66,11718,percent of total billed charges,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,AETNA,AETNA,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,ALLIANT,ALLIANT,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,AMBETTER,AMBETTER,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,BEECH STREET,BEECH STREET,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,CARESOURCE,CARESOURCE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,MEDICAID,MEDICAID,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,MEDICARE,MEDICARE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,NOVA NET,NOVA NET,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,PEACHSTATE,PEACHSTATE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,SELFPAY,SELFPAY,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,TRICARE,TRICARE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CEMENTED LONG STE,C1713,CPT,both,,,11718,11718,UHC MEDICARE,UHC MEDICARE,,11718,,fee schedule,11718,10194.66,11718,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,AETNA,AETNA,,5449.68,87,percent of total billed charges,5449.68,5449.68,6264,percent of total billed charges,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5449.68,87,percent of total billed charges,5449.68,5449.68,6264,percent of total billed charges,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,UNITED HEALTHCARE,UNITED HEALTHCARE,,5512.32,88,percent of total billed charges,5512.32,5449.68,6264,percent of total billed charges,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,AETNA,AETNA,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,ALLIANT,ALLIANT,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,AMBETTER,AMBETTER,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,BEECH STREET,BEECH STREET,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,CARESOURCE,CARESOURCE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,MEDICAID,MEDICAID,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,MEDICARE,MEDICARE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,NOVA NET,NOVA NET,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,PEACHSTATE,PEACHSTATE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,SELFPAY,SELFPAY,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,TRICARE,TRICARE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER CONSTRAINED INSER,C1713,CPT,both,,,6264,6264,UHC MEDICARE,UHC MEDICARE,,6264,,fee schedule,6264,5449.68,6264,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,AETNA,AETNA,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,UNITED HEALTHCARE,UNITED HEALTHCARE,,428.56,88,percent of total billed charges,428.56,423.69,487,percent of total billed charges,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,AETNA,AETNA,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,ALLIANT,ALLIANT,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,AMBETTER,AMBETTER,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,BEECH STREET,BEECH STREET,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,CARESOURCE,CARESOURCE,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,MEDICAID,MEDICAID,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,MEDICARE,MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,NOVA NET,NOVA NET,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,PEACHSTATE,PEACHSTATE,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,SELFPAY,SELFPAY,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,TRICARE,TRICARE,,487,,fee schedule,487,423.69,487,fee schedule,
TORNIER RETROVERSION ROD,C1713,CPT,both,,,487,487,UHC MEDICARE,UHC MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,AETNA,AETNA,,446.31,87,percent of total billed charges,446.31,446.31,513,percent of total billed charges,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,446.31,87,percent of total billed charges,446.31,446.31,513,percent of total billed charges,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,UNITED HEALTHCARE,UNITED HEALTHCARE,,451.44,88,percent of total billed charges,451.44,446.31,513,percent of total billed charges,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,AETNA,AETNA,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,ALLIANT,ALLIANT,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,AMBETTER,AMBETTER,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,BEECH STREET,BEECH STREET,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,MEDICAID,MEDICAID,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,MEDICARE,MEDICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,NOVA NET,NOVA NET,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,SELFPAY,SELFPAY,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,TRICARE,TRICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER LOCKING SCRE,C1713,CPT,both,,,513,513,UHC MEDICARE,UHC MEDICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,AETNA,AETNA,,446.31,87,percent of total billed charges,446.31,446.31,513,percent of total billed charges,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,446.31,87,percent of total billed charges,446.31,446.31,513,percent of total billed charges,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,UNITED HEALTHCARE,UNITED HEALTHCARE,,451.44,88,percent of total billed charges,451.44,446.31,513,percent of total billed charges,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,AETNA,AETNA,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,ALLIANT,ALLIANT,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,AMBETTER,AMBETTER,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,BEECH STREET,BEECH STREET,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,CARESOURCE,CARESOURCE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,MEDICAID,MEDICAID,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,MEDICARE,MEDICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,NOVA NET,NOVA NET,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,PEACHSTATE,PEACHSTATE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,SELFPAY,SELFPAY,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,TRICARE,TRICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TOT SHOULDER NO LOCK SCRE,C1713,CPT,both,,,513,513,UHC MEDICARE,UHC MEDICARE,,513,,fee schedule,513,446.31,513,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,AETNA,AETNA,,468.93,87,percent of total billed charges,468.93,468.93,539,percent of total billed charges,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,468.93,87,percent of total billed charges,468.93,468.93,539,percent of total billed charges,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,UNITED HEALTHCARE,UNITED HEALTHCARE,,474.32,88,percent of total billed charges,474.32,468.93,539,percent of total billed charges,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,AETNA,AETNA,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,ALLIANT,ALLIANT,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,AMBETTER,AMBETTER,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,BEECH STREET,BEECH STREET,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,CARESOURCE,CARESOURCE,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,MEDICAID,MEDICAID,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,MEDICARE,MEDICARE,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,NOVA NET,NOVA NET,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,PEACHSTATE,PEACHSTATE,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,SELFPAY,SELFPAY,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,TRICARE,TRICARE,,539,,fee schedule,539,468.93,539,fee schedule,
TRANSFIXING PIN 5X275X6,C1713,CPT,both,,,539,539,UHC MEDICARE,UHC MEDICARE,,539,,fee schedule,539,468.93,539,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,AETNA,AETNA,,151.38,87,percent of total billed charges,151.38,151.38,174,percent of total billed charges,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151.38,87,percent of total billed charges,151.38,151.38,174,percent of total billed charges,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,UNITED HEALTHCARE,UNITED HEALTHCARE,,153.12,88,percent of total billed charges,153.12,151.38,174,percent of total billed charges,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,AETNA,AETNA,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,ALLIANT,ALLIANT,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,AMBETTER,AMBETTER,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,BEECH STREET,BEECH STREET,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,CARESOURCE,CARESOURCE,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,MEDICAID,MEDICAID,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,MEDICARE,MEDICARE,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,NOVA NET,NOVA NET,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,PEACHSTATE,PEACHSTATE,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,SELFPAY,SELFPAY,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,TRICARE,TRICARE,,174,,fee schedule,174,151.38,174,fee schedule,
TUBULAR PLATE 1/3 7 HOLE,C1713,CPT,both,,,174,174,UHC MEDICARE,UHC MEDICARE,,174,,fee schedule,174,151.38,174,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,AETNA,AETNA,,627.27,87,percent of total billed charges,627.27,627.27,721,percent of total billed charges,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,627.27,87,percent of total billed charges,627.27,627.27,721,percent of total billed charges,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,UNITED HEALTHCARE,UNITED HEALTHCARE,,634.48,88,percent of total billed charges,634.48,627.27,721,percent of total billed charges,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,AETNA,AETNA,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,ALLIANT,ALLIANT,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,AMBETTER,AMBETTER,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,BEECH STREET,BEECH STREET,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,CARESOURCE,CARESOURCE,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,MEDICAID,MEDICAID,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,MEDICARE,MEDICARE,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,NOVA NET,NOVA NET,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,PEACHSTATE,PEACHSTATE,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,SELFPAY,SELFPAY,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,TRICARE,TRICARE,,721,,fee schedule,721,627.27,721,fee schedule,
UNI FIXATION PIN,C1713,CPT,both,,,721,721,UHC MEDICARE,UHC MEDICARE,,721,,fee schedule,721,627.27,721,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
WASHER 2.5-6.5MM,C1713,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,AETNA,AETNA,,3067.62,87,percent of total billed charges,3067.62,3067.62,3526,percent of total billed charges,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3067.62,87,percent of total billed charges,3067.62,3067.62,3526,percent of total billed charges,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,UNITED HEALTHCARE,UNITED HEALTHCARE,,3102.88,88,percent of total billed charges,3102.88,3067.62,3526,percent of total billed charges,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,AETNA,AETNA,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,ALLIANT,ALLIANT,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,AMBETTER,AMBETTER,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,BEECH STREET,BEECH STREET,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,CARESOURCE,CARESOURCE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,MEDICAID,MEDICAID,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,MEDICARE,MEDICARE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,NOVA NET,NOVA NET,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,PEACHSTATE,PEACHSTATE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,SELFPAY,SELFPAY,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,TRICARE,TRICARE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
XENPLIFI DBM PUTTY 8CC,C1713,CPT,both,,,3526,3526,UHC MEDICARE,UHC MEDICARE,,3526,,fee schedule,3526,3067.62,3526,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,AETNA,AETNA,,3374.73,87,percent of total billed charges,3374.73,3374.73,3879,percent of total billed charges,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3374.73,87,percent of total billed charges,3374.73,3374.73,3879,percent of total billed charges,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,UNITED HEALTHCARE,UNITED HEALTHCARE,,3413.52,88,percent of total billed charges,3413.52,3374.73,3879,percent of total billed charges,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,AETNA,AETNA,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,ALLIANT,ALLIANT,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,AMBETTER,AMBETTER,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,BEECH STREET,BEECH STREET,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,CARESOURCE,CARESOURCE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,MEDICAID,MEDICAID,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,MEDICARE,MEDICARE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,NOVA NET,NOVA NET,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,PEACHSTATE,PEACHSTATE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,SELFPAY,SELFPAY,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,TRICARE,TRICARE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
"XTRAFIX 75 PIN CLAMP,2-BAR",C1713,CPT,both,,,3879,3879,UHC MEDICARE,UHC MEDICARE,,3879,,fee schedule,3879,3374.73,3879,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,AETNA,AETNA,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,UNITED HEALTHCARE,UNITED HEALTHCARE,,340.56,88,percent of total billed charges,340.56,336.69,387,percent of total billed charges,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,AETNA,AETNA,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,ALLIANT,ALLIANT,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,AMBETTER,AMBETTER,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,BEECH STREET,BEECH STREET,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,CARESOURCE,CARESOURCE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,MEDICAID,MEDICAID,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,MEDICARE,MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,NOVA NET,NOVA NET,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,PEACHSTATE,PEACHSTATE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,SELFPAY,SELFPAY,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,TRICARE,TRICARE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5MMX160MMX35MM,C1713,CPT,both,,,387,387,UHC MEDICARE,UHC MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,381.06,438,percent of total billed charges,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,ALLIANT,ALLIANT,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,AMBETTER,AMBETTER,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,MEDICARE,MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,TRICARE,TRICARE,,438,,fee schedule,438,381.06,438,fee schedule,
YELLOW HALF PIN 5X160X35,C1713,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,AETNA,AETNA,,494.16,87,percent of total billed charges,494.16,494.16,568,percent of total billed charges,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,494.16,87,percent of total billed charges,494.16,494.16,568,percent of total billed charges,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,UNITED HEALTHCARE,UNITED HEALTHCARE,,499.84,88,percent of total billed charges,499.84,494.16,568,percent of total billed charges,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,AETNA,AETNA,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,ALLIANT,ALLIANT,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,AMBETTER,AMBETTER,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,BEECH STREET,BEECH STREET,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,CARESOURCE,CARESOURCE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,MEDICAID,MEDICAID,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,MEDICARE,MEDICARE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,NOVA NET,NOVA NET,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,PEACHSTATE,PEACHSTATE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,SELFPAY,SELFPAY,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,TRICARE,TRICARE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP LAG SCREW STD,C1713,CPT,both,,,568,568,UHC MEDICARE,UHC MEDICARE,,568,,fee schedule,568,494.16,568,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,AETNA,AETNA,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100.92,87,percent of total billed charges,100.92,100.92,116,percent of total billed charges,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.08,88,percent of total billed charges,102.08,100.92,116,percent of total billed charges,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,AETNA,AETNA,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,ALLIANT,ALLIANT,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,AMBETTER,AMBETTER,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,BEECH STREET,BEECH STREET,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,CARESOURCE,CARESOURCE,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,MEDICAID,MEDICAID,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,MEDICARE,MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,NOVA NET,NOVA NET,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,PEACHSTATE,PEACHSTATE,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,SELFPAY,SELFPAY,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,TRICARE,TRICARE,,116,,fee schedule,116,100.92,116,fee schedule,
Z COMP SCREW FOR LAG 1130,C1713,CPT,both,,,116,116,UHC MEDICARE,UHC MEDICARE,,116,,fee schedule,116,100.92,116,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,121.8,140,percent of total billed charges,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,121.8,140,percent of total billed charges,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,121.8,140,percent of total billed charges,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,ALLIANT,ALLIANT,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,AMBETTER,AMBETTER,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,MEDICARE,MEDICARE,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,TRICARE,TRICARE,,140,,fee schedule,140,121.8,140,fee schedule,
ZB 2.7 LOCKING SCREW,C1713,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,140,,fee schedule,140,121.8,140,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,AETNA,AETNA,,3851.49,87,percent of total billed charges,3851.49,3851.49,4427,percent of total billed charges,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3851.49,87,percent of total billed charges,3851.49,3851.49,4427,percent of total billed charges,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,UNITED HEALTHCARE,UNITED HEALTHCARE,,3895.76,88,percent of total billed charges,3895.76,3851.49,4427,percent of total billed charges,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,AETNA,AETNA,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,ALLIANT,ALLIANT,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,AMBETTER,AMBETTER,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,BEECH STREET,BEECH STREET,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,CARESOURCE,CARESOURCE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,MEDICAID,MEDICAID,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,MEDICARE,MEDICARE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,NOVA NET,NOVA NET,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,PEACHSTATE,PEACHSTATE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,SELFPAY,SELFPAY,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,TRICARE,TRICARE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL PLATE,C1713,CPT,both,,,4427,4427,UHC MEDICARE,UHC MEDICARE,,4427,,fee schedule,4427,3851.49,4427,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,AETNA,AETNA,,758.64,87,percent of total billed charges,758.64,758.64,872,percent of total billed charges,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,758.64,87,percent of total billed charges,758.64,758.64,872,percent of total billed charges,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,UNITED HEALTHCARE,UNITED HEALTHCARE,,767.36,88,percent of total billed charges,767.36,758.64,872,percent of total billed charges,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,AETNA,AETNA,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,ALLIANT,ALLIANT,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,AMBETTER,AMBETTER,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,BEECH STREET,BEECH STREET,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,CARESOURCE,CARESOURCE,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,MEDICAID,MEDICAID,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,MEDICARE,MEDICARE,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,NOVA NET,NOVA NET,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,PEACHSTATE,PEACHSTATE,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,SELFPAY,SELFPAY,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,TRICARE,TRICARE,,872,,fee schedule,872,758.64,872,fee schedule,
ZEPUIR CERVICAL SCREW,C1713,CPT,both,,,872,872,UHC MEDICARE,UHC MEDICARE,,872,,fee schedule,872,758.64,872,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,AETNA,AETNA,,863.04,87,percent of total billed charges,863.04,863.04,992,percent of total billed charges,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,863.04,87,percent of total billed charges,863.04,863.04,992,percent of total billed charges,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,UNITED HEALTHCARE,UNITED HEALTHCARE,,872.96,88,percent of total billed charges,872.96,863.04,992,percent of total billed charges,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,AETNA,AETNA,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,ALLIANT,ALLIANT,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,AMBETTER,AMBETTER,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,BEECH STREET,BEECH STREET,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,CARESOURCE,CARESOURCE,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,MEDICAID,MEDICAID,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,MEDICARE,MEDICARE,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,NOVA NET,NOVA NET,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,PEACHSTATE,PEACHSTATE,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,SELFPAY,SELFPAY,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,TRICARE,TRICARE,,992,,fee schedule,992,863.04,992,fee schedule,
ZICKEL SET SCREW 6607-3-0,C1713,CPT,both,,,992,992,UHC MEDICARE,UHC MEDICARE,,992,,fee schedule,992,863.04,992,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,84.39,97,percent of total billed charges,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,84.39,97,percent of total billed charges,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,84.39,97,percent of total billed charges,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 2.4 SCREW 3.5 2348,C1713,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,84.39,97,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,AETNA,AETNA,,391.5,87,percent of total billed charges,391.5,391.5,450,percent of total billed charges,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391.5,87,percent of total billed charges,391.5,391.5,450,percent of total billed charges,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,UNITED HEALTHCARE,UNITED HEALTHCARE,,396,88,percent of total billed charges,396,391.5,450,percent of total billed charges,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,AETNA,AETNA,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,ALLIANT,ALLIANT,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,AMBETTER,AMBETTER,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,BEECH STREET,BEECH STREET,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,MEDICAID,MEDICAID,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,MEDICARE,MEDICARE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,NOVA NET,NOVA NET,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,SELFPAY,SELFPAY,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,TRICARE,TRICARE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5*4.0/3.5 CANN S,C1713,CPT,both,,,450,450,UHC MEDICARE,UHC MEDICARE,,450,,fee schedule,450,391.5,450,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,63.51,73,percent of total billed charges,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,ALLIANT,ALLIANT,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,AMBETTER,AMBETTER,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,MEDICARE,MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,TRICARE,TRICARE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0 GUIDEPINS,C1713,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,82.65,95,percent of total billed charges,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,ALLIANT,ALLIANT,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,AMBETTER,AMBETTER,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,MEDICARE,MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,TRICARE,TRICARE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/5.5/7.,C1713,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,110.49,127,percent of total billed charges,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,110.49,127,percent of total billed charges,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,110.49,127,percent of total billed charges,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,ALLIANT,ALLIANT,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,AMBETTER,AMBETTER,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,MEDICARE,MEDICARE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,TRICARE,TRICARE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/4.5/6.5 SC,C1713,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,127,,fee schedule,127,110.49,127,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,92.22,106,percent of total billed charges,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,92.22,106,percent of total billed charges,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,92.22,106,percent of total billed charges,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,ALLIANT,ALLIANT,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,AMBETTER,AMBETTER,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,MEDICARE,MEDICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,TRICARE,TRICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 3.5/4.0/6.5 WASHER,C1713,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,106,,fee schedule,106,92.22,106,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,AETNA,AETNA,,421.95,87,percent of total billed charges,421.95,421.95,485,percent of total billed charges,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.95,87,percent of total billed charges,421.95,421.95,485,percent of total billed charges,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,UNITED HEALTHCARE,UNITED HEALTHCARE,,426.8,88,percent of total billed charges,426.8,421.95,485,percent of total billed charges,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,AETNA,AETNA,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,ALLIANT,ALLIANT,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,AMBETTER,AMBETTER,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,BEECH STREET,BEECH STREET,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,CARESOURCE,CARESOURCE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,MEDICAID,MEDICAID,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,MEDICARE,MEDICARE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,NOVA NET,NOVA NET,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,PEACHSTATE,PEACHSTATE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,SELFPAY,SELFPAY,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,TRICARE,TRICARE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 4.5 CANN SCREW,C1713,CPT,both,,,485,485,UHC MEDICARE,UHC MEDICARE,,485,,fee schedule,485,421.95,485,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,AETNA,AETNA,,435,87,percent of total billed charges,435,435,500,percent of total billed charges,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435,87,percent of total billed charges,435,435,500,percent of total billed charges,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,UNITED HEALTHCARE,UNITED HEALTHCARE,,440,88,percent of total billed charges,440,435,500,percent of total billed charges,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,AETNA,AETNA,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,ALLIANT,ALLIANT,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,AMBETTER,AMBETTER,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,BEECH STREET,BEECH STREET,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,CARESOURCE,CARESOURCE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,MEDICAID,MEDICAID,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,MEDICARE,MEDICARE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,NOVA NET,NOVA NET,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,PEACHSTATE,PEACHSTATE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,SELFPAY,SELFPAY,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,TRICARE,TRICARE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER 5.5/4.5 PERIARTIC,C1713,CPT,both,,,500,500,UHC MEDICARE,UHC MEDICARE,,500,,fee schedule,500,435,500,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,AETNA,AETNA,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,558.54,87,percent of total billed charges,558.54,558.54,642,percent of total billed charges,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,UNITED HEALTHCARE,UNITED HEALTHCARE,,564.96,88,percent of total billed charges,564.96,558.54,642,percent of total billed charges,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,AETNA,AETNA,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,ALLIANT,ALLIANT,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,AMBETTER,AMBETTER,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,BEECH STREET,BEECH STREET,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,CARESOURCE,CARESOURCE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,MEDICAID,MEDICAID,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,MEDICARE,MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,NOVA NET,NOVA NET,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,PEACHSTATE,PEACHSTATE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,SELFPAY,SELFPAY,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,TRICARE,TRICARE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER ITST CORTICAL SCRE,C1713,CPT,both,,,642,642,UHC MEDICARE,UHC MEDICARE,,642,,fee schedule,642,558.54,642,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,AETNA,AETNA,,358.44,87,percent of total billed charges,358.44,358.44,412,percent of total billed charges,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358.44,87,percent of total billed charges,358.44,358.44,412,percent of total billed charges,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,UNITED HEALTHCARE,UNITED HEALTHCARE,,362.56,88,percent of total billed charges,362.56,358.44,412,percent of total billed charges,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,AETNA,AETNA,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,ALLIANT,ALLIANT,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,AMBETTER,AMBETTER,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,BEECH STREET,BEECH STREET,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,MEDICAID,MEDICAID,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,MEDICARE,MEDICARE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,NOVA NET,NOVA NET,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,SELFPAY,SELFPAY,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,TRICARE,TRICARE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER MDN NAIL CAP,C1713,CPT,both,,,412,412,UHC MEDICARE,UHC MEDICARE,,412,,fee schedule,412,358.44,412,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,AETNA,AETNA,,9331.62,87,percent of total billed charges,9331.62,9331.62,10726,percent of total billed charges,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9331.62,87,percent of total billed charges,9331.62,9331.62,10726,percent of total billed charges,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,UNITED HEALTHCARE,UNITED HEALTHCARE,,9438.88,88,percent of total billed charges,9438.88,9331.62,10726,percent of total billed charges,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,AETNA,AETNA,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,ALLIANT,ALLIANT,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,AMBETTER,AMBETTER,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,BEECH STREET,BEECH STREET,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,CARESOURCE,CARESOURCE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,MEDICAID,MEDICAID,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,MEDICARE,MEDICARE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,NOVA NET,NOVA NET,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,PEACHSTATE,PEACHSTATE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,SELFPAY,SELFPAY,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,TRICARE,TRICARE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER ON ROD,C1713,CPT,both,,,10726,10726,UHC MEDICARE,UHC MEDICARE,,10726,,fee schedule,10726,9331.62,10726,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,AETNA,AETNA,,778.65,87,percent of total billed charges,778.65,778.65,895,percent of total billed charges,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,778.65,87,percent of total billed charges,778.65,778.65,895,percent of total billed charges,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,UNITED HEALTHCARE,UNITED HEALTHCARE,,787.6,88,percent of total billed charges,787.6,778.65,895,percent of total billed charges,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,AETNA,AETNA,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,ALLIANT,ALLIANT,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,AMBETTER,AMBETTER,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,BEECH STREET,BEECH STREET,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,CARESOURCE,CARESOURCE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,MEDICAID,MEDICAID,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,MEDICARE,MEDICARE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,NOVA NET,NOVA NET,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,PEACHSTATE,PEACHSTATE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,SELFPAY,SELFPAY,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,TRICARE,TRICARE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PALACOS CEMENT,C1713,CPT,both,,,895,895,UHC MEDICARE,UHC MEDICARE,,895,,fee schedule,895,778.65,895,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,109.62,126,percent of total billed charges,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,ALLIANT,ALLIANT,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,AMBETTER,AMBETTER,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,MEDICARE,MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,TRICARE,TRICARE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER PERIARTICULAR SCRE,C1713,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,87,100,percent of total billed charges,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,ALLIANT,ALLIANT,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,AMBETTER,AMBETTER,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,MEDICARE,MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,TRICARE,TRICARE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW 3.5/4.0/6.5,C1713,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,221.85,255,percent of total billed charges,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER SCREW PIN,C1713,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,AETNA,AETNA,,263.61,87,percent of total billed charges,263.61,263.61,303,percent of total billed charges,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263.61,87,percent of total billed charges,263.61,263.61,303,percent of total billed charges,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,UNITED HEALTHCARE,UNITED HEALTHCARE,,266.64,88,percent of total billed charges,266.64,263.61,303,percent of total billed charges,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,AETNA,AETNA,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,ALLIANT,ALLIANT,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,AMBETTER,AMBETTER,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,BEECH STREET,BEECH STREET,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,CARESOURCE,CARESOURCE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,MEDICAID,MEDICAID,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,MEDICARE,MEDICARE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,NOVA NET,NOVA NET,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,PEACHSTATE,PEACHSTATE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,SELFPAY,SELFPAY,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,TRICARE,TRICARE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TOTAL HOLDING PIN,C1713,CPT,both,,,303,303,UHC MEDICARE,UHC MEDICARE,,303,,fee schedule,303,263.61,303,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,234.9,270,percent of total billed charges,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,234.9,270,percent of total billed charges,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,234.9,270,percent of total billed charges,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,ALLIANT,ALLIANT,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,AMBETTER,AMBETTER,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,MEDICARE,MEDICARE,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,TRICARE,TRICARE,,270,,fee schedule,270,234.9,270,fee schedule,
ZIMMER TRANS FX PINS,C1713,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,270,,fee schedule,270,234.9,270,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,AETNA,AETNA,,1018.77,87,percent of total billed charges,1018.77,1018.77,1171,percent of total billed charges,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1018.77,87,percent of total billed charges,1018.77,1018.77,1171,percent of total billed charges,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,UNITED HEALTHCARE,UNITED HEALTHCARE,,1030.48,88,percent of total billed charges,1030.48,1018.77,1171,percent of total billed charges,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,AETNA,AETNA,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,ALLIANT,ALLIANT,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,AMBETTER,AMBETTER,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,BEECH STREET,BEECH STREET,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,CARESOURCE,CARESOURCE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,MEDICAID,MEDICAID,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,MEDICARE,MEDICARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,NOVA NET,NOVA NET,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,PEACHSTATE,PEACHSTATE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,SELFPAY,SELFPAY,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,TRICARE,TRICARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZMS FEMEROL NAIL,C1713,CPT,both,,,1171,1171,UHC MEDICARE,UHC MEDICARE,,1171,,fee schedule,1171,1018.77,1171,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,AETNA,AETNA,,533.31,87,percent of total billed charges,533.31,533.31,613,percent of total billed charges,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,533.31,87,percent of total billed charges,533.31,533.31,613,percent of total billed charges,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,UNITED HEALTHCARE,UNITED HEALTHCARE,,539.44,88,percent of total billed charges,539.44,533.31,613,percent of total billed charges,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,AETNA,AETNA,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,ALLIANT,ALLIANT,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,AMBETTER,AMBETTER,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,BEECH STREET,BEECH STREET,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,CARESOURCE,CARESOURCE,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,MEDICAID,MEDICAID,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,MEDICARE,MEDICARE,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,NOVA NET,NOVA NET,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,PEACHSTATE,PEACHSTATE,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,SELFPAY,SELFPAY,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,TRICARE,TRICARE,,613,,fee schedule,613,533.31,613,fee schedule,
ZZ COMP LAG SCREW LARGE,C1713,CPT,both,,,613,613,UHC MEDICARE,UHC MEDICARE,,613,,fee schedule,613,533.31,613,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,58,percent of total billed charges,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,ALLIANT,ALLIANT,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,AMBETTER,AMBETTER,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,MEDICARE,MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,TRICARE,TRICARE,,58,,fee schedule,58,50.46,58,fee schedule,
BRACHYTHERAPY NEEDLE,C1715,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,ALLIANT,ALLIANT,,380.74,,fee schedule,380.74,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,AMBETTER,AMBETTER,,299.98,,fee schedule,299.98,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,MEDICARE,MEDICARE,,230.75,,fee schedule,230.75,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,TRICARE,TRICARE,,230.75,,fee schedule,230.75,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,UHC MEDICARE,UHC MEDICARE,,230.75,,fee schedule,230.75,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,AETNA,AETNA,,1901.82,87,percent of total billed charges,1901.82,230.75,2186,percent of total billed charges,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1901.82,87,percent of total billed charges,1901.82,230.75,2186,percent of total billed charges,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,UNITED HEALTHCARE,UNITED HEALTHCARE,,1923.68,88,percent of total billed charges,1923.68,230.75,2186,percent of total billed charges,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,AETNA,AETNA,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,BEECH STREET,BEECH STREET,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,CARESOURCE,CARESOURCE,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,MEDICAID,MEDICAID,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,NOVA NET,NOVA NET,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,PEACHSTATE,PEACHSTATE,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,SELFPAY,SELFPAY,,2186,,fee schedule,2186,230.75,2186,fee schedule,
0 DEGREE MRH BUMPER INSERT,C1716,CPT,both,,,2186,2186,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2186,,fee schedule,2186,230.75,2186,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,ALLIANT,ALLIANT,,380.74,,fee schedule,380.74,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,AMBETTER,AMBETTER,,299.98,,fee schedule,299.98,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,MEDICARE,MEDICARE,,230.75,,fee schedule,230.75,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,TRICARE,TRICARE,,230.75,,fee schedule,230.75,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,UHC MEDICARE,UHC MEDICARE,,230.75,,fee schedule,230.75,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,AETNA,AETNA,,3167.67,87,percent of total billed charges,3167.67,230.75,3641,percent of total billed charges,
MRH AXLE,C1716,CPT,both,,,3641,3641,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3167.67,87,percent of total billed charges,3167.67,230.75,3641,percent of total billed charges,
MRH AXLE,C1716,CPT,both,,,3641,3641,UNITED HEALTHCARE,UNITED HEALTHCARE,,3204.08,88,percent of total billed charges,3204.08,230.75,3641,percent of total billed charges,
MRH AXLE,C1716,CPT,both,,,3641,3641,AETNA,AETNA,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,BEECH STREET,BEECH STREET,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,CARESOURCE,CARESOURCE,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,MEDICAID,MEDICAID,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,NOVA NET,NOVA NET,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,PEACHSTATE,PEACHSTATE,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,SELFPAY,SELFPAY,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH AXLE,C1716,CPT,both,,,3641,3641,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3641,,fee schedule,3641,230.75,3641,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,ALLIANT,ALLIANT,,380.74,,fee schedule,380.74,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,AMBETTER,AMBETTER,,299.98,,fee schedule,299.98,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,MEDICARE,MEDICARE,,230.75,,fee schedule,230.75,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,TRICARE,TRICARE,,230.75,,fee schedule,230.75,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,UHC MEDICARE,UHC MEDICARE,,230.75,,fee schedule,230.75,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,AETNA,AETNA,,10753.2,87,percent of total billed charges,10753.2,230.75,12360,percent of total billed charges,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10753.2,87,percent of total billed charges,10753.2,230.75,12360,percent of total billed charges,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,UNITED HEALTHCARE,UNITED HEALTHCARE,,10876.8,88,percent of total billed charges,10876.8,230.75,12360,percent of total billed charges,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,AETNA,AETNA,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,BEECH STREET,BEECH STREET,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,CARESOURCE,CARESOURCE,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,MEDICAID,MEDICAID,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,NOVA NET,NOVA NET,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,PEACHSTATE,PEACHSTATE,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,SELFPAY,SELFPAY,,12360,,fee schedule,12360,230.75,12360,fee schedule,
MRH TIBIAL ROTATING COMP,C1716,CPT,both,,,12360,12360,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12360,,fee schedule,12360,230.75,12360,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,ALLIANT,ALLIANT,,553.92,,fee schedule,553.92,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,AMBETTER,AMBETTER,,436.42,,fee schedule,436.42,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,MEDICARE,MEDICARE,,335.71,,fee schedule,335.71,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,TRICARE,TRICARE,,335.71,,fee schedule,335.71,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,UHC MEDICARE,UHC MEDICARE,,335.71,,fee schedule,335.71,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,AETNA,AETNA,,669.9,87,percent of total billed charges,669.9,335.71,770,percent of total billed charges,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,669.9,87,percent of total billed charges,669.9,335.71,770,percent of total billed charges,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,UNITED HEALTHCARE,UNITED HEALTHCARE,,677.6,88,percent of total billed charges,677.6,335.71,770,percent of total billed charges,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,AETNA,AETNA,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,BEECH STREET,BEECH STREET,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,CARESOURCE,CARESOURCE,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,MEDICAID,MEDICAID,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,NOVA NET,NOVA NET,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,PEACHSTATE,PEACHSTATE,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,SELFPAY,SELFPAY,,770,,fee schedule,770,335.71,770,fee schedule,
AMPLATZ RENAL DILATOR SET,C1717,CPT,both,,,770,770,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,770,,fee schedule,770,335.71,770,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,ALLIANT,ALLIANT,,553.92,,fee schedule,553.92,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,AMBETTER,AMBETTER,,436.42,,fee schedule,436.42,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,MEDICARE,MEDICARE,,335.71,,fee schedule,335.71,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,TRICARE,TRICARE,,335.71,,fee schedule,335.71,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,UHC MEDICARE,UHC MEDICARE,,335.71,,fee schedule,335.71,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,AETNA,AETNA,,3246.84,87,percent of total billed charges,3246.84,335.71,3732,percent of total billed charges,
T U DILATION SET,C1717,CPT,both,,,3732,3732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3246.84,87,percent of total billed charges,3246.84,335.71,3732,percent of total billed charges,
T U DILATION SET,C1717,CPT,both,,,3732,3732,UNITED HEALTHCARE,UNITED HEALTHCARE,,3284.16,88,percent of total billed charges,3284.16,335.71,3732,percent of total billed charges,
T U DILATION SET,C1717,CPT,both,,,3732,3732,AETNA,AETNA,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,BEECH STREET,BEECH STREET,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,CARESOURCE,CARESOURCE,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,MEDICAID,MEDICAID,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,NOVA NET,NOVA NET,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,PEACHSTATE,PEACHSTATE,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,SELFPAY,SELFPAY,,3732,,fee schedule,3732,335.71,3732,fee schedule,
T U DILATION SET,C1717,CPT,both,,,3732,3732,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3732,,fee schedule,3732,335.71,3732,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,ALLIANT,ALLIANT,,553.92,,fee schedule,553.92,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,AMBETTER,AMBETTER,,436.42,,fee schedule,436.42,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,MEDICARE,MEDICARE,,335.71,,fee schedule,335.71,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,TRICARE,TRICARE,,335.71,,fee schedule,335.71,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,UHC MEDICARE,UHC MEDICARE,,335.71,,fee schedule,335.71,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,AETNA,AETNA,,637.71,87,percent of total billed charges,637.71,335.71,733,percent of total billed charges,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,637.71,87,percent of total billed charges,637.71,335.71,733,percent of total billed charges,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,UNITED HEALTHCARE,UNITED HEALTHCARE,,645.04,88,percent of total billed charges,645.04,335.71,733,percent of total billed charges,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,AETNA,AETNA,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,BEECH STREET,BEECH STREET,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,CARESOURCE,CARESOURCE,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,MEDICAID,MEDICAID,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,NOVA NET,NOVA NET,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,PEACHSTATE,PEACHSTATE,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,SELFPAY,SELFPAY,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL BALL DILA SET 01,C1717,CPT,both,,,733,733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,733,,fee schedule,733,335.71,733,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,ALLIANT,ALLIANT,,553.92,,fee schedule,553.92,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,AMBETTER,AMBETTER,,436.42,,fee schedule,436.42,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,MEDICARE,MEDICARE,,335.71,,fee schedule,335.71,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,TRICARE,TRICARE,,335.71,,fee schedule,335.71,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,UHC MEDICARE,UHC MEDICARE,,335.71,,fee schedule,335.71,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,AETNA,AETNA,,515.04,87,percent of total billed charges,515.04,335.71,592,percent of total billed charges,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,515.04,87,percent of total billed charges,515.04,335.71,592,percent of total billed charges,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,UNITED HEALTHCARE,UNITED HEALTHCARE,,520.96,88,percent of total billed charges,520.96,335.71,592,percent of total billed charges,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,AETNA,AETNA,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,BEECH STREET,BEECH STREET,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,CARESOURCE,CARESOURCE,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,MEDICAID,MEDICAID,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,NOVA NET,NOVA NET,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,PEACHSTATE,PEACHSTATE,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,SELFPAY,SELFPAY,,592,,fee schedule,592,335.71,592,fee schedule,
URETERAL DIALATOR GU7525,C1717,CPT,both,,,592,592,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,592,,fee schedule,592,335.71,592,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,ALLIANT,ALLIANT,,553.92,,fee schedule,553.92,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,AMBETTER,AMBETTER,,436.42,,fee schedule,436.42,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,MEDICARE,MEDICARE,,335.71,,fee schedule,335.71,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,TRICARE,TRICARE,,335.71,,fee schedule,335.71,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,UHC MEDICARE,UHC MEDICARE,,335.71,,fee schedule,335.71,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,AETNA,AETNA,,935.25,87,percent of total billed charges,935.25,335.71,1075,percent of total billed charges,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,935.25,87,percent of total billed charges,935.25,335.71,1075,percent of total billed charges,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,UNITED HEALTHCARE,UNITED HEALTHCARE,,946,88,percent of total billed charges,946,335.71,1075,percent of total billed charges,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,AETNA,AETNA,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,BEECH STREET,BEECH STREET,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,CARESOURCE,CARESOURCE,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,MEDICAID,MEDICAID,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,NOVA NET,NOVA NET,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,PEACHSTATE,PEACHSTATE,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,SELFPAY,SELFPAY,,1075,,fee schedule,1075,335.71,1075,fee schedule,
UROMAX BALLOON DILATOR KI,C1717,CPT,both,,,1075,1075,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1075,,fee schedule,1075,335.71,1075,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,AETNA,AETNA,,39097.8,87,percent of total billed charges,39097.8,39097.8,44940,percent of total billed charges,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39097.8,87,percent of total billed charges,39097.8,39097.8,44940,percent of total billed charges,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,UNITED HEALTHCARE,UNITED HEALTHCARE,,39547.2,88,percent of total billed charges,39547.2,39097.8,44940,percent of total billed charges,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,AETNA,AETNA,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,ALLIANT,ALLIANT,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,AMBETTER,AMBETTER,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,BEECH STREET,BEECH STREET,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,CARESOURCE,CARESOURCE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,MEDICAID,MEDICAID,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,MEDICARE,MEDICARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,NOVA NET,NOVA NET,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,PEACHSTATE,PEACHSTATE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,SELFPAY,SELFPAY,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,TRICARE,TRICARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD DUAN GEN,C1721,CPT,both,,,44940,44940,UHC MEDICARE,UHC MEDICARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,AETNA,AETNA,,39097.8,87,percent of total billed charges,39097.8,39097.8,44940,percent of total billed charges,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39097.8,87,percent of total billed charges,39097.8,39097.8,44940,percent of total billed charges,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,UNITED HEALTHCARE,UNITED HEALTHCARE,,39547.2,88,percent of total billed charges,39547.2,39097.8,44940,percent of total billed charges,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,AETNA,AETNA,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,ALLIANT,ALLIANT,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,AMBETTER,AMBETTER,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,BEECH STREET,BEECH STREET,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,CARESOURCE,CARESOURCE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,MEDICAID,MEDICAID,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,MEDICARE,MEDICARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,NOVA NET,NOVA NET,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,PEACHSTATE,PEACHSTATE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,SELFPAY,SELFPAY,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,TRICARE,TRICARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
AICD - SINGLE GEN,C1722,CPT,both,,,44940,44940,UHC MEDICARE,UHC MEDICARE,,44940,,fee schedule,44940,39097.8,44940,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,AETNA,AETNA,,9806.64,87,percent of total billed charges,9806.64,9806.64,11272,percent of total billed charges,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9806.64,87,percent of total billed charges,9806.64,9806.64,11272,percent of total billed charges,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,UNITED HEALTHCARE,UNITED HEALTHCARE,,9919.36,88,percent of total billed charges,9919.36,9806.64,11272,percent of total billed charges,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,AETNA,AETNA,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,ALLIANT,ALLIANT,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,AMBETTER,AMBETTER,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,BEECH STREET,BEECH STREET,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,CARESOURCE,CARESOURCE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,MEDICAID,MEDICAID,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,MEDICARE,MEDICARE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,NOVA NET,NOVA NET,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,PEACHSTATE,PEACHSTATE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,SELFPAY,SELFPAY,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,TRICARE,TRICARE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
PACEMKR GEN A3SR01,C1722,CPT,both,,,11272,11272,UHC MEDICARE,UHC MEDICARE,,11272,,fee schedule,11272,9806.64,11272,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,AETNA,AETNA,,3635.73,87,percent of total billed charges,3635.73,3635.73,4179,percent of total billed charges,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3635.73,87,percent of total billed charges,3635.73,3635.73,4179,percent of total billed charges,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,UNITED HEALTHCARE,UNITED HEALTHCARE,,3677.52,88,percent of total billed charges,3677.52,3635.73,4179,percent of total billed charges,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,AETNA,AETNA,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,ALLIANT,ALLIANT,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,AMBETTER,AMBETTER,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,BEECH STREET,BEECH STREET,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,CARESOURCE,CARESOURCE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,MEDICAID,MEDICAID,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,MEDICARE,MEDICARE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,NOVA NET,NOVA NET,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,PEACHSTATE,PEACHSTATE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,SELFPAY,SELFPAY,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,TRICARE,TRICARE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
CSI DIAMONDBACK 360,C1724,CPT,both,,,4179,4179,UHC MEDICARE,UHC MEDICARE,,4179,,fee schedule,4179,3635.73,4179,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,AETNA,AETNA,,3917.61,87,percent of total billed charges,3917.61,3917.61,4503,percent of total billed charges,
HAWKONE,C1724,CPT,both,,,4503,4503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3917.61,87,percent of total billed charges,3917.61,3917.61,4503,percent of total billed charges,
HAWKONE,C1724,CPT,both,,,4503,4503,UNITED HEALTHCARE,UNITED HEALTHCARE,,3962.64,88,percent of total billed charges,3962.64,3917.61,4503,percent of total billed charges,
HAWKONE,C1724,CPT,both,,,4503,4503,AETNA,AETNA,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,ALLIANT,ALLIANT,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,AMBETTER,AMBETTER,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,BEECH STREET,BEECH STREET,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,CARESOURCE,CARESOURCE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,MEDICAID,MEDICAID,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,MEDICARE,MEDICARE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,NOVA NET,NOVA NET,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,PEACHSTATE,PEACHSTATE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,SELFPAY,SELFPAY,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,TRICARE,TRICARE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
HAWKONE,C1724,CPT,both,,,4503,4503,UHC MEDICARE,UHC MEDICARE,,4503,,fee schedule,4503,3917.61,4503,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,AETNA,AETNA,,6893.88,87,percent of total billed charges,6893.88,6893.88,7924,percent of total billed charges,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6893.88,87,percent of total billed charges,6893.88,6893.88,7924,percent of total billed charges,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,UNITED HEALTHCARE,UNITED HEALTHCARE,,6973.12,88,percent of total billed charges,6973.12,6893.88,7924,percent of total billed charges,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,AETNA,AETNA,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,ALLIANT,ALLIANT,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,AMBETTER,AMBETTER,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,BEECH STREET,BEECH STREET,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,CARESOURCE,CARESOURCE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,MEDICAID,MEDICAID,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,MEDICARE,MEDICARE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,NOVA NET,NOVA NET,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,PEACHSTATE,PEACHSTATE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,SELFPAY,SELFPAY,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,TRICARE,TRICARE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ROTAREX ATHERECTOMY,C1724,CPT,both,,,7924,7924,UHC MEDICARE,UHC MEDICARE,,7924,,fee schedule,7924,6893.88,7924,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,AETNA,AETNA,,1499.88,87,percent of total billed charges,1499.88,1499.88,1724,percent of total billed charges,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1499.88,87,percent of total billed charges,1499.88,1499.88,1724,percent of total billed charges,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,UNITED HEALTHCARE,UNITED HEALTHCARE,,1517.12,88,percent of total billed charges,1517.12,1499.88,1724,percent of total billed charges,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,AETNA,AETNA,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,ALLIANT,ALLIANT,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,AMBETTER,AMBETTER,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,BEECH STREET,BEECH STREET,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,CARESOURCE,CARESOURCE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,MEDICAID,MEDICAID,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,MEDICARE,MEDICARE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,NOVA NET,NOVA NET,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,PEACHSTATE,PEACHSTATE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,SELFPAY,SELFPAY,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,TRICARE,TRICARE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ANGIOPLASTY CATHETER 2,C1725,CPT,both,,,1724,1724,UHC MEDICARE,UHC MEDICARE,,1724,,fee schedule,1724,1499.88,1724,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,AETNA,AETNA,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,UNITED HEALTHCARE,UNITED HEALTHCARE,,732.16,88,percent of total billed charges,732.16,723.84,832,percent of total billed charges,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,AETNA,AETNA,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,ALLIANT,ALLIANT,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,AMBETTER,AMBETTER,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,BEECH STREET,BEECH STREET,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,CARESOURCE,CARESOURCE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,MEDICAID,MEDICAID,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,MEDICARE,MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,NOVA NET,NOVA NET,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,PEACHSTATE,PEACHSTATE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,SELFPAY,SELFPAY,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,TRICARE,TRICARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 60MM & BELOW,C1725,CPT,both,,,832,832,UHC MEDICARE,UHC MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,AETNA,AETNA,,992.67,87,percent of total billed charges,992.67,992.67,1141,percent of total billed charges,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,992.67,87,percent of total billed charges,992.67,992.67,1141,percent of total billed charges,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,UNITED HEALTHCARE,UNITED HEALTHCARE,,1004.08,88,percent of total billed charges,1004.08,992.67,1141,percent of total billed charges,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,AETNA,AETNA,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,ALLIANT,ALLIANT,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,AMBETTER,AMBETTER,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,BEECH STREET,BEECH STREET,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,CARESOURCE,CARESOURCE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,MEDICAID,MEDICAID,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,MEDICARE,MEDICARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,NOVA NET,NOVA NET,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,PEACHSTATE,PEACHSTATE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,SELFPAY,SELFPAY,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,TRICARE,TRICARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 14 80MM & ABOVE,C1725,CPT,both,,,1141,1141,UHC MEDICARE,UHC MEDICARE,,1141,,fee schedule,1141,992.67,1141,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,AETNA,AETNA,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
ARMADA 18,C1725,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
ARMADA 18,C1725,CPT,both,,,832,832,UNITED HEALTHCARE,UNITED HEALTHCARE,,732.16,88,percent of total billed charges,732.16,723.84,832,percent of total billed charges,
ARMADA 18,C1725,CPT,both,,,832,832,AETNA,AETNA,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,ALLIANT,ALLIANT,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,AMBETTER,AMBETTER,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,BEECH STREET,BEECH STREET,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,CARESOURCE,CARESOURCE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,MEDICAID,MEDICAID,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,MEDICARE,MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,NOVA NET,NOVA NET,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,PEACHSTATE,PEACHSTATE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,SELFPAY,SELFPAY,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,TRICARE,TRICARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 18,C1725,CPT,both,,,832,832,UHC MEDICARE,UHC MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,AETNA,AETNA,,416.73,87,percent of total billed charges,416.73,416.73,479,percent of total billed charges,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,416.73,87,percent of total billed charges,416.73,416.73,479,percent of total billed charges,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,UNITED HEALTHCARE,UNITED HEALTHCARE,,421.52,88,percent of total billed charges,421.52,416.73,479,percent of total billed charges,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,AETNA,AETNA,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,ALLIANT,ALLIANT,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,AMBETTER,AMBETTER,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,BEECH STREET,BEECH STREET,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,CARESOURCE,CARESOURCE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,MEDICAID,MEDICAID,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,MEDICARE,MEDICARE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,NOVA NET,NOVA NET,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,PEACHSTATE,PEACHSTATE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,SELFPAY,SELFPAY,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,TRICARE,TRICARE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 120MM & BELOW,C1725,CPT,both,,,479,479,UHC MEDICARE,UHC MEDICARE,,479,,fee schedule,479,416.73,479,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,AETNA,AETNA,,644.67,87,percent of total billed charges,644.67,644.67,741,percent of total billed charges,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,644.67,87,percent of total billed charges,644.67,644.67,741,percent of total billed charges,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,UNITED HEALTHCARE,UNITED HEALTHCARE,,652.08,88,percent of total billed charges,652.08,644.67,741,percent of total billed charges,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,AETNA,AETNA,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,ALLIANT,ALLIANT,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,AMBETTER,AMBETTER,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,BEECH STREET,BEECH STREET,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,CARESOURCE,CARESOURCE,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,MEDICAID,MEDICAID,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,MEDICARE,MEDICARE,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,NOVA NET,NOVA NET,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,PEACHSTATE,PEACHSTATE,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,SELFPAY,SELFPAY,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,TRICARE,TRICARE,,741,,fee schedule,741,644.67,741,fee schedule,
ARMADA 35 150MM - 250MM,C1725,CPT,both,,,741,741,UHC MEDICARE,UHC MEDICARE,,741,,fee schedule,741,644.67,741,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,AETNA,AETNA,,1703.46,87,percent of total billed charges,1703.46,1703.46,1958,percent of total billed charges,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1703.46,87,percent of total billed charges,1703.46,1703.46,1958,percent of total billed charges,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,UNITED HEALTHCARE,UNITED HEALTHCARE,,1723.04,88,percent of total billed charges,1723.04,1703.46,1958,percent of total billed charges,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,AETNA,AETNA,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,ALLIANT,ALLIANT,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,AMBETTER,AMBETTER,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,BEECH STREET,BEECH STREET,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,CARESOURCE,CARESOURCE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,MEDICAID,MEDICAID,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,MEDICARE,MEDICARE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,NOVA NET,NOVA NET,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,PEACHSTATE,PEACHSTATE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,SELFPAY,SELFPAY,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,TRICARE,TRICARE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
BARD ULTRASCORE BALLOON,C1725,CPT,both,,,1958,1958,UHC MEDICARE,UHC MEDICARE,,1958,,fee schedule,1958,1703.46,1958,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,AETNA,AETNA,,1264.98,87,percent of total billed charges,1264.98,1264.98,1454,percent of total billed charges,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1264.98,87,percent of total billed charges,1264.98,1264.98,1454,percent of total billed charges,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,UNITED HEALTHCARE,UNITED HEALTHCARE,,1279.52,88,percent of total billed charges,1279.52,1264.98,1454,percent of total billed charges,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,AETNA,AETNA,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,ALLIANT,ALLIANT,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,AMBETTER,AMBETTER,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,BEECH STREET,BEECH STREET,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,CARESOURCE,CARESOURCE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,MEDICAID,MEDICAID,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,MEDICARE,MEDICARE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,NOVA NET,NOVA NET,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,PEACHSTATE,PEACHSTATE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,SELFPAY,SELFPAY,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,TRICARE,TRICARE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
CATH BALLOON DIL 5X40X20,C1725,CPT,both,,,1454,1454,UHC MEDICARE,UHC MEDICARE,,1454,,fee schedule,1454,1264.98,1454,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,AETNA,AETNA,,85.26,87,percent of total billed charges,85.26,85.26,98,percent of total billed charges,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85.26,87,percent of total billed charges,85.26,85.26,98,percent of total billed charges,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,UNITED HEALTHCARE,UNITED HEALTHCARE,,86.24,88,percent of total billed charges,86.24,85.26,98,percent of total billed charges,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,AETNA,AETNA,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,ALLIANT,ALLIANT,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,AMBETTER,AMBETTER,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,BEECH STREET,BEECH STREET,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,CARESOURCE,CARESOURCE,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,MEDICAID,MEDICAID,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,MEDICARE,MEDICARE,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,NOVA NET,NOVA NET,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,PEACHSTATE,PEACHSTATE,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,SELFPAY,SELFPAY,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,TRICARE,TRICARE,,98,,fee schedule,98,85.26,98,fee schedule,
PLEURX 1000ML BOTTLES,C1725,CPT,both,,,98,98,UHC MEDICARE,UHC MEDICARE,,98,,fee schedule,98,85.26,98,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,AETNA,AETNA,,7961.37,87,percent of total billed charges,7961.37,7961.37,9151,percent of total billed charges,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7961.37,87,percent of total billed charges,7961.37,7961.37,9151,percent of total billed charges,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,UNITED HEALTHCARE,UNITED HEALTHCARE,,8052.88,88,percent of total billed charges,8052.88,7961.37,9151,percent of total billed charges,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,AETNA,AETNA,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,ALLIANT,ALLIANT,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,AMBETTER,AMBETTER,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,BEECH STREET,BEECH STREET,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,CARESOURCE,CARESOURCE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,MEDICAID,MEDICAID,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,MEDICARE,MEDICARE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,NOVA NET,NOVA NET,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,PEACHSTATE,PEACHSTATE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,SELFPAY,SELFPAY,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,TRICARE,TRICARE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
SHOCKWAVE IVL CATHETER,C1725,CPT,both,,,9151,9151,UHC MEDICARE,UHC MEDICARE,,9151,,fee schedule,9151,7961.37,9151,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,AETNA,AETNA,,707.31,87,percent of total billed charges,707.31,707.31,813,percent of total billed charges,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,707.31,87,percent of total billed charges,707.31,707.31,813,percent of total billed charges,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,UNITED HEALTHCARE,UNITED HEALTHCARE,,715.44,88,percent of total billed charges,715.44,707.31,813,percent of total billed charges,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,AETNA,AETNA,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,ALLIANT,ALLIANT,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,AMBETTER,AMBETTER,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,BEECH STREET,BEECH STREET,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,CARESOURCE,CARESOURCE,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,MEDICAID,MEDICAID,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,MEDICARE,MEDICARE,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,NOVA NET,NOVA NET,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,PEACHSTATE,PEACHSTATE,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,SELFPAY,SELFPAY,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,TRICARE,TRICARE,,813,,fee schedule,813,707.31,813,fee schedule,
TERUMO R2P BALLOON,C1725,CPT,both,,,813,813,UHC MEDICARE,UHC MEDICARE,,813,,fee schedule,813,707.31,813,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,AETNA,AETNA,,525.48,87,percent of total billed charges,525.48,525.48,604,percent of total billed charges,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525.48,87,percent of total billed charges,525.48,525.48,604,percent of total billed charges,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,UNITED HEALTHCARE,UNITED HEALTHCARE,,531.52,88,percent of total billed charges,531.52,525.48,604,percent of total billed charges,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,AETNA,AETNA,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,ALLIANT,ALLIANT,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,AMBETTER,AMBETTER,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,BEECH STREET,BEECH STREET,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,CARESOURCE,CARESOURCE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,MEDICAID,MEDICAID,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,MEDICARE,MEDICARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,NOVA NET,NOVA NET,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,PEACHSTATE,PEACHSTATE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,SELFPAY,SELFPAY,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,TRICARE,TRICARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .014  BALLOON,C1725,CPT,both,,,604,604,UHC MEDICARE,UHC MEDICARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,AETNA,AETNA,,525.48,87,percent of total billed charges,525.48,525.48,604,percent of total billed charges,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525.48,87,percent of total billed charges,525.48,525.48,604,percent of total billed charges,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,UNITED HEALTHCARE,UNITED HEALTHCARE,,531.52,88,percent of total billed charges,531.52,525.48,604,percent of total billed charges,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,AETNA,AETNA,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,ALLIANT,ALLIANT,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,AMBETTER,AMBETTER,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,BEECH STREET,BEECH STREET,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,CARESOURCE,CARESOURCE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,MEDICAID,MEDICAID,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,MEDICARE,MEDICARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,NOVA NET,NOVA NET,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,PEACHSTATE,PEACHSTATE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,SELFPAY,SELFPAY,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,TRICARE,TRICARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .018 BALLOON,C1725,CPT,both,,,604,604,UHC MEDICARE,UHC MEDICARE,,604,,fee schedule,604,525.48,604,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,282.75,325,percent of total billed charges,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,ALLIANT,ALLIANT,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,AMBETTER,AMBETTER,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,MEDICARE,MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,TRICARE,TRICARE,,325,,fee schedule,325,282.75,325,fee schedule,
ULTRAVERSE .035 BALLOON,C1725,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,AETNA,AETNA,,368.88,87,percent of total billed charges,368.88,368.88,424,percent of total billed charges,
VIATRAC BALOON,C1725,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.88,87,percent of total billed charges,368.88,368.88,424,percent of total billed charges,
VIATRAC BALOON,C1725,CPT,both,,,424,424,UNITED HEALTHCARE,UNITED HEALTHCARE,,373.12,88,percent of total billed charges,373.12,368.88,424,percent of total billed charges,
VIATRAC BALOON,C1725,CPT,both,,,424,424,AETNA,AETNA,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,ALLIANT,ALLIANT,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,AMBETTER,AMBETTER,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,BEECH STREET,BEECH STREET,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,CARESOURCE,CARESOURCE,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,MEDICAID,MEDICAID,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,MEDICARE,MEDICARE,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,NOVA NET,NOVA NET,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,PEACHSTATE,PEACHSTATE,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,SELFPAY,SELFPAY,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,TRICARE,TRICARE,,424,,fee schedule,424,368.88,424,fee schedule,
VIATRAC BALOON,C1725,CPT,both,,,424,424,UHC MEDICARE,UHC MEDICARE,,424,,fee schedule,424,368.88,424,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,AETNA,AETNA,,4486.59,87,percent of total billed charges,4486.59,4486.59,5157,percent of total billed charges,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4486.59,87,percent of total billed charges,4486.59,4486.59,5157,percent of total billed charges,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,UNITED HEALTHCARE,UNITED HEALTHCARE,,4538.16,88,percent of total billed charges,4538.16,4486.59,5157,percent of total billed charges,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,AETNA,AETNA,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,ALLIANT,ALLIANT,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,AMBETTER,AMBETTER,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,BEECH STREET,BEECH STREET,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,CARESOURCE,CARESOURCE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,MEDICAID,MEDICAID,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,MEDICARE,MEDICARE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,NOVA NET,NOVA NET,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,PEACHSTATE,PEACHSTATE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,SELFPAY,SELFPAY,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,TRICARE,TRICARE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
AERA BALLOON DIL,C1726,CPT,both,,,5157,5157,UHC MEDICARE,UHC MEDICARE,,5157,,fee schedule,5157,4486.59,5157,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,AETNA,AETNA,,2307.24,87,percent of total billed charges,2307.24,2307.24,2652,percent of total billed charges,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2307.24,87,percent of total billed charges,2307.24,2307.24,2652,percent of total billed charges,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,UNITED HEALTHCARE,UNITED HEALTHCARE,,2333.76,88,percent of total billed charges,2333.76,2307.24,2652,percent of total billed charges,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,AETNA,AETNA,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,ALLIANT,ALLIANT,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,AMBETTER,AMBETTER,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,BEECH STREET,BEECH STREET,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,CARESOURCE,CARESOURCE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,MEDICAID,MEDICAID,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,MEDICARE,MEDICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,NOVA NET,NOVA NET,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,PEACHSTATE,PEACHSTATE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,SELFPAY,SELFPAY,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,TRICARE,TRICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
BARRX 90 DEG ABLATION CAT,C1726,CPT,both,,,2652,2652,UHC MEDICARE,UHC MEDICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UNITED HEALTHCARE,UNITED HEALTHCARE,,790.24,88,percent of total billed charges,790.24,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,ALLIANT,ALLIANT,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AMBETTER,AMBETTER,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BEECH STREET,BEECH STREET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICAID,MEDICAID,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICARE,MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET,NOVA NET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,SELFPAY,SELFPAY,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,TRICARE,TRICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UHC MEDICARE,UHC MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UNITED HEALTHCARE,UNITED HEALTHCARE,,790.24,88,percent of total billed charges,790.24,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,ALLIANT,ALLIANT,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AMBETTER,AMBETTER,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BEECH STREET,BEECH STREET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICAID,MEDICAID,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICARE,MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET,NOVA NET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,SELFPAY,SELFPAY,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,TRICARE,TRICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UHC MEDICARE,UHC MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UNITED HEALTHCARE,UNITED HEALTHCARE,,790.24,88,percent of total billed charges,790.24,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,ALLIANT,ALLIANT,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AMBETTER,AMBETTER,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BEECH STREET,BEECH STREET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICAID,MEDICAID,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICARE,MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET,NOVA NET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,SELFPAY,SELFPAY,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,TRICARE,TRICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UHC MEDICARE,UHC MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UNITED HEALTHCARE,UNITED HEALTHCARE,,790.24,88,percent of total billed charges,790.24,781.26,898,percent of total billed charges,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AETNA,AETNA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,ALLIANT,ALLIANT,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,AMBETTER,AMBETTER,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BEECH STREET,BEECH STREET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICAID,MEDICAID,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,MEDICARE,MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET,NOVA NET,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,SELFPAY,SELFPAY,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,TRICARE,TRICARE,,898,,fee schedule,898,781.26,898,fee schedule,
CRE WIREGUIDED DILATORS,C1726,CPT,both,,,898,898,UHC MEDICARE,UHC MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,AETNA,AETNA,,2690.04,87,percent of total billed charges,2690.04,2690.04,3092,percent of total billed charges,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2690.04,87,percent of total billed charges,2690.04,2690.04,3092,percent of total billed charges,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,UNITED HEALTHCARE,UNITED HEALTHCARE,,2720.96,88,percent of total billed charges,2720.96,2690.04,3092,percent of total billed charges,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,AETNA,AETNA,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,ALLIANT,ALLIANT,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,AMBETTER,AMBETTER,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,BEECH STREET,BEECH STREET,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,CARESOURCE,CARESOURCE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,MEDICAID,MEDICAID,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,MEDICARE,MEDICARE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,NOVA NET,NOVA NET,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,PEACHSTATE,PEACHSTATE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,SELFPAY,SELFPAY,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,TRICARE,TRICARE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
ENDO SINUS BALLOON CATH,C1726,CPT,both,,,3092,3092,UHC MEDICARE,UHC MEDICARE,,3092,,fee schedule,3092,2690.04,3092,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,AETNA,AETNA,,818.67,87,percent of total billed charges,818.67,818.67,941,percent of total billed charges,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,818.67,87,percent of total billed charges,818.67,818.67,941,percent of total billed charges,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,UNITED HEALTHCARE,UNITED HEALTHCARE,,828.08,88,percent of total billed charges,828.08,818.67,941,percent of total billed charges,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,AETNA,AETNA,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,ALLIANT,ALLIANT,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,AMBETTER,AMBETTER,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,BEECH STREET,BEECH STREET,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,CARESOURCE,CARESOURCE,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,MEDICAID,MEDICAID,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,MEDICARE,MEDICARE,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,NOVA NET,NOVA NET,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,PEACHSTATE,PEACHSTATE,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,SELFPAY,SELFPAY,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,TRICARE,TRICARE,,941,,fee schedule,941,818.67,941,fee schedule,
NEPHROMAX 210-118,C1726,CPT,both,,,941,941,UHC MEDICARE,UHC MEDICARE,,941,,fee schedule,941,818.67,941,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,AETNA,AETNA,,372.36,87,percent of total billed charges,372.36,372.36,428,percent of total billed charges,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,372.36,87,percent of total billed charges,372.36,372.36,428,percent of total billed charges,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,UNITED HEALTHCARE,UNITED HEALTHCARE,,376.64,88,percent of total billed charges,376.64,372.36,428,percent of total billed charges,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,AETNA,AETNA,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,ALLIANT,ALLIANT,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,AMBETTER,AMBETTER,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,BEECH STREET,BEECH STREET,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,CARESOURCE,CARESOURCE,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,MEDICAID,MEDICAID,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,MEDICARE,MEDICARE,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,NOVA NET,NOVA NET,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,PEACHSTATE,PEACHSTATE,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,SELFPAY,SELFPAY,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,TRICARE,TRICARE,,428,,fee schedule,428,372.36,428,fee schedule,
NUVENT INFLATION DEVICE,C1726,CPT,both,,,428,428,UHC MEDICARE,UHC MEDICARE,,428,,fee schedule,428,372.36,428,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,AETNA,AETNA,,776.04,87,percent of total billed charges,776.04,776.04,892,percent of total billed charges,
URETHRAMAX,C1726,CPT,both,,,892,892,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,776.04,87,percent of total billed charges,776.04,776.04,892,percent of total billed charges,
URETHRAMAX,C1726,CPT,both,,,892,892,UNITED HEALTHCARE,UNITED HEALTHCARE,,784.96,88,percent of total billed charges,784.96,776.04,892,percent of total billed charges,
URETHRAMAX,C1726,CPT,both,,,892,892,AETNA,AETNA,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,ALLIANT,ALLIANT,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,AMBETTER,AMBETTER,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,BEECH STREET,BEECH STREET,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,CARESOURCE,CARESOURCE,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,MEDICAID,MEDICAID,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,MEDICARE,MEDICARE,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,NOVA NET,NOVA NET,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,PEACHSTATE,PEACHSTATE,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,SELFPAY,SELFPAY,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,TRICARE,TRICARE,,892,,fee schedule,892,776.04,892,fee schedule,
URETHRAMAX,C1726,CPT,both,,,892,892,UHC MEDICARE,UHC MEDICARE,,892,,fee schedule,892,776.04,892,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,AETNA,AETNA,,355.83,87,percent of total billed charges,355.83,355.83,409,percent of total billed charges,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,355.83,87,percent of total billed charges,355.83,355.83,409,percent of total billed charges,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,UNITED HEALTHCARE,UNITED HEALTHCARE,,359.92,88,percent of total billed charges,359.92,355.83,409,percent of total billed charges,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,AETNA,AETNA,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,ALLIANT,ALLIANT,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,AMBETTER,AMBETTER,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,BEECH STREET,BEECH STREET,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,CARESOURCE,CARESOURCE,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,MEDICAID,MEDICAID,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,MEDICARE,MEDICARE,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,NOVA NET,NOVA NET,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,PEACHSTATE,PEACHSTATE,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,SELFPAY,SELFPAY,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,TRICARE,TRICARE,,409,,fee schedule,409,355.83,409,fee schedule,
ERCP EXTRACTION BALLOON,C1727,CPT,both,,,409,409,UHC MEDICARE,UHC MEDICARE,,409,,fee schedule,409,355.83,409,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,AETNA,AETNA,,5204.34,87,percent of total billed charges,5204.34,5204.34,5982,percent of total billed charges,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5204.34,87,percent of total billed charges,5204.34,5204.34,5982,percent of total billed charges,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,UNITED HEALTHCARE,UNITED HEALTHCARE,,5264.16,88,percent of total billed charges,5264.16,5204.34,5982,percent of total billed charges,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,AETNA,AETNA,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,ALLIANT,ALLIANT,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,AMBETTER,AMBETTER,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,BEECH STREET,BEECH STREET,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,CARESOURCE,CARESOURCE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,MEDICAID,MEDICAID,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,MEDICARE,MEDICARE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,NOVA NET,NOVA NET,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,PEACHSTATE,PEACHSTATE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,SELFPAY,SELFPAY,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,TRICARE,TRICARE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
TISSUE EXPANDER,C1727,CPT,both,,,5982,5982,UHC MEDICARE,UHC MEDICARE,,5982,,fee schedule,5982,5204.34,5982,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,AETNA,AETNA,,226.2,87,percent of total billed charges,226.2,226.2,260,percent of total billed charges,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226.2,87,percent of total billed charges,226.2,226.2,260,percent of total billed charges,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,UNITED HEALTHCARE,UNITED HEALTHCARE,,228.8,88,percent of total billed charges,228.8,226.2,260,percent of total billed charges,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,AETNA,AETNA,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,ALLIANT,ALLIANT,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,AMBETTER,AMBETTER,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,BEECH STREET,BEECH STREET,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,MEDICAID,MEDICAID,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,MEDICARE,MEDICARE,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,NOVA NET,NOVA NET,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,SELFPAY,SELFPAY,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,TRICARE,TRICARE,,260,,fee schedule,260,226.2,260,fee schedule,
NEPHROSTOMY RE-ENTRY CATH,C1729,CPT,both,,,260,260,UHC MEDICARE,UHC MEDICARE,,260,,fee schedule,260,226.2,260,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,AETNA,AETNA,,6435.39,87,percent of total billed charges,6435.39,6435.39,7397,percent of total billed charges,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6435.39,87,percent of total billed charges,6435.39,6435.39,7397,percent of total billed charges,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,UNITED HEALTHCARE,UNITED HEALTHCARE,,6509.36,88,percent of total billed charges,6509.36,6435.39,7397,percent of total billed charges,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,AETNA,AETNA,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,ALLIANT,ALLIANT,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,AMBETTER,AMBETTER,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,BEECH STREET,BEECH STREET,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,CARESOURCE,CARESOURCE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,MEDICAID,MEDICAID,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,MEDICARE,MEDICARE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,NOVA NET,NOVA NET,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,PEACHSTATE,PEACHSTATE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,SELFPAY,SELFPAY,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,TRICARE,TRICARE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
STENT BILI FULL 8X60,C1748,CPT,both,,,7397,7397,UHC MEDICARE,UHC MEDICARE,,7397,,fee schedule,7397,6435.39,7397,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,278.4,320,percent of total billed charges,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,278.4,320,percent of total billed charges,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,278.4,320,percent of total billed charges,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,ALLIANT,ALLIANT,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,AMBETTER,AMBETTER,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,MEDICARE,MEDICARE,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,TRICARE,TRICARE,,320,,fee schedule,320,278.4,320,fee schedule,
2-LUMEN HEMODIALYSIS CATH,C1750,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,320,,fee schedule,320,278.4,320,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,280.14,322,percent of total billed charges,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,ALLIANT,ALLIANT,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,AMBETTER,AMBETTER,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,MEDICARE,MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,TRICARE,TRICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL PAL CATH KIT 14.5FR,C1750,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,280.14,322,percent of total billed charges,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,ALLIANT,ALLIANT,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,AMBETTER,AMBETTER,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,MEDICARE,MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,TRICARE,TRICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 19CM,C1750,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,280.14,322,percent of total billed charges,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,ALLIANT,ALLIANT,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,AMBETTER,AMBETTER,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,MEDICARE,MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,TRICARE,TRICARE,,322,,fee schedule,322,280.14,322,fee schedule,
COV KENTAL SPRTPAK 14.5FR 23CM,C1750,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,AETNA,AETNA,,1356.33,87,percent of total billed charges,1356.33,1356.33,1559,percent of total billed charges,
PERMCATH,C1750,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1356.33,87,percent of total billed charges,1356.33,1356.33,1559,percent of total billed charges,
PERMCATH,C1750,CPT,both,,,1559,1559,UNITED HEALTHCARE,UNITED HEALTHCARE,,1371.92,88,percent of total billed charges,1371.92,1356.33,1559,percent of total billed charges,
PERMCATH,C1750,CPT,both,,,1559,1559,AETNA,AETNA,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,ALLIANT,ALLIANT,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,AMBETTER,AMBETTER,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,BEECH STREET,BEECH STREET,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,CARESOURCE,CARESOURCE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,MEDICAID,MEDICAID,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,MEDICARE,MEDICARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,NOVA NET,NOVA NET,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,PEACHSTATE,PEACHSTATE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,SELFPAY,SELFPAY,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,TRICARE,TRICARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
PERMCATH,C1750,CPT,both,,,1559,1559,UHC MEDICARE,UHC MEDICARE,,1559,,fee schedule,1559,1356.33,1559,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,AETNA,AETNA,,1197.99,87,percent of total billed charges,1197.99,1197.99,1377,percent of total billed charges,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1197.99,87,percent of total billed charges,1197.99,1197.99,1377,percent of total billed charges,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,UNITED HEALTHCARE,UNITED HEALTHCARE,,1211.76,88,percent of total billed charges,1211.76,1197.99,1377,percent of total billed charges,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,AETNA,AETNA,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,ALLIANT,ALLIANT,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,AMBETTER,AMBETTER,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,BEECH STREET,BEECH STREET,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,CARESOURCE,CARESOURCE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,MEDICAID,MEDICAID,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,MEDICARE,MEDICARE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,NOVA NET,NOVA NET,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,PEACHSTATE,PEACHSTATE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,SELFPAY,SELFPAY,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,TRICARE,TRICARE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SPLIT STREAM CATH SET (11,C1750,CPT,both,,,1377,1377,UHC MEDICARE,UHC MEDICARE,,1377,,fee schedule,1377,1197.99,1377,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,AETNA,AETNA,,1438.11,87,percent of total billed charges,1438.11,1438.11,1653,percent of total billed charges,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1438.11,87,percent of total billed charges,1438.11,1438.11,1653,percent of total billed charges,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,UNITED HEALTHCARE,UNITED HEALTHCARE,,1454.64,88,percent of total billed charges,1454.64,1438.11,1653,percent of total billed charges,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,AETNA,AETNA,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,ALLIANT,ALLIANT,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,AMBETTER,AMBETTER,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,BEECH STREET,BEECH STREET,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,CARESOURCE,CARESOURCE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,MEDICAID,MEDICAID,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,MEDICARE,MEDICARE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,NOVA NET,NOVA NET,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,PEACHSTATE,PEACHSTATE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,SELFPAY,SELFPAY,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,TRICARE,TRICARE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
SWAN NECK CATH,C1750,CPT,both,,,1653,1653,UHC MEDICARE,UHC MEDICARE,,1653,,fee schedule,1653,1438.11,1653,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,AETNA,AETNA,,855.21,87,percent of total billed charges,855.21,855.21,983,percent of total billed charges,
TRAY PERMACATH,C1750,CPT,both,,,983,983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,855.21,87,percent of total billed charges,855.21,855.21,983,percent of total billed charges,
TRAY PERMACATH,C1750,CPT,both,,,983,983,UNITED HEALTHCARE,UNITED HEALTHCARE,,865.04,88,percent of total billed charges,865.04,855.21,983,percent of total billed charges,
TRAY PERMACATH,C1750,CPT,both,,,983,983,AETNA,AETNA,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,ALLIANT,ALLIANT,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,AMBETTER,AMBETTER,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,BEECH STREET,BEECH STREET,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,CARESOURCE,CARESOURCE,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,MEDICAID,MEDICAID,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,MEDICARE,MEDICARE,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,NOVA NET,NOVA NET,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,PEACHSTATE,PEACHSTATE,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,SELFPAY,SELFPAY,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,TRICARE,TRICARE,,983,,fee schedule,983,855.21,983,fee schedule,
TRAY PERMACATH,C1750,CPT,both,,,983,983,UHC MEDICARE,UHC MEDICARE,,983,,fee schedule,983,855.21,983,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
10CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
8CM POWER GLIDE PICC,C1751,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,140.94,162,percent of total billed charges,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,140.94,162,fee schedule,
CENTRAL VENOUS PRESSURE K,C1751,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,89.61,103,percent of total billed charges,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,89.61,103,percent of total billed charges,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,89.61,103,fee schedule,
EMERGENCY INFUSION DEVICE,C1751,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,89.61,103,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,AETNA,AETNA,,599.43,87,percent of total billed charges,599.43,599.43,689,percent of total billed charges,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,599.43,87,percent of total billed charges,599.43,599.43,689,percent of total billed charges,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,UNITED HEALTHCARE,UNITED HEALTHCARE,,606.32,88,percent of total billed charges,606.32,599.43,689,percent of total billed charges,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,AETNA,AETNA,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,ALLIANT,ALLIANT,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,AMBETTER,AMBETTER,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,BEECH STREET,BEECH STREET,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,CARESOURCE,CARESOURCE,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,MEDICAID,MEDICAID,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,MEDICARE,MEDICARE,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,NOVA NET,NOVA NET,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,PEACHSTATE,PEACHSTATE,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,SELFPAY,SELFPAY,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,TRICARE,TRICARE,,689,,fee schedule,689,599.43,689,fee schedule,
HICKMAN CATHETERS,C1751,CPT,both,,,689,689,UHC MEDICARE,UHC MEDICARE,,689,,fee schedule,689,599.43,689,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,AETNA,AETNA,,182.7,87,percent of total billed charges,182.7,182.7,210,percent of total billed charges,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182.7,87,percent of total billed charges,182.7,182.7,210,percent of total billed charges,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,UNITED HEALTHCARE,UNITED HEALTHCARE,,184.8,88,percent of total billed charges,184.8,182.7,210,percent of total billed charges,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,AETNA,AETNA,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,ALLIANT,ALLIANT,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,AMBETTER,AMBETTER,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,BEECH STREET,BEECH STREET,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,MEDICAID,MEDICAID,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,MEDICARE,MEDICARE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,NOVA NET,NOVA NET,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,SELFPAY,SELFPAY,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,TRICARE,TRICARE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT CENTRAL VENOUS CATH,C1751,CPT,both,,,210,210,UHC MEDICARE,UHC MEDICARE,,210,,fee schedule,210,182.7,210,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,AETNA,AETNA,,269.7,87,percent of total billed charges,269.7,269.7,310,percent of total billed charges,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,269.7,87,percent of total billed charges,269.7,269.7,310,percent of total billed charges,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,UNITED HEALTHCARE,UNITED HEALTHCARE,,272.8,88,percent of total billed charges,272.8,269.7,310,percent of total billed charges,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,AETNA,AETNA,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,ALLIANT,ALLIANT,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,AMBETTER,AMBETTER,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,BEECH STREET,BEECH STREET,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,MEDICAID,MEDICAID,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,MEDICARE,MEDICARE,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,NOVA NET,NOVA NET,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,SELFPAY,SELFPAY,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,TRICARE,TRICARE,,310,,fee schedule,310,269.7,310,fee schedule,
KIT MULTI LUMEN CVC AK257,C1751,CPT,both,,,310,310,UHC MEDICARE,UHC MEDICARE,,310,,fee schedule,310,269.7,310,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,438.48,504,percent of total billed charges,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,438.48,504,percent of total billed charges,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,438.48,504,percent of total billed charges,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,ALLIANT,ALLIANT,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,AMBETTER,AMBETTER,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,MEDICARE,MEDICARE,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,TRICARE,TRICARE,,504,,fee schedule,504,438.48,504,fee schedule,
MIDLINE CATH KIT,C1751,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,504,,fee schedule,504,438.48,504,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,AETNA,AETNA,,232.29,87,percent of total billed charges,232.29,232.29,267,percent of total billed charges,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232.29,87,percent of total billed charges,232.29,232.29,267,percent of total billed charges,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.96,88,percent of total billed charges,234.96,232.29,267,percent of total billed charges,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,AETNA,AETNA,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,ALLIANT,ALLIANT,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,AMBETTER,AMBETTER,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,BEECH STREET,BEECH STREET,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,CARESOURCE,CARESOURCE,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,MEDICAID,MEDICAID,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,MEDICARE,MEDICARE,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,NOVA NET,NOVA NET,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,PEACHSTATE,PEACHSTATE,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,SELFPAY,SELFPAY,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,TRICARE,TRICARE,,267,,fee schedule,267,232.29,267,fee schedule,
MULTI LUMEN KIT #CDC-4570,C1751,CPT,both,,,267,267,UHC MEDICARE,UHC MEDICARE,,267,,fee schedule,267,232.29,267,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,438.48,504,percent of total billed charges,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,438.48,504,percent of total billed charges,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,438.48,504,percent of total billed charges,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,ALLIANT,ALLIANT,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,AMBETTER,AMBETTER,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,MEDICARE,MEDICARE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,TRICARE,TRICARE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC 5FR W/ STYLET #12110,C1751,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,504,,fee schedule,504,438.48,504,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,AETNA,AETNA,,525.48,87,percent of total billed charges,525.48,525.48,604,percent of total billed charges,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525.48,87,percent of total billed charges,525.48,525.48,604,percent of total billed charges,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,UNITED HEALTHCARE,UNITED HEALTHCARE,,531.52,88,percent of total billed charges,531.52,525.48,604,percent of total billed charges,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,AETNA,AETNA,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,ALLIANT,ALLIANT,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,AMBETTER,AMBETTER,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,BEECH STREET,BEECH STREET,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,CARESOURCE,CARESOURCE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,MEDICAID,MEDICAID,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,MEDICARE,MEDICARE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,NOVA NET,NOVA NET,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,PEACHSTATE,PEACHSTATE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,SELFPAY,SELFPAY,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,TRICARE,TRICARE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 4FR SINGL,C1751,CPT,both,,,604,604,UHC MEDICARE,UHC MEDICARE,,604,,fee schedule,604,525.48,604,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,AETNA,AETNA,,549.84,87,percent of total billed charges,549.84,549.84,632,percent of total billed charges,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,549.84,87,percent of total billed charges,549.84,549.84,632,percent of total billed charges,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,UNITED HEALTHCARE,UNITED HEALTHCARE,,556.16,88,percent of total billed charges,556.16,549.84,632,percent of total billed charges,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,AETNA,AETNA,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,ALLIANT,ALLIANT,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,AMBETTER,AMBETTER,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,BEECH STREET,BEECH STREET,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,CARESOURCE,CARESOURCE,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,MEDICAID,MEDICAID,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,MEDICARE,MEDICARE,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,NOVA NET,NOVA NET,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,PEACHSTATE,PEACHSTATE,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,SELFPAY,SELFPAY,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,TRICARE,TRICARE,,632,,fee schedule,632,549.84,632,fee schedule,
PICC POWER SOLO 5FR DUAL,C1751,CPT,both,,,632,632,UHC MEDICARE,UHC MEDICARE,,632,,fee schedule,632,549.84,632,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,221.85,255,percent of total billed charges,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER GLIDE 8CM TRAY #M02,C1751,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,453.27,521,percent of total billed charges,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,453.27,521,percent of total billed charges,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,453.27,521,percent of total billed charges,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,ALLIANT,ALLIANT,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,AMBETTER,AMBETTER,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,MEDICARE,MEDICARE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,TRICARE,TRICARE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC 5 FR DUAL LUME,C1751,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,521,,fee schedule,521,453.27,521,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,264.48,304,percent of total billed charges,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,264.48,304,fee schedule,
POWER PICC SOLO 5FR TRIPL,C1751,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,259.26,298,percent of total billed charges,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,259.26,298,percent of total billed charges,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,259.26,298,percent of total billed charges,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,ALLIANT,ALLIANT,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,AMBETTER,AMBETTER,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,MEDICARE,MEDICARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,TRICARE,TRICARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 10ML KIT,C1751,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,259.26,298,percent of total billed charges,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,259.26,298,percent of total billed charges,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,259.26,298,percent of total billed charges,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,ALLIANT,ALLIANT,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,AMBETTER,AMBETTER,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,MEDICARE,MEDICARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,TRICARE,TRICARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE 8ML KIT,C1751,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,298,,fee schedule,298,259.26,298,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,87.87,101,percent of total billed charges,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,87.87,101,percent of total billed charges,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,87.87,101,percent of total billed charges,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,ALLIANT,ALLIANT,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,AMBETTER,AMBETTER,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,MEDICARE,MEDICARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,TRICARE,TRICARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 10CM,C1751,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,87.87,101,percent of total billed charges,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,87.87,101,percent of total billed charges,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,87.87,101,percent of total billed charges,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,ALLIANT,ALLIANT,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,AMBETTER,AMBETTER,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,MEDICARE,MEDICARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,TRICARE,TRICARE,,101,,fee schedule,101,87.87,101,fee schedule,
POWERGLIDE SINGE ML 8CM,C1751,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,101,,fee schedule,101,87.87,101,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
Q-PORT CATHETER W/IRRG.TR,C1751,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,AETNA,AETNA,,827.37,87,percent of total billed charges,827.37,827.37,951,percent of total billed charges,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,827.37,87,percent of total billed charges,827.37,827.37,951,percent of total billed charges,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,UNITED HEALTHCARE,UNITED HEALTHCARE,,836.88,88,percent of total billed charges,836.88,827.37,951,percent of total billed charges,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,AETNA,AETNA,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,ALLIANT,ALLIANT,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,AMBETTER,AMBETTER,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,BEECH STREET,BEECH STREET,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,CARESOURCE,CARESOURCE,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,MEDICAID,MEDICAID,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,MEDICARE,MEDICARE,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,NOVA NET,NOVA NET,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,PEACHSTATE,PEACHSTATE,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,SELFPAY,SELFPAY,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,TRICARE,TRICARE,,951,,fee schedule,951,827.37,951,fee schedule,
QUINTON PERM-CATH,C1751,CPT,both,,,951,951,UHC MEDICARE,UHC MEDICARE,,951,,fee schedule,951,827.37,951,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,147.9,170,percent of total billed charges,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,147.9,170,percent of total billed charges,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,147.9,170,percent of total billed charges,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,147.9,170,fee schedule,
SELDINGER PICC KIT #65903,C1751,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,147.9,170,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,166.17,191,percent of total billed charges,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,166.17,191,percent of total billed charges,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,166.17,191,percent of total billed charges,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,ALLIANT,ALLIANT,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,AMBETTER,AMBETTER,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,MEDICARE,MEDICARE,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,TRICARE,TRICARE,,191,,fee schedule,191,166.17,191,fee schedule,
CATH DUAL LUMEN CATH 15 C,C1752,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,191,,fee schedule,191,166.17,191,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,AETNA,AETNA,,272.31,87,percent of total billed charges,272.31,272.31,313,percent of total billed charges,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,272.31,87,percent of total billed charges,272.31,272.31,313,percent of total billed charges,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,UNITED HEALTHCARE,UNITED HEALTHCARE,,275.44,88,percent of total billed charges,275.44,272.31,313,percent of total billed charges,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,AETNA,AETNA,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,ALLIANT,ALLIANT,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,AMBETTER,AMBETTER,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,BEECH STREET,BEECH STREET,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,CARESOURCE,CARESOURCE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,MEDICAID,MEDICAID,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,MEDICARE,MEDICARE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,NOVA NET,NOVA NET,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,PEACHSTATE,PEACHSTATE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,SELFPAY,SELFPAY,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,TRICARE,TRICARE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS.CATH NIAGARA 15CM,C1752,CPT,both,,,313,313,UHC MEDICARE,UHC MEDICARE,,313,,fee schedule,313,272.31,313,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,AETNA,AETNA,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,UNITED HEALTHCARE,UNITED HEALTHCARE,,469.92,88,percent of total billed charges,469.92,464.58,534,percent of total billed charges,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,AETNA,AETNA,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,ALLIANT,ALLIANT,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,AMBETTER,AMBETTER,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,BEECH STREET,BEECH STREET,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,CARESOURCE,CARESOURCE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,MEDICAID,MEDICAID,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,MEDICARE,MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,NOVA NET,NOVA NET,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,PEACHSTATE,PEACHSTATE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,SELFPAY,SELFPAY,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,TRICARE,TRICARE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS/CATH NIAGARA TRAY,C1752,CPT,both,,,534,534,UHC MEDICARE,UHC MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,AETNA,AETNA,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,190.53,87,percent of total billed charges,190.53,190.53,219,percent of total billed charges,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,UNITED HEALTHCARE,UNITED HEALTHCARE,,192.72,88,percent of total billed charges,192.72,190.53,219,percent of total billed charges,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,AETNA,AETNA,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,ALLIANT,ALLIANT,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,AMBETTER,AMBETTER,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,BEECH STREET,BEECH STREET,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,CARESOURCE,CARESOURCE,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,MEDICAID,MEDICAID,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,MEDICARE,MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,NOVA NET,NOVA NET,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,PEACHSTATE,PEACHSTATE,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,SELFPAY,SELFPAY,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,TRICARE,TRICARE,,219,,fee schedule,219,190.53,219,fee schedule,
VAS-CAT DUAL LUMEN CATH 2,C1752,CPT,both,,,219,219,UHC MEDICARE,UHC MEDICARE,,219,,fee schedule,219,190.53,219,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,AETNA,AETNA,,2140.2,87,percent of total billed charges,2140.2,2140.2,2460,percent of total billed charges,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2140.2,87,percent of total billed charges,2140.2,2140.2,2460,percent of total billed charges,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,UNITED HEALTHCARE,UNITED HEALTHCARE,,2164.8,88,percent of total billed charges,2164.8,2140.2,2460,percent of total billed charges,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,AETNA,AETNA,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,ALLIANT,ALLIANT,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,AMBETTER,AMBETTER,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,BEECH STREET,BEECH STREET,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,CARESOURCE,CARESOURCE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,MEDICAID,MEDICAID,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,MEDICARE,MEDICARE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,NOVA NET,NOVA NET,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,PEACHSTATE,PEACHSTATE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,SELFPAY,SELFPAY,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,TRICARE,TRICARE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRAVASCULAR US CATHETER,C1753,CPT,both,,,2460,2460,UHC MEDICARE,UHC MEDICARE,,2460,,fee schedule,2460,2140.2,2460,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,AETNA,AETNA,,1331.97,87,percent of total billed charges,1331.97,1331.97,1531,percent of total billed charges,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1331.97,87,percent of total billed charges,1331.97,1331.97,1531,percent of total billed charges,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,UNITED HEALTHCARE,UNITED HEALTHCARE,,1347.28,88,percent of total billed charges,1347.28,1331.97,1531,percent of total billed charges,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,AETNA,AETNA,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,ALLIANT,ALLIANT,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,AMBETTER,AMBETTER,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,BEECH STREET,BEECH STREET,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,CARESOURCE,CARESOURCE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,MEDICAID,MEDICAID,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,MEDICARE,MEDICARE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,NOVA NET,NOVA NET,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,PEACHSTATE,PEACHSTATE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,SELFPAY,SELFPAY,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,TRICARE,TRICARE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
INTRATHERAL CAT,C1755,CPT,both,,,1531,1531,UHC MEDICARE,UHC MEDICARE,,1531,,fee schedule,1531,1331.97,1531,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,AETNA,AETNA,,1195.38,87,percent of total billed charges,1195.38,1195.38,1374,percent of total billed charges,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1195.38,87,percent of total billed charges,1195.38,1195.38,1374,percent of total billed charges,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,UNITED HEALTHCARE,UNITED HEALTHCARE,,1209.12,88,percent of total billed charges,1209.12,1195.38,1374,percent of total billed charges,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,AETNA,AETNA,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,ALLIANT,ALLIANT,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,AMBETTER,AMBETTER,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,BEECH STREET,BEECH STREET,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,CARESOURCE,CARESOURCE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,MEDICAID,MEDICAID,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,MEDICARE,MEDICARE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,NOVA NET,NOVA NET,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,PEACHSTATE,PEACHSTATE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,SELFPAY,SELFPAY,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,TRICARE,TRICARE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA CATHETER,C1757,CPT,both,,,1374,1374,UHC MEDICARE,UHC MEDICARE,,1374,,fee schedule,1374,1195.38,1374,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,AETNA,AETNA,,1367.64,87,percent of total billed charges,1367.64,1367.64,1572,percent of total billed charges,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1367.64,87,percent of total billed charges,1367.64,1367.64,1572,percent of total billed charges,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,UNITED HEALTHCARE,UNITED HEALTHCARE,,1383.36,88,percent of total billed charges,1383.36,1367.64,1572,percent of total billed charges,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,AETNA,AETNA,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,ALLIANT,ALLIANT,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,AMBETTER,AMBETTER,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,BEECH STREET,BEECH STREET,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,CARESOURCE,CARESOURCE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,MEDICAID,MEDICAID,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,MEDICARE,MEDICARE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,NOVA NET,NOVA NET,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,PEACHSTATE,PEACHSTATE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,SELFPAY,SELFPAY,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,TRICARE,TRICARE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
5 FR TREROTOLA KIT,C1757,CPT,both,,,1572,1572,UHC MEDICARE,UHC MEDICARE,,1572,,fee schedule,1572,1367.64,1572,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,AETNA,AETNA,,1284.12,87,percent of total billed charges,1284.12,1284.12,1476,percent of total billed charges,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1284.12,87,percent of total billed charges,1284.12,1284.12,1476,percent of total billed charges,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,UNITED HEALTHCARE,UNITED HEALTHCARE,,1298.88,88,percent of total billed charges,1298.88,1284.12,1476,percent of total billed charges,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,AETNA,AETNA,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,ALLIANT,ALLIANT,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,AMBETTER,AMBETTER,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,BEECH STREET,BEECH STREET,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,CARESOURCE,CARESOURCE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,MEDICAID,MEDICAID,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,MEDICARE,MEDICARE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,NOVA NET,NOVA NET,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,PEACHSTATE,PEACHSTATE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,SELFPAY,SELFPAY,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,TRICARE,TRICARE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA CATHETER,C1757,CPT,both,,,1476,1476,UHC MEDICARE,UHC MEDICARE,,1476,,fee schedule,1476,1284.12,1476,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,AETNA,AETNA,,1586.01,87,percent of total billed charges,1586.01,1586.01,1823,percent of total billed charges,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1586.01,87,percent of total billed charges,1586.01,1586.01,1823,percent of total billed charges,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,UNITED HEALTHCARE,UNITED HEALTHCARE,,1604.24,88,percent of total billed charges,1604.24,1586.01,1823,percent of total billed charges,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,AETNA,AETNA,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,ALLIANT,ALLIANT,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,AMBETTER,AMBETTER,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,BEECH STREET,BEECH STREET,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,CARESOURCE,CARESOURCE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,MEDICAID,MEDICAID,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,MEDICARE,MEDICARE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,NOVA NET,NOVA NET,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,PEACHSTATE,PEACHSTATE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,SELFPAY,SELFPAY,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,TRICARE,TRICARE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
7 FR TREROTOLA KIT,C1757,CPT,both,,,1823,1823,UHC MEDICARE,UHC MEDICARE,,1823,,fee schedule,1823,1586.01,1823,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,AETNA,AETNA,,11397.87,87,percent of total billed charges,11397.87,11397.87,13101,percent of total billed charges,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11397.87,87,percent of total billed charges,11397.87,11397.87,13101,percent of total billed charges,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,UNITED HEALTHCARE,UNITED HEALTHCARE,,11528.88,88,percent of total billed charges,11528.88,11397.87,13101,percent of total billed charges,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,AETNA,AETNA,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,ALLIANT,ALLIANT,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,AMBETTER,AMBETTER,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,BEECH STREET,BEECH STREET,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,CARESOURCE,CARESOURCE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,MEDICAID,MEDICAID,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,MEDICARE,MEDICARE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,NOVA NET,NOVA NET,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,PEACHSTATE,PEACHSTATE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,SELFPAY,SELFPAY,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,TRICARE,TRICARE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
CLOT RETRIEVER CATHETER,C1757,CPT,both,,,13101,13101,UHC MEDICARE,UHC MEDICARE,,13101,,fee schedule,13101,11397.87,13101,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,AETNA,AETNA,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,233.16,87,percent of total billed charges,233.16,233.16,268,percent of total billed charges,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,UNITED HEALTHCARE,UNITED HEALTHCARE,,235.84,88,percent of total billed charges,235.84,233.16,268,percent of total billed charges,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,AETNA,AETNA,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,ALLIANT,ALLIANT,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,AMBETTER,AMBETTER,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,BEECH STREET,BEECH STREET,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,CARESOURCE,CARESOURCE,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,MEDICAID,MEDICAID,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,MEDICARE,MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,NOVA NET,NOVA NET,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,PEACHSTATE,PEACHSTATE,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,SELFPAY,SELFPAY,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,TRICARE,TRICARE,,268,,fee schedule,268,233.16,268,fee schedule,
EMBOLECTOMY CATH/GUIDEWIR,C1757,CPT,both,,,268,268,UHC MEDICARE,UHC MEDICARE,,268,,fee schedule,268,233.16,268,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,AETNA,AETNA,,21390.69,87,percent of total billed charges,21390.69,21390.69,24587,percent of total billed charges,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21390.69,87,percent of total billed charges,21390.69,21390.69,24587,percent of total billed charges,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,UNITED HEALTHCARE,UNITED HEALTHCARE,,21636.56,88,percent of total billed charges,21636.56,21390.69,24587,percent of total billed charges,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,AETNA,AETNA,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,ALLIANT,ALLIANT,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,AMBETTER,AMBETTER,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,BEECH STREET,BEECH STREET,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,CARESOURCE,CARESOURCE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,MEDICAID,MEDICAID,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,MEDICARE,MEDICARE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,NOVA NET,NOVA NET,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,PEACHSTATE,PEACHSTATE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,SELFPAY,SELFPAY,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,TRICARE,TRICARE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
FLO RETRIEVER CATHETER KIT,C1757,CPT,both,,,24587,24587,UHC MEDICARE,UHC MEDICARE,,24587,,fee schedule,24587,21390.69,24587,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,AETNA,AETNA,,5363.55,87,percent of total billed charges,5363.55,5363.55,6165,percent of total billed charges,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5363.55,87,percent of total billed charges,5363.55,5363.55,6165,percent of total billed charges,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,UNITED HEALTHCARE,UNITED HEALTHCARE,,5425.2,88,percent of total billed charges,5425.2,5363.55,6165,percent of total billed charges,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,AETNA,AETNA,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,ALLIANT,ALLIANT,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,AMBETTER,AMBETTER,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,BEECH STREET,BEECH STREET,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,CARESOURCE,CARESOURCE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,MEDICAID,MEDICAID,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,MEDICARE,MEDICARE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,NOVA NET,NOVA NET,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,PEACHSTATE,PEACHSTATE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,SELFPAY,SELFPAY,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,TRICARE,TRICARE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
PENUMBRA APSIRATION CATHETER,C1757,CPT,both,,,6165,6165,UHC MEDICARE,UHC MEDICARE,,6165,,fee schedule,6165,5363.55,6165,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,60.03,69,percent of total billed charges,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,60.03,69,fee schedule,
URET CAT 8FR CONE TIP 138,C1758,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,AETNA,AETNA,,603.78,87,percent of total billed charges,603.78,603.78,694,percent of total billed charges,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603.78,87,percent of total billed charges,603.78,603.78,694,percent of total billed charges,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,UNITED HEALTHCARE,UNITED HEALTHCARE,,610.72,88,percent of total billed charges,610.72,603.78,694,percent of total billed charges,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,AETNA,AETNA,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,ALLIANT,ALLIANT,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,AMBETTER,AMBETTER,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,BEECH STREET,BEECH STREET,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,CARESOURCE,CARESOURCE,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,MEDICAID,MEDICAID,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,MEDICARE,MEDICARE,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,NOVA NET,NOVA NET,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,PEACHSTATE,PEACHSTATE,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,SELFPAY,SELFPAY,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,TRICARE,TRICARE,,694,,fee schedule,694,603.78,694,fee schedule,
PERCLOSE PROGLIDE,C1760,CPT,both,,,694,694,UHC MEDICARE,UHC MEDICARE,,694,,fee schedule,694,603.78,694,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,AETNA,AETNA,,549.84,87,percent of total billed charges,549.84,549.84,632,percent of total billed charges,
STARCLOSE SE,C1760,CPT,both,,,632,632,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,549.84,87,percent of total billed charges,549.84,549.84,632,percent of total billed charges,
STARCLOSE SE,C1760,CPT,both,,,632,632,UNITED HEALTHCARE,UNITED HEALTHCARE,,556.16,88,percent of total billed charges,556.16,549.84,632,percent of total billed charges,
STARCLOSE SE,C1760,CPT,both,,,632,632,AETNA,AETNA,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,ALLIANT,ALLIANT,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,AMBETTER,AMBETTER,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,BEECH STREET,BEECH STREET,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,CARESOURCE,CARESOURCE,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,MEDICAID,MEDICAID,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,MEDICARE,MEDICARE,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,NOVA NET,NOVA NET,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,PEACHSTATE,PEACHSTATE,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,SELFPAY,SELFPAY,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,TRICARE,TRICARE,,632,,fee schedule,632,549.84,632,fee schedule,
STARCLOSE SE,C1760,CPT,both,,,632,632,UHC MEDICARE,UHC MEDICARE,,632,,fee schedule,632,549.84,632,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,AETNA,AETNA,,770.82,87,percent of total billed charges,770.82,770.82,886,percent of total billed charges,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,770.82,87,percent of total billed charges,770.82,770.82,886,percent of total billed charges,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,UNITED HEALTHCARE,UNITED HEALTHCARE,,779.68,88,percent of total billed charges,779.68,770.82,886,percent of total billed charges,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,AETNA,AETNA,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,ALLIANT,ALLIANT,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,AMBETTER,AMBETTER,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,BEECH STREET,BEECH STREET,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,CARESOURCE,CARESOURCE,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,MEDICAID,MEDICAID,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,MEDICARE,MEDICARE,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,NOVA NET,NOVA NET,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,PEACHSTATE,PEACHSTATE,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,SELFPAY,SELFPAY,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,TRICARE,TRICARE,,886,,fee schedule,886,770.82,886,fee schedule,
VASCULAR CLOSURE DEVICE,C1760,CPT,both,,,886,886,UHC MEDICARE,UHC MEDICARE,,886,,fee schedule,886,770.82,886,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,AETNA,AETNA,,5845.53,87,percent of total billed charges,5845.53,5845.53,6719,percent of total billed charges,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5845.53,87,percent of total billed charges,5845.53,5845.53,6719,percent of total billed charges,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,UNITED HEALTHCARE,UNITED HEALTHCARE,,5912.72,88,percent of total billed charges,5912.72,5845.53,6719,percent of total billed charges,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,AETNA,AETNA,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,ALLIANT,ALLIANT,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,AMBETTER,AMBETTER,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,BEECH STREET,BEECH STREET,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,CARESOURCE,CARESOURCE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,MEDICAID,MEDICAID,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,MEDICARE,MEDICARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,NOVA NET,NOVA NET,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,PEACHSTATE,PEACHSTATE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,SELFPAY,SELFPAY,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,TRICARE,TRICARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
AMNIO FILL 1 GM,C1762,CPT,both,,,6719,6719,UHC MEDICARE,UHC MEDICARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,AETNA,AETNA,,5715.03,87,percent of total billed charges,5715.03,5715.03,6569,percent of total billed charges,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5715.03,87,percent of total billed charges,5715.03,5715.03,6569,percent of total billed charges,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,UNITED HEALTHCARE,UNITED HEALTHCARE,,5780.72,88,percent of total billed charges,5780.72,5715.03,6569,percent of total billed charges,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,AETNA,AETNA,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,ALLIANT,ALLIANT,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,AMBETTER,AMBETTER,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,BEECH STREET,BEECH STREET,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,CARESOURCE,CARESOURCE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,MEDICAID,MEDICAID,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,MEDICARE,MEDICARE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,NOVA NET,NOVA NET,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,PEACHSTATE,PEACHSTATE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,SELFPAY,SELFPAY,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,TRICARE,TRICARE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
BONE GRAFT EVANS TIWEDGE MED,C1762,CPT,both,,,6569,6569,UHC MEDICARE,UHC MEDICARE,,6569,,fee schedule,6569,5715.03,6569,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,AETNA,AETNA,,5824.65,87,percent of total billed charges,5824.65,5824.65,6695,percent of total billed charges,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5824.65,87,percent of total billed charges,5824.65,5824.65,6695,percent of total billed charges,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,UNITED HEALTHCARE,UNITED HEALTHCARE,,5891.6,88,percent of total billed charges,5891.6,5824.65,6695,percent of total billed charges,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,AETNA,AETNA,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,ALLIANT,ALLIANT,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,AMBETTER,AMBETTER,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,BEECH STREET,BEECH STREET,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,CARESOURCE,CARESOURCE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,MEDICAID,MEDICAID,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,MEDICARE,MEDICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,NOVA NET,NOVA NET,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,PEACHSTATE,PEACHSTATE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,SELFPAY,SELFPAY,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,TRICARE,TRICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 6X12CM,C1762,CPT,both,,,6695,6695,UHC MEDICARE,UHC MEDICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,AETNA,AETNA,,6821.67,87,percent of total billed charges,6821.67,6821.67,7841,percent of total billed charges,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6821.67,87,percent of total billed charges,6821.67,6821.67,7841,percent of total billed charges,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,UNITED HEALTHCARE,UNITED HEALTHCARE,,6900.08,88,percent of total billed charges,6900.08,6821.67,7841,percent of total billed charges,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,AETNA,AETNA,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,ALLIANT,ALLIANT,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,AMBETTER,AMBETTER,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,BEECH STREET,BEECH STREET,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,CARESOURCE,CARESOURCE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,MEDICAID,MEDICAID,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,MEDICARE,MEDICARE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,NOVA NET,NOVA NET,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,PEACHSTATE,PEACHSTATE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,SELFPAY,SELFPAY,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,TRICARE,TRICARE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIS DERMIS 8X12,C1762,CPT,both,,,7841,7841,UHC MEDICARE,UHC MEDICARE,,7841,,fee schedule,7841,6821.67,7841,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,AETNA,AETNA,,932.64,87,percent of total billed charges,932.64,932.64,1072,percent of total billed charges,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,932.64,87,percent of total billed charges,932.64,932.64,1072,percent of total billed charges,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,UNITED HEALTHCARE,UNITED HEALTHCARE,,943.36,88,percent of total billed charges,943.36,932.64,1072,percent of total billed charges,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,AETNA,AETNA,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,ALLIANT,ALLIANT,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,AMBETTER,AMBETTER,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,BEECH STREET,BEECH STREET,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,CARESOURCE,CARESOURCE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,MEDICAID,MEDICAID,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,MEDICARE,MEDICARE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,NOVA NET,NOVA NET,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,PEACHSTATE,PEACHSTATE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,SELFPAY,SELFPAY,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,TRICARE,TRICARE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 3X4,C1762,CPT,both,,,1072,1072,UHC MEDICARE,UHC MEDICARE,,1072,,fee schedule,1072,932.64,1072,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,AETNA,AETNA,,3528.72,87,percent of total billed charges,3528.72,3528.72,4056,percent of total billed charges,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3528.72,87,percent of total billed charges,3528.72,3528.72,4056,percent of total billed charges,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,UNITED HEALTHCARE,UNITED HEALTHCARE,,3569.28,88,percent of total billed charges,3569.28,3528.72,4056,percent of total billed charges,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,AETNA,AETNA,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,ALLIANT,ALLIANT,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,AMBETTER,AMBETTER,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,BEECH STREET,BEECH STREET,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,CARESOURCE,CARESOURCE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,MEDICAID,MEDICAID,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,MEDICARE,MEDICARE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,NOVA NET,NOVA NET,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,PEACHSTATE,PEACHSTATE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,SELFPAY,SELFPAY,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,TRICARE,TRICARE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
COLOPLAST AXIX DERMIS 6X8,C1762,CPT,both,,,4056,4056,UHC MEDICARE,UHC MEDICARE,,4056,,fee schedule,4056,3528.72,4056,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,AETNA,AETNA,,6293.58,87,percent of total billed charges,6293.58,6293.58,7234,percent of total billed charges,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6293.58,87,percent of total billed charges,6293.58,6293.58,7234,percent of total billed charges,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,UNITED HEALTHCARE,UNITED HEALTHCARE,,6365.92,88,percent of total billed charges,6365.92,6293.58,7234,percent of total billed charges,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,AETNA,AETNA,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,ALLIANT,ALLIANT,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,AMBETTER,AMBETTER,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,BEECH STREET,BEECH STREET,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,CARESOURCE,CARESOURCE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,MEDICAID,MEDICAID,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,MEDICARE,MEDICARE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,NOVA NET,NOVA NET,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,PEACHSTATE,PEACHSTATE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,SELFPAY,SELFPAY,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,TRICARE,TRICARE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
DERMAPURE ALLOGRAFT 7X10,C1762,CPT,both,,,7234,7234,UHC MEDICARE,UHC MEDICARE,,7234,,fee schedule,7234,6293.58,7234,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,AETNA,AETNA,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,UNITED HEALTHCARE,UNITED HEALTHCARE,,6344.8,88,percent of total billed charges,6344.8,6272.7,7210,percent of total billed charges,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,AETNA,AETNA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,ALLIANT,ALLIANT,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,AMBETTER,AMBETTER,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,BEECH STREET,BEECH STREET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,CARESOURCE,CARESOURCE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,MEDICAID,MEDICAID,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,MEDICARE,MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,NOVA NET,NOVA NET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,PEACHSTATE,PEACHSTATE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,SELFPAY,SELFPAY,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,TRICARE,TRICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
EVANS WEDGE EOTS,C1762,CPT,both,,,7210,7210,UHC MEDICARE,UHC MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,AETNA,AETNA,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,UNITED HEALTHCARE,UNITED HEALTHCARE,,6344.8,88,percent of total billed charges,6344.8,6272.7,7210,percent of total billed charges,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,AETNA,AETNA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,ALLIANT,ALLIANT,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,AMBETTER,AMBETTER,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,BEECH STREET,BEECH STREET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,CARESOURCE,CARESOURCE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,MEDICAID,MEDICAID,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,MEDICARE,MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,NOVA NET,NOVA NET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,PEACHSTATE,PEACHSTATE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,SELFPAY,SELFPAY,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,TRICARE,TRICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT,C1762,CPT,both,,,7210,7210,UHC MEDICARE,UHC MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,AETNA,AETNA,,12922.11,87,percent of total billed charges,12922.11,12922.11,14853,percent of total billed charges,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12922.11,87,percent of total billed charges,12922.11,12922.11,14853,percent of total billed charges,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,UNITED HEALTHCARE,UNITED HEALTHCARE,,13070.64,88,percent of total billed charges,13070.64,12922.11,14853,percent of total billed charges,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,AETNA,AETNA,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,ALLIANT,ALLIANT,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,AMBETTER,AMBETTER,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,BEECH STREET,BEECH STREET,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,CARESOURCE,CARESOURCE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,MEDICAID,MEDICAID,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,MEDICARE,MEDICARE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,NOVA NET,NOVA NET,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,PEACHSTATE,PEACHSTATE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,SELFPAY,SELFPAY,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,TRICARE,TRICARE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,14853,14853,UHC MEDICARE,UHC MEDICARE,,14853,,fee schedule,14853,12922.11,14853,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,AETNA,AETNA,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,UNITED HEALTHCARE,UNITED HEALTHCARE,,4532,88,percent of total billed charges,4532,4480.5,5150,percent of total billed charges,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,AETNA,AETNA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,ALLIANT,ALLIANT,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,AMBETTER,AMBETTER,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,BEECH STREET,BEECH STREET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,CARESOURCE,CARESOURCE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,MEDICAID,MEDICAID,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,MEDICARE,MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,NOVA NET,NOVA NET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,PEACHSTATE,PEACHSTATE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,SELFPAY,SELFPAY,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,TRICARE,TRICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CORT BOAT,C1762,CPT,both,,,5150,5150,UHC MEDICARE,UHC MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,AETNA,AETNA,,8081.43,87,percent of total billed charges,8081.43,8081.43,9289,percent of total billed charges,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8081.43,87,percent of total billed charges,8081.43,8081.43,9289,percent of total billed charges,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,UNITED HEALTHCARE,UNITED HEALTHCARE,,8174.32,88,percent of total billed charges,8174.32,8081.43,9289,percent of total billed charges,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,AETNA,AETNA,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,ALLIANT,ALLIANT,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,AMBETTER,AMBETTER,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,BEECH STREET,BEECH STREET,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,CARESOURCE,CARESOURCE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,MEDICAID,MEDICAID,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,MEDICARE,MEDICARE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,NOVA NET,NOVA NET,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,PEACHSTATE,PEACHSTATE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,SELFPAY,SELFPAY,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,TRICARE,TRICARE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBER IMPLANT CRT 50X25 109785,C1762,CPT,both,,,9289,9289,UHC MEDICARE,UHC MEDICARE,,9289,,fee schedule,9289,8081.43,9289,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,AETNA,AETNA,,2144.55,87,percent of total billed charges,2144.55,2144.55,2465,percent of total billed charges,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2144.55,87,percent of total billed charges,2144.55,2144.55,2465,percent of total billed charges,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,UNITED HEALTHCARE,UNITED HEALTHCARE,,2169.2,88,percent of total billed charges,2169.2,2144.55,2465,percent of total billed charges,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,AETNA,AETNA,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,ALLIANT,ALLIANT,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,AMBETTER,AMBETTER,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,BEECH STREET,BEECH STREET,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,CARESOURCE,CARESOURCE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,MEDICAID,MEDICAID,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,MEDICARE,MEDICARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,NOVA NET,NOVA NET,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,PEACHSTATE,PEACHSTATE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,SELFPAY,SELFPAY,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,TRICARE,TRICARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
FIBROS CORTICAL BONE FIBERS,C1762,CPT,both,,,2465,2465,UHC MEDICARE,UHC MEDICARE,,2465,,fee schedule,2465,2144.55,2465,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,AETNA,AETNA,,2490.81,87,percent of total billed charges,2490.81,2490.81,2863,percent of total billed charges,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2490.81,87,percent of total billed charges,2490.81,2490.81,2863,percent of total billed charges,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,UNITED HEALTHCARE,UNITED HEALTHCARE,,2519.44,88,percent of total billed charges,2519.44,2490.81,2863,percent of total billed charges,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,AETNA,AETNA,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,ALLIANT,ALLIANT,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,AMBETTER,AMBETTER,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,BEECH STREET,BEECH STREET,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,CARESOURCE,CARESOURCE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,MEDICAID,MEDICAID,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,MEDICARE,MEDICARE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,NOVA NET,NOVA NET,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,PEACHSTATE,PEACHSTATE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,SELFPAY,SELFPAY,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,TRICARE,TRICARE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
ILIAC CREST WEDGE,C1762,CPT,both,,,2863,2863,UHC MEDICARE,UHC MEDICARE,,2863,,fee schedule,2863,2490.81,2863,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,AETNA,AETNA,,7314.09,87,percent of total billed charges,7314.09,7314.09,8407,percent of total billed charges,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7314.09,87,percent of total billed charges,7314.09,7314.09,8407,percent of total billed charges,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,UNITED HEALTHCARE,UNITED HEALTHCARE,,7398.16,88,percent of total billed charges,7398.16,7314.09,8407,percent of total billed charges,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,AETNA,AETNA,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,ALLIANT,ALLIANT,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,AMBETTER,AMBETTER,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,BEECH STREET,BEECH STREET,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,CARESOURCE,CARESOURCE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,MEDICAID,MEDICAID,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,MEDICARE,MEDICARE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,NOVA NET,NOVA NET,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,PEACHSTATE,PEACHSTATE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,SELFPAY,SELFPAY,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,TRICARE,TRICARE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
NUCEL AMNIOTIC TISSUE,C1762,CPT,both,,,8407,8407,UHC MEDICARE,UHC MEDICARE,,8407,,fee schedule,8407,7314.09,8407,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,AETNA,AETNA,,5386.17,87,percent of total billed charges,5386.17,5386.17,6191,percent of total billed charges,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5386.17,87,percent of total billed charges,5386.17,5386.17,6191,percent of total billed charges,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,UNITED HEALTHCARE,UNITED HEALTHCARE,,5448.08,88,percent of total billed charges,5448.08,5386.17,6191,percent of total billed charges,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,AETNA,AETNA,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,ALLIANT,ALLIANT,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,AMBETTER,AMBETTER,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,BEECH STREET,BEECH STREET,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,CARESOURCE,CARESOURCE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,MEDICAID,MEDICAID,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,MEDICARE,MEDICARE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,NOVA NET,NOVA NET,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,PEACHSTATE,PEACHSTATE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,SELFPAY,SELFPAY,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,TRICARE,TRICARE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TIBIALIS GRAFT ANT/POST,C1762,CPT,both,,,6191,6191,UHC MEDICARE,UHC MEDICARE,,6191,,fee schedule,6191,5386.17,6191,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,AETNA,AETNA,,2459.49,87,percent of total billed charges,2459.49,2459.49,2827,percent of total billed charges,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2459.49,87,percent of total billed charges,2459.49,2459.49,2827,percent of total billed charges,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,UNITED HEALTHCARE,UNITED HEALTHCARE,,2487.76,88,percent of total billed charges,2487.76,2459.49,2827,percent of total billed charges,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,AETNA,AETNA,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,ALLIANT,ALLIANT,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,AMBETTER,AMBETTER,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,BEECH STREET,BEECH STREET,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,CARESOURCE,CARESOURCE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,MEDICAID,MEDICAID,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,MEDICARE,MEDICARE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,NOVA NET,NOVA NET,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,PEACHSTATE,PEACHSTATE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,SELFPAY,SELFPAY,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,TRICARE,TRICARE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TOTOPLAST FASCIA 4 CM X 7,C1762,CPT,both,,,2827,2827,UHC MEDICARE,UHC MEDICARE,,2827,,fee schedule,2827,2459.49,2827,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,AETNA,AETNA,,2950.17,87,percent of total billed charges,2950.17,2950.17,3391,percent of total billed charges,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2950.17,87,percent of total billed charges,2950.17,2950.17,3391,percent of total billed charges,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,UNITED HEALTHCARE,UNITED HEALTHCARE,,2984.08,88,percent of total billed charges,2984.08,2950.17,3391,percent of total billed charges,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,AETNA,AETNA,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,ALLIANT,ALLIANT,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,AMBETTER,AMBETTER,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,BEECH STREET,BEECH STREET,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,CARESOURCE,CARESOURCE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,MEDICAID,MEDICAID,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,MEDICARE,MEDICARE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,NOVA NET,NOVA NET,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,PEACHSTATE,PEACHSTATE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,SELFPAY,SELFPAY,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,TRICARE,TRICARE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
TUTOPLAST FASCIA 2 CM X 7,C1762,CPT,both,,,3391,3391,UHC MEDICARE,UHC MEDICARE,,3391,,fee schedule,3391,2950.17,3391,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,AETNA,AETNA,,1341.54,87,percent of total billed charges,1341.54,1341.54,1542,percent of total billed charges,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1341.54,87,percent of total billed charges,1341.54,1341.54,1542,percent of total billed charges,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,UNITED HEALTHCARE,UNITED HEALTHCARE,,1356.96,88,percent of total billed charges,1356.96,1341.54,1542,percent of total billed charges,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,AETNA,AETNA,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,ALLIANT,ALLIANT,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,AMBETTER,AMBETTER,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,BEECH STREET,BEECH STREET,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,CARESOURCE,CARESOURCE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,MEDICAID,MEDICAID,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,MEDICARE,MEDICARE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,NOVA NET,NOVA NET,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,PEACHSTATE,PEACHSTATE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,SELFPAY,SELFPAY,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,TRICARE,TRICARE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING FASCIALATA,C1762,CPT,both,,,1542,1542,UHC MEDICARE,UHC MEDICARE,,1542,,fee schedule,1542,1341.54,1542,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,AETNA,AETNA,,1640.82,87,percent of total billed charges,1640.82,1640.82,1886,percent of total billed charges,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640.82,87,percent of total billed charges,1640.82,1640.82,1886,percent of total billed charges,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,UNITED HEALTHCARE,UNITED HEALTHCARE,,1659.68,88,percent of total billed charges,1659.68,1640.82,1886,percent of total billed charges,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,AETNA,AETNA,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,ALLIANT,ALLIANT,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,AMBETTER,AMBETTER,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,BEECH STREET,BEECH STREET,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,CARESOURCE,CARESOURCE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,MEDICAID,MEDICAID,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,MEDICARE,MEDICARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,NOVA NET,NOVA NET,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,PEACHSTATE,PEACHSTATE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,SELFPAY,SELFPAY,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,TRICARE,TRICARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
VAG SLING REPLIFORM TISSU,C1762,CPT,both,,,1886,1886,UHC MEDICARE,UHC MEDICARE,,1886,,fee schedule,1886,1640.82,1886,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,AETNA,AETNA,,5623.68,87,percent of total billed charges,5623.68,5623.68,6464,percent of total billed charges,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5623.68,87,percent of total billed charges,5623.68,5623.68,6464,percent of total billed charges,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,UNITED HEALTHCARE,UNITED HEALTHCARE,,5688.32,88,percent of total billed charges,5688.32,5623.68,6464,percent of total billed charges,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,AETNA,AETNA,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,ALLIANT,ALLIANT,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,AMBETTER,AMBETTER,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,BEECH STREET,BEECH STREET,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,CARESOURCE,CARESOURCE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,MEDICAID,MEDICAID,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,MEDICARE,MEDICARE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,NOVA NET,NOVA NET,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,PEACHSTATE,PEACHSTATE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,SELFPAY,SELFPAY,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,TRICARE,TRICARE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X20,C1763,CPT,both,,,6464,6464,UHC MEDICARE,UHC MEDICARE,,6464,,fee schedule,6464,5623.68,6464,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,AETNA,AETNA,,8378.97,87,percent of total billed charges,8378.97,8378.97,9631,percent of total billed charges,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8378.97,87,percent of total billed charges,8378.97,8378.97,9631,percent of total billed charges,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,UNITED HEALTHCARE,UNITED HEALTHCARE,,8475.28,88,percent of total billed charges,8475.28,8378.97,9631,percent of total billed charges,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,AETNA,AETNA,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,ALLIANT,ALLIANT,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,AMBETTER,AMBETTER,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,BEECH STREET,BEECH STREET,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,CARESOURCE,CARESOURCE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,MEDICAID,MEDICAID,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,MEDICARE,MEDICARE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,NOVA NET,NOVA NET,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,PEACHSTATE,PEACHSTATE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,SELFPAY,SELFPAY,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,TRICARE,TRICARE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
BIODESIGN INCISION GRAFT 8X30,C1763,CPT,both,,,9631,9631,UHC MEDICARE,UHC MEDICARE,,9631,,fee schedule,9631,8378.97,9631,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,AETNA,AETNA,,2828.37,87,percent of total billed charges,2828.37,2828.37,3251,percent of total billed charges,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2828.37,87,percent of total billed charges,2828.37,2828.37,3251,percent of total billed charges,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,UNITED HEALTHCARE,UNITED HEALTHCARE,,2860.88,88,percent of total billed charges,2860.88,2828.37,3251,percent of total billed charges,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,AETNA,AETNA,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,ALLIANT,ALLIANT,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,AMBETTER,AMBETTER,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,BEECH STREET,BEECH STREET,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,CARESOURCE,CARESOURCE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,MEDICAID,MEDICAID,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,MEDICARE,MEDICARE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,NOVA NET,NOVA NET,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,PEACHSTATE,PEACHSTATE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,SELFPAY,SELFPAY,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,TRICARE,TRICARE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
DURAGEN 4X5,C1763,CPT,both,,,3251,3251,UHC MEDICARE,UHC MEDICARE,,3251,,fee schedule,3251,2828.37,3251,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,AETNA,AETNA,,7564.65,87,percent of total billed charges,7564.65,7564.65,8695,percent of total billed charges,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7564.65,87,percent of total billed charges,7564.65,7564.65,8695,percent of total billed charges,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,UNITED HEALTHCARE,UNITED HEALTHCARE,,7651.6,88,percent of total billed charges,7651.6,7564.65,8695,percent of total billed charges,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,AETNA,AETNA,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,ALLIANT,ALLIANT,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,AMBETTER,AMBETTER,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,BEECH STREET,BEECH STREET,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,CARESOURCE,CARESOURCE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,MEDICAID,MEDICAID,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,MEDICARE,MEDICARE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,NOVA NET,NOVA NET,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,PEACHSTATE,PEACHSTATE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,SELFPAY,SELFPAY,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,TRICARE,TRICARE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
S&N MED BIO IMPLANT,C1763,CPT,both,,,8695,8695,UHC MEDICARE,UHC MEDICARE,,8695,,fee schedule,8695,7564.65,8695,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,AETNA,AETNA,,1878.33,87,percent of total billed charges,1878.33,1878.33,2159,percent of total billed charges,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1878.33,87,percent of total billed charges,1878.33,1878.33,2159,percent of total billed charges,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,UNITED HEALTHCARE,UNITED HEALTHCARE,,1899.92,88,percent of total billed charges,1899.92,1878.33,2159,percent of total billed charges,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,AETNA,AETNA,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,ALLIANT,ALLIANT,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,AMBETTER,AMBETTER,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,BEECH STREET,BEECH STREET,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,CARESOURCE,CARESOURCE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,MEDICAID,MEDICAID,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,MEDICARE,MEDICARE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,NOVA NET,NOVA NET,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,PEACHSTATE,PEACHSTATE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,SELFPAY,SELFPAY,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,TRICARE,TRICARE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
STRATASIS URETHRAL SLING,C1763,CPT,both,,,2159,2159,UHC MEDICARE,UHC MEDICARE,,2159,,fee schedule,2159,1878.33,2159,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,AETNA,AETNA,,33492.39,87,percent of total billed charges,33492.39,33492.39,38497,percent of total billed charges,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33492.39,87,percent of total billed charges,33492.39,33492.39,38497,percent of total billed charges,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,UNITED HEALTHCARE,UNITED HEALTHCARE,,33877.36,88,percent of total billed charges,33877.36,33492.39,38497,percent of total billed charges,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,AETNA,AETNA,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,ALLIANT,ALLIANT,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,AMBETTER,AMBETTER,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,BEECH STREET,BEECH STREET,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,CARESOURCE,CARESOURCE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,MEDICAID,MEDICAID,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,MEDICARE,MEDICARE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,NOVA NET,NOVA NET,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,PEACHSTATE,PEACHSTATE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,SELFPAY,SELFPAY,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,TRICARE,TRICARE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
XENMATRIX AB 19 X 28,C1763,CPT,both,,,38497,38497,UHC MEDICARE,UHC MEDICARE,,38497,,fee schedule,38497,33492.39,38497,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,AETNA,AETNA,,12401.85,87,percent of total billed charges,12401.85,12401.85,14255,percent of total billed charges,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12401.85,87,percent of total billed charges,12401.85,12401.85,14255,percent of total billed charges,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,UNITED HEALTHCARE,UNITED HEALTHCARE,,12544.4,88,percent of total billed charges,12544.4,12401.85,14255,percent of total billed charges,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,AETNA,AETNA,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,ALLIANT,ALLIANT,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,AMBETTER,AMBETTER,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,BEECH STREET,BEECH STREET,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,CARESOURCE,CARESOURCE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,MEDICAID,MEDICAID,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,MEDICARE,MEDICARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,NOVA NET,NOVA NET,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,PEACHSTATE,PEACHSTATE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,SELFPAY,SELFPAY,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,TRICARE,TRICARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
BIOTRONIK LOOP RECORDER,C1764,CPT,both,,,14255,14255,UHC MEDICARE,UHC MEDICARE,,14255,,fee schedule,14255,12401.85,14255,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,AETNA,AETNA,,6738.15,87,percent of total billed charges,6738.15,6738.15,7745,percent of total billed charges,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6738.15,87,percent of total billed charges,6738.15,6738.15,7745,percent of total billed charges,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,UNITED HEALTHCARE,UNITED HEALTHCARE,,6815.6,88,percent of total billed charges,6815.6,6738.15,7745,percent of total billed charges,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,AETNA,AETNA,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,ALLIANT,ALLIANT,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,AMBETTER,AMBETTER,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,BEECH STREET,BEECH STREET,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,CARESOURCE,CARESOURCE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,MEDICAID,MEDICAID,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,MEDICARE,MEDICARE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,NOVA NET,NOVA NET,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,PEACHSTATE,PEACHSTATE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,SELFPAY,SELFPAY,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,TRICARE,TRICARE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
LOOP RECORDER,C1764,CPT,both,,,7745,7745,UHC MEDICARE,UHC MEDICARE,,7745,,fee schedule,7745,6738.15,7745,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,AETNA,AETNA,,26950.86,87,percent of total billed charges,26950.86,26950.86,30978,percent of total billed charges,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26950.86,87,percent of total billed charges,26950.86,26950.86,30978,percent of total billed charges,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,UNITED HEALTHCARE,UNITED HEALTHCARE,,27260.64,88,percent of total billed charges,27260.64,26950.86,30978,percent of total billed charges,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,AETNA,AETNA,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,ALLIANT,ALLIANT,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,AMBETTER,AMBETTER,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,BEECH STREET,BEECH STREET,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,CARESOURCE,CARESOURCE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,MEDICAID,MEDICAID,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,MEDICARE,MEDICARE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,NOVA NET,NOVA NET,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,PEACHSTATE,PEACHSTATE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,SELFPAY,SELFPAY,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,TRICARE,TRICARE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
INTERSTIM NEUROGENERATOR,C1767,CPT,both,,,30978,30978,UHC MEDICARE,UHC MEDICARE,,30978,,fee schedule,30978,26950.86,30978,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,AETNA,AETNA,,40951.77,87,percent of total billed charges,40951.77,40951.77,47071,percent of total billed charges,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40951.77,87,percent of total billed charges,40951.77,40951.77,47071,percent of total billed charges,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,UNITED HEALTHCARE,UNITED HEALTHCARE,,41422.48,88,percent of total billed charges,41422.48,40951.77,47071,percent of total billed charges,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,AETNA,AETNA,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,ALLIANT,ALLIANT,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,AMBETTER,AMBETTER,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,BEECH STREET,BEECH STREET,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,CARESOURCE,CARESOURCE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,MEDICAID,MEDICAID,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,MEDICARE,MEDICARE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,NOVA NET,NOVA NET,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,PEACHSTATE,PEACHSTATE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,SELFPAY,SELFPAY,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,TRICARE,TRICARE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
PULSE GENERATOR NON-RECHRG,C1767,CPT,both,,,47071,47071,UHC MEDICARE,UHC MEDICARE,,47071,,fee schedule,47071,40951.77,47071,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,AETNA,AETNA,,1467.69,87,percent of total billed charges,1467.69,1467.69,1687,percent of total billed charges,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1467.69,87,percent of total billed charges,1467.69,1467.69,1687,percent of total billed charges,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,UNITED HEALTHCARE,UNITED HEALTHCARE,,1484.56,88,percent of total billed charges,1484.56,1467.69,1687,percent of total billed charges,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,AETNA,AETNA,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,ALLIANT,ALLIANT,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,AMBETTER,AMBETTER,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,BEECH STREET,BEECH STREET,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,MEDICAID,MEDICAID,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,MEDICARE,MEDICARE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,NOVA NET,NOVA NET,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,SELFPAY,SELFPAY,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,TRICARE,TRICARE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
CENTERFLEX GRAFTS CF4006,C1768,CPT,both,,,1687,1687,UHC MEDICARE,UHC MEDICARE,,1687,,fee schedule,1687,1467.69,1687,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,AETNA,AETNA,,2183.7,87,percent of total billed charges,2183.7,2183.7,2510,percent of total billed charges,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2183.7,87,percent of total billed charges,2183.7,2183.7,2510,percent of total billed charges,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,UNITED HEALTHCARE,UNITED HEALTHCARE,,2208.8,88,percent of total billed charges,2208.8,2183.7,2510,percent of total billed charges,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,AETNA,AETNA,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,ALLIANT,ALLIANT,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,AMBETTER,AMBETTER,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,BEECH STREET,BEECH STREET,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,CARESOURCE,CARESOURCE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,MEDICAID,MEDICAID,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,MEDICARE,MEDICARE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,NOVA NET,NOVA NET,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,PEACHSTATE,PEACHSTATE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,SELFPAY,SELFPAY,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,TRICARE,TRICARE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GORE-TEX GRAFT 75CM V0607,C1768,CPT,both,,,2510,2510,UHC MEDICARE,UHC MEDICARE,,2510,,fee schedule,2510,2183.7,2510,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,AETNA,AETNA,,3634.86,87,percent of total billed charges,3634.86,3634.86,4178,percent of total billed charges,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3634.86,87,percent of total billed charges,3634.86,3634.86,4178,percent of total billed charges,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,UNITED HEALTHCARE,UNITED HEALTHCARE,,3676.64,88,percent of total billed charges,3676.64,3634.86,4178,percent of total billed charges,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,AETNA,AETNA,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,ALLIANT,ALLIANT,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,AMBETTER,AMBETTER,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,BEECH STREET,BEECH STREET,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,CARESOURCE,CARESOURCE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,MEDICAID,MEDICAID,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,MEDICARE,MEDICARE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,NOVA NET,NOVA NET,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,PEACHSTATE,PEACHSTATE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,SELFPAY,SELFPAY,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,TRICARE,TRICARE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
GRAFTS VASCULAR,C1768,CPT,both,,,4178,4178,UHC MEDICARE,UHC MEDICARE,,4178,,fee schedule,4178,3634.86,4178,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,AETNA,AETNA,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,336.69,87,percent of total billed charges,336.69,336.69,387,percent of total billed charges,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,UNITED HEALTHCARE,UNITED HEALTHCARE,,340.56,88,percent of total billed charges,340.56,336.69,387,percent of total billed charges,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,AETNA,AETNA,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,ALLIANT,ALLIANT,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,AMBETTER,AMBETTER,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,BEECH STREET,BEECH STREET,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,CARESOURCE,CARESOURCE,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,MEDICAID,MEDICAID,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,MEDICARE,MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,NOVA NET,NOVA NET,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,PEACHSTATE,PEACHSTATE,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,SELFPAY,SELFPAY,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,TRICARE,TRICARE,,387,,fee schedule,387,336.69,387,fee schedule,
LEMAITRE PERIPATCH BOVINE,C1768,CPT,both,,,387,387,UHC MEDICARE,UHC MEDICARE,,387,,fee schedule,387,336.69,387,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,60.03,69,percent of total billed charges,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,60.03,69,percent of total billed charges,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,60.03,69,fee schedule,
.028 GUIDE WIRE,C1769,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,60.03,69,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,AETNA,AETNA,,134.85,87,percent of total billed charges,134.85,134.85,155,percent of total billed charges,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134.85,87,percent of total billed charges,134.85,134.85,155,percent of total billed charges,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,UNITED HEALTHCARE,UNITED HEALTHCARE,,136.4,88,percent of total billed charges,136.4,134.85,155,percent of total billed charges,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,AETNA,AETNA,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,ALLIANT,ALLIANT,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,AMBETTER,AMBETTER,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,BEECH STREET,BEECH STREET,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,CARESOURCE,CARESOURCE,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,MEDICAID,MEDICAID,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,MEDICARE,MEDICARE,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,NOVA NET,NOVA NET,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,PEACHSTATE,PEACHSTATE,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,SELFPAY,SELFPAY,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,TRICARE,TRICARE,,155,,fee schedule,155,134.85,155,fee schedule,
1.6MM SMOOTH KWIRE,C1769,CPT,both,,,155,155,UHC MEDICARE,UHC MEDICARE,,155,,fee schedule,155,134.85,155,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,AETNA,AETNA,,365.4,87,percent of total billed charges,365.4,365.4,420,percent of total billed charges,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,365.4,87,percent of total billed charges,365.4,365.4,420,percent of total billed charges,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,UNITED HEALTHCARE,UNITED HEALTHCARE,,369.6,88,percent of total billed charges,369.6,365.4,420,percent of total billed charges,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,AETNA,AETNA,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,ALLIANT,ALLIANT,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,AMBETTER,AMBETTER,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,BEECH STREET,BEECH STREET,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,CARESOURCE,CARESOURCE,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,MEDICAID,MEDICAID,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,MEDICARE,MEDICARE,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,NOVA NET,NOVA NET,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,PEACHSTATE,PEACHSTATE,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,SELFPAY,SELFPAY,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,TRICARE,TRICARE,,420,,fee schedule,420,365.4,420,fee schedule,
2X200MM GUIDEWIRE,C1769,CPT,both,,,420,420,UHC MEDICARE,UHC MEDICARE,,420,,fee schedule,420,365.4,420,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,179.22,206,percent of total billed charges,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,ALLIANT,ALLIANT,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,AMBETTER,AMBETTER,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,MEDICARE,MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,TRICARE,TRICARE,,206,,fee schedule,206,179.22,206,fee schedule,
ACCLARENT INFLATION DEVIC,C1769,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,82.65,95,percent of total billed charges,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,ALLIANT,ALLIANT,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,AMBETTER,AMBETTER,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,MEDICARE,MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,TRICARE,TRICARE,,95,,fee schedule,95,82.65,95,fee schedule,
AMPLATZ GUIDE WIRE,C1769,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ARTHREX GUIDEWIRE,C1769,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,307.11,353,percent of total billed charges,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,ALLIANT,ALLIANT,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,AMBETTER,AMBETTER,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,MEDICARE,MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,TRICARE,TRICARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET 2.0 X 250 GUIDEWIR,C1769,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,267.09,307,percent of total billed charges,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,267.09,307,percent of total billed charges,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,267.09,307,percent of total billed charges,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,ALLIANT,ALLIANT,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,AMBETTER,AMBETTER,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,MEDICARE,MEDICARE,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,TRICARE,TRICARE,,307,,fee schedule,307,267.09,307,fee schedule,
BIOMET BALLTIP GUIDEWIRE,C1769,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,307,,fee schedule,307,267.09,307,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,162.69,187,percent of total billed charges,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,162.69,187,fee schedule,
CSI VIPER ADVANCE FIRM GUIDE W,C1769,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,AETNA,AETNA,,368.01,87,percent of total billed charges,368.01,368.01,423,percent of total billed charges,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368.01,87,percent of total billed charges,368.01,368.01,423,percent of total billed charges,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,UNITED HEALTHCARE,UNITED HEALTHCARE,,372.24,88,percent of total billed charges,372.24,368.01,423,percent of total billed charges,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,AETNA,AETNA,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,ALLIANT,ALLIANT,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,AMBETTER,AMBETTER,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,BEECH STREET,BEECH STREET,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,CARESOURCE,CARESOURCE,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,MEDICAID,MEDICAID,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,MEDICARE,MEDICARE,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,NOVA NET,NOVA NET,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,PEACHSTATE,PEACHSTATE,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,SELFPAY,SELFPAY,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,TRICARE,TRICARE,,423,,fee schedule,423,368.01,423,fee schedule,
DCS ENHANCED STEERING KIT,C1769,CPT,both,,,423,423,UHC MEDICARE,UHC MEDICARE,,423,,fee schedule,423,368.01,423,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,46,percent of total billed charges,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,46,percent of total billed charges,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,46,fee schedule,
DISTAL TIP GUIDE WIRE 008,C1769,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,46,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,48,percent of total billed charges,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,48,fee schedule,
DUOFLEX SPRING WIRE GUIDE,C1769,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,48,percent of total billed charges,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,48,fee schedule,
FUSION WIRE GUIDE DEVICE,C1769,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
GLIDEDWIRE,C1769,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
GLIDEDWIRE,C1769,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,188.79,217,percent of total billed charges,
GLIDEDWIRE,C1769,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,ALLIANT,ALLIANT,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,AMBETTER,AMBETTER,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,MEDICARE,MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,TRICARE,TRICARE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEDWIRE,C1769,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,107.01,123,percent of total billed charges,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,107.01,123,percent of total billed charges,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,107.01,123,percent of total billed charges,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,ALLIANT,ALLIANT,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,AMBETTER,AMBETTER,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,MEDICARE,MEDICARE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,TRICARE,TRICARE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG .035 180,C1769,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,123,,fee schedule,123,107.01,123,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,124.41,143,percent of total billed charges,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,124.41,143,percent of total billed charges,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,124.41,143,percent of total billed charges,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,ALLIANT,ALLIANT,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,AMBETTER,AMBETTER,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,MEDICARE,MEDICARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,TRICARE,TRICARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 180,C1769,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,133.11,153,percent of total billed charges,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,133.11,153,percent of total billed charges,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,133.11,153,percent of total billed charges,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,ALLIANT,ALLIANT,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,AMBETTER,AMBETTER,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,MEDICARE,MEDICARE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,TRICARE,TRICARE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANG STIFF .035 260,C1769,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,153,,fee schedule,153,133.11,153,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,124.41,143,percent of total billed charges,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,124.41,143,percent of total billed charges,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,124.41,143,percent of total billed charges,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,ALLIANT,ALLIANT,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,AMBETTER,AMBETTER,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,MEDICARE,MEDICARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,TRICARE,TRICARE,,143,,fee schedule,143,124.41,143,fee schedule,
GLIDEWIRE ANGLED 0.035 260,C1769,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,143,,fee schedule,143,124.41,143,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,39.15,45,percent of total billed charges,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,39.15,45,percent of total billed charges,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDE WIRE 150 X .032CM 5,C1769,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,39.15,45,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,AETNA,AETNA,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94.83,87,percent of total billed charges,94.83,94.83,109,percent of total billed charges,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.92,88,percent of total billed charges,95.92,94.83,109,percent of total billed charges,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,AETNA,AETNA,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,ALLIANT,ALLIANT,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,AMBETTER,AMBETTER,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,BEECH STREET,BEECH STREET,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,CARESOURCE,CARESOURCE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,MEDICAID,MEDICAID,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,MEDICARE,MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,NOVA NET,NOVA NET,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,PEACHSTATE,PEACHSTATE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,SELFPAY,SELFPAY,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,TRICARE,TRICARE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE 600-130,C1769,CPT,both,,,109,109,UHC MEDICARE,UHC MEDICARE,,109,,fee schedule,109,94.83,109,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,216.63,249,percent of total billed charges,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE BARE WORKHORSE,C1769,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,363.66,418,percent of total billed charges,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE COMMAND,C1769,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CON FLEX,C1769,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,363.66,418,percent of total billed charges,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONFIANZA,C1769,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,363.66,418,percent of total billed charges,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONN 250T,C1769,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,AETNA,AETNA,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229.68,87,percent of total billed charges,229.68,229.68,264,percent of total billed charges,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,UNITED HEALTHCARE,UNITED HEALTHCARE,,232.32,88,percent of total billed charges,232.32,229.68,264,percent of total billed charges,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,AETNA,AETNA,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,ALLIANT,ALLIANT,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,AMBETTER,AMBETTER,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,BEECH STREET,BEECH STREET,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,CARESOURCE,CARESOURCE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,MEDICAID,MEDICAID,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,MEDICARE,MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,NOVA NET,NOVA NET,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,PEACHSTATE,PEACHSTATE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,SELFPAY,SELFPAY,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,TRICARE,TRICARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE CONNECT,C1769,CPT,both,,,264,264,UHC MEDICARE,UHC MEDICARE,,264,,fee schedule,264,229.68,264,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,216.63,249,percent of total billed charges,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE HI-TORQUE-STEEL CORE,C1769,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,AETNA,AETNA,,207.93,87,percent of total billed charges,207.93,207.93,239,percent of total billed charges,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.93,87,percent of total billed charges,207.93,207.93,239,percent of total billed charges,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,UNITED HEALTHCARE,UNITED HEALTHCARE,,210.32,88,percent of total billed charges,210.32,207.93,239,percent of total billed charges,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,AETNA,AETNA,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,ALLIANT,ALLIANT,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,AMBETTER,AMBETTER,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,BEECH STREET,BEECH STREET,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,CARESOURCE,CARESOURCE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,MEDICAID,MEDICAID,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,MEDICARE,MEDICARE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,NOVA NET,NOVA NET,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,PEACHSTATE,PEACHSTATE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,SELFPAY,SELFPAY,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,TRICARE,TRICARE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE J CURVED FIXED CORE,C1769,CPT,both,,,239,239,UHC MEDICARE,UHC MEDICARE,,239,,fee schedule,239,207.93,239,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,41.76,48,percent of total billed charges,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,41.76,48,percent of total billed charges,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE ROSEN,C1769,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,41.76,48,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,AETNA,AETNA,,269.7,87,percent of total billed charges,269.7,269.7,310,percent of total billed charges,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,269.7,87,percent of total billed charges,269.7,269.7,310,percent of total billed charges,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,UNITED HEALTHCARE,UNITED HEALTHCARE,,272.8,88,percent of total billed charges,272.8,269.7,310,percent of total billed charges,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,AETNA,AETNA,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,ALLIANT,ALLIANT,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,AMBETTER,AMBETTER,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,BEECH STREET,BEECH STREET,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,CARESOURCE,CARESOURCE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,MEDICAID,MEDICAID,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,MEDICARE,MEDICARE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,NOVA NET,NOVA NET,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,PEACHSTATE,PEACHSTATE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,SELFPAY,SELFPAY,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,TRICARE,TRICARE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE RUN THRU,C1769,CPT,both,,,310,310,UHC MEDICARE,UHC MEDICARE,,310,,fee schedule,310,269.7,310,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,216.63,249,percent of total billed charges,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SPARTACORE,C1769,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,AETNA,AETNA,,531.57,87,percent of total billed charges,531.57,531.57,611,percent of total billed charges,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,531.57,87,percent of total billed charges,531.57,531.57,611,percent of total billed charges,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,UNITED HEALTHCARE,UNITED HEALTHCARE,,537.68,88,percent of total billed charges,537.68,531.57,611,percent of total billed charges,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,AETNA,AETNA,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,ALLIANT,ALLIANT,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,AMBETTER,AMBETTER,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,BEECH STREET,BEECH STREET,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,MEDICAID,MEDICAID,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,MEDICARE,MEDICARE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,NOVA NET,NOVA NET,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,SELFPAY,SELFPAY,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,TRICARE,TRICARE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE STIFF .035X3MM,C1769,CPT,both,,,611,611,UHC MEDICARE,UHC MEDICARE,,611,,fee schedule,611,531.57,611,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,216.63,249,percent of total billed charges,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE SUPRA CORE .035 300,C1769,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,AETNA,AETNA,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282.75,87,percent of total billed charges,282.75,282.75,325,percent of total billed charges,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,UNITED HEALTHCARE,UNITED HEALTHCARE,,286,88,percent of total billed charges,286,282.75,325,percent of total billed charges,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,AETNA,AETNA,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,ALLIANT,ALLIANT,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,AMBETTER,AMBETTER,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,BEECH STREET,BEECH STREET,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,CARESOURCE,CARESOURCE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,MEDICAID,MEDICAID,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,MEDICARE,MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,NOVA NET,NOVA NET,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,PEACHSTATE,PEACHSTATE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,SELFPAY,SELFPAY,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,TRICARE,TRICARE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA J MOD,C1769,CPT,both,,,325,325,UHC MEDICARE,UHC MEDICARE,,325,,fee schedule,325,282.75,325,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,363.66,418,percent of total billed charges,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE VERSA STD TIP,C1769,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,363.66,418,percent of total billed charges,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,363.66,418,fee schedule,
GUIDEWIRE WINN .014,C1769,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,AETNA,AETNA,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,UNITED HEALTHCARE,UNITED HEALTHCARE,,241.12,88,percent of total billed charges,241.12,238.38,274,percent of total billed charges,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,AETNA,AETNA,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,ALLIANT,ALLIANT,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,AMBETTER,AMBETTER,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,BEECH STREET,BEECH STREET,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,MEDICAID,MEDICAID,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,MEDICARE,MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,NOVA NET,NOVA NET,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,SELFPAY,SELFPAY,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,TRICARE,TRICARE,,274,,fee schedule,274,238.38,274,fee schedule,
K-WIRE 3.2MM,C1769,CPT,both,,,274,274,UHC MEDICARE,UHC MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,125.28,144,percent of total billed charges,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,125.28,144,percent of total billed charges,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,125.28,144,percent of total billed charges,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,ALLIANT,ALLIANT,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,AMBETTER,AMBETTER,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,MEDICARE,MEDICARE,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,TRICARE,TRICARE,,144,,fee schedule,144,125.28,144,fee schedule,
PERCUTANEOUS INTRODUCER K,C1769,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,144,,fee schedule,144,125.28,144,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,299.28,344,percent of total billed charges,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,299.28,344,percent of total billed charges,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,299.28,344,percent of total billed charges,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,ALLIANT,ALLIANT,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,AMBETTER,AMBETTER,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,MEDICARE,MEDICARE,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,TRICARE,TRICARE,,344,,fee schedule,344,299.28,344,fee schedule,
POLARUS GUIDE WIRE,C1769,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,344,,fee schedule,344,299.28,344,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,53.94,62,percent of total billed charges,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,53.94,62,percent of total billed charges,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI .91 GUIDEWIRE,C1769,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,53.94,62,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
SBI 1.0 GUIDEWIRE,C1769,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,121.8,140,percent of total billed charges,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,121.8,140,percent of total billed charges,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,121.8,140,percent of total billed charges,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,ALLIANT,ALLIANT,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,AMBETTER,AMBETTER,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,MEDICARE,MEDICARE,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,TRICARE,TRICARE,,140,,fee schedule,140,121.8,140,fee schedule,
SENSOR GUIDEWIRE,C1769,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,140,,fee schedule,140,121.8,140,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,267.09,307,percent of total billed charges,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,267.09,307,percent of total billed charges,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,267.09,307,percent of total billed charges,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,ALLIANT,ALLIANT,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,AMBETTER,AMBETTER,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,MEDICARE,MEDICARE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,TRICARE,TRICARE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER 3.2 GUIDEWIRE,C1769,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,307,,fee schedule,307,267.09,307,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,AETNA,AETNA,,386.28,87,percent of total billed charges,386.28,386.28,444,percent of total billed charges,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,386.28,87,percent of total billed charges,386.28,386.28,444,percent of total billed charges,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,UNITED HEALTHCARE,UNITED HEALTHCARE,,390.72,88,percent of total billed charges,390.72,386.28,444,percent of total billed charges,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,AETNA,AETNA,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,ALLIANT,ALLIANT,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,AMBETTER,AMBETTER,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,BEECH STREET,BEECH STREET,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,CARESOURCE,CARESOURCE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,MEDICAID,MEDICAID,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,MEDICARE,MEDICARE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,NOVA NET,NOVA NET,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,PEACHSTATE,PEACHSTATE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,SELFPAY,SELFPAY,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,TRICARE,TRICARE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER ASNIS THR GUIDE W,C1769,CPT,both,,,444,444,UHC MEDICARE,UHC MEDICARE,,444,,fee schedule,444,386.28,444,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,AETNA,AETNA,,515.04,87,percent of total billed charges,515.04,515.04,592,percent of total billed charges,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,515.04,87,percent of total billed charges,515.04,515.04,592,percent of total billed charges,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,UNITED HEALTHCARE,UNITED HEALTHCARE,,520.96,88,percent of total billed charges,520.96,515.04,592,percent of total billed charges,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,AETNA,AETNA,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,ALLIANT,ALLIANT,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,AMBETTER,AMBETTER,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,BEECH STREET,BEECH STREET,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,CARESOURCE,CARESOURCE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,MEDICAID,MEDICAID,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,MEDICARE,MEDICARE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,NOVA NET,NOVA NET,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,PEACHSTATE,PEACHSTATE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,SELFPAY,SELFPAY,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,TRICARE,TRICARE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE,C1769,CPT,both,,,592,592,UHC MEDICARE,UHC MEDICARE,,592,,fee schedule,592,515.04,592,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,AETNA,AETNA,,205.32,87,percent of total billed charges,205.32,205.32,236,percent of total billed charges,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205.32,87,percent of total billed charges,205.32,205.32,236,percent of total billed charges,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,UNITED HEALTHCARE,UNITED HEALTHCARE,,207.68,88,percent of total billed charges,207.68,205.32,236,percent of total billed charges,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,AETNA,AETNA,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,ALLIANT,ALLIANT,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,AMBETTER,AMBETTER,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,BEECH STREET,BEECH STREET,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,CARESOURCE,CARESOURCE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,MEDICAID,MEDICAID,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,MEDICARE,MEDICARE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,NOVA NET,NOVA NET,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,PEACHSTATE,PEACHSTATE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,SELFPAY,SELFPAY,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,TRICARE,TRICARE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER GUIDEWIRE 1.4,C1769,CPT,both,,,236,236,UHC MEDICARE,UHC MEDICARE,,236,,fee schedule,236,205.32,236,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,307.11,353,percent of total billed charges,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,ALLIANT,ALLIANT,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,AMBETTER,AMBETTER,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,MEDICARE,MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,TRICARE,TRICARE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER HUMERAL GUIDE WIR,C1769,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,AETNA,AETNA,,256.65,87,percent of total billed charges,256.65,256.65,295,percent of total billed charges,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,256.65,87,percent of total billed charges,256.65,256.65,295,percent of total billed charges,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,UNITED HEALTHCARE,UNITED HEALTHCARE,,259.6,88,percent of total billed charges,259.6,256.65,295,percent of total billed charges,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,AETNA,AETNA,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,ALLIANT,ALLIANT,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,AMBETTER,AMBETTER,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,BEECH STREET,BEECH STREET,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,CARESOURCE,CARESOURCE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,MEDICAID,MEDICAID,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,MEDICARE,MEDICARE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,NOVA NET,NOVA NET,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,PEACHSTATE,PEACHSTATE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,SELFPAY,SELFPAY,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,TRICARE,TRICARE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER K-WIRE ENTRY,C1769,CPT,both,,,295,295,UHC MEDICARE,UHC MEDICARE,,295,,fee schedule,295,256.65,295,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,AETNA,AETNA,,627.27,87,percent of total billed charges,627.27,627.27,721,percent of total billed charges,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,627.27,87,percent of total billed charges,627.27,627.27,721,percent of total billed charges,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,UNITED HEALTHCARE,UNITED HEALTHCARE,,634.48,88,percent of total billed charges,634.48,627.27,721,percent of total billed charges,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,AETNA,AETNA,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,ALLIANT,ALLIANT,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,AMBETTER,AMBETTER,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,BEECH STREET,BEECH STREET,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,CARESOURCE,CARESOURCE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,MEDICAID,MEDICAID,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,MEDICARE,MEDICARE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,NOVA NET,NOVA NET,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,PEACHSTATE,PEACHSTATE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,SELFPAY,SELFPAY,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,TRICARE,TRICARE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER OLIVE TIP K-WIRE,C1769,CPT,both,,,721,721,UHC MEDICARE,UHC MEDICARE,,721,,fee schedule,721,627.27,721,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,129.63,149,percent of total billed charges,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,129.63,149,percent of total billed charges,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,129.63,149,percent of total billed charges,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,ALLIANT,ALLIANT,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,AMBETTER,AMBETTER,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,MEDICARE,MEDICARE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,TRICARE,TRICARE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWIN FIX GUIDE WI,C1769,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,149,,fee schedule,149,129.63,149,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,13.05,15,percent of total billed charges,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,13.05,15,percent of total billed charges,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,13.05,15,fee schedule,
STRYKER TWINFIX K WIRE,C1769,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,13.05,15,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,AETNA,AETNA,,401.07,87,percent of total billed charges,401.07,401.07,461,percent of total billed charges,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,401.07,87,percent of total billed charges,401.07,401.07,461,percent of total billed charges,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,UNITED HEALTHCARE,UNITED HEALTHCARE,,405.68,88,percent of total billed charges,405.68,401.07,461,percent of total billed charges,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,AETNA,AETNA,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,ALLIANT,ALLIANT,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,AMBETTER,AMBETTER,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,BEECH STREET,BEECH STREET,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,CARESOURCE,CARESOURCE,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,MEDICAID,MEDICAID,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,MEDICARE,MEDICARE,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,NOVA NET,NOVA NET,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,PEACHSTATE,PEACHSTATE,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,SELFPAY,SELFPAY,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,TRICARE,TRICARE,,461,,fee schedule,461,401.07,461,fee schedule,
SYNTHES GUIDE WIRE,C1769,CPT,both,,,461,461,UHC MEDICARE,UHC MEDICARE,,461,,fee schedule,461,401.07,461,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,160.08,184,percent of total billed charges,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,160.08,184,percent of total billed charges,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,160.08,184,percent of total billed charges,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,ALLIANT,ALLIANT,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,AMBETTER,AMBETTER,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,MEDICARE,MEDICARE,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,TRICARE,TRICARE,,184,,fee schedule,184,160.08,184,fee schedule,
THSP-35-480 WIRE GUIDE,C1769,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,184,,fee schedule,184,160.08,184,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,50,percent of total billed charges,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,50,percent of total billed charges,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,43.5,50,fee schedule,
VNUS GUIDEWIRE GW-025-260,C1769,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,43.5,50,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
ZIMMER 2.4 K WIRES 1.25/1,C1769,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,AETNA,AETNA,,3026.73,87,percent of total billed charges,3026.73,3026.73,3479,percent of total billed charges,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3026.73,87,percent of total billed charges,3026.73,3026.73,3479,percent of total billed charges,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,UNITED HEALTHCARE,UNITED HEALTHCARE,,3061.52,88,percent of total billed charges,3061.52,3026.73,3479,percent of total billed charges,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,AETNA,AETNA,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,ALLIANT,ALLIANT,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,AMBETTER,AMBETTER,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,BEECH STREET,BEECH STREET,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,CARESOURCE,CARESOURCE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,MEDICAID,MEDICAID,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,MEDICARE,MEDICARE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,NOVA NET,NOVA NET,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,PEACHSTATE,PEACHSTATE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,SELFPAY,SELFPAY,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,TRICARE,TRICARE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
ALTIS SINGLE INCISION SLI,C1771,CPT,both,,,3479,3479,UHC MEDICARE,UHC MEDICARE,,3479,,fee schedule,3479,3026.73,3479,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,AETNA,AETNA,,1725.21,87,percent of total billed charges,1725.21,1725.21,1983,percent of total billed charges,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1725.21,87,percent of total billed charges,1725.21,1725.21,1983,percent of total billed charges,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,UNITED HEALTHCARE,UNITED HEALTHCARE,,1745.04,88,percent of total billed charges,1745.04,1725.21,1983,percent of total billed charges,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,AETNA,AETNA,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,ALLIANT,ALLIANT,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,AMBETTER,AMBETTER,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,BEECH STREET,BEECH STREET,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,CARESOURCE,CARESOURCE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,MEDICAID,MEDICAID,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,MEDICARE,MEDICARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,NOVA NET,NOVA NET,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,PEACHSTATE,PEACHSTATE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,SELFPAY,SELFPAY,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,TRICARE,TRICARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING ARIS 934400,C1771,CPT,both,,,1983,1983,UHC MEDICARE,UHC MEDICARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,AETNA,AETNA,,17167.71,87,percent of total billed charges,17167.71,17167.71,19733,percent of total billed charges,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17167.71,87,percent of total billed charges,17167.71,17167.71,19733,percent of total billed charges,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,UNITED HEALTHCARE,UNITED HEALTHCARE,,17365.04,88,percent of total billed charges,17365.04,17167.71,19733,percent of total billed charges,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,AETNA,AETNA,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,ALLIANT,ALLIANT,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,AMBETTER,AMBETTER,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,BEECH STREET,BEECH STREET,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,CARESOURCE,CARESOURCE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,MEDICAID,MEDICAID,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,MEDICARE,MEDICARE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,NOVA NET,NOVA NET,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,PEACHSTATE,PEACHSTATE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,SELFPAY,SELFPAY,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,TRICARE,TRICARE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SLING SYSTEM MALE,C1771,CPT,both,,,19733,19733,UHC MEDICARE,UHC MEDICARE,,19733,,fee schedule,19733,17167.71,19733,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,AETNA,AETNA,,2248.95,87,percent of total billed charges,2248.95,2248.95,2585,percent of total billed charges,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2248.95,87,percent of total billed charges,2248.95,2248.95,2585,percent of total billed charges,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,UNITED HEALTHCARE,UNITED HEALTHCARE,,2274.8,88,percent of total billed charges,2274.8,2248.95,2585,percent of total billed charges,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,AETNA,AETNA,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,ALLIANT,ALLIANT,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,AMBETTER,AMBETTER,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,BEECH STREET,BEECH STREET,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,CARESOURCE,CARESOURCE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,MEDICAID,MEDICAID,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,MEDICARE,MEDICARE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,NOVA NET,NOVA NET,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,PEACHSTATE,PEACHSTATE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,SELFPAY,SELFPAY,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,TRICARE,TRICARE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
SPARC VAGINAL SLING SYSTE,C1771,CPT,both,,,2585,2585,UHC MEDICARE,UHC MEDICARE,,2585,,fee schedule,2585,2248.95,2585,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,AETNA,AETNA,,2256.78,87,percent of total billed charges,2256.78,2256.78,2594,percent of total billed charges,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2256.78,87,percent of total billed charges,2256.78,2256.78,2594,percent of total billed charges,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,UNITED HEALTHCARE,UNITED HEALTHCARE,,2282.72,88,percent of total billed charges,2282.72,2256.78,2594,percent of total billed charges,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,AETNA,AETNA,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,ALLIANT,ALLIANT,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,AMBETTER,AMBETTER,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,BEECH STREET,BEECH STREET,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,CARESOURCE,CARESOURCE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,MEDICAID,MEDICAID,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,MEDICARE,MEDICARE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,NOVA NET,NOVA NET,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,PEACHSTATE,PEACHSTATE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,SELFPAY,SELFPAY,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,TRICARE,TRICARE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
TENSION FREE TAPE,C1771,CPT,both,,,2594,2594,UHC MEDICARE,UHC MEDICARE,,2594,,fee schedule,2594,2256.78,2594,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,AETNA,AETNA,,27555.51,87,percent of total billed charges,27555.51,27555.51,31673,percent of total billed charges,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27555.51,87,percent of total billed charges,27555.51,27555.51,31673,percent of total billed charges,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,UNITED HEALTHCARE,UNITED HEALTHCARE,,27872.24,88,percent of total billed charges,27872.24,27555.51,31673,percent of total billed charges,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,AETNA,AETNA,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,ALLIANT,ALLIANT,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,AMBETTER,AMBETTER,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,BEECH STREET,BEECH STREET,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,CARESOURCE,CARESOURCE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,MEDICAID,MEDICAID,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,MEDICARE,MEDICARE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,NOVA NET,NOVA NET,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,PEACHSTATE,PEACHSTATE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,SELFPAY,SELFPAY,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,TRICARE,TRICARE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
MEDTRONIC PAIN PUMP,C1772,CPT,both,,,31673,31673,UHC MEDICARE,UHC MEDICARE,,31673,,fee schedule,31673,27555.51,31673,fee schedule,
SNARE,C1773,CPT,both,,,651,651,AETNA,AETNA,,566.37,87,percent of total billed charges,566.37,566.37,651,percent of total billed charges,
SNARE,C1773,CPT,both,,,651,651,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,566.37,87,percent of total billed charges,566.37,566.37,651,percent of total billed charges,
SNARE,C1773,CPT,both,,,651,651,UNITED HEALTHCARE,UNITED HEALTHCARE,,572.88,88,percent of total billed charges,572.88,566.37,651,percent of total billed charges,
SNARE,C1773,CPT,both,,,651,651,AETNA,AETNA,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,ALLIANT,ALLIANT,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,AMBETTER,AMBETTER,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,BEECH STREET,BEECH STREET,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,CARESOURCE,CARESOURCE,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,MEDICAID,MEDICAID,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,MEDICARE,MEDICARE,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,NOVA NET,NOVA NET,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,PEACHSTATE,PEACHSTATE,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,SELFPAY,SELFPAY,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,TRICARE,TRICARE,,651,,fee schedule,651,566.37,651,fee schedule,
SNARE,C1773,CPT,both,,,651,651,UHC MEDICARE,UHC MEDICARE,,651,,fee schedule,651,566.37,651,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,AETNA,AETNA,,8424.21,87,percent of total billed charges,8424.21,8424.21,9683,percent of total billed charges,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8424.21,87,percent of total billed charges,8424.21,8424.21,9683,percent of total billed charges,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,UNITED HEALTHCARE,UNITED HEALTHCARE,,8521.04,88,percent of total billed charges,8521.04,8424.21,9683,percent of total billed charges,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,AETNA,AETNA,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,ALLIANT,ALLIANT,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,AMBETTER,AMBETTER,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,BEECH STREET,BEECH STREET,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,CARESOURCE,CARESOURCE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,MEDICAID,MEDICAID,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,MEDICARE,MEDICARE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,NOVA NET,NOVA NET,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,PEACHSTATE,PEACHSTATE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,SELFPAY,SELFPAY,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,TRICARE,TRICARE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
#6 130 DEG HIP STEM,C1776,CPT,both,,,9683,9683,UHC MEDICARE,UHC MEDICARE,,9683,,fee schedule,9683,8424.21,9683,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,AETNA,AETNA,,6686.82,87,percent of total billed charges,6686.82,6686.82,7686,percent of total billed charges,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6686.82,87,percent of total billed charges,6686.82,6686.82,7686,percent of total billed charges,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,UNITED HEALTHCARE,UNITED HEALTHCARE,,6763.68,88,percent of total billed charges,6763.68,6686.82,7686,percent of total billed charges,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,AETNA,AETNA,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,ALLIANT,ALLIANT,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,AMBETTER,AMBETTER,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,BEECH STREET,BEECH STREET,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,CARESOURCE,CARESOURCE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,MEDICAID,MEDICAID,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,MEDICARE,MEDICARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,NOVA NET,NOVA NET,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,PEACHSTATE,PEACHSTATE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,SELFPAY,SELFPAY,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,TRICARE,TRICARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
10MM CONSTRAINED POLY,C1776,CPT,both,,,7686,7686,UHC MEDICARE,UHC MEDICARE,,7686,,fee schedule,7686,6686.82,7686,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,AETNA,AETNA,,1092.72,87,percent of total billed charges,1092.72,1092.72,1256,percent of total billed charges,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1092.72,87,percent of total billed charges,1092.72,1092.72,1256,percent of total billed charges,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,UNITED HEALTHCARE,UNITED HEALTHCARE,,1105.28,88,percent of total billed charges,1105.28,1092.72,1256,percent of total billed charges,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,AETNA,AETNA,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,ALLIANT,ALLIANT,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,AMBETTER,AMBETTER,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,BEECH STREET,BEECH STREET,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,CARESOURCE,CARESOURCE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,MEDICAID,MEDICAID,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,MEDICARE,MEDICARE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,NOVA NET,NOVA NET,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,PEACHSTATE,PEACHSTATE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,SELFPAY,SELFPAY,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,TRICARE,TRICARE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
2 COMP PLATE 8-10 HOLE,C1776,CPT,both,,,1256,1256,UHC MEDICARE,UHC MEDICARE,,1256,,fee schedule,1256,1092.72,1256,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,AETNA,AETNA,,6381.45,87,percent of total billed charges,6381.45,6381.45,7335,percent of total billed charges,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6381.45,87,percent of total billed charges,6381.45,6381.45,7335,percent of total billed charges,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,UNITED HEALTHCARE,UNITED HEALTHCARE,,6454.8,88,percent of total billed charges,6454.8,6381.45,7335,percent of total billed charges,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,AETNA,AETNA,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,ALLIANT,ALLIANT,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,AMBETTER,AMBETTER,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,BEECH STREET,BEECH STREET,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,CARESOURCE,CARESOURCE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,MEDICAID,MEDICAID,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,MEDICARE,MEDICARE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,NOVA NET,NOVA NET,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,PEACHSTATE,PEACHSTATE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,SELFPAY,SELFPAY,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,TRICARE,TRICARE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
20X79/83 INSERT,C1776,CPT,both,,,7335,7335,UHC MEDICARE,UHC MEDICARE,,7335,,fee schedule,7335,6381.45,7335,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,AETNA,AETNA,,2522.13,87,percent of total billed charges,2522.13,2522.13,2899,percent of total billed charges,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2522.13,87,percent of total billed charges,2522.13,2522.13,2899,percent of total billed charges,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,UNITED HEALTHCARE,UNITED HEALTHCARE,,2551.12,88,percent of total billed charges,2551.12,2522.13,2899,percent of total billed charges,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,AETNA,AETNA,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,ALLIANT,ALLIANT,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,AMBETTER,AMBETTER,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,BEECH STREET,BEECH STREET,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,CARESOURCE,CARESOURCE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,MEDICAID,MEDICAID,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,MEDICARE,MEDICARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,NOVA NET,NOVA NET,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,PEACHSTATE,PEACHSTATE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,SELFPAY,SELFPAY,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,TRICARE,TRICARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
32+0 OXINIUM HEAD,C1776,CPT,both,,,2899,2899,UHC MEDICARE,UHC MEDICARE,,2899,,fee schedule,2899,2522.13,2899,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,AETNA,AETNA,,19869.06,87,percent of total billed charges,19869.06,19869.06,22838,percent of total billed charges,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19869.06,87,percent of total billed charges,19869.06,19869.06,22838,percent of total billed charges,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,UNITED HEALTHCARE,UNITED HEALTHCARE,,20097.44,88,percent of total billed charges,20097.44,19869.06,22838,percent of total billed charges,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,AETNA,AETNA,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,ALLIANT,ALLIANT,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,AMBETTER,AMBETTER,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,BEECH STREET,BEECH STREET,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,CARESOURCE,CARESOURCE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,MEDICAID,MEDICAID,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,MEDICARE,MEDICARE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,NOVA NET,NOVA NET,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,PEACHSTATE,PEACHSTATE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,SELFPAY,SELFPAY,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,TRICARE,TRICARE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
72.5 R FEMUR,C1776,CPT,both,,,22838,22838,UHC MEDICARE,UHC MEDICARE,,22838,,fee schedule,22838,19869.06,22838,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,AETNA,AETNA,,627.27,87,percent of total billed charges,627.27,627.27,721,percent of total billed charges,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,627.27,87,percent of total billed charges,627.27,627.27,721,percent of total billed charges,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,UNITED HEALTHCARE,UNITED HEALTHCARE,,634.48,88,percent of total billed charges,634.48,627.27,721,percent of total billed charges,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,AETNA,AETNA,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,ALLIANT,ALLIANT,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,AMBETTER,AMBETTER,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,BEECH STREET,BEECH STREET,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,CARESOURCE,CARESOURCE,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,MEDICAID,MEDICAID,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,MEDICARE,MEDICARE,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,NOVA NET,NOVA NET,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,PEACHSTATE,PEACHSTATE,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,SELFPAY,SELFPAY,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,TRICARE,TRICARE,,721,,fee schedule,721,627.27,721,fee schedule,
ACL KIT TRANSTIBIAL WO/SAW BLD,C1776,CPT,both,,,721,721,UHC MEDICARE,UHC MEDICARE,,721,,fee schedule,721,627.27,721,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,AETNA,AETNA,,8730.45,87,percent of total billed charges,8730.45,8730.45,10035,percent of total billed charges,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8730.45,87,percent of total billed charges,8730.45,8730.45,10035,percent of total billed charges,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,UNITED HEALTHCARE,UNITED HEALTHCARE,,8830.8,88,percent of total billed charges,8830.8,8730.45,10035,percent of total billed charges,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,AETNA,AETNA,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,ALLIANT,ALLIANT,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,AMBETTER,AMBETTER,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,BEECH STREET,BEECH STREET,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,CARESOURCE,CARESOURCE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,MEDICAID,MEDICAID,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,MEDICARE,MEDICARE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,NOVA NET,NOVA NET,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,PEACHSTATE,PEACHSTATE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,SELFPAY,SELFPAY,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,TRICARE,TRICARE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED 24MM RADIAL HEAD,C1776,CPT,both,,,10035,10035,UHC MEDICARE,UHC MEDICARE,,10035,,fee schedule,10035,8730.45,10035,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,AETNA,AETNA,,5845.53,87,percent of total billed charges,5845.53,5845.53,6719,percent of total billed charges,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5845.53,87,percent of total billed charges,5845.53,5845.53,6719,percent of total billed charges,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,UNITED HEALTHCARE,UNITED HEALTHCARE,,5912.72,88,percent of total billed charges,5912.72,5845.53,6719,percent of total billed charges,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,AETNA,AETNA,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,ALLIANT,ALLIANT,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,AMBETTER,AMBETTER,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,BEECH STREET,BEECH STREET,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,CARESOURCE,CARESOURCE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,MEDICAID,MEDICAID,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,MEDICARE,MEDICARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,NOVA NET,NOVA NET,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,PEACHSTATE,PEACHSTATE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,SELFPAY,SELFPAY,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,TRICARE,TRICARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED FIBULA ROD,C1776,CPT,both,,,6719,6719,UHC MEDICARE,UHC MEDICARE,,6719,,fee schedule,6719,5845.53,6719,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL HEAD,C1776,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,AETNA,AETNA,,7236.66,87,percent of total billed charges,7236.66,7236.66,8318,percent of total billed charges,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7236.66,87,percent of total billed charges,7236.66,7236.66,8318,percent of total billed charges,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,UNITED HEALTHCARE,UNITED HEALTHCARE,,7319.84,88,percent of total billed charges,7319.84,7236.66,8318,percent of total billed charges,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,AETNA,AETNA,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,ALLIANT,ALLIANT,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,AMBETTER,AMBETTER,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,BEECH STREET,BEECH STREET,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,CARESOURCE,CARESOURCE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,MEDICAID,MEDICAID,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,MEDICARE,MEDICARE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,NOVA NET,NOVA NET,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,PEACHSTATE,PEACHSTATE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,SELFPAY,SELFPAY,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,TRICARE,TRICARE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ACUMED RADIAL STEM,C1776,CPT,both,,,8318,8318,UHC MEDICARE,UHC MEDICARE,,8318,,fee schedule,8318,7236.66,8318,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,AETNA,AETNA,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,UNITED HEALTHCARE,UNITED HEALTHCARE,,241.12,88,percent of total billed charges,241.12,238.38,274,percent of total billed charges,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,AETNA,AETNA,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,ALLIANT,ALLIANT,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,AMBETTER,AMBETTER,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,BEECH STREET,BEECH STREET,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,MEDICAID,MEDICAID,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,MEDICARE,MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,NOVA NET,NOVA NET,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,SELFPAY,SELFPAY,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,TRICARE,TRICARE,,274,,fee schedule,274,238.38,274,fee schedule,
ADAPTOR ENDO TAPER,C1776,CPT,both,,,274,274,UHC MEDICARE,UHC MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,AETNA,AETNA,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,UNITED HEALTHCARE,UNITED HEALTHCARE,,7270.56,88,percent of total billed charges,7270.56,7187.94,8262,percent of total billed charges,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,AETNA,AETNA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,ALLIANT,ALLIANT,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,AMBETTER,AMBETTER,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,BEECH STREET,BEECH STREET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CARESOURCE,CARESOURCE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,MEDICAID,MEDICAID,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,MEDICARE,MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,NOVA NET,NOVA NET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,PEACHSTATE,PEACHSTATE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,SELFPAY,SELFPAY,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,TRICARE,TRICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,UHC MEDICARE,UHC MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,AETNA,AETNA,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7187.94,87,percent of total billed charges,7187.94,7187.94,8262,percent of total billed charges,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,UNITED HEALTHCARE,UNITED HEALTHCARE,,7270.56,88,percent of total billed charges,7270.56,7187.94,8262,percent of total billed charges,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,AETNA,AETNA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,ALLIANT,ALLIANT,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,AMBETTER,AMBETTER,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,BEECH STREET,BEECH STREET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CARESOURCE,CARESOURCE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,MEDICAID,MEDICAID,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,MEDICARE,MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,NOVA NET,NOVA NET,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,PEACHSTATE,PEACHSTATE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,SELFPAY,SELFPAY,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,TRICARE,TRICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ANTERIOR SPINE TRUSS SYSTEM,C1776,CPT,both,,,8262,8262,UHC MEDICARE,UHC MEDICARE,,8262,,fee schedule,8262,7187.94,8262,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,AETNA,AETNA,,5064.27,87,percent of total billed charges,5064.27,5064.27,5821,percent of total billed charges,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5064.27,87,percent of total billed charges,5064.27,5064.27,5821,percent of total billed charges,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,UNITED HEALTHCARE,UNITED HEALTHCARE,,5122.48,88,percent of total billed charges,5122.48,5064.27,5821,percent of total billed charges,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,AETNA,AETNA,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,ALLIANT,ALLIANT,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,AMBETTER,AMBETTER,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,BEECH STREET,BEECH STREET,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,CARESOURCE,CARESOURCE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,MEDICAID,MEDICAID,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,MEDICARE,MEDICARE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,NOVA NET,NOVA NET,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,PEACHSTATE,PEACHSTATE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,SELFPAY,SELFPAY,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,TRICARE,TRICARE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW CEMENTLESS GLENOID BASE,C1776,CPT,both,,,5821,5821,UHC MEDICARE,UHC MEDICARE,,5821,,fee schedule,5821,5064.27,5821,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,AETNA,AETNA,,4603.17,87,percent of total billed charges,4603.17,4603.17,5291,percent of total billed charges,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4603.17,87,percent of total billed charges,4603.17,4603.17,5291,percent of total billed charges,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,UNITED HEALTHCARE,UNITED HEALTHCARE,,4656.08,88,percent of total billed charges,4656.08,4603.17,5291,percent of total billed charges,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,AETNA,AETNA,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,ALLIANT,ALLIANT,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,AMBETTER,AMBETTER,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,BEECH STREET,BEECH STREET,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,CARESOURCE,CARESOURCE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,MEDICAID,MEDICAID,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,MEDICARE,MEDICARE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,NOVA NET,NOVA NET,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,PEACHSTATE,PEACHSTATE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,SELFPAY,SELFPAY,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,TRICARE,TRICARE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW GLENOSPHERE,C1776,CPT,both,,,5291,5291,UHC MEDICARE,UHC MEDICARE,,5291,,fee schedule,5291,4603.17,5291,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,AETNA,AETNA,,4084.65,87,percent of total billed charges,4084.65,4084.65,4695,percent of total billed charges,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4084.65,87,percent of total billed charges,4084.65,4084.65,4695,percent of total billed charges,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,UNITED HEALTHCARE,UNITED HEALTHCARE,,4131.6,88,percent of total billed charges,4131.6,4084.65,4695,percent of total billed charges,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,AETNA,AETNA,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,ALLIANT,ALLIANT,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,AMBETTER,AMBETTER,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,BEECH STREET,BEECH STREET,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,CARESOURCE,CARESOURCE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,MEDICAID,MEDICAID,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,MEDICARE,MEDICARE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,NOVA NET,NOVA NET,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,PEACHSTATE,PEACHSTATE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,SELFPAY,SELFPAY,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,TRICARE,TRICARE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARROW HUMERAL INSERT,C1776,CPT,both,,,4695,4695,UHC MEDICARE,UHC MEDICARE,,4695,,fee schedule,4695,4084.65,4695,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,AETNA,AETNA,,4984.23,87,percent of total billed charges,4984.23,4984.23,5729,percent of total billed charges,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4984.23,87,percent of total billed charges,4984.23,4984.23,5729,percent of total billed charges,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,UNITED HEALTHCARE,UNITED HEALTHCARE,,5041.52,88,percent of total billed charges,5041.52,4984.23,5729,percent of total billed charges,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,AETNA,AETNA,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,ALLIANT,ALLIANT,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,AMBETTER,AMBETTER,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,BEECH STREET,BEECH STREET,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,CARESOURCE,CARESOURCE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,MEDICAID,MEDICAID,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,MEDICARE,MEDICARE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,NOVA NET,NOVA NET,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,PEACHSTATE,PEACHSTATE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,SELFPAY,SELFPAY,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,TRICARE,TRICARE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ACHILLES SPDBRG,C1776,CPT,both,,,5729,5729,UHC MEDICARE,UHC MEDICARE,,5729,,fee schedule,5729,4984.23,5729,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,AETNA,AETNA,,3118.08,87,percent of total billed charges,3118.08,3118.08,3584,percent of total billed charges,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3118.08,87,percent of total billed charges,3118.08,3118.08,3584,percent of total billed charges,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,UNITED HEALTHCARE,UNITED HEALTHCARE,,3153.92,88,percent of total billed charges,3153.92,3118.08,3584,percent of total billed charges,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,AETNA,AETNA,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,ALLIANT,ALLIANT,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,AMBETTER,AMBETTER,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,BEECH STREET,BEECH STREET,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,CARESOURCE,CARESOURCE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,MEDICAID,MEDICAID,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,MEDICARE,MEDICARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,NOVA NET,NOVA NET,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,PEACHSTATE,PEACHSTATE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,SELFPAY,SELFPAY,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,TRICARE,TRICARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHREX ANAT POSTER 8 HOLE,C1776,CPT,both,,,3584,3584,UHC MEDICARE,UHC MEDICARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,AETNA,AETNA,,324.51,87,percent of total billed charges,324.51,324.51,373,percent of total billed charges,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,324.51,87,percent of total billed charges,324.51,324.51,373,percent of total billed charges,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,UNITED HEALTHCARE,UNITED HEALTHCARE,,328.24,88,percent of total billed charges,328.24,324.51,373,percent of total billed charges,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,AETNA,AETNA,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,ALLIANT,ALLIANT,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,AMBETTER,AMBETTER,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,BEECH STREET,BEECH STREET,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,CARESOURCE,CARESOURCE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,MEDICAID,MEDICAID,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,MEDICARE,MEDICARE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,NOVA NET,NOVA NET,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,PEACHSTATE,PEACHSTATE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,SELFPAY,SELFPAY,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,TRICARE,TRICARE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE M-CONNECTOR,C1776,CPT,both,,,373,373,UHC MEDICARE,UHC MEDICARE,,373,,fee schedule,373,324.51,373,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,AETNA,AETNA,,1592.1,87,percent of total billed charges,1592.1,1592.1,1830,percent of total billed charges,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1592.1,87,percent of total billed charges,1592.1,1592.1,1830,percent of total billed charges,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,UNITED HEALTHCARE,UNITED HEALTHCARE,,1610.4,88,percent of total billed charges,1610.4,1592.1,1830,percent of total billed charges,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,AETNA,AETNA,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,ALLIANT,ALLIANT,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,AMBETTER,AMBETTER,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,BEECH STREET,BEECH STREET,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,CARESOURCE,CARESOURCE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,MEDICAID,MEDICAID,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,MEDICARE,MEDICARE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,NOVA NET,NOVA NET,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,PEACHSTATE,PEACHSTATE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,SELFPAY,SELFPAY,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,TRICARE,TRICARE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROCARE OPUS IMPLANT,C1776,CPT,both,,,1830,1830,UHC MEDICARE,UHC MEDICARE,,1830,,fee schedule,1830,1592.1,1830,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,AETNA,AETNA,,5954.28,87,percent of total billed charges,5954.28,5954.28,6844,percent of total billed charges,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5954.28,87,percent of total billed charges,5954.28,5954.28,6844,percent of total billed charges,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,UNITED HEALTHCARE,UNITED HEALTHCARE,,6022.72,88,percent of total billed charges,6022.72,5954.28,6844,percent of total billed charges,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,AETNA,AETNA,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,ALLIANT,ALLIANT,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,AMBETTER,AMBETTER,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,BEECH STREET,BEECH STREET,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,CARESOURCE,CARESOURCE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,MEDICAID,MEDICAID,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,MEDICARE,MEDICARE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,NOVA NET,NOVA NET,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,PEACHSTATE,PEACHSTATE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,SELFPAY,SELFPAY,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,TRICARE,TRICARE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE ARTICULAR C,C1776,CPT,both,,,6844,6844,UHC MEDICARE,UHC MEDICARE,,6844,,fee schedule,6844,5954.28,6844,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,AETNA,AETNA,,1625.16,87,percent of total billed charges,1625.16,1625.16,1868,percent of total billed charges,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1625.16,87,percent of total billed charges,1625.16,1625.16,1868,percent of total billed charges,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,UNITED HEALTHCARE,UNITED HEALTHCARE,,1643.84,88,percent of total billed charges,1643.84,1625.16,1868,percent of total billed charges,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,AETNA,AETNA,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,ALLIANT,ALLIANT,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,AMBETTER,AMBETTER,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,BEECH STREET,BEECH STREET,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,CARESOURCE,CARESOURCE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,MEDICAID,MEDICAID,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,MEDICARE,MEDICARE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,NOVA NET,NOVA NET,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,PEACHSTATE,PEACHSTATE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,SELFPAY,SELFPAY,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,TRICARE,TRICARE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTHROSURFACE TAPER POST,C1776,CPT,both,,,1868,1868,UHC MEDICARE,UHC MEDICARE,,1868,,fee schedule,1868,1625.16,1868,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
ARTICULAR INSERT KNEE,C1776,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,AETNA,AETNA,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
BASEPLATE,C1776,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
BASEPLATE,C1776,CPT,both,,,9270,9270,UNITED HEALTHCARE,UNITED HEALTHCARE,,8157.6,88,percent of total billed charges,8157.6,8064.9,9270,percent of total billed charges,
BASEPLATE,C1776,CPT,both,,,9270,9270,AETNA,AETNA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,ALLIANT,ALLIANT,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,AMBETTER,AMBETTER,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,BEECH STREET,BEECH STREET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,MEDICAID,MEDICAID,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,MEDICARE,MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,NOVA NET,NOVA NET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,SELFPAY,SELFPAY,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,TRICARE,TRICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,9270,9270,UHC MEDICARE,UHC MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,AETNA,AETNA,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
BASEPLATE,C1776,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
BASEPLATE,C1776,CPT,both,,,3090,3090,UNITED HEALTHCARE,UNITED HEALTHCARE,,2719.2,88,percent of total billed charges,2719.2,2688.3,3090,percent of total billed charges,
BASEPLATE,C1776,CPT,both,,,3090,3090,AETNA,AETNA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,ALLIANT,ALLIANT,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,AMBETTER,AMBETTER,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,BEECH STREET,BEECH STREET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,MEDICAID,MEDICAID,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,MEDICARE,MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,NOVA NET,NOVA NET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,SELFPAY,SELFPAY,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,TRICARE,TRICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BASEPLATE,C1776,CPT,both,,,3090,3090,UHC MEDICARE,UHC MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,AETNA,AETNA,,524.61,87,percent of total billed charges,524.61,524.61,603,percent of total billed charges,
BB TAK THRD,C1776,CPT,both,,,603,603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,524.61,87,percent of total billed charges,524.61,524.61,603,percent of total billed charges,
BB TAK THRD,C1776,CPT,both,,,603,603,UNITED HEALTHCARE,UNITED HEALTHCARE,,530.64,88,percent of total billed charges,530.64,524.61,603,percent of total billed charges,
BB TAK THRD,C1776,CPT,both,,,603,603,AETNA,AETNA,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,ALLIANT,ALLIANT,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,AMBETTER,AMBETTER,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,BEECH STREET,BEECH STREET,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,CARESOURCE,CARESOURCE,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,MEDICAID,MEDICAID,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,MEDICARE,MEDICARE,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,NOVA NET,NOVA NET,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,PEACHSTATE,PEACHSTATE,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,SELFPAY,SELFPAY,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,TRICARE,TRICARE,,603,,fee schedule,603,524.61,603,fee schedule,
BB TAK THRD,C1776,CPT,both,,,603,603,UHC MEDICARE,UHC MEDICARE,,603,,fee schedule,603,524.61,603,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,AETNA,AETNA,,1603.41,87,percent of total billed charges,1603.41,1603.41,1843,percent of total billed charges,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1603.41,87,percent of total billed charges,1603.41,1603.41,1843,percent of total billed charges,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,UNITED HEALTHCARE,UNITED HEALTHCARE,,1621.84,88,percent of total billed charges,1621.84,1603.41,1843,percent of total billed charges,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,AETNA,AETNA,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,ALLIANT,ALLIANT,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,AMBETTER,AMBETTER,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,BEECH STREET,BEECH STREET,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,CARESOURCE,CARESOURCE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,MEDICAID,MEDICAID,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,MEDICARE,MEDICARE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,NOVA NET,NOVA NET,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,PEACHSTATE,PEACHSTATE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,SELFPAY,SELFPAY,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,TRICARE,TRICARE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM IN-LINE F PLT,C1776,CPT,both,,,1843,1843,UHC MEDICARE,UHC MEDICARE,,1843,,fee schedule,1843,1603.41,1843,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,AETNA,AETNA,,1039.65,87,percent of total billed charges,1039.65,1039.65,1195,percent of total billed charges,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1039.65,87,percent of total billed charges,1039.65,1039.65,1195,percent of total billed charges,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,UNITED HEALTHCARE,UNITED HEALTHCARE,,1051.6,88,percent of total billed charges,1051.6,1039.65,1195,percent of total billed charges,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,AETNA,AETNA,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,ALLIANT,ALLIANT,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,AMBETTER,AMBETTER,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,BEECH STREET,BEECH STREET,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,CARESOURCE,CARESOURCE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,MEDICAID,MEDICAID,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,MEDICARE,MEDICARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,NOVA NET,NOVA NET,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,PEACHSTATE,PEACHSTATE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,SELFPAY,SELFPAY,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,TRICARE,TRICARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 2.5MM LCK ST PLT,C1776,CPT,both,,,1195,1195,UHC MEDICARE,UHC MEDICARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,AETNA,AETNA,,9176.76,87,percent of total billed charges,9176.76,9176.76,10548,percent of total billed charges,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9176.76,87,percent of total billed charges,9176.76,9176.76,10548,percent of total billed charges,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,UNITED HEALTHCARE,UNITED HEALTHCARE,,9282.24,88,percent of total billed charges,9282.24,9176.76,10548,percent of total billed charges,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,AETNA,AETNA,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,ALLIANT,ALLIANT,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,AMBETTER,AMBETTER,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,BEECH STREET,BEECH STREET,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,CARESOURCE,CARESOURCE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,MEDICAID,MEDICAID,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,MEDICARE,MEDICARE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,NOVA NET,NOVA NET,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,PEACHSTATE,PEACHSTATE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,SELFPAY,SELFPAY,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,TRICARE,TRICARE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 32/25 CONST RINGLOE LNR,C1776,CPT,both,,,10548,10548,UHC MEDICARE,UHC MEDICARE,,10548,,fee schedule,10548,9176.76,10548,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,AETNA,AETNA,,1519.02,87,percent of total billed charges,1519.02,1519.02,1746,percent of total billed charges,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1519.02,87,percent of total billed charges,1519.02,1519.02,1746,percent of total billed charges,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,UNITED HEALTHCARE,UNITED HEALTHCARE,,1536.48,88,percent of total billed charges,1536.48,1519.02,1746,percent of total billed charges,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,AETNA,AETNA,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,ALLIANT,ALLIANT,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,AMBETTER,AMBETTER,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,BEECH STREET,BEECH STREET,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,CARESOURCE,CARESOURCE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,MEDICAID,MEDICAID,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,MEDICARE,MEDICARE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,NOVA NET,NOVA NET,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,PEACHSTATE,PEACHSTATE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,SELFPAY,SELFPAY,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,TRICARE,TRICARE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 4 HOLE ANATOMIC FIB PLT,C1776,CPT,both,,,1746,1746,UHC MEDICARE,UHC MEDICARE,,1746,,fee schedule,1746,1519.02,1746,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,AETNA,AETNA,,3118.08,87,percent of total billed charges,3118.08,3118.08,3584,percent of total billed charges,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3118.08,87,percent of total billed charges,3118.08,3118.08,3584,percent of total billed charges,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,UNITED HEALTHCARE,UNITED HEALTHCARE,,3153.92,88,percent of total billed charges,3153.92,3118.08,3584,percent of total billed charges,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,AETNA,AETNA,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,ALLIANT,ALLIANT,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,AMBETTER,AMBETTER,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,BEECH STREET,BEECH STREET,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,CARESOURCE,CARESOURCE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,MEDICAID,MEDICAID,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,MEDICARE,MEDICARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,NOVA NET,NOVA NET,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,PEACHSTATE,PEACHSTATE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,SELFPAY,SELFPAY,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,TRICARE,TRICARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 42X21MM MOD HD,C1776,CPT,both,,,3584,3584,UHC MEDICARE,UHC MEDICARE,,3584,,fee schedule,3584,3118.08,3584,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,AETNA,AETNA,,6157.86,87,percent of total billed charges,6157.86,6157.86,7078,percent of total billed charges,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6157.86,87,percent of total billed charges,6157.86,6157.86,7078,percent of total billed charges,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,UNITED HEALTHCARE,UNITED HEALTHCARE,,6228.64,88,percent of total billed charges,6228.64,6157.86,7078,percent of total billed charges,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,AETNA,AETNA,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,ALLIANT,ALLIANT,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,AMBETTER,AMBETTER,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,BEECH STREET,BEECH STREET,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,CARESOURCE,CARESOURCE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,MEDICAID,MEDICAID,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,MEDICARE,MEDICARE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,NOVA NET,NOVA NET,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,PEACHSTATE,PEACHSTATE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,SELFPAY,SELFPAY,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,TRICARE,TRICARE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 57.5MM CR FEMUR (L),C1776,CPT,both,,,7078,7078,UHC MEDICARE,UHC MEDICARE,,7078,,fee schedule,7078,6157.86,7078,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,AETNA,AETNA,,8022.27,87,percent of total billed charges,8022.27,8022.27,9221,percent of total billed charges,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8022.27,87,percent of total billed charges,8022.27,8022.27,9221,percent of total billed charges,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,UNITED HEALTHCARE,UNITED HEALTHCARE,,8114.48,88,percent of total billed charges,8114.48,8022.27,9221,percent of total billed charges,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,AETNA,AETNA,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,ALLIANT,ALLIANT,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,AMBETTER,AMBETTER,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,BEECH STREET,BEECH STREET,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,CARESOURCE,CARESOURCE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,MEDICAID,MEDICAID,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,MEDICARE,MEDICARE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,NOVA NET,NOVA NET,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,PEACHSTATE,PEACHSTATE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,SELFPAY,SELFPAY,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,TRICARE,TRICARE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 61MMX71 PS POLY,C1776,CPT,both,,,9221,9221,UHC MEDICARE,UHC MEDICARE,,9221,,fee schedule,9221,8022.27,9221,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,AETNA,AETNA,,5475.78,87,percent of total billed charges,5475.78,5475.78,6294,percent of total billed charges,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5475.78,87,percent of total billed charges,5475.78,5475.78,6294,percent of total billed charges,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,UNITED HEALTHCARE,UNITED HEALTHCARE,,5538.72,88,percent of total billed charges,5538.72,5475.78,6294,percent of total billed charges,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,AETNA,AETNA,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,ALLIANT,ALLIANT,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,AMBETTER,AMBETTER,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,BEECH STREET,BEECH STREET,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,CARESOURCE,CARESOURCE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,MEDICAID,MEDICAID,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,MEDICARE,MEDICARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,NOVA NET,NOVA NET,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,PEACHSTATE,PEACHSTATE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,SELFPAY,SELFPAY,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,TRICARE,TRICARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 62MM REGENEREX CUP,C1776,CPT,both,,,6294,6294,UHC MEDICARE,UHC MEDICARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,AETNA,AETNA,,10131.15,87,percent of total billed charges,10131.15,10131.15,11645,percent of total billed charges,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10131.15,87,percent of total billed charges,10131.15,10131.15,11645,percent of total billed charges,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,UNITED HEALTHCARE,UNITED HEALTHCARE,,10247.6,88,percent of total billed charges,10247.6,10131.15,11645,percent of total billed charges,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,AETNA,AETNA,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,ALLIANT,ALLIANT,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,AMBETTER,AMBETTER,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,BEECH STREET,BEECH STREET,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,CARESOURCE,CARESOURCE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,MEDICAID,MEDICAID,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,MEDICARE,MEDICARE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,NOVA NET,NOVA NET,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,PEACHSTATE,PEACHSTATE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,SELFPAY,SELFPAY,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,TRICARE,TRICARE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 6X122MM HUM STEM,C1776,CPT,both,,,11645,11645,UHC MEDICARE,UHC MEDICARE,,11645,,fee schedule,11645,10131.15,11645,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,AETNA,AETNA,,7439.37,87,percent of total billed charges,7439.37,7439.37,8551,percent of total billed charges,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7439.37,87,percent of total billed charges,7439.37,7439.37,8551,percent of total billed charges,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,UNITED HEALTHCARE,UNITED HEALTHCARE,,7524.88,88,percent of total billed charges,7524.88,7439.37,8551,percent of total billed charges,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,AETNA,AETNA,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,ALLIANT,ALLIANT,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,AMBETTER,AMBETTER,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,BEECH STREET,BEECH STREET,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,CARESOURCE,CARESOURCE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,MEDICAID,MEDICAID,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,MEDICARE,MEDICARE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,NOVA NET,NOVA NET,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,PEACHSTATE,PEACHSTATE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,SELFPAY,SELFPAY,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,TRICARE,TRICARE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET 75MM FEM KNEE MOLD,C1776,CPT,both,,,8551,8551,UHC MEDICARE,UHC MEDICARE,,8551,,fee schedule,8551,7439.37,8551,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,AETNA,AETNA,,19327.92,87,percent of total billed charges,19327.92,19327.92,22216,percent of total billed charges,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19327.92,87,percent of total billed charges,19327.92,19327.92,22216,percent of total billed charges,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,UNITED HEALTHCARE,UNITED HEALTHCARE,,19550.08,88,percent of total billed charges,19550.08,19327.92,22216,percent of total billed charges,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,AETNA,AETNA,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,ALLIANT,ALLIANT,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,AMBETTER,AMBETTER,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,BEECH STREET,BEECH STREET,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,CARESOURCE,CARESOURCE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,MEDICAID,MEDICAID,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,MEDICARE,MEDICARE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,NOVA NET,NOVA NET,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,PEACHSTATE,PEACHSTATE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,SELFPAY,SELFPAY,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,TRICARE,TRICARE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANG HINGE EXT FIX,C1776,CPT,both,,,22216,22216,UHC MEDICARE,UHC MEDICARE,,22216,,fee schedule,22216,19327.92,22216,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,AETNA,AETNA,,2291.58,87,percent of total billed charges,2291.58,2291.58,2634,percent of total billed charges,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2291.58,87,percent of total billed charges,2291.58,2291.58,2634,percent of total billed charges,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,UNITED HEALTHCARE,UNITED HEALTHCARE,,2317.92,88,percent of total billed charges,2317.92,2291.58,2634,percent of total billed charges,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,AETNA,AETNA,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,ALLIANT,ALLIANT,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,AMBETTER,AMBETTER,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,BEECH STREET,BEECH STREET,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,CARESOURCE,CARESOURCE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,MEDICAID,MEDICAID,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,MEDICARE,MEDICARE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,NOVA NET,NOVA NET,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,PEACHSTATE,PEACHSTATE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,SELFPAY,SELFPAY,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,TRICARE,TRICARE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET ANK SYNDESMOSIS,C1776,CPT,both,,,2634,2634,UHC MEDICARE,UHC MEDICARE,,2634,,fee schedule,2634,2291.58,2634,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,AETNA,AETNA,,2560.41,87,percent of total billed charges,2560.41,2560.41,2943,percent of total billed charges,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2560.41,87,percent of total billed charges,2560.41,2560.41,2943,percent of total billed charges,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,UNITED HEALTHCARE,UNITED HEALTHCARE,,2589.84,88,percent of total billed charges,2589.84,2560.41,2943,percent of total billed charges,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,AETNA,AETNA,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,ALLIANT,ALLIANT,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,AMBETTER,AMBETTER,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,BEECH STREET,BEECH STREET,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,CARESOURCE,CARESOURCE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,MEDICAID,MEDICAID,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,MEDICARE,MEDICARE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,NOVA NET,NOVA NET,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,PEACHSTATE,PEACHSTATE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,SELFPAY,SELFPAY,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,TRICARE,TRICARE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT POSTERIOR,C1776,CPT,both,,,2943,2943,UHC MEDICARE,UHC MEDICARE,,2943,,fee schedule,2943,2560.41,2943,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,AETNA,AETNA,,1765.23,87,percent of total billed charges,1765.23,1765.23,2029,percent of total billed charges,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1765.23,87,percent of total billed charges,1765.23,1765.23,2029,percent of total billed charges,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,UNITED HEALTHCARE,UNITED HEALTHCARE,,1785.52,88,percent of total billed charges,1785.52,1765.23,2029,percent of total billed charges,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,AETNA,AETNA,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,ALLIANT,ALLIANT,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,AMBETTER,AMBETTER,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,BEECH STREET,BEECH STREET,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,CARESOURCE,CARESOURCE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,MEDICAID,MEDICAID,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,MEDICARE,MEDICARE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,NOVA NET,NOVA NET,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,PEACHSTATE,PEACHSTATE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,SELFPAY,SELFPAY,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,TRICARE,TRICARE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET AUGMENT TIBIAL SL,C1776,CPT,both,,,2029,2029,UHC MEDICARE,UHC MEDICARE,,2029,,fee schedule,2029,1765.23,2029,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,AETNA,AETNA,,1606.02,87,percent of total billed charges,1606.02,1606.02,1846,percent of total billed charges,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1606.02,87,percent of total billed charges,1606.02,1606.02,1846,percent of total billed charges,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,UNITED HEALTHCARE,UNITED HEALTHCARE,,1624.48,88,percent of total billed charges,1624.48,1606.02,1846,percent of total billed charges,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,AETNA,AETNA,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,ALLIANT,ALLIANT,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,AMBETTER,AMBETTER,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,BEECH STREET,BEECH STREET,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,CARESOURCE,CARESOURCE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,MEDICAID,MEDICAID,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,MEDICARE,MEDICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,NOVA NET,NOVA NET,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,PEACHSTATE,PEACHSTATE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,SELFPAY,SELFPAY,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,TRICARE,TRICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR HEAD ALL,C1776,CPT,both,,,1846,1846,UHC MEDICARE,UHC MEDICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,AETNA,AETNA,,5665.44,87,percent of total billed charges,5665.44,5665.44,6512,percent of total billed charges,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5665.44,87,percent of total billed charges,5665.44,5665.44,6512,percent of total billed charges,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,UNITED HEALTHCARE,UNITED HEALTHCARE,,5730.56,88,percent of total billed charges,5730.56,5665.44,6512,percent of total billed charges,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,AETNA,AETNA,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,ALLIANT,ALLIANT,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,AMBETTER,AMBETTER,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,BEECH STREET,BEECH STREET,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,CARESOURCE,CARESOURCE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,MEDICAID,MEDICAID,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,MEDICARE,MEDICARE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,NOVA NET,NOVA NET,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,PEACHSTATE,PEACHSTATE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,SELFPAY,SELFPAY,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,TRICARE,TRICARE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET BIPOLAR STEM ALL,C1776,CPT,both,,,6512,6512,UHC MEDICARE,UHC MEDICARE,,6512,,fee schedule,6512,5665.44,6512,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,AETNA,AETNA,,24452.22,87,percent of total billed charges,24452.22,24452.22,28106,percent of total billed charges,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24452.22,87,percent of total billed charges,24452.22,24452.22,28106,percent of total billed charges,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,UNITED HEALTHCARE,UNITED HEALTHCARE,,24733.28,88,percent of total billed charges,24733.28,24452.22,28106,percent of total billed charges,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,AETNA,AETNA,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,ALLIANT,ALLIANT,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,AMBETTER,AMBETTER,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,BEECH STREET,BEECH STREET,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,CARESOURCE,CARESOURCE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,MEDICAID,MEDICAID,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,MEDICARE,MEDICARE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,NOVA NET,NOVA NET,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,PEACHSTATE,PEACHSTATE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,SELFPAY,SELFPAY,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,TRICARE,TRICARE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET C/60MM ARCOS CONE BODY,C1776,CPT,both,,,28106,28106,UHC MEDICARE,UHC MEDICARE,,28106,,fee schedule,28106,24452.22,28106,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,AETNA,AETNA,,5766.36,87,percent of total billed charges,5766.36,5766.36,6628,percent of total billed charges,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5766.36,87,percent of total billed charges,5766.36,5766.36,6628,percent of total billed charges,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,UNITED HEALTHCARE,UNITED HEALTHCARE,,5832.64,88,percent of total billed charges,5832.64,5766.36,6628,percent of total billed charges,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,AETNA,AETNA,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,ALLIANT,ALLIANT,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,AMBETTER,AMBETTER,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,BEECH STREET,BEECH STREET,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,CARESOURCE,CARESOURCE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,MEDICAID,MEDICAID,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,MEDICARE,MEDICARE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,NOVA NET,NOVA NET,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,PEACHSTATE,PEACHSTATE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,SELFPAY,SELFPAY,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,TRICARE,TRICARE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER,C1776,CPT,both,,,6628,6628,UHC MEDICARE,UHC MEDICARE,,6628,,fee schedule,6628,5766.36,6628,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,AETNA,AETNA,,3090.24,87,percent of total billed charges,3090.24,3090.24,3552,percent of total billed charges,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090.24,87,percent of total billed charges,3090.24,3090.24,3552,percent of total billed charges,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,UNITED HEALTHCARE,UNITED HEALTHCARE,,3125.76,88,percent of total billed charges,3125.76,3090.24,3552,percent of total billed charges,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,AETNA,AETNA,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,ALLIANT,ALLIANT,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,AMBETTER,AMBETTER,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,BEECH STREET,BEECH STREET,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,CARESOURCE,CARESOURCE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,MEDICAID,MEDICAID,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,MEDICARE,MEDICARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,NOVA NET,NOVA NET,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,PEACHSTATE,PEACHSTATE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,SELFPAY,SELFPAY,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,TRICARE,TRICARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET CEMENT SPACER MOLD,C1776,CPT,both,,,3552,3552,UHC MEDICARE,UHC MEDICARE,,3552,,fee schedule,3552,3090.24,3552,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,AETNA,AETNA,,8403.33,87,percent of total billed charges,8403.33,8403.33,9659,percent of total billed charges,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8403.33,87,percent of total billed charges,8403.33,8403.33,9659,percent of total billed charges,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,UNITED HEALTHCARE,UNITED HEALTHCARE,,8499.92,88,percent of total billed charges,8499.92,8403.33,9659,percent of total billed charges,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,AETNA,AETNA,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,ALLIANT,ALLIANT,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,AMBETTER,AMBETTER,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,BEECH STREET,BEECH STREET,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,CARESOURCE,CARESOURCE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,MEDICAID,MEDICAID,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,MEDICARE,MEDICARE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,NOVA NET,NOVA NET,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,PEACHSTATE,PEACHSTATE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,SELFPAY,SELFPAY,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,TRICARE,TRICARE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPREHENSIVE STEM,C1776,CPT,both,,,9659,9659,UHC MEDICARE,UHC MEDICARE,,9659,,fee schedule,9659,8403.33,9659,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,AETNA,AETNA,,419.34,87,percent of total billed charges,419.34,419.34,482,percent of total billed charges,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,419.34,87,percent of total billed charges,419.34,419.34,482,percent of total billed charges,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,UNITED HEALTHCARE,UNITED HEALTHCARE,,424.16,88,percent of total billed charges,424.16,419.34,482,percent of total billed charges,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,AETNA,AETNA,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,ALLIANT,ALLIANT,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,AMBETTER,AMBETTER,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,BEECH STREET,BEECH STREET,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,CARESOURCE,CARESOURCE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,MEDICAID,MEDICAID,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,MEDICARE,MEDICARE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,NOVA NET,NOVA NET,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,PEACHSTATE,PEACHSTATE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,SELFPAY,SELFPAY,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,TRICARE,TRICARE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET COMPRENSIVE STD AD,C1776,CPT,both,,,482,482,UHC MEDICARE,UHC MEDICARE,,482,,fee schedule,482,419.34,482,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,AETNA,AETNA,,5738.52,87,percent of total billed charges,5738.52,5738.52,6596,percent of total billed charges,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5738.52,87,percent of total billed charges,5738.52,5738.52,6596,percent of total billed charges,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,UNITED HEALTHCARE,UNITED HEALTHCARE,,5804.48,88,percent of total billed charges,5804.48,5738.52,6596,percent of total billed charges,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,AETNA,AETNA,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,ALLIANT,ALLIANT,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,AMBETTER,AMBETTER,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,BEECH STREET,BEECH STREET,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,CARESOURCE,CARESOURCE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,MEDICAID,MEDICAID,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,MEDICARE,MEDICARE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,NOVA NET,NOVA NET,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,PEACHSTATE,PEACHSTATE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,SELFPAY,SELFPAY,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,TRICARE,TRICARE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ECHO MICRO STEM,C1776,CPT,both,,,6596,6596,UHC MEDICARE,UHC MEDICARE,,6596,,fee schedule,6596,5738.52,6596,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,AETNA,AETNA,,8702.61,87,percent of total billed charges,8702.61,8702.61,10003,percent of total billed charges,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8702.61,87,percent of total billed charges,8702.61,8702.61,10003,percent of total billed charges,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,UNITED HEALTHCARE,UNITED HEALTHCARE,,8802.64,88,percent of total billed charges,8802.64,8702.61,10003,percent of total billed charges,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,AETNA,AETNA,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,ALLIANT,ALLIANT,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,AMBETTER,AMBETTER,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,BEECH STREET,BEECH STREET,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,CARESOURCE,CARESOURCE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,MEDICAID,MEDICAID,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,MEDICARE,MEDICARE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,NOVA NET,NOVA NET,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,PEACHSTATE,PEACHSTATE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,SELFPAY,SELFPAY,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,TRICARE,TRICARE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET ENDO HIP SYSTEM,C1776,CPT,both,,,10003,10003,UHC MEDICARE,UHC MEDICARE,,10003,,fee schedule,10003,8702.61,10003,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,AETNA,AETNA,,4592.73,87,percent of total billed charges,4592.73,4592.73,5279,percent of total billed charges,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4592.73,87,percent of total billed charges,4592.73,4592.73,5279,percent of total billed charges,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,UNITED HEALTHCARE,UNITED HEALTHCARE,,4645.52,88,percent of total billed charges,4645.52,4592.73,5279,percent of total billed charges,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,AETNA,AETNA,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,ALLIANT,ALLIANT,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,AMBETTER,AMBETTER,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,BEECH STREET,BEECH STREET,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,CARESOURCE,CARESOURCE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,MEDICAID,MEDICAID,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,MEDICARE,MEDICARE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,NOVA NET,NOVA NET,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,PEACHSTATE,PEACHSTATE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,SELFPAY,SELFPAY,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,TRICARE,TRICARE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET FREEDOM HEAD-NECK,C1776,CPT,both,,,5279,5279,UHC MEDICARE,UHC MEDICARE,,5279,,fee schedule,5279,4592.73,5279,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,AETNA,AETNA,,4216.89,87,percent of total billed charges,4216.89,4216.89,4847,percent of total billed charges,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4216.89,87,percent of total billed charges,4216.89,4216.89,4847,percent of total billed charges,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,UNITED HEALTHCARE,UNITED HEALTHCARE,,4265.36,88,percent of total billed charges,4265.36,4216.89,4847,percent of total billed charges,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,AETNA,AETNA,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,ALLIANT,ALLIANT,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,AMBETTER,AMBETTER,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,BEECH STREET,BEECH STREET,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,CARESOURCE,CARESOURCE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,MEDICAID,MEDICAID,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,MEDICARE,MEDICARE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,NOVA NET,NOVA NET,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,PEACHSTATE,PEACHSTATE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,SELFPAY,SELFPAY,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,TRICARE,TRICARE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET GLENOSPHERE,C1776,CPT,both,,,4847,4847,UHC MEDICARE,UHC MEDICARE,,4847,,fee schedule,4847,4216.89,4847,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,AETNA,AETNA,,2906.67,87,percent of total billed charges,2906.67,2906.67,3341,percent of total billed charges,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2906.67,87,percent of total billed charges,2906.67,2906.67,3341,percent of total billed charges,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,UNITED HEALTHCARE,UNITED HEALTHCARE,,2940.08,88,percent of total billed charges,2940.08,2906.67,3341,percent of total billed charges,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,AETNA,AETNA,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,ALLIANT,ALLIANT,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,AMBETTER,AMBETTER,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,BEECH STREET,BEECH STREET,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,CARESOURCE,CARESOURCE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,MEDICAID,MEDICAID,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,MEDICARE,MEDICARE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,NOVA NET,NOVA NET,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,PEACHSTATE,PEACHSTATE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,SELFPAY,SELFPAY,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,TRICARE,TRICARE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET HUMERAL NAIL,C1776,CPT,both,,,3341,3341,UHC MEDICARE,UHC MEDICARE,,3341,,fee schedule,3341,2906.67,3341,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,AETNA,AETNA,,520.26,87,percent of total billed charges,520.26,520.26,598,percent of total billed charges,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,520.26,87,percent of total billed charges,520.26,520.26,598,percent of total billed charges,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,UNITED HEALTHCARE,UNITED HEALTHCARE,,526.24,88,percent of total billed charges,526.24,520.26,598,percent of total billed charges,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,AETNA,AETNA,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,ALLIANT,ALLIANT,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,AMBETTER,AMBETTER,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,BEECH STREET,BEECH STREET,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,CARESOURCE,CARESOURCE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,MEDICAID,MEDICAID,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,MEDICARE,MEDICARE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,NOVA NET,NOVA NET,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,PEACHSTATE,PEACHSTATE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,SELFPAY,SELFPAY,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,TRICARE,TRICARE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET MINI BASEPLATE ADAPTOR,C1776,CPT,both,,,598,598,UHC MEDICARE,UHC MEDICARE,,598,,fee schedule,598,520.26,598,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,AETNA,AETNA,,2101.92,87,percent of total billed charges,2101.92,2101.92,2416,percent of total billed charges,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2101.92,87,percent of total billed charges,2101.92,2101.92,2416,percent of total billed charges,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,UNITED HEALTHCARE,UNITED HEALTHCARE,,2126.08,88,percent of total billed charges,2126.08,2101.92,2416,percent of total billed charges,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,AETNA,AETNA,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,ALLIANT,ALLIANT,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,AMBETTER,AMBETTER,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,BEECH STREET,BEECH STREET,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,CARESOURCE,CARESOURCE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,MEDICAID,MEDICAID,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,MEDICARE,MEDICARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,NOVA NET,NOVA NET,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,PEACHSTATE,PEACHSTATE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,SELFPAY,SELFPAY,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,TRICARE,TRICARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET NEXTRA HMRTOE CORR,C1776,CPT,both,,,2416,2416,UHC MEDICARE,UHC MEDICARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,AETNA,AETNA,,16051.5,87,percent of total billed charges,16051.5,16051.5,18450,percent of total billed charges,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16051.5,87,percent of total billed charges,16051.5,16051.5,18450,percent of total billed charges,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,UNITED HEALTHCARE,UNITED HEALTHCARE,,16236,88,percent of total billed charges,16236,16051.5,18450,percent of total billed charges,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,AETNA,AETNA,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,ALLIANT,ALLIANT,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,AMBETTER,AMBETTER,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,BEECH STREET,BEECH STREET,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,CARESOURCE,CARESOURCE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,MEDICAID,MEDICAID,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,MEDICARE,MEDICARE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,NOVA NET,NOVA NET,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,PEACHSTATE,PEACHSTATE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,SELFPAY,SELFPAY,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,TRICARE,TRICARE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS CUST IMP CANU STEM,C1776,CPT,both,,,18450,18450,UHC MEDICARE,UHC MEDICARE,,18450,,fee schedule,18450,16051.5,18450,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,AETNA,AETNA,,18098.61,87,percent of total billed charges,18098.61,18098.61,20803,percent of total billed charges,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18098.61,87,percent of total billed charges,18098.61,18098.61,20803,percent of total billed charges,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,UNITED HEALTHCARE,UNITED HEALTHCARE,,18306.64,88,percent of total billed charges,18306.64,18098.61,20803,percent of total billed charges,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,AETNA,AETNA,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,ALLIANT,ALLIANT,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,AMBETTER,AMBETTER,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,BEECH STREET,BEECH STREET,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,CARESOURCE,CARESOURCE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,MEDICAID,MEDICAID,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,MEDICARE,MEDICARE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,NOVA NET,NOVA NET,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,PEACHSTATE,PEACHSTATE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,SELFPAY,SELFPAY,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,TRICARE,TRICARE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS DIAPHYSEAL SEG,C1776,CPT,both,,,20803,20803,UHC MEDICARE,UHC MEDICARE,,20803,,fee schedule,20803,18098.61,20803,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,AETNA,AETNA,,22822.71,87,percent of total billed charges,22822.71,22822.71,26233,percent of total billed charges,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22822.71,87,percent of total billed charges,22822.71,22822.71,26233,percent of total billed charges,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,UNITED HEALTHCARE,UNITED HEALTHCARE,,23085.04,88,percent of total billed charges,23085.04,22822.71,26233,percent of total billed charges,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,AETNA,AETNA,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,ALLIANT,ALLIANT,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,AMBETTER,AMBETTER,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,BEECH STREET,BEECH STREET,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,CARESOURCE,CARESOURCE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,MEDICAID,MEDICAID,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,MEDICARE,MEDICARE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,NOVA NET,NOVA NET,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,PEACHSTATE,PEACHSTATE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,SELFPAY,SELFPAY,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,TRICARE,TRICARE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS SEG FEMUR,C1776,CPT,both,,,26233,26233,UHC MEDICARE,UHC MEDICARE,,26233,,fee schedule,26233,22822.71,26233,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,AETNA,AETNA,,10413.03,87,percent of total billed charges,10413.03,10413.03,11969,percent of total billed charges,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10413.03,87,percent of total billed charges,10413.03,10413.03,11969,percent of total billed charges,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,UNITED HEALTHCARE,UNITED HEALTHCARE,,10532.72,88,percent of total billed charges,10532.72,10413.03,11969,percent of total billed charges,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,AETNA,AETNA,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,ALLIANT,ALLIANT,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,AMBETTER,AMBETTER,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,BEECH STREET,BEECH STREET,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,CARESOURCE,CARESOURCE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,MEDICAID,MEDICAID,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,MEDICARE,MEDICARE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,NOVA NET,NOVA NET,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,PEACHSTATE,PEACHSTATE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,SELFPAY,SELFPAY,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,TRICARE,TRICARE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET OSS TIBIAL MODULAR,C1776,CPT,both,,,11969,11969,UHC MEDICARE,UHC MEDICARE,,11969,,fee schedule,11969,10413.03,11969,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,AETNA,AETNA,,912.63,87,percent of total billed charges,912.63,912.63,1049,percent of total billed charges,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,912.63,87,percent of total billed charges,912.63,912.63,1049,percent of total billed charges,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,UNITED HEALTHCARE,UNITED HEALTHCARE,,923.12,88,percent of total billed charges,923.12,912.63,1049,percent of total billed charges,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,AETNA,AETNA,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,ALLIANT,ALLIANT,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,AMBETTER,AMBETTER,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,BEECH STREET,BEECH STREET,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,CARESOURCE,CARESOURCE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,MEDICAID,MEDICAID,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,MEDICARE,MEDICARE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,NOVA NET,NOVA NET,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,PEACHSTATE,PEACHSTATE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,SELFPAY,SELFPAY,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,TRICARE,TRICARE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PLATE,C1776,CPT,both,,,1049,1049,UHC MEDICARE,UHC MEDICARE,,1049,,fee schedule,1049,912.63,1049,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,AETNA,AETNA,,2508.21,87,percent of total billed charges,2508.21,2508.21,2883,percent of total billed charges,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2508.21,87,percent of total billed charges,2508.21,2508.21,2883,percent of total billed charges,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,UNITED HEALTHCARE,UNITED HEALTHCARE,,2537.04,88,percent of total billed charges,2537.04,2508.21,2883,percent of total billed charges,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,AETNA,AETNA,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,ALLIANT,ALLIANT,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,AMBETTER,AMBETTER,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,BEECH STREET,BEECH STREET,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,CARESOURCE,CARESOURCE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,MEDICAID,MEDICAID,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,MEDICARE,MEDICARE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,NOVA NET,NOVA NET,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,PEACHSTATE,PEACHSTATE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,SELFPAY,SELFPAY,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,TRICARE,TRICARE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET PS TIBIAL BEARING,C1776,CPT,both,,,2883,2883,UHC MEDICARE,UHC MEDICARE,,2883,,fee schedule,2883,2508.21,2883,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,AETNA,AETNA,,5475.78,87,percent of total billed charges,5475.78,5475.78,6294,percent of total billed charges,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5475.78,87,percent of total billed charges,5475.78,5475.78,6294,percent of total billed charges,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,UNITED HEALTHCARE,UNITED HEALTHCARE,,5538.72,88,percent of total billed charges,5538.72,5475.78,6294,percent of total billed charges,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,AETNA,AETNA,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,ALLIANT,ALLIANT,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,AMBETTER,AMBETTER,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,BEECH STREET,BEECH STREET,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,CARESOURCE,CARESOURCE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,MEDICAID,MEDICAID,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,MEDICARE,MEDICARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,NOVA NET,NOVA NET,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,PEACHSTATE,PEACHSTATE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,SELFPAY,SELFPAY,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,TRICARE,TRICARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET REGENEREX CUP,C1776,CPT,both,,,6294,6294,UHC MEDICARE,UHC MEDICARE,,6294,,fee schedule,6294,5475.78,6294,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,AETNA,AETNA,,2967.57,87,percent of total billed charges,2967.57,2967.57,3411,percent of total billed charges,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2967.57,87,percent of total billed charges,2967.57,2967.57,3411,percent of total billed charges,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,UNITED HEALTHCARE,UNITED HEALTHCARE,,3001.68,88,percent of total billed charges,3001.68,2967.57,3411,percent of total billed charges,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,AETNA,AETNA,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,ALLIANT,ALLIANT,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,AMBETTER,AMBETTER,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,BEECH STREET,BEECH STREET,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,CARESOURCE,CARESOURCE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,MEDICAID,MEDICAID,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,MEDICARE,MEDICARE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,NOVA NET,NOVA NET,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,PEACHSTATE,PEACHSTATE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,SELFPAY,SELFPAY,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,TRICARE,TRICARE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET RETROGRADE NAIL,C1776,CPT,both,,,3411,3411,UHC MEDICARE,UHC MEDICARE,,3411,,fee schedule,3411,2967.57,3411,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,AETNA,AETNA,,8991.45,87,percent of total billed charges,8991.45,8991.45,10335,percent of total billed charges,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8991.45,87,percent of total billed charges,8991.45,8991.45,10335,percent of total billed charges,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,UNITED HEALTHCARE,UNITED HEALTHCARE,,9094.8,88,percent of total billed charges,9094.8,8991.45,10335,percent of total billed charges,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,AETNA,AETNA,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,ALLIANT,ALLIANT,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,AMBETTER,AMBETTER,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,BEECH STREET,BEECH STREET,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,CARESOURCE,CARESOURCE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,MEDICAID,MEDICAID,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,MEDICARE,MEDICARE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,NOVA NET,NOVA NET,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,PEACHSTATE,PEACHSTATE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,SELFPAY,SELFPAY,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,TRICARE,TRICARE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REV HIP CUP,C1776,CPT,both,,,10335,10335,UHC MEDICARE,UHC MEDICARE,,10335,,fee schedule,10335,8991.45,10335,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,AETNA,AETNA,,24129.45,87,percent of total billed charges,24129.45,24129.45,27735,percent of total billed charges,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24129.45,87,percent of total billed charges,24129.45,24129.45,27735,percent of total billed charges,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,UNITED HEALTHCARE,UNITED HEALTHCARE,,24406.8,88,percent of total billed charges,24406.8,24129.45,27735,percent of total billed charges,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,AETNA,AETNA,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,ALLIANT,ALLIANT,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,AMBETTER,AMBETTER,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,BEECH STREET,BEECH STREET,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,CARESOURCE,CARESOURCE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,MEDICAID,MEDICAID,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,MEDICARE,MEDICARE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,NOVA NET,NOVA NET,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,PEACHSTATE,PEACHSTATE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,SELFPAY,SELFPAY,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,TRICARE,TRICARE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET REVERSE TOTAL SHOU,C1776,CPT,both,,,27735,27735,UHC MEDICARE,UHC MEDICARE,,27735,,fee schedule,27735,24129.45,27735,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,AETNA,AETNA,,12888.18,87,percent of total billed charges,12888.18,12888.18,14814,percent of total billed charges,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12888.18,87,percent of total billed charges,12888.18,12888.18,14814,percent of total billed charges,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,UNITED HEALTHCARE,UNITED HEALTHCARE,,13036.32,88,percent of total billed charges,13036.32,12888.18,14814,percent of total billed charges,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,AETNA,AETNA,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,ALLIANT,ALLIANT,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,AMBETTER,AMBETTER,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,BEECH STREET,BEECH STREET,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,CARESOURCE,CARESOURCE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,MEDICAID,MEDICAID,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,MEDICARE,MEDICARE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,NOVA NET,NOVA NET,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,PEACHSTATE,PEACHSTATE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,SELFPAY,SELFPAY,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,TRICARE,TRICARE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOUL MINI STEM,C1776,CPT,both,,,14814,14814,UHC MEDICARE,UHC MEDICARE,,14814,,fee schedule,14814,12888.18,14814,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,AETNA,AETNA,,4657.11,87,percent of total billed charges,4657.11,4657.11,5353,percent of total billed charges,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4657.11,87,percent of total billed charges,4657.11,4657.11,5353,percent of total billed charges,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,UNITED HEALTHCARE,UNITED HEALTHCARE,,4710.64,88,percent of total billed charges,4710.64,4657.11,5353,percent of total billed charges,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,AETNA,AETNA,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,ALLIANT,ALLIANT,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,AMBETTER,AMBETTER,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,BEECH STREET,BEECH STREET,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,CARESOURCE,CARESOURCE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,MEDICAID,MEDICAID,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,MEDICARE,MEDICARE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,NOVA NET,NOVA NET,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,PEACHSTATE,PEACHSTATE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,SELFPAY,SELFPAY,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,TRICARE,TRICARE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL B,C1776,CPT,both,,,5353,5353,UHC MEDICARE,UHC MEDICARE,,5353,,fee schedule,5353,4657.11,5353,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,AETNA,AETNA,,5019.9,87,percent of total billed charges,5019.9,5019.9,5770,percent of total billed charges,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5019.9,87,percent of total billed charges,5019.9,5019.9,5770,percent of total billed charges,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,UNITED HEALTHCARE,UNITED HEALTHCARE,,5077.6,88,percent of total billed charges,5077.6,5019.9,5770,percent of total billed charges,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,AETNA,AETNA,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,ALLIANT,ALLIANT,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,AMBETTER,AMBETTER,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,BEECH STREET,BEECH STREET,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,CARESOURCE,CARESOURCE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,MEDICAID,MEDICAID,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,MEDICARE,MEDICARE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,NOVA NET,NOVA NET,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,PEACHSTATE,PEACHSTATE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,SELFPAY,SELFPAY,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,TRICARE,TRICARE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER HUMERAL T,C1776,CPT,both,,,5770,5770,UHC MEDICARE,UHC MEDICARE,,5770,,fee schedule,5770,5019.9,5770,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,AETNA,AETNA,,8961,87,percent of total billed charges,8961,8961,10300,percent of total billed charges,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8961,87,percent of total billed charges,8961,8961,10300,percent of total billed charges,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,UNITED HEALTHCARE,UNITED HEALTHCARE,,9064,88,percent of total billed charges,9064,8961,10300,percent of total billed charges,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,AETNA,AETNA,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,ALLIANT,ALLIANT,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,AMBETTER,AMBETTER,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,BEECH STREET,BEECH STREET,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,CARESOURCE,CARESOURCE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,MEDICAID,MEDICAID,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,MEDICARE,MEDICARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,NOVA NET,NOVA NET,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,PEACHSTATE,PEACHSTATE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,SELFPAY,SELFPAY,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,TRICARE,TRICARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SHOULDER STEM,C1776,CPT,both,,,10300,10300,UHC MEDICARE,UHC MEDICARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,AETNA,AETNA,,2784.87,87,percent of total billed charges,2784.87,2784.87,3201,percent of total billed charges,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2784.87,87,percent of total billed charges,2784.87,2784.87,3201,percent of total billed charges,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,UNITED HEALTHCARE,UNITED HEALTHCARE,,2816.88,88,percent of total billed charges,2816.88,2784.87,3201,percent of total billed charges,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,AETNA,AETNA,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,ALLIANT,ALLIANT,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,AMBETTER,AMBETTER,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,BEECH STREET,BEECH STREET,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,CARESOURCE,CARESOURCE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,MEDICAID,MEDICAID,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,MEDICARE,MEDICARE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,NOVA NET,NOVA NET,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,PEACHSTATE,PEACHSTATE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,SELFPAY,SELFPAY,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,TRICARE,TRICARE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SIG TKA GUIDE & MO,C1776,CPT,both,,,3201,3201,UHC MEDICARE,UHC MEDICARE,,3201,,fee schedule,3201,2784.87,3201,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,AETNA,AETNA,,1183.2,87,percent of total billed charges,1183.2,1183.2,1360,percent of total billed charges,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1183.2,87,percent of total billed charges,1183.2,1183.2,1360,percent of total billed charges,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,UNITED HEALTHCARE,UNITED HEALTHCARE,,1196.8,88,percent of total billed charges,1196.8,1183.2,1360,percent of total billed charges,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,AETNA,AETNA,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,ALLIANT,ALLIANT,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,AMBETTER,AMBETTER,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,BEECH STREET,BEECH STREET,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,CARESOURCE,CARESOURCE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,MEDICAID,MEDICAID,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,MEDICARE,MEDICARE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,NOVA NET,NOVA NET,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,PEACHSTATE,PEACHSTATE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,SELFPAY,SELFPAY,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,TRICARE,TRICARE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SM FRAG LOCKING PLATE,C1776,CPT,both,,,1360,1360,UHC MEDICARE,UHC MEDICARE,,1360,,fee schedule,1360,1183.2,1360,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,AETNA,AETNA,,34167.51,87,percent of total billed charges,34167.51,34167.51,39273,percent of total billed charges,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34167.51,87,percent of total billed charges,34167.51,34167.51,39273,percent of total billed charges,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,UNITED HEALTHCARE,UNITED HEALTHCARE,,34560.24,88,percent of total billed charges,34560.24,34167.51,39273,percent of total billed charges,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,AETNA,AETNA,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,ALLIANT,ALLIANT,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,AMBETTER,AMBETTER,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,BEECH STREET,BEECH STREET,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,CARESOURCE,CARESOURCE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,MEDICAID,MEDICAID,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,MEDICARE,MEDICARE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,NOVA NET,NOVA NET,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,PEACHSTATE,PEACHSTATE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,SELFPAY,SELFPAY,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,TRICARE,TRICARE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET SSK TOTAL KNEE,C1776,CPT,both,,,39273,39273,UHC MEDICARE,UHC MEDICARE,,39273,,fee schedule,39273,34167.51,39273,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,AETNA,AETNA,,20376.27,87,percent of total billed charges,20376.27,20376.27,23421,percent of total billed charges,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20376.27,87,percent of total billed charges,20376.27,20376.27,23421,percent of total billed charges,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,UNITED HEALTHCARE,UNITED HEALTHCARE,,20610.48,88,percent of total billed charges,20610.48,20376.27,23421,percent of total billed charges,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,AETNA,AETNA,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,ALLIANT,ALLIANT,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,AMBETTER,AMBETTER,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,BEECH STREET,BEECH STREET,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,CARESOURCE,CARESOURCE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,MEDICAID,MEDICAID,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,MEDICARE,MEDICARE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,NOVA NET,NOVA NET,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,PEACHSTATE,PEACHSTATE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,SELFPAY,SELFPAY,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,TRICARE,TRICARE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STD PROX. CORE BODY,C1776,CPT,both,,,23421,23421,UHC MEDICARE,UHC MEDICARE,,23421,,fee schedule,23421,20376.27,23421,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,AETNA,AETNA,,10502.64,87,percent of total billed charges,10502.64,10502.64,12072,percent of total billed charges,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10502.64,87,percent of total billed charges,10502.64,10502.64,12072,percent of total billed charges,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,UNITED HEALTHCARE,UNITED HEALTHCARE,,10623.36,88,percent of total billed charges,10623.36,10502.64,12072,percent of total billed charges,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,AETNA,AETNA,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,ALLIANT,ALLIANT,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,AMBETTER,AMBETTER,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,BEECH STREET,BEECH STREET,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,CARESOURCE,CARESOURCE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,MEDICAID,MEDICAID,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,MEDICARE,MEDICARE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,NOVA NET,NOVA NET,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,PEACHSTATE,PEACHSTATE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,SELFPAY,SELFPAY,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,TRICARE,TRICARE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET STS DISTAL STEM,C1776,CPT,both,,,12072,12072,UHC MEDICARE,UHC MEDICARE,,12072,,fee schedule,12072,10502.64,12072,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,AETNA,AETNA,,7461.99,87,percent of total billed charges,7461.99,7461.99,8577,percent of total billed charges,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7461.99,87,percent of total billed charges,7461.99,7461.99,8577,percent of total billed charges,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,UNITED HEALTHCARE,UNITED HEALTHCARE,,7547.76,88,percent of total billed charges,7547.76,7461.99,8577,percent of total billed charges,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,AETNA,AETNA,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,ALLIANT,ALLIANT,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,AMBETTER,AMBETTER,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,BEECH STREET,BEECH STREET,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,CARESOURCE,CARESOURCE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,MEDICAID,MEDICAID,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,MEDICARE,MEDICARE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,NOVA NET,NOVA NET,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,PEACHSTATE,PEACHSTATE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,SELFPAY,SELFPAY,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,TRICARE,TRICARE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIA TRAY STEMMED,C1776,CPT,both,,,8577,8577,UHC MEDICARE,UHC MEDICARE,,8577,,fee schedule,8577,7461.99,8577,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,307.11,353,percent of total billed charges,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,ALLIANT,ALLIANT,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,AMBETTER,AMBETTER,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,MEDICARE,MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,TRICARE,TRICARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL LOCKING BAR,C1776,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,AETNA,AETNA,,1690.41,87,percent of total billed charges,1690.41,1690.41,1943,percent of total billed charges,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1690.41,87,percent of total billed charges,1690.41,1690.41,1943,percent of total billed charges,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,UNITED HEALTHCARE,UNITED HEALTHCARE,,1709.84,88,percent of total billed charges,1709.84,1690.41,1943,percent of total billed charges,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,AETNA,AETNA,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,ALLIANT,ALLIANT,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,AMBETTER,AMBETTER,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,BEECH STREET,BEECH STREET,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,CARESOURCE,CARESOURCE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,MEDICAID,MEDICAID,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,MEDICARE,MEDICARE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,NOVA NET,NOVA NET,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,PEACHSTATE,PEACHSTATE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,SELFPAY,SELFPAY,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,TRICARE,TRICARE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TIBIAL PEEK IMPLANT,C1776,CPT,both,,,1943,1943,UHC MEDICARE,UHC MEDICARE,,1943,,fee schedule,1943,1690.41,1943,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,AETNA,AETNA,,3000.63,87,percent of total billed charges,3000.63,3000.63,3449,percent of total billed charges,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3000.63,87,percent of total billed charges,3000.63,3000.63,3449,percent of total billed charges,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,UNITED HEALTHCARE,UNITED HEALTHCARE,,3035.12,88,percent of total billed charges,3035.12,3000.63,3449,percent of total billed charges,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,AETNA,AETNA,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,ALLIANT,ALLIANT,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,AMBETTER,AMBETTER,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,BEECH STREET,BEECH STREET,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,CARESOURCE,CARESOURCE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,MEDICAID,MEDICAID,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,MEDICARE,MEDICARE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,NOVA NET,NOVA NET,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,PEACHSTATE,PEACHSTATE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,SELFPAY,SELFPAY,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,TRICARE,TRICARE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOGGLELOC ELBOW IM,C1776,CPT,both,,,3449,3449,UHC MEDICARE,UHC MEDICARE,,3449,,fee schedule,3449,3000.63,3449,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,AETNA,AETNA,,4888.53,87,percent of total billed charges,4888.53,4888.53,5619,percent of total billed charges,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4888.53,87,percent of total billed charges,4888.53,4888.53,5619,percent of total billed charges,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,UNITED HEALTHCARE,UNITED HEALTHCARE,,4944.72,88,percent of total billed charges,4944.72,4888.53,5619,percent of total billed charges,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,AETNA,AETNA,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,ALLIANT,ALLIANT,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,AMBETTER,AMBETTER,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,BEECH STREET,BEECH STREET,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,CARESOURCE,CARESOURCE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,MEDICAID,MEDICAID,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,MEDICARE,MEDICARE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,NOVA NET,NOVA NET,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,PEACHSTATE,PEACHSTATE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,SELFPAY,SELFPAY,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,TRICARE,TRICARE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT CONSTRAINED SU,C1776,CPT,both,,,5619,5619,UHC MEDICARE,UHC MEDICARE,,5619,,fee schedule,5619,4888.53,5619,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,AETNA,AETNA,,14946.6,87,percent of total billed charges,14946.6,14946.6,17180,percent of total billed charges,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14946.6,87,percent of total billed charges,14946.6,14946.6,17180,percent of total billed charges,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,UNITED HEALTHCARE,UNITED HEALTHCARE,,15118.4,88,percent of total billed charges,15118.4,14946.6,17180,percent of total billed charges,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,AETNA,AETNA,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,ALLIANT,ALLIANT,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,AMBETTER,AMBETTER,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,BEECH STREET,BEECH STREET,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,CARESOURCE,CARESOURCE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,MEDICAID,MEDICAID,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,MEDICARE,MEDICARE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,NOVA NET,NOVA NET,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,PEACHSTATE,PEACHSTATE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,SELFPAY,SELFPAY,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,TRICARE,TRICARE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOT KNEE SSK FEMOR,C1776,CPT,both,,,17180,17180,UHC MEDICARE,UHC MEDICARE,,17180,,fee schedule,17180,14946.6,17180,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,287.97,331,percent of total billed charges,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,287.97,331,percent of total billed charges,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,287.97,331,percent of total billed charges,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,ALLIANT,ALLIANT,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,AMBETTER,AMBETTER,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,MEDICARE,MEDICARE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,TRICARE,TRICARE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP APICAL P,C1776,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,331,,fee schedule,331,287.97,331,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,AETNA,AETNA,,5851.62,87,percent of total billed charges,5851.62,5851.62,6726,percent of total billed charges,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5851.62,87,percent of total billed charges,5851.62,5851.62,6726,percent of total billed charges,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,UNITED HEALTHCARE,UNITED HEALTHCARE,,5918.88,88,percent of total billed charges,5918.88,5851.62,6726,percent of total billed charges,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,AETNA,AETNA,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,ALLIANT,ALLIANT,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,AMBETTER,AMBETTER,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,BEECH STREET,BEECH STREET,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,CARESOURCE,CARESOURCE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,MEDICAID,MEDICAID,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,MEDICARE,MEDICARE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,NOVA NET,NOVA NET,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,PEACHSTATE,PEACHSTATE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,SELFPAY,SELFPAY,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,TRICARE,TRICARE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP LINER EP,C1776,CPT,both,,,6726,6726,UHC MEDICARE,UHC MEDICARE,,6726,,fee schedule,6726,5851.62,6726,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,AETNA,AETNA,,5537.55,87,percent of total billed charges,5537.55,5537.55,6365,percent of total billed charges,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5537.55,87,percent of total billed charges,5537.55,5537.55,6365,percent of total billed charges,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,UNITED HEALTHCARE,UNITED HEALTHCARE,,5601.2,88,percent of total billed charges,5601.2,5537.55,6365,percent of total billed charges,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,AETNA,AETNA,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,ALLIANT,ALLIANT,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,AMBETTER,AMBETTER,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,BEECH STREET,BEECH STREET,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,CARESOURCE,CARESOURCE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,MEDICAID,MEDICAID,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,MEDICARE,MEDICARE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,NOVA NET,NOVA NET,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,PEACHSTATE,PEACHSTATE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,SELFPAY,SELFPAY,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,TRICARE,TRICARE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL HIP STEM,C1776,CPT,both,,,6365,6365,UHC MEDICARE,UHC MEDICARE,,6365,,fee schedule,6365,5537.55,6365,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,AETNA,AETNA,,1384.17,87,percent of total billed charges,1384.17,1384.17,1591,percent of total billed charges,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1384.17,87,percent of total billed charges,1384.17,1384.17,1591,percent of total billed charges,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,UNITED HEALTHCARE,UNITED HEALTHCARE,,1400.08,88,percent of total billed charges,1400.08,1384.17,1591,percent of total billed charges,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,AETNA,AETNA,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,ALLIANT,ALLIANT,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,AMBETTER,AMBETTER,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,BEECH STREET,BEECH STREET,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,CARESOURCE,CARESOURCE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,MEDICAID,MEDICAID,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,MEDICARE,MEDICARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,NOVA NET,NOVA NET,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,PEACHSTATE,PEACHSTATE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,SELFPAY,SELFPAY,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,TRICARE,TRICARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE PATELLA,C1776,CPT,both,,,1591,1591,UHC MEDICARE,UHC MEDICARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,AETNA,AETNA,,3268.59,87,percent of total billed charges,3268.59,3268.59,3757,percent of total billed charges,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3268.59,87,percent of total billed charges,3268.59,3268.59,3757,percent of total billed charges,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,UNITED HEALTHCARE,UNITED HEALTHCARE,,3306.16,88,percent of total billed charges,3306.16,3268.59,3757,percent of total billed charges,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,AETNA,AETNA,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,ALLIANT,ALLIANT,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,AMBETTER,AMBETTER,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,BEECH STREET,BEECH STREET,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,CARESOURCE,CARESOURCE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,MEDICAID,MEDICAID,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,MEDICARE,MEDICARE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,NOVA NET,NOVA NET,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,PEACHSTATE,PEACHSTATE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,SELFPAY,SELFPAY,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,TRICARE,TRICARE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TOTAL KNEE SURFACE,C1776,CPT,both,,,3757,3757,UHC MEDICARE,UHC MEDICARE,,3757,,fee schedule,3757,3268.59,3757,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,AETNA,AETNA,,4928.55,87,percent of total billed charges,4928.55,4928.55,5665,percent of total billed charges,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4928.55,87,percent of total billed charges,4928.55,4928.55,5665,percent of total billed charges,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,UNITED HEALTHCARE,UNITED HEALTHCARE,,4985.2,88,percent of total billed charges,4985.2,4928.55,5665,percent of total billed charges,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,AETNA,AETNA,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,ALLIANT,ALLIANT,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,AMBETTER,AMBETTER,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,BEECH STREET,BEECH STREET,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,CARESOURCE,CARESOURCE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,MEDICAID,MEDICAID,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,MEDICARE,MEDICARE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,NOVA NET,NOVA NET,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,PEACHSTATE,PEACHSTATE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,SELFPAY,SELFPAY,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,TRICARE,TRICARE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCH NAIL,C1776,CPT,both,,,5665,5665,UHC MEDICARE,UHC MEDICARE,,5665,,fee schedule,5665,4928.55,5665,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,AETNA,AETNA,,10689.69,87,percent of total billed charges,10689.69,10689.69,12287,percent of total billed charges,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10689.69,87,percent of total billed charges,10689.69,10689.69,12287,percent of total billed charges,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,UNITED HEALTHCARE,UNITED HEALTHCARE,,10812.56,88,percent of total billed charges,10812.56,10689.69,12287,percent of total billed charges,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,AETNA,AETNA,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,ALLIANT,ALLIANT,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,AMBETTER,AMBETTER,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,BEECH STREET,BEECH STREET,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,CARESOURCE,CARESOURCE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,MEDICAID,MEDICAID,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,MEDICARE,MEDICARE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,NOVA NET,NOVA NET,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,PEACHSTATE,PEACHSTATE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,SELFPAY,SELFPAY,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,TRICARE,TRICARE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TROCHANTER PLATE,C1776,CPT,both,,,12287,12287,UHC MEDICARE,UHC MEDICARE,,12287,,fee schedule,12287,10689.69,12287,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,AETNA,AETNA,,1025.73,87,percent of total billed charges,1025.73,1025.73,1179,percent of total billed charges,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1025.73,87,percent of total billed charges,1025.73,1025.73,1179,percent of total billed charges,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,UNITED HEALTHCARE,UNITED HEALTHCARE,,1037.52,88,percent of total billed charges,1037.52,1025.73,1179,percent of total billed charges,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,AETNA,AETNA,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,ALLIANT,ALLIANT,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,AMBETTER,AMBETTER,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,BEECH STREET,BEECH STREET,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,CARESOURCE,CARESOURCE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,MEDICAID,MEDICAID,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,MEDICARE,MEDICARE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,NOVA NET,NOVA NET,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,PEACHSTATE,PEACHSTATE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,SELFPAY,SELFPAY,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,TRICARE,TRICARE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BIOMET TUNNELOC,C1776,CPT,both,,,1179,1179,UHC MEDICARE,UHC MEDICARE,,1179,,fee schedule,1179,1025.73,1179,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,AETNA,AETNA,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,UNITED HEALTHCARE,UNITED HEALTHCARE,,4532,88,percent of total billed charges,4532,4480.5,5150,percent of total billed charges,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,AETNA,AETNA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,ALLIANT,ALLIANT,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,AMBETTER,AMBETTER,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,BEECH STREET,BEECH STREET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,CARESOURCE,CARESOURCE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,MEDICAID,MEDICAID,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,MEDICARE,MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,NOVA NET,NOVA NET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,PEACHSTATE,PEACHSTATE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,SELFPAY,SELFPAY,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,TRICARE,TRICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CEMENT GRAFT DELIVERY,C1776,CPT,both,,,5150,5150,UHC MEDICARE,UHC MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,AETNA,AETNA,,1683.45,87,percent of total billed charges,1683.45,1683.45,1935,percent of total billed charges,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1683.45,87,percent of total billed charges,1683.45,1683.45,1935,percent of total billed charges,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,UNITED HEALTHCARE,UNITED HEALTHCARE,,1702.8,88,percent of total billed charges,1702.8,1683.45,1935,percent of total billed charges,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,AETNA,AETNA,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,ALLIANT,ALLIANT,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,AMBETTER,AMBETTER,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,BEECH STREET,BEECH STREET,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,CARESOURCE,CARESOURCE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,MEDICAID,MEDICAID,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,MEDICARE,MEDICARE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,NOVA NET,NOVA NET,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,PEACHSTATE,PEACHSTATE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,SELFPAY,SELFPAY,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,TRICARE,TRICARE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE CORTICAL STRUTS,C1776,CPT,both,,,1935,1935,UHC MEDICARE,UHC MEDICARE,,1935,,fee schedule,1935,1683.45,1935,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,AETNA,AETNA,,1396.35,87,percent of total billed charges,1396.35,1396.35,1605,percent of total billed charges,
BONE DOWEL,C1776,CPT,both,,,1605,1605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1396.35,87,percent of total billed charges,1396.35,1396.35,1605,percent of total billed charges,
BONE DOWEL,C1776,CPT,both,,,1605,1605,UNITED HEALTHCARE,UNITED HEALTHCARE,,1412.4,88,percent of total billed charges,1412.4,1396.35,1605,percent of total billed charges,
BONE DOWEL,C1776,CPT,both,,,1605,1605,AETNA,AETNA,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,ALLIANT,ALLIANT,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,AMBETTER,AMBETTER,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,BEECH STREET,BEECH STREET,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,CARESOURCE,CARESOURCE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,MEDICAID,MEDICAID,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,MEDICARE,MEDICARE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,NOVA NET,NOVA NET,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,PEACHSTATE,PEACHSTATE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,SELFPAY,SELFPAY,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,TRICARE,TRICARE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE DOWEL,C1776,CPT,both,,,1605,1605,UHC MEDICARE,UHC MEDICARE,,1605,,fee schedule,1605,1396.35,1605,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,AETNA,AETNA,,3895.86,87,percent of total billed charges,3895.86,3895.86,4478,percent of total billed charges,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3895.86,87,percent of total billed charges,3895.86,3895.86,4478,percent of total billed charges,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,UNITED HEALTHCARE,UNITED HEALTHCARE,,3940.64,88,percent of total billed charges,3940.64,3895.86,4478,percent of total billed charges,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,AETNA,AETNA,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,ALLIANT,ALLIANT,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,AMBETTER,AMBETTER,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,BEECH STREET,BEECH STREET,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,CARESOURCE,CARESOURCE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,MEDICAID,MEDICAID,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,MEDICARE,MEDICARE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,NOVA NET,NOVA NET,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,PEACHSTATE,PEACHSTATE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,SELFPAY,SELFPAY,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,TRICARE,TRICARE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL HEAD,C1776,CPT,both,,,4478,4478,UHC MEDICARE,UHC MEDICARE,,4478,,fee schedule,4478,3895.86,4478,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,AETNA,AETNA,,1165.8,87,percent of total billed charges,1165.8,1165.8,1340,percent of total billed charges,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1165.8,87,percent of total billed charges,1165.8,1165.8,1340,percent of total billed charges,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,UNITED HEALTHCARE,UNITED HEALTHCARE,,1179.2,88,percent of total billed charges,1179.2,1165.8,1340,percent of total billed charges,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,AETNA,AETNA,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,ALLIANT,ALLIANT,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,AMBETTER,AMBETTER,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,BEECH STREET,BEECH STREET,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,CARESOURCE,CARESOURCE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,MEDICAID,MEDICAID,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,MEDICARE,MEDICARE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,NOVA NET,NOVA NET,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,PEACHSTATE,PEACHSTATE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,SELFPAY,SELFPAY,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,TRICARE,TRICARE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BONE FEMORAL STRUTS,C1776,CPT,both,,,1340,1340,UHC MEDICARE,UHC MEDICARE,,1340,,fee schedule,1340,1165.8,1340,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,AETNA,AETNA,,434.13,87,percent of total billed charges,434.13,434.13,499,percent of total billed charges,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434.13,87,percent of total billed charges,434.13,434.13,499,percent of total billed charges,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,UNITED HEALTHCARE,UNITED HEALTHCARE,,439.12,88,percent of total billed charges,439.12,434.13,499,percent of total billed charges,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,AETNA,AETNA,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,ALLIANT,ALLIANT,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,AMBETTER,AMBETTER,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,BEECH STREET,BEECH STREET,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,CARESOURCE,CARESOURCE,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,MEDICAID,MEDICAID,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,MEDICARE,MEDICARE,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,NOVA NET,NOVA NET,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,PEACHSTATE,PEACHSTATE,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,SELFPAY,SELFPAY,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,TRICARE,TRICARE,,499,,fee schedule,499,434.13,499,fee schedule,
BROAD SELF COMP PLATE 5-1,C1776,CPT,both,,,499,499,UHC MEDICARE,UHC MEDICARE,,499,,fee schedule,499,434.13,499,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,AETNA,AETNA,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537.66,87,percent of total billed charges,537.66,537.66,618,percent of total billed charges,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,UNITED HEALTHCARE,UNITED HEALTHCARE,,543.84,88,percent of total billed charges,543.84,537.66,618,percent of total billed charges,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,AETNA,AETNA,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,ALLIANT,ALLIANT,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,AMBETTER,AMBETTER,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,BEECH STREET,BEECH STREET,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,CARESOURCE,CARESOURCE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,MEDICAID,MEDICAID,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,MEDICARE,MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,NOVA NET,NOVA NET,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,PEACHSTATE,PEACHSTATE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,SELFPAY,SELFPAY,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,TRICARE,TRICARE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS PLT 4 HOLE R & L,C1776,CPT,both,,,618,618,UHC MEDICARE,UHC MEDICARE,,618,,fee schedule,618,537.66,618,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,AETNA,AETNA,,655.98,87,percent of total billed charges,655.98,655.98,754,percent of total billed charges,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655.98,87,percent of total billed charges,655.98,655.98,754,percent of total billed charges,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,UNITED HEALTHCARE,UNITED HEALTHCARE,,663.52,88,percent of total billed charges,663.52,655.98,754,percent of total billed charges,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,AETNA,AETNA,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,ALLIANT,ALLIANT,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,AMBETTER,AMBETTER,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,BEECH STREET,BEECH STREET,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,CARESOURCE,CARESOURCE,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,MEDICAID,MEDICAID,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,MEDICARE,MEDICARE,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,NOVA NET,NOVA NET,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,PEACHSTATE,PEACHSTATE,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,SELFPAY,SELFPAY,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,TRICARE,TRICARE,,754,,fee schedule,754,655.98,754,fee schedule,
BUTTRESS T PLATE 4-6 HOLE,C1776,CPT,both,,,754,754,UHC MEDICARE,UHC MEDICARE,,754,,fee schedule,754,655.98,754,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,AETNA,AETNA,,276.66,87,percent of total billed charges,276.66,276.66,318,percent of total billed charges,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276.66,87,percent of total billed charges,276.66,276.66,318,percent of total billed charges,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,UNITED HEALTHCARE,UNITED HEALTHCARE,,279.84,88,percent of total billed charges,279.84,276.66,318,percent of total billed charges,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,AETNA,AETNA,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,ALLIANT,ALLIANT,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,AMBETTER,AMBETTER,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,BEECH STREET,BEECH STREET,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,CARESOURCE,CARESOURCE,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,MEDICAID,MEDICAID,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,MEDICARE,MEDICARE,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,NOVA NET,NOVA NET,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,PEACHSTATE,PEACHSTATE,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,SELFPAY,SELFPAY,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,TRICARE,TRICARE,,318,,fee schedule,318,276.66,318,fee schedule,
CEMENT PREP KIT,C1776,CPT,both,,,318,318,UHC MEDICARE,UHC MEDICARE,,318,,fee schedule,318,276.66,318,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,AETNA,AETNA,,8423.34,87,percent of total billed charges,8423.34,8423.34,9682,percent of total billed charges,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8423.34,87,percent of total billed charges,8423.34,8423.34,9682,percent of total billed charges,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,UNITED HEALTHCARE,UNITED HEALTHCARE,,8520.16,88,percent of total billed charges,8520.16,8423.34,9682,percent of total billed charges,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,AETNA,AETNA,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,ALLIANT,ALLIANT,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,AMBETTER,AMBETTER,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,BEECH STREET,BEECH STREET,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,CARESOURCE,CARESOURCE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,MEDICAID,MEDICAID,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,MEDICARE,MEDICARE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,NOVA NET,NOVA NET,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,PEACHSTATE,PEACHSTATE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,SELFPAY,SELFPAY,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,TRICARE,TRICARE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
COMPONENT FEM,C1776,CPT,both,,,9682,9682,UHC MEDICARE,UHC MEDICARE,,9682,,fee schedule,9682,8423.34,9682,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,AETNA,AETNA,,1464.21,87,percent of total billed charges,1464.21,1464.21,1683,percent of total billed charges,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1464.21,87,percent of total billed charges,1464.21,1464.21,1683,percent of total billed charges,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,UNITED HEALTHCARE,UNITED HEALTHCARE,,1481.04,88,percent of total billed charges,1481.04,1464.21,1683,percent of total billed charges,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,AETNA,AETNA,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,ALLIANT,ALLIANT,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,AMBETTER,AMBETTER,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,BEECH STREET,BEECH STREET,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,CARESOURCE,CARESOURCE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,MEDICAID,MEDICAID,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,MEDICARE,MEDICARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,NOVA NET,NOVA NET,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,PEACHSTATE,PEACHSTATE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,SELFPAY,SELFPAY,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,TRICARE,TRICARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR BUTTRESS PLATE 2,C1776,CPT,both,,,1683,1683,UHC MEDICARE,UHC MEDICARE,,1683,,fee schedule,1683,1464.21,1683,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,AETNA,AETNA,,896.1,87,percent of total billed charges,896.1,896.1,1030,percent of total billed charges,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,896.1,87,percent of total billed charges,896.1,896.1,1030,percent of total billed charges,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,UNITED HEALTHCARE,UNITED HEALTHCARE,,906.4,88,percent of total billed charges,906.4,896.1,1030,percent of total billed charges,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,AETNA,AETNA,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,ALLIANT,ALLIANT,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,AMBETTER,AMBETTER,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,BEECH STREET,BEECH STREET,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,CARESOURCE,CARESOURCE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,MEDICAID,MEDICAID,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,MEDICARE,MEDICARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,NOVA NET,NOVA NET,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,PEACHSTATE,PEACHSTATE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,SELFPAY,SELFPAY,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,TRICARE,TRICARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT 9 HOLE 237.9,C1776,CPT,both,,,1030,1030,UHC MEDICARE,UHC MEDICARE,,1030,,fee schedule,1030,896.1,1030,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,AETNA,AETNA,,849.99,87,percent of total billed charges,849.99,849.99,977,percent of total billed charges,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,849.99,87,percent of total billed charges,849.99,849.99,977,percent of total billed charges,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,UNITED HEALTHCARE,UNITED HEALTHCARE,,859.76,88,percent of total billed charges,859.76,849.99,977,percent of total billed charges,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,AETNA,AETNA,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,ALLIANT,ALLIANT,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,AMBETTER,AMBETTER,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,BEECH STREET,BEECH STREET,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,CARESOURCE,CARESOURCE,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,MEDICAID,MEDICAID,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,MEDICARE,MEDICARE,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,NOVA NET,NOVA NET,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,PEACHSTATE,PEACHSTATE,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,SELFPAY,SELFPAY,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,TRICARE,TRICARE,,977,,fee schedule,977,849.99,977,fee schedule,
CONDYLAR PLT DCP 7 HOLE,C1776,CPT,both,,,977,977,UHC MEDICARE,UHC MEDICARE,,977,,fee schedule,977,849.99,977,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,AETNA,AETNA,,11367.42,87,percent of total billed charges,11367.42,11367.42,13066,percent of total billed charges,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11367.42,87,percent of total billed charges,11367.42,11367.42,13066,percent of total billed charges,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,UNITED HEALTHCARE,UNITED HEALTHCARE,,11498.08,88,percent of total billed charges,11498.08,11367.42,13066,percent of total billed charges,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,AETNA,AETNA,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,ALLIANT,ALLIANT,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,AMBETTER,AMBETTER,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,BEECH STREET,BEECH STREET,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,CARESOURCE,CARESOURCE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,MEDICAID,MEDICAID,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,MEDICARE,MEDICARE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,NOVA NET,NOVA NET,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,PEACHSTATE,PEACHSTATE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,SELFPAY,SELFPAY,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,TRICARE,TRICARE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONFORMIS TOTAL KNEE,C1776,CPT,both,,,13066,13066,UHC MEDICARE,UHC MEDICARE,,13066,,fee schedule,13066,11367.42,13066,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,1141.44,1312,percent of total billed charges,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CONNECTING ROD,C1776,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,AETNA,AETNA,,2386.41,87,percent of total billed charges,2386.41,2386.41,2743,percent of total billed charges,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2386.41,87,percent of total billed charges,2386.41,2386.41,2743,percent of total billed charges,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,UNITED HEALTHCARE,UNITED HEALTHCARE,,2413.84,88,percent of total billed charges,2413.84,2386.41,2743,percent of total billed charges,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,AETNA,AETNA,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,ALLIANT,ALLIANT,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,AMBETTER,AMBETTER,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,BEECH STREET,BEECH STREET,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,CARESOURCE,CARESOURCE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,MEDICAID,MEDICAID,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,MEDICARE,MEDICARE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,NOVA NET,NOVA NET,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,PEACHSTATE,PEACHSTATE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,SELFPAY,SELFPAY,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,TRICARE,TRICARE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK DELTA CER C-TAPER FE,C1776,CPT,both,,,2743,2743,UHC MEDICARE,UHC MEDICARE,,2743,,fee schedule,2743,2386.41,2743,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,AETNA,AETNA,,2113.23,87,percent of total billed charges,2113.23,2113.23,2429,percent of total billed charges,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2113.23,87,percent of total billed charges,2113.23,2113.23,2429,percent of total billed charges,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,UNITED HEALTHCARE,UNITED HEALTHCARE,,2137.52,88,percent of total billed charges,2137.52,2113.23,2429,percent of total billed charges,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,AETNA,AETNA,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,ALLIANT,ALLIANT,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,AMBETTER,AMBETTER,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,BEECH STREET,BEECH STREET,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,CARESOURCE,CARESOURCE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,MEDICAID,MEDICAID,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,MEDICARE,MEDICARE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,NOVA NET,NOVA NET,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,PEACHSTATE,PEACHSTATE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,SELFPAY,SELFPAY,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,TRICARE,TRICARE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CROSSLINK OMNIFIT HFX 127 HP,C1776,CPT,both,,,2429,2429,UHC MEDICARE,UHC MEDICARE,,2429,,fee schedule,2429,2113.23,2429,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,AETNA,AETNA,,1996.65,87,percent of total billed charges,1996.65,1996.65,2295,percent of total billed charges,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1996.65,87,percent of total billed charges,1996.65,1996.65,2295,percent of total billed charges,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,UNITED HEALTHCARE,UNITED HEALTHCARE,,2019.6,88,percent of total billed charges,2019.6,1996.65,2295,percent of total billed charges,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,AETNA,AETNA,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,ALLIANT,ALLIANT,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,AMBETTER,AMBETTER,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,BEECH STREET,BEECH STREET,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,CARESOURCE,CARESOURCE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,MEDICAID,MEDICAID,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,MEDICARE,MEDICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,NOVA NET,NOVA NET,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,PEACHSTATE,PEACHSTATE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,SELFPAY,SELFPAY,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,TRICARE,TRICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
CUP BIPOLAR FEM,C1776,CPT,both,,,2295,2295,UHC MEDICARE,UHC MEDICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,AETNA,AETNA,,12971.7,87,percent of total billed charges,12971.7,12971.7,14910,percent of total billed charges,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12971.7,87,percent of total billed charges,12971.7,12971.7,14910,percent of total billed charges,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,UNITED HEALTHCARE,UNITED HEALTHCARE,,13120.8,88,percent of total billed charges,13120.8,12971.7,14910,percent of total billed charges,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,AETNA,AETNA,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,ALLIANT,ALLIANT,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,AMBETTER,AMBETTER,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,BEECH STREET,BEECH STREET,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,CARESOURCE,CARESOURCE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,MEDICAID,MEDICAID,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,MEDICARE,MEDICARE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,NOVA NET,NOVA NET,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,PEACHSTATE,PEACHSTATE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,SELFPAY,SELFPAY,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,TRICARE,TRICARE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK CD HORIZON SPIRE PL,C1776,CPT,both,,,14910,14910,UHC MEDICARE,UHC MEDICARE,,14910,,fee schedule,14910,12971.7,14910,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,AETNA,AETNA,,934.38,87,percent of total billed charges,934.38,934.38,1074,percent of total billed charges,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,934.38,87,percent of total billed charges,934.38,934.38,1074,percent of total billed charges,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,UNITED HEALTHCARE,UNITED HEALTHCARE,,945.12,88,percent of total billed charges,945.12,934.38,1074,percent of total billed charges,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,AETNA,AETNA,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,ALLIANT,ALLIANT,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,AMBETTER,AMBETTER,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,BEECH STREET,BEECH STREET,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,CARESOURCE,CARESOURCE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,MEDICAID,MEDICAID,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,MEDICARE,MEDICARE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,NOVA NET,NOVA NET,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,PEACHSTATE,PEACHSTATE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,SELFPAY,SELFPAY,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,TRICARE,TRICARE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK M-8 ROD,C1776,CPT,both,,,1074,1074,UHC MEDICARE,UHC MEDICARE,,1074,,fee schedule,1074,934.38,1074,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,AETNA,AETNA,,4879.83,87,percent of total billed charges,4879.83,4879.83,5609,percent of total billed charges,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4879.83,87,percent of total billed charges,4879.83,4879.83,5609,percent of total billed charges,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,UNITED HEALTHCARE,UNITED HEALTHCARE,,4935.92,88,percent of total billed charges,4935.92,4879.83,5609,percent of total billed charges,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,AETNA,AETNA,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,ALLIANT,ALLIANT,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,AMBETTER,AMBETTER,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,BEECH STREET,BEECH STREET,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,CARESOURCE,CARESOURCE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,MEDICAID,MEDICAID,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,MEDICARE,MEDICARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,NOVA NET,NOVA NET,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,PEACHSTATE,PEACHSTATE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,SELFPAY,SELFPAY,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,TRICARE,TRICARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PCR IMPLANT,C1776,CPT,both,,,5609,5609,UHC MEDICARE,UHC MEDICARE,,5609,,fee schedule,5609,4879.83,5609,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,AETNA,AETNA,,11285.64,87,percent of total billed charges,11285.64,11285.64,12972,percent of total billed charges,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11285.64,87,percent of total billed charges,11285.64,11285.64,12972,percent of total billed charges,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,UNITED HEALTHCARE,UNITED HEALTHCARE,,11415.36,88,percent of total billed charges,11415.36,11285.64,12972,percent of total billed charges,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,AETNA,AETNA,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,ALLIANT,ALLIANT,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,AMBETTER,AMBETTER,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,BEECH STREET,BEECH STREET,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,CARESOURCE,CARESOURCE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,MEDICAID,MEDICAID,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,MEDICARE,MEDICARE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,NOVA NET,NOVA NET,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,PEACHSTATE,PEACHSTATE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,SELFPAY,SELFPAY,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,TRICARE,TRICARE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK PEEK IMPLANT,C1776,CPT,both,,,12972,12972,UHC MEDICARE,UHC MEDICARE,,12972,,fee schedule,12972,11285.64,12972,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,AETNA,AETNA,,6391.02,87,percent of total billed charges,6391.02,6391.02,7346,percent of total billed charges,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6391.02,87,percent of total billed charges,6391.02,6391.02,7346,percent of total billed charges,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,UNITED HEALTHCARE,UNITED HEALTHCARE,,6464.48,88,percent of total billed charges,6464.48,6391.02,7346,percent of total billed charges,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,AETNA,AETNA,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,ALLIANT,ALLIANT,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,AMBETTER,AMBETTER,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,BEECH STREET,BEECH STREET,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,CARESOURCE,CARESOURCE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,MEDICAID,MEDICAID,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,MEDICARE,MEDICARE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,NOVA NET,NOVA NET,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,PEACHSTATE,PEACHSTATE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,SELFPAY,SELFPAY,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,TRICARE,TRICARE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TELAMON IMPLANT,C1776,CPT,both,,,7346,7346,UHC MEDICARE,UHC MEDICARE,,7346,,fee schedule,7346,6391.02,7346,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,AETNA,AETNA,,903.93,87,percent of total billed charges,903.93,903.93,1039,percent of total billed charges,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,903.93,87,percent of total billed charges,903.93,903.93,1039,percent of total billed charges,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,UNITED HEALTHCARE,UNITED HEALTHCARE,,914.32,88,percent of total billed charges,914.32,903.93,1039,percent of total billed charges,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,AETNA,AETNA,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,ALLIANT,ALLIANT,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,AMBETTER,AMBETTER,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,BEECH STREET,BEECH STREET,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,CARESOURCE,CARESOURCE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,MEDICAID,MEDICAID,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,MEDICARE,MEDICARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,NOVA NET,NOVA NET,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,PEACHSTATE,PEACHSTATE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,SELFPAY,SELFPAY,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,TRICARE,TRICARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK TITANIUM ROD,C1776,CPT,both,,,1039,1039,UHC MEDICARE,UHC MEDICARE,,1039,,fee schedule,1039,903.93,1039,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,AETNA,AETNA,,5330.49,87,percent of total billed charges,5330.49,5330.49,6127,percent of total billed charges,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5330.49,87,percent of total billed charges,5330.49,5330.49,6127,percent of total billed charges,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,UNITED HEALTHCARE,UNITED HEALTHCARE,,5391.76,88,percent of total billed charges,5391.76,5330.49,6127,percent of total billed charges,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,AETNA,AETNA,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,ALLIANT,ALLIANT,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,AMBETTER,AMBETTER,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,BEECH STREET,BEECH STREET,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,CARESOURCE,CARESOURCE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,MEDICAID,MEDICAID,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,MEDICARE,MEDICARE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,NOVA NET,NOVA NET,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,PEACHSTATE,PEACHSTATE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,SELFPAY,SELFPAY,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,TRICARE,TRICARE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DANEK VENTURE CERV PLATE,C1776,CPT,both,,,6127,6127,UHC MEDICARE,UHC MEDICARE,,6127,,fee schedule,6127,5330.49,6127,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,AETNA,AETNA,,2858.82,87,percent of total billed charges,2858.82,2858.82,3286,percent of total billed charges,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2858.82,87,percent of total billed charges,2858.82,2858.82,3286,percent of total billed charges,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,UNITED HEALTHCARE,UNITED HEALTHCARE,,2891.68,88,percent of total billed charges,2891.68,2858.82,3286,percent of total billed charges,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,AETNA,AETNA,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,ALLIANT,ALLIANT,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,AMBETTER,AMBETTER,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,BEECH STREET,BEECH STREET,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,CARESOURCE,CARESOURCE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,MEDICAID,MEDICAID,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,MEDICARE,MEDICARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,NOVA NET,NOVA NET,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,PEACHSTATE,PEACHSTATE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,SELFPAY,SELFPAY,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,TRICARE,TRICARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+1.5 HEAD,C1776,CPT,both,,,3286,3286,UHC MEDICARE,UHC MEDICARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,AETNA,AETNA,,2858.82,87,percent of total billed charges,2858.82,2858.82,3286,percent of total billed charges,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2858.82,87,percent of total billed charges,2858.82,2858.82,3286,percent of total billed charges,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,UNITED HEALTHCARE,UNITED HEALTHCARE,,2891.68,88,percent of total billed charges,2891.68,2858.82,3286,percent of total billed charges,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,AETNA,AETNA,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,ALLIANT,ALLIANT,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,AMBETTER,AMBETTER,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,BEECH STREET,BEECH STREET,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,CARESOURCE,CARESOURCE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,MEDICAID,MEDICAID,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,MEDICARE,MEDICARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,NOVA NET,NOVA NET,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,PEACHSTATE,PEACHSTATE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,SELFPAY,SELFPAY,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,TRICARE,TRICARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 36+12 HEAD,C1776,CPT,both,,,3286,3286,UHC MEDICARE,UHC MEDICARE,,3286,,fee schedule,3286,2858.82,3286,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,AETNA,AETNA,,1039.65,87,percent of total billed charges,1039.65,1039.65,1195,percent of total billed charges,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1039.65,87,percent of total billed charges,1039.65,1039.65,1195,percent of total billed charges,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,UNITED HEALTHCARE,UNITED HEALTHCARE,,1051.6,88,percent of total billed charges,1051.6,1039.65,1195,percent of total billed charges,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,AETNA,AETNA,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,ALLIANT,ALLIANT,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,AMBETTER,AMBETTER,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,BEECH STREET,BEECH STREET,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,CARESOURCE,CARESOURCE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,MEDICAID,MEDICAID,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,MEDICARE,MEDICARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,NOVA NET,NOVA NET,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,PEACHSTATE,PEACHSTATE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,SELFPAY,SELFPAY,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,TRICARE,TRICARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 48MM HIP BALL,C1776,CPT,both,,,1195,1195,UHC MEDICARE,UHC MEDICARE,,1195,,fee schedule,1195,1039.65,1195,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,AETNA,AETNA,,2795.31,87,percent of total billed charges,2795.31,2795.31,3213,percent of total billed charges,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2795.31,87,percent of total billed charges,2795.31,2795.31,3213,percent of total billed charges,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,UNITED HEALTHCARE,UNITED HEALTHCARE,,2827.44,88,percent of total billed charges,2827.44,2795.31,3213,percent of total billed charges,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,AETNA,AETNA,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,ALLIANT,ALLIANT,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,AMBETTER,AMBETTER,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,BEECH STREET,BEECH STREET,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,CARESOURCE,CARESOURCE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,MEDICAID,MEDICAID,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,MEDICARE,MEDICARE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,NOVA NET,NOVA NET,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,PEACHSTATE,PEACHSTATE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,SELFPAY,SELFPAY,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,TRICARE,TRICARE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY 56+4 LINER,C1776,CPT,both,,,3213,3213,UHC MEDICARE,UHC MEDICARE,,3213,,fee schedule,3213,2795.31,3213,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,AETNA,AETNA,,2702.22,87,percent of total billed charges,2702.22,2702.22,3106,percent of total billed charges,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2702.22,87,percent of total billed charges,2702.22,2702.22,3106,percent of total billed charges,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,UNITED HEALTHCARE,UNITED HEALTHCARE,,2733.28,88,percent of total billed charges,2733.28,2702.22,3106,percent of total billed charges,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,AETNA,AETNA,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,ALLIANT,ALLIANT,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,AMBETTER,AMBETTER,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,BEECH STREET,BEECH STREET,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,CARESOURCE,CARESOURCE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,MEDICAID,MEDICAID,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,MEDICARE,MEDICARE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,NOVA NET,NOVA NET,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,PEACHSTATE,PEACHSTATE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,SELFPAY,SELFPAY,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,TRICARE,TRICARE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY INSERT 24,C1776,CPT,both,,,3106,3106,UHC MEDICARE,UHC MEDICARE,,3106,,fee schedule,3106,2702.22,3106,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,AETNA,AETNA,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,781.26,87,percent of total billed charges,781.26,781.26,898,percent of total billed charges,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,UNITED HEALTHCARE,UNITED HEALTHCARE,,790.24,88,percent of total billed charges,790.24,781.26,898,percent of total billed charges,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,AETNA,AETNA,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,ALLIANT,ALLIANT,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,AMBETTER,AMBETTER,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,BEECH STREET,BEECH STREET,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,CARESOURCE,CARESOURCE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,MEDICAID,MEDICAID,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,MEDICARE,MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,NOVA NET,NOVA NET,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,PEACHSTATE,PEACHSTATE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,SELFPAY,SELFPAY,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,TRICARE,TRICARE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY POLY HEAD,C1776,CPT,both,,,898,898,UHC MEDICARE,UHC MEDICARE,,898,,fee schedule,898,781.26,898,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,AETNA,AETNA,,3573.96,87,percent of total billed charges,3573.96,3573.96,4108,percent of total billed charges,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3573.96,87,percent of total billed charges,3573.96,3573.96,4108,percent of total billed charges,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,UNITED HEALTHCARE,UNITED HEALTHCARE,,3615.04,88,percent of total billed charges,3615.04,3573.96,4108,percent of total billed charges,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,AETNA,AETNA,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,ALLIANT,ALLIANT,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,AMBETTER,AMBETTER,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,BEECH STREET,BEECH STREET,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,CARESOURCE,CARESOURCE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,MEDICAID,MEDICAID,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,MEDICARE,MEDICARE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,NOVA NET,NOVA NET,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,PEACHSTATE,PEACHSTATE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,SELFPAY,SELFPAY,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,TRICARE,TRICARE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIA 40,C1776,CPT,both,,,4108,4108,UHC MEDICARE,UHC MEDICARE,,4108,,fee schedule,4108,3573.96,4108,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,AETNA,AETNA,,9070.62,87,percent of total billed charges,9070.62,9070.62,10426,percent of total billed charges,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9070.62,87,percent of total billed charges,9070.62,9070.62,10426,percent of total billed charges,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,UNITED HEALTHCARE,UNITED HEALTHCARE,,9174.88,88,percent of total billed charges,9174.88,9070.62,10426,percent of total billed charges,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,AETNA,AETNA,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,ALLIANT,ALLIANT,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,AMBETTER,AMBETTER,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,BEECH STREET,BEECH STREET,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,CARESOURCE,CARESOURCE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,MEDICAID,MEDICAID,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,MEDICARE,MEDICARE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,NOVA NET,NOVA NET,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,PEACHSTATE,PEACHSTATE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,SELFPAY,SELFPAY,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,TRICARE,TRICARE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY TIBIAL INSERT 3X10,C1776,CPT,both,,,10426,10426,UHC MEDICARE,UHC MEDICARE,,10426,,fee schedule,10426,9070.62,10426,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,AETNA,AETNA,,14418.51,87,percent of total billed charges,14418.51,14418.51,16573,percent of total billed charges,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14418.51,87,percent of total billed charges,14418.51,14418.51,16573,percent of total billed charges,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,UNITED HEALTHCARE,UNITED HEALTHCARE,,14584.24,88,percent of total billed charges,14584.24,14418.51,16573,percent of total billed charges,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,AETNA,AETNA,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,ALLIANT,ALLIANT,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,AMBETTER,AMBETTER,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,BEECH STREET,BEECH STREET,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,CARESOURCE,CARESOURCE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,MEDICAID,MEDICAID,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,MEDICARE,MEDICARE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,NOVA NET,NOVA NET,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,PEACHSTATE,PEACHSTATE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,SELFPAY,SELFPAY,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,TRICARE,TRICARE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
DEPUY UNI KNEE-FEMTIB I,C1776,CPT,both,,,16573,16573,UHC MEDICARE,UHC MEDICARE,,16573,,fee schedule,16573,14418.51,16573,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,AETNA,AETNA,,1426.8,87,percent of total billed charges,1426.8,1426.8,1640,percent of total billed charges,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1426.8,87,percent of total billed charges,1426.8,1426.8,1640,percent of total billed charges,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,UNITED HEALTHCARE,UNITED HEALTHCARE,,1443.2,88,percent of total billed charges,1443.2,1426.8,1640,percent of total billed charges,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,AETNA,AETNA,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,ALLIANT,ALLIANT,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,AMBETTER,AMBETTER,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,BEECH STREET,BEECH STREET,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,CARESOURCE,CARESOURCE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,MEDICAID,MEDICAID,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,MEDICARE,MEDICARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,NOVA NET,NOVA NET,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,PEACHSTATE,PEACHSTATE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,SELFPAY,SELFPAY,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,TRICARE,TRICARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 4.5 REPLICATOR PLATE,C1776,CPT,both,,,1640,1640,UHC MEDICARE,UHC MEDICARE,,1640,,fee schedule,1640,1426.8,1640,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,AETNA,AETNA,,1766.97,87,percent of total billed charges,1766.97,1766.97,2031,percent of total billed charges,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1766.97,87,percent of total billed charges,1766.97,1766.97,2031,percent of total billed charges,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,UNITED HEALTHCARE,UNITED HEALTHCARE,,1787.28,88,percent of total billed charges,1787.28,1766.97,2031,percent of total billed charges,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,AETNA,AETNA,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,ALLIANT,ALLIANT,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,AMBETTER,AMBETTER,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,BEECH STREET,BEECH STREET,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,CARESOURCE,CARESOURCE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,MEDICAID,MEDICAID,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,MEDICARE,MEDICARE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,NOVA NET,NOVA NET,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,PEACHSTATE,PEACHSTATE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,SELFPAY,SELFPAY,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,TRICARE,TRICARE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE 44MMX14M HUMERAL HEAD,C1776,CPT,both,,,2031,2031,UHC MEDICARE,UHC MEDICARE,,2031,,fee schedule,2031,1766.97,2031,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,AETNA,AETNA,,2777.91,87,percent of total billed charges,2777.91,2777.91,3193,percent of total billed charges,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2777.91,87,percent of total billed charges,2777.91,2777.91,3193,percent of total billed charges,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,UNITED HEALTHCARE,UNITED HEALTHCARE,,2809.84,88,percent of total billed charges,2809.84,2777.91,3193,percent of total billed charges,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,AETNA,AETNA,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,ALLIANT,ALLIANT,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,AMBETTER,AMBETTER,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,BEECH STREET,BEECH STREET,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,CARESOURCE,CARESOURCE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,MEDICAID,MEDICAID,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,MEDICARE,MEDICARE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,NOVA NET,NOVA NET,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,PEACHSTATE,PEACHSTATE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,SELFPAY,SELFPAY,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,TRICARE,TRICARE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EQUINOXE SMALL ALPHA GLENOID,C1776,CPT,both,,,3193,3193,UHC MEDICARE,UHC MEDICARE,,3193,,fee schedule,3193,2777.91,3193,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,AETNA,AETNA,,4540.53,87,percent of total billed charges,4540.53,4540.53,5219,percent of total billed charges,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4540.53,87,percent of total billed charges,4540.53,4540.53,5219,percent of total billed charges,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,UNITED HEALTHCARE,UNITED HEALTHCARE,,4592.72,88,percent of total billed charges,4592.72,4540.53,5219,percent of total billed charges,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,AETNA,AETNA,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,ALLIANT,ALLIANT,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,AMBETTER,AMBETTER,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,BEECH STREET,BEECH STREET,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,CARESOURCE,CARESOURCE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,MEDICAID,MEDICAID,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,MEDICARE,MEDICARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,NOVA NET,NOVA NET,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,PEACHSTATE,PEACHSTATE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,SELFPAY,SELFPAY,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,TRICARE,TRICARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXACTECH 0MM 42 HUMERAL LINER,C1776,CPT,both,,,5219,5219,UHC MEDICARE,UHC MEDICARE,,5219,,fee schedule,5219,4540.53,5219,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,AETNA,AETNA,,235.77,87,percent of total billed charges,235.77,235.77,271,percent of total billed charges,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,235.77,87,percent of total billed charges,235.77,235.77,271,percent of total billed charges,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,UNITED HEALTHCARE,UNITED HEALTHCARE,,238.48,88,percent of total billed charges,238.48,235.77,271,percent of total billed charges,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,AETNA,AETNA,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,ALLIANT,ALLIANT,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,AMBETTER,AMBETTER,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,BEECH STREET,BEECH STREET,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,MEDICAID,MEDICAID,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,MEDICARE,MEDICARE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,NOVA NET,NOVA NET,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,SELFPAY,SELFPAY,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,TRICARE,TRICARE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH CEMENT RESTRICTOR,C1776,CPT,both,,,271,271,UHC MEDICARE,UHC MEDICARE,,271,,fee schedule,271,235.77,271,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,AETNA,AETNA,,4615.35,87,percent of total billed charges,4615.35,4615.35,5305,percent of total billed charges,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4615.35,87,percent of total billed charges,4615.35,4615.35,5305,percent of total billed charges,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,UNITED HEALTHCARE,UNITED HEALTHCARE,,4668.4,88,percent of total billed charges,4668.4,4615.35,5305,percent of total billed charges,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,AETNA,AETNA,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,ALLIANT,ALLIANT,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,AMBETTER,AMBETTER,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,BEECH STREET,BEECH STREET,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,CARESOURCE,CARESOURCE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,MEDICAID,MEDICAID,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,MEDICARE,MEDICARE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,NOVA NET,NOVA NET,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,PEACHSTATE,PEACHSTATE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,SELFPAY,SELFPAY,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,TRICARE,TRICARE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH FRACTURE STEM,C1776,CPT,both,,,5305,5305,UHC MEDICARE,UHC MEDICARE,,5305,,fee schedule,5305,4615.35,5305,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,AETNA,AETNA,,3042.39,87,percent of total billed charges,3042.39,3042.39,3497,percent of total billed charges,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3042.39,87,percent of total billed charges,3042.39,3042.39,3497,percent of total billed charges,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,UNITED HEALTHCARE,UNITED HEALTHCARE,,3077.36,88,percent of total billed charges,3077.36,3042.39,3497,percent of total billed charges,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,AETNA,AETNA,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,ALLIANT,ALLIANT,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,AMBETTER,AMBETTER,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,BEECH STREET,BEECH STREET,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,CARESOURCE,CARESOURCE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,MEDICAID,MEDICAID,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,MEDICARE,MEDICARE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,NOVA NET,NOVA NET,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,PEACHSTATE,PEACHSTATE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,SELFPAY,SELFPAY,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,TRICARE,TRICARE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
EXATECH GLENOSPHERE,C1776,CPT,both,,,3497,3497,UHC MEDICARE,UHC MEDICARE,,3497,,fee schedule,3497,3042.39,3497,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,AETNA,AETNA,,4373.49,87,percent of total billed charges,4373.49,4373.49,5027,percent of total billed charges,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4373.49,87,percent of total billed charges,4373.49,4373.49,5027,percent of total billed charges,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,UNITED HEALTHCARE,UNITED HEALTHCARE,,4423.76,88,percent of total billed charges,4423.76,4373.49,5027,percent of total billed charges,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,AETNA,AETNA,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,ALLIANT,ALLIANT,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,AMBETTER,AMBETTER,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,BEECH STREET,BEECH STREET,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,CARESOURCE,CARESOURCE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,MEDICAID,MEDICAID,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,MEDICARE,MEDICARE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,NOVA NET,NOVA NET,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,PEACHSTATE,PEACHSTATE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,SELFPAY,SELFPAY,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,TRICARE,TRICARE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,5027,5027,UHC MEDICARE,UHC MEDICARE,,5027,,fee schedule,5027,4373.49,5027,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,AETNA,AETNA,,6179.61,87,percent of total billed charges,6179.61,6179.61,7103,percent of total billed charges,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6179.61,87,percent of total billed charges,6179.61,6179.61,7103,percent of total billed charges,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,UNITED HEALTHCARE,UNITED HEALTHCARE,,6250.64,88,percent of total billed charges,6250.64,6179.61,7103,percent of total billed charges,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,AETNA,AETNA,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,ALLIANT,ALLIANT,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,AMBETTER,AMBETTER,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,BEECH STREET,BEECH STREET,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,CARESOURCE,CARESOURCE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,MEDICAID,MEDICAID,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,MEDICARE,MEDICARE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,NOVA NET,NOVA NET,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,PEACHSTATE,PEACHSTATE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,SELFPAY,SELFPAY,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,TRICARE,TRICARE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM COMP POST STAB,C1776,CPT,both,,,7103,7103,UHC MEDICARE,UHC MEDICARE,,7103,,fee schedule,7103,6179.61,7103,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
FEM HEAD,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
FEM HEAD,C1776,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
FEM HEAD,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM HEAD,C1776,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,AETNA,AETNA,,3584.4,87,percent of total billed charges,3584.4,3584.4,4120,percent of total billed charges,
FEM STEM STD,C1776,CPT,both,,,4120,4120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3584.4,87,percent of total billed charges,3584.4,3584.4,4120,percent of total billed charges,
FEM STEM STD,C1776,CPT,both,,,4120,4120,UNITED HEALTHCARE,UNITED HEALTHCARE,,3625.6,88,percent of total billed charges,3625.6,3584.4,4120,percent of total billed charges,
FEM STEM STD,C1776,CPT,both,,,4120,4120,AETNA,AETNA,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,ALLIANT,ALLIANT,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,AMBETTER,AMBETTER,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,BEECH STREET,BEECH STREET,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,CARESOURCE,CARESOURCE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,MEDICAID,MEDICAID,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,MEDICARE,MEDICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,NOVA NET,NOVA NET,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,PEACHSTATE,PEACHSTATE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,SELFPAY,SELFPAY,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,TRICARE,TRICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEM STEM STD,C1776,CPT,both,,,4120,4120,UHC MEDICARE,UHC MEDICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,AETNA,AETNA,,4790.22,87,percent of total billed charges,4790.22,4790.22,5506,percent of total billed charges,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4790.22,87,percent of total billed charges,4790.22,4790.22,5506,percent of total billed charges,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,UNITED HEALTHCARE,UNITED HEALTHCARE,,4845.28,88,percent of total billed charges,4845.28,4790.22,5506,percent of total billed charges,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,AETNA,AETNA,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,ALLIANT,ALLIANT,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,AMBETTER,AMBETTER,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,BEECH STREET,BEECH STREET,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,CARESOURCE,CARESOURCE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,MEDICAID,MEDICAID,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,MEDICARE,MEDICARE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,NOVA NET,NOVA NET,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,PEACHSTATE,PEACHSTATE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,SELFPAY,SELFPAY,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,TRICARE,TRICARE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL ADAPTER,C1776,CPT,both,,,5506,5506,UHC MEDICARE,UHC MEDICARE,,5506,,fee schedule,5506,4790.22,5506,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,AETNA,AETNA,,2971.05,87,percent of total billed charges,2971.05,2971.05,3415,percent of total billed charges,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2971.05,87,percent of total billed charges,2971.05,2971.05,3415,percent of total billed charges,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,UNITED HEALTHCARE,UNITED HEALTHCARE,,3005.2,88,percent of total billed charges,3005.2,2971.05,3415,percent of total billed charges,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,AETNA,AETNA,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,ALLIANT,ALLIANT,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,AMBETTER,AMBETTER,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,BEECH STREET,BEECH STREET,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,CARESOURCE,CARESOURCE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,MEDICAID,MEDICAID,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,MEDICARE,MEDICARE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,NOVA NET,NOVA NET,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,PEACHSTATE,PEACHSTATE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,SELFPAY,SELFPAY,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,TRICARE,TRICARE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL HEAD 1365-36-310,C1776,CPT,both,,,3415,3415,UHC MEDICARE,UHC MEDICARE,,3415,,fee schedule,3415,2971.05,3415,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,AETNA,AETNA,,14210.58,87,percent of total billed charges,14210.58,14210.58,16334,percent of total billed charges,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14210.58,87,percent of total billed charges,14210.58,14210.58,16334,percent of total billed charges,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,UNITED HEALTHCARE,UNITED HEALTHCARE,,14373.92,88,percent of total billed charges,14373.92,14210.58,16334,percent of total billed charges,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,AETNA,AETNA,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,ALLIANT,ALLIANT,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,AMBETTER,AMBETTER,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,BEECH STREET,BEECH STREET,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,CARESOURCE,CARESOURCE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,MEDICAID,MEDICAID,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,MEDICARE,MEDICARE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,NOVA NET,NOVA NET,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,PEACHSTATE,PEACHSTATE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,SELFPAY,SELFPAY,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,TRICARE,TRICARE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL SIZE 2.5 RIGHT,C1776,CPT,both,,,16334,16334,UHC MEDICARE,UHC MEDICARE,,16334,,fee schedule,16334,14210.58,16334,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,AETNA,AETNA,,13252.71,87,percent of total billed charges,13252.71,13252.71,15233,percent of total billed charges,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13252.71,87,percent of total billed charges,13252.71,13252.71,15233,percent of total billed charges,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,UNITED HEALTHCARE,UNITED HEALTHCARE,,13405.04,88,percent of total billed charges,13405.04,13252.71,15233,percent of total billed charges,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,AETNA,AETNA,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,ALLIANT,ALLIANT,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,AMBETTER,AMBETTER,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,BEECH STREET,BEECH STREET,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,CARESOURCE,CARESOURCE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,MEDICAID,MEDICAID,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,MEDICARE,MEDICARE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,NOVA NET,NOVA NET,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,PEACHSTATE,PEACHSTATE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,SELFPAY,SELFPAY,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,TRICARE,TRICARE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL TC3 SZ 2.5,C1776,CPT,both,,,15233,15233,UHC MEDICARE,UHC MEDICARE,,15233,,fee schedule,15233,13252.71,15233,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,AETNA,AETNA,,3613.11,87,percent of total billed charges,3613.11,3613.11,4153,percent of total billed charges,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3613.11,87,percent of total billed charges,3613.11,3613.11,4153,percent of total billed charges,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,UNITED HEALTHCARE,UNITED HEALTHCARE,,3654.64,88,percent of total billed charges,3654.64,3613.11,4153,percent of total billed charges,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,AETNA,AETNA,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,ALLIANT,ALLIANT,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,AMBETTER,AMBETTER,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,BEECH STREET,BEECH STREET,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,CARESOURCE,CARESOURCE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,MEDICAID,MEDICAID,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,MEDICARE,MEDICARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,NOVA NET,NOVA NET,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,PEACHSTATE,PEACHSTATE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,SELFPAY,SELFPAY,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,TRICARE,TRICARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMORAL UNICONDYLAR,C1776,CPT,both,,,4153,4153,UHC MEDICARE,UHC MEDICARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FEMUR COMP STD,C1776,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,AETNA,AETNA,,1374.6,87,percent of total billed charges,1374.6,1374.6,1580,percent of total billed charges,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1374.6,87,percent of total billed charges,1374.6,1374.6,1580,percent of total billed charges,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,UNITED HEALTHCARE,UNITED HEALTHCARE,,1390.4,88,percent of total billed charges,1390.4,1374.6,1580,percent of total billed charges,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,AETNA,AETNA,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,ALLIANT,ALLIANT,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,AMBETTER,AMBETTER,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,BEECH STREET,BEECH STREET,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,CARESOURCE,CARESOURCE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,MEDICAID,MEDICAID,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,MEDICARE,MEDICARE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,NOVA NET,NOVA NET,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,PEACHSTATE,PEACHSTATE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,SELFPAY,SELFPAY,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,TRICARE,TRICARE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FINGER JOINT IMPLANTS-ALL,C1776,CPT,both,,,1580,1580,UHC MEDICARE,UHC MEDICARE,,1580,,fee schedule,1580,1374.6,1580,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,AETNA,AETNA,,285.36,87,percent of total billed charges,285.36,285.36,328,percent of total billed charges,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,285.36,87,percent of total billed charges,285.36,285.36,328,percent of total billed charges,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,UNITED HEALTHCARE,UNITED HEALTHCARE,,288.64,88,percent of total billed charges,288.64,285.36,328,percent of total billed charges,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,AETNA,AETNA,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,ALLIANT,ALLIANT,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,AMBETTER,AMBETTER,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,BEECH STREET,BEECH STREET,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,CARESOURCE,CARESOURCE,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,MEDICAID,MEDICAID,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,MEDICARE,MEDICARE,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,NOVA NET,NOVA NET,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,PEACHSTATE,PEACHSTATE,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,SELFPAY,SELFPAY,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,TRICARE,TRICARE,,328,,fee schedule,328,285.36,328,fee schedule,
FOREARM PLATE 3.5MM 5-10H,C1776,CPT,both,,,328,328,UHC MEDICARE,UHC MEDICARE,,328,,fee schedule,328,285.36,328,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,AETNA,AETNA,,4937.25,87,percent of total billed charges,4937.25,4937.25,5675,percent of total billed charges,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4937.25,87,percent of total billed charges,4937.25,4937.25,5675,percent of total billed charges,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,UNITED HEALTHCARE,UNITED HEALTHCARE,,4994,88,percent of total billed charges,4994,4937.25,5675,percent of total billed charges,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,AETNA,AETNA,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,ALLIANT,ALLIANT,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,AMBETTER,AMBETTER,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,BEECH STREET,BEECH STREET,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,CARESOURCE,CARESOURCE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,MEDICAID,MEDICAID,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,MEDICARE,MEDICARE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,NOVA NET,NOVA NET,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,PEACHSTATE,PEACHSTATE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,SELFPAY,SELFPAY,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,TRICARE,TRICARE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GLENOID 8 MED RIGHT,C1776,CPT,both,,,5675,5675,UHC MEDICARE,UHC MEDICARE,,5675,,fee schedule,5675,4937.25,5675,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,AETNA,AETNA,,6217.89,87,percent of total billed charges,6217.89,6217.89,7147,percent of total billed charges,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6217.89,87,percent of total billed charges,6217.89,6217.89,7147,percent of total billed charges,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,UNITED HEALTHCARE,UNITED HEALTHCARE,,6289.36,88,percent of total billed charges,6289.36,6217.89,7147,percent of total billed charges,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,AETNA,AETNA,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,ALLIANT,ALLIANT,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,AMBETTER,AMBETTER,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,BEECH STREET,BEECH STREET,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,CARESOURCE,CARESOURCE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,MEDICAID,MEDICAID,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,MEDICARE,MEDICARE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,NOVA NET,NOVA NET,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,PEACHSTATE,PEACHSTATE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,SELFPAY,SELFPAY,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,TRICARE,TRICARE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFT ROTATOR CUFF,C1776,CPT,both,,,7147,7147,UHC MEDICARE,UHC MEDICARE,,7147,,fee schedule,7147,6217.89,7147,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,AETNA,AETNA,,1616.46,87,percent of total billed charges,1616.46,1616.46,1858,percent of total billed charges,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1616.46,87,percent of total billed charges,1616.46,1616.46,1858,percent of total billed charges,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,UNITED HEALTHCARE,UNITED HEALTHCARE,,1635.04,88,percent of total billed charges,1635.04,1616.46,1858,percent of total billed charges,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,AETNA,AETNA,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,ALLIANT,ALLIANT,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,AMBETTER,AMBETTER,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,BEECH STREET,BEECH STREET,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,CARESOURCE,CARESOURCE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,MEDICAID,MEDICAID,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,MEDICARE,MEDICARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,NOVA NET,NOVA NET,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,PEACHSTATE,PEACHSTATE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,SELFPAY,SELFPAY,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,TRICARE,TRICARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTLINK CONVENIENCE PACK,C1776,CPT,both,,,1858,1858,UHC MEDICARE,UHC MEDICARE,,1858,,fee schedule,1858,1616.46,1858,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,AETNA,AETNA,,11083.8,87,percent of total billed charges,11083.8,11083.8,12740,percent of total billed charges,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11083.8,87,percent of total billed charges,11083.8,11083.8,12740,percent of total billed charges,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,UNITED HEALTHCARE,UNITED HEALTHCARE,,11211.2,88,percent of total billed charges,11211.2,11083.8,12740,percent of total billed charges,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,AETNA,AETNA,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,ALLIANT,ALLIANT,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,AMBETTER,AMBETTER,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,BEECH STREET,BEECH STREET,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,CARESOURCE,CARESOURCE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,MEDICAID,MEDICAID,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,MEDICARE,MEDICARE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,NOVA NET,NOVA NET,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,PEACHSTATE,PEACHSTATE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,SELFPAY,SELFPAY,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,TRICARE,TRICARE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
GRAFTTENDONPATELLA TEND,C1776,CPT,both,,,12740,12740,UHC MEDICARE,UHC MEDICARE,,12740,,fee schedule,12740,11083.8,12740,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,AETNA,AETNA,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,UNITED HEALTHCARE,UNITED HEALTHCARE,,1631.52,88,percent of total billed charges,1631.52,1612.98,1854,percent of total billed charges,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,AETNA,AETNA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,ALLIANT,ALLIANT,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,AMBETTER,AMBETTER,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,BEECH STREET,BEECH STREET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,CARESOURCE,CARESOURCE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,MEDICAID,MEDICAID,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,MEDICARE,MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,NOVA NET,NOVA NET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,PEACHSTATE,PEACHSTATE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,SELFPAY,SELFPAY,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,TRICARE,TRICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR,C1776,CPT,both,,,1854,1854,UHC MEDICARE,UHC MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,AETNA,AETNA,,1189.29,87,percent of total billed charges,1189.29,1189.29,1367,percent of total billed charges,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1189.29,87,percent of total billed charges,1189.29,1189.29,1367,percent of total billed charges,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,UNITED HEALTHCARE,UNITED HEALTHCARE,,1202.96,88,percent of total billed charges,1202.96,1189.29,1367,percent of total billed charges,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,AETNA,AETNA,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,ALLIANT,ALLIANT,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,AMBETTER,AMBETTER,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,BEECH STREET,BEECH STREET,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,CARESOURCE,CARESOURCE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,MEDICAID,MEDICAID,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,MEDICARE,MEDICARE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,NOVA NET,NOVA NET,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,PEACHSTATE,PEACHSTATE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,SELFPAY,SELFPAY,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,TRICARE,TRICARE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD BIPOLAR COMP 48X28MM,C1776,CPT,both,,,1367,1367,UHC MEDICARE,UHC MEDICARE,,1367,,fee schedule,1367,1189.29,1367,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,AETNA,AETNA,,2953.65,87,percent of total billed charges,2953.65,2953.65,3395,percent of total billed charges,
HEAD FEM,C1776,CPT,both,,,3395,3395,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2953.65,87,percent of total billed charges,2953.65,2953.65,3395,percent of total billed charges,
HEAD FEM,C1776,CPT,both,,,3395,3395,UNITED HEALTHCARE,UNITED HEALTHCARE,,2987.6,88,percent of total billed charges,2987.6,2953.65,3395,percent of total billed charges,
HEAD FEM,C1776,CPT,both,,,3395,3395,AETNA,AETNA,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,ALLIANT,ALLIANT,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,AMBETTER,AMBETTER,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,BEECH STREET,BEECH STREET,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,CARESOURCE,CARESOURCE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,MEDICAID,MEDICAID,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,MEDICARE,MEDICARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,NOVA NET,NOVA NET,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,PEACHSTATE,PEACHSTATE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,SELFPAY,SELFPAY,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,TRICARE,TRICARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM,C1776,CPT,both,,,3395,3395,UHC MEDICARE,UHC MEDICARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,AETNA,AETNA,,1070.1,87,percent of total billed charges,1070.1,1070.1,1230,percent of total billed charges,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1070.1,87,percent of total billed charges,1070.1,1070.1,1230,percent of total billed charges,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,UNITED HEALTHCARE,UNITED HEALTHCARE,,1082.4,88,percent of total billed charges,1082.4,1070.1,1230,percent of total billed charges,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,AETNA,AETNA,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,ALLIANT,ALLIANT,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,AMBETTER,AMBETTER,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,BEECH STREET,BEECH STREET,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,CARESOURCE,CARESOURCE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,MEDICAID,MEDICAID,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,MEDICARE,MEDICARE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,NOVA NET,NOVA NET,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,PEACHSTATE,PEACHSTATE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,SELFPAY,SELFPAY,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,TRICARE,TRICARE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM +0 28MM,C1776,CPT,both,,,1230,1230,UHC MEDICARE,UHC MEDICARE,,1230,,fee schedule,1230,1070.1,1230,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,AETNA,AETNA,,1045.74,87,percent of total billed charges,1045.74,1045.74,1202,percent of total billed charges,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1045.74,87,percent of total billed charges,1045.74,1045.74,1202,percent of total billed charges,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,UNITED HEALTHCARE,UNITED HEALTHCARE,,1057.76,88,percent of total billed charges,1057.76,1045.74,1202,percent of total billed charges,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,AETNA,AETNA,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,ALLIANT,ALLIANT,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,AMBETTER,AMBETTER,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,BEECH STREET,BEECH STREET,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,CARESOURCE,CARESOURCE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,MEDICAID,MEDICAID,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,MEDICARE,MEDICARE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,NOVA NET,NOVA NET,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,PEACHSTATE,PEACHSTATE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,SELFPAY,SELFPAY,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,TRICARE,TRICARE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD FEM MOD,C1776,CPT,both,,,1202,1202,UHC MEDICARE,UHC MEDICARE,,1202,,fee schedule,1202,1045.74,1202,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,AETNA,AETNA,,2240.25,87,percent of total billed charges,2240.25,2240.25,2575,percent of total billed charges,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2240.25,87,percent of total billed charges,2240.25,2240.25,2575,percent of total billed charges,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,UNITED HEALTHCARE,UNITED HEALTHCARE,,2266,88,percent of total billed charges,2266,2240.25,2575,percent of total billed charges,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,AETNA,AETNA,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,ALLIANT,ALLIANT,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,AMBETTER,AMBETTER,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,BEECH STREET,BEECH STREET,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,CARESOURCE,CARESOURCE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,MEDICAID,MEDICAID,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,MEDICARE,MEDICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,NOVA NET,NOVA NET,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,PEACHSTATE,PEACHSTATE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,SELFPAY,SELFPAY,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,TRICARE,TRICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD HUMERAL,C1776,CPT,both,,,2575,2575,UHC MEDICARE,UHC MEDICARE,,2575,,fee schedule,2575,2240.25,2575,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,AETNA,AETNA,,5914.26,87,percent of total billed charges,5914.26,5914.26,6798,percent of total billed charges,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5914.26,87,percent of total billed charges,5914.26,5914.26,6798,percent of total billed charges,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,UNITED HEALTHCARE,UNITED HEALTHCARE,,5982.24,88,percent of total billed charges,5982.24,5914.26,6798,percent of total billed charges,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,AETNA,AETNA,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,ALLIANT,ALLIANT,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,AMBETTER,AMBETTER,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,BEECH STREET,BEECH STREET,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,CARESOURCE,CARESOURCE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,MEDICAID,MEDICAID,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,MEDICARE,MEDICARE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,NOVA NET,NOVA NET,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,PEACHSTATE,PEACHSTATE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,SELFPAY,SELFPAY,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,TRICARE,TRICARE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD PROLINE EVOLUS 22X2,C1776,CPT,both,,,6798,6798,UHC MEDICARE,UHC MEDICARE,,6798,,fee schedule,6798,5914.26,6798,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,AETNA,AETNA,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,UNITED HEALTHCARE,UNITED HEALTHCARE,,1812.8,88,percent of total billed charges,1812.8,1792.2,2060,percent of total billed charges,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,AETNA,AETNA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,ALLIANT,ALLIANT,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,AMBETTER,AMBETTER,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,BEECH STREET,BEECH STREET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,CARESOURCE,CARESOURCE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,MEDICAID,MEDICAID,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,MEDICARE,MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,NOVA NET,NOVA NET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,PEACHSTATE,PEACHSTATE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,SELFPAY,SELFPAY,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,TRICARE,TRICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HEAD UNIPOLAR HIP BALL,C1776,CPT,both,,,2060,2060,UHC MEDICARE,UHC MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,AETNA,AETNA,,5801.16,87,percent of total billed charges,5801.16,5801.16,6668,percent of total billed charges,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5801.16,87,percent of total billed charges,5801.16,5801.16,6668,percent of total billed charges,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,UNITED HEALTHCARE,UNITED HEALTHCARE,,5867.84,88,percent of total billed charges,5867.84,5801.16,6668,percent of total billed charges,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,AETNA,AETNA,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,ALLIANT,ALLIANT,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,AMBETTER,AMBETTER,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,BEECH STREET,BEECH STREET,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,CARESOURCE,CARESOURCE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,MEDICAID,MEDICAID,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,MEDICARE,MEDICARE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,NOVA NET,NOVA NET,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,PEACHSTATE,PEACHSTATE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,SELFPAY,SELFPAY,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,TRICARE,TRICARE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HO POROUS S24 FEM COMP,C1776,CPT,both,,,6668,6668,UHC MEDICARE,UHC MEDICARE,,6668,,fee schedule,6668,5801.16,6668,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,AETNA,AETNA,,3584.4,87,percent of total billed charges,3584.4,3584.4,4120,percent of total billed charges,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3584.4,87,percent of total billed charges,3584.4,3584.4,4120,percent of total billed charges,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,UNITED HEALTHCARE,UNITED HEALTHCARE,,3625.6,88,percent of total billed charges,3625.6,3584.4,4120,percent of total billed charges,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,AETNA,AETNA,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,ALLIANT,ALLIANT,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,AMBETTER,AMBETTER,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,BEECH STREET,BEECH STREET,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,CARESOURCE,CARESOURCE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,MEDICAID,MEDICAID,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,MEDICARE,MEDICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,NOVA NET,NOVA NET,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,PEACHSTATE,PEACHSTATE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,SELFPAY,SELFPAY,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,TRICARE,TRICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUMERAL TRAY,C1776,CPT,both,,,4120,4120,UHC MEDICARE,UHC MEDICARE,,4120,,fee schedule,4120,3584.4,4120,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
HUNTER TENDON ROD KIT,C1776,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,AETNA,AETNA,,9857.1,87,percent of total billed charges,9857.1,9857.1,11330,percent of total billed charges,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9857.1,87,percent of total billed charges,9857.1,9857.1,11330,percent of total billed charges,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,UNITED HEALTHCARE,UNITED HEALTHCARE,,9970.4,88,percent of total billed charges,9970.4,9857.1,11330,percent of total billed charges,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,AETNA,AETNA,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,ALLIANT,ALLIANT,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,AMBETTER,AMBETTER,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,BEECH STREET,BEECH STREET,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,CARESOURCE,CARESOURCE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,MEDICAID,MEDICAID,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,MEDICARE,MEDICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,NOVA NET,NOVA NET,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,PEACHSTATE,PEACHSTATE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,SELFPAY,SELFPAY,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,TRICARE,TRICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
IMPLT SYS SYNDESMOSIS,C1776,CPT,both,,,11330,11330,UHC MEDICARE,UHC MEDICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,AETNA,AETNA,,2798.79,87,percent of total billed charges,2798.79,2798.79,3217,percent of total billed charges,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2798.79,87,percent of total billed charges,2798.79,2798.79,3217,percent of total billed charges,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,UNITED HEALTHCARE,UNITED HEALTHCARE,,2830.96,88,percent of total billed charges,2830.96,2798.79,3217,percent of total billed charges,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,AETNA,AETNA,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,ALLIANT,ALLIANT,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,AMBETTER,AMBETTER,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,BEECH STREET,BEECH STREET,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,CARESOURCE,CARESOURCE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,MEDICAID,MEDICAID,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,MEDICARE,MEDICARE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,NOVA NET,NOVA NET,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,PEACHSTATE,PEACHSTATE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,SELFPAY,SELFPAY,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,TRICARE,TRICARE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
INSERT 36X0X3 DEG,C1776,CPT,both,,,3217,3217,UHC MEDICARE,UHC MEDICARE,,3217,,fee schedule,3217,2798.79,3217,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,AETNA,AETNA,,1711.29,87,percent of total billed charges,1711.29,1711.29,1967,percent of total billed charges,
LINER ACETAB,C1776,CPT,both,,,1967,1967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1711.29,87,percent of total billed charges,1711.29,1711.29,1967,percent of total billed charges,
LINER ACETAB,C1776,CPT,both,,,1967,1967,UNITED HEALTHCARE,UNITED HEALTHCARE,,1730.96,88,percent of total billed charges,1730.96,1711.29,1967,percent of total billed charges,
LINER ACETAB,C1776,CPT,both,,,1967,1967,AETNA,AETNA,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,ALLIANT,ALLIANT,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,AMBETTER,AMBETTER,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,BEECH STREET,BEECH STREET,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,CARESOURCE,CARESOURCE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,MEDICAID,MEDICAID,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,MEDICARE,MEDICARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,NOVA NET,NOVA NET,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,PEACHSTATE,PEACHSTATE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,SELFPAY,SELFPAY,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,TRICARE,TRICARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB,C1776,CPT,both,,,1967,1967,UHC MEDICARE,UHC MEDICARE,,1967,,fee schedule,1967,1711.29,1967,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB 0 DEG,C1776,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,AETNA,AETNA,,3137.22,87,percent of total billed charges,3137.22,3137.22,3606,percent of total billed charges,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3137.22,87,percent of total billed charges,3137.22,3137.22,3606,percent of total billed charges,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,UNITED HEALTHCARE,UNITED HEALTHCARE,,3173.28,88,percent of total billed charges,3173.28,3137.22,3606,percent of total billed charges,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,AETNA,AETNA,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,ALLIANT,ALLIANT,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,AMBETTER,AMBETTER,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,BEECH STREET,BEECH STREET,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,CARESOURCE,CARESOURCE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,MEDICAID,MEDICAID,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,MEDICARE,MEDICARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,NOVA NET,NOVA NET,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,PEACHSTATE,PEACHSTATE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,SELFPAY,SELFPAY,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,TRICARE,TRICARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER ACETAB HGPII,C1776,CPT,both,,,3606,3606,UHC MEDICARE,UHC MEDICARE,,3606,,fee schedule,3606,3137.22,3606,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,AETNA,AETNA,,2301.15,87,percent of total billed charges,2301.15,2301.15,2645,percent of total billed charges,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2301.15,87,percent of total billed charges,2301.15,2301.15,2645,percent of total billed charges,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,UNITED HEALTHCARE,UNITED HEALTHCARE,,2327.6,88,percent of total billed charges,2327.6,2301.15,2645,percent of total billed charges,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,AETNA,AETNA,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,ALLIANT,ALLIANT,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,AMBETTER,AMBETTER,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,BEECH STREET,BEECH STREET,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,CARESOURCE,CARESOURCE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,MEDICAID,MEDICAID,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,MEDICARE,MEDICARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,NOVA NET,NOVA NET,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,PEACHSTATE,PEACHSTATE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,SELFPAY,SELFPAY,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,TRICARE,TRICARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LINER NEUTRAL SZ E,C1776,CPT,both,,,2645,2645,UHC MEDICARE,UHC MEDICARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,AETNA,AETNA,,2435.13,87,percent of total billed charges,2435.13,2435.13,2799,percent of total billed charges,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2435.13,87,percent of total billed charges,2435.13,2435.13,2799,percent of total billed charges,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,UNITED HEALTHCARE,UNITED HEALTHCARE,,2463.12,88,percent of total billed charges,2463.12,2435.13,2799,percent of total billed charges,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,AETNA,AETNA,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,ALLIANT,ALLIANT,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,AMBETTER,AMBETTER,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,BEECH STREET,BEECH STREET,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,CARESOURCE,CARESOURCE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,MEDICAID,MEDICAID,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,MEDICARE,MEDICARE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,NOVA NET,NOVA NET,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,PEACHSTATE,PEACHSTATE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,SELFPAY,SELFPAY,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,TRICARE,TRICARE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
LORDOTIC ASR SPACER,C1776,CPT,both,,,2799,2799,UHC MEDICARE,UHC MEDICARE,,2799,,fee schedule,2799,2435.13,2799,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,AETNA,AETNA,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307.11,87,percent of total billed charges,307.11,307.11,353,percent of total billed charges,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,UNITED HEALTHCARE,UNITED HEALTHCARE,,310.64,88,percent of total billed charges,310.64,307.11,353,percent of total billed charges,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,AETNA,AETNA,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,ALLIANT,ALLIANT,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,AMBETTER,AMBETTER,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,BEECH STREET,BEECH STREET,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,CARESOURCE,CARESOURCE,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,MEDICAID,MEDICAID,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,MEDICARE,MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,NOVA NET,NOVA NET,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,PEACHSTATE,PEACHSTATE,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,SELFPAY,SELFPAY,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,TRICARE,TRICARE,,353,,fee schedule,353,307.11,353,fee schedule,
NARROW COMP PLATE 3-12 HO,C1776,CPT,both,,,353,353,UHC MEDICARE,UHC MEDICARE,,353,,fee schedule,353,307.11,353,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,AETNA,AETNA,,10009.35,87,percent of total billed charges,10009.35,10009.35,11505,percent of total billed charges,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10009.35,87,percent of total billed charges,10009.35,10009.35,11505,percent of total billed charges,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,UNITED HEALTHCARE,UNITED HEALTHCARE,,10124.4,88,percent of total billed charges,10124.4,10009.35,11505,percent of total billed charges,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,AETNA,AETNA,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,ALLIANT,ALLIANT,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,AMBETTER,AMBETTER,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,BEECH STREET,BEECH STREET,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,CARESOURCE,CARESOURCE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,MEDICAID,MEDICAID,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,MEDICARE,MEDICARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,NOVA NET,NOVA NET,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,PEACHSTATE,PEACHSTATE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,SELFPAY,SELFPAY,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,TRICARE,TRICARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
ODEG CONSTRAINED LINER,C1776,CPT,both,,,11505,11505,UHC MEDICARE,UHC MEDICARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,AETNA,AETNA,,5277.42,87,percent of total billed charges,5277.42,5277.42,6066,percent of total billed charges,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5277.42,87,percent of total billed charges,5277.42,5277.42,6066,percent of total billed charges,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,UNITED HEALTHCARE,UNITED HEALTHCARE,,5338.08,88,percent of total billed charges,5338.08,5277.42,6066,percent of total billed charges,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,AETNA,AETNA,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,ALLIANT,ALLIANT,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,AMBETTER,AMBETTER,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,BEECH STREET,BEECH STREET,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,CARESOURCE,CARESOURCE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,MEDICAID,MEDICAID,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,MEDICARE,MEDICARE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,NOVA NET,NOVA NET,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,PEACHSTATE,PEACHSTATE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,SELFPAY,SELFPAY,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,TRICARE,TRICARE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
OSSEOTI WEDGE 24X2X7,C1776,CPT,both,,,6066,6066,UHC MEDICARE,UHC MEDICARE,,6066,,fee schedule,6066,5277.42,6066,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,AETNA,AETNA,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,UNITED HEALTHCARE,UNITED HEALTHCARE,,2801.04,88,percent of total billed charges,2801.04,2769.21,3183,percent of total billed charges,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,AETNA,AETNA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,ALLIANT,ALLIANT,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,AMBETTER,AMBETTER,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,BEECH STREET,BEECH STREET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,CARESOURCE,CARESOURCE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,MEDICAID,MEDICAID,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,MEDICARE,MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,NOVA NET,NOVA NET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,PEACHSTATE,PEACHSTATE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,SELFPAY,SELFPAY,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,TRICARE,TRICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
"OXINIUM 32, +4 FEM HEAD",C1776,CPT,both,,,3183,3183,UHC MEDICARE,UHC MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,AETNA,AETNA,,1236.27,87,percent of total billed charges,1236.27,1236.27,1421,percent of total billed charges,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1236.27,87,percent of total billed charges,1236.27,1236.27,1421,percent of total billed charges,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,UNITED HEALTHCARE,UNITED HEALTHCARE,,1250.48,88,percent of total billed charges,1250.48,1236.27,1421,percent of total billed charges,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,AETNA,AETNA,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,ALLIANT,ALLIANT,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,AMBETTER,AMBETTER,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,BEECH STREET,BEECH STREET,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,CARESOURCE,CARESOURCE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,MEDICAID,MEDICAID,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,MEDICARE,MEDICARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,NOVA NET,NOVA NET,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,PEACHSTATE,PEACHSTATE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,SELFPAY,SELFPAY,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,TRICARE,TRICARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA COMPONENT,C1776,CPT,both,,,1421,1421,UHC MEDICARE,UHC MEDICARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,1141.44,1312,percent of total billed charges,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PATELLA OVAL DOME,C1776,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,AETNA,AETNA,,950.91,87,percent of total billed charges,950.91,950.91,1093,percent of total billed charges,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,950.91,87,percent of total billed charges,950.91,950.91,1093,percent of total billed charges,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,UNITED HEALTHCARE,UNITED HEALTHCARE,,961.84,88,percent of total billed charges,961.84,950.91,1093,percent of total billed charges,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,AETNA,AETNA,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,ALLIANT,ALLIANT,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,AMBETTER,AMBETTER,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,BEECH STREET,BEECH STREET,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,CARESOURCE,CARESOURCE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,MEDICAID,MEDICAID,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,MEDICARE,MEDICARE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,NOVA NET,NOVA NET,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,PEACHSTATE,PEACHSTATE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,SELFPAY,SELFPAY,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,TRICARE,TRICARE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE LOCKING,C1776,CPT,both,,,1093,1093,UHC MEDICARE,UHC MEDICARE,,1093,,fee schedule,1093,950.91,1093,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,AETNA,AETNA,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,UNITED HEALTHCARE,UNITED HEALTHCARE,,1812.8,88,percent of total billed charges,1812.8,1792.2,2060,percent of total billed charges,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,AETNA,AETNA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,ALLIANT,ALLIANT,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,AMBETTER,AMBETTER,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,BEECH STREET,BEECH STREET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,CARESOURCE,CARESOURCE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,MEDICAID,MEDICAID,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,MEDICARE,MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,NOVA NET,NOVA NET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,PEACHSTATE,PEACHSTATE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,SELFPAY,SELFPAY,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,TRICARE,TRICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
PLATE PROX HUM,C1776,CPT,both,,,2060,2060,UHC MEDICARE,UHC MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,AETNA,AETNA,,3333.84,87,percent of total billed charges,3333.84,3333.84,3832,percent of total billed charges,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3333.84,87,percent of total billed charges,3333.84,3333.84,3832,percent of total billed charges,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,UNITED HEALTHCARE,UNITED HEALTHCARE,,3372.16,88,percent of total billed charges,3372.16,3333.84,3832,percent of total billed charges,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,AETNA,AETNA,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,ALLIANT,ALLIANT,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,AMBETTER,AMBETTER,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,BEECH STREET,BEECH STREET,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,CARESOURCE,CARESOURCE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,MEDICAID,MEDICAID,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,MEDICARE,MEDICARE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,NOVA NET,NOVA NET,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,PEACHSTATE,PEACHSTATE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,SELFPAY,SELFPAY,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,TRICARE,TRICARE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POLARUS HUMERAL ROD,C1776,CPT,both,,,3832,3832,UHC MEDICARE,UHC MEDICARE,,3832,,fee schedule,3832,3333.84,3832,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,AETNA,AETNA,,2198.49,87,percent of total billed charges,2198.49,2198.49,2527,percent of total billed charges,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2198.49,87,percent of total billed charges,2198.49,2198.49,2527,percent of total billed charges,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,UNITED HEALTHCARE,UNITED HEALTHCARE,,2223.76,88,percent of total billed charges,2223.76,2198.49,2527,percent of total billed charges,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,AETNA,AETNA,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,ALLIANT,ALLIANT,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,AMBETTER,AMBETTER,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,BEECH STREET,BEECH STREET,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,CARESOURCE,CARESOURCE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,MEDICAID,MEDICAID,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,MEDICARE,MEDICARE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,NOVA NET,NOVA NET,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,PEACHSTATE,PEACHSTATE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,SELFPAY,SELFPAY,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,TRICARE,TRICARE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
POST DISTAL HUM LAT LFT XL,C1776,CPT,both,,,2527,2527,UHC MEDICARE,UHC MEDICARE,,2527,,fee schedule,2527,2198.49,2527,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,AETNA,AETNA,,5388.78,87,percent of total billed charges,5388.78,5388.78,6194,percent of total billed charges,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5388.78,87,percent of total billed charges,5388.78,5388.78,6194,percent of total billed charges,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,UNITED HEALTHCARE,UNITED HEALTHCARE,,5450.72,88,percent of total billed charges,5450.72,5388.78,6194,percent of total billed charges,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,AETNA,AETNA,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,ALLIANT,ALLIANT,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,AMBETTER,AMBETTER,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,BEECH STREET,BEECH STREET,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,CARESOURCE,CARESOURCE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,MEDICAID,MEDICAID,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,MEDICARE,MEDICARE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,NOVA NET,NOVA NET,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,PEACHSTATE,PEACHSTATE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,SELFPAY,SELFPAY,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,TRICARE,TRICARE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
PROSTOP SUBTALAR ARTHO IMPLANT,C1776,CPT,both,,,6194,6194,UHC MEDICARE,UHC MEDICARE,,6194,,fee schedule,6194,5388.78,6194,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,AETNA,AETNA,,1892.25,87,percent of total billed charges,1892.25,1892.25,2175,percent of total billed charges,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1892.25,87,percent of total billed charges,1892.25,1892.25,2175,percent of total billed charges,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,UNITED HEALTHCARE,UNITED HEALTHCARE,,1914,88,percent of total billed charges,1914,1892.25,2175,percent of total billed charges,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,AETNA,AETNA,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,ALLIANT,ALLIANT,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,AMBETTER,AMBETTER,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,BEECH STREET,BEECH STREET,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,CARESOURCE,CARESOURCE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,MEDICAID,MEDICAID,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,MEDICARE,MEDICARE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,NOVA NET,NOVA NET,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,PEACHSTATE,PEACHSTATE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,SELFPAY,SELFPAY,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,TRICARE,TRICARE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
R-3.0 DEG XLPE 32MMX48 LINER,C1776,CPT,both,,,2175,2175,UHC MEDICARE,UHC MEDICARE,,2175,,fee schedule,2175,1892.25,2175,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,AETNA,AETNA,,8811.36,87,percent of total billed charges,8811.36,8811.36,10128,percent of total billed charges,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8811.36,87,percent of total billed charges,8811.36,8811.36,10128,percent of total billed charges,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,UNITED HEALTHCARE,UNITED HEALTHCARE,,8912.64,88,percent of total billed charges,8912.64,8811.36,10128,percent of total billed charges,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,AETNA,AETNA,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,ALLIANT,ALLIANT,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,AMBETTER,AMBETTER,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,BEECH STREET,BEECH STREET,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,CARESOURCE,CARESOURCE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,MEDICAID,MEDICAID,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,MEDICARE,MEDICARE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,NOVA NET,NOVA NET,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,PEACHSTATE,PEACHSTATE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,SELFPAY,SELFPAY,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,TRICARE,TRICARE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RADIAL HEAD IMPLANT KIT,C1776,CPT,both,,,10128,10128,UHC MEDICARE,UHC MEDICARE,,10128,,fee schedule,10128,8811.36,10128,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,AETNA,AETNA,,846.51,87,percent of total billed charges,846.51,846.51,973,percent of total billed charges,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846.51,87,percent of total billed charges,846.51,846.51,973,percent of total billed charges,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,UNITED HEALTHCARE,UNITED HEALTHCARE,,856.24,88,percent of total billed charges,856.24,846.51,973,percent of total billed charges,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,AETNA,AETNA,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,ALLIANT,ALLIANT,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,AMBETTER,AMBETTER,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,BEECH STREET,BEECH STREET,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,CARESOURCE,CARESOURCE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,MEDICAID,MEDICAID,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,MEDICARE,MEDICARE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,NOVA NET,NOVA NET,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,PEACHSTATE,PEACHSTATE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,SELFPAY,SELFPAY,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,TRICARE,TRICARE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 12 H,C1776,CPT,both,,,973,973,UHC MEDICARE,UHC MEDICARE,,973,,fee schedule,973,846.51,973,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,AETNA,AETNA,,1057.92,87,percent of total billed charges,1057.92,1057.92,1216,percent of total billed charges,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1057.92,87,percent of total billed charges,1057.92,1057.92,1216,percent of total billed charges,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,UNITED HEALTHCARE,UNITED HEALTHCARE,,1070.08,88,percent of total billed charges,1070.08,1057.92,1216,percent of total billed charges,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,AETNA,AETNA,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,ALLIANT,ALLIANT,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,AMBETTER,AMBETTER,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,BEECH STREET,BEECH STREET,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,CARESOURCE,CARESOURCE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,MEDICAID,MEDICAID,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,MEDICARE,MEDICARE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,NOVA NET,NOVA NET,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,PEACHSTATE,PEACHSTATE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,SELFPAY,SELFPAY,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,TRICARE,TRICARE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATE 18 H,C1776,CPT,both,,,1216,1216,UHC MEDICARE,UHC MEDICARE,,1216,,fee schedule,1216,1057.92,1216,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,AETNA,AETNA,,584.64,87,percent of total billed charges,584.64,584.64,672,percent of total billed charges,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,584.64,87,percent of total billed charges,584.64,584.64,672,percent of total billed charges,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,UNITED HEALTHCARE,UNITED HEALTHCARE,,591.36,88,percent of total billed charges,591.36,584.64,672,percent of total billed charges,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,AETNA,AETNA,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,ALLIANT,ALLIANT,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,AMBETTER,AMBETTER,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,BEECH STREET,BEECH STREET,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,CARESOURCE,CARESOURCE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,MEDICAID,MEDICAID,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,MEDICARE,MEDICARE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,NOVA NET,NOVA NET,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,PEACHSTATE,PEACHSTATE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,SELFPAY,SELFPAY,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,TRICARE,TRICARE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 5 H,C1776,CPT,both,,,672,672,UHC MEDICARE,UHC MEDICARE,,672,,fee schedule,672,584.64,672,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,AETNA,AETNA,,744.72,87,percent of total billed charges,744.72,744.72,856,percent of total billed charges,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,744.72,87,percent of total billed charges,744.72,744.72,856,percent of total billed charges,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,UNITED HEALTHCARE,UNITED HEALTHCARE,,753.28,88,percent of total billed charges,753.28,744.72,856,percent of total billed charges,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,AETNA,AETNA,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,ALLIANT,ALLIANT,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,AMBETTER,AMBETTER,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,BEECH STREET,BEECH STREET,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,CARESOURCE,CARESOURCE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,MEDICAID,MEDICAID,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,MEDICARE,MEDICARE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,NOVA NET,NOVA NET,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,PEACHSTATE,PEACHSTATE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,SELFPAY,SELFPAY,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,TRICARE,TRICARE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 8 H,C1776,CPT,both,,,856,856,UHC MEDICARE,UHC MEDICARE,,856,,fee schedule,856,744.72,856,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,AETNA,AETNA,,696,87,percent of total billed charges,696,696,800,percent of total billed charges,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,696,87,percent of total billed charges,696,696,800,percent of total billed charges,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,UNITED HEALTHCARE,UNITED HEALTHCARE,,704,88,percent of total billed charges,704,696,800,percent of total billed charges,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,AETNA,AETNA,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,ALLIANT,ALLIANT,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,AMBETTER,AMBETTER,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,BEECH STREET,BEECH STREET,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,CARESOURCE,CARESOURCE,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,MEDICAID,MEDICAID,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,MEDICARE,MEDICARE,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,NOVA NET,NOVA NET,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,PEACHSTATE,PEACHSTATE,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,SELFPAY,SELFPAY,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,TRICARE,TRICARE,,800,,fee schedule,800,696,800,fee schedule,
RECONSTRUCTIVE PLATES 9 H,C1776,CPT,both,,,800,800,UHC MEDICARE,UHC MEDICARE,,800,,fee schedule,800,696,800,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,AETNA,AETNA,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD 30MM,C1776,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD 30MM,C1776,CPT,both,,,914,914,UNITED HEALTHCARE,UNITED HEALTHCARE,,804.32,88,percent of total billed charges,804.32,795.18,914,percent of total billed charges,
ROD 30MM,C1776,CPT,both,,,914,914,AETNA,AETNA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,ALLIANT,ALLIANT,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,AMBETTER,AMBETTER,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,BEECH STREET,BEECH STREET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,MEDICAID,MEDICAID,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,MEDICARE,MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,NOVA NET,NOVA NET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,SELFPAY,SELFPAY,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,TRICARE,TRICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD 30MM,C1776,CPT,both,,,914,914,UHC MEDICARE,UHC MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,AETNA,AETNA,,570.72,87,percent of total billed charges,570.72,570.72,656,percent of total billed charges,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570.72,87,percent of total billed charges,570.72,570.72,656,percent of total billed charges,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,UNITED HEALTHCARE,UNITED HEALTHCARE,,577.28,88,percent of total billed charges,577.28,570.72,656,percent of total billed charges,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,AETNA,AETNA,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,ALLIANT,ALLIANT,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,AMBETTER,AMBETTER,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,BEECH STREET,BEECH STREET,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,MEDICAID,MEDICAID,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,MEDICARE,MEDICARE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,NOVA NET,NOVA NET,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,SELFPAY,SELFPAY,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,TRICARE,TRICARE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD PREBENT LEGACY,C1776,CPT,both,,,656,656,UHC MEDICARE,UHC MEDICARE,,656,,fee schedule,656,570.72,656,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,AETNA,AETNA,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,795.18,87,percent of total billed charges,795.18,795.18,914,percent of total billed charges,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,UNITED HEALTHCARE,UNITED HEALTHCARE,,804.32,88,percent of total billed charges,804.32,795.18,914,percent of total billed charges,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,AETNA,AETNA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,ALLIANT,ALLIANT,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,AMBETTER,AMBETTER,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,BEECH STREET,BEECH STREET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,CARESOURCE,CARESOURCE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,MEDICAID,MEDICAID,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,MEDICARE,MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,NOVA NET,NOVA NET,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,PEACHSTATE,PEACHSTATE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,SELFPAY,SELFPAY,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,TRICARE,TRICARE,,914,,fee schedule,914,795.18,914,fee schedule,
ROD SOLERA 100MM,C1776,CPT,both,,,914,914,UHC MEDICARE,UHC MEDICARE,,914,,fee schedule,914,795.18,914,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,AETNA,AETNA,,107.88,87,percent of total billed charges,107.88,107.88,124,percent of total billed charges,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.88,87,percent of total billed charges,107.88,107.88,124,percent of total billed charges,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,UNITED HEALTHCARE,UNITED HEALTHCARE,,109.12,88,percent of total billed charges,109.12,107.88,124,percent of total billed charges,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,AETNA,AETNA,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,ALLIANT,ALLIANT,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,AMBETTER,AMBETTER,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,BEECH STREET,BEECH STREET,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,MEDICAID,MEDICAID,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,MEDICARE,MEDICARE,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,NOVA NET,NOVA NET,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,SELFPAY,SELFPAY,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,TRICARE,TRICARE,,124,,fee schedule,124,107.88,124,fee schedule,
SABRE SMALL JOINT 2.0MM,C1776,CPT,both,,,124,124,UHC MEDICARE,UHC MEDICARE,,124,,fee schedule,124,107.88,124,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,125.28,144,percent of total billed charges,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,125.28,144,percent of total billed charges,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,125.28,144,percent of total billed charges,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,ALLIANT,ALLIANT,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,AMBETTER,AMBETTER,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,MEDICARE,MEDICARE,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,TRICARE,TRICARE,,144,,fee schedule,144,125.28,144,fee schedule,
SEMI TUBULAR COMP PLATE 3,C1776,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,144,,fee schedule,144,125.28,144,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,AETNA,AETNA,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,UNITED HEALTHCARE,UNITED HEALTHCARE,,2884.64,88,percent of total billed charges,2884.64,2851.86,3278,percent of total billed charges,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,AETNA,AETNA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,ALLIANT,ALLIANT,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,AMBETTER,AMBETTER,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,BEECH STREET,BEECH STREET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,CARESOURCE,CARESOURCE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,MEDICAID,MEDICAID,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,MEDICARE,MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,NOVA NET,NOVA NET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,PEACHSTATE,PEACHSTATE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,SELFPAY,SELFPAY,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,TRICARE,TRICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB,C1776,CPT,both,,,3278,3278,UHC MEDICARE,UHC MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,AETNA,AETNA,,3230.31,87,percent of total billed charges,3230.31,3230.31,3713,percent of total billed charges,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3230.31,87,percent of total billed charges,3230.31,3230.31,3713,percent of total billed charges,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,UNITED HEALTHCARE,UNITED HEALTHCARE,,3267.44,88,percent of total billed charges,3267.44,3230.31,3713,percent of total billed charges,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,AETNA,AETNA,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,ALLIANT,ALLIANT,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,AMBETTER,AMBETTER,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,BEECH STREET,BEECH STREET,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,CARESOURCE,CARESOURCE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,MEDICAID,MEDICAID,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,MEDICARE,MEDICARE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,NOVA NET,NOVA NET,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,PEACHSTATE,PEACHSTATE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,SELFPAY,SELFPAY,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,TRICARE,TRICARE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL ACETAB CUP,C1776,CPT,both,,,3713,3713,UHC MEDICARE,UHC MEDICARE,,3713,,fee schedule,3713,3230.31,3713,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,AETNA,AETNA,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,UNITED HEALTHCARE,UNITED HEALTHCARE,,4532,88,percent of total billed charges,4532,4480.5,5150,percent of total billed charges,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,AETNA,AETNA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,ALLIANT,ALLIANT,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,AMBETTER,AMBETTER,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,BEECH STREET,BEECH STREET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,CARESOURCE,CARESOURCE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,MEDICAID,MEDICAID,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,MEDICARE,MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,NOVA NET,NOVA NET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,PEACHSTATE,PEACHSTATE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,SELFPAY,SELFPAY,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,TRICARE,TRICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SHELL HUMERAL,C1776,CPT,both,,,5150,5150,UHC MEDICARE,UHC MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,AETNA,AETNA,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,UNITED HEALTHCARE,UNITED HEALTHCARE,,8157.6,88,percent of total billed charges,8157.6,8064.9,9270,percent of total billed charges,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,AETNA,AETNA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,ALLIANT,ALLIANT,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,AMBETTER,AMBETTER,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,BEECH STREET,BEECH STREET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,MEDICAID,MEDICAID,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,MEDICARE,MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,NOVA NET,NOVA NET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,SELFPAY,SELFPAY,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,TRICARE,TRICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SLEEVE TIBIAL,C1776,CPT,both,,,9270,9270,UHC MEDICARE,UHC MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,AETNA,AETNA,,1684.32,87,percent of total billed charges,1684.32,1684.32,1936,percent of total billed charges,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1684.32,87,percent of total billed charges,1684.32,1684.32,1936,percent of total billed charges,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,UNITED HEALTHCARE,UNITED HEALTHCARE,,1703.68,88,percent of total billed charges,1703.68,1684.32,1936,percent of total billed charges,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,AETNA,AETNA,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,ALLIANT,ALLIANT,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,AMBETTER,AMBETTER,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,BEECH STREET,BEECH STREET,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,CARESOURCE,CARESOURCE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,MEDICAID,MEDICAID,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,MEDICARE,MEDICARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,NOVA NET,NOVA NET,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,PEACHSTATE,PEACHSTATE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,SELFPAY,SELFPAY,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,TRICARE,TRICARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM EXTERNAL FX,C1776,CPT,both,,,1936,1936,UHC MEDICARE,UHC MEDICARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,363.66,418,percent of total billed charges,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,363.66,418,percent of total billed charges,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,363.66,418,fee schedule,
SM T-PLT 4 HOLE X 56MM 24,C1776,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,363.66,418,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
SPACER TAPERED,C1776,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
SPACER TAPERED,C1776,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,381.06,438,percent of total billed charges,
SPACER TAPERED,C1776,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,ALLIANT,ALLIANT,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,AMBETTER,AMBETTER,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,MEDICARE,MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,TRICARE,TRICARE,,438,,fee schedule,438,381.06,438,fee schedule,
SPACER TAPERED,C1776,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,AETNA,AETNA,,33032.16,87,percent of total billed charges,33032.16,33032.16,37968,percent of total billed charges,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33032.16,87,percent of total billed charges,33032.16,33032.16,37968,percent of total billed charges,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,UNITED HEALTHCARE,UNITED HEALTHCARE,,33411.84,88,percent of total billed charges,33411.84,33032.16,37968,percent of total billed charges,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,AETNA,AETNA,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,ALLIANT,ALLIANT,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,AMBETTER,AMBETTER,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,BEECH STREET,BEECH STREET,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,CARESOURCE,CARESOURCE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,MEDICAID,MEDICAID,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,MEDICARE,MEDICARE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,NOVA NET,NOVA NET,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,PEACHSTATE,PEACHSTATE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,SELFPAY,SELFPAY,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,TRICARE,TRICARE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPECIAL TOT KNEE COMPONEN,C1776,CPT,both,,,37968,37968,UHC MEDICARE,UHC MEDICARE,,37968,,fee schedule,37968,33032.16,37968,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,AETNA,AETNA,,320.16,87,percent of total billed charges,320.16,320.16,368,percent of total billed charges,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320.16,87,percent of total billed charges,320.16,320.16,368,percent of total billed charges,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,UNITED HEALTHCARE,UNITED HEALTHCARE,,323.84,88,percent of total billed charges,323.84,320.16,368,percent of total billed charges,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,AETNA,AETNA,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,ALLIANT,ALLIANT,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,AMBETTER,AMBETTER,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,BEECH STREET,BEECH STREET,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,MEDICAID,MEDICAID,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,MEDICARE,MEDICARE,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,NOVA NET,NOVA NET,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,SELFPAY,SELFPAY,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,TRICARE,TRICARE,,368,,fee schedule,368,320.16,368,fee schedule,
SPOON PLATE 240.06,C1776,CPT,both,,,368,368,UHC MEDICARE,UHC MEDICARE,,368,,fee schedule,368,320.16,368,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,AETNA,AETNA,,333.21,87,percent of total billed charges,333.21,333.21,383,percent of total billed charges,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333.21,87,percent of total billed charges,333.21,333.21,383,percent of total billed charges,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,UNITED HEALTHCARE,UNITED HEALTHCARE,,337.04,88,percent of total billed charges,337.04,333.21,383,percent of total billed charges,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,AETNA,AETNA,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,ALLIANT,ALLIANT,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,AMBETTER,AMBETTER,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,BEECH STREET,BEECH STREET,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,CARESOURCE,CARESOURCE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,MEDICAID,MEDICAID,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,MEDICARE,MEDICARE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,NOVA NET,NOVA NET,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,PEACHSTATE,PEACHSTATE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,SELFPAY,SELFPAY,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,TRICARE,TRICARE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM CENTRALIZER,C1776,CPT,both,,,383,383,UHC MEDICARE,UHC MEDICARE,,383,,fee schedule,383,333.21,383,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,AETNA,AETNA,,5894.25,87,percent of total billed charges,5894.25,5894.25,6775,percent of total billed charges,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5894.25,87,percent of total billed charges,5894.25,5894.25,6775,percent of total billed charges,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,UNITED HEALTHCARE,UNITED HEALTHCARE,,5962,88,percent of total billed charges,5962,5894.25,6775,percent of total billed charges,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,AETNA,AETNA,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,ALLIANT,ALLIANT,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,AMBETTER,AMBETTER,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,BEECH STREET,BEECH STREET,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,CARESOURCE,CARESOURCE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,MEDICAID,MEDICAID,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,MEDICARE,MEDICARE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,NOVA NET,NOVA NET,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,PEACHSTATE,PEACHSTATE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,SELFPAY,SELFPAY,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,TRICARE,TRICARE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM 127/132 DEG,C1776,CPT,both,,,6775,6775,UHC MEDICARE,UHC MEDICARE,,6775,,fee schedule,6775,5894.25,6775,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,AETNA,AETNA,,2662.2,87,percent of total billed charges,2662.2,2662.2,3060,percent of total billed charges,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2662.2,87,percent of total billed charges,2662.2,2662.2,3060,percent of total billed charges,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,UNITED HEALTHCARE,UNITED HEALTHCARE,,2692.8,88,percent of total billed charges,2692.8,2662.2,3060,percent of total billed charges,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,AETNA,AETNA,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,ALLIANT,ALLIANT,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,AMBETTER,AMBETTER,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,BEECH STREET,BEECH STREET,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,CARESOURCE,CARESOURCE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,MEDICAID,MEDICAID,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,MEDICARE,MEDICARE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,NOVA NET,NOVA NET,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,PEACHSTATE,PEACHSTATE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,SELFPAY,SELFPAY,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,TRICARE,TRICARE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM FEM TAPER 12/14,C1776,CPT,both,,,3060,3060,UHC MEDICARE,UHC MEDICARE,,3060,,fee schedule,3060,2662.2,3060,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,AETNA,AETNA,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,UNITED HEALTHCARE,UNITED HEALTHCARE,,8157.6,88,percent of total billed charges,8157.6,8064.9,9270,percent of total billed charges,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,AETNA,AETNA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,ALLIANT,ALLIANT,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,AMBETTER,AMBETTER,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,BEECH STREET,BEECH STREET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,MEDICAID,MEDICAID,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,MEDICARE,MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,NOVA NET,NOVA NET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,SELFPAY,SELFPAY,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,TRICARE,TRICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM PROLINE EVOLUS 8.5X4,C1776,CPT,both,,,9270,9270,UHC MEDICARE,UHC MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,AETNA,AETNA,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
STEM STD,C1776,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
STEM STD,C1776,CPT,both,,,7210,7210,UNITED HEALTHCARE,UNITED HEALTHCARE,,6344.8,88,percent of total billed charges,6344.8,6272.7,7210,percent of total billed charges,
STEM STD,C1776,CPT,both,,,7210,7210,AETNA,AETNA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,ALLIANT,ALLIANT,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,AMBETTER,AMBETTER,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,BEECH STREET,BEECH STREET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,CARESOURCE,CARESOURCE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,MEDICAID,MEDICAID,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,MEDICARE,MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,NOVA NET,NOVA NET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,PEACHSTATE,PEACHSTATE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,SELFPAY,SELFPAY,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,TRICARE,TRICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STEM STD,C1776,CPT,both,,,7210,7210,UHC MEDICARE,UHC MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,AETNA,AETNA,,498.51,87,percent of total billed charges,498.51,498.51,573,percent of total billed charges,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,498.51,87,percent of total billed charges,498.51,498.51,573,percent of total billed charges,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,UNITED HEALTHCARE,UNITED HEALTHCARE,,504.24,88,percent of total billed charges,504.24,498.51,573,percent of total billed charges,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,AETNA,AETNA,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,ALLIANT,ALLIANT,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,AMBETTER,AMBETTER,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,BEECH STREET,BEECH STREET,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,CARESOURCE,CARESOURCE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,MEDICAID,MEDICAID,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,MEDICARE,MEDICARE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,NOVA NET,NOVA NET,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,PEACHSTATE,PEACHSTATE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,SELFPAY,SELFPAY,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,TRICARE,TRICARE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 1.5/1.75 FLEX ROD,C1776,CPT,both,,,573,573,UHC MEDICARE,UHC MEDICARE,,573,,fee schedule,573,498.51,573,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,AETNA,AETNA,,6110.01,87,percent of total billed charges,6110.01,6110.01,7023,percent of total billed charges,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6110.01,87,percent of total billed charges,6110.01,6110.01,7023,percent of total billed charges,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,UNITED HEALTHCARE,UNITED HEALTHCARE,,6180.24,88,percent of total billed charges,6180.24,6110.01,7023,percent of total billed charges,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,AETNA,AETNA,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,ALLIANT,ALLIANT,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,AMBETTER,AMBETTER,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,BEECH STREET,BEECH STREET,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,CARESOURCE,CARESOURCE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,MEDICAID,MEDICAID,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,MEDICARE,MEDICARE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,NOVA NET,NOVA NET,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,PEACHSTATE,PEACHSTATE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,SELFPAY,SELFPAY,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,TRICARE,TRICARE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER 132 OMNIFIT STEM,C1776,CPT,both,,,7023,7023,UHC MEDICARE,UHC MEDICARE,,7023,,fee schedule,7023,6110.01,7023,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,AETNA,AETNA,,3517.41,87,percent of total billed charges,3517.41,3517.41,4043,percent of total billed charges,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3517.41,87,percent of total billed charges,3517.41,3517.41,4043,percent of total billed charges,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,UNITED HEALTHCARE,UNITED HEALTHCARE,,3557.84,88,percent of total billed charges,3557.84,3517.41,4043,percent of total billed charges,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,AETNA,AETNA,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,ALLIANT,ALLIANT,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,AMBETTER,AMBETTER,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,BEECH STREET,BEECH STREET,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,CARESOURCE,CARESOURCE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,MEDICAID,MEDICAID,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,MEDICARE,MEDICARE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,NOVA NET,NOVA NET,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,PEACHSTATE,PEACHSTATE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,SELFPAY,SELFPAY,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,TRICARE,TRICARE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER ACETABULAR SHELL,C1776,CPT,both,,,4043,4043,UHC MEDICARE,UHC MEDICARE,,4043,,fee schedule,4043,3517.41,4043,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,AETNA,AETNA,,1370.25,87,percent of total billed charges,1370.25,1370.25,1575,percent of total billed charges,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1370.25,87,percent of total billed charges,1370.25,1370.25,1575,percent of total billed charges,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,UNITED HEALTHCARE,UNITED HEALTHCARE,,1386,88,percent of total billed charges,1386,1370.25,1575,percent of total billed charges,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,AETNA,AETNA,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,ALLIANT,ALLIANT,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,AMBETTER,AMBETTER,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,BEECH STREET,BEECH STREET,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,CARESOURCE,CARESOURCE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,MEDICAID,MEDICAID,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,MEDICARE,MEDICARE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,NOVA NET,NOVA NET,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,PEACHSTATE,PEACHSTATE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,SELFPAY,SELFPAY,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,TRICARE,TRICARE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM HEAD,C1776,CPT,both,,,1575,1575,UHC MEDICARE,UHC MEDICARE,,1575,,fee schedule,1575,1370.25,1575,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,AETNA,AETNA,,2936.25,87,percent of total billed charges,2936.25,2936.25,3375,percent of total billed charges,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2936.25,87,percent of total billed charges,2936.25,2936.25,3375,percent of total billed charges,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,UNITED HEALTHCARE,UNITED HEALTHCARE,,2970,88,percent of total billed charges,2970,2936.25,3375,percent of total billed charges,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,AETNA,AETNA,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,ALLIANT,ALLIANT,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,AMBETTER,AMBETTER,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,BEECH STREET,BEECH STREET,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,CARESOURCE,CARESOURCE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,MEDICAID,MEDICAID,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,MEDICARE,MEDICARE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,NOVA NET,NOVA NET,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,PEACHSTATE,PEACHSTATE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,SELFPAY,SELFPAY,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,TRICARE,TRICARE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR FEM STEM,C1776,CPT,both,,,3375,3375,UHC MEDICARE,UHC MEDICARE,,3375,,fee schedule,3375,2936.25,3375,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,AETNA,AETNA,,5968.2,87,percent of total billed charges,5968.2,5968.2,6860,percent of total billed charges,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5968.2,87,percent of total billed charges,5968.2,5968.2,6860,percent of total billed charges,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,UNITED HEALTHCARE,UNITED HEALTHCARE,,6036.8,88,percent of total billed charges,6036.8,5968.2,6860,percent of total billed charges,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,AETNA,AETNA,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,ALLIANT,ALLIANT,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,AMBETTER,AMBETTER,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,BEECH STREET,BEECH STREET,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,CARESOURCE,CARESOURCE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,MEDICAID,MEDICAID,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,MEDICARE,MEDICARE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,NOVA NET,NOVA NET,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,PEACHSTATE,PEACHSTATE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,SELFPAY,SELFPAY,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,TRICARE,TRICARE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER BIPOLAR HIPCOMPL,C1776,CPT,both,,,6860,6860,UHC MEDICARE,UHC MEDICARE,,6860,,fee schedule,6860,5968.2,6860,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,AETNA,AETNA,,8961,87,percent of total billed charges,8961,8961,10300,percent of total billed charges,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8961,87,percent of total billed charges,8961,8961,10300,percent of total billed charges,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,UNITED HEALTHCARE,UNITED HEALTHCARE,,9064,88,percent of total billed charges,9064,8961,10300,percent of total billed charges,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,AETNA,AETNA,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,ALLIANT,ALLIANT,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,AMBETTER,AMBETTER,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,BEECH STREET,BEECH STREET,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,CARESOURCE,CARESOURCE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,MEDICAID,MEDICAID,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,MEDICARE,MEDICARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,NOVA NET,NOVA NET,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,PEACHSTATE,PEACHSTATE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,SELFPAY,SELFPAY,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,TRICARE,TRICARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER DISTAL STEM,C1776,CPT,both,,,10300,10300,UHC MEDICARE,UHC MEDICARE,,10300,,fee schedule,10300,8961,10300,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,AETNA,AETNA,,564.63,87,percent of total billed charges,564.63,564.63,649,percent of total billed charges,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,564.63,87,percent of total billed charges,564.63,564.63,649,percent of total billed charges,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,UNITED HEALTHCARE,UNITED HEALTHCARE,,571.12,88,percent of total billed charges,571.12,564.63,649,percent of total billed charges,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,AETNA,AETNA,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,ALLIANT,ALLIANT,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,AMBETTER,AMBETTER,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,BEECH STREET,BEECH STREET,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,MEDICAID,MEDICAID,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,MEDICARE,MEDICARE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,NOVA NET,NOVA NET,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,SELFPAY,SELFPAY,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,TRICARE,TRICARE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5028-7-030,C1776,CPT,both,,,649,649,UHC MEDICARE,UHC MEDICARE,,649,,fee schedule,649,564.63,649,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,231.42,266,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-200,C1776,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,231.42,266,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,231.42,266,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-250,C1776,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,231.42,266,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,AETNA,AETNA,,276.66,87,percent of total billed charges,276.66,276.66,318,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276.66,87,percent of total billed charges,276.66,276.66,318,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,UNITED HEALTHCARE,UNITED HEALTHCARE,,279.84,88,percent of total billed charges,279.84,276.66,318,percent of total billed charges,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,AETNA,AETNA,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,ALLIANT,ALLIANT,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,AMBETTER,AMBETTER,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,BEECH STREET,BEECH STREET,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,CARESOURCE,CARESOURCE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,MEDICAID,MEDICAID,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,MEDICARE,MEDICARE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,NOVA NET,NOVA NET,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,PEACHSTATE,PEACHSTATE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,SELFPAY,SELFPAY,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,TRICARE,TRICARE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER EX FIX ROD 5048-5-300,C1776,CPT,both,,,318,318,UHC MEDICARE,UHC MEDICARE,,318,,fee schedule,318,276.66,318,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,AETNA,AETNA,,8234.55,87,percent of total billed charges,8234.55,8234.55,9465,percent of total billed charges,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8234.55,87,percent of total billed charges,8234.55,8234.55,9465,percent of total billed charges,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,UNITED HEALTHCARE,UNITED HEALTHCARE,,8329.2,88,percent of total billed charges,8329.2,8234.55,9465,percent of total billed charges,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,AETNA,AETNA,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,ALLIANT,ALLIANT,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,AMBETTER,AMBETTER,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,BEECH STREET,BEECH STREET,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,CARESOURCE,CARESOURCE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,MEDICAID,MEDICAID,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,MEDICARE,MEDICARE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,NOVA NET,NOVA NET,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,PEACHSTATE,PEACHSTATE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,SELFPAY,SELFPAY,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,TRICARE,TRICARE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEM STEM ANTEVERTED,C1776,CPT,both,,,9465,9465,UHC MEDICARE,UHC MEDICARE,,9465,,fee schedule,9465,8234.55,9465,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,AETNA,AETNA,,700.35,87,percent of total billed charges,700.35,700.35,805,percent of total billed charges,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,700.35,87,percent of total billed charges,700.35,700.35,805,percent of total billed charges,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,UNITED HEALTHCARE,UNITED HEALTHCARE,,708.4,88,percent of total billed charges,708.4,700.35,805,percent of total billed charges,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,AETNA,AETNA,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,ALLIANT,ALLIANT,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,AMBETTER,AMBETTER,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,BEECH STREET,BEECH STREET,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,CARESOURCE,CARESOURCE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,MEDICAID,MEDICAID,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,MEDICARE,MEDICARE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,NOVA NET,NOVA NET,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,PEACHSTATE,PEACHSTATE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,SELFPAY,SELFPAY,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,TRICARE,TRICARE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL BUSHINGS,C1776,CPT,both,,,805,805,UHC MEDICARE,UHC MEDICARE,,805,,fee schedule,805,700.35,805,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,AETNA,AETNA,,9398.61,87,percent of total billed charges,9398.61,9398.61,10803,percent of total billed charges,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9398.61,87,percent of total billed charges,9398.61,9398.61,10803,percent of total billed charges,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,UNITED HEALTHCARE,UNITED HEALTHCARE,,9506.64,88,percent of total billed charges,9506.64,9398.61,10803,percent of total billed charges,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,AETNA,AETNA,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,ALLIANT,ALLIANT,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,AMBETTER,AMBETTER,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,BEECH STREET,BEECH STREET,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,CARESOURCE,CARESOURCE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,MEDICAID,MEDICAID,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,MEDICARE,MEDICARE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,NOVA NET,NOVA NET,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,PEACHSTATE,PEACHSTATE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,SELFPAY,SELFPAY,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,TRICARE,TRICARE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FEMORAL HEAD,C1776,CPT,both,,,10803,10803,UHC MEDICARE,UHC MEDICARE,,10803,,fee schedule,10803,9398.61,10803,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,AETNA,AETNA,,1228.44,87,percent of total billed charges,1228.44,1228.44,1412,percent of total billed charges,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1228.44,87,percent of total billed charges,1228.44,1228.44,1412,percent of total billed charges,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,UNITED HEALTHCARE,UNITED HEALTHCARE,,1242.56,88,percent of total billed charges,1242.56,1228.44,1412,percent of total billed charges,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,AETNA,AETNA,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,ALLIANT,ALLIANT,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,AMBETTER,AMBETTER,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,BEECH STREET,BEECH STREET,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,CARESOURCE,CARESOURCE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,MEDICAID,MEDICAID,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,MEDICARE,MEDICARE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,NOVA NET,NOVA NET,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,PEACHSTATE,PEACHSTATE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,SELFPAY,SELFPAY,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,TRICARE,TRICARE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER FLUTED HEADLESS P,C1776,CPT,both,,,1412,1412,UHC MEDICARE,UHC MEDICARE,,1412,,fee schedule,1412,1228.44,1412,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,AETNA,AETNA,,2414.25,87,percent of total billed charges,2414.25,2414.25,2775,percent of total billed charges,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2414.25,87,percent of total billed charges,2414.25,2414.25,2775,percent of total billed charges,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,UNITED HEALTHCARE,UNITED HEALTHCARE,,2442,88,percent of total billed charges,2442,2414.25,2775,percent of total billed charges,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,AETNA,AETNA,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,ALLIANT,ALLIANT,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,AMBETTER,AMBETTER,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,BEECH STREET,BEECH STREET,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,CARESOURCE,CARESOURCE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,MEDICAID,MEDICAID,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,MEDICARE,MEDICARE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,NOVA NET,NOVA NET,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,PEACHSTATE,PEACHSTATE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,SELFPAY,SELFPAY,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,TRICARE,TRICARE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS AXLE,C1776,CPT,both,,,2775,2775,UHC MEDICARE,UHC MEDICARE,,2775,,fee schedule,2775,2414.25,2775,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,AETNA,AETNA,,728.19,87,percent of total billed charges,728.19,728.19,837,percent of total billed charges,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,728.19,87,percent of total billed charges,728.19,728.19,837,percent of total billed charges,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,UNITED HEALTHCARE,UNITED HEALTHCARE,,736.56,88,percent of total billed charges,736.56,728.19,837,percent of total billed charges,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,AETNA,AETNA,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,ALLIANT,ALLIANT,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,AMBETTER,AMBETTER,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,BEECH STREET,BEECH STREET,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,CARESOURCE,CARESOURCE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,MEDICAID,MEDICAID,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,MEDICARE,MEDICARE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,NOVA NET,NOVA NET,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,PEACHSTATE,PEACHSTATE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,SELFPAY,SELFPAY,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,TRICARE,TRICARE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER GMRS BUSH DISTAL,C1776,CPT,both,,,837,837,UHC MEDICARE,UHC MEDICARE,,837,,fee schedule,837,728.19,837,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,AETNA,AETNA,,1958.37,87,percent of total billed charges,1958.37,1958.37,2251,percent of total billed charges,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1958.37,87,percent of total billed charges,1958.37,1958.37,2251,percent of total billed charges,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,UNITED HEALTHCARE,UNITED HEALTHCARE,,1980.88,88,percent of total billed charges,1980.88,1958.37,2251,percent of total billed charges,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,AETNA,AETNA,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,ALLIANT,ALLIANT,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,AMBETTER,AMBETTER,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,BEECH STREET,BEECH STREET,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,CARESOURCE,CARESOURCE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,MEDICAID,MEDICAID,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,MEDICARE,MEDICARE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,NOVA NET,NOVA NET,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,PEACHSTATE,PEACHSTATE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,SELFPAY,SELFPAY,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,TRICARE,TRICARE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HEADLESS PIN,C1776,CPT,both,,,2251,2251,UHC MEDICARE,UHC MEDICARE,,2251,,fee schedule,2251,1958.37,2251,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,AETNA,AETNA,,4590.99,87,percent of total billed charges,4590.99,4590.99,5277,percent of total billed charges,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4590.99,87,percent of total billed charges,4590.99,4590.99,5277,percent of total billed charges,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,UNITED HEALTHCARE,UNITED HEALTHCARE,,4643.76,88,percent of total billed charges,4643.76,4590.99,5277,percent of total billed charges,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,AETNA,AETNA,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,ALLIANT,ALLIANT,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,AMBETTER,AMBETTER,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,BEECH STREET,BEECH STREET,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,CARESOURCE,CARESOURCE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,MEDICAID,MEDICAID,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,MEDICARE,MEDICARE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,NOVA NET,NOVA NET,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,PEACHSTATE,PEACHSTATE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,SELFPAY,SELFPAY,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,TRICARE,TRICARE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER HUMERAL ROD,C1776,CPT,both,,,5277,5277,UHC MEDICARE,UHC MEDICARE,,5277,,fee schedule,5277,4590.99,5277,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,AETNA,AETNA,,1433.76,87,percent of total billed charges,1433.76,1433.76,1648,percent of total billed charges,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1433.76,87,percent of total billed charges,1433.76,1433.76,1648,percent of total billed charges,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,UNITED HEALTHCARE,UNITED HEALTHCARE,,1450.24,88,percent of total billed charges,1450.24,1433.76,1648,percent of total billed charges,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,AETNA,AETNA,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,ALLIANT,ALLIANT,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,AMBETTER,AMBETTER,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,BEECH STREET,BEECH STREET,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,CARESOURCE,CARESOURCE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,MEDICAID,MEDICAID,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,MEDICARE,MEDICARE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,NOVA NET,NOVA NET,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,PEACHSTATE,PEACHSTATE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,SELFPAY,SELFPAY,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,TRICARE,TRICARE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER KNEE BUMPER INSER,C1776,CPT,both,,,1648,1648,UHC MEDICARE,UHC MEDICARE,,1648,,fee schedule,1648,1433.76,1648,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,AETNA,AETNA,,2687.43,87,percent of total billed charges,2687.43,2687.43,3089,percent of total billed charges,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2687.43,87,percent of total billed charges,2687.43,2687.43,3089,percent of total billed charges,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,UNITED HEALTHCARE,UNITED HEALTHCARE,,2718.32,88,percent of total billed charges,2718.32,2687.43,3089,percent of total billed charges,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,AETNA,AETNA,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,ALLIANT,ALLIANT,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,AMBETTER,AMBETTER,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,BEECH STREET,BEECH STREET,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,CARESOURCE,CARESOURCE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,MEDICAID,MEDICAID,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,MEDICARE,MEDICARE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,NOVA NET,NOVA NET,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,PEACHSTATE,PEACHSTATE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,SELFPAY,SELFPAY,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,TRICARE,TRICARE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL INSERT,C1776,CPT,both,,,3089,3089,UHC MEDICARE,UHC MEDICARE,,3089,,fee schedule,3089,2687.43,3089,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,AETNA,AETNA,,1211.91,87,percent of total billed charges,1211.91,1211.91,1393,percent of total billed charges,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1211.91,87,percent of total billed charges,1211.91,1211.91,1393,percent of total billed charges,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,UNITED HEALTHCARE,UNITED HEALTHCARE,,1225.84,88,percent of total billed charges,1225.84,1211.91,1393,percent of total billed charges,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,AETNA,AETNA,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,ALLIANT,ALLIANT,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,AMBETTER,AMBETTER,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,BEECH STREET,BEECH STREET,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,CARESOURCE,CARESOURCE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,MEDICAID,MEDICAID,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,MEDICARE,MEDICARE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,NOVA NET,NOVA NET,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,PEACHSTATE,PEACHSTATE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,SELFPAY,SELFPAY,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,TRICARE,TRICARE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRH TIBIAL SLEEVE,C1776,CPT,both,,,1393,1393,UHC MEDICARE,UHC MEDICARE,,1393,,fee schedule,1393,1211.91,1393,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,AETNA,AETNA,,6558.93,87,percent of total billed charges,6558.93,6558.93,7539,percent of total billed charges,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6558.93,87,percent of total billed charges,6558.93,6558.93,7539,percent of total billed charges,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,UNITED HEALTHCARE,UNITED HEALTHCARE,,6634.32,88,percent of total billed charges,6634.32,6558.93,7539,percent of total billed charges,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,AETNA,AETNA,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,ALLIANT,ALLIANT,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,AMBETTER,AMBETTER,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,BEECH STREET,BEECH STREET,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,CARESOURCE,CARESOURCE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,MEDICAID,MEDICAID,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,MEDICARE,MEDICARE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,NOVA NET,NOVA NET,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,PEACHSTATE,PEACHSTATE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,SELFPAY,SELFPAY,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,TRICARE,TRICARE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS CEMENTED STEM,C1776,CPT,both,,,7539,7539,UHC MEDICARE,UHC MEDICARE,,7539,,fee schedule,7539,6558.93,7539,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,AETNA,AETNA,,16925.85,87,percent of total billed charges,16925.85,16925.85,19455,percent of total billed charges,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16925.85,87,percent of total billed charges,16925.85,16925.85,19455,percent of total billed charges,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,UNITED HEALTHCARE,UNITED HEALTHCARE,,17120.4,88,percent of total billed charges,17120.4,16925.85,19455,percent of total billed charges,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,AETNA,AETNA,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,ALLIANT,ALLIANT,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,AMBETTER,AMBETTER,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,BEECH STREET,BEECH STREET,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,CARESOURCE,CARESOURCE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,MEDICAID,MEDICAID,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,MEDICARE,MEDICARE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,NOVA NET,NOVA NET,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,PEACHSTATE,PEACHSTATE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,SELFPAY,SELFPAY,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,TRICARE,TRICARE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER MRS DISTAL FEM CO,C1776,CPT,both,,,19455,19455,UHC MEDICARE,UHC MEDICARE,,19455,,fee schedule,19455,16925.85,19455,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,AETNA,AETNA,,2608.26,87,percent of total billed charges,2608.26,2608.26,2998,percent of total billed charges,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2608.26,87,percent of total billed charges,2608.26,2608.26,2998,percent of total billed charges,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,UNITED HEALTHCARE,UNITED HEALTHCARE,,2638.24,88,percent of total billed charges,2638.24,2608.26,2998,percent of total billed charges,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,AETNA,AETNA,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,ALLIANT,ALLIANT,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,AMBETTER,AMBETTER,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,BEECH STREET,BEECH STREET,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,CARESOURCE,CARESOURCE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,MEDICAID,MEDICAID,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,MEDICARE,MEDICARE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,NOVA NET,NOVA NET,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,PEACHSTATE,PEACHSTATE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,SELFPAY,SELFPAY,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,TRICARE,TRICARE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER PATELLA,C1776,CPT,both,,,2998,2998,UHC MEDICARE,UHC MEDICARE,,2998,,fee schedule,2998,2608.26,2998,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,AETNA,AETNA,,5257.41,87,percent of total billed charges,5257.41,5257.41,6043,percent of total billed charges,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5257.41,87,percent of total billed charges,5257.41,5257.41,6043,percent of total billed charges,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,UNITED HEALTHCARE,UNITED HEALTHCARE,,5317.84,88,percent of total billed charges,5317.84,5257.41,6043,percent of total billed charges,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,AETNA,AETNA,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,ALLIANT,ALLIANT,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,AMBETTER,AMBETTER,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,BEECH STREET,BEECH STREET,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,CARESOURCE,CARESOURCE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,MEDICAID,MEDICAID,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,MEDICARE,MEDICARE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,NOVA NET,NOVA NET,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,PEACHSTATE,PEACHSTATE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,SELFPAY,SELFPAY,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,TRICARE,TRICARE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER POLY INSERT,C1776,CPT,both,,,6043,6043,UHC MEDICARE,UHC MEDICARE,,6043,,fee schedule,6043,5257.41,6043,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,AETNA,AETNA,,4240.38,87,percent of total billed charges,4240.38,4240.38,4874,percent of total billed charges,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4240.38,87,percent of total billed charges,4240.38,4240.38,4874,percent of total billed charges,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,UNITED HEALTHCARE,UNITED HEALTHCARE,,4289.12,88,percent of total billed charges,4289.12,4240.38,4874,percent of total billed charges,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,AETNA,AETNA,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,ALLIANT,ALLIANT,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,AMBETTER,AMBETTER,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,BEECH STREET,BEECH STREET,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,CARESOURCE,CARESOURCE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,MEDICAID,MEDICAID,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,MEDICARE,MEDICARE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,NOVA NET,NOVA NET,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,PEACHSTATE,PEACHSTATE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,SELFPAY,SELFPAY,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,TRICARE,TRICARE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION CUP INSE,C1776,CPT,both,,,4874,4874,UHC MEDICARE,UHC MEDICARE,,4874,,fee schedule,4874,4240.38,4874,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,AETNA,AETNA,,18668.46,87,percent of total billed charges,18668.46,18668.46,21458,percent of total billed charges,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18668.46,87,percent of total billed charges,18668.46,18668.46,21458,percent of total billed charges,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,UNITED HEALTHCARE,UNITED HEALTHCARE,,18883.04,88,percent of total billed charges,18883.04,18668.46,21458,percent of total billed charges,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,AETNA,AETNA,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,ALLIANT,ALLIANT,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,AMBETTER,AMBETTER,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,BEECH STREET,BEECH STREET,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,CARESOURCE,CARESOURCE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,MEDICAID,MEDICAID,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,MEDICARE,MEDICARE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,NOVA NET,NOVA NET,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,PEACHSTATE,PEACHSTATE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,SELFPAY,SELFPAY,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,TRICARE,TRICARE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER REVISION FEMUR,C1776,CPT,both,,,21458,21458,UHC MEDICARE,UHC MEDICARE,,21458,,fee schedule,21458,18668.46,21458,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,AETNA,AETNA,,4557.06,87,percent of total billed charges,4557.06,4557.06,5238,percent of total billed charges,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4557.06,87,percent of total billed charges,4557.06,4557.06,5238,percent of total billed charges,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,UNITED HEALTHCARE,UNITED HEALTHCARE,,4609.44,88,percent of total billed charges,4609.44,4557.06,5238,percent of total billed charges,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,AETNA,AETNA,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,ALLIANT,ALLIANT,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,AMBETTER,AMBETTER,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,BEECH STREET,BEECH STREET,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,CARESOURCE,CARESOURCE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,MEDICAID,MEDICAID,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,MEDICARE,MEDICARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,NOVA NET,NOVA NET,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,PEACHSTATE,PEACHSTATE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,SELFPAY,SELFPAY,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,TRICARE,TRICARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA CONCEN GLENOS,C1776,CPT,both,,,5238,5238,UHC MEDICARE,UHC MEDICARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,AETNA,AETNA,,4557.06,87,percent of total billed charges,4557.06,4557.06,5238,percent of total billed charges,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4557.06,87,percent of total billed charges,4557.06,4557.06,5238,percent of total billed charges,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,UNITED HEALTHCARE,UNITED HEALTHCARE,,4609.44,88,percent of total billed charges,4609.44,4557.06,5238,percent of total billed charges,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,AETNA,AETNA,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,ALLIANT,ALLIANT,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,AMBETTER,AMBETTER,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,BEECH STREET,BEECH STREET,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,CARESOURCE,CARESOURCE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,MEDICAID,MEDICAID,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,MEDICARE,MEDICARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,NOVA NET,NOVA NET,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,PEACHSTATE,PEACHSTATE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,SELFPAY,SELFPAY,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,TRICARE,TRICARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA HUMERAL CUP,C1776,CPT,both,,,5238,5238,UHC MEDICARE,UHC MEDICARE,,5238,,fee schedule,5238,4557.06,5238,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,AETNA,AETNA,,12385.32,87,percent of total billed charges,12385.32,12385.32,14236,percent of total billed charges,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12385.32,87,percent of total billed charges,12385.32,12385.32,14236,percent of total billed charges,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,UNITED HEALTHCARE,UNITED HEALTHCARE,,12527.68,88,percent of total billed charges,12527.68,12385.32,14236,percent of total billed charges,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,AETNA,AETNA,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,ALLIANT,ALLIANT,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,AMBETTER,AMBETTER,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,BEECH STREET,BEECH STREET,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,CARESOURCE,CARESOURCE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,MEDICAID,MEDICAID,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,MEDICARE,MEDICARE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,NOVA NET,NOVA NET,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,PEACHSTATE,PEACHSTATE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,SELFPAY,SELFPAY,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,TRICARE,TRICARE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER RVRS TSA MODLR HUMERAL,C1776,CPT,both,,,14236,14236,UHC MEDICARE,UHC MEDICARE,,14236,,fee schedule,14236,12385.32,14236,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,AETNA,AETNA,,3640.95,87,percent of total billed charges,3640.95,3640.95,4185,percent of total billed charges,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3640.95,87,percent of total billed charges,3640.95,3640.95,4185,percent of total billed charges,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,UNITED HEALTHCARE,UNITED HEALTHCARE,,3682.8,88,percent of total billed charges,3682.8,3640.95,4185,percent of total billed charges,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,AETNA,AETNA,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,ALLIANT,ALLIANT,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,AMBETTER,AMBETTER,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,BEECH STREET,BEECH STREET,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,CARESOURCE,CARESOURCE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,MEDICAID,MEDICAID,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,MEDICARE,MEDICARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,NOVA NET,NOVA NET,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,PEACHSTATE,PEACHSTATE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,SELFPAY,SELFPAY,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,TRICARE,TRICARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER SMART TOE,C1776,CPT,both,,,4185,4185,UHC MEDICARE,UHC MEDICARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STABILIZER TIB INSERT,C1776,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,AETNA,AETNA,,3553.08,87,percent of total billed charges,3553.08,3553.08,4084,percent of total billed charges,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3553.08,87,percent of total billed charges,3553.08,3553.08,4084,percent of total billed charges,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,UNITED HEALTHCARE,UNITED HEALTHCARE,,3593.92,88,percent of total billed charges,3593.92,3553.08,4084,percent of total billed charges,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,AETNA,AETNA,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,ALLIANT,ALLIANT,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,AMBETTER,AMBETTER,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,BEECH STREET,BEECH STREET,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,CARESOURCE,CARESOURCE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,MEDICAID,MEDICAID,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,MEDICARE,MEDICARE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,NOVA NET,NOVA NET,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,PEACHSTATE,PEACHSTATE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,SELFPAY,SELFPAY,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,TRICARE,TRICARE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER STEM EXTENDER,C1776,CPT,both,,,4084,4084,UHC MEDICARE,UHC MEDICARE,,4084,,fee schedule,4084,3553.08,4084,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,AETNA,AETNA,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,UNITED HEALTHCARE,UNITED HEALTHCARE,,2801.04,88,percent of total billed charges,2801.04,2769.21,3183,percent of total billed charges,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,AETNA,AETNA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,ALLIANT,ALLIANT,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,AMBETTER,AMBETTER,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,BEECH STREET,BEECH STREET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,CARESOURCE,CARESOURCE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,MEDICAID,MEDICAID,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,MEDICARE,MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,NOVA NET,NOVA NET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,PEACHSTATE,PEACHSTATE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,SELFPAY,SELFPAY,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,TRICARE,TRICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL INSERT,C1776,CPT,both,,,3183,3183,UHC MEDICARE,UHC MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,AETNA,AETNA,,6695.52,87,percent of total billed charges,6695.52,6695.52,7696,percent of total billed charges,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6695.52,87,percent of total billed charges,6695.52,6695.52,7696,percent of total billed charges,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,UNITED HEALTHCARE,UNITED HEALTHCARE,,6772.48,88,percent of total billed charges,6772.48,6695.52,7696,percent of total billed charges,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,AETNA,AETNA,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,ALLIANT,ALLIANT,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,AMBETTER,AMBETTER,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,BEECH STREET,BEECH STREET,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,CARESOURCE,CARESOURCE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,MEDICAID,MEDICAID,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,MEDICARE,MEDICARE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,NOVA NET,NOVA NET,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,PEACHSTATE,PEACHSTATE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,SELFPAY,SELFPAY,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,TRICARE,TRICARE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL ROTATING C,C1776,CPT,both,,,7696,7696,UHC MEDICARE,UHC MEDICARE,,7696,,fee schedule,7696,6695.52,7696,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,1201.47,1381,percent of total billed charges,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,1201.47,1381,percent of total billed charges,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,1201.47,1381,percent of total billed charges,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,TRICARE,TRICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TIBIAL SLEEVE,C1776,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,AETNA,AETNA,,2840.55,87,percent of total billed charges,2840.55,2840.55,3265,percent of total billed charges,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2840.55,87,percent of total billed charges,2840.55,2840.55,3265,percent of total billed charges,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,UNITED HEALTHCARE,UNITED HEALTHCARE,,2873.2,88,percent of total billed charges,2873.2,2840.55,3265,percent of total billed charges,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,AETNA,AETNA,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,ALLIANT,ALLIANT,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,AMBETTER,AMBETTER,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,BEECH STREET,BEECH STREET,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,CARESOURCE,CARESOURCE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,MEDICAID,MEDICAID,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,MEDICARE,MEDICARE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,NOVA NET,NOVA NET,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,PEACHSTATE,PEACHSTATE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,SELFPAY,SELFPAY,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,TRICARE,TRICARE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOE TAC XPRESS KIT,C1776,CPT,both,,,3265,3265,UHC MEDICARE,UHC MEDICARE,,3265,,fee schedule,3265,2840.55,3265,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,AETNA,AETNA,,3712.29,87,percent of total billed charges,3712.29,3712.29,4267,percent of total billed charges,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3712.29,87,percent of total billed charges,3712.29,3712.29,4267,percent of total billed charges,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,UNITED HEALTHCARE,UNITED HEALTHCARE,,3754.96,88,percent of total billed charges,3754.96,3712.29,4267,percent of total billed charges,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,AETNA,AETNA,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,ALLIANT,ALLIANT,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,AMBETTER,AMBETTER,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,BEECH STREET,BEECH STREET,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,CARESOURCE,CARESOURCE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,MEDICAID,MEDICAID,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,MEDICARE,MEDICARE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,NOVA NET,NOVA NET,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,PEACHSTATE,PEACHSTATE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,SELFPAY,SELFPAY,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,TRICARE,TRICARE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOT KNEE AUGMENTS,C1776,CPT,both,,,4267,4267,UHC MEDICARE,UHC MEDICARE,,4267,,fee schedule,4267,3712.29,4267,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,AETNA,AETNA,,18437.04,87,percent of total billed charges,18437.04,18437.04,21192,percent of total billed charges,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18437.04,87,percent of total billed charges,18437.04,18437.04,21192,percent of total billed charges,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,UNITED HEALTHCARE,UNITED HEALTHCARE,,18648.96,88,percent of total billed charges,18648.96,18437.04,21192,percent of total billed charges,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,AETNA,AETNA,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,ALLIANT,ALLIANT,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,AMBETTER,AMBETTER,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,BEECH STREET,BEECH STREET,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,CARESOURCE,CARESOURCE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,MEDICAID,MEDICAID,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,MEDICARE,MEDICARE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,NOVA NET,NOVA NET,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,PEACHSTATE,PEACHSTATE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,SELFPAY,SELFPAY,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,TRICARE,TRICARE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE (4 COM,C1776,CPT,both,,,21192,21192,UHC MEDICARE,UHC MEDICARE,,21192,,fee schedule,21192,18437.04,21192,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,AETNA,AETNA,,3914.13,87,percent of total billed charges,3914.13,3914.13,4499,percent of total billed charges,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3914.13,87,percent of total billed charges,3914.13,3914.13,4499,percent of total billed charges,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,UNITED HEALTHCARE,UNITED HEALTHCARE,,3959.12,88,percent of total billed charges,3959.12,3914.13,4499,percent of total billed charges,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,AETNA,AETNA,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,ALLIANT,ALLIANT,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,AMBETTER,AMBETTER,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,BEECH STREET,BEECH STREET,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,CARESOURCE,CARESOURCE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,MEDICAID,MEDICAID,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,MEDICARE,MEDICARE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,NOVA NET,NOVA NET,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,PEACHSTATE,PEACHSTATE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,SELFPAY,SELFPAY,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,TRICARE,TRICARE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TOTAL KNEE STEM,C1776,CPT,both,,,4499,4499,UHC MEDICARE,UHC MEDICARE,,4499,,fee schedule,4499,3914.13,4499,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,AETNA,AETNA,,10009.35,87,percent of total billed charges,10009.35,10009.35,11505,percent of total billed charges,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10009.35,87,percent of total billed charges,10009.35,10009.35,11505,percent of total billed charges,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,UNITED HEALTHCARE,UNITED HEALTHCARE,,10124.4,88,percent of total billed charges,10124.4,10009.35,11505,percent of total billed charges,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,AETNA,AETNA,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,ALLIANT,ALLIANT,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,AMBETTER,AMBETTER,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,BEECH STREET,BEECH STREET,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,CARESOURCE,CARESOURCE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,MEDICAID,MEDICAID,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,MEDICARE,MEDICARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,NOVA NET,NOVA NET,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,PEACHSTATE,PEACHSTATE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,SELFPAY,SELFPAY,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,TRICARE,TRICARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
STRYKER TRIDENT LINER,C1776,CPT,both,,,11505,11505,UHC MEDICARE,UHC MEDICARE,,11505,,fee schedule,11505,10009.35,11505,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,AETNA,AETNA,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1612.98,87,percent of total billed charges,1612.98,1612.98,1854,percent of total billed charges,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,UNITED HEALTHCARE,UNITED HEALTHCARE,,1631.52,88,percent of total billed charges,1631.52,1612.98,1854,percent of total billed charges,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,AETNA,AETNA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,ALLIANT,ALLIANT,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,AMBETTER,AMBETTER,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,BEECH STREET,BEECH STREET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,CARESOURCE,CARESOURCE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,MEDICAID,MEDICAID,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,MEDICARE,MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,NOVA NET,NOVA NET,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,PEACHSTATE,PEACHSTATE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,SELFPAY,SELFPAY,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,TRICARE,TRICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES CSLP PLATE,C1776,CPT,both,,,1854,1854,UHC MEDICARE,UHC MEDICARE,,1854,,fee schedule,1854,1612.98,1854,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,AETNA,AETNA,,3760.14,87,percent of total billed charges,3760.14,3760.14,4322,percent of total billed charges,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3760.14,87,percent of total billed charges,3760.14,3760.14,4322,percent of total billed charges,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,UNITED HEALTHCARE,UNITED HEALTHCARE,,3803.36,88,percent of total billed charges,3803.36,3760.14,4322,percent of total billed charges,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,AETNA,AETNA,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,ALLIANT,ALLIANT,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,AMBETTER,AMBETTER,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,BEECH STREET,BEECH STREET,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,CARESOURCE,CARESOURCE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,MEDICAID,MEDICAID,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,MEDICARE,MEDICARE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,NOVA NET,NOVA NET,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,PEACHSTATE,PEACHSTATE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,SELFPAY,SELFPAY,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,TRICARE,TRICARE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES FEMORAL NAIL TI,C1776,CPT,both,,,4322,4322,UHC MEDICARE,UHC MEDICARE,,4322,,fee schedule,4322,3760.14,4322,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,AETNA,AETNA,,872.61,87,percent of total billed charges,872.61,872.61,1003,percent of total billed charges,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,872.61,87,percent of total billed charges,872.61,872.61,1003,percent of total billed charges,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,UNITED HEALTHCARE,UNITED HEALTHCARE,,882.64,88,percent of total billed charges,882.64,872.61,1003,percent of total billed charges,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,AETNA,AETNA,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,ALLIANT,ALLIANT,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,AMBETTER,AMBETTER,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,BEECH STREET,BEECH STREET,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,CARESOURCE,CARESOURCE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,MEDICAID,MEDICAID,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,MEDICARE,MEDICARE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,NOVA NET,NOVA NET,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,PEACHSTATE,PEACHSTATE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,SELFPAY,SELFPAY,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,TRICARE,TRICARE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES RIA HEAD,C1776,CPT,both,,,1003,1003,UHC MEDICARE,UHC MEDICARE,,1003,,fee schedule,1003,872.61,1003,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,AETNA,AETNA,,2239.38,87,percent of total billed charges,2239.38,2239.38,2574,percent of total billed charges,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2239.38,87,percent of total billed charges,2239.38,2239.38,2574,percent of total billed charges,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,UNITED HEALTHCARE,UNITED HEALTHCARE,,2265.12,88,percent of total billed charges,2265.12,2239.38,2574,percent of total billed charges,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,AETNA,AETNA,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,ALLIANT,ALLIANT,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,AMBETTER,AMBETTER,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,BEECH STREET,BEECH STREET,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,CARESOURCE,CARESOURCE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,MEDICAID,MEDICAID,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,MEDICARE,MEDICARE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,NOVA NET,NOVA NET,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,PEACHSTATE,PEACHSTATE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,SELFPAY,SELFPAY,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,TRICARE,TRICARE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES SPINE PLATE 487.3,C1776,CPT,both,,,2574,2574,UHC MEDICARE,UHC MEDICARE,,2574,,fee schedule,2574,2239.38,2574,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,AETNA,AETNA,,531.57,87,percent of total billed charges,531.57,531.57,611,percent of total billed charges,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,531.57,87,percent of total billed charges,531.57,531.57,611,percent of total billed charges,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,UNITED HEALTHCARE,UNITED HEALTHCARE,,537.68,88,percent of total billed charges,537.68,531.57,611,percent of total billed charges,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,AETNA,AETNA,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,ALLIANT,ALLIANT,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,AMBETTER,AMBETTER,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,BEECH STREET,BEECH STREET,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,MEDICAID,MEDICAID,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,MEDICARE,MEDICARE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,NOVA NET,NOVA NET,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,SELFPAY,SELFPAY,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,TRICARE,TRICARE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES T PLT 8 HOLE X 14,C1776,CPT,both,,,611,611,UHC MEDICARE,UHC MEDICARE,,611,,fee schedule,611,531.57,611,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,AETNA,AETNA,,2977.14,87,percent of total billed charges,2977.14,2977.14,3422,percent of total billed charges,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2977.14,87,percent of total billed charges,2977.14,2977.14,3422,percent of total billed charges,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,UNITED HEALTHCARE,UNITED HEALTHCARE,,3011.36,88,percent of total billed charges,3011.36,2977.14,3422,percent of total billed charges,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,AETNA,AETNA,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,ALLIANT,ALLIANT,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,AMBETTER,AMBETTER,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,BEECH STREET,BEECH STREET,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,CARESOURCE,CARESOURCE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,MEDICAID,MEDICAID,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,MEDICARE,MEDICARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,NOVA NET,NOVA NET,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,PEACHSTATE,PEACHSTATE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,SELFPAY,SELFPAY,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,TRICARE,TRICARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
SYNTHES TRAUMA WRIST PLATE,C1776,CPT,both,,,3422,3422,UHC MEDICARE,UHC MEDICARE,,3422,,fee schedule,3422,2977.14,3422,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,AETNA,AETNA,,887.4,87,percent of total billed charges,887.4,887.4,1020,percent of total billed charges,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,887.4,87,percent of total billed charges,887.4,887.4,1020,percent of total billed charges,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,UNITED HEALTHCARE,UNITED HEALTHCARE,,897.6,88,percent of total billed charges,897.6,887.4,1020,percent of total billed charges,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,AETNA,AETNA,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,ALLIANT,ALLIANT,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,AMBETTER,AMBETTER,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,BEECH STREET,BEECH STREET,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,CARESOURCE,CARESOURCE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,MEDICAID,MEDICAID,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,MEDICARE,MEDICARE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,NOVA NET,NOVA NET,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,PEACHSTATE,PEACHSTATE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,SELFPAY,SELFPAY,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,TRICARE,TRICARE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
THOMP PROSTHES-1 1/2 X1 1,C1776,CPT,both,,,1020,1020,UHC MEDICARE,UHC MEDICARE,,1020,,fee schedule,1020,887.4,1020,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,AETNA,AETNA,,10753.2,87,percent of total billed charges,10753.2,10753.2,12360,percent of total billed charges,
TIBIA,C1776,CPT,both,,,12360,12360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10753.2,87,percent of total billed charges,10753.2,10753.2,12360,percent of total billed charges,
TIBIA,C1776,CPT,both,,,12360,12360,UNITED HEALTHCARE,UNITED HEALTHCARE,,10876.8,88,percent of total billed charges,10876.8,10753.2,12360,percent of total billed charges,
TIBIA,C1776,CPT,both,,,12360,12360,AETNA,AETNA,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,ALLIANT,ALLIANT,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,AMBETTER,AMBETTER,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,BEECH STREET,BEECH STREET,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,CARESOURCE,CARESOURCE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,MEDICAID,MEDICAID,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,MEDICARE,MEDICARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,NOVA NET,NOVA NET,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,PEACHSTATE,PEACHSTATE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,SELFPAY,SELFPAY,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,TRICARE,TRICARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIA,C1776,CPT,both,,,12360,12360,UHC MEDICARE,UHC MEDICARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,AETNA,AETNA,,2676.99,87,percent of total billed charges,2676.99,2676.99,3077,percent of total billed charges,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2676.99,87,percent of total billed charges,2676.99,2676.99,3077,percent of total billed charges,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,UNITED HEALTHCARE,UNITED HEALTHCARE,,2707.76,88,percent of total billed charges,2707.76,2676.99,3077,percent of total billed charges,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,AETNA,AETNA,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,ALLIANT,ALLIANT,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,AMBETTER,AMBETTER,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,BEECH STREET,BEECH STREET,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,CARESOURCE,CARESOURCE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,MEDICAID,MEDICAID,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,MEDICARE,MEDICARE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,NOVA NET,NOVA NET,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,PEACHSTATE,PEACHSTATE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,SELFPAY,SELFPAY,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,TRICARE,TRICARE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL BASEPLATE BEARING,C1776,CPT,both,,,3077,3077,UHC MEDICARE,UHC MEDICARE,,3077,,fee schedule,3077,2676.99,3077,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,AETNA,AETNA,,1901.82,87,percent of total billed charges,1901.82,1901.82,2186,percent of total billed charges,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1901.82,87,percent of total billed charges,1901.82,1901.82,2186,percent of total billed charges,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,UNITED HEALTHCARE,UNITED HEALTHCARE,,1923.68,88,percent of total billed charges,1923.68,1901.82,2186,percent of total billed charges,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,AETNA,AETNA,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,ALLIANT,ALLIANT,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,AMBETTER,AMBETTER,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,BEECH STREET,BEECH STREET,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,CARESOURCE,CARESOURCE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,MEDICAID,MEDICAID,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,MEDICARE,MEDICARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,NOVA NET,NOVA NET,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,PEACHSTATE,PEACHSTATE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,SELFPAY,SELFPAY,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,TRICARE,TRICARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT FIXED,C1776,CPT,both,,,2186,2186,UHC MEDICARE,UHC MEDICARE,,2186,,fee schedule,2186,1901.82,2186,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,AETNA,AETNA,,6819.06,87,percent of total billed charges,6819.06,6819.06,7838,percent of total billed charges,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6819.06,87,percent of total billed charges,6819.06,6819.06,7838,percent of total billed charges,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,UNITED HEALTHCARE,UNITED HEALTHCARE,,6897.44,88,percent of total billed charges,6897.44,6819.06,7838,percent of total billed charges,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,AETNA,AETNA,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,ALLIANT,ALLIANT,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,AMBETTER,AMBETTER,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,BEECH STREET,BEECH STREET,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,CARESOURCE,CARESOURCE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,MEDICAID,MEDICAID,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,MEDICARE,MEDICARE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,NOVA NET,NOVA NET,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,PEACHSTATE,PEACHSTATE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,SELFPAY,SELFPAY,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,TRICARE,TRICARE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT ROTAT PLTFRM,C1776,CPT,both,,,7838,7838,UHC MEDICARE,UHC MEDICARE,,7838,,fee schedule,7838,6819.06,7838,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,AETNA,AETNA,,2187.18,87,percent of total billed charges,2187.18,2187.18,2514,percent of total billed charges,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2187.18,87,percent of total billed charges,2187.18,2187.18,2514,percent of total billed charges,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,UNITED HEALTHCARE,UNITED HEALTHCARE,,2212.32,88,percent of total billed charges,2212.32,2187.18,2514,percent of total billed charges,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,AETNA,AETNA,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,ALLIANT,ALLIANT,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,AMBETTER,AMBETTER,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,BEECH STREET,BEECH STREET,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,CARESOURCE,CARESOURCE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,MEDICAID,MEDICAID,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,MEDICARE,MEDICARE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,NOVA NET,NOVA NET,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,PEACHSTATE,PEACHSTATE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,SELFPAY,SELFPAY,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,TRICARE,TRICARE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL INSERT UNICONDYLAR,C1776,CPT,both,,,2514,2514,UHC MEDICARE,UHC MEDICARE,,2514,,fee schedule,2514,2187.18,2514,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY 79MM,C1776,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,AETNA,AETNA,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,UNITED HEALTHCARE,UNITED HEALTHCARE,,2884.64,88,percent of total billed charges,2884.64,2851.86,3278,percent of total billed charges,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,AETNA,AETNA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,ALLIANT,ALLIANT,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,AMBETTER,AMBETTER,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,BEECH STREET,BEECH STREET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,CARESOURCE,CARESOURCE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,MEDICAID,MEDICAID,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,MEDICARE,MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,NOVA NET,NOVA NET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,PEACHSTATE,PEACHSTATE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,SELFPAY,SELFPAY,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,TRICARE,TRICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY COMPONENT,C1776,CPT,both,,,3278,3278,UHC MEDICARE,UHC MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2377.71,87,percent of total billed charges,2377.71,2377.71,2733,percent of total billed charges,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,UNITED HEALTHCARE,UNITED HEALTHCARE,,2405.04,88,percent of total billed charges,2405.04,2377.71,2733,percent of total billed charges,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,AETNA,AETNA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,ALLIANT,ALLIANT,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,AMBETTER,AMBETTER,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,BEECH STREET,BEECH STREET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,CARESOURCE,CARESOURCE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,MEDICAID,MEDICAID,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,MEDICARE,MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,NOVA NET,NOVA NET,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,PEACHSTATE,PEACHSTATE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,SELFPAY,SELFPAY,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,TRICARE,TRICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TIBIAL TRAY FIXED MOD,C1776,CPT,both,,,2733,2733,UHC MEDICARE,UHC MEDICARE,,2733,,fee schedule,2733,2377.71,2733,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,AETNA,AETNA,,6809.49,87,percent of total billed charges,6809.49,6809.49,7827,percent of total billed charges,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6809.49,87,percent of total billed charges,6809.49,6809.49,7827,percent of total billed charges,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,UNITED HEALTHCARE,UNITED HEALTHCARE,,6887.76,88,percent of total billed charges,6887.76,6809.49,7827,percent of total billed charges,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,AETNA,AETNA,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,ALLIANT,ALLIANT,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,AMBETTER,AMBETTER,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,BEECH STREET,BEECH STREET,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,CARESOURCE,CARESOURCE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,MEDICAID,MEDICAID,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,MEDICARE,MEDICARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,NOVA NET,NOVA NET,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,PEACHSTATE,PEACHSTATE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,SELFPAY,SELFPAY,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,TRICARE,TRICARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X5MM,C1776,CPT,both,,,7827,7827,UHC MEDICARE,UHC MEDICARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,AETNA,AETNA,,6809.49,87,percent of total billed charges,6809.49,6809.49,7827,percent of total billed charges,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6809.49,87,percent of total billed charges,6809.49,6809.49,7827,percent of total billed charges,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,UNITED HEALTHCARE,UNITED HEALTHCARE,,6887.76,88,percent of total billed charges,6887.76,6809.49,7827,percent of total billed charges,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,AETNA,AETNA,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,ALLIANT,ALLIANT,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,AMBETTER,AMBETTER,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,BEECH STREET,BEECH STREET,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,CARESOURCE,CARESOURCE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,MEDICAID,MEDICAID,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,MEDICARE,MEDICARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,NOVA NET,NOVA NET,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,PEACHSTATE,PEACHSTATE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,SELFPAY,SELFPAY,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,TRICARE,TRICARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TITAN ENDO TCS 12X14X6MM GRAFT,C1776,CPT,both,,,7827,7827,UHC MEDICARE,UHC MEDICARE,,7827,,fee schedule,7827,6809.49,7827,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,AETNA,AETNA,,4127.28,87,percent of total billed charges,4127.28,4127.28,4744,percent of total billed charges,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4127.28,87,percent of total billed charges,4127.28,4127.28,4744,percent of total billed charges,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,UNITED HEALTHCARE,UNITED HEALTHCARE,,4174.72,88,percent of total billed charges,4174.72,4127.28,4744,percent of total billed charges,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,AETNA,AETNA,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,ALLIANT,ALLIANT,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,AMBETTER,AMBETTER,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,BEECH STREET,BEECH STREET,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,CARESOURCE,CARESOURCE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,MEDICAID,MEDICAID,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,MEDICARE,MEDICARE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,NOVA NET,NOVA NET,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,PEACHSTATE,PEACHSTATE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,SELFPAY,SELFPAY,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,TRICARE,TRICARE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL HUMERAL METAPHY,C1776,CPT,both,,,4744,4744,UHC MEDICARE,UHC MEDICARE,,4744,,fee schedule,4744,4127.28,4744,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,AETNA,AETNA,,1899.21,87,percent of total billed charges,1899.21,1899.21,2183,percent of total billed charges,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1899.21,87,percent of total billed charges,1899.21,1899.21,2183,percent of total billed charges,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,UNITED HEALTHCARE,UNITED HEALTHCARE,,1921.04,88,percent of total billed charges,1921.04,1899.21,2183,percent of total billed charges,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,AETNA,AETNA,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,ALLIANT,ALLIANT,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,AMBETTER,AMBETTER,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,BEECH STREET,BEECH STREET,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,CARESOURCE,CARESOURCE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,MEDICAID,MEDICAID,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,MEDICARE,MEDICARE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,NOVA NET,NOVA NET,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,PEACHSTATE,PEACHSTATE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,SELFPAY,SELFPAY,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,TRICARE,TRICARE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOUL LATERALIZED SPA,C1776,CPT,both,,,2183,2183,UHC MEDICARE,UHC MEDICARE,,2183,,fee schedule,2183,1899.21,2183,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,AETNA,AETNA,,9655.26,87,percent of total billed charges,9655.26,9655.26,11098,percent of total billed charges,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9655.26,87,percent of total billed charges,9655.26,9655.26,11098,percent of total billed charges,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,UNITED HEALTHCARE,UNITED HEALTHCARE,,9766.24,88,percent of total billed charges,9766.24,9655.26,11098,percent of total billed charges,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,AETNA,AETNA,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,ALLIANT,ALLIANT,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,AMBETTER,AMBETTER,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,BEECH STREET,BEECH STREET,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,CARESOURCE,CARESOURCE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,MEDICAID,MEDICAID,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,MEDICARE,MEDICARE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,NOVA NET,NOVA NET,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,PEACHSTATE,PEACHSTATE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,SELFPAY,SELFPAY,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,TRICARE,TRICARE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL HEAD,C1776,CPT,both,,,11098,11098,UHC MEDICARE,UHC MEDICARE,,11098,,fee schedule,11098,9655.26,11098,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,AETNA,AETNA,,11649.3,87,percent of total billed charges,11649.3,11649.3,13390,percent of total billed charges,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11649.3,87,percent of total billed charges,11649.3,11649.3,13390,percent of total billed charges,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,UNITED HEALTHCARE,UNITED HEALTHCARE,,11783.2,88,percent of total billed charges,11783.2,11649.3,13390,percent of total billed charges,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,AETNA,AETNA,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,ALLIANT,ALLIANT,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,AMBETTER,AMBETTER,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,BEECH STREET,BEECH STREET,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,CARESOURCE,CARESOURCE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,MEDICAID,MEDICAID,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,MEDICARE,MEDICARE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,NOVA NET,NOVA NET,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,PEACHSTATE,PEACHSTATE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,SELFPAY,SELFPAY,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,TRICARE,TRICARE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOT SHOULDER HUMERAL STEM,C1776,CPT,both,,,13390,13390,UHC MEDICARE,UHC MEDICARE,,13390,,fee schedule,13390,11649.3,13390,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,AETNA,AETNA,,7337.58,87,percent of total billed charges,7337.58,7337.58,8434,percent of total billed charges,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7337.58,87,percent of total billed charges,7337.58,7337.58,8434,percent of total billed charges,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,UNITED HEALTHCARE,UNITED HEALTHCARE,,7421.92,88,percent of total billed charges,7421.92,7337.58,8434,percent of total billed charges,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,AETNA,AETNA,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,ALLIANT,ALLIANT,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,AMBETTER,AMBETTER,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,BEECH STREET,BEECH STREET,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,CARESOURCE,CARESOURCE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,MEDICAID,MEDICAID,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,MEDICARE,MEDICARE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,NOVA NET,NOVA NET,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,PEACHSTATE,PEACHSTATE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,SELFPAY,SELFPAY,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,TRICARE,TRICARE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP PROSTHESIS 9026,C1776,CPT,both,,,8434,8434,UHC MEDICARE,UHC MEDICARE,,8434,,fee schedule,8434,7337.58,8434,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,AETNA,AETNA,,12222.63,87,percent of total billed charges,12222.63,12222.63,14049,percent of total billed charges,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12222.63,87,percent of total billed charges,12222.63,12222.63,14049,percent of total billed charges,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,UNITED HEALTHCARE,UNITED HEALTHCARE,,12363.12,88,percent of total billed charges,12363.12,12222.63,14049,percent of total billed charges,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,AETNA,AETNA,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,ALLIANT,ALLIANT,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,AMBETTER,AMBETTER,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,BEECH STREET,BEECH STREET,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,CARESOURCE,CARESOURCE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,MEDICAID,MEDICAID,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,MEDICARE,MEDICARE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,NOVA NET,NOVA NET,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,PEACHSTATE,PEACHSTATE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,SELFPAY,SELFPAY,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,TRICARE,TRICARE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL HIP- SPECIAL,C1776,CPT,both,,,14049,14049,UHC MEDICARE,UHC MEDICARE,,14049,,fee schedule,14049,12222.63,14049,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,AETNA,AETNA,,11624.94,87,percent of total billed charges,11624.94,11624.94,13362,percent of total billed charges,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11624.94,87,percent of total billed charges,11624.94,11624.94,13362,percent of total billed charges,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,UNITED HEALTHCARE,UNITED HEALTHCARE,,11758.56,88,percent of total billed charges,11758.56,11624.94,13362,percent of total billed charges,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,AETNA,AETNA,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,ALLIANT,ALLIANT,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,AMBETTER,AMBETTER,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,BEECH STREET,BEECH STREET,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,CARESOURCE,CARESOURCE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,MEDICAID,MEDICAID,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,MEDICARE,MEDICARE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,NOVA NET,NOVA NET,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,PEACHSTATE,PEACHSTATE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,SELFPAY,SELFPAY,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,TRICARE,TRICARE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE- SPECIAL,C1776,CPT,both,,,13362,13362,UHC MEDICARE,UHC MEDICARE,,13362,,fee schedule,13362,11624.94,13362,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,AETNA,AETNA,,7285.38,87,percent of total billed charges,7285.38,7285.38,8374,percent of total billed charges,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7285.38,87,percent of total billed charges,7285.38,7285.38,8374,percent of total billed charges,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,UNITED HEALTHCARE,UNITED HEALTHCARE,,7369.12,88,percent of total billed charges,7369.12,7285.38,8374,percent of total billed charges,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,AETNA,AETNA,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,ALLIANT,ALLIANT,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,AMBETTER,AMBETTER,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,BEECH STREET,BEECH STREET,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,CARESOURCE,CARESOURCE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,MEDICAID,MEDICAID,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,MEDICARE,MEDICARE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,NOVA NET,NOVA NET,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,PEACHSTATE,PEACHSTATE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,SELFPAY,SELFPAY,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,TRICARE,TRICARE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL KNEE-UNICOMPARTMENT,C1776,CPT,both,,,8374,8374,UHC MEDICARE,UHC MEDICARE,,8374,,fee schedule,8374,7285.38,8374,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,AETNA,AETNA,,5824.65,87,percent of total billed charges,5824.65,5824.65,6695,percent of total billed charges,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5824.65,87,percent of total billed charges,5824.65,5824.65,6695,percent of total billed charges,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,UNITED HEALTHCARE,UNITED HEALTHCARE,,5891.6,88,percent of total billed charges,5891.6,5824.65,6695,percent of total billed charges,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,AETNA,AETNA,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,ALLIANT,ALLIANT,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,AMBETTER,AMBETTER,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,BEECH STREET,BEECH STREET,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,CARESOURCE,CARESOURCE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,MEDICAID,MEDICAID,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,MEDICARE,MEDICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,NOVA NET,NOVA NET,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,PEACHSTATE,PEACHSTATE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,SELFPAY,SELFPAY,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,TRICARE,TRICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TOTAL SHOULDER GLENOID SP,C1776,CPT,both,,,6695,6695,UHC MEDICARE,UHC MEDICARE,,6695,,fee schedule,6695,5824.65,6695,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,AETNA,AETNA,,690.78,87,percent of total billed charges,690.78,690.78,794,percent of total billed charges,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,690.78,87,percent of total billed charges,690.78,690.78,794,percent of total billed charges,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,UNITED HEALTHCARE,UNITED HEALTHCARE,,698.72,88,percent of total billed charges,698.72,690.78,794,percent of total billed charges,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,AETNA,AETNA,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,ALLIANT,ALLIANT,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,AMBETTER,AMBETTER,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,BEECH STREET,BEECH STREET,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,CARESOURCE,CARESOURCE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,MEDICAID,MEDICAID,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,MEDICARE,MEDICARE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,NOVA NET,NOVA NET,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,PEACHSTATE,PEACHSTATE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,SELFPAY,SELFPAY,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,TRICARE,TRICARE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/3,C1776,CPT,both,,,794,794,UHC MEDICARE,UHC MEDICARE,,794,,fee schedule,794,690.78,794,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,AETNA,AETNA,,153.12,87,percent of total billed charges,153.12,153.12,176,percent of total billed charges,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153.12,87,percent of total billed charges,153.12,153.12,176,percent of total billed charges,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,UNITED HEALTHCARE,UNITED HEALTHCARE,,154.88,88,percent of total billed charges,154.88,153.12,176,percent of total billed charges,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,AETNA,AETNA,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,ALLIANT,ALLIANT,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,AMBETTER,AMBETTER,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,BEECH STREET,BEECH STREET,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,MEDICAID,MEDICAID,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,MEDICARE,MEDICARE,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,NOVA NET,NOVA NET,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,SELFPAY,SELFPAY,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,TRICARE,TRICARE,,176,,fee schedule,176,153.12,176,fee schedule,
TUBULAR PLT 1/4 242.13-24,C1776,CPT,both,,,176,176,UHC MEDICARE,UHC MEDICARE,,176,,fee schedule,176,153.12,176,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,AETNA,AETNA,,5187.81,87,percent of total billed charges,5187.81,5187.81,5963,percent of total billed charges,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5187.81,87,percent of total billed charges,5187.81,5187.81,5963,percent of total billed charges,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,UNITED HEALTHCARE,UNITED HEALTHCARE,,5247.44,88,percent of total billed charges,5247.44,5187.81,5963,percent of total billed charges,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,AETNA,AETNA,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,ALLIANT,ALLIANT,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,AMBETTER,AMBETTER,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,BEECH STREET,BEECH STREET,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,CARESOURCE,CARESOURCE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,MEDICAID,MEDICAID,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,MEDICARE,MEDICARE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,NOVA NET,NOVA NET,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,PEACHSTATE,PEACHSTATE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,SELFPAY,SELFPAY,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,TRICARE,TRICARE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
UNI TIBIAL BASEPL,C1776,CPT,both,,,5963,5963,UHC MEDICARE,UHC MEDICARE,,5963,,fee schedule,5963,5187.81,5963,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,187.05,215,percent of total billed charges,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,187.05,215,percent of total billed charges,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,187.05,215,percent of total billed charges,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,ALLIANT,ALLIANT,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,AMBETTER,AMBETTER,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,MEDICARE,MEDICARE,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,TRICARE,TRICARE,,215,,fee schedule,215,187.05,215,fee schedule,
WIDE AOA PLATE 8 HOLE,C1776,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,215,,fee schedule,215,187.05,215,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,AETNA,AETNA,,779.52,87,percent of total billed charges,779.52,779.52,896,percent of total billed charges,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,779.52,87,percent of total billed charges,779.52,779.52,896,percent of total billed charges,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,UNITED HEALTHCARE,UNITED HEALTHCARE,,788.48,88,percent of total billed charges,788.48,779.52,896,percent of total billed charges,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,AETNA,AETNA,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,ALLIANT,ALLIANT,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,AMBETTER,AMBETTER,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,BEECH STREET,BEECH STREET,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,CARESOURCE,CARESOURCE,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,MEDICAID,MEDICAID,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,MEDICARE,MEDICARE,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,NOVA NET,NOVA NET,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,PEACHSTATE,PEACHSTATE,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,SELFPAY,SELFPAY,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,TRICARE,TRICARE,,896,,fee schedule,896,779.52,896,fee schedule,
Z COMP PLATE 3 TO 6 HOLE,C1776,CPT,both,,,896,896,UHC MEDICARE,UHC MEDICARE,,896,,fee schedule,896,779.52,896,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,1201.47,1381,percent of total billed charges,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,1201.47,1381,percent of total billed charges,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,1201.47,1381,percent of total billed charges,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,TRICARE,TRICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZICKEL NAIL 6607-4-030,C1776,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,AETNA,AETNA,,1533.81,87,percent of total billed charges,1533.81,1533.81,1763,percent of total billed charges,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1533.81,87,percent of total billed charges,1533.81,1533.81,1763,percent of total billed charges,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,UNITED HEALTHCARE,UNITED HEALTHCARE,,1551.44,88,percent of total billed charges,1551.44,1533.81,1763,percent of total billed charges,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,AETNA,AETNA,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,ALLIANT,ALLIANT,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,AMBETTER,AMBETTER,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,BEECH STREET,BEECH STREET,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,CARESOURCE,CARESOURCE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,MEDICAID,MEDICAID,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,MEDICARE,MEDICARE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,NOVA NET,NOVA NET,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,PEACHSTATE,PEACHSTATE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,SELFPAY,SELFPAY,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,TRICARE,TRICARE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMM ITST FEMORAL NAIL,C1776,CPT,both,,,1763,1763,UHC MEDICARE,UHC MEDICARE,,1763,,fee schedule,1763,1533.81,1763,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,AETNA,AETNA,,2472.54,87,percent of total billed charges,2472.54,2472.54,2842,percent of total billed charges,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2472.54,87,percent of total billed charges,2472.54,2472.54,2842,percent of total billed charges,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,UNITED HEALTHCARE,UNITED HEALTHCARE,,2500.96,88,percent of total billed charges,2500.96,2472.54,2842,percent of total billed charges,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,AETNA,AETNA,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,ALLIANT,ALLIANT,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,AMBETTER,AMBETTER,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,BEECH STREET,BEECH STREET,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,CARESOURCE,CARESOURCE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,MEDICAID,MEDICAID,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,MEDICARE,MEDICARE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,NOVA NET,NOVA NET,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,PEACHSTATE,PEACHSTATE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,SELFPAY,SELFPAY,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,TRICARE,TRICARE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB LINER,C1776,CPT,both,,,2842,2842,UHC MEDICARE,UHC MEDICARE,,2842,,fee schedule,2842,2472.54,2842,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,AETNA,AETNA,,3093.72,87,percent of total billed charges,3093.72,3093.72,3556,percent of total billed charges,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3093.72,87,percent of total billed charges,3093.72,3093.72,3556,percent of total billed charges,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,UNITED HEALTHCARE,UNITED HEALTHCARE,,3129.28,88,percent of total billed charges,3129.28,3093.72,3556,percent of total billed charges,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,AETNA,AETNA,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,ALLIANT,ALLIANT,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,AMBETTER,AMBETTER,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,BEECH STREET,BEECH STREET,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,CARESOURCE,CARESOURCE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,MEDICAID,MEDICAID,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,MEDICARE,MEDICARE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,NOVA NET,NOVA NET,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,PEACHSTATE,PEACHSTATE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,SELFPAY,SELFPAY,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,TRICARE,TRICARE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER ACETAB SHELL,C1776,CPT,both,,,3556,3556,UHC MEDICARE,UHC MEDICARE,,3556,,fee schedule,3556,3093.72,3556,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,AETNA,AETNA,,7421.97,87,percent of total billed charges,7421.97,7421.97,8531,percent of total billed charges,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7421.97,87,percent of total billed charges,7421.97,7421.97,8531,percent of total billed charges,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,UNITED HEALTHCARE,UNITED HEALTHCARE,,7507.28,88,percent of total billed charges,7507.28,7421.97,8531,percent of total billed charges,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,AETNA,AETNA,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,ALLIANT,ALLIANT,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,AMBETTER,AMBETTER,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,BEECH STREET,BEECH STREET,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,CARESOURCE,CARESOURCE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,MEDICAID,MEDICAID,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,MEDICARE,MEDICARE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,NOVA NET,NOVA NET,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,PEACHSTATE,PEACHSTATE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,SELFPAY,SELFPAY,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,TRICARE,TRICARE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUG REVISION PATEL,C1776,CPT,both,,,8531,8531,UHC MEDICARE,UHC MEDICARE,,8531,,fee schedule,8531,7421.97,8531,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,AETNA,AETNA,,5591.49,87,percent of total billed charges,5591.49,5591.49,6427,percent of total billed charges,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5591.49,87,percent of total billed charges,5591.49,5591.49,6427,percent of total billed charges,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,UNITED HEALTHCARE,UNITED HEALTHCARE,,5655.76,88,percent of total billed charges,5655.76,5591.49,6427,percent of total billed charges,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,AETNA,AETNA,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,ALLIANT,ALLIANT,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,AMBETTER,AMBETTER,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,BEECH STREET,BEECH STREET,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,CARESOURCE,CARESOURCE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,MEDICAID,MEDICAID,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,MEDICARE,MEDICARE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,NOVA NET,NOVA NET,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,PEACHSTATE,PEACHSTATE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,SELFPAY,SELFPAY,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,TRICARE,TRICARE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER AUGMENTATION PATEL,C1776,CPT,both,,,6427,6427,UHC MEDICARE,UHC MEDICARE,,6427,,fee schedule,6427,5591.49,6427,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,AETNA,AETNA,,883.92,87,percent of total billed charges,883.92,883.92,1016,percent of total billed charges,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,883.92,87,percent of total billed charges,883.92,883.92,1016,percent of total billed charges,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,UNITED HEALTHCARE,UNITED HEALTHCARE,,894.08,88,percent of total billed charges,894.08,883.92,1016,percent of total billed charges,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,AETNA,AETNA,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,ALLIANT,ALLIANT,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,AMBETTER,AMBETTER,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,BEECH STREET,BEECH STREET,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,CARESOURCE,CARESOURCE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,MEDICAID,MEDICAID,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,MEDICARE,MEDICARE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,NOVA NET,NOVA NET,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,PEACHSTATE,PEACHSTATE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,SELFPAY,SELFPAY,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,TRICARE,TRICARE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP LINER,C1776,CPT,both,,,1016,1016,UHC MEDICARE,UHC MEDICARE,,1016,,fee schedule,1016,883.92,1016,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,AETNA,AETNA,,1429.41,87,percent of total billed charges,1429.41,1429.41,1643,percent of total billed charges,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1429.41,87,percent of total billed charges,1429.41,1429.41,1643,percent of total billed charges,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,UNITED HEALTHCARE,UNITED HEALTHCARE,,1445.84,88,percent of total billed charges,1445.84,1429.41,1643,percent of total billed charges,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,AETNA,AETNA,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,ALLIANT,ALLIANT,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,AMBETTER,AMBETTER,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,BEECH STREET,BEECH STREET,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,CARESOURCE,CARESOURCE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,MEDICAID,MEDICAID,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,MEDICARE,MEDICARE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,NOVA NET,NOVA NET,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,PEACHSTATE,PEACHSTATE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,SELFPAY,SELFPAY,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,TRICARE,TRICARE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR CUP SHELL,C1776,CPT,both,,,1643,1643,UHC MEDICARE,UHC MEDICARE,,1643,,fee schedule,1643,1429.41,1643,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,AETNA,AETNA,,3191.16,87,percent of total billed charges,3191.16,3191.16,3668,percent of total billed charges,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3191.16,87,percent of total billed charges,3191.16,3191.16,3668,percent of total billed charges,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,UNITED HEALTHCARE,UNITED HEALTHCARE,,3227.84,88,percent of total billed charges,3227.84,3191.16,3668,percent of total billed charges,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,AETNA,AETNA,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,ALLIANT,ALLIANT,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,AMBETTER,AMBETTER,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,BEECH STREET,BEECH STREET,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,CARESOURCE,CARESOURCE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,MEDICAID,MEDICAID,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,MEDICARE,MEDICARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,NOVA NET,NOVA NET,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,PEACHSTATE,PEACHSTATE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,SELFPAY,SELFPAY,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,TRICARE,TRICARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER BIPOLAR STEM - ALL,C1776,CPT,both,,,3668,3668,UHC MEDICARE,UHC MEDICARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,AETNA,AETNA,,1611.24,87,percent of total billed charges,1611.24,1611.24,1852,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1611.24,87,percent of total billed charges,1611.24,1611.24,1852,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,UNITED HEALTHCARE,UNITED HEALTHCARE,,1629.76,88,percent of total billed charges,1629.76,1611.24,1852,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,AETNA,AETNA,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,ALLIANT,ALLIANT,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,AMBETTER,AMBETTER,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,BEECH STREET,BEECH STREET,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,CARESOURCE,CARESOURCE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,MEDICAID,MEDICAID,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,MEDICARE,MEDICARE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,NOVA NET,NOVA NET,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,PEACHSTATE,PEACHSTATE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,SELFPAY,SELFPAY,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,TRICARE,TRICARE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1852,1852,UHC MEDICARE,UHC MEDICARE,,1852,,fee schedule,1852,1611.24,1852,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,456.75,525,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,456.75,525,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,456.75,525,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,ALLIANT,ALLIANT,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,AMBETTER,AMBETTER,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,MEDICARE,MEDICARE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,TRICARE,TRICARE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,525,,fee schedule,525,456.75,525,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,AETNA,AETNA,,695.13,87,percent of total billed charges,695.13,695.13,799,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695.13,87,percent of total billed charges,695.13,695.13,799,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,UNITED HEALTHCARE,UNITED HEALTHCARE,,703.12,88,percent of total billed charges,703.12,695.13,799,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,AETNA,AETNA,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,ALLIANT,ALLIANT,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,AMBETTER,AMBETTER,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,BEECH STREET,BEECH STREET,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,CARESOURCE,CARESOURCE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,MEDICAID,MEDICAID,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,MEDICARE,MEDICARE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,NOVA NET,NOVA NET,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,PEACHSTATE,PEACHSTATE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,SELFPAY,SELFPAY,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,TRICARE,TRICARE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,799,799,UHC MEDICARE,UHC MEDICARE,,799,,fee schedule,799,695.13,799,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,AETNA,AETNA,,1382.43,87,percent of total billed charges,1382.43,1382.43,1589,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1382.43,87,percent of total billed charges,1382.43,1382.43,1589,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,UNITED HEALTHCARE,UNITED HEALTHCARE,,1398.32,88,percent of total billed charges,1398.32,1382.43,1589,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,AETNA,AETNA,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,ALLIANT,ALLIANT,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,AMBETTER,AMBETTER,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,BEECH STREET,BEECH STREET,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,CARESOURCE,CARESOURCE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,MEDICAID,MEDICAID,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,MEDICARE,MEDICARE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,NOVA NET,NOVA NET,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,PEACHSTATE,PEACHSTATE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,SELFPAY,SELFPAY,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,TRICARE,TRICARE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,1589,1589,UHC MEDICARE,UHC MEDICARE,,1589,,fee schedule,1589,1382.43,1589,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,AETNA,AETNA,,488.94,87,percent of total billed charges,488.94,488.94,562,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,488.94,87,percent of total billed charges,488.94,488.94,562,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,UNITED HEALTHCARE,UNITED HEALTHCARE,,494.56,88,percent of total billed charges,494.56,488.94,562,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,AETNA,AETNA,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,ALLIANT,ALLIANT,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,AMBETTER,AMBETTER,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,BEECH STREET,BEECH STREET,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,CARESOURCE,CARESOURCE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,MEDICAID,MEDICAID,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,MEDICARE,MEDICARE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,NOVA NET,NOVA NET,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,PEACHSTATE,PEACHSTATE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,SELFPAY,SELFPAY,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,TRICARE,TRICARE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,562,562,UHC MEDICARE,UHC MEDICARE,,562,,fee schedule,562,488.94,562,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,AETNA,AETNA,,2897.1,87,percent of total billed charges,2897.1,2897.1,3330,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2897.1,87,percent of total billed charges,2897.1,2897.1,3330,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,UNITED HEALTHCARE,UNITED HEALTHCARE,,2930.4,88,percent of total billed charges,2930.4,2897.1,3330,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,AETNA,AETNA,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,ALLIANT,ALLIANT,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,AMBETTER,AMBETTER,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,BEECH STREET,BEECH STREET,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,CARESOURCE,CARESOURCE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,MEDICAID,MEDICAID,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,MEDICARE,MEDICARE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,NOVA NET,NOVA NET,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,PEACHSTATE,PEACHSTATE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,SELFPAY,SELFPAY,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,TRICARE,TRICARE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,3330,3330,UHC MEDICARE,UHC MEDICARE,,3330,,fee schedule,3330,2897.1,3330,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,AETNA,AETNA,,771.69,87,percent of total billed charges,771.69,771.69,887,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,771.69,87,percent of total billed charges,771.69,771.69,887,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,UNITED HEALTHCARE,UNITED HEALTHCARE,,780.56,88,percent of total billed charges,780.56,771.69,887,percent of total billed charges,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,AETNA,AETNA,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,ALLIANT,ALLIANT,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,AMBETTER,AMBETTER,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,BEECH STREET,BEECH STREET,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,CARESOURCE,CARESOURCE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,MEDICAID,MEDICAID,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,MEDICARE,MEDICARE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,NOVA NET,NOVA NET,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,PEACHSTATE,PEACHSTATE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,SELFPAY,SELFPAY,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,TRICARE,TRICARE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CBLE SYS CMP 2232-,C1776,CPT,both,,,887,887,UHC MEDICARE,UHC MEDICARE,,887,,fee schedule,887,771.69,887,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,AETNA,AETNA,,7313.22,87,percent of total billed charges,7313.22,7313.22,8406,percent of total billed charges,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7313.22,87,percent of total billed charges,7313.22,7313.22,8406,percent of total billed charges,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,UNITED HEALTHCARE,UNITED HEALTHCARE,,7397.28,88,percent of total billed charges,7397.28,7313.22,8406,percent of total billed charges,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,AETNA,AETNA,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,ALLIANT,ALLIANT,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,AMBETTER,AMBETTER,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,BEECH STREET,BEECH STREET,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,CARESOURCE,CARESOURCE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,MEDICAID,MEDICAID,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,MEDICARE,MEDICARE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,NOVA NET,NOVA NET,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,PEACHSTATE,PEACHSTATE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,SELFPAY,SELFPAY,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,TRICARE,TRICARE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER CERAMIC HEAD,C1776,CPT,both,,,8406,8406,UHC MEDICARE,UHC MEDICARE,,8406,,fee schedule,8406,7313.22,8406,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,AETNA,AETNA,,3640.95,87,percent of total billed charges,3640.95,3640.95,4185,percent of total billed charges,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3640.95,87,percent of total billed charges,3640.95,3640.95,4185,percent of total billed charges,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,UNITED HEALTHCARE,UNITED HEALTHCARE,,3682.8,88,percent of total billed charges,3682.8,3640.95,4185,percent of total billed charges,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,AETNA,AETNA,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,ALLIANT,ALLIANT,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,AMBETTER,AMBETTER,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,BEECH STREET,BEECH STREET,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,CARESOURCE,CARESOURCE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,MEDICAID,MEDICAID,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,MEDICARE,MEDICARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,NOVA NET,NOVA NET,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,PEACHSTATE,PEACHSTATE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,SELFPAY,SELFPAY,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,TRICARE,TRICARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST FEMORAL PLATE,C1776,CPT,both,,,4185,4185,UHC MEDICARE,UHC MEDICARE,,4185,,fee schedule,4185,3640.95,4185,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,AETNA,AETNA,,3588.75,87,percent of total billed charges,3588.75,3588.75,4125,percent of total billed charges,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3588.75,87,percent of total billed charges,3588.75,3588.75,4125,percent of total billed charges,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,UNITED HEALTHCARE,UNITED HEALTHCARE,,3630,88,percent of total billed charges,3630,3588.75,4125,percent of total billed charges,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,AETNA,AETNA,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,ALLIANT,ALLIANT,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,AMBETTER,AMBETTER,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,BEECH STREET,BEECH STREET,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,CARESOURCE,CARESOURCE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,MEDICAID,MEDICAID,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,MEDICARE,MEDICARE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,NOVA NET,NOVA NET,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,PEACHSTATE,PEACHSTATE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,SELFPAY,SELFPAY,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,TRICARE,TRICARE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER DIST TIBIAL PLATE,C1776,CPT,both,,,4125,4125,UHC MEDICARE,UHC MEDICARE,,4125,,fee schedule,4125,3588.75,4125,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,AETNA,AETNA,,858.69,87,percent of total billed charges,858.69,858.69,987,percent of total billed charges,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,858.69,87,percent of total billed charges,858.69,858.69,987,percent of total billed charges,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,UNITED HEALTHCARE,UNITED HEALTHCARE,,868.56,88,percent of total billed charges,868.56,858.69,987,percent of total billed charges,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,AETNA,AETNA,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,ALLIANT,ALLIANT,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,AMBETTER,AMBETTER,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,BEECH STREET,BEECH STREET,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,CARESOURCE,CARESOURCE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,MEDICAID,MEDICAID,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,MEDICARE,MEDICARE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,NOVA NET,NOVA NET,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,PEACHSTATE,PEACHSTATE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,SELFPAY,SELFPAY,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,TRICARE,TRICARE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FEMORAL INSERT,C1776,CPT,both,,,987,987,UHC MEDICARE,UHC MEDICARE,,987,,fee schedule,987,858.69,987,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,AETNA,AETNA,,7595.1,87,percent of total billed charges,7595.1,7595.1,8730,percent of total billed charges,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7595.1,87,percent of total billed charges,7595.1,7595.1,8730,percent of total billed charges,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,UNITED HEALTHCARE,UNITED HEALTHCARE,,7682.4,88,percent of total billed charges,7682.4,7595.1,8730,percent of total billed charges,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,AETNA,AETNA,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,ALLIANT,ALLIANT,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,AMBETTER,AMBETTER,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,BEECH STREET,BEECH STREET,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,CARESOURCE,CARESOURCE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,MEDICAID,MEDICAID,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,MEDICARE,MEDICARE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,NOVA NET,NOVA NET,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,PEACHSTATE,PEACHSTATE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,SELFPAY,SELFPAY,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,TRICARE,TRICARE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER FLUTED STEM,C1776,CPT,both,,,8730,8730,UHC MEDICARE,UHC MEDICARE,,8730,,fee schedule,8730,7595.1,8730,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,AETNA,AETNA,,8416.38,87,percent of total billed charges,8416.38,8416.38,9674,percent of total billed charges,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8416.38,87,percent of total billed charges,8416.38,8416.38,9674,percent of total billed charges,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,UNITED HEALTHCARE,UNITED HEALTHCARE,,8513.12,88,percent of total billed charges,8513.12,8416.38,9674,percent of total billed charges,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,AETNA,AETNA,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,ALLIANT,ALLIANT,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,AMBETTER,AMBETTER,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,BEECH STREET,BEECH STREET,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,CARESOURCE,CARESOURCE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,MEDICAID,MEDICAID,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,MEDICARE,MEDICARE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,NOVA NET,NOVA NET,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,PEACHSTATE,PEACHSTATE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,SELFPAY,SELFPAY,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,TRICARE,TRICARE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HINGE TIBIA,C1776,CPT,both,,,9674,9674,UHC MEDICARE,UHC MEDICARE,,9674,,fee schedule,9674,8416.38,9674,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,139.2,160,percent of total billed charges,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,139.2,160,percent of total billed charges,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HIP CENTRALIZER,C1776,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,139.2,160,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,AETNA,AETNA,,4577.07,87,percent of total billed charges,4577.07,4577.07,5261,percent of total billed charges,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4577.07,87,percent of total billed charges,4577.07,4577.07,5261,percent of total billed charges,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,UNITED HEALTHCARE,UNITED HEALTHCARE,,4629.68,88,percent of total billed charges,4629.68,4577.07,5261,percent of total billed charges,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,AETNA,AETNA,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,ALLIANT,ALLIANT,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,AMBETTER,AMBETTER,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,BEECH STREET,BEECH STREET,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,CARESOURCE,CARESOURCE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,MEDICAID,MEDICAID,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,MEDICARE,MEDICARE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,NOVA NET,NOVA NET,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,PEACHSTATE,PEACHSTATE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,SELFPAY,SELFPAY,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,TRICARE,TRICARE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL HEAD,C1776,CPT,both,,,5261,5261,UHC MEDICARE,UHC MEDICARE,,5261,,fee schedule,5261,4577.07,5261,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,AETNA,AETNA,,7468.08,87,percent of total billed charges,7468.08,7468.08,8584,percent of total billed charges,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7468.08,87,percent of total billed charges,7468.08,7468.08,8584,percent of total billed charges,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,UNITED HEALTHCARE,UNITED HEALTHCARE,,7553.92,88,percent of total billed charges,7553.92,7468.08,8584,percent of total billed charges,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,AETNA,AETNA,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,ALLIANT,ALLIANT,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,AMBETTER,AMBETTER,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,BEECH STREET,BEECH STREET,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,CARESOURCE,CARESOURCE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,MEDICAID,MEDICAID,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,MEDICARE,MEDICARE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,NOVA NET,NOVA NET,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,PEACHSTATE,PEACHSTATE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,SELFPAY,SELFPAY,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,TRICARE,TRICARE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER HUMERAL STEM,C1776,CPT,both,,,8584,8584,UHC MEDICARE,UHC MEDICARE,,8584,,fee schedule,8584,7468.08,8584,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,AETNA,AETNA,,1392.87,87,percent of total billed charges,1392.87,1392.87,1601,percent of total billed charges,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1392.87,87,percent of total billed charges,1392.87,1392.87,1601,percent of total billed charges,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,UNITED HEALTHCARE,UNITED HEALTHCARE,,1408.88,88,percent of total billed charges,1408.88,1392.87,1601,percent of total billed charges,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,AETNA,AETNA,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,ALLIANT,ALLIANT,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,AMBETTER,AMBETTER,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,BEECH STREET,BEECH STREET,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,CARESOURCE,CARESOURCE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,MEDICAID,MEDICAID,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,MEDICARE,MEDICARE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,NOVA NET,NOVA NET,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,PEACHSTATE,PEACHSTATE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,SELFPAY,SELFPAY,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,TRICARE,TRICARE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER MDN FEMORAL NAIL,C1776,CPT,both,,,1601,1601,UHC MEDICARE,UHC MEDICARE,,1601,,fee schedule,1601,1392.87,1601,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,AETNA,AETNA,,1577.31,87,percent of total billed charges,1577.31,1577.31,1813,percent of total billed charges,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1577.31,87,percent of total billed charges,1577.31,1577.31,1813,percent of total billed charges,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,UNITED HEALTHCARE,UNITED HEALTHCARE,,1595.44,88,percent of total billed charges,1595.44,1577.31,1813,percent of total billed charges,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,AETNA,AETNA,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,ALLIANT,ALLIANT,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,AMBETTER,AMBETTER,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,BEECH STREET,BEECH STREET,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,CARESOURCE,CARESOURCE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,MEDICAID,MEDICAID,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,MEDICARE,MEDICARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,NOVA NET,NOVA NET,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,PEACHSTATE,PEACHSTATE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,SELFPAY,SELFPAY,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,TRICARE,TRICARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PERIATRTICULAR PLA,C1776,CPT,both,,,1813,1813,UHC MEDICARE,UHC MEDICARE,,1813,,fee schedule,1813,1577.31,1813,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,AETNA,AETNA,,4002,87,percent of total billed charges,4002,4002,4600,percent of total billed charges,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4002,87,percent of total billed charges,4002,4002,4600,percent of total billed charges,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,UNITED HEALTHCARE,UNITED HEALTHCARE,,4048,88,percent of total billed charges,4048,4002,4600,percent of total billed charges,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,AETNA,AETNA,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,ALLIANT,ALLIANT,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,AMBETTER,AMBETTER,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,BEECH STREET,BEECH STREET,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,CARESOURCE,CARESOURCE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,MEDICAID,MEDICAID,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,MEDICARE,MEDICARE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,NOVA NET,NOVA NET,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,PEACHSTATE,PEACHSTATE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,SELFPAY,SELFPAY,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,TRICARE,TRICARE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX HUMERAL PLATE,C1776,CPT,both,,,4600,4600,UHC MEDICARE,UHC MEDICARE,,4600,,fee schedule,4600,4002,4600,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,AETNA,AETNA,,3271.2,87,percent of total billed charges,3271.2,3271.2,3760,percent of total billed charges,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3271.2,87,percent of total billed charges,3271.2,3271.2,3760,percent of total billed charges,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,UNITED HEALTHCARE,UNITED HEALTHCARE,,3308.8,88,percent of total billed charges,3308.8,3271.2,3760,percent of total billed charges,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,AETNA,AETNA,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,ALLIANT,ALLIANT,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,AMBETTER,AMBETTER,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,BEECH STREET,BEECH STREET,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,CARESOURCE,CARESOURCE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,MEDICAID,MEDICAID,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,MEDICARE,MEDICARE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,NOVA NET,NOVA NET,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,PEACHSTATE,PEACHSTATE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,SELFPAY,SELFPAY,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,TRICARE,TRICARE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER PROX TIBIAL PLATE,C1776,CPT,both,,,3760,3760,UHC MEDICARE,UHC MEDICARE,,3760,,fee schedule,3760,3271.2,3760,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,AETNA,AETNA,,2179.35,87,percent of total billed charges,2179.35,2179.35,2505,percent of total billed charges,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2179.35,87,percent of total billed charges,2179.35,2179.35,2505,percent of total billed charges,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,UNITED HEALTHCARE,UNITED HEALTHCARE,,2204.4,88,percent of total billed charges,2204.4,2179.35,2505,percent of total billed charges,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,AETNA,AETNA,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,ALLIANT,ALLIANT,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,AMBETTER,AMBETTER,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,BEECH STREET,BEECH STREET,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,CARESOURCE,CARESOURCE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,MEDICAID,MEDICAID,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,MEDICARE,MEDICARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,NOVA NET,NOVA NET,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,PEACHSTATE,PEACHSTATE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,SELFPAY,SELFPAY,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,TRICARE,TRICARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL DELT,C1776,CPT,both,,,2505,2505,UHC MEDICARE,UHC MEDICARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,AETNA,AETNA,,2179.35,87,percent of total billed charges,2179.35,2179.35,2505,percent of total billed charges,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2179.35,87,percent of total billed charges,2179.35,2179.35,2505,percent of total billed charges,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,UNITED HEALTHCARE,UNITED HEALTHCARE,,2204.4,88,percent of total billed charges,2204.4,2179.35,2505,percent of total billed charges,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,AETNA,AETNA,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,ALLIANT,ALLIANT,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,AMBETTER,AMBETTER,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,BEECH STREET,BEECH STREET,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,CARESOURCE,CARESOURCE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,MEDICAID,MEDICAID,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,MEDICARE,MEDICARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,NOVA NET,NOVA NET,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,PEACHSTATE,PEACHSTATE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,SELFPAY,SELFPAY,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,TRICARE,TRICARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL DORSAL T PL,C1776,CPT,both,,,2505,2505,UHC MEDICARE,UHC MEDICARE,,2505,,fee schedule,2505,2179.35,2505,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,AETNA,AETNA,,1221.48,87,percent of total billed charges,1221.48,1221.48,1404,percent of total billed charges,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1221.48,87,percent of total billed charges,1221.48,1221.48,1404,percent of total billed charges,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,UNITED HEALTHCARE,UNITED HEALTHCARE,,1235.52,88,percent of total billed charges,1235.52,1221.48,1404,percent of total billed charges,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,AETNA,AETNA,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,ALLIANT,ALLIANT,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,AMBETTER,AMBETTER,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,BEECH STREET,BEECH STREET,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,CARESOURCE,CARESOURCE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,MEDICAID,MEDICAID,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,MEDICARE,MEDICARE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,NOVA NET,NOVA NET,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,PEACHSTATE,PEACHSTATE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,SELFPAY,SELFPAY,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,TRICARE,TRICARE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL STYLOID PLA,C1776,CPT,both,,,1404,1404,UHC MEDICARE,UHC MEDICARE,,1404,,fee schedule,1404,1221.48,1404,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,AETNA,AETNA,,2051.46,87,percent of total billed charges,2051.46,2051.46,2358,percent of total billed charges,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2051.46,87,percent of total billed charges,2051.46,2051.46,2358,percent of total billed charges,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,UNITED HEALTHCARE,UNITED HEALTHCARE,,2075.04,88,percent of total billed charges,2075.04,2051.46,2358,percent of total billed charges,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,AETNA,AETNA,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,ALLIANT,ALLIANT,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,AMBETTER,AMBETTER,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,BEECH STREET,BEECH STREET,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,CARESOURCE,CARESOURCE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,MEDICAID,MEDICAID,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,MEDICARE,MEDICARE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,NOVA NET,NOVA NET,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,PEACHSTATE,PEACHSTATE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,SELFPAY,SELFPAY,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,TRICARE,TRICARE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR LAT P,C1776,CPT,both,,,2358,2358,UHC MEDICARE,UHC MEDICARE,,2358,,fee schedule,2358,2051.46,2358,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,AETNA,AETNA,,1860.06,87,percent of total billed charges,1860.06,1860.06,2138,percent of total billed charges,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1860.06,87,percent of total billed charges,1860.06,1860.06,2138,percent of total billed charges,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,UNITED HEALTHCARE,UNITED HEALTHCARE,,1881.44,88,percent of total billed charges,1881.44,1860.06,2138,percent of total billed charges,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,AETNA,AETNA,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,ALLIANT,ALLIANT,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,AMBETTER,AMBETTER,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,BEECH STREET,BEECH STREET,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,CARESOURCE,CARESOURCE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,MEDICAID,MEDICAID,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,MEDICARE,MEDICARE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,NOVA NET,NOVA NET,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,PEACHSTATE,PEACHSTATE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,SELFPAY,SELFPAY,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,TRICARE,TRICARE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER RADIAL VOLAR MEDIA,C1776,CPT,both,,,2138,2138,UHC MEDICARE,UHC MEDICARE,,2138,,fee schedule,2138,1860.06,2138,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,AETNA,AETNA,,20999.19,87,percent of total billed charges,20999.19,20999.19,24137,percent of total billed charges,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20999.19,87,percent of total billed charges,20999.19,20999.19,24137,percent of total billed charges,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,UNITED HEALTHCARE,UNITED HEALTHCARE,,21240.56,88,percent of total billed charges,21240.56,20999.19,24137,percent of total billed charges,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,AETNA,AETNA,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,ALLIANT,ALLIANT,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,AMBETTER,AMBETTER,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,BEECH STREET,BEECH STREET,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,CARESOURCE,CARESOURCE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,MEDICAID,MEDICAID,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,MEDICARE,MEDICARE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,NOVA NET,NOVA NET,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,PEACHSTATE,PEACHSTATE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,SELFPAY,SELFPAY,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,TRICARE,TRICARE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REV SHOULDER IMPLA,C1776,CPT,both,,,24137,24137,UHC MEDICARE,UHC MEDICARE,,24137,,fee schedule,24137,20999.19,24137,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,AETNA,AETNA,,10920.24,87,percent of total billed charges,10920.24,10920.24,12552,percent of total billed charges,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10920.24,87,percent of total billed charges,10920.24,10920.24,12552,percent of total billed charges,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,UNITED HEALTHCARE,UNITED HEALTHCARE,,11045.76,88,percent of total billed charges,11045.76,10920.24,12552,percent of total billed charges,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,AETNA,AETNA,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,ALLIANT,ALLIANT,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,AMBETTER,AMBETTER,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,BEECH STREET,BEECH STREET,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,CARESOURCE,CARESOURCE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,MEDICAID,MEDICAID,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,MEDICARE,MEDICARE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,NOVA NET,NOVA NET,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,PEACHSTATE,PEACHSTATE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,SELFPAY,SELFPAY,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,TRICARE,TRICARE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION FEMUR,C1776,CPT,both,,,12552,12552,UHC MEDICARE,UHC MEDICARE,,12552,,fee schedule,12552,10920.24,12552,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,AETNA,AETNA,,3716.64,87,percent of total billed charges,3716.64,3716.64,4272,percent of total billed charges,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3716.64,87,percent of total billed charges,3716.64,3716.64,4272,percent of total billed charges,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,UNITED HEALTHCARE,UNITED HEALTHCARE,,3759.36,88,percent of total billed charges,3759.36,3716.64,4272,percent of total billed charges,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,AETNA,AETNA,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,ALLIANT,ALLIANT,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,AMBETTER,AMBETTER,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,BEECH STREET,BEECH STREET,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,CARESOURCE,CARESOURCE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,MEDICAID,MEDICAID,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,MEDICARE,MEDICARE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,NOVA NET,NOVA NET,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,PEACHSTATE,PEACHSTATE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,SELFPAY,SELFPAY,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,TRICARE,TRICARE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION SURFACE,C1776,CPT,both,,,4272,4272,UHC MEDICARE,UHC MEDICARE,,4272,,fee schedule,4272,3716.64,4272,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,AETNA,AETNA,,4760.64,87,percent of total billed charges,4760.64,4760.64,5472,percent of total billed charges,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4760.64,87,percent of total billed charges,4760.64,4760.64,5472,percent of total billed charges,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,UNITED HEALTHCARE,UNITED HEALTHCARE,,4815.36,88,percent of total billed charges,4815.36,4760.64,5472,percent of total billed charges,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,AETNA,AETNA,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,ALLIANT,ALLIANT,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,AMBETTER,AMBETTER,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,BEECH STREET,BEECH STREET,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,CARESOURCE,CARESOURCE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,MEDICAID,MEDICAID,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,MEDICARE,MEDICARE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,NOVA NET,NOVA NET,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,PEACHSTATE,PEACHSTATE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,SELFPAY,SELFPAY,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,TRICARE,TRICARE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER REVISION TM COLLAR,C1776,CPT,both,,,5472,5472,UHC MEDICARE,UHC MEDICARE,,5472,,fee schedule,5472,4760.64,5472,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,AETNA,AETNA,,4703.22,87,percent of total billed charges,4703.22,4703.22,5406,percent of total billed charges,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4703.22,87,percent of total billed charges,4703.22,4703.22,5406,percent of total billed charges,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,UNITED HEALTHCARE,UNITED HEALTHCARE,,4757.28,88,percent of total billed charges,4757.28,4703.22,5406,percent of total billed charges,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,AETNA,AETNA,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,ALLIANT,ALLIANT,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,AMBETTER,AMBETTER,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,BEECH STREET,BEECH STREET,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,CARESOURCE,CARESOURCE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,MEDICAID,MEDICAID,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,MEDICARE,MEDICARE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,NOVA NET,NOVA NET,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,PEACHSTATE,PEACHSTATE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,SELFPAY,SELFPAY,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,TRICARE,TRICARE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER GLENOID,C1776,CPT,both,,,5406,5406,UHC MEDICARE,UHC MEDICARE,,5406,,fee schedule,5406,4703.22,5406,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,AETNA,AETNA,,288.84,87,percent of total billed charges,288.84,288.84,332,percent of total billed charges,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288.84,87,percent of total billed charges,288.84,288.84,332,percent of total billed charges,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,UNITED HEALTHCARE,UNITED HEALTHCARE,,292.16,88,percent of total billed charges,292.16,288.84,332,percent of total billed charges,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,AETNA,AETNA,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,ALLIANT,ALLIANT,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,AMBETTER,AMBETTER,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,BEECH STREET,BEECH STREET,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,CARESOURCE,CARESOURCE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,MEDICAID,MEDICAID,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,MEDICARE,MEDICARE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,NOVA NET,NOVA NET,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,PEACHSTATE,PEACHSTATE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,SELFPAY,SELFPAY,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,TRICARE,TRICARE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER SHOULDER PLUG,C1776,CPT,both,,,332,332,UHC MEDICARE,UHC MEDICARE,,332,,fee schedule,332,288.84,332,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,AETNA,AETNA,,2039.28,87,percent of total billed charges,2039.28,2039.28,2344,percent of total billed charges,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2039.28,87,percent of total billed charges,2039.28,2039.28,2344,percent of total billed charges,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,UNITED HEALTHCARE,UNITED HEALTHCARE,,2062.72,88,percent of total billed charges,2062.72,2039.28,2344,percent of total billed charges,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,AETNA,AETNA,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,ALLIANT,ALLIANT,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,AMBETTER,AMBETTER,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,BEECH STREET,BEECH STREET,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,CARESOURCE,CARESOURCE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,MEDICAID,MEDICAID,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,MEDICARE,MEDICARE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,NOVA NET,NOVA NET,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,PEACHSTATE,PEACHSTATE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,SELFPAY,SELFPAY,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,TRICARE,TRICARE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL SURFACE,C1776,CPT,both,,,2344,2344,UHC MEDICARE,UHC MEDICARE,,2344,,fee schedule,2344,2039.28,2344,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,AETNA,AETNA,,2716.14,87,percent of total billed charges,2716.14,2716.14,3122,percent of total billed charges,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2716.14,87,percent of total billed charges,2716.14,2716.14,3122,percent of total billed charges,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,UNITED HEALTHCARE,UNITED HEALTHCARE,,2747.36,88,percent of total billed charges,2747.36,2716.14,3122,percent of total billed charges,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,AETNA,AETNA,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,ALLIANT,ALLIANT,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,AMBETTER,AMBETTER,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,BEECH STREET,BEECH STREET,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,CARESOURCE,CARESOURCE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,MEDICAID,MEDICAID,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,MEDICARE,MEDICARE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,NOVA NET,NOVA NET,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,PEACHSTATE,PEACHSTATE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,SELFPAY,SELFPAY,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,TRICARE,TRICARE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TIBIAL TRAY,C1776,CPT,both,,,3122,3122,UHC MEDICARE,UHC MEDICARE,,3122,,fee schedule,3122,2716.14,3122,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,AETNA,AETNA,,7616.85,87,percent of total billed charges,7616.85,7616.85,8755,percent of total billed charges,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7616.85,87,percent of total billed charges,7616.85,7616.85,8755,percent of total billed charges,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,UNITED HEALTHCARE,UNITED HEALTHCARE,,7704.4,88,percent of total billed charges,7704.4,7616.85,8755,percent of total billed charges,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,AETNA,AETNA,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,ALLIANT,ALLIANT,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,AMBETTER,AMBETTER,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,BEECH STREET,BEECH STREET,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,CARESOURCE,CARESOURCE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,MEDICAID,MEDICAID,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,MEDICARE,MEDICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,NOVA NET,NOVA NET,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,PEACHSTATE,PEACHSTATE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,SELFPAY,SELFPAY,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,TRICARE,TRICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TM MODULAR SHELL R,C1776,CPT,both,,,8755,8755,UHC MEDICARE,UHC MEDICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,AETNA,AETNA,,5418.36,87,percent of total billed charges,5418.36,5418.36,6228,percent of total billed charges,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5418.36,87,percent of total billed charges,5418.36,5418.36,6228,percent of total billed charges,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,UNITED HEALTHCARE,UNITED HEALTHCARE,,5480.64,88,percent of total billed charges,5480.64,5418.36,6228,percent of total billed charges,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,AETNA,AETNA,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,ALLIANT,ALLIANT,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,AMBETTER,AMBETTER,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,BEECH STREET,BEECH STREET,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,CARESOURCE,CARESOURCE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,MEDICAID,MEDICAID,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,MEDICARE,MEDICARE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,NOVA NET,NOVA NET,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,PEACHSTATE,PEACHSTATE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,SELFPAY,SELFPAY,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,TRICARE,TRICARE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE FEMORAL,C1776,CPT,both,,,6228,6228,UHC MEDICARE,UHC MEDICARE,,6228,,fee schedule,6228,5418.36,6228,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,AETNA,AETNA,,10001.52,87,percent of total billed charges,10001.52,10001.52,11496,percent of total billed charges,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10001.52,87,percent of total billed charges,10001.52,10001.52,11496,percent of total billed charges,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,UNITED HEALTHCARE,UNITED HEALTHCARE,,10116.48,88,percent of total billed charges,10116.48,10001.52,11496,percent of total billed charges,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,AETNA,AETNA,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,ALLIANT,ALLIANT,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,AMBETTER,AMBETTER,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,BEECH STREET,BEECH STREET,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,CARESOURCE,CARESOURCE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,MEDICAID,MEDICAID,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,MEDICARE,MEDICARE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,NOVA NET,NOVA NET,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,PEACHSTATE,PEACHSTATE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,SELFPAY,SELFPAY,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,TRICARE,TRICARE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE GENDER FE,C1776,CPT,both,,,11496,11496,UHC MEDICARE,UHC MEDICARE,,11496,,fee schedule,11496,10001.52,11496,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,AETNA,AETNA,,1201.47,87,percent of total billed charges,1201.47,1201.47,1381,percent of total billed charges,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1201.47,87,percent of total billed charges,1201.47,1201.47,1381,percent of total billed charges,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,UNITED HEALTHCARE,UNITED HEALTHCARE,,1215.28,88,percent of total billed charges,1215.28,1201.47,1381,percent of total billed charges,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,AETNA,AETNA,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,ALLIANT,ALLIANT,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,AMBETTER,AMBETTER,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,BEECH STREET,BEECH STREET,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,CARESOURCE,CARESOURCE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,MEDICAID,MEDICAID,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,MEDICARE,MEDICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,NOVA NET,NOVA NET,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,PEACHSTATE,PEACHSTATE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,SELFPAY,SELFPAY,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,TRICARE,TRICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE PATELLA,C1776,CPT,both,,,1381,1381,UHC MEDICARE,UHC MEDICARE,,1381,,fee schedule,1381,1201.47,1381,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,AETNA,AETNA,,2067.12,87,percent of total billed charges,2067.12,2067.12,2376,percent of total billed charges,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2067.12,87,percent of total billed charges,2067.12,2067.12,2376,percent of total billed charges,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,UNITED HEALTHCARE,UNITED HEALTHCARE,,2090.88,88,percent of total billed charges,2090.88,2067.12,2376,percent of total billed charges,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,AETNA,AETNA,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,ALLIANT,ALLIANT,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,AMBETTER,AMBETTER,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,BEECH STREET,BEECH STREET,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,CARESOURCE,CARESOURCE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,MEDICAID,MEDICAID,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,MEDICARE,MEDICARE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,NOVA NET,NOVA NET,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,PEACHSTATE,PEACHSTATE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,SELFPAY,SELFPAY,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,TRICARE,TRICARE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE STEM,C1776,CPT,both,,,2376,2376,UHC MEDICARE,UHC MEDICARE,,2376,,fee schedule,2376,2067.12,2376,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,AETNA,AETNA,,3488.7,87,percent of total billed charges,3488.7,3488.7,4010,percent of total billed charges,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3488.7,87,percent of total billed charges,3488.7,3488.7,4010,percent of total billed charges,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,UNITED HEALTHCARE,UNITED HEALTHCARE,,3528.8,88,percent of total billed charges,3528.8,3488.7,4010,percent of total billed charges,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,AETNA,AETNA,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,ALLIANT,ALLIANT,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,AMBETTER,AMBETTER,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,BEECH STREET,BEECH STREET,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,CARESOURCE,CARESOURCE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,MEDICAID,MEDICAID,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,MEDICARE,MEDICARE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,NOVA NET,NOVA NET,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,PEACHSTATE,PEACHSTATE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,SELFPAY,SELFPAY,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,TRICARE,TRICARE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE SURFACE,C1776,CPT,both,,,4010,4010,UHC MEDICARE,UHC MEDICARE,,4010,,fee schedule,4010,3488.7,4010,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,AETNA,AETNA,,3207.69,87,percent of total billed charges,3207.69,3207.69,3687,percent of total billed charges,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3207.69,87,percent of total billed charges,3207.69,3207.69,3687,percent of total billed charges,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,UNITED HEALTHCARE,UNITED HEALTHCARE,,3244.56,88,percent of total billed charges,3244.56,3207.69,3687,percent of total billed charges,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,AETNA,AETNA,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,ALLIANT,ALLIANT,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,AMBETTER,AMBETTER,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,BEECH STREET,BEECH STREET,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,CARESOURCE,CARESOURCE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,MEDICAID,MEDICAID,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,MEDICARE,MEDICARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,NOVA NET,NOVA NET,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,PEACHSTATE,PEACHSTATE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,SELFPAY,SELFPAY,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,TRICARE,TRICARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOT KNEE TIBIA,C1776,CPT,both,,,3687,3687,UHC MEDICARE,UHC MEDICARE,,3687,,fee schedule,3687,3207.69,3687,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,AETNA,AETNA,,10883.7,87,percent of total billed charges,10883.7,10883.7,12510,percent of total billed charges,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10883.7,87,percent of total billed charges,10883.7,10883.7,12510,percent of total billed charges,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,UNITED HEALTHCARE,UNITED HEALTHCARE,,11008.8,88,percent of total billed charges,11008.8,10883.7,12510,percent of total billed charges,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,AETNA,AETNA,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,ALLIANT,ALLIANT,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,AMBETTER,AMBETTER,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,BEECH STREET,BEECH STREET,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,CARESOURCE,CARESOURCE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,MEDICAID,MEDICAID,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,MEDICARE,MEDICARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,NOVA NET,NOVA NET,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,PEACHSTATE,PEACHSTATE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,SELFPAY,SELFPAY,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,TRICARE,TRICARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW HUMERA,C1776,CPT,both,,,12510,12510,UHC MEDICARE,UHC MEDICARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,AETNA,AETNA,,10883.7,87,percent of total billed charges,10883.7,10883.7,12510,percent of total billed charges,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10883.7,87,percent of total billed charges,10883.7,10883.7,12510,percent of total billed charges,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,UNITED HEALTHCARE,UNITED HEALTHCARE,,11008.8,88,percent of total billed charges,11008.8,10883.7,12510,percent of total billed charges,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,AETNA,AETNA,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,ALLIANT,ALLIANT,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,AMBETTER,AMBETTER,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,BEECH STREET,BEECH STREET,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,CARESOURCE,CARESOURCE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,MEDICAID,MEDICAID,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,MEDICARE,MEDICARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,NOVA NET,NOVA NET,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,PEACHSTATE,PEACHSTATE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,SELFPAY,SELFPAY,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,TRICARE,TRICARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL ELBOW ULNAR,C1776,CPT,both,,,12510,12510,UHC MEDICARE,UHC MEDICARE,,12510,,fee schedule,12510,10883.7,12510,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,AETNA,AETNA,,2001.87,87,percent of total billed charges,2001.87,2001.87,2301,percent of total billed charges,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2001.87,87,percent of total billed charges,2001.87,2001.87,2301,percent of total billed charges,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,UNITED HEALTHCARE,UNITED HEALTHCARE,,2024.88,88,percent of total billed charges,2024.88,2001.87,2301,percent of total billed charges,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,AETNA,AETNA,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,ALLIANT,ALLIANT,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,AMBETTER,AMBETTER,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,BEECH STREET,BEECH STREET,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,CARESOURCE,CARESOURCE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,MEDICAID,MEDICAID,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,MEDICARE,MEDICARE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,NOVA NET,NOVA NET,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,PEACHSTATE,PEACHSTATE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,SELFPAY,SELFPAY,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,TRICARE,TRICARE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE ROD,C1776,CPT,both,,,2301,2301,UHC MEDICARE,UHC MEDICARE,,2301,,fee schedule,2301,2001.87,2301,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,AETNA,AETNA,,1805.25,87,percent of total billed charges,1805.25,1805.25,2075,percent of total billed charges,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1805.25,87,percent of total billed charges,1805.25,1805.25,2075,percent of total billed charges,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,UNITED HEALTHCARE,UNITED HEALTHCARE,,1826,88,percent of total billed charges,1826,1805.25,2075,percent of total billed charges,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,AETNA,AETNA,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,ALLIANT,ALLIANT,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,AMBETTER,AMBETTER,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,BEECH STREET,BEECH STREET,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,CARESOURCE,CARESOURCE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,MEDICAID,MEDICAID,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,MEDICARE,MEDICARE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,NOVA NET,NOVA NET,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,PEACHSTATE,PEACHSTATE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,SELFPAY,SELFPAY,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,TRICARE,TRICARE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TOTAL KNEE WEDGE,C1776,CPT,both,,,2075,2075,UHC MEDICARE,UHC MEDICARE,,2075,,fee schedule,2075,1805.25,2075,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,AETNA,AETNA,,11694.54,87,percent of total billed charges,11694.54,11694.54,13442,percent of total billed charges,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11694.54,87,percent of total billed charges,11694.54,11694.54,13442,percent of total billed charges,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,UNITED HEALTHCARE,UNITED HEALTHCARE,,11828.96,88,percent of total billed charges,11828.96,11694.54,13442,percent of total billed charges,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,AETNA,AETNA,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,ALLIANT,ALLIANT,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,AMBETTER,AMBETTER,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,BEECH STREET,BEECH STREET,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,CARESOURCE,CARESOURCE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,MEDICAID,MEDICAID,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,MEDICARE,MEDICARE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,NOVA NET,NOVA NET,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,PEACHSTATE,PEACHSTATE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,SELFPAY,SELFPAY,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,TRICARE,TRICARE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER TRILOGY CONSTRNED,C1776,CPT,both,,,13442,13442,UHC MEDICARE,UHC MEDICARE,,13442,,fee schedule,13442,11694.54,13442,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,AETNA,AETNA,,1644.3,87,percent of total billed charges,1644.3,1644.3,1890,percent of total billed charges,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1644.3,87,percent of total billed charges,1644.3,1644.3,1890,percent of total billed charges,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,UNITED HEALTHCARE,UNITED HEALTHCARE,,1663.2,88,percent of total billed charges,1663.2,1644.3,1890,percent of total billed charges,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,AETNA,AETNA,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,ALLIANT,ALLIANT,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,AMBETTER,AMBETTER,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,BEECH STREET,BEECH STREET,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,CARESOURCE,CARESOURCE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,MEDICAID,MEDICAID,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,MEDICARE,MEDICARE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,NOVA NET,NOVA NET,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,PEACHSTATE,PEACHSTATE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,SELFPAY,SELFPAY,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,TRICARE,TRICARE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL HEAD,C1776,CPT,both,,,1890,1890,UHC MEDICARE,UHC MEDICARE,,1890,,fee schedule,1890,1644.3,1890,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,AETNA,AETNA,,8967.09,87,percent of total billed charges,8967.09,8967.09,10307,percent of total billed charges,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8967.09,87,percent of total billed charges,8967.09,8967.09,10307,percent of total billed charges,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,UNITED HEALTHCARE,UNITED HEALTHCARE,,9070.16,88,percent of total billed charges,9070.16,8967.09,10307,percent of total billed charges,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,AETNA,AETNA,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,ALLIANT,ALLIANT,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,AMBETTER,AMBETTER,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,BEECH STREET,BEECH STREET,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,CARESOURCE,CARESOURCE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,MEDICAID,MEDICAID,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,MEDICARE,MEDICARE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,NOVA NET,NOVA NET,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,PEACHSTATE,PEACHSTATE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,SELFPAY,SELFPAY,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,TRICARE,TRICARE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS FEMORAL STEM,C1776,CPT,both,,,10307,10307,UHC MEDICARE,UHC MEDICARE,,10307,,fee schedule,10307,8967.09,10307,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,AETNA,AETNA,,11034.21,87,percent of total billed charges,11034.21,11034.21,12683,percent of total billed charges,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11034.21,87,percent of total billed charges,11034.21,11034.21,12683,percent of total billed charges,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,UNITED HEALTHCARE,UNITED HEALTHCARE,,11161.04,88,percent of total billed charges,11161.04,11034.21,12683,percent of total billed charges,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,AETNA,AETNA,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,ALLIANT,ALLIANT,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,AMBETTER,AMBETTER,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,BEECH STREET,BEECH STREET,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,CARESOURCE,CARESOURCE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,MEDICAID,MEDICAID,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,MEDICARE,MEDICARE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,NOVA NET,NOVA NET,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,PEACHSTATE,PEACHSTATE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,SELFPAY,SELFPAY,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,TRICARE,TRICARE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
ZIMMER VERYS LONG STEM,C1776,CPT,both,,,12683,12683,UHC MEDICARE,UHC MEDICARE,,12683,,fee schedule,12683,11034.21,12683,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,AETNA,AETNA,,5469.69,87,percent of total billed charges,5469.69,5469.69,6287,percent of total billed charges,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5469.69,87,percent of total billed charges,5469.69,5469.69,6287,percent of total billed charges,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,UNITED HEALTHCARE,UNITED HEALTHCARE,,5532.56,88,percent of total billed charges,5532.56,5469.69,6287,percent of total billed charges,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,AETNA,AETNA,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,ALLIANT,ALLIANT,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,AMBETTER,AMBETTER,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,BEECH STREET,BEECH STREET,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,CARESOURCE,CARESOURCE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,MEDICAID,MEDICAID,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,MEDICARE,MEDICARE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,NOVA NET,NOVA NET,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,PEACHSTATE,PEACHSTATE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,SELFPAY,SELFPAY,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,TRICARE,TRICARE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 1 X 8 LEAD,C1778,CPT,both,,,6287,6287,UHC MEDICARE,UHC MEDICARE,,6287,,fee schedule,6287,5469.69,6287,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,AETNA,AETNA,,6922.59,87,percent of total billed charges,6922.59,6922.59,7957,percent of total billed charges,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6922.59,87,percent of total billed charges,6922.59,6922.59,7957,percent of total billed charges,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,UNITED HEALTHCARE,UNITED HEALTHCARE,,7002.16,88,percent of total billed charges,7002.16,6922.59,7957,percent of total billed charges,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,AETNA,AETNA,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,ALLIANT,ALLIANT,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,AMBETTER,AMBETTER,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,BEECH STREET,BEECH STREET,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,CARESOURCE,CARESOURCE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,MEDICAID,MEDICAID,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,MEDICARE,MEDICARE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,NOVA NET,NOVA NET,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,PEACHSTATE,PEACHSTATE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,SELFPAY,SELFPAY,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,TRICARE,TRICARE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS 2X8 LEAD,C1778,CPT,both,,,7957,7957,UHC MEDICARE,UHC MEDICARE,,7957,,fee schedule,7957,6922.59,7957,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,AETNA,AETNA,,1845.27,87,percent of total billed charges,1845.27,1845.27,2121,percent of total billed charges,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1845.27,87,percent of total billed charges,1845.27,1845.27,2121,percent of total billed charges,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,UNITED HEALTHCARE,UNITED HEALTHCARE,,1866.48,88,percent of total billed charges,1866.48,1845.27,2121,percent of total billed charges,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,AETNA,AETNA,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,ALLIANT,ALLIANT,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,AMBETTER,AMBETTER,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,BEECH STREET,BEECH STREET,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,CARESOURCE,CARESOURCE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,MEDICAID,MEDICAID,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,MEDICARE,MEDICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,NOVA NET,NOVA NET,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,PEACHSTATE,PEACHSTATE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,SELFPAY,SELFPAY,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,TRICARE,TRICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS BLUE LEAD EXT KIT,C1778,CPT,both,,,2121,2121,UHC MEDICARE,UHC MEDICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS LEAD BLANK,C1778,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,AETNA,AETNA,,4961.61,87,percent of total billed charges,4961.61,4961.61,5703,percent of total billed charges,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4961.61,87,percent of total billed charges,4961.61,4961.61,5703,percent of total billed charges,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,UNITED HEALTHCARE,UNITED HEALTHCARE,,5018.64,88,percent of total billed charges,5018.64,4961.61,5703,percent of total billed charges,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,AETNA,AETNA,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,ALLIANT,ALLIANT,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,AMBETTER,AMBETTER,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,BEECH STREET,BEECH STREET,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,CARESOURCE,CARESOURCE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,MEDICAID,MEDICAID,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,MEDICARE,MEDICARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,NOVA NET,NOVA NET,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,PEACHSTATE,PEACHSTATE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,SELFPAY,SELFPAY,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,TRICARE,TRICARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS MRI AVISTA LEAD,C1778,CPT,both,,,5703,5703,UHC MEDICARE,UHC MEDICARE,,5703,,fee schedule,5703,4961.61,5703,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,AETNA,AETNA,,5511.45,87,percent of total billed charges,5511.45,5511.45,6335,percent of total billed charges,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5511.45,87,percent of total billed charges,5511.45,5511.45,6335,percent of total billed charges,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,UNITED HEALTHCARE,UNITED HEALTHCARE,,5574.8,88,percent of total billed charges,5574.8,5511.45,6335,percent of total billed charges,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,AETNA,AETNA,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,ALLIANT,ALLIANT,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,AMBETTER,AMBETTER,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,BEECH STREET,BEECH STREET,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CARESOURCE,CARESOURCE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,MEDICAID,MEDICAID,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,MEDICARE,MEDICARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,NOVA NET,NOVA NET,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,PEACHSTATE,PEACHSTATE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,SELFPAY,SELFPAY,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,TRICARE,TRICARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,UHC MEDICARE,UHC MEDICARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,AETNA,AETNA,,5511.45,87,percent of total billed charges,5511.45,5511.45,6335,percent of total billed charges,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5511.45,87,percent of total billed charges,5511.45,5511.45,6335,percent of total billed charges,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,UNITED HEALTHCARE,UNITED HEALTHCARE,,5574.8,88,percent of total billed charges,5574.8,5511.45,6335,percent of total billed charges,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,AETNA,AETNA,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,ALLIANT,ALLIANT,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,AMBETTER,AMBETTER,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,BEECH STREET,BEECH STREET,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CARESOURCE,CARESOURCE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,MEDICAID,MEDICAID,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,MEDICARE,MEDICARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,NOVA NET,NOVA NET,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,PEACHSTATE,PEACHSTATE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,SELFPAY,SELFPAY,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,TRICARE,TRICARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS PERMANENT LEAD KIT,C1778,CPT,both,,,6335,6335,UHC MEDICARE,UHC MEDICARE,,6335,,fee schedule,6335,5511.45,6335,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,AETNA,AETNA,,4688.43,87,percent of total billed charges,4688.43,4688.43,5389,percent of total billed charges,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4688.43,87,percent of total billed charges,4688.43,4688.43,5389,percent of total billed charges,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,UNITED HEALTHCARE,UNITED HEALTHCARE,,4742.32,88,percent of total billed charges,4742.32,4688.43,5389,percent of total billed charges,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,AETNA,AETNA,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,ALLIANT,ALLIANT,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,AMBETTER,AMBETTER,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,BEECH STREET,BEECH STREET,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,CARESOURCE,CARESOURCE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,MEDICAID,MEDICAID,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,MEDICARE,MEDICARE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,NOVA NET,NOVA NET,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,PEACHSTATE,PEACHSTATE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,SELFPAY,SELFPAY,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,TRICARE,TRICARE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 16 CONTACT,C1778,CPT,both,,,5389,5389,UHC MEDICARE,UHC MEDICARE,,5389,,fee schedule,5389,4688.43,5389,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,AETNA,AETNA,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,UNITED HEALTHCARE,UNITED HEALTHCARE,,1812.8,88,percent of total billed charges,1812.8,1792.2,2060,percent of total billed charges,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,AETNA,AETNA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,ALLIANT,ALLIANT,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,AMBETTER,AMBETTER,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,BEECH STREET,BEECH STREET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,CARESOURCE,CARESOURCE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,MEDICAID,MEDICAID,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,MEDICARE,MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,NOVA NET,NOVA NET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,PEACHSTATE,PEACHSTATE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,SELFPAY,SELFPAY,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,TRICARE,TRICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS TRIAL LEAD 8 CONTACT,C1778,CPT,both,,,2060,2060,UHC MEDICARE,UHC MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,AETNA,AETNA,,721.23,87,percent of total billed charges,721.23,721.23,829,percent of total billed charges,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,721.23,87,percent of total billed charges,721.23,721.23,829,percent of total billed charges,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,UNITED HEALTHCARE,UNITED HEALTHCARE,,729.52,88,percent of total billed charges,729.52,721.23,829,percent of total billed charges,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,AETNA,AETNA,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,ALLIANT,ALLIANT,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,AMBETTER,AMBETTER,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,BEECH STREET,BEECH STREET,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,CARESOURCE,CARESOURCE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,MEDICAID,MEDICAID,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,MEDICARE,MEDICARE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,NOVA NET,NOVA NET,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,PEACHSTATE,PEACHSTATE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,SELFPAY,SELFPAY,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,TRICARE,TRICARE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEAD KIT,C1778,CPT,both,,,829,829,UHC MEDICARE,UHC MEDICARE,,829,,fee schedule,829,721.23,829,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,AETNA,AETNA,,298.41,87,percent of total billed charges,298.41,298.41,343,percent of total billed charges,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298.41,87,percent of total billed charges,298.41,298.41,343,percent of total billed charges,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,UNITED HEALTHCARE,UNITED HEALTHCARE,,301.84,88,percent of total billed charges,301.84,298.41,343,percent of total billed charges,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,AETNA,AETNA,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,ALLIANT,ALLIANT,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,AMBETTER,AMBETTER,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,BEECH STREET,BEECH STREET,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,CARESOURCE,CARESOURCE,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,MEDICAID,MEDICAID,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,MEDICARE,MEDICARE,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,NOVA NET,NOVA NET,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,PEACHSTATE,PEACHSTATE,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,SELFPAY,SELFPAY,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,TRICARE,TRICARE,,343,,fee schedule,343,298.41,343,fee schedule,
INTERSTIM LEADTRIAL 1178,C1778,CPT,both,,,343,343,UHC MEDICARE,UHC MEDICARE,,343,,fee schedule,343,298.41,343,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,AETNA,AETNA,,10305.15,87,percent of total billed charges,10305.15,10305.15,11845,percent of total billed charges,
KIT LEAD,C1778,CPT,both,,,11845,11845,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10305.15,87,percent of total billed charges,10305.15,10305.15,11845,percent of total billed charges,
KIT LEAD,C1778,CPT,both,,,11845,11845,UNITED HEALTHCARE,UNITED HEALTHCARE,,10423.6,88,percent of total billed charges,10423.6,10305.15,11845,percent of total billed charges,
KIT LEAD,C1778,CPT,both,,,11845,11845,AETNA,AETNA,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,ALLIANT,ALLIANT,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,AMBETTER,AMBETTER,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,BEECH STREET,BEECH STREET,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,CARESOURCE,CARESOURCE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,MEDICAID,MEDICAID,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,MEDICARE,MEDICARE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,NOVA NET,NOVA NET,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,PEACHSTATE,PEACHSTATE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,SELFPAY,SELFPAY,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,TRICARE,TRICARE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
KIT LEAD,C1778,CPT,both,,,11845,11845,UHC MEDICARE,UHC MEDICARE,,11845,,fee schedule,11845,10305.15,11845,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,AETNA,AETNA,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,UNITED HEALTHCARE,UNITED HEALTHCARE,,2884.64,88,percent of total billed charges,2884.64,2851.86,3278,percent of total billed charges,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,AETNA,AETNA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,ALLIANT,ALLIANT,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,AMBETTER,AMBETTER,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,BEECH STREET,BEECH STREET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,CARESOURCE,CARESOURCE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,MEDICAID,MEDICAID,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,MEDICARE,MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,NOVA NET,NOVA NET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,PEACHSTATE,PEACHSTATE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,SELFPAY,SELFPAY,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,TRICARE,TRICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT DCS,C1778,CPT,both,,,3278,3278,UHC MEDICARE,UHC MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,AETNA,AETNA,,1199.73,87,percent of total billed charges,1199.73,1199.73,1379,percent of total billed charges,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1199.73,87,percent of total billed charges,1199.73,1199.73,1379,percent of total billed charges,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,UNITED HEALTHCARE,UNITED HEALTHCARE,,1213.52,88,percent of total billed charges,1213.52,1199.73,1379,percent of total billed charges,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,AETNA,AETNA,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,ALLIANT,ALLIANT,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,AMBETTER,AMBETTER,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,BEECH STREET,BEECH STREET,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,CARESOURCE,CARESOURCE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,MEDICAID,MEDICAID,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,MEDICARE,MEDICARE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,NOVA NET,NOVA NET,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,PEACHSTATE,PEACHSTATE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,SELFPAY,SELFPAY,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,TRICARE,TRICARE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT NEUROSTIM,C1778,CPT,both,,,1379,1379,UHC MEDICARE,UHC MEDICARE,,1379,,fee schedule,1379,1199.73,1379,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,AETNA,AETNA,,8319.81,87,percent of total billed charges,8319.81,8319.81,9563,percent of total billed charges,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8319.81,87,percent of total billed charges,8319.81,8319.81,9563,percent of total billed charges,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,UNITED HEALTHCARE,UNITED HEALTHCARE,,8415.44,88,percent of total billed charges,8415.44,8319.81,9563,percent of total billed charges,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,AETNA,AETNA,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,ALLIANT,ALLIANT,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,AMBETTER,AMBETTER,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,BEECH STREET,BEECH STREET,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,CARESOURCE,CARESOURCE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,MEDICAID,MEDICAID,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,MEDICARE,MEDICARE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,NOVA NET,NOVA NET,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,PEACHSTATE,PEACHSTATE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,SELFPAY,SELFPAY,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,TRICARE,TRICARE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD KIT TINED,C1778,CPT,both,,,9563,9563,UHC MEDICARE,UHC MEDICARE,,9563,,fee schedule,9563,8319.81,9563,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,AETNA,AETNA,,7616.85,87,percent of total billed charges,7616.85,7616.85,8755,percent of total billed charges,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7616.85,87,percent of total billed charges,7616.85,7616.85,8755,percent of total billed charges,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,UNITED HEALTHCARE,UNITED HEALTHCARE,,7704.4,88,percent of total billed charges,7704.4,7616.85,8755,percent of total billed charges,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,AETNA,AETNA,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,ALLIANT,ALLIANT,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,AMBETTER,AMBETTER,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,BEECH STREET,BEECH STREET,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,CARESOURCE,CARESOURCE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,MEDICAID,MEDICAID,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,MEDICARE,MEDICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,NOVA NET,NOVA NET,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,PEACHSTATE,PEACHSTATE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,SELFPAY,SELFPAY,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,TRICARE,TRICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD RESPI SENSING,C1778,CPT,both,,,8755,8755,UHC MEDICARE,UHC MEDICARE,,8755,,fee schedule,8755,7616.85,8755,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,AETNA,AETNA,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
LEAD STIM,C1778,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4480.5,87,percent of total billed charges,4480.5,4480.5,5150,percent of total billed charges,
LEAD STIM,C1778,CPT,both,,,5150,5150,UNITED HEALTHCARE,UNITED HEALTHCARE,,4532,88,percent of total billed charges,4532,4480.5,5150,percent of total billed charges,
LEAD STIM,C1778,CPT,both,,,5150,5150,AETNA,AETNA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,ALLIANT,ALLIANT,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,AMBETTER,AMBETTER,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,BEECH STREET,BEECH STREET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,CARESOURCE,CARESOURCE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,MEDICAID,MEDICAID,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,MEDICARE,MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,NOVA NET,NOVA NET,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,PEACHSTATE,PEACHSTATE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,SELFPAY,SELFPAY,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,TRICARE,TRICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
LEAD STIM,C1778,CPT,both,,,5150,5150,UHC MEDICARE,UHC MEDICARE,,5150,,fee schedule,5150,4480.5,5150,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,AETNA,AETNA,,2706.57,87,percent of total billed charges,2706.57,2706.57,3111,percent of total billed charges,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2706.57,87,percent of total billed charges,2706.57,2706.57,3111,percent of total billed charges,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,UNITED HEALTHCARE,UNITED HEALTHCARE,,2737.68,88,percent of total billed charges,2737.68,2706.57,3111,percent of total billed charges,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,AETNA,AETNA,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,ALLIANT,ALLIANT,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,AMBETTER,AMBETTER,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,BEECH STREET,BEECH STREET,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,CARESOURCE,CARESOURCE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,MEDICAID,MEDICAID,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,MEDICARE,MEDICARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,NOVA NET,NOVA NET,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,PEACHSTATE,PEACHSTATE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,SELFPAY,SELFPAY,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,TRICARE,TRICARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1688TC 52/,C1779,CPT,both,,,3111,3111,UHC MEDICARE,UHC MEDICARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,AETNA,AETNA,,2706.57,87,percent of total billed charges,2706.57,2706.57,3111,percent of total billed charges,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2706.57,87,percent of total billed charges,2706.57,2706.57,3111,percent of total billed charges,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,UNITED HEALTHCARE,UNITED HEALTHCARE,,2737.68,88,percent of total billed charges,2737.68,2706.57,3111,percent of total billed charges,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,AETNA,AETNA,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,ALLIANT,ALLIANT,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,AMBETTER,AMBETTER,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,BEECH STREET,BEECH STREET,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,CARESOURCE,CARESOURCE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,MEDICAID,MEDICAID,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,MEDICARE,MEDICARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,NOVA NET,NOVA NET,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,PEACHSTATE,PEACHSTATE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,SELFPAY,SELFPAY,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,TRICARE,TRICARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 1888TC 52/,C1779,CPT,both,,,3111,3111,UHC MEDICARE,UHC MEDICARE,,3111,,fee schedule,3111,2706.57,3111,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,AETNA,AETNA,,2625.66,87,percent of total billed charges,2625.66,2625.66,3018,percent of total billed charges,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2625.66,87,percent of total billed charges,2625.66,2625.66,3018,percent of total billed charges,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,UNITED HEALTHCARE,UNITED HEALTHCARE,,2655.84,88,percent of total billed charges,2655.84,2625.66,3018,percent of total billed charges,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,AETNA,AETNA,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,ALLIANT,ALLIANT,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,AMBETTER,AMBETTER,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,BEECH STREET,BEECH STREET,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,CARESOURCE,CARESOURCE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,MEDICAID,MEDICAID,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,MEDICARE,MEDICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,NOVA NET,NOVA NET,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,PEACHSTATE,PEACHSTATE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,SELFPAY,SELFPAY,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,TRICARE,TRICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4035,C1779,CPT,both,,,3018,3018,UHC MEDICARE,UHC MEDICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,2399.46,2758,percent of total billed charges,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,2399.46,2758,percent of total billed charges,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,2399.46,2758,percent of total billed charges,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,TRICARE,TRICARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
PACEMAKER LEAD 4244,C1779,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,AETNA,AETNA,,14126.19,87,percent of total billed charges,14126.19,14126.19,16237,percent of total billed charges,
ALLOMAX,C1781,CPT,both,,,16237,16237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14126.19,87,percent of total billed charges,14126.19,14126.19,16237,percent of total billed charges,
ALLOMAX,C1781,CPT,both,,,16237,16237,UNITED HEALTHCARE,UNITED HEALTHCARE,,14288.56,88,percent of total billed charges,14288.56,14126.19,16237,percent of total billed charges,
ALLOMAX,C1781,CPT,both,,,16237,16237,AETNA,AETNA,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,ALLIANT,ALLIANT,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,AMBETTER,AMBETTER,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,BEECH STREET,BEECH STREET,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,CARESOURCE,CARESOURCE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,MEDICAID,MEDICAID,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,MEDICARE,MEDICARE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,NOVA NET,NOVA NET,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,PEACHSTATE,PEACHSTATE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,SELFPAY,SELFPAY,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,TRICARE,TRICARE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ALLOMAX,C1781,CPT,both,,,16237,16237,UHC MEDICARE,UHC MEDICARE,,16237,,fee schedule,16237,14126.19,16237,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,AETNA,AETNA,,1521.63,87,percent of total billed charges,1521.63,1521.63,1749,percent of total billed charges,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1521.63,87,percent of total billed charges,1521.63,1521.63,1749,percent of total billed charges,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,UNITED HEALTHCARE,UNITED HEALTHCARE,,1539.12,88,percent of total billed charges,1539.12,1521.63,1749,percent of total billed charges,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,AETNA,AETNA,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,ALLIANT,ALLIANT,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,AMBETTER,AMBETTER,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,BEECH STREET,BEECH STREET,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,CARESOURCE,CARESOURCE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,MEDICAID,MEDICAID,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,MEDICARE,MEDICARE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,NOVA NET,NOVA NET,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,PEACHSTATE,PEACHSTATE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,SELFPAY,SELFPAY,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,TRICARE,TRICARE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUAR MESH 6X8,C1781,CPT,both,,,1749,1749,UHC MEDICARE,UHC MEDICARE,,1749,,fee schedule,1749,1521.63,1749,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,AETNA,AETNA,,4141.2,87,percent of total billed charges,4141.2,4141.2,4760,percent of total billed charges,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4141.2,87,percent of total billed charges,4141.2,4141.2,4760,percent of total billed charges,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,UNITED HEALTHCARE,UNITED HEALTHCARE,,4188.8,88,percent of total billed charges,4188.8,4141.2,4760,percent of total billed charges,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,AETNA,AETNA,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,ALLIANT,ALLIANT,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,AMBETTER,AMBETTER,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,BEECH STREET,BEECH STREET,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,CARESOURCE,CARESOURCE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,MEDICAID,MEDICAID,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,MEDICARE,MEDICARE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,NOVA NET,NOVA NET,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,PEACHSTATE,PEACHSTATE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,SELFPAY,SELFPAY,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,TRICARE,TRICARE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 10X14,C1781,CPT,both,,,4760,4760,UHC MEDICARE,UHC MEDICARE,,4760,,fee schedule,4760,4141.2,4760,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,AETNA,AETNA,,870,87,percent of total billed charges,870,870,1000,percent of total billed charges,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,870,87,percent of total billed charges,870,870,1000,percent of total billed charges,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,UNITED HEALTHCARE,UNITED HEALTHCARE,,880,88,percent of total billed charges,880,870,1000,percent of total billed charges,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,AETNA,AETNA,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,ALLIANT,ALLIANT,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,AMBETTER,AMBETTER,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,BEECH STREET,BEECH STREET,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,CARESOURCE,CARESOURCE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,MEDICAID,MEDICAID,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,MEDICARE,MEDICARE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,NOVA NET,NOVA NET,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,PEACHSTATE,PEACHSTATE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,SELFPAY,SELFPAY,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,TRICARE,TRICARE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 4X6,C1781,CPT,both,,,1000,1000,UHC MEDICARE,UHC MEDICARE,,1000,,fee schedule,1000,870,1000,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,AETNA,AETNA,,2966.7,87,percent of total billed charges,2966.7,2966.7,3410,percent of total billed charges,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2966.7,87,percent of total billed charges,2966.7,2966.7,3410,percent of total billed charges,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,UNITED HEALTHCARE,UNITED HEALTHCARE,,3000.8,88,percent of total billed charges,3000.8,2966.7,3410,percent of total billed charges,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,AETNA,AETNA,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,ALLIANT,ALLIANT,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,AMBETTER,AMBETTER,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,BEECH STREET,BEECH STREET,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,CARESOURCE,CARESOURCE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,MEDICAID,MEDICAID,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,MEDICARE,MEDICARE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,NOVA NET,NOVA NET,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,PEACHSTATE,PEACHSTATE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,SELFPAY,SELFPAY,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,TRICARE,TRICARE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X10,C1781,CPT,both,,,3410,3410,UHC MEDICARE,UHC MEDICARE,,3410,,fee schedule,3410,2966.7,3410,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,AETNA,AETNA,,3174.63,87,percent of total billed charges,3174.63,3174.63,3649,percent of total billed charges,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3174.63,87,percent of total billed charges,3174.63,3174.63,3649,percent of total billed charges,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,UNITED HEALTHCARE,UNITED HEALTHCARE,,3211.12,88,percent of total billed charges,3211.12,3174.63,3649,percent of total billed charges,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,AETNA,AETNA,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,ALLIANT,ALLIANT,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,AMBETTER,AMBETTER,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,BEECH STREET,BEECH STREET,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,CARESOURCE,CARESOURCE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,MEDICAID,MEDICAID,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,MEDICARE,MEDICARE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,NOVA NET,NOVA NET,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,PEACHSTATE,PEACHSTATE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,SELFPAY,SELFPAY,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,TRICARE,TRICARE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR MESH 8X12,C1781,CPT,both,,,3649,3649,UHC MEDICARE,UHC MEDICARE,,3649,,fee schedule,3649,3174.63,3649,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,AETNA,AETNA,,1539.9,87,percent of total billed charges,1539.9,1539.9,1770,percent of total billed charges,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1539.9,87,percent of total billed charges,1539.9,1539.9,1770,percent of total billed charges,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,UNITED HEALTHCARE,UNITED HEALTHCARE,,1557.6,88,percent of total billed charges,1557.6,1539.9,1770,percent of total billed charges,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,AETNA,AETNA,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,ALLIANT,ALLIANT,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,AMBETTER,AMBETTER,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,BEECH STREET,BEECH STREET,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,CARESOURCE,CARESOURCE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,MEDICAID,MEDICAID,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,MEDICARE,MEDICARE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,NOVA NET,NOVA NET,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,PEACHSTATE,PEACHSTATE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,SELFPAY,SELFPAY,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,TRICARE,TRICARE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH LG,C1781,CPT,both,,,1770,1770,UHC MEDICARE,UHC MEDICARE,,1770,,fee schedule,1770,1539.9,1770,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,AETNA,AETNA,,1191.03,87,percent of total billed charges,1191.03,1191.03,1369,percent of total billed charges,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1191.03,87,percent of total billed charges,1191.03,1191.03,1369,percent of total billed charges,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,UNITED HEALTHCARE,UNITED HEALTHCARE,,1204.72,88,percent of total billed charges,1204.72,1191.03,1369,percent of total billed charges,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,AETNA,AETNA,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,ALLIANT,ALLIANT,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,AMBETTER,AMBETTER,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,BEECH STREET,BEECH STREET,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,CARESOURCE,CARESOURCE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,MEDICAID,MEDICAID,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,MEDICARE,MEDICARE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,NOVA NET,NOVA NET,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,PEACHSTATE,PEACHSTATE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,SELFPAY,SELFPAY,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,TRICARE,TRICARE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH MD,C1781,CPT,both,,,1369,1369,UHC MEDICARE,UHC MEDICARE,,1369,,fee schedule,1369,1191.03,1369,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,AETNA,AETNA,,935.25,87,percent of total billed charges,935.25,935.25,1075,percent of total billed charges,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,935.25,87,percent of total billed charges,935.25,935.25,1075,percent of total billed charges,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,UNITED HEALTHCARE,UNITED HEALTHCARE,,946,88,percent of total billed charges,946,935.25,1075,percent of total billed charges,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,AETNA,AETNA,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,ALLIANT,ALLIANT,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,AMBETTER,AMBETTER,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,BEECH STREET,BEECH STREET,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,CARESOURCE,CARESOURCE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,MEDICAID,MEDICAID,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,MEDICARE,MEDICARE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,NOVA NET,NOVA NET,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,PEACHSTATE,PEACHSTATE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,SELFPAY,SELFPAY,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,TRICARE,TRICARE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
ATRIUM C-QUR V PATCH SM,C1781,CPT,both,,,1075,1075,UHC MEDICARE,UHC MEDICARE,,1075,,fee schedule,1075,935.25,1075,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,AETNA,AETNA,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381.06,87,percent of total billed charges,381.06,381.06,438,percent of total billed charges,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,UNITED HEALTHCARE,UNITED HEALTHCARE,,385.44,88,percent of total billed charges,385.44,381.06,438,percent of total billed charges,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,AETNA,AETNA,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,ALLIANT,ALLIANT,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,AMBETTER,AMBETTER,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,BEECH STREET,BEECH STREET,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,CARESOURCE,CARESOURCE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,MEDICAID,MEDICAID,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,MEDICARE,MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,NOVA NET,NOVA NET,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,PEACHSTATE,PEACHSTATE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,SELFPAY,SELFPAY,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,TRICARE,TRICARE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MAX MESH MEDIUM,C1781,CPT,both,,,438,438,UHC MEDICARE,UHC MEDICARE,,438,,fee schedule,438,381.06,438,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,AETNA,AETNA,,990.93,87,percent of total billed charges,990.93,990.93,1139,percent of total billed charges,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,990.93,87,percent of total billed charges,990.93,990.93,1139,percent of total billed charges,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,UNITED HEALTHCARE,UNITED HEALTHCARE,,1002.32,88,percent of total billed charges,1002.32,990.93,1139,percent of total billed charges,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,AETNA,AETNA,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,ALLIANT,ALLIANT,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,AMBETTER,AMBETTER,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,BEECH STREET,BEECH STREET,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,CARESOURCE,CARESOURCE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,MEDICAID,MEDICAID,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,MEDICARE,MEDICARE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,NOVA NET,NOVA NET,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,PEACHSTATE,PEACHSTATE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,SELFPAY,SELFPAY,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,TRICARE,TRICARE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD 3D MESH LRG,C1781,CPT,both,,,1139,1139,UHC MEDICARE,UHC MEDICARE,,1139,,fee schedule,1139,990.93,1139,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,AETNA,AETNA,,9171.54,87,percent of total billed charges,9171.54,9171.54,10542,percent of total billed charges,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9171.54,87,percent of total billed charges,9171.54,9171.54,10542,percent of total billed charges,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,UNITED HEALTHCARE,UNITED HEALTHCARE,,9276.96,88,percent of total billed charges,9276.96,9171.54,10542,percent of total billed charges,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,AETNA,AETNA,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,ALLIANT,ALLIANT,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,AMBETTER,AMBETTER,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,BEECH STREET,BEECH STREET,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,CARESOURCE,CARESOURCE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,MEDICAID,MEDICAID,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,MEDICARE,MEDICARE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,NOVA NET,NOVA NET,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,PEACHSTATE,PEACHSTATE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,SELFPAY,SELFPAY,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,TRICARE,TRICARE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ALLOMAX MESH 8X16,C1781,CPT,both,,,10542,10542,UHC MEDICARE,UHC MEDICARE,,10542,,fee schedule,10542,9171.54,10542,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,AETNA,AETNA,,4419.6,87,percent of total billed charges,4419.6,4419.6,5080,percent of total billed charges,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4419.6,87,percent of total billed charges,4419.6,4419.6,5080,percent of total billed charges,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,UNITED HEALTHCARE,UNITED HEALTHCARE,,4470.4,88,percent of total billed charges,4470.4,4419.6,5080,percent of total billed charges,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,AETNA,AETNA,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,ALLIANT,ALLIANT,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,AMBETTER,AMBETTER,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,BEECH STREET,BEECH STREET,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,CARESOURCE,CARESOURCE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,MEDICAID,MEDICAID,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,MEDICARE,MEDICARE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,NOVA NET,NOVA NET,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,PEACHSTATE,PEACHSTATE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,SELFPAY,SELFPAY,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,TRICARE,TRICARE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD ECHO P.S. MESH,C1781,CPT,both,,,5080,5080,UHC MEDICARE,UHC MEDICARE,,5080,,fee schedule,5080,4419.6,5080,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,AETNA,AETNA,,19727.25,87,percent of total billed charges,19727.25,19727.25,22675,percent of total billed charges,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19727.25,87,percent of total billed charges,19727.25,19727.25,22675,percent of total billed charges,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,UNITED HEALTHCARE,UNITED HEALTHCARE,,19954,88,percent of total billed charges,19954,19727.25,22675,percent of total billed charges,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,AETNA,AETNA,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,ALLIANT,ALLIANT,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,AMBETTER,AMBETTER,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,BEECH STREET,BEECH STREET,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,CARESOURCE,CARESOURCE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,MEDICAID,MEDICAID,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,MEDICARE,MEDICARE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,NOVA NET,NOVA NET,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,PEACHSTATE,PEACHSTATE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,SELFPAY,SELFPAY,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,TRICARE,TRICARE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX MESH 20CM X 2,C1781,CPT,both,,,22675,22675,UHC MEDICARE,UHC MEDICARE,,22675,,fee schedule,22675,19727.25,22675,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,AETNA,AETNA,,14096.61,87,percent of total billed charges,14096.61,14096.61,16203,percent of total billed charges,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14096.61,87,percent of total billed charges,14096.61,14096.61,16203,percent of total billed charges,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,UNITED HEALTHCARE,UNITED HEALTHCARE,,14258.64,88,percent of total billed charges,14258.64,14096.61,16203,percent of total billed charges,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,AETNA,AETNA,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,ALLIANT,ALLIANT,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,AMBETTER,AMBETTER,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,BEECH STREET,BEECH STREET,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,CARESOURCE,CARESOURCE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,MEDICAID,MEDICAID,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,MEDICARE,MEDICARE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,NOVA NET,NOVA NET,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,PEACHSTATE,PEACHSTATE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,SELFPAY,SELFPAY,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,TRICARE,TRICARE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD PHASIX ST 15 X 20,C1781,CPT,both,,,16203,16203,UHC MEDICARE,UHC MEDICARE,,16203,,fee schedule,16203,14096.61,16203,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,AETNA,AETNA,,12400.11,87,percent of total billed charges,12400.11,12400.11,14253,percent of total billed charges,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12400.11,87,percent of total billed charges,12400.11,12400.11,14253,percent of total billed charges,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,UNITED HEALTHCARE,UNITED HEALTHCARE,,12542.64,88,percent of total billed charges,12542.64,12400.11,14253,percent of total billed charges,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,AETNA,AETNA,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,ALLIANT,ALLIANT,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,AMBETTER,AMBETTER,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,BEECH STREET,BEECH STREET,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CARESOURCE,CARESOURCE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,MEDICAID,MEDICAID,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,MEDICARE,MEDICARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,NOVA NET,NOVA NET,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,PEACHSTATE,PEACHSTATE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,SELFPAY,SELFPAY,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,TRICARE,TRICARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,UHC MEDICARE,UHC MEDICARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,AETNA,AETNA,,12400.11,87,percent of total billed charges,12400.11,12400.11,14253,percent of total billed charges,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12400.11,87,percent of total billed charges,12400.11,12400.11,14253,percent of total billed charges,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,UNITED HEALTHCARE,UNITED HEALTHCARE,,12542.64,88,percent of total billed charges,12542.64,12400.11,14253,percent of total billed charges,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,AETNA,AETNA,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,ALLIANT,ALLIANT,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,AMBETTER,AMBETTER,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,BEECH STREET,BEECH STREET,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CARESOURCE,CARESOURCE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,MEDICAID,MEDICAID,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,MEDICARE,MEDICARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,NOVA NET,NOVA NET,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,PEACHSTATE,PEACHSTATE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,SELFPAY,SELFPAY,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,TRICARE,TRICARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
BARD XENMATRIX 10 X 15,C1781,CPT,both,,,14253,14253,UHC MEDICARE,UHC MEDICARE,,14253,,fee schedule,14253,12400.11,14253,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,AETNA,AETNA,,948.3,87,percent of total billed charges,948.3,948.3,1090,percent of total billed charges,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,948.3,87,percent of total billed charges,948.3,948.3,1090,percent of total billed charges,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,UNITED HEALTHCARE,UNITED HEALTHCARE,,959.2,88,percent of total billed charges,959.2,948.3,1090,percent of total billed charges,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,AETNA,AETNA,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,ALLIANT,ALLIANT,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,AMBETTER,AMBETTER,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,BEECH STREET,BEECH STREET,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,CARESOURCE,CARESOURCE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,MEDICAID,MEDICAID,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,MEDICARE,MEDICARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,NOVA NET,NOVA NET,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,PEACHSTATE,PEACHSTATE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,SELFPAY,SELFPAY,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,TRICARE,TRICARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED OVAL MESH,C1781,CPT,both,,,1090,1090,UHC MEDICARE,UHC MEDICARE,,1090,,fee schedule,1090,948.3,1090,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,AETNA,AETNA,,1103.16,87,percent of total billed charges,1103.16,1103.16,1268,percent of total billed charges,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1103.16,87,percent of total billed charges,1103.16,1103.16,1268,percent of total billed charges,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,UNITED HEALTHCARE,UNITED HEALTHCARE,,1115.84,88,percent of total billed charges,1115.84,1103.16,1268,percent of total billed charges,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,AETNA,AETNA,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,ALLIANT,ALLIANT,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,AMBETTER,AMBETTER,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,BEECH STREET,BEECH STREET,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,CARESOURCE,CARESOURCE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,MEDICAID,MEDICAID,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,MEDICARE,MEDICARE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,NOVA NET,NOVA NET,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,PEACHSTATE,PEACHSTATE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,SELFPAY,SELFPAY,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,TRICARE,TRICARE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
COV/MED ROUND MESH,C1781,CPT,both,,,1268,1268,UHC MEDICARE,UHC MEDICARE,,1268,,fee schedule,1268,1103.16,1268,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,AETNA,AETNA,,816.06,87,percent of total billed charges,816.06,816.06,938,percent of total billed charges,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,816.06,87,percent of total billed charges,816.06,816.06,938,percent of total billed charges,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,UNITED HEALTHCARE,UNITED HEALTHCARE,,825.44,88,percent of total billed charges,825.44,816.06,938,percent of total billed charges,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,AETNA,AETNA,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,ALLIANT,ALLIANT,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,AMBETTER,AMBETTER,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,BEECH STREET,BEECH STREET,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,CARESOURCE,CARESOURCE,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,MEDICAID,MEDICAID,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,MEDICARE,MEDICARE,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,NOVA NET,NOVA NET,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,PEACHSTATE,PEACHSTATE,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,SELFPAY,SELFPAY,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,TRICARE,TRICARE,,938,,fee schedule,938,816.06,938,fee schedule,
CRURASOFT PATCH SMALL,C1781,CPT,both,,,938,938,UHC MEDICARE,UHC MEDICARE,,938,,fee schedule,938,816.06,938,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,AETNA,AETNA,,1105.77,87,percent of total billed charges,1105.77,1105.77,1271,percent of total billed charges,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1105.77,87,percent of total billed charges,1105.77,1105.77,1271,percent of total billed charges,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,UNITED HEALTHCARE,UNITED HEALTHCARE,,1118.48,88,percent of total billed charges,1118.48,1105.77,1271,percent of total billed charges,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,AETNA,AETNA,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,ALLIANT,ALLIANT,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,AMBETTER,AMBETTER,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,BEECH STREET,BEECH STREET,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,CARESOURCE,CARESOURCE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,MEDICAID,MEDICAID,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,MEDICARE,MEDICARE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,NOVA NET,NOVA NET,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,PEACHSTATE,PEACHSTATE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,SELFPAY,SELFPAY,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,TRICARE,TRICARE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
CURASOFT PATCH LARGE,C1781,CPT,both,,,1271,1271,UHC MEDICARE,UHC MEDICARE,,1271,,fee schedule,1271,1105.77,1271,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,AETNA,AETNA,,2953.65,87,percent of total billed charges,2953.65,2953.65,3395,percent of total billed charges,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2953.65,87,percent of total billed charges,2953.65,2953.65,3395,percent of total billed charges,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,UNITED HEALTHCARE,UNITED HEALTHCARE,,2987.6,88,percent of total billed charges,2987.6,2953.65,3395,percent of total billed charges,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,AETNA,AETNA,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,ALLIANT,ALLIANT,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,AMBETTER,AMBETTER,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,BEECH STREET,BEECH STREET,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,CARESOURCE,CARESOURCE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,MEDICAID,MEDICAID,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,MEDICARE,MEDICARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,NOVA NET,NOVA NET,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,PEACHSTATE,PEACHSTATE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,SELFPAY,SELFPAY,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,TRICARE,TRICARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
DIRECT FIX MESH (ANT & POST),C1781,CPT,both,,,3395,3395,UHC MEDICARE,UHC MEDICARE,,3395,,fee schedule,3395,2953.65,3395,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,AETNA,AETNA,,856.08,87,percent of total billed charges,856.08,856.08,984,percent of total billed charges,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,856.08,87,percent of total billed charges,856.08,856.08,984,percent of total billed charges,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,UNITED HEALTHCARE,UNITED HEALTHCARE,,865.92,88,percent of total billed charges,865.92,856.08,984,percent of total billed charges,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,AETNA,AETNA,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,ALLIANT,ALLIANT,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,AMBETTER,AMBETTER,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,BEECH STREET,BEECH STREET,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,CARESOURCE,CARESOURCE,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,MEDICAID,MEDICAID,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,MEDICARE,MEDICARE,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,NOVA NET,NOVA NET,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,PEACHSTATE,PEACHSTATE,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,SELFPAY,SELFPAY,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,TRICARE,TRICARE,,984,,fee schedule,984,856.08,984,fee schedule,
GORE-TEX DUAL MESH 8CM X,C1781,CPT,both,,,984,984,UHC MEDICARE,UHC MEDICARE,,984,,fee schedule,984,856.08,984,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,AETNA,AETNA,,676.86,87,percent of total billed charges,676.86,676.86,778,percent of total billed charges,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,676.86,87,percent of total billed charges,676.86,676.86,778,percent of total billed charges,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,UNITED HEALTHCARE,UNITED HEALTHCARE,,684.64,88,percent of total billed charges,684.64,676.86,778,percent of total billed charges,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,AETNA,AETNA,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,ALLIANT,ALLIANT,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,AMBETTER,AMBETTER,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,BEECH STREET,BEECH STREET,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,CARESOURCE,CARESOURCE,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,MEDICAID,MEDICAID,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,MEDICARE,MEDICARE,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,NOVA NET,NOVA NET,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,PEACHSTATE,PEACHSTATE,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,SELFPAY,SELFPAY,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,TRICARE,TRICARE,,778,,fee schedule,778,676.86,778,fee schedule,
GORETEX-DUAL-MESH 10CM-X-,C1781,CPT,both,,,778,778,UHC MEDICARE,UHC MEDICARE,,778,,fee schedule,778,676.86,778,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,AETNA,AETNA,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
GORTEX MESH,C1781,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399.33,87,percent of total billed charges,399.33,399.33,459,percent of total billed charges,
GORTEX MESH,C1781,CPT,both,,,459,459,UNITED HEALTHCARE,UNITED HEALTHCARE,,403.92,88,percent of total billed charges,403.92,399.33,459,percent of total billed charges,
GORTEX MESH,C1781,CPT,both,,,459,459,AETNA,AETNA,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,ALLIANT,ALLIANT,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,AMBETTER,AMBETTER,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,BEECH STREET,BEECH STREET,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,CARESOURCE,CARESOURCE,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,MEDICAID,MEDICAID,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,MEDICARE,MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,NOVA NET,NOVA NET,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,PEACHSTATE,PEACHSTATE,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,SELFPAY,SELFPAY,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,TRICARE,TRICARE,,459,,fee schedule,459,399.33,459,fee schedule,
GORTEX MESH,C1781,CPT,both,,,459,459,UHC MEDICARE,UHC MEDICARE,,459,,fee schedule,459,399.33,459,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,AETNA,AETNA,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,423.69,87,percent of total billed charges,423.69,423.69,487,percent of total billed charges,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,UNITED HEALTHCARE,UNITED HEALTHCARE,,428.56,88,percent of total billed charges,428.56,423.69,487,percent of total billed charges,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,AETNA,AETNA,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,ALLIANT,ALLIANT,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,AMBETTER,AMBETTER,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,BEECH STREET,BEECH STREET,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,CARESOURCE,CARESOURCE,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,MEDICAID,MEDICAID,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,MEDICARE,MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,NOVA NET,NOVA NET,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,PEACHSTATE,PEACHSTATE,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,SELFPAY,SELFPAY,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,TRICARE,TRICARE,,487,,fee schedule,487,423.69,487,fee schedule,
HEMASHIELD CAROTID PATCH,C1781,CPT,both,,,487,487,UHC MEDICARE,UHC MEDICARE,,487,,fee schedule,487,423.69,487,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,AETNA,AETNA,,1236.27,87,percent of total billed charges,1236.27,1236.27,1421,percent of total billed charges,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1236.27,87,percent of total billed charges,1236.27,1236.27,1421,percent of total billed charges,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,UNITED HEALTHCARE,UNITED HEALTHCARE,,1250.48,88,percent of total billed charges,1250.48,1236.27,1421,percent of total billed charges,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,AETNA,AETNA,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,ALLIANT,ALLIANT,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,AMBETTER,AMBETTER,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,BEECH STREET,BEECH STREET,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,CARESOURCE,CARESOURCE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,MEDICAID,MEDICAID,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,MEDICARE,MEDICARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,NOVA NET,NOVA NET,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,PEACHSTATE,PEACHSTATE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,SELFPAY,SELFPAY,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,TRICARE,TRICARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
HERNIA TISSUE REINFORCE 7X10CM,C1781,CPT,both,,,1421,1421,UHC MEDICARE,UHC MEDICARE,,1421,,fee schedule,1421,1236.27,1421,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,AETNA,AETNA,,823.02,87,percent of total billed charges,823.02,823.02,946,percent of total billed charges,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,823.02,87,percent of total billed charges,823.02,823.02,946,percent of total billed charges,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,UNITED HEALTHCARE,UNITED HEALTHCARE,,832.48,88,percent of total billed charges,832.48,823.02,946,percent of total billed charges,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,AETNA,AETNA,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,ALLIANT,ALLIANT,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,AMBETTER,AMBETTER,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,BEECH STREET,BEECH STREET,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,CARESOURCE,CARESOURCE,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,MEDICAID,MEDICAID,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,MEDICARE,MEDICARE,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,NOVA NET,NOVA NET,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,PEACHSTATE,PEACHSTATE,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,SELFPAY,SELFPAY,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,TRICARE,TRICARE,,946,,fee schedule,946,823.02,946,fee schedule,
LORENZ TITANIUM MESH,C1781,CPT,both,,,946,946,UHC MEDICARE,UHC MEDICARE,,946,,fee schedule,946,823.02,946,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,AETNA,AETNA,,374.1,87,percent of total billed charges,374.1,374.1,430,percent of total billed charges,
MARLEX MESH,C1781,CPT,both,,,430,430,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,374.1,87,percent of total billed charges,374.1,374.1,430,percent of total billed charges,
MARLEX MESH,C1781,CPT,both,,,430,430,UNITED HEALTHCARE,UNITED HEALTHCARE,,378.4,88,percent of total billed charges,378.4,374.1,430,percent of total billed charges,
MARLEX MESH,C1781,CPT,both,,,430,430,AETNA,AETNA,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,ALLIANT,ALLIANT,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,AMBETTER,AMBETTER,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,BEECH STREET,BEECH STREET,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,CARESOURCE,CARESOURCE,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,MEDICAID,MEDICAID,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,MEDICARE,MEDICARE,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,NOVA NET,NOVA NET,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,PEACHSTATE,PEACHSTATE,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,SELFPAY,SELFPAY,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,TRICARE,TRICARE,,430,,fee schedule,430,374.1,430,fee schedule,
MARLEX MESH,C1781,CPT,both,,,430,430,UHC MEDICARE,UHC MEDICARE,,430,,fee schedule,430,374.1,430,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,AETNA,AETNA,,4444.83,87,percent of total billed charges,4444.83,4444.83,5109,percent of total billed charges,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4444.83,87,percent of total billed charges,4444.83,4444.83,5109,percent of total billed charges,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,UNITED HEALTHCARE,UNITED HEALTHCARE,,4495.92,88,percent of total billed charges,4495.92,4444.83,5109,percent of total billed charges,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,AETNA,AETNA,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,ALLIANT,ALLIANT,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,AMBETTER,AMBETTER,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,BEECH STREET,BEECH STREET,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,CARESOURCE,CARESOURCE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,MEDICAID,MEDICAID,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,MEDICARE,MEDICARE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,NOVA NET,NOVA NET,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,PEACHSTATE,PEACHSTATE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,SELFPAY,SELFPAY,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,TRICARE,TRICARE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH CAL VERTESSA LITE,C1781,CPT,both,,,5109,5109,UHC MEDICARE,UHC MEDICARE,,5109,,fee schedule,5109,4444.83,5109,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,AETNA,AETNA,,1276.29,87,percent of total billed charges,1276.29,1276.29,1467,percent of total billed charges,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1276.29,87,percent of total billed charges,1276.29,1276.29,1467,percent of total billed charges,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,UNITED HEALTHCARE,UNITED HEALTHCARE,,1290.96,88,percent of total billed charges,1290.96,1276.29,1467,percent of total billed charges,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,AETNA,AETNA,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,ALLIANT,ALLIANT,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,AMBETTER,AMBETTER,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,BEECH STREET,BEECH STREET,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,CARESOURCE,CARESOURCE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,MEDICAID,MEDICAID,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,MEDICARE,MEDICARE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,NOVA NET,NOVA NET,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,PEACHSTATE,PEACHSTATE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,SELFPAY,SELFPAY,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,TRICARE,TRICARE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 4X8,C1781,CPT,both,,,1467,1467,UHC MEDICARE,UHC MEDICARE,,1467,,fee schedule,1467,1276.29,1467,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,AETNA,AETNA,,3732.3,87,percent of total billed charges,3732.3,3732.3,4290,percent of total billed charges,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3732.3,87,percent of total billed charges,3732.3,3732.3,4290,percent of total billed charges,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,UNITED HEALTHCARE,UNITED HEALTHCARE,,3775.2,88,percent of total billed charges,3775.2,3732.3,4290,percent of total billed charges,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,AETNA,AETNA,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,ALLIANT,ALLIANT,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,AMBETTER,AMBETTER,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,BEECH STREET,BEECH STREET,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,CARESOURCE,CARESOURCE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,MEDICAID,MEDICAID,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,MEDICARE,MEDICARE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,NOVA NET,NOVA NET,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,PEACHSTATE,PEACHSTATE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,SELFPAY,SELFPAY,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,TRICARE,TRICARE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH COMPOSIX 8X10,C1781,CPT,both,,,4290,4290,UHC MEDICARE,UHC MEDICARE,,4290,,fee schedule,4290,3732.3,4290,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,AETNA,AETNA,,3613.11,87,percent of total billed charges,3613.11,3613.11,4153,percent of total billed charges,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3613.11,87,percent of total billed charges,3613.11,3613.11,4153,percent of total billed charges,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,UNITED HEALTHCARE,UNITED HEALTHCARE,,3654.64,88,percent of total billed charges,3654.64,3613.11,4153,percent of total billed charges,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,AETNA,AETNA,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,ALLIANT,ALLIANT,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,AMBETTER,AMBETTER,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,BEECH STREET,BEECH STREET,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,CARESOURCE,CARESOURCE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,MEDICAID,MEDICAID,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,MEDICARE,MEDICARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,NOVA NET,NOVA NET,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,PEACHSTATE,PEACHSTATE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,SELFPAY,SELFPAY,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,TRICARE,TRICARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
MESH KIT SYNECOR,C1781,CPT,both,,,4153,4153,UHC MEDICARE,UHC MEDICARE,,4153,,fee schedule,4153,3613.11,4153,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,AETNA,AETNA,,403.68,87,percent of total billed charges,403.68,403.68,464,percent of total billed charges,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,403.68,87,percent of total billed charges,403.68,403.68,464,percent of total billed charges,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,UNITED HEALTHCARE,UNITED HEALTHCARE,,408.32,88,percent of total billed charges,408.32,403.68,464,percent of total billed charges,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,AETNA,AETNA,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,ALLIANT,ALLIANT,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,AMBETTER,AMBETTER,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,BEECH STREET,BEECH STREET,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,MEDICAID,MEDICAID,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,MEDICARE,MEDICARE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,NOVA NET,NOVA NET,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,SELFPAY,SELFPAY,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,TRICARE,TRICARE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG LGR,C1781,CPT,both,,,464,464,UHC MEDICARE,UHC MEDICARE,,464,,fee schedule,464,403.68,464,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,483.72,556,percent of total billed charges,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,483.72,556,percent of total billed charges,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,483.72,556,percent of total billed charges,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,ALLIANT,ALLIANT,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,AMBETTER,AMBETTER,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,MEDICARE,MEDICARE,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,TRICARE,TRICARE,,556,,fee schedule,556,483.72,556,fee schedule,
PERFIX PLUG XL,C1781,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,556,,fee schedule,556,483.72,556,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,AETNA,AETNA,,3306,87,percent of total billed charges,3306,3306,3800,percent of total billed charges,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3306,87,percent of total billed charges,3306,3306,3800,percent of total billed charges,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,UNITED HEALTHCARE,UNITED HEALTHCARE,,3344,88,percent of total billed charges,3344,3306,3800,percent of total billed charges,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,AETNA,AETNA,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,ALLIANT,ALLIANT,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,AMBETTER,AMBETTER,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,BEECH STREET,BEECH STREET,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,CARESOURCE,CARESOURCE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,MEDICAID,MEDICAID,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,MEDICARE,MEDICARE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,NOVA NET,NOVA NET,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,PEACHSTATE,PEACHSTATE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,SELFPAY,SELFPAY,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,TRICARE,TRICARE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 10 X 10,C1781,CPT,both,,,3800,3800,UHC MEDICARE,UHC MEDICARE,,3800,,fee schedule,3800,3306,3800,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,AETNA,AETNA,,2335.08,87,percent of total billed charges,2335.08,2335.08,2684,percent of total billed charges,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2335.08,87,percent of total billed charges,2335.08,2335.08,2684,percent of total billed charges,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,UNITED HEALTHCARE,UNITED HEALTHCARE,,2361.92,88,percent of total billed charges,2361.92,2335.08,2684,percent of total billed charges,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,AETNA,AETNA,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,ALLIANT,ALLIANT,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,AMBETTER,AMBETTER,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,BEECH STREET,BEECH STREET,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,CARESOURCE,CARESOURCE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,MEDICAID,MEDICAID,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,MEDICARE,MEDICARE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,NOVA NET,NOVA NET,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,PEACHSTATE,PEACHSTATE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,SELFPAY,SELFPAY,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,TRICARE,TRICARE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PERMACOL MESH 5 X 10,C1781,CPT,both,,,2684,2684,UHC MEDICARE,UHC MEDICARE,,2684,,fee schedule,2684,2335.08,2684,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,AETNA,AETNA,,5044.26,87,percent of total billed charges,5044.26,5044.26,5798,percent of total billed charges,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5044.26,87,percent of total billed charges,5044.26,5044.26,5798,percent of total billed charges,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,UNITED HEALTHCARE,UNITED HEALTHCARE,,5102.24,88,percent of total billed charges,5102.24,5044.26,5798,percent of total billed charges,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,AETNA,AETNA,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,ALLIANT,ALLIANT,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,AMBETTER,AMBETTER,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,BEECH STREET,BEECH STREET,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,CARESOURCE,CARESOURCE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,MEDICAID,MEDICAID,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,MEDICARE,MEDICARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,NOVA NET,NOVA NET,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,PEACHSTATE,PEACHSTATE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,SELFPAY,SELFPAY,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,TRICARE,TRICARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH   1190200,C1781,CPT,both,,,5798,5798,UHC MEDICARE,UHC MEDICARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,AETNA,AETNA,,10753.2,87,percent of total billed charges,10753.2,10753.2,12360,percent of total billed charges,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10753.2,87,percent of total billed charges,10753.2,10753.2,12360,percent of total billed charges,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,UNITED HEALTHCARE,UNITED HEALTHCARE,,10876.8,88,percent of total billed charges,10876.8,10753.2,12360,percent of total billed charges,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,AETNA,AETNA,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,ALLIANT,ALLIANT,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,AMBETTER,AMBETTER,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,BEECH STREET,BEECH STREET,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,CARESOURCE,CARESOURCE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,MEDICAID,MEDICAID,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,MEDICARE,MEDICARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,NOVA NET,NOVA NET,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,PEACHSTATE,PEACHSTATE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,SELFPAY,SELFPAY,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,TRICARE,TRICARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1190300,C1781,CPT,both,,,12360,12360,UHC MEDICARE,UHC MEDICARE,,12360,,fee schedule,12360,10753.2,12360,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,AETNA,AETNA,,3582.66,87,percent of total billed charges,3582.66,3582.66,4118,percent of total billed charges,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3582.66,87,percent of total billed charges,3582.66,3582.66,4118,percent of total billed charges,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,UNITED HEALTHCARE,UNITED HEALTHCARE,,3623.84,88,percent of total billed charges,3623.84,3582.66,4118,percent of total billed charges,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,AETNA,AETNA,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,ALLIANT,ALLIANT,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,AMBETTER,AMBETTER,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,BEECH STREET,BEECH STREET,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,CARESOURCE,CARESOURCE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,MEDICAID,MEDICAID,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,MEDICARE,MEDICARE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,NOVA NET,NOVA NET,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,PEACHSTATE,PEACHSTATE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,SELFPAY,SELFPAY,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,TRICARE,TRICARE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1200710,C1781,CPT,both,,,4118,4118,UHC MEDICARE,UHC MEDICARE,,4118,,fee schedule,4118,3582.66,4118,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,AETNA,AETNA,,6998.28,87,percent of total billed charges,6998.28,6998.28,8044,percent of total billed charges,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6998.28,87,percent of total billed charges,6998.28,6998.28,8044,percent of total billed charges,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,UNITED HEALTHCARE,UNITED HEALTHCARE,,7078.72,88,percent of total billed charges,7078.72,6998.28,8044,percent of total billed charges,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,AETNA,AETNA,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,ALLIANT,ALLIANT,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,AMBETTER,AMBETTER,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,BEECH STREET,BEECH STREET,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,CARESOURCE,CARESOURCE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,MEDICAID,MEDICAID,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,MEDICARE,MEDICARE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,NOVA NET,NOVA NET,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,PEACHSTATE,PEACHSTATE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,SELFPAY,SELFPAY,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,TRICARE,TRICARE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH  1201015,C1781,CPT,both,,,8044,8044,UHC MEDICARE,UHC MEDICARE,,8044,,fee schedule,8044,6998.28,8044,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,AETNA,AETNA,,5119.95,87,percent of total billed charges,5119.95,5119.95,5885,percent of total billed charges,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5119.95,87,percent of total billed charges,5119.95,5119.95,5885,percent of total billed charges,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,UNITED HEALTHCARE,UNITED HEALTHCARE,,5178.8,88,percent of total billed charges,5178.8,5119.95,5885,percent of total billed charges,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,AETNA,AETNA,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,ALLIANT,ALLIANT,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,AMBETTER,AMBETTER,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,BEECH STREET,BEECH STREET,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,CARESOURCE,CARESOURCE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,MEDICAID,MEDICAID,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,MEDICARE,MEDICARE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,NOVA NET,NOVA NET,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,PEACHSTATE,PEACHSTATE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,SELFPAY,SELFPAY,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,TRICARE,TRICARE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PHASIX MESH 4.5 1200011,C1781,CPT,both,,,5885,5885,UHC MEDICARE,UHC MEDICARE,,5885,,fee schedule,5885,5119.95,5885,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,AETNA,AETNA,,2447.31,87,percent of total billed charges,2447.31,2447.31,2813,percent of total billed charges,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2447.31,87,percent of total billed charges,2447.31,2447.31,2813,percent of total billed charges,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,UNITED HEALTHCARE,UNITED HEALTHCARE,,2475.44,88,percent of total billed charges,2475.44,2447.31,2813,percent of total billed charges,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,AETNA,AETNA,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,ALLIANT,ALLIANT,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,AMBETTER,AMBETTER,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,BEECH STREET,BEECH STREET,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,CARESOURCE,CARESOURCE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,MEDICAID,MEDICAID,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,MEDICARE,MEDICARE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,NOVA NET,NOVA NET,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,PEACHSTATE,PEACHSTATE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,SELFPAY,SELFPAY,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,TRICARE,TRICARE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDG1,C1781,CPT,both,,,2813,2813,UHC MEDICARE,UHC MEDICARE,,2813,,fee schedule,2813,2447.31,2813,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,AETNA,AETNA,,4317.81,87,percent of total billed charges,4317.81,4317.81,4963,percent of total billed charges,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4317.81,87,percent of total billed charges,4317.81,4317.81,4963,percent of total billed charges,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,UNITED HEALTHCARE,UNITED HEALTHCARE,,4367.44,88,percent of total billed charges,4367.44,4317.81,4963,percent of total billed charges,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,AETNA,AETNA,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,ALLIANT,ALLIANT,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,AMBETTER,AMBETTER,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,BEECH STREET,BEECH STREET,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,CARESOURCE,CARESOURCE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,MEDICAID,MEDICAID,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,MEDICARE,MEDICARE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,NOVA NET,NOVA NET,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,PEACHSTATE,PEACHSTATE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,SELFPAY,SELFPAY,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,TRICARE,TRICARE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDJ1,C1781,CPT,both,,,4963,4963,UHC MEDICARE,UHC MEDICARE,,4963,,fee schedule,4963,4317.81,4963,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,AETNA,AETNA,,1355.46,87,percent of total billed charges,1355.46,1355.46,1558,percent of total billed charges,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1355.46,87,percent of total billed charges,1355.46,1355.46,1558,percent of total billed charges,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,UNITED HEALTHCARE,UNITED HEALTHCARE,,1371.04,88,percent of total billed charges,1371.04,1355.46,1558,percent of total billed charges,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,AETNA,AETNA,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,ALLIANT,ALLIANT,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,AMBETTER,AMBETTER,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,BEECH STREET,BEECH STREET,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,CARESOURCE,CARESOURCE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,MEDICAID,MEDICAID,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,MEDICARE,MEDICARE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,NOVA NET,NOVA NET,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,PEACHSTATE,PEACHSTATE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,SELFPAY,SELFPAY,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,TRICARE,TRICARE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED MESH PCDN1,C1781,CPT,both,,,1558,1558,UHC MEDICARE,UHC MEDICARE,,1558,,fee schedule,1558,1355.46,1558,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,AETNA,AETNA,,930.9,87,percent of total billed charges,930.9,930.9,1070,percent of total billed charges,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,930.9,87,percent of total billed charges,930.9,930.9,1070,percent of total billed charges,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,UNITED HEALTHCARE,UNITED HEALTHCARE,,941.6,88,percent of total billed charges,941.6,930.9,1070,percent of total billed charges,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,AETNA,AETNA,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,ALLIANT,ALLIANT,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,AMBETTER,AMBETTER,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,BEECH STREET,BEECH STREET,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,CARESOURCE,CARESOURCE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,MEDICAID,MEDICAID,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,MEDICARE,MEDICARE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,NOVA NET,NOVA NET,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,PEACHSTATE,PEACHSTATE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,SELFPAY,SELFPAY,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,TRICARE,TRICARE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1070,1070,UHC MEDICARE,UHC MEDICARE,,1070,,fee schedule,1070,930.9,1070,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,AETNA,AETNA,,1042.26,87,percent of total billed charges,1042.26,1042.26,1198,percent of total billed charges,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1042.26,87,percent of total billed charges,1042.26,1042.26,1198,percent of total billed charges,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,UNITED HEALTHCARE,UNITED HEALTHCARE,,1054.24,88,percent of total billed charges,1054.24,1042.26,1198,percent of total billed charges,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,AETNA,AETNA,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,ALLIANT,ALLIANT,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,AMBETTER,AMBETTER,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,BEECH STREET,BEECH STREET,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,CARESOURCE,CARESOURCE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,MEDICAID,MEDICAID,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,MEDICARE,MEDICARE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,NOVA NET,NOVA NET,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,PEACHSTATE,PEACHSTATE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,SELFPAY,SELFPAY,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,TRICARE,TRICARE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROCEED VENTRAL PATCH PVP,C1781,CPT,both,,,1198,1198,UHC MEDICARE,UHC MEDICARE,,1198,,fee schedule,1198,1042.26,1198,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,AETNA,AETNA,,794.31,87,percent of total billed charges,794.31,794.31,913,percent of total billed charges,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,794.31,87,percent of total billed charges,794.31,794.31,913,percent of total billed charges,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,UNITED HEALTHCARE,UNITED HEALTHCARE,,803.44,88,percent of total billed charges,803.44,794.31,913,percent of total billed charges,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,AETNA,AETNA,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,ALLIANT,ALLIANT,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,AMBETTER,AMBETTER,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,BEECH STREET,BEECH STREET,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,CARESOURCE,CARESOURCE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,MEDICAID,MEDICAID,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,MEDICARE,MEDICARE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,NOVA NET,NOVA NET,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,PEACHSTATE,PEACHSTATE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,SELFPAY,SELFPAY,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,TRICARE,TRICARE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH PATCH PHSE6,C1781,CPT,both,,,913,913,UHC MEDICARE,UHC MEDICARE,,913,,fee schedule,913,794.31,913,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,118.32,136,percent of total billed charges,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,118.32,136,percent of total billed charges,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,ALLIANT,ALLIANT,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,AMBETTER,AMBETTER,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,MEDICARE,MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,TRICARE,TRICARE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 1/2X,C1781,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,136,,fee schedule,136,118.32,136,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,145.29,167,percent of total billed charges,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,145.29,167,percent of total billed charges,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,145.29,167,percent of total billed charges,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,ALLIANT,ALLIANT,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,AMBETTER,AMBETTER,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,MEDICARE,MEDICARE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,TRICARE,TRICARE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLENE MESH-STERILE 9X14,C1781,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,167,,fee schedule,167,145.29,167,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,AETNA,AETNA,,803.01,87,percent of total billed charges,803.01,803.01,923,percent of total billed charges,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.01,87,percent of total billed charges,803.01,803.01,923,percent of total billed charges,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,UNITED HEALTHCARE,UNITED HEALTHCARE,,812.24,88,percent of total billed charges,812.24,803.01,923,percent of total billed charges,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,AETNA,AETNA,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,ALLIANT,ALLIANT,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,AMBETTER,AMBETTER,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,BEECH STREET,BEECH STREET,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,CARESOURCE,CARESOURCE,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,MEDICAID,MEDICAID,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,MEDICARE,MEDICARE,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,NOVA NET,NOVA NET,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,PEACHSTATE,PEACHSTATE,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,SELFPAY,SELFPAY,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,TRICARE,TRICARE,,923,,fee schedule,923,803.01,923,fee schedule,
PROLOOP MESH PLUG,C1781,CPT,both,,,923,923,UHC MEDICARE,UHC MEDICARE,,923,,fee schedule,923,803.01,923,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,AETNA,AETNA,,10320.81,87,percent of total billed charges,10320.81,10320.81,11863,percent of total billed charges,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10320.81,87,percent of total billed charges,10320.81,10320.81,11863,percent of total billed charges,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,UNITED HEALTHCARE,UNITED HEALTHCARE,,10439.44,88,percent of total billed charges,10439.44,10320.81,11863,percent of total billed charges,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,AETNA,AETNA,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,ALLIANT,ALLIANT,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,AMBETTER,AMBETTER,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,BEECH STREET,BEECH STREET,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,CARESOURCE,CARESOURCE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,MEDICAID,MEDICAID,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,MEDICARE,MEDICARE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,NOVA NET,NOVA NET,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,PEACHSTATE,PEACHSTATE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,SELFPAY,SELFPAY,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,TRICARE,TRICARE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SERI MESH 10X25 94680,C1781,CPT,both,,,11863,11863,UHC MEDICARE,UHC MEDICARE,,11863,,fee schedule,11863,10320.81,11863,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,AETNA,AETNA,,2491.68,87,percent of total billed charges,2491.68,2491.68,2864,percent of total billed charges,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2491.68,87,percent of total billed charges,2491.68,2491.68,2864,percent of total billed charges,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,UNITED HEALTHCARE,UNITED HEALTHCARE,,2520.32,88,percent of total billed charges,2520.32,2491.68,2864,percent of total billed charges,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,AETNA,AETNA,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,ALLIANT,ALLIANT,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,AMBETTER,AMBETTER,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,BEECH STREET,BEECH STREET,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,CARESOURCE,CARESOURCE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,MEDICAID,MEDICAID,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,MEDICARE,MEDICARE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,NOVA NET,NOVA NET,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,PEACHSTATE,PEACHSTATE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,SELFPAY,SELFPAY,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,TRICARE,TRICARE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SLING RESTORELLE Y CONTOU,C1781,CPT,both,,,2864,2864,UHC MEDICARE,UHC MEDICARE,,2864,,fee schedule,2864,2491.68,2864,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,AETNA,AETNA,,5934.27,87,percent of total billed charges,5934.27,5934.27,6821,percent of total billed charges,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5934.27,87,percent of total billed charges,5934.27,5934.27,6821,percent of total billed charges,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,UNITED HEALTHCARE,UNITED HEALTHCARE,,6002.48,88,percent of total billed charges,6002.48,5934.27,6821,percent of total billed charges,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,AETNA,AETNA,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,ALLIANT,ALLIANT,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,AMBETTER,AMBETTER,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,BEECH STREET,BEECH STREET,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,CARESOURCE,CARESOURCE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,MEDICAID,MEDICAID,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,MEDICARE,MEDICARE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,NOVA NET,NOVA NET,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,PEACHSTATE,PEACHSTATE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,SELFPAY,SELFPAY,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,TRICARE,TRICARE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES ENT MESH,C1781,CPT,both,,,6821,6821,UHC MEDICARE,UHC MEDICARE,,6821,,fee schedule,6821,5934.27,6821,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,AETNA,AETNA,,2399.46,87,percent of total billed charges,2399.46,2399.46,2758,percent of total billed charges,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2399.46,87,percent of total billed charges,2399.46,2399.46,2758,percent of total billed charges,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,UNITED HEALTHCARE,UNITED HEALTHCARE,,2427.04,88,percent of total billed charges,2427.04,2399.46,2758,percent of total billed charges,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,AETNA,AETNA,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,ALLIANT,ALLIANT,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,AMBETTER,AMBETTER,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,BEECH STREET,BEECH STREET,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,CARESOURCE,CARESOURCE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,MEDICAID,MEDICAID,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,MEDICARE,MEDICARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,NOVA NET,NOVA NET,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,PEACHSTATE,PEACHSTATE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,SELFPAY,SELFPAY,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,TRICARE,TRICARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
SYNTHES TITANIUM MESH,C1781,CPT,both,,,2758,2758,UHC MEDICARE,UHC MEDICARE,,2758,,fee schedule,2758,2399.46,2758,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,AETNA,AETNA,,5339.19,87,percent of total billed charges,5339.19,5339.19,6137,percent of total billed charges,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5339.19,87,percent of total billed charges,5339.19,5339.19,6137,percent of total billed charges,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,UNITED HEALTHCARE,UNITED HEALTHCARE,,5400.56,88,percent of total billed charges,5400.56,5339.19,6137,percent of total billed charges,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,AETNA,AETNA,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,ALLIANT,ALLIANT,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,AMBETTER,AMBETTER,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,BEECH STREET,BEECH STREET,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,CARESOURCE,CARESOURCE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,MEDICAID,MEDICAID,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,MEDICARE,MEDICARE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,NOVA NET,NOVA NET,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,PEACHSTATE,PEACHSTATE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,SELFPAY,SELFPAY,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,TRICARE,TRICARE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
UPHOLD LITE,C1781,CPT,both,,,6137,6137,UHC MEDICARE,UHC MEDICARE,,6137,,fee schedule,6137,5339.19,6137,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,AETNA,AETNA,,1725.21,87,percent of total billed charges,1725.21,1725.21,1983,percent of total billed charges,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1725.21,87,percent of total billed charges,1725.21,1725.21,1983,percent of total billed charges,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,UNITED HEALTHCARE,UNITED HEALTHCARE,,1745.04,88,percent of total billed charges,1745.04,1725.21,1983,percent of total billed charges,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,AETNA,AETNA,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,ALLIANT,ALLIANT,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,AMBETTER,AMBETTER,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,BEECH STREET,BEECH STREET,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,CARESOURCE,CARESOURCE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,MEDICAID,MEDICAID,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,MEDICARE,MEDICARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,NOVA NET,NOVA NET,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,PEACHSTATE,PEACHSTATE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,SELFPAY,SELFPAY,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,TRICARE,TRICARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VAG SLING SUPRIS,C1781,CPT,both,,,1983,1983,UHC MEDICARE,UHC MEDICARE,,1983,,fee schedule,1983,1725.21,1983,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,AETNA,AETNA,,1762.62,87,percent of total billed charges,1762.62,1762.62,2026,percent of total billed charges,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1762.62,87,percent of total billed charges,1762.62,1762.62,2026,percent of total billed charges,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,UNITED HEALTHCARE,UNITED HEALTHCARE,,1782.88,88,percent of total billed charges,1782.88,1762.62,2026,percent of total billed charges,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,AETNA,AETNA,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,ALLIANT,ALLIANT,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,AMBETTER,AMBETTER,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,BEECH STREET,BEECH STREET,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,CARESOURCE,CARESOURCE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,MEDICAID,MEDICAID,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,MEDICARE,MEDICARE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,NOVA NET,NOVA NET,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,PEACHSTATE,PEACHSTATE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,SELFPAY,SELFPAY,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,TRICARE,TRICARE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST LARGE,C1781,CPT,both,,,2026,2026,UHC MEDICARE,UHC MEDICARE,,2026,,fee schedule,2026,1762.62,2026,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,AETNA,AETNA,,1365.9,87,percent of total billed charges,1365.9,1365.9,1570,percent of total billed charges,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1365.9,87,percent of total billed charges,1365.9,1365.9,1570,percent of total billed charges,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,UNITED HEALTHCARE,UNITED HEALTHCARE,,1381.6,88,percent of total billed charges,1381.6,1365.9,1570,percent of total billed charges,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,AETNA,AETNA,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,ALLIANT,ALLIANT,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,AMBETTER,AMBETTER,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,BEECH STREET,BEECH STREET,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,CARESOURCE,CARESOURCE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,MEDICAID,MEDICAID,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,MEDICARE,MEDICARE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,NOVA NET,NOVA NET,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,PEACHSTATE,PEACHSTATE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,SELFPAY,SELFPAY,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,TRICARE,TRICARE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST MEDIUM,C1781,CPT,both,,,1570,1570,UHC MEDICARE,UHC MEDICARE,,1570,,fee schedule,1570,1365.9,1570,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,AETNA,AETNA,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1141.44,87,percent of total billed charges,1141.44,1141.44,1312,percent of total billed charges,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,UNITED HEALTHCARE,UNITED HEALTHCARE,,1154.56,88,percent of total billed charges,1154.56,1141.44,1312,percent of total billed charges,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,AETNA,AETNA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,ALLIANT,ALLIANT,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,AMBETTER,AMBETTER,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,BEECH STREET,BEECH STREET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,CARESOURCE,CARESOURCE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,MEDICAID,MEDICAID,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,MEDICARE,MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,NOVA NET,NOVA NET,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,PEACHSTATE,PEACHSTATE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,SELFPAY,SELFPAY,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,TRICARE,TRICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALEX ST SMALL,C1781,CPT,both,,,1312,1312,UHC MEDICARE,UHC MEDICARE,,1312,,fee schedule,1312,1141.44,1312,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,AETNA,AETNA,,4777.17,87,percent of total billed charges,4777.17,4777.17,5491,percent of total billed charges,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4777.17,87,percent of total billed charges,4777.17,4777.17,5491,percent of total billed charges,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,UNITED HEALTHCARE,UNITED HEALTHCARE,,4832.08,88,percent of total billed charges,4832.08,4777.17,5491,percent of total billed charges,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,AETNA,AETNA,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,ALLIANT,ALLIANT,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,AMBETTER,AMBETTER,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,BEECH STREET,BEECH STREET,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,CARESOURCE,CARESOURCE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,MEDICAID,MEDICAID,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,MEDICARE,MEDICARE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,NOVA NET,NOVA NET,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,PEACHSTATE,PEACHSTATE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,SELFPAY,SELFPAY,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,TRICARE,TRICARE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT 8X10 5955810,C1781,CPT,both,,,5491,5491,UHC MEDICARE,UHC MEDICARE,,5491,,fee schedule,5491,4777.17,5491,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,AETNA,AETNA,,2275.05,87,percent of total billed charges,2275.05,2275.05,2615,percent of total billed charges,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.05,87,percent of total billed charges,2275.05,2275.05,2615,percent of total billed charges,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,UNITED HEALTHCARE,UNITED HEALTHCARE,,2301.2,88,percent of total billed charges,2301.2,2275.05,2615,percent of total billed charges,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,AETNA,AETNA,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,ALLIANT,ALLIANT,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,AMBETTER,AMBETTER,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,BEECH STREET,BEECH STREET,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,CARESOURCE,CARESOURCE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,MEDICAID,MEDICAID,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,MEDICARE,MEDICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,NOVA NET,NOVA NET,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,PEACHSTATE,PEACHSTATE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,SELFPAY,SELFPAY,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,TRICARE,TRICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT ECHO 6IN ROUN,C1781,CPT,both,,,2615,2615,UHC MEDICARE,UHC MEDICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,AETNA,AETNA,,4741.5,87,percent of total billed charges,4741.5,4741.5,5450,percent of total billed charges,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4741.5,87,percent of total billed charges,4741.5,4741.5,5450,percent of total billed charges,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,UNITED HEALTHCARE,UNITED HEALTHCARE,,4796,88,percent of total billed charges,4796,4741.5,5450,percent of total billed charges,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,AETNA,AETNA,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,ALLIANT,ALLIANT,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,AMBETTER,AMBETTER,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,BEECH STREET,BEECH STREET,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,CARESOURCE,CARESOURCE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,MEDICAID,MEDICAID,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,MEDICARE,MEDICARE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,NOVA NET,NOVA NET,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,PEACHSTATE,PEACHSTATE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,SELFPAY,SELFPAY,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,TRICARE,TRICARE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH 10 X 13,C1781,CPT,both,,,5450,5450,UHC MEDICARE,UHC MEDICARE,,5450,,fee schedule,5450,4741.5,5450,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,AETNA,AETNA,,1466.82,87,percent of total billed charges,1466.82,1466.82,1686,percent of total billed charges,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1466.82,87,percent of total billed charges,1466.82,1466.82,1686,percent of total billed charges,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,UNITED HEALTHCARE,UNITED HEALTHCARE,,1483.68,88,percent of total billed charges,1483.68,1466.82,1686,percent of total billed charges,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,AETNA,AETNA,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,ALLIANT,ALLIANT,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,AMBETTER,AMBETTER,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,BEECH STREET,BEECH STREET,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,CARESOURCE,CARESOURCE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,MEDICAID,MEDICAID,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,MEDICARE,MEDICARE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,NOVA NET,NOVA NET,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,PEACHSTATE,PEACHSTATE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,SELFPAY,SELFPAY,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,TRICARE,TRICARE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT MESH ECHO 4X6,C1781,CPT,both,,,1686,1686,UHC MEDICARE,UHC MEDICARE,,1686,,fee schedule,1686,1466.82,1686,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,AETNA,AETNA,,1054.44,87,percent of total billed charges,1054.44,1054.44,1212,percent of total billed charges,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1054.44,87,percent of total billed charges,1054.44,1054.44,1212,percent of total billed charges,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,UNITED HEALTHCARE,UNITED HEALTHCARE,,1066.56,88,percent of total billed charges,1066.56,1054.44,1212,percent of total billed charges,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,AETNA,AETNA,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,ALLIANT,ALLIANT,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,AMBETTER,AMBETTER,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,BEECH STREET,BEECH STREET,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,CARESOURCE,CARESOURCE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,MEDICAID,MEDICAID,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,MEDICARE,MEDICARE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,NOVA NET,NOVA NET,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,PEACHSTATE,PEACHSTATE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,SELFPAY,SELFPAY,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,TRICARE,TRICARE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VENTRALIGHT ST 4X6,C1781,CPT,both,,,1212,1212,UHC MEDICARE,UHC MEDICARE,,1212,,fee schedule,1212,1054.44,1212,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,AETNA,AETNA,,1506.84,87,percent of total billed charges,1506.84,1506.84,1732,percent of total billed charges,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1506.84,87,percent of total billed charges,1506.84,1506.84,1732,percent of total billed charges,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,UNITED HEALTHCARE,UNITED HEALTHCARE,,1524.16,88,percent of total billed charges,1524.16,1506.84,1732,percent of total billed charges,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,AETNA,AETNA,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,ALLIANT,ALLIANT,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,AMBETTER,AMBETTER,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,BEECH STREET,BEECH STREET,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,CARESOURCE,CARESOURCE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,MEDICAID,MEDICAID,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,MEDICARE,MEDICARE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,NOVA NET,NOVA NET,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,PEACHSTATE,PEACHSTATE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,SELFPAY,SELFPAY,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,TRICARE,TRICARE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
VICRYL MESH 12 X 12,C1781,CPT,both,,,1732,1732,UHC MEDICARE,UHC MEDICARE,,1732,,fee schedule,1732,1506.84,1732,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,AETNA,AETNA,,7132.26,87,percent of total billed charges,7132.26,7132.26,8198,percent of total billed charges,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7132.26,87,percent of total billed charges,7132.26,7132.26,8198,percent of total billed charges,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,UNITED HEALTHCARE,UNITED HEALTHCARE,,7214.24,88,percent of total billed charges,7214.24,7132.26,8198,percent of total billed charges,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,AETNA,AETNA,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,ALLIANT,ALLIANT,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,AMBETTER,AMBETTER,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,BEECH STREET,BEECH STREET,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,CARESOURCE,CARESOURCE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,MEDICAID,MEDICAID,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,MEDICARE,MEDICARE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,NOVA NET,NOVA NET,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,PEACHSTATE,PEACHSTATE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,SELFPAY,SELFPAY,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,TRICARE,TRICARE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X10,C1781,CPT,both,,,8198,8198,UHC MEDICARE,UHC MEDICARE,,8198,,fee schedule,8198,7132.26,8198,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,AETNA,AETNA,,10702.74,87,percent of total billed charges,10702.74,10702.74,12302,percent of total billed charges,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10702.74,87,percent of total billed charges,10702.74,10702.74,12302,percent of total billed charges,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,UNITED HEALTHCARE,UNITED HEALTHCARE,,10825.76,88,percent of total billed charges,10825.76,10702.74,12302,percent of total billed charges,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,AETNA,AETNA,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,ALLIANT,ALLIANT,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,AMBETTER,AMBETTER,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,BEECH STREET,BEECH STREET,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,CARESOURCE,CARESOURCE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,MEDICAID,MEDICAID,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,MEDICARE,MEDICARE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,NOVA NET,NOVA NET,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,PEACHSTATE,PEACHSTATE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,SELFPAY,SELFPAY,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,TRICARE,TRICARE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 10X15,C1781,CPT,both,,,12302,12302,UHC MEDICARE,UHC MEDICARE,,12302,,fee schedule,12302,10702.74,12302,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,AETNA,AETNA,,21389.82,87,percent of total billed charges,21389.82,21389.82,24586,percent of total billed charges,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21389.82,87,percent of total billed charges,21389.82,21389.82,24586,percent of total billed charges,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,UNITED HEALTHCARE,UNITED HEALTHCARE,,21635.68,88,percent of total billed charges,21635.68,21389.82,24586,percent of total billed charges,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,AETNA,AETNA,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,ALLIANT,ALLIANT,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,AMBETTER,AMBETTER,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,BEECH STREET,BEECH STREET,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,CARESOURCE,CARESOURCE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,MEDICAID,MEDICAID,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,MEDICARE,MEDICARE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,NOVA NET,NOVA NET,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,PEACHSTATE,PEACHSTATE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,SELFPAY,SELFPAY,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,TRICARE,TRICARE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
XENMATRIX AB 15X20,C1781,CPT,both,,,24586,24586,UHC MEDICARE,UHC MEDICARE,,24586,,fee schedule,24586,21389.82,24586,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,AETNA,AETNA,,668.16,87,percent of total billed charges,668.16,668.16,768,percent of total billed charges,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,668.16,87,percent of total billed charges,668.16,668.16,768,percent of total billed charges,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,UNITED HEALTHCARE,UNITED HEALTHCARE,,675.84,88,percent of total billed charges,675.84,668.16,768,percent of total billed charges,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,AETNA,AETNA,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,ALLIANT,ALLIANT,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,AMBETTER,AMBETTER,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,BEECH STREET,BEECH STREET,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,CARESOURCE,CARESOURCE,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,MEDICAID,MEDICAID,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,MEDICARE,MEDICARE,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,NOVA NET,NOVA NET,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,PEACHSTATE,PEACHSTATE,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,SELFPAY,SELFPAY,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,TRICARE,TRICARE,,768,,fee schedule,768,668.16,768,fee schedule,
PRUITT-INHARA CAROTID SHU,C1783,CPT,both,,,768,768,UHC MEDICARE,UHC MEDICARE,,768,,fee schedule,768,668.16,768,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,AETNA,AETNA,,4454.4,87,percent of total billed charges,4454.4,4454.4,5120,percent of total billed charges,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4454.4,87,percent of total billed charges,4454.4,4454.4,5120,percent of total billed charges,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,UNITED HEALTHCARE,UNITED HEALTHCARE,,4505.6,88,percent of total billed charges,4505.6,4454.4,5120,percent of total billed charges,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,AETNA,AETNA,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,ALLIANT,ALLIANT,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,AMBETTER,AMBETTER,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,BEECH STREET,BEECH STREET,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,CARESOURCE,CARESOURCE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,MEDICAID,MEDICAID,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,MEDICARE,MEDICARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,NOVA NET,NOVA NET,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,PEACHSTATE,PEACHSTATE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,SELFPAY,SELFPAY,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,TRICARE,TRICARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
DUAL GENERATOR,C1785,CPT,both,,,5120,5120,UHC MEDICARE,UHC MEDICARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,AETNA,AETNA,,15079.71,87,percent of total billed charges,15079.71,15079.71,17333,percent of total billed charges,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15079.71,87,percent of total billed charges,15079.71,15079.71,17333,percent of total billed charges,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,UNITED HEALTHCARE,UNITED HEALTHCARE,,15253.04,88,percent of total billed charges,15253.04,15079.71,17333,percent of total billed charges,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,AETNA,AETNA,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,ALLIANT,ALLIANT,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,AMBETTER,AMBETTER,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,BEECH STREET,BEECH STREET,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,CARESOURCE,CARESOURCE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,MEDICAID,MEDICAID,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,MEDICARE,MEDICARE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,NOVA NET,NOVA NET,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,PEACHSTATE,PEACHSTATE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,SELFPAY,SELFPAY,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,TRICARE,TRICARE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
EDORA 8 DR-T BIOTRONIK,C1785,CPT,both,,,17333,17333,UHC MEDICARE,UHC MEDICARE,,17333,,fee schedule,17333,15079.71,17333,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,AETNA,AETNA,,7168.8,87,percent of total billed charges,7168.8,7168.8,8240,percent of total billed charges,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7168.8,87,percent of total billed charges,7168.8,7168.8,8240,percent of total billed charges,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,UNITED HEALTHCARE,UNITED HEALTHCARE,,7251.2,88,percent of total billed charges,7251.2,7168.8,8240,percent of total billed charges,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,AETNA,AETNA,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,ALLIANT,ALLIANT,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,AMBETTER,AMBETTER,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,BEECH STREET,BEECH STREET,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,CARESOURCE,CARESOURCE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,MEDICAID,MEDICAID,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,MEDICARE,MEDICARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,NOVA NET,NOVA NET,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,PEACHSTATE,PEACHSTATE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,SELFPAY,SELFPAY,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,TRICARE,TRICARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMAKER GEN DUAL,C1785,CPT,both,,,8240,8240,UHC MEDICARE,UHC MEDICARE,,8240,,fee schedule,8240,7168.8,8240,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,AETNA,AETNA,,12186.96,87,percent of total billed charges,12186.96,12186.96,14008,percent of total billed charges,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12186.96,87,percent of total billed charges,12186.96,12186.96,14008,percent of total billed charges,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,UNITED HEALTHCARE,UNITED HEALTHCARE,,12327.04,88,percent of total billed charges,12327.04,12186.96,14008,percent of total billed charges,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,AETNA,AETNA,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,ALLIANT,ALLIANT,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,AMBETTER,AMBETTER,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,BEECH STREET,BEECH STREET,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,CARESOURCE,CARESOURCE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,MEDICAID,MEDICAID,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,MEDICARE,MEDICARE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,NOVA NET,NOVA NET,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,PEACHSTATE,PEACHSTATE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,SELFPAY,SELFPAY,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,TRICARE,TRICARE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR EVIA DR-T GEN,C1785,CPT,both,,,14008,14008,UHC MEDICARE,UHC MEDICARE,,14008,,fee schedule,14008,12186.96,14008,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,AETNA,AETNA,,14867.43,87,percent of total billed charges,14867.43,14867.43,17089,percent of total billed charges,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14867.43,87,percent of total billed charges,14867.43,14867.43,17089,percent of total billed charges,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,UNITED HEALTHCARE,UNITED HEALTHCARE,,15038.32,88,percent of total billed charges,15038.32,14867.43,17089,percent of total billed charges,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,AETNA,AETNA,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,ALLIANT,ALLIANT,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,AMBETTER,AMBETTER,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,BEECH STREET,BEECH STREET,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,CARESOURCE,CARESOURCE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,MEDICAID,MEDICAID,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,MEDICARE,MEDICARE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,NOVA NET,NOVA NET,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,PEACHSTATE,PEACHSTATE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,SELFPAY,SELFPAY,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,TRICARE,TRICARE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5326R OR L,C1785,CPT,both,,,17089,17089,UHC MEDICARE,UHC MEDICARE,,17089,,fee schedule,17089,14867.43,17089,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,AETNA,AETNA,,14511.6,87,percent of total billed charges,14511.6,14511.6,16680,percent of total billed charges,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14511.6,87,percent of total billed charges,14511.6,14511.6,16680,percent of total billed charges,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,UNITED HEALTHCARE,UNITED HEALTHCARE,,14678.4,88,percent of total billed charges,14678.4,14511.6,16680,percent of total billed charges,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,AETNA,AETNA,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,ALLIANT,ALLIANT,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,AMBETTER,AMBETTER,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,BEECH STREET,BEECH STREET,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,CARESOURCE,CARESOURCE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,MEDICAID,MEDICAID,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,MEDICARE,MEDICARE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,NOVA NET,NOVA NET,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,PEACHSTATE,PEACHSTATE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,SELFPAY,SELFPAY,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,TRICARE,TRICARE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5330L DUAL,C1785,CPT,both,,,16680,16680,UHC MEDICARE,UHC MEDICARE,,16680,,fee schedule,16680,14511.6,16680,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,AETNA,AETNA,,16516.08,87,percent of total billed charges,16516.08,16516.08,18984,percent of total billed charges,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16516.08,87,percent of total billed charges,16516.08,16516.08,18984,percent of total billed charges,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,UNITED HEALTHCARE,UNITED HEALTHCARE,,16705.92,88,percent of total billed charges,16705.92,16516.08,18984,percent of total billed charges,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,AETNA,AETNA,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,ALLIANT,ALLIANT,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,AMBETTER,AMBETTER,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,BEECH STREET,BEECH STREET,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,CARESOURCE,CARESOURCE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,MEDICAID,MEDICAID,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,MEDICARE,MEDICARE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,NOVA NET,NOVA NET,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,PEACHSTATE,PEACHSTATE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,SELFPAY,SELFPAY,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,TRICARE,TRICARE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5336,C1785,CPT,both,,,18984,18984,UHC MEDICARE,UHC MEDICARE,,18984,,fee schedule,18984,16516.08,18984,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,AETNA,AETNA,,18860.73,87,percent of total billed charges,18860.73,18860.73,21679,percent of total billed charges,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18860.73,87,percent of total billed charges,18860.73,18860.73,21679,percent of total billed charges,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,UNITED HEALTHCARE,UNITED HEALTHCARE,,19077.52,88,percent of total billed charges,19077.52,18860.73,21679,percent of total billed charges,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,AETNA,AETNA,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,ALLIANT,ALLIANT,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,AMBETTER,AMBETTER,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,BEECH STREET,BEECH STREET,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,CARESOURCE,CARESOURCE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,MEDICAID,MEDICAID,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,MEDICARE,MEDICARE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,NOVA NET,NOVA NET,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,PEACHSTATE,PEACHSTATE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,SELFPAY,SELFPAY,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,TRICARE,TRICARE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5346,C1785,CPT,both,,,21679,21679,UHC MEDICARE,UHC MEDICARE,,21679,,fee schedule,21679,18860.73,21679,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,AETNA,AETNA,,12984.75,87,percent of total billed charges,12984.75,12984.75,14925,percent of total billed charges,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12984.75,87,percent of total billed charges,12984.75,12984.75,14925,percent of total billed charges,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,UNITED HEALTHCARE,UNITED HEALTHCARE,,13134,88,percent of total billed charges,13134,12984.75,14925,percent of total billed charges,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,AETNA,AETNA,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,ALLIANT,ALLIANT,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,AMBETTER,AMBETTER,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,BEECH STREET,BEECH STREET,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,CARESOURCE,CARESOURCE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,MEDICAID,MEDICAID,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,MEDICARE,MEDICARE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,NOVA NET,NOVA NET,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,PEACHSTATE,PEACHSTATE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,SELFPAY,SELFPAY,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,TRICARE,TRICARE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5360,C1785,CPT,both,,,14925,14925,UHC MEDICARE,UHC MEDICARE,,14925,,fee schedule,14925,12984.75,14925,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,AETNA,AETNA,,16167.21,87,percent of total billed charges,16167.21,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16167.21,87,percent of total billed charges,16167.21,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,UNITED HEALTHCARE,UNITED HEALTHCARE,,16353.04,88,percent of total billed charges,16353.04,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,AETNA,AETNA,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,ALLIANT,ALLIANT,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,AMBETTER,AMBETTER,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,BEECH STREET,BEECH STREET,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,CARESOURCE,CARESOURCE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,MEDICAID,MEDICAID,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,MEDICARE,MEDICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,NOVA NET,NOVA NET,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,PEACHSTATE,PEACHSTATE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,SELFPAY,SELFPAY,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,TRICARE,TRICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5370,C1785,CPT,both,,,18583,18583,UHC MEDICARE,UHC MEDICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,AETNA,AETNA,,16167.21,87,percent of total billed charges,16167.21,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16167.21,87,percent of total billed charges,16167.21,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,UNITED HEALTHCARE,UNITED HEALTHCARE,,16353.04,88,percent of total billed charges,16353.04,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,AETNA,AETNA,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,ALLIANT,ALLIANT,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,AMBETTER,AMBETTER,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,BEECH STREET,BEECH STREET,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,CARESOURCE,CARESOURCE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,MEDICAID,MEDICAID,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,MEDICARE,MEDICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,NOVA NET,NOVA NET,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,PEACHSTATE,PEACHSTATE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,SELFPAY,SELFPAY,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,TRICARE,TRICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5376,C1785,CPT,both,,,18583,18583,UHC MEDICARE,UHC MEDICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,AETNA,AETNA,,16167.21,87,percent of total billed charges,16167.21,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16167.21,87,percent of total billed charges,16167.21,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,UNITED HEALTHCARE,UNITED HEALTHCARE,,16353.04,88,percent of total billed charges,16353.04,16167.21,18583,percent of total billed charges,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,AETNA,AETNA,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,ALLIANT,ALLIANT,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,AMBETTER,AMBETTER,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,BEECH STREET,BEECH STREET,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,CARESOURCE,CARESOURCE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,MEDICAID,MEDICAID,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,MEDICARE,MEDICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,NOVA NET,NOVA NET,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,PEACHSTATE,PEACHSTATE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,SELFPAY,SELFPAY,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,TRICARE,TRICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5386,C1785,CPT,both,,,18583,18583,UHC MEDICARE,UHC MEDICARE,,18583,,fee schedule,18583,16167.21,18583,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,AETNA,AETNA,,12481.02,87,percent of total billed charges,12481.02,12481.02,14346,percent of total billed charges,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12481.02,87,percent of total billed charges,12481.02,12481.02,14346,percent of total billed charges,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,UNITED HEALTHCARE,UNITED HEALTHCARE,,12624.48,88,percent of total billed charges,12624.48,12481.02,14346,percent of total billed charges,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,AETNA,AETNA,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,ALLIANT,ALLIANT,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,AMBETTER,AMBETTER,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,BEECH STREET,BEECH STREET,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,CARESOURCE,CARESOURCE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,MEDICAID,MEDICAID,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,MEDICARE,MEDICARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,NOVA NET,NOVA NET,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,PEACHSTATE,PEACHSTATE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,SELFPAY,SELFPAY,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,TRICARE,TRICARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5810,C1785,CPT,both,,,14346,14346,UHC MEDICARE,UHC MEDICARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,AETNA,AETNA,,12481.02,87,percent of total billed charges,12481.02,12481.02,14346,percent of total billed charges,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12481.02,87,percent of total billed charges,12481.02,12481.02,14346,percent of total billed charges,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,UNITED HEALTHCARE,UNITED HEALTHCARE,,12624.48,88,percent of total billed charges,12624.48,12481.02,14346,percent of total billed charges,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,AETNA,AETNA,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,ALLIANT,ALLIANT,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,AMBETTER,AMBETTER,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,BEECH STREET,BEECH STREET,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,CARESOURCE,CARESOURCE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,MEDICAID,MEDICAID,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,MEDICARE,MEDICARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,NOVA NET,NOVA NET,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,PEACHSTATE,PEACHSTATE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,SELFPAY,SELFPAY,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,TRICARE,TRICARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5820,C1785,CPT,both,,,14346,14346,UHC MEDICARE,UHC MEDICARE,,14346,,fee schedule,14346,12481.02,14346,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,AETNA,AETNA,,12550.62,87,percent of total billed charges,12550.62,12550.62,14426,percent of total billed charges,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12550.62,87,percent of total billed charges,12550.62,12550.62,14426,percent of total billed charges,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,UNITED HEALTHCARE,UNITED HEALTHCARE,,12694.88,88,percent of total billed charges,12694.88,12550.62,14426,percent of total billed charges,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,AETNA,AETNA,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,ALLIANT,ALLIANT,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,AMBETTER,AMBETTER,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,BEECH STREET,BEECH STREET,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,CARESOURCE,CARESOURCE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,MEDICAID,MEDICAID,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,MEDICARE,MEDICARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,NOVA NET,NOVA NET,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,PEACHSTATE,PEACHSTATE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,SELFPAY,SELFPAY,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,TRICARE,TRICARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5826 SJ/DUAL,C1785,CPT,both,,,14426,14426,UHC MEDICARE,UHC MEDICARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,AETNA,AETNA,,14047.89,87,percent of total billed charges,14047.89,14047.89,16147,percent of total billed charges,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14047.89,87,percent of total billed charges,14047.89,14047.89,16147,percent of total billed charges,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,UNITED HEALTHCARE,UNITED HEALTHCARE,,14209.36,88,percent of total billed charges,14209.36,14047.89,16147,percent of total billed charges,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,AETNA,AETNA,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,ALLIANT,ALLIANT,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,AMBETTER,AMBETTER,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,BEECH STREET,BEECH STREET,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,CARESOURCE,CARESOURCE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,MEDICAID,MEDICAID,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,MEDICARE,MEDICARE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,NOVA NET,NOVA NET,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,PEACHSTATE,PEACHSTATE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,SELFPAY,SELFPAY,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,TRICARE,TRICARE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN A2DR01,C1785,CPT,both,,,16147,16147,UHC MEDICARE,UHC MEDICARE,,16147,,fee schedule,16147,14047.89,16147,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,AETNA,AETNA,,11716.29,87,percent of total billed charges,11716.29,11716.29,13467,percent of total billed charges,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11716.29,87,percent of total billed charges,11716.29,11716.29,13467,percent of total billed charges,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,UNITED HEALTHCARE,UNITED HEALTHCARE,,11850.96,88,percent of total billed charges,11850.96,11716.29,13467,percent of total billed charges,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,AETNA,AETNA,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,ALLIANT,ALLIANT,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,AMBETTER,AMBETTER,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,BEECH STREET,BEECH STREET,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,CARESOURCE,CARESOURCE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,MEDICAID,MEDICAID,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,MEDICARE,MEDICARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,NOVA NET,NOVA NET,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,PEACHSTATE,PEACHSTATE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,SELFPAY,SELFPAY,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,TRICARE,TRICARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR01,C1785,CPT,both,,,13467,13467,UHC MEDICARE,UHC MEDICARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,AETNA,AETNA,,15912.3,87,percent of total billed charges,15912.3,15912.3,18290,percent of total billed charges,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15912.3,87,percent of total billed charges,15912.3,15912.3,18290,percent of total billed charges,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,UNITED HEALTHCARE,UNITED HEALTHCARE,,16095.2,88,percent of total billed charges,16095.2,15912.3,18290,percent of total billed charges,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,AETNA,AETNA,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,ALLIANT,ALLIANT,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,AMBETTER,AMBETTER,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,BEECH STREET,BEECH STREET,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,CARESOURCE,CARESOURCE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,MEDICAID,MEDICAID,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,MEDICARE,MEDICARE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,NOVA NET,NOVA NET,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,PEACHSTATE,PEACHSTATE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,SELFPAY,SELFPAY,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,TRICARE,TRICARE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN ADDR03 MT/DUA,C1785,CPT,both,,,18290,18290,UHC MEDICARE,UHC MEDICARE,,18290,,fee schedule,18290,15912.3,18290,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,AETNA,AETNA,,8906.19,87,percent of total billed charges,8906.19,8906.19,10237,percent of total billed charges,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8906.19,87,percent of total billed charges,8906.19,8906.19,10237,percent of total billed charges,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,UNITED HEALTHCARE,UNITED HEALTHCARE,,9008.56,88,percent of total billed charges,9008.56,8906.19,10237,percent of total billed charges,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,AETNA,AETNA,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,ALLIANT,ALLIANT,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,AMBETTER,AMBETTER,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,BEECH STREET,BEECH STREET,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,CARESOURCE,CARESOURCE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,MEDICAID,MEDICAID,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,MEDICARE,MEDICARE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,NOVA NET,NOVA NET,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,PEACHSTATE,PEACHSTATE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,SELFPAY,SELFPAY,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,TRICARE,TRICARE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN EVIA DULA,C1785,CPT,both,,,10237,10237,UHC MEDICARE,UHC MEDICARE,,10237,,fee schedule,10237,8906.19,10237,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,AETNA,AETNA,,12835.11,87,percent of total billed charges,12835.11,12835.11,14753,percent of total billed charges,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12835.11,87,percent of total billed charges,12835.11,12835.11,14753,percent of total billed charges,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,UNITED HEALTHCARE,UNITED HEALTHCARE,,12982.64,88,percent of total billed charges,12982.64,12835.11,14753,percent of total billed charges,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,AETNA,AETNA,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,ALLIANT,ALLIANT,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,AMBETTER,AMBETTER,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,BEECH STREET,BEECH STREET,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,CARESOURCE,CARESOURCE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,MEDICAID,MEDICAID,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,MEDICARE,MEDICARE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,NOVA NET,NOVA NET,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,PEACHSTATE,PEACHSTATE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,SELFPAY,SELFPAY,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,TRICARE,TRICARE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR 901,C1785,CPT,both,,,14753,14753,UHC MEDICARE,UHC MEDICARE,,14753,,fee schedule,14753,12835.11,14753,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,AETNA,AETNA,,15102.33,87,percent of total billed charges,15102.33,15102.33,17359,percent of total billed charges,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15102.33,87,percent of total billed charges,15102.33,15102.33,17359,percent of total billed charges,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,UNITED HEALTHCARE,UNITED HEALTHCARE,,15275.92,88,percent of total billed charges,15275.92,15102.33,17359,percent of total billed charges,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,AETNA,AETNA,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,ALLIANT,ALLIANT,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,AMBETTER,AMBETTER,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,BEECH STREET,BEECH STREET,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,CARESOURCE,CARESOURCE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,MEDICAID,MEDICAID,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,MEDICARE,MEDICARE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,NOVA NET,NOVA NET,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,PEACHSTATE,PEACHSTATE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,SELFPAY,SELFPAY,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,TRICARE,TRICARE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR401,C1785,CPT,both,,,17359,17359,UHC MEDICARE,UHC MEDICARE,,17359,,fee schedule,17359,15102.33,17359,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,AETNA,AETNA,,16349.91,87,percent of total billed charges,16349.91,16349.91,18793,percent of total billed charges,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16349.91,87,percent of total billed charges,16349.91,16349.91,18793,percent of total billed charges,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,UNITED HEALTHCARE,UNITED HEALTHCARE,,16537.84,88,percent of total billed charges,16537.84,16349.91,18793,percent of total billed charges,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,AETNA,AETNA,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,ALLIANT,ALLIANT,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,AMBETTER,AMBETTER,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,BEECH STREET,BEECH STREET,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,CARESOURCE,CARESOURCE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,MEDICAID,MEDICAID,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,MEDICARE,MEDICARE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,NOVA NET,NOVA NET,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,PEACHSTATE,PEACHSTATE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,SELFPAY,SELFPAY,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,TRICARE,TRICARE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR-601,C1785,CPT,both,,,18793,18793,UHC MEDICARE,UHC MEDICARE,,18793,,fee schedule,18793,16349.91,18793,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,AETNA,AETNA,,14156.64,87,percent of total billed charges,14156.64,14156.64,16272,percent of total billed charges,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14156.64,87,percent of total billed charges,14156.64,14156.64,16272,percent of total billed charges,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,UNITED HEALTHCARE,UNITED HEALTHCARE,,14319.36,88,percent of total billed charges,14319.36,14156.64,16272,percent of total billed charges,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,AETNA,AETNA,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,ALLIANT,ALLIANT,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,AMBETTER,AMBETTER,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,BEECH STREET,BEECH STREET,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,CARESOURCE,CARESOURCE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,MEDICAID,MEDICAID,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,MEDICARE,MEDICARE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,NOVA NET,NOVA NET,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,PEACHSTATE,PEACHSTATE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,SELFPAY,SELFPAY,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,TRICARE,TRICARE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN KDR701,C1785,CPT,both,,,16272,16272,UHC MEDICARE,UHC MEDICARE,,16272,,fee schedule,16272,14156.64,16272,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,AETNA,AETNA,,12293.97,87,percent of total billed charges,12293.97,12293.97,14131,percent of total billed charges,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12293.97,87,percent of total billed charges,12293.97,12293.97,14131,percent of total billed charges,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,UNITED HEALTHCARE,UNITED HEALTHCARE,,12435.28,88,percent of total billed charges,12435.28,12293.97,14131,percent of total billed charges,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,AETNA,AETNA,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,ALLIANT,ALLIANT,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,AMBETTER,AMBETTER,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,BEECH STREET,BEECH STREET,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,CARESOURCE,CARESOURCE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,MEDICAID,MEDICAID,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,MEDICARE,MEDICARE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,NOVA NET,NOVA NET,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,PEACHSTATE,PEACHSTATE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,SELFPAY,SELFPAY,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,TRICARE,TRICARE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN P1501DR,C1785,CPT,both,,,14131,14131,UHC MEDICARE,UHC MEDICARE,,14131,,fee schedule,14131,12293.97,14131,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,AETNA,AETNA,,11190.81,87,percent of total billed charges,11190.81,11190.81,12863,percent of total billed charges,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11190.81,87,percent of total billed charges,11190.81,11190.81,12863,percent of total billed charges,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,UNITED HEALTHCARE,UNITED HEALTHCARE,,11319.44,88,percent of total billed charges,11319.44,11190.81,12863,percent of total billed charges,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,AETNA,AETNA,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,ALLIANT,ALLIANT,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,AMBETTER,AMBETTER,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,BEECH STREET,BEECH STREET,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,CARESOURCE,CARESOURCE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,MEDICAID,MEDICAID,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,MEDICARE,MEDICARE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,NOVA NET,NOVA NET,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,PEACHSTATE,PEACHSTATE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,SELFPAY,SELFPAY,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,TRICARE,TRICARE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM1210 SJ/DUA,C1785,CPT,both,,,12863,12863,UHC MEDICARE,UHC MEDICARE,,12863,,fee schedule,12863,11190.81,12863,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,AETNA,AETNA,,13424.97,87,percent of total billed charges,13424.97,13424.97,15431,percent of total billed charges,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13424.97,87,percent of total billed charges,13424.97,13424.97,15431,percent of total billed charges,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,UNITED HEALTHCARE,UNITED HEALTHCARE,,13579.28,88,percent of total billed charges,13579.28,13424.97,15431,percent of total billed charges,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,AETNA,AETNA,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,ALLIANT,ALLIANT,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,AMBETTER,AMBETTER,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,BEECH STREET,BEECH STREET,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,CARESOURCE,CARESOURCE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,MEDICAID,MEDICAID,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,MEDICARE,MEDICARE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,NOVA NET,NOVA NET,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,PEACHSTATE,PEACHSTATE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,SELFPAY,SELFPAY,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,TRICARE,TRICARE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2110,C1785,CPT,both,,,15431,15431,UHC MEDICARE,UHC MEDICARE,,15431,,fee schedule,15431,13424.97,15431,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,AETNA,AETNA,,13061.31,87,percent of total billed charges,13061.31,13061.31,15013,percent of total billed charges,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13061.31,87,percent of total billed charges,13061.31,13061.31,15013,percent of total billed charges,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,UNITED HEALTHCARE,UNITED HEALTHCARE,,13211.44,88,percent of total billed charges,13211.44,13061.31,15013,percent of total billed charges,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,AETNA,AETNA,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,ALLIANT,ALLIANT,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,AMBETTER,AMBETTER,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,BEECH STREET,BEECH STREET,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,CARESOURCE,CARESOURCE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,MEDICAID,MEDICAID,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,MEDICARE,MEDICARE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,NOVA NET,NOVA NET,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,PEACHSTATE,PEACHSTATE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,SELFPAY,SELFPAY,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,TRICARE,TRICARE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2210,C1785,CPT,both,,,15013,15013,UHC MEDICARE,UHC MEDICARE,,15013,,fee schedule,15013,13061.31,15013,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,AETNA,AETNA,,16576.98,87,percent of total billed charges,16576.98,16576.98,19054,percent of total billed charges,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16576.98,87,percent of total billed charges,16576.98,16576.98,19054,percent of total billed charges,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,UNITED HEALTHCARE,UNITED HEALTHCARE,,16767.52,88,percent of total billed charges,16767.52,16576.98,19054,percent of total billed charges,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,AETNA,AETNA,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,ALLIANT,ALLIANT,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,AMBETTER,AMBETTER,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,BEECH STREET,BEECH STREET,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,CARESOURCE,CARESOURCE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,MEDICAID,MEDICAID,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,MEDICARE,MEDICARE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,NOVA NET,NOVA NET,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,PEACHSTATE,PEACHSTATE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,SELFPAY,SELFPAY,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,TRICARE,TRICARE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN PM2240,C1785,CPT,both,,,19054,19054,UHC MEDICARE,UHC MEDICARE,,19054,,fee schedule,19054,16576.98,19054,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,AETNA,AETNA,,12742.02,87,percent of total billed charges,12742.02,12742.02,14646,percent of total billed charges,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12742.02,87,percent of total billed charges,12742.02,12742.02,14646,percent of total billed charges,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,UNITED HEALTHCARE,UNITED HEALTHCARE,,12888.48,88,percent of total billed charges,12888.48,12742.02,14646,percent of total billed charges,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,AETNA,AETNA,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,ALLIANT,ALLIANT,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,AMBETTER,AMBETTER,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,BEECH STREET,BEECH STREET,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,CARESOURCE,CARESOURCE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,MEDICAID,MEDICAID,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,MEDICARE,MEDICARE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,NOVA NET,NOVA NET,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,PEACHSTATE,PEACHSTATE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,SELFPAY,SELFPAY,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,TRICARE,TRICARE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR203,C1785,CPT,both,,,14646,14646,UHC MEDICARE,UHC MEDICARE,,14646,,fee schedule,14646,12742.02,14646,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,AETNA,AETNA,,14370.66,87,percent of total billed charges,14370.66,14370.66,16518,percent of total billed charges,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14370.66,87,percent of total billed charges,14370.66,14370.66,16518,percent of total billed charges,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,UNITED HEALTHCARE,UNITED HEALTHCARE,,14535.84,88,percent of total billed charges,14535.84,14370.66,16518,percent of total billed charges,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,AETNA,AETNA,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,ALLIANT,ALLIANT,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,AMBETTER,AMBETTER,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,BEECH STREET,BEECH STREET,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,CARESOURCE,CARESOURCE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,MEDICAID,MEDICAID,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,MEDICARE,MEDICARE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,NOVA NET,NOVA NET,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,PEACHSTATE,PEACHSTATE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,SELFPAY,SELFPAY,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,TRICARE,TRICARE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SDR303 MT/DUA,C1785,CPT,both,,,16518,16518,UHC MEDICARE,UHC MEDICARE,,16518,,fee schedule,16518,14370.66,16518,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,AETNA,AETNA,,8838.33,87,percent of total billed charges,8838.33,8838.33,10159,percent of total billed charges,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8838.33,87,percent of total billed charges,8838.33,8838.33,10159,percent of total billed charges,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,UNITED HEALTHCARE,UNITED HEALTHCARE,,8939.92,88,percent of total billed charges,8939.92,8838.33,10159,percent of total billed charges,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,AETNA,AETNA,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,ALLIANT,ALLIANT,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,AMBETTER,AMBETTER,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,BEECH STREET,BEECH STREET,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,CARESOURCE,CARESOURCE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,MEDICAID,MEDICAID,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,MEDICARE,MEDICARE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,NOVA NET,NOVA NET,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,PEACHSTATE,PEACHSTATE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,SELFPAY,SELFPAY,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,TRICARE,TRICARE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN SEDR01 MT/DUA,C1785,CPT,both,,,10159,10159,UHC MEDICARE,UHC MEDICARE,,10159,,fee schedule,10159,8838.33,10159,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,AETNA,AETNA,,11911.17,87,percent of total billed charges,11911.17,11911.17,13691,percent of total billed charges,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11911.17,87,percent of total billed charges,11911.17,11911.17,13691,percent of total billed charges,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,UNITED HEALTHCARE,UNITED HEALTHCARE,,12048.08,88,percent of total billed charges,12048.08,11911.17,13691,percent of total billed charges,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,AETNA,AETNA,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,ALLIANT,ALLIANT,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,AMBETTER,AMBETTER,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,BEECH STREET,BEECH STREET,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,CARESOURCE,CARESOURCE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,MEDICAID,MEDICAID,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,MEDICARE,MEDICARE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,NOVA NET,NOVA NET,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,PEACHSTATE,PEACHSTATE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,SELFPAY,SELFPAY,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,TRICARE,TRICARE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
PACEMKR GEN VERSADR01,C1785,CPT,both,,,13691,13691,UHC MEDICARE,UHC MEDICARE,,13691,,fee schedule,13691,11911.17,13691,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,AETNA,AETNA,,13847.79,87,percent of total billed charges,13847.79,13847.79,15917,percent of total billed charges,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13847.79,87,percent of total billed charges,13847.79,13847.79,15917,percent of total billed charges,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,UNITED HEALTHCARE,UNITED HEALTHCARE,,14006.96,88,percent of total billed charges,14006.96,13847.79,15917,percent of total billed charges,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,AETNA,AETNA,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,ALLIANT,ALLIANT,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,AMBETTER,AMBETTER,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,BEECH STREET,BEECH STREET,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,CARESOURCE,CARESOURCE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,MEDICAID,MEDICAID,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,MEDICARE,MEDICARE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,NOVA NET,NOVA NET,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,PEACHSTATE,PEACHSTATE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,SELFPAY,SELFPAY,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,TRICARE,TRICARE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
MEDTRONIC GENERATOR W1DR01,C1786,CPT,both,,,15917,15917,UHC MEDICARE,UHC MEDICARE,,15917,,fee schedule,15917,13847.79,15917,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,AETNA,AETNA,,12465.36,87,percent of total billed charges,12465.36,12465.36,14328,percent of total billed charges,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12465.36,87,percent of total billed charges,12465.36,12465.36,14328,percent of total billed charges,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,UNITED HEALTHCARE,UNITED HEALTHCARE,,12608.64,88,percent of total billed charges,12608.64,12465.36,14328,percent of total billed charges,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,AETNA,AETNA,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,ALLIANT,ALLIANT,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,AMBETTER,AMBETTER,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,BEECH STREET,BEECH STREET,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,CARESOURCE,CARESOURCE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,MEDICAID,MEDICAID,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,MEDICARE,MEDICARE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,NOVA NET,NOVA NET,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,PEACHSTATE,PEACHSTATE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,SELFPAY,SELFPAY,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,TRICARE,TRICARE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMAKER GEN A2DR01,C1786,CPT,both,,,14328,14328,UHC MEDICARE,UHC MEDICARE,,14328,,fee schedule,14328,12465.36,14328,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,AETNA,AETNA,,13110.03,87,percent of total billed charges,13110.03,13110.03,15069,percent of total billed charges,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13110.03,87,percent of total billed charges,13110.03,13110.03,15069,percent of total billed charges,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,UNITED HEALTHCARE,UNITED HEALTHCARE,,13260.72,88,percent of total billed charges,13260.72,13110.03,15069,percent of total billed charges,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,AETNA,AETNA,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,ALLIANT,ALLIANT,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,AMBETTER,AMBETTER,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,BEECH STREET,BEECH STREET,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,CARESOURCE,CARESOURCE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,MEDICAID,MEDICAID,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,MEDICARE,MEDICARE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,NOVA NET,NOVA NET,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,PEACHSTATE,PEACHSTATE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,SELFPAY,SELFPAY,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,TRICARE,TRICARE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR ELUNA 8 SR-T,C1786,CPT,both,,,15069,15069,UHC MEDICARE,UHC MEDICARE,,15069,,fee schedule,15069,13110.03,15069,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,AETNA,AETNA,,11716.29,87,percent of total billed charges,11716.29,11716.29,13467,percent of total billed charges,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11716.29,87,percent of total billed charges,11716.29,11716.29,13467,percent of total billed charges,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,UNITED HEALTHCARE,UNITED HEALTHCARE,,11850.96,88,percent of total billed charges,11850.96,11716.29,13467,percent of total billed charges,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,AETNA,AETNA,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,ALLIANT,ALLIANT,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,AMBETTER,AMBETTER,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,BEECH STREET,BEECH STREET,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,CARESOURCE,CARESOURCE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,MEDICAID,MEDICAID,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,MEDICARE,MEDICARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,NOVA NET,NOVA NET,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,PEACHSTATE,PEACHSTATE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,SELFPAY,SELFPAY,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,TRICARE,TRICARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR EVIA SR-T GEN,C1786,CPT,both,,,13467,13467,UHC MEDICARE,UHC MEDICARE,,13467,,fee schedule,13467,11716.29,13467,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,AETNA,AETNA,,16972.83,87,percent of total billed charges,16972.83,16972.83,19509,percent of total billed charges,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16972.83,87,percent of total billed charges,16972.83,16972.83,19509,percent of total billed charges,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,UNITED HEALTHCARE,UNITED HEALTHCARE,,17167.92,88,percent of total billed charges,17167.92,16972.83,19509,percent of total billed charges,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,AETNA,AETNA,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,ALLIANT,ALLIANT,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,AMBETTER,AMBETTER,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,BEECH STREET,BEECH STREET,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,CARESOURCE,CARESOURCE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,MEDICAID,MEDICAID,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,MEDICARE,MEDICARE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,NOVA NET,NOVA NET,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,PEACHSTATE,PEACHSTATE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,SELFPAY,SELFPAY,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,TRICARE,TRICARE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 2525T,C1786,CPT,both,,,19509,19509,UHC MEDICARE,UHC MEDICARE,,19509,,fee schedule,19509,16972.83,19509,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,AETNA,AETNA,,11002.89,87,percent of total billed charges,11002.89,11002.89,12647,percent of total billed charges,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11002.89,87,percent of total billed charges,11002.89,11002.89,12647,percent of total billed charges,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,UNITED HEALTHCARE,UNITED HEALTHCARE,,11129.36,88,percent of total billed charges,11129.36,11002.89,12647,percent of total billed charges,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,AETNA,AETNA,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,ALLIANT,ALLIANT,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,AMBETTER,AMBETTER,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,BEECH STREET,BEECH STREET,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,CARESOURCE,CARESOURCE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,MEDICAID,MEDICAID,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,MEDICARE,MEDICARE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,NOVA NET,NOVA NET,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,PEACHSTATE,PEACHSTATE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,SELFPAY,SELFPAY,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,TRICARE,TRICARE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5131M,C1786,CPT,both,,,12647,12647,UHC MEDICARE,UHC MEDICARE,,12647,,fee schedule,12647,11002.89,12647,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,AETNA,AETNA,,16165.47,87,percent of total billed charges,16165.47,16165.47,18581,percent of total billed charges,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16165.47,87,percent of total billed charges,16165.47,16165.47,18581,percent of total billed charges,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,UNITED HEALTHCARE,UNITED HEALTHCARE,,16351.28,88,percent of total billed charges,16351.28,16165.47,18581,percent of total billed charges,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,AETNA,AETNA,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,ALLIANT,ALLIANT,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,AMBETTER,AMBETTER,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,BEECH STREET,BEECH STREET,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,CARESOURCE,CARESOURCE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,MEDICAID,MEDICAID,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,MEDICARE,MEDICARE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,NOVA NET,NOVA NET,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,PEACHSTATE,PEACHSTATE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,SELFPAY,SELFPAY,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,TRICARE,TRICARE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5136,C1786,CPT,both,,,18581,18581,UHC MEDICARE,UHC MEDICARE,,18581,,fee schedule,18581,16165.47,18581,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,AETNA,AETNA,,14195.79,87,percent of total billed charges,14195.79,14195.79,16317,percent of total billed charges,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14195.79,87,percent of total billed charges,14195.79,14195.79,16317,percent of total billed charges,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,UNITED HEALTHCARE,UNITED HEALTHCARE,,14358.96,88,percent of total billed charges,14358.96,14195.79,16317,percent of total billed charges,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,AETNA,AETNA,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,ALLIANT,ALLIANT,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,AMBETTER,AMBETTER,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,BEECH STREET,BEECH STREET,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,CARESOURCE,CARESOURCE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,MEDICAID,MEDICAID,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,MEDICARE,MEDICARE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,NOVA NET,NOVA NET,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,PEACHSTATE,PEACHSTATE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,SELFPAY,SELFPAY,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,TRICARE,TRICARE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5142,C1786,CPT,both,,,16317,16317,UHC MEDICARE,UHC MEDICARE,,16317,,fee schedule,16317,14195.79,16317,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,AETNA,AETNA,,15772.23,87,percent of total billed charges,15772.23,15772.23,18129,percent of total billed charges,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15772.23,87,percent of total billed charges,15772.23,15772.23,18129,percent of total billed charges,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,UNITED HEALTHCARE,UNITED HEALTHCARE,,15953.52,88,percent of total billed charges,15953.52,15772.23,18129,percent of total billed charges,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,AETNA,AETNA,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,ALLIANT,ALLIANT,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,AMBETTER,AMBETTER,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,BEECH STREET,BEECH STREET,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,CARESOURCE,CARESOURCE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,MEDICAID,MEDICAID,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,MEDICARE,MEDICARE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,NOVA NET,NOVA NET,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,PEACHSTATE,PEACHSTATE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,SELFPAY,SELFPAY,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,TRICARE,TRICARE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5156,C1786,CPT,both,,,18129,18129,UHC MEDICARE,UHC MEDICARE,,18129,,fee schedule,18129,15772.23,18129,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,AETNA,AETNA,,11133.39,87,percent of total billed charges,11133.39,11133.39,12797,percent of total billed charges,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11133.39,87,percent of total billed charges,11133.39,11133.39,12797,percent of total billed charges,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,UNITED HEALTHCARE,UNITED HEALTHCARE,,11261.36,88,percent of total billed charges,11261.36,11133.39,12797,percent of total billed charges,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,AETNA,AETNA,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,ALLIANT,ALLIANT,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,AMBETTER,AMBETTER,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,BEECH STREET,BEECH STREET,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,CARESOURCE,CARESOURCE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,MEDICAID,MEDICAID,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,MEDICARE,MEDICARE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,NOVA NET,NOVA NET,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,PEACHSTATE,PEACHSTATE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,SELFPAY,SELFPAY,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,TRICARE,TRICARE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5157 SJ/SINGL,C1786,CPT,both,,,12797,12797,UHC MEDICARE,UHC MEDICARE,,12797,,fee schedule,12797,11133.39,12797,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,AETNA,AETNA,,11579.7,87,percent of total billed charges,11579.7,11579.7,13310,percent of total billed charges,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11579.7,87,percent of total billed charges,11579.7,11579.7,13310,percent of total billed charges,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,UNITED HEALTHCARE,UNITED HEALTHCARE,,11712.8,88,percent of total billed charges,11712.8,11579.7,13310,percent of total billed charges,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,AETNA,AETNA,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,ALLIANT,ALLIANT,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,AMBETTER,AMBETTER,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,BEECH STREET,BEECH STREET,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,CARESOURCE,CARESOURCE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,MEDICAID,MEDICAID,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,MEDICARE,MEDICARE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,NOVA NET,NOVA NET,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,PEACHSTATE,PEACHSTATE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,SELFPAY,SELFPAY,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,TRICARE,TRICARE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5160,C1786,CPT,both,,,13310,13310,UHC MEDICARE,UHC MEDICARE,,13310,,fee schedule,13310,11579.7,13310,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,AETNA,AETNA,,13926.96,87,percent of total billed charges,13926.96,13926.96,16008,percent of total billed charges,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13926.96,87,percent of total billed charges,13926.96,13926.96,16008,percent of total billed charges,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,UNITED HEALTHCARE,UNITED HEALTHCARE,,14087.04,88,percent of total billed charges,14087.04,13926.96,16008,percent of total billed charges,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,AETNA,AETNA,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,ALLIANT,ALLIANT,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,AMBETTER,AMBETTER,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,BEECH STREET,BEECH STREET,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,CARESOURCE,CARESOURCE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,MEDICAID,MEDICAID,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,MEDICARE,MEDICARE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,NOVA NET,NOVA NET,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,PEACHSTATE,PEACHSTATE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,SELFPAY,SELFPAY,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,TRICARE,TRICARE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5172,C1786,CPT,both,,,16008,16008,UHC MEDICARE,UHC MEDICARE,,16008,,fee schedule,16008,13926.96,16008,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,AETNA,AETNA,,12485.37,87,percent of total billed charges,12485.37,12485.37,14351,percent of total billed charges,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12485.37,87,percent of total billed charges,12485.37,12485.37,14351,percent of total billed charges,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,UNITED HEALTHCARE,UNITED HEALTHCARE,,12628.88,88,percent of total billed charges,12628.88,12485.37,14351,percent of total billed charges,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,AETNA,AETNA,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,ALLIANT,ALLIANT,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,AMBETTER,AMBETTER,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,BEECH STREET,BEECH STREET,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,CARESOURCE,CARESOURCE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,MEDICAID,MEDICAID,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,MEDICARE,MEDICARE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,NOVA NET,NOVA NET,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,PEACHSTATE,PEACHSTATE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,SELFPAY,SELFPAY,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,TRICARE,TRICARE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5620,C1786,CPT,both,,,14351,14351,UHC MEDICARE,UHC MEDICARE,,14351,,fee schedule,14351,12485.37,14351,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,AETNA,AETNA,,12550.62,87,percent of total billed charges,12550.62,12550.62,14426,percent of total billed charges,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12550.62,87,percent of total billed charges,12550.62,12550.62,14426,percent of total billed charges,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,UNITED HEALTHCARE,UNITED HEALTHCARE,,12694.88,88,percent of total billed charges,12694.88,12550.62,14426,percent of total billed charges,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,AETNA,AETNA,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,ALLIANT,ALLIANT,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,AMBETTER,AMBETTER,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,BEECH STREET,BEECH STREET,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,CARESOURCE,CARESOURCE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,MEDICAID,MEDICAID,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,MEDICARE,MEDICARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,NOVA NET,NOVA NET,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,PEACHSTATE,PEACHSTATE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,SELFPAY,SELFPAY,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,TRICARE,TRICARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN 5626 SINGLE,C1786,CPT,both,,,14426,14426,UHC MEDICARE,UHC MEDICARE,,14426,,fee schedule,14426,12550.62,14426,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,AETNA,AETNA,,12934.29,87,percent of total billed charges,12934.29,12934.29,14867,percent of total billed charges,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12934.29,87,percent of total billed charges,12934.29,12934.29,14867,percent of total billed charges,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,UNITED HEALTHCARE,UNITED HEALTHCARE,,13082.96,88,percent of total billed charges,13082.96,12934.29,14867,percent of total billed charges,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,AETNA,AETNA,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,ALLIANT,ALLIANT,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,AMBETTER,AMBETTER,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,BEECH STREET,BEECH STREET,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,CARESOURCE,CARESOURCE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,MEDICAID,MEDICAID,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,MEDICARE,MEDICARE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,NOVA NET,NOVA NET,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,PEACHSTATE,PEACHSTATE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,SELFPAY,SELFPAY,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,TRICARE,TRICARE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN E2SR01,C1786,CPT,both,,,14867,14867,UHC MEDICARE,UHC MEDICARE,,14867,,fee schedule,14867,12934.29,14867,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,AETNA,AETNA,,14981.4,87,percent of total billed charges,14981.4,14981.4,17220,percent of total billed charges,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14981.4,87,percent of total billed charges,14981.4,14981.4,17220,percent of total billed charges,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,UNITED HEALTHCARE,UNITED HEALTHCARE,,15153.6,88,percent of total billed charges,15153.6,14981.4,17220,percent of total billed charges,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,AETNA,AETNA,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,ALLIANT,ALLIANT,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,AMBETTER,AMBETTER,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,BEECH STREET,BEECH STREET,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,CARESOURCE,CARESOURCE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,MEDICAID,MEDICAID,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,MEDICARE,MEDICARE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,NOVA NET,NOVA NET,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,PEACHSTATE,PEACHSTATE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,SELFPAY,SELFPAY,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,TRICARE,TRICARE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN ELUNA 8 DR-T,C1786,CPT,both,,,17220,17220,UHC MEDICARE,UHC MEDICARE,,17220,,fee schedule,17220,14981.4,17220,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,AETNA,AETNA,,13896.51,87,percent of total billed charges,13896.51,13896.51,15973,percent of total billed charges,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13896.51,87,percent of total billed charges,13896.51,13896.51,15973,percent of total billed charges,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,UNITED HEALTHCARE,UNITED HEALTHCARE,,14056.24,88,percent of total billed charges,14056.24,13896.51,15973,percent of total billed charges,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,AETNA,AETNA,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,ALLIANT,ALLIANT,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,AMBETTER,AMBETTER,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,BEECH STREET,BEECH STREET,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,CARESOURCE,CARESOURCE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,MEDICAID,MEDICAID,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,MEDICARE,MEDICARE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,NOVA NET,NOVA NET,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,PEACHSTATE,PEACHSTATE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,SELFPAY,SELFPAY,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,TRICARE,TRICARE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN PM1240,C1786,CPT,both,,,15973,15973,UHC MEDICARE,UHC MEDICARE,,15973,,fee schedule,15973,13896.51,15973,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,AETNA,AETNA,,10443.48,87,percent of total billed charges,10443.48,10443.48,12004,percent of total billed charges,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10443.48,87,percent of total billed charges,10443.48,10443.48,12004,percent of total billed charges,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,UNITED HEALTHCARE,UNITED HEALTHCARE,,10563.52,88,percent of total billed charges,10563.52,10443.48,12004,percent of total billed charges,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,AETNA,AETNA,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,ALLIANT,ALLIANT,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,AMBETTER,AMBETTER,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,BEECH STREET,BEECH STREET,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,CARESOURCE,CARESOURCE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,MEDICAID,MEDICAID,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,MEDICARE,MEDICARE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,NOVA NET,NOVA NET,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,PEACHSTATE,PEACHSTATE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,SELFPAY,SELFPAY,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,TRICARE,TRICARE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SESRO1 MT/SIN,C1786,CPT,both,,,12004,12004,UHC MEDICARE,UHC MEDICARE,,12004,,fee schedule,12004,10443.48,12004,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,AETNA,AETNA,,7554.21,87,percent of total billed charges,7554.21,7554.21,8683,percent of total billed charges,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7554.21,87,percent of total billed charges,7554.21,7554.21,8683,percent of total billed charges,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,UNITED HEALTHCARE,UNITED HEALTHCARE,,7641.04,88,percent of total billed charges,7641.04,7554.21,8683,percent of total billed charges,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,AETNA,AETNA,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,ALLIANT,ALLIANT,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,AMBETTER,AMBETTER,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,BEECH STREET,BEECH STREET,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,CARESOURCE,CARESOURCE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,MEDICAID,MEDICAID,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,MEDICARE,MEDICARE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,NOVA NET,NOVA NET,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,PEACHSTATE,PEACHSTATE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,SELFPAY,SELFPAY,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,TRICARE,TRICARE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR203 MT/SIN,C1786,CPT,both,,,8683,8683,UHC MEDICARE,UHC MEDICARE,,8683,,fee schedule,8683,7554.21,8683,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,AETNA,AETNA,,8548.62,87,percent of total billed charges,8548.62,8548.62,9826,percent of total billed charges,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8548.62,87,percent of total billed charges,8548.62,8548.62,9826,percent of total billed charges,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,UNITED HEALTHCARE,UNITED HEALTHCARE,,8646.88,88,percent of total billed charges,8646.88,8548.62,9826,percent of total billed charges,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,AETNA,AETNA,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,ALLIANT,ALLIANT,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,AMBETTER,AMBETTER,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,BEECH STREET,BEECH STREET,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,CARESOURCE,CARESOURCE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,MEDICAID,MEDICAID,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,MEDICARE,MEDICARE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,NOVA NET,NOVA NET,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,PEACHSTATE,PEACHSTATE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,SELFPAY,SELFPAY,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,TRICARE,TRICARE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
PACEMKR GEN SSR303,C1786,CPT,both,,,9826,9826,UHC MEDICARE,UHC MEDICARE,,9826,,fee schedule,9826,8548.62,9826,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,AETNA,AETNA,,4454.4,87,percent of total billed charges,4454.4,4454.4,5120,percent of total billed charges,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4454.4,87,percent of total billed charges,4454.4,4454.4,5120,percent of total billed charges,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,UNITED HEALTHCARE,UNITED HEALTHCARE,,4505.6,88,percent of total billed charges,4505.6,4454.4,5120,percent of total billed charges,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,AETNA,AETNA,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,ALLIANT,ALLIANT,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,AMBETTER,AMBETTER,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,BEECH STREET,BEECH STREET,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,CARESOURCE,CARESOURCE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,MEDICAID,MEDICAID,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,MEDICARE,MEDICARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,NOVA NET,NOVA NET,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,PEACHSTATE,PEACHSTATE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,SELFPAY,SELFPAY,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,TRICARE,TRICARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
SINGLE GENERATOR,C1786,CPT,both,,,5120,5120,UHC MEDICARE,UHC MEDICARE,,5120,,fee schedule,5120,4454.4,5120,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,AETNA,AETNA,,4775.43,87,percent of total billed charges,4775.43,4775.43,5489,percent of total billed charges,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4775.43,87,percent of total billed charges,4775.43,4775.43,5489,percent of total billed charges,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,UNITED HEALTHCARE,UNITED HEALTHCARE,,4830.32,88,percent of total billed charges,4830.32,4775.43,5489,percent of total billed charges,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,AETNA,AETNA,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,ALLIANT,ALLIANT,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,AMBETTER,AMBETTER,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,BEECH STREET,BEECH STREET,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,CARESOURCE,CARESOURCE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,MEDICAID,MEDICAID,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,MEDICARE,MEDICARE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,NOVA NET,NOVA NET,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,PEACHSTATE,PEACHSTATE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,SELFPAY,SELFPAY,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,TRICARE,TRICARE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
COMM HANDSET KIT INTERSTIM,C1787,CPT,both,,,5489,5489,UHC MEDICARE,UHC MEDICARE,,5489,,fee schedule,5489,4775.43,5489,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,AETNA,AETNA,,1808.73,87,percent of total billed charges,1808.73,1808.73,2079,percent of total billed charges,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1808.73,87,percent of total billed charges,1808.73,1808.73,2079,percent of total billed charges,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,UNITED HEALTHCARE,UNITED HEALTHCARE,,1829.52,88,percent of total billed charges,1829.52,1808.73,2079,percent of total billed charges,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,AETNA,AETNA,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,ALLIANT,ALLIANT,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,AMBETTER,AMBETTER,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,BEECH STREET,BEECH STREET,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,CARESOURCE,CARESOURCE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,MEDICAID,MEDICAID,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,MEDICARE,MEDICARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,NOVA NET,NOVA NET,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,PEACHSTATE,PEACHSTATE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,SELFPAY,SELFPAY,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,TRICARE,TRICARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER,C1787,CPT,both,,,2079,2079,UHC MEDICARE,UHC MEDICARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,AETNA,AETNA,,2931.9,87,percent of total billed charges,2931.9,2931.9,3370,percent of total billed charges,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2931.9,87,percent of total billed charges,2931.9,2931.9,3370,percent of total billed charges,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,UNITED HEALTHCARE,UNITED HEALTHCARE,,2965.6,88,percent of total billed charges,2965.6,2931.9,3370,percent of total billed charges,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,AETNA,AETNA,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,ALLIANT,ALLIANT,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,AMBETTER,AMBETTER,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,BEECH STREET,BEECH STREET,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,CARESOURCE,CARESOURCE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,MEDICAID,MEDICAID,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,MEDICARE,MEDICARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,NOVA NET,NOVA NET,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,PEACHSTATE,PEACHSTATE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,SELFPAY,SELFPAY,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,TRICARE,TRICARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
DCS PT PROGRAMMER 97740,C1787,CPT,both,,,3370,3370,UHC MEDICARE,UHC MEDICARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,AETNA,AETNA,,1706.94,87,percent of total billed charges,1706.94,1706.94,1962,percent of total billed charges,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1706.94,87,percent of total billed charges,1706.94,1706.94,1962,percent of total billed charges,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,UNITED HEALTHCARE,UNITED HEALTHCARE,,1726.56,88,percent of total billed charges,1726.56,1706.94,1962,percent of total billed charges,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,AETNA,AETNA,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,ALLIANT,ALLIANT,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,AMBETTER,AMBETTER,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,BEECH STREET,BEECH STREET,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,CARESOURCE,CARESOURCE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,MEDICAID,MEDICAID,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,MEDICARE,MEDICARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,NOVA NET,NOVA NET,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,PEACHSTATE,PEACHSTATE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,SELFPAY,SELFPAY,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,TRICARE,TRICARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
QUINTON LIFE PORT,C1788,CPT,both,,,1962,1962,UHC MEDICARE,UHC MEDICARE,,1962,,fee schedule,1962,1706.94,1962,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,AETNA,AETNA,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238.38,87,percent of total billed charges,238.38,238.38,274,percent of total billed charges,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,UNITED HEALTHCARE,UNITED HEALTHCARE,,241.12,88,percent of total billed charges,241.12,238.38,274,percent of total billed charges,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,AETNA,AETNA,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,ALLIANT,ALLIANT,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,AMBETTER,AMBETTER,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,BEECH STREET,BEECH STREET,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,CARESOURCE,CARESOURCE,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,MEDICAID,MEDICAID,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,MEDICARE,MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,NOVA NET,NOVA NET,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,PEACHSTATE,PEACHSTATE,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,SELFPAY,SELFPAY,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,TRICARE,TRICARE,,274,,fee schedule,274,238.38,274,fee schedule,
SMART PORT (ANGIODYNAMICS),C1788,CPT,both,,,274,274,UHC MEDICARE,UHC MEDICARE,,274,,fee schedule,274,238.38,274,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,AETNA,AETNA,,1938.36,87,percent of total billed charges,1938.36,1938.36,2228,percent of total billed charges,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1938.36,87,percent of total billed charges,1938.36,1938.36,2228,percent of total billed charges,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1960.64,88,percent of total billed charges,1960.64,1938.36,2228,percent of total billed charges,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,AETNA,AETNA,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,ALLIANT,ALLIANT,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,AMBETTER,AMBETTER,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,BEECH STREET,BEECH STREET,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,CARESOURCE,CARESOURCE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,MEDICAID,MEDICAID,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,MEDICARE,MEDICARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,NOVA NET,NOVA NET,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,PEACHSTATE,PEACHSTATE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,SELFPAY,SELFPAY,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,TRICARE,TRICARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
BREAST SILICONE GEL IMPLANT,C1789,CPT,both,,,2228,2228,UHC MEDICARE,UHC MEDICARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,AETNA,AETNA,,738.63,87,percent of total billed charges,738.63,738.63,849,percent of total billed charges,
IMPLANT BREAST,C1789,CPT,both,,,849,849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,738.63,87,percent of total billed charges,738.63,738.63,849,percent of total billed charges,
IMPLANT BREAST,C1789,CPT,both,,,849,849,UNITED HEALTHCARE,UNITED HEALTHCARE,,747.12,88,percent of total billed charges,747.12,738.63,849,percent of total billed charges,
IMPLANT BREAST,C1789,CPT,both,,,849,849,AETNA,AETNA,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,ALLIANT,ALLIANT,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,AMBETTER,AMBETTER,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,BEECH STREET,BEECH STREET,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,CARESOURCE,CARESOURCE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,MEDICAID,MEDICAID,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,MEDICARE,MEDICARE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,NOVA NET,NOVA NET,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,PEACHSTATE,PEACHSTATE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,SELFPAY,SELFPAY,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,TRICARE,TRICARE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,849,849,UHC MEDICARE,UHC MEDICARE,,849,,fee schedule,849,738.63,849,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,AETNA,AETNA,,3045.87,87,percent of total billed charges,3045.87,3045.87,3501,percent of total billed charges,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3045.87,87,percent of total billed charges,3045.87,3045.87,3501,percent of total billed charges,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,UNITED HEALTHCARE,UNITED HEALTHCARE,,3080.88,88,percent of total billed charges,3080.88,3045.87,3501,percent of total billed charges,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,AETNA,AETNA,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,ALLIANT,ALLIANT,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,AMBETTER,AMBETTER,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,BEECH STREET,BEECH STREET,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,CARESOURCE,CARESOURCE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,MEDICAID,MEDICAID,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,MEDICARE,MEDICARE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,NOVA NET,NOVA NET,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,PEACHSTATE,PEACHSTATE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,SELFPAY,SELFPAY,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,TRICARE,TRICARE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
IMPLANT BREAST,C1789,CPT,both,,,3501,3501,UHC MEDICARE,UHC MEDICARE,,3501,,fee schedule,3501,3045.87,3501,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,AETNA,AETNA,,10152.9,87,percent of total billed charges,10152.9,10152.9,11670,percent of total billed charges,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10152.9,87,percent of total billed charges,10152.9,10152.9,11670,percent of total billed charges,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,UNITED HEALTHCARE,UNITED HEALTHCARE,,10269.6,88,percent of total billed charges,10269.6,10152.9,11670,percent of total billed charges,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,AETNA,AETNA,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,ALLIANT,ALLIANT,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,AMBETTER,AMBETTER,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,BEECH STREET,BEECH STREET,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,CARESOURCE,CARESOURCE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,MEDICAID,MEDICAID,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,MEDICARE,MEDICARE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,NOVA NET,NOVA NET,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,PEACHSTATE,PEACHSTATE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,SELFPAY,SELFPAY,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,TRICARE,TRICARE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS,C1813,CPT,both,,,11670,11670,UHC MEDICARE,UHC MEDICARE,,11670,,fee schedule,11670,10152.9,11670,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,AETNA,AETNA,,34612.08,87,percent of total billed charges,34612.08,34612.08,39784,percent of total billed charges,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34612.08,87,percent of total billed charges,34612.08,34612.08,39784,percent of total billed charges,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,UNITED HEALTHCARE,UNITED HEALTHCARE,,35009.92,88,percent of total billed charges,35009.92,34612.08,39784,percent of total billed charges,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,AETNA,AETNA,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,ALLIANT,ALLIANT,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,AMBETTER,AMBETTER,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,BEECH STREET,BEECH STREET,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,CARESOURCE,CARESOURCE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,MEDICAID,MEDICAID,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,MEDICARE,MEDICARE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,NOVA NET,NOVA NET,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,PEACHSTATE,PEACHSTATE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,SELFPAY,SELFPAY,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,TRICARE,TRICARE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS AMS,C1813,CPT,both,,,39784,39784,UHC MEDICARE,UHC MEDICARE,,39784,,fee schedule,39784,34612.08,39784,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,AETNA,AETNA,,21786.54,87,percent of total billed charges,21786.54,21786.54,25042,percent of total billed charges,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21786.54,87,percent of total billed charges,21786.54,21786.54,25042,percent of total billed charges,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,UNITED HEALTHCARE,UNITED HEALTHCARE,,22036.96,88,percent of total billed charges,22036.96,21786.54,25042,percent of total billed charges,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,AETNA,AETNA,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,ALLIANT,ALLIANT,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,AMBETTER,AMBETTER,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,BEECH STREET,BEECH STREET,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,CARESOURCE,CARESOURCE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,MEDICAID,MEDICAID,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,MEDICARE,MEDICARE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,NOVA NET,NOVA NET,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,PEACHSTATE,PEACHSTATE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,SELFPAY,SELFPAY,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,TRICARE,TRICARE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
PENILE PROSTHESIS W/PUMP,C1813,CPT,both,,,25042,25042,UHC MEDICARE,UHC MEDICARE,,25042,,fee schedule,25042,21786.54,25042,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,AETNA,AETNA,,7035.69,87,percent of total billed charges,7035.69,7035.69,8087,percent of total billed charges,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7035.69,87,percent of total billed charges,7035.69,7035.69,8087,percent of total billed charges,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,UNITED HEALTHCARE,UNITED HEALTHCARE,,7116.56,88,percent of total billed charges,7116.56,7035.69,8087,percent of total billed charges,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,AETNA,AETNA,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,ALLIANT,ALLIANT,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,AMBETTER,AMBETTER,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,BEECH STREET,BEECH STREET,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,CARESOURCE,CARESOURCE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,MEDICAID,MEDICAID,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,MEDICARE,MEDICARE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,NOVA NET,NOVA NET,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,PEACHSTATE,PEACHSTATE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,SELFPAY,SELFPAY,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,TRICARE,TRICARE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
URINARY INCONTINENCE SYSTEM,C1815,CPT,both,,,8087,8087,UHC MEDICARE,UHC MEDICARE,,8087,,fee schedule,8087,7035.69,8087,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,AETNA,AETNA,,10031.1,87,percent of total billed charges,10031.1,10031.1,11530,percent of total billed charges,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10031.1,87,percent of total billed charges,10031.1,10031.1,11530,percent of total billed charges,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,UNITED HEALTHCARE,UNITED HEALTHCARE,,10146.4,88,percent of total billed charges,10146.4,10031.1,11530,percent of total billed charges,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,AETNA,AETNA,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,ALLIANT,ALLIANT,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,AMBETTER,AMBETTER,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,BEECH STREET,BEECH STREET,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,CARESOURCE,CARESOURCE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,MEDICAID,MEDICAID,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,MEDICARE,MEDICARE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,NOVA NET,NOVA NET,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,PEACHSTATE,PEACHSTATE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,SELFPAY,SELFPAY,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,TRICARE,TRICARE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
SYNTHES PLIF SPACER,C1819,CPT,both,,,11530,11530,UHC MEDICARE,UHC MEDICARE,,11530,,fee schedule,11530,10031.1,11530,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,AETNA,AETNA,,3734.91,87,percent of total billed charges,3734.91,3734.91,4293,percent of total billed charges,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3734.91,87,percent of total billed charges,3734.91,3734.91,4293,percent of total billed charges,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,UNITED HEALTHCARE,UNITED HEALTHCARE,,3777.84,88,percent of total billed charges,3777.84,3734.91,4293,percent of total billed charges,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,AETNA,AETNA,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,ALLIANT,ALLIANT,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,AMBETTER,AMBETTER,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,BEECH STREET,BEECH STREET,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,CARESOURCE,CARESOURCE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,MEDICAID,MEDICAID,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,MEDICARE,MEDICARE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,NOVA NET,NOVA NET,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,PEACHSTATE,PEACHSTATE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,SELFPAY,SELFPAY,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,TRICARE,TRICARE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TISSUE EXPANDER,C1819,CPT,both,,,4293,4293,UHC MEDICARE,UHC MEDICARE,,4293,,fee schedule,4293,3734.91,4293,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,AETNA,AETNA,,716.88,87,percent of total billed charges,716.88,716.88,824,percent of total billed charges,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,716.88,87,percent of total billed charges,716.88,716.88,824,percent of total billed charges,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,UNITED HEALTHCARE,UNITED HEALTHCARE,,725.12,88,percent of total billed charges,725.12,716.88,824,percent of total billed charges,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,AETNA,AETNA,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,ALLIANT,ALLIANT,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,AMBETTER,AMBETTER,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,BEECH STREET,BEECH STREET,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,CARESOURCE,CARESOURCE,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,MEDICAID,MEDICAID,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,MEDICARE,MEDICARE,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,NOVA NET,NOVA NET,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,PEACHSTATE,PEACHSTATE,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,SELFPAY,SELFPAY,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,TRICARE,TRICARE,,824,,fee schedule,824,716.88,824,fee schedule,
TRIAL SET FOR SPACER SIZING,C1819,CPT,both,,,824,824,UHC MEDICARE,UHC MEDICARE,,824,,fee schedule,824,716.88,824,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,AETNA,AETNA,,32564.97,87,percent of total billed charges,32564.97,32564.97,37431,percent of total billed charges,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32564.97,87,percent of total billed charges,32564.97,32564.97,37431,percent of total billed charges,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,UNITED HEALTHCARE,UNITED HEALTHCARE,,32939.28,88,percent of total billed charges,32939.28,32564.97,37431,percent of total billed charges,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,AETNA,AETNA,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,ALLIANT,ALLIANT,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,AMBETTER,AMBETTER,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,BEECH STREET,BEECH STREET,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,CARESOURCE,CARESOURCE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,MEDICAID,MEDICAID,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,MEDICARE,MEDICARE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,NOVA NET,NOVA NET,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,PEACHSTATE,PEACHSTATE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,SELFPAY,SELFPAY,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,TRICARE,TRICARE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS IP GENERATOR KIT,C1820,CPT,both,,,37431,37431,UHC MEDICARE,UHC MEDICARE,,37431,,fee schedule,37431,32564.97,37431,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,AETNA,AETNA,,53178.75,87,percent of total billed charges,53178.75,53178.75,61125,percent of total billed charges,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53178.75,87,percent of total billed charges,53178.75,53178.75,61125,percent of total billed charges,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,UNITED HEALTHCARE,UNITED HEALTHCARE,,53790,88,percent of total billed charges,53790,53178.75,61125,percent of total billed charges,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,AETNA,AETNA,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,ALLIANT,ALLIANT,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,AMBETTER,AMBETTER,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,BEECH STREET,BEECH STREET,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,CARESOURCE,CARESOURCE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,MEDICAID,MEDICAID,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,MEDICARE,MEDICARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,NOVA NET,NOVA NET,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,PEACHSTATE,PEACHSTATE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,SELFPAY,SELFPAY,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,TRICARE,TRICARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE IPG & CHGR,C1820,CPT,both,,,61125,61125,UHC MEDICARE,UHC MEDICARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,AETNA,AETNA,,53178.75,87,percent of total billed charges,53178.75,53178.75,61125,percent of total billed charges,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53178.75,87,percent of total billed charges,53178.75,53178.75,61125,percent of total billed charges,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,UNITED HEALTHCARE,UNITED HEALTHCARE,,53790,88,percent of total billed charges,53790,53178.75,61125,percent of total billed charges,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,AETNA,AETNA,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,ALLIANT,ALLIANT,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,AMBETTER,AMBETTER,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,BEECH STREET,BEECH STREET,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,CARESOURCE,CARESOURCE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,MEDICAID,MEDICAID,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,MEDICARE,MEDICARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,NOVA NET,NOVA NET,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,PEACHSTATE,PEACHSTATE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,SELFPAY,SELFPAY,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,TRICARE,TRICARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS MRI MONTAGE NONCHG IPG,C1820,CPT,both,,,61125,61125,UHC MEDICARE,UHC MEDICARE,,61125,,fee schedule,61125,53178.75,61125,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,AETNA,AETNA,,76603.5,87,percent of total billed charges,76603.5,76603.5,88050,percent of total billed charges,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76603.5,87,percent of total billed charges,76603.5,76603.5,88050,percent of total billed charges,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,UNITED HEALTHCARE,UNITED HEALTHCARE,,77484,88,percent of total billed charges,77484,76603.5,88050,percent of total billed charges,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,AETNA,AETNA,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,ALLIANT,ALLIANT,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,AMBETTER,AMBETTER,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,BEECH STREET,BEECH STREET,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,CARESOURCE,CARESOURCE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,MEDICAID,MEDICAID,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,MEDICARE,MEDICARE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,NOVA NET,NOVA NET,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,PEACHSTATE,PEACHSTATE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,SELFPAY,SELFPAY,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,TRICARE,TRICARE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
DCS SPECTRA GENERATOR,C1820,CPT,both,,,88050,88050,UHC MEDICARE,UHC MEDICARE,,88050,,fee schedule,88050,76603.5,88050,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,AETNA,AETNA,,26642.88,87,percent of total billed charges,26642.88,26642.88,30624,percent of total billed charges,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26642.88,87,percent of total billed charges,26642.88,26642.88,30624,percent of total billed charges,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,UNITED HEALTHCARE,UNITED HEALTHCARE,,26949.12,88,percent of total billed charges,26949.12,26642.88,30624,percent of total billed charges,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,AETNA,AETNA,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,ALLIANT,ALLIANT,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,AMBETTER,AMBETTER,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,BEECH STREET,BEECH STREET,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,CARESOURCE,CARESOURCE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,MEDICAID,MEDICAID,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,MEDICARE,MEDICARE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,NOVA NET,NOVA NET,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,PEACHSTATE,PEACHSTATE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,SELFPAY,SELFPAY,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,TRICARE,TRICARE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
NEUROSTIMULATOR,C1820,CPT,both,,,30624,30624,UHC MEDICARE,UHC MEDICARE,,30624,,fee schedule,30624,26642.88,30624,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,AETNA,AETNA,,41668.65,87,percent of total billed charges,41668.65,41668.65,47895,percent of total billed charges,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41668.65,87,percent of total billed charges,41668.65,41668.65,47895,percent of total billed charges,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,UNITED HEALTHCARE,UNITED HEALTHCARE,,42147.6,88,percent of total billed charges,42147.6,41668.65,47895,percent of total billed charges,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,AETNA,AETNA,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,ALLIANT,ALLIANT,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,AMBETTER,AMBETTER,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,BEECH STREET,BEECH STREET,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,CARESOURCE,CARESOURCE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,MEDICAID,MEDICAID,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,MEDICARE,MEDICARE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,NOVA NET,NOVA NET,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,PEACHSTATE,PEACHSTATE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,SELFPAY,SELFPAY,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,TRICARE,TRICARE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
STIMULATOR SPINAL & CHARGER KT,C1820,CPT,both,,,47895,47895,UHC MEDICARE,UHC MEDICARE,,47895,,fee schedule,47895,41668.65,47895,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,AETNA,AETNA,,7316.7,87,percent of total billed charges,7316.7,7316.7,8410,percent of total billed charges,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7316.7,87,percent of total billed charges,7316.7,7316.7,8410,percent of total billed charges,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,UNITED HEALTHCARE,UNITED HEALTHCARE,,7400.8,88,percent of total billed charges,7400.8,7316.7,8410,percent of total billed charges,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,AETNA,AETNA,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,ALLIANT,ALLIANT,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,AMBETTER,AMBETTER,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,BEECH STREET,BEECH STREET,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,CARESOURCE,CARESOURCE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,MEDICAID,MEDICAID,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,MEDICARE,MEDICARE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,NOVA NET,NOVA NET,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,PEACHSTATE,PEACHSTATE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,SELFPAY,SELFPAY,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,TRICARE,TRICARE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK FUSION CAGE,C1821,CPT,both,,,8410,8410,UHC MEDICARE,UHC MEDICARE,,8410,,fee schedule,8410,7316.7,8410,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,AETNA,AETNA,,5893.38,87,percent of total billed charges,5893.38,5893.38,6774,percent of total billed charges,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5893.38,87,percent of total billed charges,5893.38,5893.38,6774,percent of total billed charges,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,UNITED HEALTHCARE,UNITED HEALTHCARE,,5961.12,88,percent of total billed charges,5961.12,5893.38,6774,percent of total billed charges,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,AETNA,AETNA,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,ALLIANT,ALLIANT,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,AMBETTER,AMBETTER,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,BEECH STREET,BEECH STREET,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,CARESOURCE,CARESOURCE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,MEDICAID,MEDICAID,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,MEDICARE,MEDICARE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,NOVA NET,NOVA NET,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,PEACHSTATE,PEACHSTATE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,SELFPAY,SELFPAY,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,TRICARE,TRICARE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK PEEK INTERBODY CAGE,C1821,CPT,both,,,6774,6774,UHC MEDICARE,UHC MEDICARE,,6774,,fee schedule,6774,5893.38,6774,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,AETNA,AETNA,,9078.45,87,percent of total billed charges,9078.45,9078.45,10435,percent of total billed charges,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9078.45,87,percent of total billed charges,9078.45,9078.45,10435,percent of total billed charges,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,UNITED HEALTHCARE,UNITED HEALTHCARE,,9182.8,88,percent of total billed charges,9182.8,9078.45,10435,percent of total billed charges,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,AETNA,AETNA,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,ALLIANT,ALLIANT,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,AMBETTER,AMBETTER,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,BEECH STREET,BEECH STREET,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,CARESOURCE,CARESOURCE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,MEDICAID,MEDICAID,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,MEDICARE,MEDICARE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,NOVA NET,NOVA NET,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,PEACHSTATE,PEACHSTATE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,SELFPAY,SELFPAY,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,TRICARE,TRICARE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
DANEK X-STOP SPACER,C1821,CPT,both,,,10435,10435,UHC MEDICARE,UHC MEDICARE,,10435,,fee schedule,10435,9078.45,10435,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,AETNA,AETNA,,27418.92,87,percent of total billed charges,27418.92,27418.92,31516,percent of total billed charges,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27418.92,87,percent of total billed charges,27418.92,27418.92,31516,percent of total billed charges,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,UNITED HEALTHCARE,UNITED HEALTHCARE,,27734.08,88,percent of total billed charges,27734.08,27418.92,31516,percent of total billed charges,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,AETNA,AETNA,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,ALLIANT,ALLIANT,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,AMBETTER,AMBETTER,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,BEECH STREET,BEECH STREET,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,CARESOURCE,CARESOURCE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,MEDICAID,MEDICAID,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,MEDICARE,MEDICARE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,NOVA NET,NOVA NET,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,PEACHSTATE,PEACHSTATE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,SELFPAY,SELFPAY,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,TRICARE,TRICARE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
INTERLAMINER FUSION DEVICE MM,C1821,CPT,both,,,31516,31516,UHC MEDICARE,UHC MEDICARE,,31516,,fee schedule,31516,27418.92,31516,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,AETNA,AETNA,,2496.03,87,percent of total billed charges,2496.03,2496.03,2869,percent of total billed charges,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2496.03,87,percent of total billed charges,2496.03,2496.03,2869,percent of total billed charges,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,UNITED HEALTHCARE,UNITED HEALTHCARE,,2524.72,88,percent of total billed charges,2524.72,2496.03,2869,percent of total billed charges,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,AETNA,AETNA,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,ALLIANT,ALLIANT,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,AMBETTER,AMBETTER,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,BEECH STREET,BEECH STREET,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,CARESOURCE,CARESOURCE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,MEDICAID,MEDICAID,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,MEDICARE,MEDICARE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,NOVA NET,NOVA NET,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,PEACHSTATE,PEACHSTATE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,SELFPAY,SELFPAY,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,TRICARE,TRICARE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
MTF 8MM ACF SPACER,C1821,CPT,both,,,2869,2869,UHC MEDICARE,UHC MEDICARE,,2869,,fee schedule,2869,2496.03,2869,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,AETNA,AETNA,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,UNITED HEALTHCARE,UNITED HEALTHCARE,,22781.44,88,percent of total billed charges,22781.44,22522.56,25888,percent of total billed charges,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,AETNA,AETNA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,ALLIANT,ALLIANT,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,AMBETTER,AMBETTER,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,BEECH STREET,BEECH STREET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,CARESOURCE,CARESOURCE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,MEDICAID,MEDICAID,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,MEDICARE,MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,NOVA NET,NOVA NET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,PEACHSTATE,PEACHSTATE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,SELFPAY,SELFPAY,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,TRICARE,TRICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURE LUM ANT CAGE 10 10-S,C1821,CPT,both,,,25888,25888,UHC MEDICARE,UHC MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,AETNA,AETNA,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,UNITED HEALTHCARE,UNITED HEALTHCARE,,22781.44,88,percent of total billed charges,22781.44,22522.56,25888,percent of total billed charges,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,AETNA,AETNA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,ALLIANT,ALLIANT,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,AMBETTER,AMBETTER,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,BEECH STREET,BEECH STREET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CARESOURCE,CARESOURCE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,MEDICAID,MEDICAID,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,MEDICARE,MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,NOVA NET,NOVA NET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,PEACHSTATE,PEACHSTATE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,SELFPAY,SELFPAY,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,TRICARE,TRICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,UHC MEDICARE,UHC MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,AETNA,AETNA,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,UNITED HEALTHCARE,UNITED HEALTHCARE,,22781.44,88,percent of total billed charges,22781.44,22522.56,25888,percent of total billed charges,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,AETNA,AETNA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,ALLIANT,ALLIANT,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,AMBETTER,AMBETTER,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,BEECH STREET,BEECH STREET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CARESOURCE,CARESOURCE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,MEDICAID,MEDICAID,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,MEDICARE,MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,NOVA NET,NOVA NET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,PEACHSTATE,PEACHSTATE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,SELFPAY,SELFPAY,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,TRICARE,TRICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
SECURED LUM ANT CAGE 15 12-S,C1821,CPT,both,,,25888,25888,UHC MEDICARE,UHC MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,AETNA,AETNA,,47908.29,87,percent of total billed charges,47908.29,47908.29,55067,percent of total billed charges,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47908.29,87,percent of total billed charges,47908.29,47908.29,55067,percent of total billed charges,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,UNITED HEALTHCARE,UNITED HEALTHCARE,,48458.96,88,percent of total billed charges,48458.96,47908.29,55067,percent of total billed charges,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,AETNA,AETNA,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,ALLIANT,ALLIANT,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,AMBETTER,AMBETTER,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,BEECH STREET,BEECH STREET,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,CARESOURCE,CARESOURCE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,MEDICAID,MEDICAID,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,MEDICARE,MEDICARE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,NOVA NET,NOVA NET,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,PEACHSTATE,PEACHSTATE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,SELFPAY,SELFPAY,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,TRICARE,TRICARE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
STIMQ NEUROSTIMULATOR RECEIVER,C1822,CPT,both,,,55067,55067,UHC MEDICARE,UHC MEDICARE,,55067,,fee schedule,55067,47908.29,55067,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,AETNA,AETNA,,4533.57,87,percent of total billed charges,4533.57,4533.57,5211,percent of total billed charges,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4533.57,87,percent of total billed charges,4533.57,4533.57,5211,percent of total billed charges,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,UNITED HEALTHCARE,UNITED HEALTHCARE,,4585.68,88,percent of total billed charges,4585.68,4533.57,5211,percent of total billed charges,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,AETNA,AETNA,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,ALLIANT,ALLIANT,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,AMBETTER,AMBETTER,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,BEECH STREET,BEECH STREET,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,CARESOURCE,CARESOURCE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,MEDICAID,MEDICAID,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,MEDICARE,MEDICARE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,NOVA NET,NOVA NET,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,PEACHSTATE,PEACHSTATE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,SELFPAY,SELFPAY,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,TRICARE,TRICARE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
CORONARY STENT XIENCE ALPINE,C1874,CPT,both,,,5211,5211,UHC MEDICARE,UHC MEDICARE,,5211,,fee schedule,5211,4533.57,5211,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,AETNA,AETNA,,361.92,87,percent of total billed charges,361.92,361.92,416,percent of total billed charges,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361.92,87,percent of total billed charges,361.92,361.92,416,percent of total billed charges,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,UNITED HEALTHCARE,UNITED HEALTHCARE,,366.08,88,percent of total billed charges,366.08,361.92,416,percent of total billed charges,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,AETNA,AETNA,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,ALLIANT,ALLIANT,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,AMBETTER,AMBETTER,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,BEECH STREET,BEECH STREET,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,CARESOURCE,CARESOURCE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,MEDICAID,MEDICAID,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,MEDICARE,MEDICARE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,NOVA NET,NOVA NET,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,PEACHSTATE,PEACHSTATE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,SELFPAY,SELFPAY,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,TRICARE,TRICARE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA BILIARY STENT,C1874,CPT,both,,,416,416,UHC MEDICARE,UHC MEDICARE,,416,,fee schedule,416,361.92,416,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,AETNA,AETNA,,331.47,87,percent of total billed charges,331.47,331.47,381,percent of total billed charges,
FLEXIMA STENT,C1874,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331.47,87,percent of total billed charges,331.47,331.47,381,percent of total billed charges,
FLEXIMA STENT,C1874,CPT,both,,,381,381,UNITED HEALTHCARE,UNITED HEALTHCARE,,335.28,88,percent of total billed charges,335.28,331.47,381,percent of total billed charges,
FLEXIMA STENT,C1874,CPT,both,,,381,381,AETNA,AETNA,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,ALLIANT,ALLIANT,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,AMBETTER,AMBETTER,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,BEECH STREET,BEECH STREET,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,CARESOURCE,CARESOURCE,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,MEDICAID,MEDICAID,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,MEDICARE,MEDICARE,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,NOVA NET,NOVA NET,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,PEACHSTATE,PEACHSTATE,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,SELFPAY,SELFPAY,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,TRICARE,TRICARE,,381,,fee schedule,381,331.47,381,fee schedule,
FLEXIMA STENT,C1874,CPT,both,,,381,381,UHC MEDICARE,UHC MEDICARE,,381,,fee schedule,381,331.47,381,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,AETNA,AETNA,,4042.89,87,percent of total billed charges,4042.89,4042.89,4647,percent of total billed charges,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4042.89,87,percent of total billed charges,4042.89,4042.89,4647,percent of total billed charges,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,UNITED HEALTHCARE,UNITED HEALTHCARE,,4089.36,88,percent of total billed charges,4089.36,4042.89,4647,percent of total billed charges,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,AETNA,AETNA,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,ALLIANT,ALLIANT,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,AMBETTER,AMBETTER,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,BEECH STREET,BEECH STREET,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,CARESOURCE,CARESOURCE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,MEDICAID,MEDICAID,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,MEDICARE,MEDICARE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,NOVA NET,NOVA NET,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,PEACHSTATE,PEACHSTATE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,SELFPAY,SELFPAY,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,TRICARE,TRICARE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
ICAST COVERED STENT,C1874,CPT,both,,,4647,4647,UHC MEDICARE,UHC MEDICARE,,4647,,fee schedule,4647,4042.89,4647,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,AETNA,AETNA,,7224.48,87,percent of total billed charges,7224.48,7224.48,8304,percent of total billed charges,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7224.48,87,percent of total billed charges,7224.48,7224.48,8304,percent of total billed charges,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,UNITED HEALTHCARE,UNITED HEALTHCARE,,7307.52,88,percent of total billed charges,7307.52,7224.48,8304,percent of total billed charges,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,AETNA,AETNA,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,ALLIANT,ALLIANT,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,AMBETTER,AMBETTER,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,BEECH STREET,BEECH STREET,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,CARESOURCE,CARESOURCE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,MEDICAID,MEDICAID,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,MEDICARE,MEDICARE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,NOVA NET,NOVA NET,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,PEACHSTATE,PEACHSTATE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,SELFPAY,SELFPAY,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,TRICARE,TRICARE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 16-26,C1874,CPT,both,,,8304,8304,UHC MEDICARE,UHC MEDICARE,,8304,,fee schedule,8304,7224.48,8304,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,AETNA,AETNA,,7492.44,87,percent of total billed charges,7492.44,7492.44,8612,percent of total billed charges,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7492.44,87,percent of total billed charges,7492.44,7492.44,8612,percent of total billed charges,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,UNITED HEALTHCARE,UNITED HEALTHCARE,,7578.56,88,percent of total billed charges,7578.56,7492.44,8612,percent of total billed charges,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,AETNA,AETNA,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,ALLIANT,ALLIANT,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,AMBETTER,AMBETTER,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,BEECH STREET,BEECH STREET,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,CARESOURCE,CARESOURCE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,MEDICAID,MEDICAID,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,MEDICARE,MEDICARE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,NOVA NET,NOVA NET,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,PEACHSTATE,PEACHSTATE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,SELFPAY,SELFPAY,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,TRICARE,TRICARE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
LIFESTREAM 37-58,C1874,CPT,both,,,8612,8612,UHC MEDICARE,UHC MEDICARE,,8612,,fee schedule,8612,7492.44,8612,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,AETNA,AETNA,,1867.89,87,percent of total billed charges,1867.89,1867.89,2147,percent of total billed charges,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1867.89,87,percent of total billed charges,1867.89,1867.89,2147,percent of total billed charges,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,UNITED HEALTHCARE,UNITED HEALTHCARE,,1889.36,88,percent of total billed charges,1889.36,1867.89,2147,percent of total billed charges,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,AETNA,AETNA,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,ALLIANT,ALLIANT,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,AMBETTER,AMBETTER,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,BEECH STREET,BEECH STREET,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,CARESOURCE,CARESOURCE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,MEDICAID,MEDICAID,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,MEDICARE,MEDICARE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,NOVA NET,NOVA NET,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,PEACHSTATE,PEACHSTATE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,SELFPAY,SELFPAY,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,TRICARE,TRICARE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
PROPEL SINUS IMPLANT,C1874,CPT,both,,,2147,2147,UHC MEDICARE,UHC MEDICARE,,2147,,fee schedule,2147,1867.89,2147,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,AETNA,AETNA,,10603.56,87,percent of total billed charges,10603.56,10603.56,12188,percent of total billed charges,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10603.56,87,percent of total billed charges,10603.56,10603.56,12188,percent of total billed charges,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,UNITED HEALTHCARE,UNITED HEALTHCARE,,10725.44,88,percent of total billed charges,10725.44,10603.56,12188,percent of total billed charges,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,AETNA,AETNA,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,ALLIANT,ALLIANT,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,AMBETTER,AMBETTER,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,BEECH STREET,BEECH STREET,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,CARESOURCE,CARESOURCE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,MEDICAID,MEDICAID,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,MEDICARE,MEDICARE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,NOVA NET,NOVA NET,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,PEACHSTATE,PEACHSTATE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,SELFPAY,SELFPAY,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,TRICARE,TRICARE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
STENT COATED/COV W/DEL SYS,C1874,CPT,both,,,12188,12188,UHC MEDICARE,UHC MEDICARE,,12188,,fee schedule,12188,10603.56,12188,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,AETNA,AETNA,,4012.44,87,percent of total billed charges,4012.44,4012.44,4612,percent of total billed charges,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4012.44,87,percent of total billed charges,4012.44,4012.44,4612,percent of total billed charges,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,UNITED HEALTHCARE,UNITED HEALTHCARE,,4058.56,88,percent of total billed charges,4058.56,4012.44,4612,percent of total billed charges,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,AETNA,AETNA,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,ALLIANT,ALLIANT,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,AMBETTER,AMBETTER,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,BEECH STREET,BEECH STREET,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,CARESOURCE,CARESOURCE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,MEDICAID,MEDICAID,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,MEDICARE,MEDICARE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,NOVA NET,NOVA NET,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,PEACHSTATE,PEACHSTATE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,SELFPAY,SELFPAY,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,TRICARE,TRICARE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
WALL STENT ESOPHAGEAL,C1874,CPT,both,,,4612,4612,UHC MEDICARE,UHC MEDICARE,,4612,,fee schedule,4612,4012.44,4612,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,AETNA,AETNA,,3700.98,87,percent of total billed charges,3700.98,3700.98,4254,percent of total billed charges,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700.98,87,percent of total billed charges,3700.98,3700.98,4254,percent of total billed charges,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,UNITED HEALTHCARE,UNITED HEALTHCARE,,3743.52,88,percent of total billed charges,3743.52,3700.98,4254,percent of total billed charges,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,AETNA,AETNA,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,ALLIANT,ALLIANT,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,AMBETTER,AMBETTER,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,BEECH STREET,BEECH STREET,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,CARESOURCE,CARESOURCE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,MEDICAID,MEDICAID,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,MEDICARE,MEDICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,NOVA NET,NOVA NET,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,PEACHSTATE,PEACHSTATE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,SELFPAY,SELFPAY,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,TRICARE,TRICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
5MM BALLOON STENT - 11101,C1876,CPT,both,,,4254,4254,UHC MEDICARE,UHC MEDICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,AETNA,AETNA,,2663.94,87,percent of total billed charges,2663.94,2663.94,3062,percent of total billed charges,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2663.94,87,percent of total billed charges,2663.94,2663.94,3062,percent of total billed charges,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,UNITED HEALTHCARE,UNITED HEALTHCARE,,2694.56,88,percent of total billed charges,2694.56,2663.94,3062,percent of total billed charges,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,AETNA,AETNA,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,ALLIANT,ALLIANT,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,AMBETTER,AMBETTER,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,BEECH STREET,BEECH STREET,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,CARESOURCE,CARESOURCE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,MEDICAID,MEDICAID,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,MEDICARE,MEDICARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,NOVA NET,NOVA NET,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,PEACHSTATE,PEACHSTATE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,SELFPAY,SELFPAY,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,TRICARE,TRICARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
ABSOLUTE PRO STENT,C1876,CPT,both,,,3062,3062,UHC MEDICARE,UHC MEDICARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,AETNA,AETNA,,2757.03,87,percent of total billed charges,2757.03,2757.03,3169,percent of total billed charges,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2757.03,87,percent of total billed charges,2757.03,2757.03,3169,percent of total billed charges,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,UNITED HEALTHCARE,UNITED HEALTHCARE,,2788.72,88,percent of total billed charges,2788.72,2757.03,3169,percent of total billed charges,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,AETNA,AETNA,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,ALLIANT,ALLIANT,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,AMBETTER,AMBETTER,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,BEECH STREET,BEECH STREET,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,CARESOURCE,CARESOURCE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,MEDICAID,MEDICAID,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,MEDICARE,MEDICARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,NOVA NET,NOVA NET,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,PEACHSTATE,PEACHSTATE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,SELFPAY,SELFPAY,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,TRICARE,TRICARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
AGILE ESOPH STENT 18MM X 97MM,C1876,CPT,both,,,3169,3169,UHC MEDICARE,UHC MEDICARE,,3169,,fee schedule,3169,2757.03,3169,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,AETNA,AETNA,,3700.98,87,percent of total billed charges,3700.98,3700.98,4254,percent of total billed charges,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700.98,87,percent of total billed charges,3700.98,3700.98,4254,percent of total billed charges,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,UNITED HEALTHCARE,UNITED HEALTHCARE,,3743.52,88,percent of total billed charges,3743.52,3700.98,4254,percent of total billed charges,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,AETNA,AETNA,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,ALLIANT,ALLIANT,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,AMBETTER,AMBETTER,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,BEECH STREET,BEECH STREET,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,CARESOURCE,CARESOURCE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,MEDICAID,MEDICAID,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,MEDICARE,MEDICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,NOVA NET,NOVA NET,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,PEACHSTATE,PEACHSTATE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,SELFPAY,SELFPAY,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,TRICARE,TRICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 6MM,C1876,CPT,both,,,4254,4254,UHC MEDICARE,UHC MEDICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,AETNA,AETNA,,3700.98,87,percent of total billed charges,3700.98,3700.98,4254,percent of total billed charges,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3700.98,87,percent of total billed charges,3700.98,3700.98,4254,percent of total billed charges,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,UNITED HEALTHCARE,UNITED HEALTHCARE,,3743.52,88,percent of total billed charges,3743.52,3700.98,4254,percent of total billed charges,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,AETNA,AETNA,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,ALLIANT,ALLIANT,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,AMBETTER,AMBETTER,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,BEECH STREET,BEECH STREET,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,CARESOURCE,CARESOURCE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,MEDICAID,MEDICAID,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,MEDICARE,MEDICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,NOVA NET,NOVA NET,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,PEACHSTATE,PEACHSTATE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,SELFPAY,SELFPAY,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,TRICARE,TRICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
BALLOON STENT 7MM,C1876,CPT,both,,,4254,4254,UHC MEDICARE,UHC MEDICARE,,4254,,fee schedule,4254,3700.98,4254,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,AETNA,AETNA,,4721.49,87,percent of total billed charges,4721.49,4721.49,5427,percent of total billed charges,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4721.49,87,percent of total billed charges,4721.49,4721.49,5427,percent of total billed charges,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,UNITED HEALTHCARE,UNITED HEALTHCARE,,4775.76,88,percent of total billed charges,4775.76,4721.49,5427,percent of total billed charges,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,AETNA,AETNA,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,ALLIANT,ALLIANT,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,AMBETTER,AMBETTER,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,BEECH STREET,BEECH STREET,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,CARESOURCE,CARESOURCE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,MEDICAID,MEDICAID,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,MEDICARE,MEDICARE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,NOVA NET,NOVA NET,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,PEACHSTATE,PEACHSTATE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,SELFPAY,SELFPAY,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,TRICARE,TRICARE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
ESOPHAGEAL STENT 1312,C1876,CPT,both,,,5427,5427,UHC MEDICARE,UHC MEDICARE,,5427,,fee schedule,5427,4721.49,5427,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,AETNA,AETNA,,2931.9,87,percent of total billed charges,2931.9,2931.9,3370,percent of total billed charges,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2931.9,87,percent of total billed charges,2931.9,2931.9,3370,percent of total billed charges,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,UNITED HEALTHCARE,UNITED HEALTHCARE,,2965.6,88,percent of total billed charges,2965.6,2931.9,3370,percent of total billed charges,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,AETNA,AETNA,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,ALLIANT,ALLIANT,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,AMBETTER,AMBETTER,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,BEECH STREET,BEECH STREET,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,CARESOURCE,CARESOURCE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,MEDICAID,MEDICAID,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,MEDICARE,MEDICARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,NOVA NET,NOVA NET,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,PEACHSTATE,PEACHSTATE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,SELFPAY,SELFPAY,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,TRICARE,TRICARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
HERCULINK ELITE,C1876,CPT,both,,,3370,3370,UHC MEDICARE,UHC MEDICARE,,3370,,fee schedule,3370,2931.9,3370,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,AETNA,AETNA,,1808.73,87,percent of total billed charges,1808.73,1808.73,2079,percent of total billed charges,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1808.73,87,percent of total billed charges,1808.73,1808.73,2079,percent of total billed charges,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,UNITED HEALTHCARE,UNITED HEALTHCARE,,1829.52,88,percent of total billed charges,1829.52,1808.73,2079,percent of total billed charges,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,AETNA,AETNA,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,ALLIANT,ALLIANT,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,AMBETTER,AMBETTER,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,BEECH STREET,BEECH STREET,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,CARESOURCE,CARESOURCE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,MEDICAID,MEDICAID,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,MEDICARE,MEDICARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,NOVA NET,NOVA NET,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,PEACHSTATE,PEACHSTATE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,SELFPAY,SELFPAY,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,TRICARE,TRICARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTAR STENT,C1876,CPT,both,,,2079,2079,UHC MEDICARE,UHC MEDICARE,,2079,,fee schedule,2079,1808.73,2079,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,AETNA,AETNA,,2811.84,87,percent of total billed charges,2811.84,2811.84,3232,percent of total billed charges,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2811.84,87,percent of total billed charges,2811.84,2811.84,3232,percent of total billed charges,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,UNITED HEALTHCARE,UNITED HEALTHCARE,,2844.16,88,percent of total billed charges,2844.16,2811.84,3232,percent of total billed charges,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,AETNA,AETNA,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,ALLIANT,ALLIANT,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,AMBETTER,AMBETTER,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,BEECH STREET,BEECH STREET,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,CARESOURCE,CARESOURCE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,MEDICAID,MEDICAID,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,MEDICARE,MEDICARE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,NOVA NET,NOVA NET,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,PEACHSTATE,PEACHSTATE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,SELFPAY,SELFPAY,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,TRICARE,TRICARE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 100-120,C1876,CPT,both,,,3232,3232,UHC MEDICARE,UHC MEDICARE,,3232,,fee schedule,3232,2811.84,3232,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,AETNA,AETNA,,3011.94,87,percent of total billed charges,3011.94,3011.94,3462,percent of total billed charges,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3011.94,87,percent of total billed charges,3011.94,3011.94,3462,percent of total billed charges,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,UNITED HEALTHCARE,UNITED HEALTHCARE,,3046.56,88,percent of total billed charges,3046.56,3011.94,3462,percent of total billed charges,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,AETNA,AETNA,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,ALLIANT,ALLIANT,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,AMBETTER,AMBETTER,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,BEECH STREET,BEECH STREET,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,CARESOURCE,CARESOURCE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,MEDICAID,MEDICAID,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,MEDICARE,MEDICARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,NOVA NET,NOVA NET,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,PEACHSTATE,PEACHSTATE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,SELFPAY,SELFPAY,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,TRICARE,TRICARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 150,C1876,CPT,both,,,3462,3462,UHC MEDICARE,UHC MEDICARE,,3462,,fee schedule,3462,3011.94,3462,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,AETNA,AETNA,,3546.99,87,percent of total billed charges,3546.99,3546.99,4077,percent of total billed charges,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3546.99,87,percent of total billed charges,3546.99,3546.99,4077,percent of total billed charges,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,UNITED HEALTHCARE,UNITED HEALTHCARE,,3587.76,88,percent of total billed charges,3587.76,3546.99,4077,percent of total billed charges,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,AETNA,AETNA,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,ALLIANT,ALLIANT,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,AMBETTER,AMBETTER,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,BEECH STREET,BEECH STREET,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,CARESOURCE,CARESOURCE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,MEDICAID,MEDICAID,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,MEDICARE,MEDICARE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,NOVA NET,NOVA NET,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,PEACHSTATE,PEACHSTATE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,SELFPAY,SELFPAY,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,TRICARE,TRICARE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 170,C1876,CPT,both,,,4077,4077,UHC MEDICARE,UHC MEDICARE,,4077,,fee schedule,4077,3546.99,4077,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,AETNA,AETNA,,5018.16,87,percent of total billed charges,5018.16,5018.16,5768,percent of total billed charges,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5018.16,87,percent of total billed charges,5018.16,5018.16,5768,percent of total billed charges,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,UNITED HEALTHCARE,UNITED HEALTHCARE,,5075.84,88,percent of total billed charges,5075.84,5018.16,5768,percent of total billed charges,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,AETNA,AETNA,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,ALLIANT,ALLIANT,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,AMBETTER,AMBETTER,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,BEECH STREET,BEECH STREET,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,CARESOURCE,CARESOURCE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,MEDICAID,MEDICAID,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,MEDICARE,MEDICARE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,NOVA NET,NOVA NET,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,PEACHSTATE,PEACHSTATE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,SELFPAY,SELFPAY,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,TRICARE,TRICARE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 200,C1876,CPT,both,,,5768,5768,UHC MEDICARE,UHC MEDICARE,,5768,,fee schedule,5768,5018.16,5768,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,AETNA,AETNA,,2476.89,87,percent of total billed charges,2476.89,2476.89,2847,percent of total billed charges,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2476.89,87,percent of total billed charges,2476.89,2476.89,2847,percent of total billed charges,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,UNITED HEALTHCARE,UNITED HEALTHCARE,,2505.36,88,percent of total billed charges,2505.36,2476.89,2847,percent of total billed charges,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,AETNA,AETNA,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,ALLIANT,ALLIANT,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,AMBETTER,AMBETTER,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,BEECH STREET,BEECH STREET,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,CARESOURCE,CARESOURCE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,MEDICAID,MEDICAID,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,MEDICARE,MEDICARE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,NOVA NET,NOVA NET,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,PEACHSTATE,PEACHSTATE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,SELFPAY,SELFPAY,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,TRICARE,TRICARE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LIFESTENT 20-80,C1876,CPT,both,,,2847,2847,UHC MEDICARE,UHC MEDICARE,,2847,,fee schedule,2847,2476.89,2847,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,AETNA,AETNA,,2081.91,87,percent of total billed charges,2081.91,2081.91,2393,percent of total billed charges,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2081.91,87,percent of total billed charges,2081.91,2081.91,2393,percent of total billed charges,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,UNITED HEALTHCARE,UNITED HEALTHCARE,,2105.84,88,percent of total billed charges,2105.84,2081.91,2393,percent of total billed charges,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,AETNA,AETNA,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,ALLIANT,ALLIANT,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,AMBETTER,AMBETTER,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,BEECH STREET,BEECH STREET,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,CARESOURCE,CARESOURCE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,MEDICAID,MEDICAID,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,MEDICARE,MEDICARE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,NOVA NET,NOVA NET,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,PEACHSTATE,PEACHSTATE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,SELFPAY,SELFPAY,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,TRICARE,TRICARE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
LUMINEX STENT,C1876,CPT,both,,,2393,2393,UHC MEDICARE,UHC MEDICARE,,2393,,fee schedule,2393,2081.91,2393,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,AETNA,AETNA,,4269.09,87,percent of total billed charges,4269.09,4269.09,4907,percent of total billed charges,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4269.09,87,percent of total billed charges,4269.09,4269.09,4907,percent of total billed charges,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,UNITED HEALTHCARE,UNITED HEALTHCARE,,4318.16,88,percent of total billed charges,4318.16,4269.09,4907,percent of total billed charges,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,AETNA,AETNA,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,ALLIANT,ALLIANT,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,AMBETTER,AMBETTER,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,BEECH STREET,BEECH STREET,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,CARESOURCE,CARESOURCE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,MEDICAID,MEDICAID,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,MEDICARE,MEDICARE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,NOVA NET,NOVA NET,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,PEACHSTATE,PEACHSTATE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,SELFPAY,SELFPAY,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,TRICARE,TRICARE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MEDTRONIC ABRE STENT,C1876,CPT,both,,,4907,4907,UHC MEDICARE,UHC MEDICARE,,4907,,fee schedule,4907,4269.09,4907,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,AETNA,AETNA,,3060.66,87,percent of total billed charges,3060.66,3060.66,3518,percent of total billed charges,
MISAGO STENT,C1876,CPT,both,,,3518,3518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3060.66,87,percent of total billed charges,3060.66,3060.66,3518,percent of total billed charges,
MISAGO STENT,C1876,CPT,both,,,3518,3518,UNITED HEALTHCARE,UNITED HEALTHCARE,,3095.84,88,percent of total billed charges,3095.84,3060.66,3518,percent of total billed charges,
MISAGO STENT,C1876,CPT,both,,,3518,3518,AETNA,AETNA,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,ALLIANT,ALLIANT,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,AMBETTER,AMBETTER,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,BEECH STREET,BEECH STREET,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,CARESOURCE,CARESOURCE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,MEDICAID,MEDICAID,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,MEDICARE,MEDICARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,NOVA NET,NOVA NET,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,PEACHSTATE,PEACHSTATE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,SELFPAY,SELFPAY,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,TRICARE,TRICARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
MISAGO STENT,C1876,CPT,both,,,3518,3518,UHC MEDICARE,UHC MEDICARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,AETNA,AETNA,,2663.94,87,percent of total billed charges,2663.94,2663.94,3062,percent of total billed charges,
OMNILINK,C1876,CPT,both,,,3062,3062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2663.94,87,percent of total billed charges,2663.94,2663.94,3062,percent of total billed charges,
OMNILINK,C1876,CPT,both,,,3062,3062,UNITED HEALTHCARE,UNITED HEALTHCARE,,2694.56,88,percent of total billed charges,2694.56,2663.94,3062,percent of total billed charges,
OMNILINK,C1876,CPT,both,,,3062,3062,AETNA,AETNA,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,ALLIANT,ALLIANT,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,AMBETTER,AMBETTER,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,BEECH STREET,BEECH STREET,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,CARESOURCE,CARESOURCE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,MEDICAID,MEDICAID,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,MEDICARE,MEDICARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,NOVA NET,NOVA NET,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,PEACHSTATE,PEACHSTATE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,SELFPAY,SELFPAY,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,TRICARE,TRICARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
OMNILINK,C1876,CPT,both,,,3062,3062,UHC MEDICARE,UHC MEDICARE,,3062,,fee schedule,3062,2663.94,3062,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,AETNA,AETNA,,4148.16,87,percent of total billed charges,4148.16,4148.16,4768,percent of total billed charges,
SUPERA,C1876,CPT,both,,,4768,4768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4148.16,87,percent of total billed charges,4148.16,4148.16,4768,percent of total billed charges,
SUPERA,C1876,CPT,both,,,4768,4768,UNITED HEALTHCARE,UNITED HEALTHCARE,,4195.84,88,percent of total billed charges,4195.84,4148.16,4768,percent of total billed charges,
SUPERA,C1876,CPT,both,,,4768,4768,AETNA,AETNA,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,ALLIANT,ALLIANT,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,AMBETTER,AMBETTER,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,BEECH STREET,BEECH STREET,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,CARESOURCE,CARESOURCE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,MEDICAID,MEDICAID,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,MEDICARE,MEDICARE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,NOVA NET,NOVA NET,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,PEACHSTATE,PEACHSTATE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,SELFPAY,SELFPAY,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,TRICARE,TRICARE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
SUPERA,C1876,CPT,both,,,4768,4768,UHC MEDICARE,UHC MEDICARE,,4768,,fee schedule,4768,4148.16,4768,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,AETNA,AETNA,,3060.66,87,percent of total billed charges,3060.66,3060.66,3518,percent of total billed charges,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3060.66,87,percent of total billed charges,3060.66,3060.66,3518,percent of total billed charges,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,UNITED HEALTHCARE,UNITED HEALTHCARE,,3095.84,88,percent of total billed charges,3095.84,3060.66,3518,percent of total billed charges,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,AETNA,AETNA,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,ALLIANT,ALLIANT,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,AMBETTER,AMBETTER,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,BEECH STREET,BEECH STREET,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,CARESOURCE,CARESOURCE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,MEDICAID,MEDICAID,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,MEDICARE,MEDICARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,NOVA NET,NOVA NET,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,PEACHSTATE,PEACHSTATE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,SELFPAY,SELFPAY,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,TRICARE,TRICARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
TERUMO MISAGO 7 X 40,C1876,CPT,both,,,3518,3518,UHC MEDICARE,UHC MEDICARE,,3518,,fee schedule,3518,3060.66,3518,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,AETNA,AETNA,,2342.04,87,percent of total billed charges,2342.04,2342.04,2692,percent of total billed charges,
VALEO STENT,C1876,CPT,both,,,2692,2692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2342.04,87,percent of total billed charges,2342.04,2342.04,2692,percent of total billed charges,
VALEO STENT,C1876,CPT,both,,,2692,2692,UNITED HEALTHCARE,UNITED HEALTHCARE,,2368.96,88,percent of total billed charges,2368.96,2342.04,2692,percent of total billed charges,
VALEO STENT,C1876,CPT,both,,,2692,2692,AETNA,AETNA,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,ALLIANT,ALLIANT,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,AMBETTER,AMBETTER,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,BEECH STREET,BEECH STREET,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,CARESOURCE,CARESOURCE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,MEDICAID,MEDICAID,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,MEDICARE,MEDICARE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,NOVA NET,NOVA NET,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,PEACHSTATE,PEACHSTATE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,SELFPAY,SELFPAY,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,TRICARE,TRICARE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
VALEO STENT,C1876,CPT,both,,,2692,2692,UHC MEDICARE,UHC MEDICARE,,2692,,fee schedule,2692,2342.04,2692,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,AETNA,AETNA,,6537.18,87,percent of total billed charges,6537.18,6537.18,7514,percent of total billed charges,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6537.18,87,percent of total billed charges,6537.18,6537.18,7514,percent of total billed charges,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,UNITED HEALTHCARE,UNITED HEALTHCARE,,6612.32,88,percent of total billed charges,6612.32,6537.18,7514,percent of total billed charges,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,AETNA,AETNA,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,ALLIANT,ALLIANT,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,AMBETTER,AMBETTER,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,BEECH STREET,BEECH STREET,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,CARESOURCE,CARESOURCE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,MEDICAID,MEDICAID,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,MEDICARE,MEDICARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,NOVA NET,NOVA NET,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,PEACHSTATE,PEACHSTATE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,SELFPAY,SELFPAY,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,TRICARE,TRICARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 10MMX100MMX80CMST,C1877,CPT,both,,,7514,7514,UHC MEDICARE,UHC MEDICARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,AETNA,AETNA,,6062.16,87,percent of total billed charges,6062.16,6062.16,6968,percent of total billed charges,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6062.16,87,percent of total billed charges,6062.16,6062.16,6968,percent of total billed charges,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,UNITED HEALTHCARE,UNITED HEALTHCARE,,6131.84,88,percent of total billed charges,6131.84,6062.16,6968,percent of total billed charges,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,AETNA,AETNA,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,ALLIANT,ALLIANT,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,AMBETTER,AMBETTER,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,BEECH STREET,BEECH STREET,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CARESOURCE,CARESOURCE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,MEDICAID,MEDICAID,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,MEDICARE,MEDICARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,NOVA NET,NOVA NET,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,PEACHSTATE,PEACHSTATE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,SELFPAY,SELFPAY,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,TRICARE,TRICARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 7MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,UHC MEDICARE,UHC MEDICARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,AETNA,AETNA,,6537.18,87,percent of total billed charges,6537.18,6537.18,7514,percent of total billed charges,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6537.18,87,percent of total billed charges,6537.18,6537.18,7514,percent of total billed charges,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,UNITED HEALTHCARE,UNITED HEALTHCARE,,6612.32,88,percent of total billed charges,6612.32,6537.18,7514,percent of total billed charges,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,AETNA,AETNA,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,ALLIANT,ALLIANT,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,AMBETTER,AMBETTER,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,BEECH STREET,BEECH STREET,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,CARESOURCE,CARESOURCE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,MEDICAID,MEDICAID,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,MEDICARE,MEDICARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,NOVA NET,NOVA NET,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,PEACHSTATE,PEACHSTATE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,SELFPAY,SELFPAY,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,TRICARE,TRICARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX100MMX80CM ST,C1877,CPT,both,,,7514,7514,UHC MEDICARE,UHC MEDICARE,,7514,,fee schedule,7514,6537.18,7514,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,AETNA,AETNA,,6062.16,87,percent of total billed charges,6062.16,6062.16,6968,percent of total billed charges,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6062.16,87,percent of total billed charges,6062.16,6062.16,6968,percent of total billed charges,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,UNITED HEALTHCARE,UNITED HEALTHCARE,,6131.84,88,percent of total billed charges,6131.84,6062.16,6968,percent of total billed charges,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,AETNA,AETNA,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,ALLIANT,ALLIANT,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,AMBETTER,AMBETTER,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,BEECH STREET,BEECH STREET,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CARESOURCE,CARESOURCE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,MEDICAID,MEDICAID,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,MEDICARE,MEDICARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,NOVA NET,NOVA NET,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,PEACHSTATE,PEACHSTATE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,SELFPAY,SELFPAY,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,TRICARE,TRICARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 8MMX60MMX80CM ST,C1877,CPT,both,,,6968,6968,UHC MEDICARE,UHC MEDICARE,,6968,,fee schedule,6968,6062.16,6968,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,AETNA,AETNA,,7249.71,87,percent of total billed charges,7249.71,7249.71,8333,percent of total billed charges,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7249.71,87,percent of total billed charges,7249.71,7249.71,8333,percent of total billed charges,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,UNITED HEALTHCARE,UNITED HEALTHCARE,,7333.04,88,percent of total billed charges,7333.04,7249.71,8333,percent of total billed charges,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,AETNA,AETNA,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,ALLIANT,ALLIANT,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,AMBETTER,AMBETTER,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,BEECH STREET,BEECH STREET,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,CARESOURCE,CARESOURCE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,MEDICAID,MEDICAID,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,MEDICARE,MEDICARE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,NOVA NET,NOVA NET,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,PEACHSTATE,PEACHSTATE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,SELFPAY,SELFPAY,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,TRICARE,TRICARE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX100MMX80CM FL,C1877,CPT,both,,,8333,8333,UHC MEDICARE,UHC MEDICARE,,8333,,fee schedule,8333,7249.71,8333,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,AETNA,AETNA,,6774.69,87,percent of total billed charges,6774.69,6774.69,7787,percent of total billed charges,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6774.69,87,percent of total billed charges,6774.69,6774.69,7787,percent of total billed charges,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,UNITED HEALTHCARE,UNITED HEALTHCARE,,6852.56,88,percent of total billed charges,6852.56,6774.69,7787,percent of total billed charges,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,AETNA,AETNA,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,ALLIANT,ALLIANT,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,AMBETTER,AMBETTER,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,BEECH STREET,BEECH STREET,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,CARESOURCE,CARESOURCE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,MEDICAID,MEDICAID,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,MEDICARE,MEDICARE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,NOVA NET,NOVA NET,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,PEACHSTATE,PEACHSTATE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,SELFPAY,SELFPAY,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,TRICARE,TRICARE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
COVERA STENT 9MMX60MMX80CM FL,C1877,CPT,both,,,7787,7787,UHC MEDICARE,UHC MEDICARE,,7787,,fee schedule,7787,6774.69,7787,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,AETNA,AETNA,,2747.46,87,percent of total billed charges,2747.46,2747.46,3158,percent of total billed charges,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2747.46,87,percent of total billed charges,2747.46,2747.46,3158,percent of total billed charges,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,UNITED HEALTHCARE,UNITED HEALTHCARE,,2779.04,88,percent of total billed charges,2779.04,2747.46,3158,percent of total billed charges,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,AETNA,AETNA,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,ALLIANT,ALLIANT,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,AMBETTER,AMBETTER,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,BEECH STREET,BEECH STREET,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,CARESOURCE,CARESOURCE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,MEDICAID,MEDICAID,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,MEDICARE,MEDICARE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,NOVA NET,NOVA NET,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,PEACHSTATE,PEACHSTATE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,SELFPAY,SELFPAY,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,TRICARE,TRICARE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
SPIRAL Z EXP BILIARY STEN,C1877,CPT,both,,,3158,3158,UHC MEDICARE,UHC MEDICARE,,3158,,fee schedule,3158,2747.46,3158,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,AETNA,AETNA,,4497.03,87,percent of total billed charges,4497.03,4497.03,5169,percent of total billed charges,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4497.03,87,percent of total billed charges,4497.03,4497.03,5169,percent of total billed charges,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,UNITED HEALTHCARE,UNITED HEALTHCARE,,4548.72,88,percent of total billed charges,4548.72,4497.03,5169,percent of total billed charges,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,AETNA,AETNA,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,ALLIANT,ALLIANT,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,AMBETTER,AMBETTER,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,BEECH STREET,BEECH STREET,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,CARESOURCE,CARESOURCE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,MEDICAID,MEDICAID,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,MEDICARE,MEDICARE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,NOVA NET,NOVA NET,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,PEACHSTATE,PEACHSTATE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,SELFPAY,SELFPAY,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,TRICARE,TRICARE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT 43110,C1877,CPT,both,,,5169,5169,UHC MEDICARE,UHC MEDICARE,,5169,,fee schedule,5169,4497.03,5169,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,AETNA,AETNA,,2779.65,87,percent of total billed charges,2779.65,2779.65,3195,percent of total billed charges,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2779.65,87,percent of total billed charges,2779.65,2779.65,3195,percent of total billed charges,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,UNITED HEALTHCARE,UNITED HEALTHCARE,,2811.6,88,percent of total billed charges,2811.6,2779.65,3195,percent of total billed charges,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,AETNA,AETNA,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,ALLIANT,ALLIANT,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,AMBETTER,AMBETTER,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,BEECH STREET,BEECH STREET,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,CARESOURCE,CARESOURCE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,MEDICAID,MEDICAID,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,MEDICARE,MEDICARE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,NOVA NET,NOVA NET,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,PEACHSTATE,PEACHSTATE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,SELFPAY,SELFPAY,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,TRICARE,TRICARE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
WALLSTENT: ILIAC,C1877,CPT,both,,,3195,3195,UHC MEDICARE,UHC MEDICARE,,3195,,fee schedule,3195,2779.65,3195,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,AETNA,AETNA,,1606.02,87,percent of total billed charges,1606.02,1606.02,1846,percent of total billed charges,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1606.02,87,percent of total billed charges,1606.02,1606.02,1846,percent of total billed charges,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,UNITED HEALTHCARE,UNITED HEALTHCARE,,1624.48,88,percent of total billed charges,1624.48,1606.02,1846,percent of total billed charges,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,AETNA,AETNA,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,ALLIANT,ALLIANT,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,AMBETTER,AMBETTER,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,BEECH STREET,BEECH STREET,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,CARESOURCE,CARESOURCE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,MEDICAID,MEDICAID,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,MEDICARE,MEDICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,NOVA NET,NOVA NET,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,PEACHSTATE,PEACHSTATE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,SELFPAY,SELFPAY,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,TRICARE,TRICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
THYROPLASTY KIT,C1878,CPT,both,,,1846,1846,UHC MEDICARE,UHC MEDICARE,,1846,,fee schedule,1846,1606.02,1846,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,AETNA,AETNA,,3981.99,87,percent of total billed charges,3981.99,3981.99,4577,percent of total billed charges,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3981.99,87,percent of total billed charges,3981.99,3981.99,4577,percent of total billed charges,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,UNITED HEALTHCARE,UNITED HEALTHCARE,,4027.76,88,percent of total billed charges,4027.76,3981.99,4577,percent of total billed charges,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,AETNA,AETNA,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,ALLIANT,ALLIANT,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,AMBETTER,AMBETTER,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,BEECH STREET,BEECH STREET,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,CARESOURCE,CARESOURCE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,MEDICAID,MEDICAID,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,MEDICARE,MEDICARE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,NOVA NET,NOVA NET,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,PEACHSTATE,PEACHSTATE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,SELFPAY,SELFPAY,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,TRICARE,TRICARE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
BARD DENALI IVC FILTER,C1880,CPT,both,,,4577,4577,UHC MEDICARE,UHC MEDICARE,,4577,,fee schedule,4577,3981.99,4577,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,AETNA,AETNA,,3940.23,87,percent of total billed charges,3940.23,3940.23,4529,percent of total billed charges,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3940.23,87,percent of total billed charges,3940.23,3940.23,4529,percent of total billed charges,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,UNITED HEALTHCARE,UNITED HEALTHCARE,,3985.52,88,percent of total billed charges,3985.52,3940.23,4529,percent of total billed charges,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,AETNA,AETNA,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,ALLIANT,ALLIANT,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,AMBETTER,AMBETTER,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,BEECH STREET,BEECH STREET,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,CARESOURCE,CARESOURCE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,MEDICAID,MEDICAID,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,MEDICARE,MEDICARE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,NOVA NET,NOVA NET,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,PEACHSTATE,PEACHSTATE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,SELFPAY,SELFPAY,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,TRICARE,TRICARE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
GREENFILLED VENACAVA FILT,C1880,CPT,both,,,4529,4529,UHC MEDICARE,UHC MEDICARE,,4529,,fee schedule,4529,3940.23,4529,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,AETNA,AETNA,,36966.3,87,percent of total billed charges,36966.3,36966.3,42490,percent of total billed charges,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36966.3,87,percent of total billed charges,36966.3,36966.3,42490,percent of total billed charges,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,UNITED HEALTHCARE,UNITED HEALTHCARE,,37391.2,88,percent of total billed charges,37391.2,36966.3,42490,percent of total billed charges,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,AETNA,AETNA,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,ALLIANT,ALLIANT,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,AMBETTER,AMBETTER,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,BEECH STREET,BEECH STREET,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,CARESOURCE,CARESOURCE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,MEDICAID,MEDICAID,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,MEDICARE,MEDICARE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,NOVA NET,NOVA NET,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,PEACHSTATE,PEACHSTATE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,SELFPAY,SELFPAY,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,TRICARE,TRICARE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
BIVENTRICULAR GENERATOR,C1882,CPT,both,,,42490,42490,UHC MEDICARE,UHC MEDICARE,,42490,,fee schedule,42490,36966.3,42490,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,AETNA,AETNA,,1301.52,87,percent of total billed charges,1301.52,1301.52,1496,percent of total billed charges,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1301.52,87,percent of total billed charges,1301.52,1301.52,1496,percent of total billed charges,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,UNITED HEALTHCARE,UNITED HEALTHCARE,,1316.48,88,percent of total billed charges,1316.48,1301.52,1496,percent of total billed charges,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,AETNA,AETNA,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,ALLIANT,ALLIANT,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,AMBETTER,AMBETTER,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,BEECH STREET,BEECH STREET,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,CARESOURCE,CARESOURCE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,MEDICAID,MEDICAID,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,MEDICARE,MEDICARE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,NOVA NET,NOVA NET,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,PEACHSTATE,PEACHSTATE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,SELFPAY,SELFPAY,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,TRICARE,TRICARE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
"BS PRECISION M8 ADAP, 15CM",C1883,CPT,both,,,1496,1496,UHC MEDICARE,UHC MEDICARE,,1496,,fee schedule,1496,1301.52,1496,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,AETNA,AETNA,,1622.55,87,percent of total billed charges,1622.55,1622.55,1865,percent of total billed charges,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1622.55,87,percent of total billed charges,1622.55,1622.55,1865,percent of total billed charges,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,UNITED HEALTHCARE,UNITED HEALTHCARE,,1641.2,88,percent of total billed charges,1641.2,1622.55,1865,percent of total billed charges,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,AETNA,AETNA,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,ALLIANT,ALLIANT,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,AMBETTER,AMBETTER,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,BEECH STREET,BEECH STREET,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,CARESOURCE,CARESOURCE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,MEDICAID,MEDICAID,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,MEDICARE,MEDICARE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,NOVA NET,NOVA NET,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,PEACHSTATE,PEACHSTATE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,SELFPAY,SELFPAY,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,TRICARE,TRICARE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS 8 CONTACT EXT SET,C1883,CPT,both,,,1865,1865,UHC MEDICARE,UHC MEDICARE,,1865,,fee schedule,1865,1622.55,1865,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,AETNA,AETNA,,1245.84,87,percent of total billed charges,1245.84,1245.84,1432,percent of total billed charges,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1245.84,87,percent of total billed charges,1245.84,1245.84,1432,percent of total billed charges,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,UNITED HEALTHCARE,UNITED HEALTHCARE,,1260.16,88,percent of total billed charges,1260.16,1245.84,1432,percent of total billed charges,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,AETNA,AETNA,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,ALLIANT,ALLIANT,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,AMBETTER,AMBETTER,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,BEECH STREET,BEECH STREET,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,CARESOURCE,CARESOURCE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,MEDICAID,MEDICAID,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,MEDICARE,MEDICARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,NOVA NET,NOVA NET,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,PEACHSTATE,PEACHSTATE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,SELFPAY,SELFPAY,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,TRICARE,TRICARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS POCKET ADAPTER,C1883,CPT,both,,,1432,1432,UHC MEDICARE,UHC MEDICARE,,1432,,fee schedule,1432,1245.84,1432,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,AETNA,AETNA,,10429.56,87,percent of total billed charges,10429.56,10429.56,11988,percent of total billed charges,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10429.56,87,percent of total billed charges,10429.56,10429.56,11988,percent of total billed charges,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,UNITED HEALTHCARE,UNITED HEALTHCARE,,10549.44,88,percent of total billed charges,10549.44,10429.56,11988,percent of total billed charges,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,AETNA,AETNA,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,ALLIANT,ALLIANT,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,AMBETTER,AMBETTER,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,BEECH STREET,BEECH STREET,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,CARESOURCE,CARESOURCE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,MEDICAID,MEDICAID,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,MEDICARE,MEDICARE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,NOVA NET,NOVA NET,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,PEACHSTATE,PEACHSTATE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,SELFPAY,SELFPAY,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,TRICARE,TRICARE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT CHARGING KIT,C1883,CPT,both,,,11988,11988,UHC MEDICARE,UHC MEDICARE,,11988,,fee schedule,11988,10429.56,11988,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,501.12,576,percent of total billed charges,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,501.12,576,percent of total billed charges,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,501.12,576,percent of total billed charges,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,ALLIANT,ALLIANT,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,AMBETTER,AMBETTER,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,MEDICARE,MEDICARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,TRICARE,TRICARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT,C1883,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,501.12,576,percent of total billed charges,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,501.12,576,percent of total billed charges,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,501.12,576,percent of total billed charges,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,ALLIANT,ALLIANT,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,AMBETTER,AMBETTER,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,MEDICARE,MEDICARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,TRICARE,TRICARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS PT TRIAL KIT MEDTRONIK,C1883,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,576,,fee schedule,576,501.12,576,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,AETNA,AETNA,,1380.69,87,percent of total billed charges,1380.69,1380.69,1587,percent of total billed charges,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1380.69,87,percent of total billed charges,1380.69,1380.69,1587,percent of total billed charges,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,UNITED HEALTHCARE,UNITED HEALTHCARE,,1396.56,88,percent of total billed charges,1396.56,1380.69,1587,percent of total billed charges,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,AETNA,AETNA,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,ALLIANT,ALLIANT,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,AMBETTER,AMBETTER,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,BEECH STREET,BEECH STREET,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,CARESOURCE,CARESOURCE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,MEDICAID,MEDICAID,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,MEDICARE,MEDICARE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,NOVA NET,NOVA NET,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,PEACHSTATE,PEACHSTATE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,SELFPAY,SELFPAY,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,TRICARE,TRICARE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
DCS SPECTRA M8 ADAPTOR,C1883,CPT,both,,,1587,1587,UHC MEDICARE,UHC MEDICARE,,1587,,fee schedule,1587,1380.69,1587,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,AETNA,AETNA,,3051.09,87,percent of total billed charges,3051.09,3051.09,3507,percent of total billed charges,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3051.09,87,percent of total billed charges,3051.09,3051.09,3507,percent of total billed charges,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,UNITED HEALTHCARE,UNITED HEALTHCARE,,3086.16,88,percent of total billed charges,3086.16,3051.09,3507,percent of total billed charges,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,AETNA,AETNA,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,ALLIANT,ALLIANT,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,AMBETTER,AMBETTER,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,BEECH STREET,BEECH STREET,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,CARESOURCE,CARESOURCE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,MEDICAID,MEDICAID,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,MEDICARE,MEDICARE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,NOVA NET,NOVA NET,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,PEACHSTATE,PEACHSTATE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,SELFPAY,SELFPAY,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,TRICARE,TRICARE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
INTERSTIM PROGRAMMER,C1883,CPT,both,,,3507,3507,UHC MEDICARE,UHC MEDICARE,,3507,,fee schedule,3507,3051.09,3507,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,AETNA,AETNA,,239.25,87,percent of total billed charges,239.25,239.25,275,percent of total billed charges,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,239.25,87,percent of total billed charges,239.25,239.25,275,percent of total billed charges,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,UNITED HEALTHCARE,UNITED HEALTHCARE,,242,88,percent of total billed charges,242,239.25,275,percent of total billed charges,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,AETNA,AETNA,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,ALLIANT,ALLIANT,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,AMBETTER,AMBETTER,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,BEECH STREET,BEECH STREET,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,CARESOURCE,CARESOURCE,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,MEDICAID,MEDICAID,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,MEDICARE,MEDICARE,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,NOVA NET,NOVA NET,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,PEACHSTATE,PEACHSTATE,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,SELFPAY,SELFPAY,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,TRICARE,TRICARE,,275,,fee schedule,275,239.25,275,fee schedule,
PACING PROBE-BIPOLAR 4 &,C1883,CPT,both,,,275,275,UHC MEDICARE,UHC MEDICARE,,275,,fee schedule,275,239.25,275,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,AETNA,AETNA,,3947.19,87,percent of total billed charges,3947.19,3947.19,4537,percent of total billed charges,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3947.19,87,percent of total billed charges,3947.19,3947.19,4537,percent of total billed charges,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,UNITED HEALTHCARE,UNITED HEALTHCARE,,3992.56,88,percent of total billed charges,3992.56,3947.19,4537,percent of total billed charges,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,AETNA,AETNA,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,ALLIANT,ALLIANT,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,AMBETTER,AMBETTER,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,BEECH STREET,BEECH STREET,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,CARESOURCE,CARESOURCE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,MEDICAID,MEDICAID,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,MEDICARE,MEDICARE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,NOVA NET,NOVA NET,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,PEACHSTATE,PEACHSTATE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,SELFPAY,SELFPAY,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,TRICARE,TRICARE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
EMBOSHIELD NAV,C1884,CPT,both,,,4537,4537,UHC MEDICARE,UHC MEDICARE,,4537,,fee schedule,4537,3947.19,4537,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,37.41,43,percent of total billed charges,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,37.41,43,percent of total billed charges,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,37.41,43,fee schedule,
ANGIODYNAMICS CATHETER,C1887,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,37.41,43,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,221.85,255,percent of total billed charges,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,221.85,255,percent of total billed charges,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,221.85,255,fee schedule,
BERNSTIEN CATHETER,C1887,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,221.85,255,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,AETNA,AETNA,,2275.05,87,percent of total billed charges,2275.05,2275.05,2615,percent of total billed charges,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.05,87,percent of total billed charges,2275.05,2275.05,2615,percent of total billed charges,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,UNITED HEALTHCARE,UNITED HEALTHCARE,,2301.2,88,percent of total billed charges,2301.2,2275.05,2615,percent of total billed charges,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,AETNA,AETNA,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,ALLIANT,ALLIANT,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,AMBETTER,AMBETTER,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,BEECH STREET,BEECH STREET,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,CARESOURCE,CARESOURCE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,MEDICAID,MEDICAID,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,MEDICARE,MEDICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,NOVA NET,NOVA NET,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,PEACHSTATE,PEACHSTATE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,SELFPAY,SELFPAY,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,TRICARE,TRICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 135CM,C1887,CPT,both,,,2615,2615,UHC MEDICARE,UHC MEDICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,AETNA,AETNA,,2275.05,87,percent of total billed charges,2275.05,2275.05,2615,percent of total billed charges,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2275.05,87,percent of total billed charges,2275.05,2275.05,2615,percent of total billed charges,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,UNITED HEALTHCARE,UNITED HEALTHCARE,,2301.2,88,percent of total billed charges,2301.2,2275.05,2615,percent of total billed charges,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,AETNA,AETNA,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,ALLIANT,ALLIANT,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,AMBETTER,AMBETTER,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,BEECH STREET,BEECH STREET,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,CARESOURCE,CARESOURCE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,MEDICAID,MEDICAID,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,MEDICARE,MEDICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,NOVA NET,NOVA NET,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,PEACHSTATE,PEACHSTATE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,SELFPAY,SELFPAY,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,TRICARE,TRICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CATH SUPPORT XTREME 150CM,C1887,CPT,both,,,2615,2615,UHC MEDICARE,UHC MEDICARE,,2615,,fee schedule,2615,2275.05,2615,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,AETNA,AETNA,,497.64,87,percent of total billed charges,497.64,497.64,572,percent of total billed charges,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,497.64,87,percent of total billed charges,497.64,497.64,572,percent of total billed charges,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,UNITED HEALTHCARE,UNITED HEALTHCARE,,503.36,88,percent of total billed charges,503.36,497.64,572,percent of total billed charges,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,AETNA,AETNA,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,ALLIANT,ALLIANT,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,AMBETTER,AMBETTER,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,BEECH STREET,BEECH STREET,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,CARESOURCE,CARESOURCE,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,MEDICAID,MEDICAID,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,MEDICARE,MEDICARE,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,NOVA NET,NOVA NET,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,PEACHSTATE,PEACHSTATE,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,SELFPAY,SELFPAY,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,TRICARE,TRICARE,,572,,fee schedule,572,497.64,572,fee schedule,
CXI SUPPORT CATH,C1887,CPT,both,,,572,572,UHC MEDICARE,UHC MEDICARE,,572,,fee schedule,572,497.64,572,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,AETNA,AETNA,,783.87,87,percent of total billed charges,783.87,783.87,901,percent of total billed charges,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,783.87,87,percent of total billed charges,783.87,783.87,901,percent of total billed charges,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,UNITED HEALTHCARE,UNITED HEALTHCARE,,792.88,88,percent of total billed charges,792.88,783.87,901,percent of total billed charges,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,AETNA,AETNA,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,ALLIANT,ALLIANT,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,AMBETTER,AMBETTER,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,BEECH STREET,BEECH STREET,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,CARESOURCE,CARESOURCE,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,MEDICAID,MEDICAID,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,MEDICARE,MEDICARE,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,NOVA NET,NOVA NET,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,PEACHSTATE,PEACHSTATE,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,SELFPAY,SELFPAY,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,TRICARE,TRICARE,,901,,fee schedule,901,783.87,901,fee schedule,
DESTINATION SHEATH 120CM,C1887,CPT,both,,,901,901,UHC MEDICARE,UHC MEDICARE,,901,,fee schedule,901,783.87,901,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,AETNA,AETNA,,924.81,87,percent of total billed charges,924.81,924.81,1063,percent of total billed charges,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924.81,87,percent of total billed charges,924.81,924.81,1063,percent of total billed charges,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,UNITED HEALTHCARE,UNITED HEALTHCARE,,935.44,88,percent of total billed charges,935.44,924.81,1063,percent of total billed charges,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,AETNA,AETNA,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,ALLIANT,ALLIANT,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,AMBETTER,AMBETTER,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,BEECH STREET,BEECH STREET,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,CARESOURCE,CARESOURCE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,MEDICAID,MEDICAID,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,MEDICARE,MEDICARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,NOVA NET,NOVA NET,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,PEACHSTATE,PEACHSTATE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,SELFPAY,SELFPAY,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,TRICARE,TRICARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 0',C1887,CPT,both,,,1063,1063,UHC MEDICARE,UHC MEDICARE,,1063,,fee schedule,1063,924.81,1063,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,AETNA,AETNA,,5748.96,87,percent of total billed charges,5748.96,5748.96,6608,percent of total billed charges,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5748.96,87,percent of total billed charges,5748.96,5748.96,6608,percent of total billed charges,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,UNITED HEALTHCARE,UNITED HEALTHCARE,,5815.04,88,percent of total billed charges,5815.04,5748.96,6608,percent of total billed charges,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,AETNA,AETNA,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,ALLIANT,ALLIANT,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,AMBETTER,AMBETTER,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,BEECH STREET,BEECH STREET,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,CARESOURCE,CARESOURCE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,MEDICAID,MEDICAID,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,MEDICARE,MEDICARE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,NOVA NET,NOVA NET,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,PEACHSTATE,PEACHSTATE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,SELFPAY,SELFPAY,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,TRICARE,TRICARE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 110,C1887,CPT,both,,,6608,6608,UHC MEDICARE,UHC MEDICARE,,6608,,fee schedule,6608,5748.96,6608,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,AETNA,AETNA,,1167.54,87,percent of total billed charges,1167.54,1167.54,1342,percent of total billed charges,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1167.54,87,percent of total billed charges,1167.54,1167.54,1342,percent of total billed charges,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,UNITED HEALTHCARE,UNITED HEALTHCARE,,1180.96,88,percent of total billed charges,1180.96,1167.54,1342,percent of total billed charges,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,AETNA,AETNA,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,ALLIANT,ALLIANT,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,AMBETTER,AMBETTER,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,BEECH STREET,BEECH STREET,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,CARESOURCE,CARESOURCE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,MEDICAID,MEDICAID,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,MEDICARE,MEDICARE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,NOVA NET,NOVA NET,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,PEACHSTATE,PEACHSTATE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,SELFPAY,SELFPAY,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,TRICARE,TRICARE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 70',C1887,CPT,both,,,1342,1342,UHC MEDICARE,UHC MEDICARE,,1342,,fee schedule,1342,1167.54,1342,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,AETNA,AETNA,,1384.17,87,percent of total billed charges,1384.17,1384.17,1591,percent of total billed charges,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1384.17,87,percent of total billed charges,1384.17,1384.17,1591,percent of total billed charges,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,UNITED HEALTHCARE,UNITED HEALTHCARE,,1400.08,88,percent of total billed charges,1400.08,1384.17,1591,percent of total billed charges,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,AETNA,AETNA,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,ALLIANT,ALLIANT,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,AMBETTER,AMBETTER,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,BEECH STREET,BEECH STREET,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,CARESOURCE,CARESOURCE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,MEDICAID,MEDICAID,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,MEDICARE,MEDICARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,NOVA NET,NOVA NET,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,PEACHSTATE,PEACHSTATE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,SELFPAY,SELFPAY,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,TRICARE,TRICARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
ENDO SINUS GUIDE CATH 90',C1887,CPT,both,,,1591,1591,UHC MEDICARE,UHC MEDICARE,,1591,,fee schedule,1591,1384.17,1591,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,AETNA,AETNA,,138.33,87,percent of total billed charges,138.33,138.33,159,percent of total billed charges,
GLIDECATH,C1887,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.33,87,percent of total billed charges,138.33,138.33,159,percent of total billed charges,
GLIDECATH,C1887,CPT,both,,,159,159,UNITED HEALTHCARE,UNITED HEALTHCARE,,139.92,88,percent of total billed charges,139.92,138.33,159,percent of total billed charges,
GLIDECATH,C1887,CPT,both,,,159,159,AETNA,AETNA,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,ALLIANT,ALLIANT,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,AMBETTER,AMBETTER,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,BEECH STREET,BEECH STREET,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,CARESOURCE,CARESOURCE,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,MEDICAID,MEDICAID,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,MEDICARE,MEDICARE,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,NOVA NET,NOVA NET,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,PEACHSTATE,PEACHSTATE,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,SELFPAY,SELFPAY,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,TRICARE,TRICARE,,159,,fee schedule,159,138.33,159,fee schedule,
GLIDECATH,C1887,CPT,both,,,159,159,UHC MEDICARE,UHC MEDICARE,,159,,fee schedule,159,138.33,159,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,AETNA,AETNA,,1003.11,87,percent of total billed charges,1003.11,1003.11,1153,percent of total billed charges,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1003.11,87,percent of total billed charges,1003.11,1003.11,1153,percent of total billed charges,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,UNITED HEALTHCARE,UNITED HEALTHCARE,,1014.64,88,percent of total billed charges,1014.64,1003.11,1153,percent of total billed charges,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,AETNA,AETNA,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,ALLIANT,ALLIANT,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,AMBETTER,AMBETTER,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,BEECH STREET,BEECH STREET,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,CARESOURCE,CARESOURCE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,MEDICAID,MEDICAID,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,MEDICARE,MEDICARE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,NOVA NET,NOVA NET,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,PEACHSTATE,PEACHSTATE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,SELFPAY,SELFPAY,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,TRICARE,TRICARE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
GUIDELINER CATHETER,C1887,CPT,both,,,1153,1153,UHC MEDICARE,UHC MEDICARE,,1153,,fee schedule,1153,1003.11,1153,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,227.94,262,percent of total billed charges,
LIMA CATHETER,C1887,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,227.94,262,percent of total billed charges,
LIMA CATHETER,C1887,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,227.94,262,percent of total billed charges,
LIMA CATHETER,C1887,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,ALLIANT,ALLIANT,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,AMBETTER,AMBETTER,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,MEDICARE,MEDICARE,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,TRICARE,TRICARE,,262,,fee schedule,262,227.94,262,fee schedule,
LIMA CATHETER,C1887,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,262,,fee schedule,262,227.94,262,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,377.58,434,percent of total billed charges,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,377.58,434,percent of total billed charges,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,377.58,434,percent of total billed charges,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,ALLIANT,ALLIANT,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,AMBETTER,AMBETTER,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,MEDICARE,MEDICARE,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,TRICARE,TRICARE,,434,,fee schedule,434,377.58,434,fee schedule,
OMNI FLUSH 5F,C1887,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,434,,fee schedule,434,377.58,434,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,AETNA,AETNA,,403.68,87,percent of total billed charges,403.68,403.68,464,percent of total billed charges,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,403.68,87,percent of total billed charges,403.68,403.68,464,percent of total billed charges,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,UNITED HEALTHCARE,UNITED HEALTHCARE,,408.32,88,percent of total billed charges,408.32,403.68,464,percent of total billed charges,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,AETNA,AETNA,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,ALLIANT,ALLIANT,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,AMBETTER,AMBETTER,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,BEECH STREET,BEECH STREET,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,MEDICAID,MEDICAID,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,MEDICARE,MEDICARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,NOVA NET,NOVA NET,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,SELFPAY,SELFPAY,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,TRICARE,TRICARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 135CM,C1887,CPT,both,,,464,464,UHC MEDICARE,UHC MEDICARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,AETNA,AETNA,,456.75,87,percent of total billed charges,456.75,456.75,525,percent of total billed charges,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,456.75,87,percent of total billed charges,456.75,456.75,525,percent of total billed charges,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,UNITED HEALTHCARE,UNITED HEALTHCARE,,462,88,percent of total billed charges,462,456.75,525,percent of total billed charges,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,AETNA,AETNA,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,ALLIANT,ALLIANT,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,AMBETTER,AMBETTER,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,BEECH STREET,BEECH STREET,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,CARESOURCE,CARESOURCE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,MEDICAID,MEDICAID,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,MEDICARE,MEDICARE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,NOVA NET,NOVA NET,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,PEACHSTATE,PEACHSTATE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,SELFPAY,SELFPAY,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,TRICARE,TRICARE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS .035 150CM,C1887,CPT,both,,,525,525,UHC MEDICARE,UHC MEDICARE,,525,,fee schedule,525,456.75,525,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,AETNA,AETNA,,403.68,87,percent of total billed charges,403.68,403.68,464,percent of total billed charges,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,403.68,87,percent of total billed charges,403.68,403.68,464,percent of total billed charges,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,UNITED HEALTHCARE,UNITED HEALTHCARE,,408.32,88,percent of total billed charges,408.32,403.68,464,percent of total billed charges,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,AETNA,AETNA,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,ALLIANT,ALLIANT,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,AMBETTER,AMBETTER,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,BEECH STREET,BEECH STREET,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,CARESOURCE,CARESOURCE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,MEDICAID,MEDICAID,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,MEDICARE,MEDICARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,NOVA NET,NOVA NET,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,PEACHSTATE,PEACHSTATE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,SELFPAY,SELFPAY,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,TRICARE,TRICARE,,464,,fee schedule,464,403.68,464,fee schedule,
QUICK CROSS EXT .018 150CM,C1887,CPT,both,,,464,464,UHC MEDICARE,UHC MEDICARE,,464,,fee schedule,464,403.68,464,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,227.94,262,percent of total billed charges,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,227.94,262,percent of total billed charges,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,227.94,262,percent of total billed charges,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,ALLIANT,ALLIANT,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,AMBETTER,AMBETTER,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,MEDICARE,MEDICARE,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,TRICARE,TRICARE,,262,,fee schedule,262,227.94,262,fee schedule,
RENAL DOUBLE CURVE CATHETER,C1887,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,262,,fee schedule,262,227.94,262,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
SHEATH TERUMO,C1887,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
SHEATH TERUMO,C1887,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
SHEATH TERUMO,C1887,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
SHEATH TERUMO,C1887,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,AETNA,AETNA,,1291.95,87,percent of total billed charges,1291.95,1291.95,1485,percent of total billed charges,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1291.95,87,percent of total billed charges,1291.95,1291.95,1485,percent of total billed charges,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,UNITED HEALTHCARE,UNITED HEALTHCARE,,1306.8,88,percent of total billed charges,1306.8,1291.95,1485,percent of total billed charges,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,AETNA,AETNA,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,ALLIANT,ALLIANT,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,AMBETTER,AMBETTER,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,BEECH STREET,BEECH STREET,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,CARESOURCE,CARESOURCE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,MEDICAID,MEDICAID,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,MEDICARE,MEDICARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,NOVA NET,NOVA NET,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,PEACHSTATE,PEACHSTATE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,SELFPAY,SELFPAY,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,TRICARE,TRICARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO @.8F MICROCATHETER,C1887,CPT,both,,,1485,1485,UHC MEDICARE,UHC MEDICARE,,1485,,fee schedule,1485,1291.95,1485,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,131.37,151,percent of total billed charges,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,ALLIANT,ALLIANT,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,AMBETTER,AMBETTER,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,MEDICARE,MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,TRICARE,TRICARE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO GLIDECATH 4 FR 150 CM,C1887,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,AETNA,AETNA,,783,87,percent of total billed charges,783,783,900,percent of total billed charges,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,783,87,percent of total billed charges,783,783,900,percent of total billed charges,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,UNITED HEALTHCARE,UNITED HEALTHCARE,,792,88,percent of total billed charges,792,783,900,percent of total billed charges,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,AETNA,AETNA,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,ALLIANT,ALLIANT,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,AMBETTER,AMBETTER,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,BEECH STREET,BEECH STREET,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,CARESOURCE,CARESOURCE,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,MEDICAID,MEDICAID,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,MEDICARE,MEDICARE,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,NOVA NET,NOVA NET,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,PEACHSTATE,PEACHSTATE,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,SELFPAY,SELFPAY,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,TRICARE,TRICARE,,900,,fee schedule,900,783,900,fee schedule,
TERUMO R2P DESTINATION SLENDER,C1887,CPT,both,,,900,900,UHC MEDICARE,UHC MEDICARE,,900,,fee schedule,900,783,900,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,AETNA,AETNA,,2896.23,87,percent of total billed charges,2896.23,2896.23,3329,percent of total billed charges,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2896.23,87,percent of total billed charges,2896.23,2896.23,3329,percent of total billed charges,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,UNITED HEALTHCARE,UNITED HEALTHCARE,,2929.52,88,percent of total billed charges,2929.52,2896.23,3329,percent of total billed charges,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,AETNA,AETNA,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,ALLIANT,ALLIANT,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,AMBETTER,AMBETTER,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,BEECH STREET,BEECH STREET,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,CARESOURCE,CARESOURCE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,MEDICAID,MEDICAID,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,MEDICARE,MEDICARE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,NOVA NET,NOVA NET,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,PEACHSTATE,PEACHSTATE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,SELFPAY,SELFPAY,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,TRICARE,TRICARE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
VNUS CLOSURE CATH,C1888,CPT,both,,,3329,3329,UHC MEDICARE,UHC MEDICARE,,3329,,fee schedule,3329,2896.23,3329,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,AETNA,AETNA,,21865.71,87,percent of total billed charges,21865.71,21865.71,25133,percent of total billed charges,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21865.71,87,percent of total billed charges,21865.71,21865.71,25133,percent of total billed charges,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,UNITED HEALTHCARE,UNITED HEALTHCARE,,22117.04,88,percent of total billed charges,22117.04,21865.71,25133,percent of total billed charges,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,AETNA,AETNA,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,ALLIANT,ALLIANT,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,AMBETTER,AMBETTER,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,BEECH STREET,BEECH STREET,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,CARESOURCE,CARESOURCE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,MEDICAID,MEDICAID,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,MEDICARE,MEDICARE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,NOVA NET,NOVA NET,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,PEACHSTATE,PEACHSTATE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,SELFPAY,SELFPAY,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,TRICARE,TRICARE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
ANTERIOR SPINE TRUSS SA,C1889,CPT,both,,,25133,25133,UHC MEDICARE,UHC MEDICARE,,25133,,fee schedule,25133,21865.71,25133,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,AETNA,AETNA,,20162.25,87,percent of total billed charges,20162.25,20162.25,23175,percent of total billed charges,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20162.25,87,percent of total billed charges,20162.25,20162.25,23175,percent of total billed charges,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,UNITED HEALTHCARE,UNITED HEALTHCARE,,20394,88,percent of total billed charges,20394,20162.25,23175,percent of total billed charges,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,AETNA,AETNA,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,ALLIANT,ALLIANT,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,AMBETTER,AMBETTER,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,BEECH STREET,BEECH STREET,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,CARESOURCE,CARESOURCE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,MEDICAID,MEDICAID,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,MEDICARE,MEDICARE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,NOVA NET,NOVA NET,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,PEACHSTATE,PEACHSTATE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,SELFPAY,SELFPAY,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,TRICARE,TRICARE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY,C1889,CPT,both,,,23175,23175,UHC MEDICARE,UHC MEDICARE,,23175,,fee schedule,23175,20162.25,23175,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,AETNA,AETNA,,3565.26,87,percent of total billed charges,3565.26,3565.26,4098,percent of total billed charges,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3565.26,87,percent of total billed charges,3565.26,3565.26,4098,percent of total billed charges,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,UNITED HEALTHCARE,UNITED HEALTHCARE,,3606.24,88,percent of total billed charges,3606.24,3565.26,4098,percent of total billed charges,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,AETNA,AETNA,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,ALLIANT,ALLIANT,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,AMBETTER,AMBETTER,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,BEECH STREET,BEECH STREET,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,CARESOURCE,CARESOURCE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,MEDICAID,MEDICAID,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,MEDICARE,MEDICARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,NOVA NET,NOVA NET,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,PEACHSTATE,PEACHSTATE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,SELFPAY,SELFPAY,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,TRICARE,TRICARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE INTERBODY CERV,C1889,CPT,both,,,4098,4098,UHC MEDICARE,UHC MEDICARE,,4098,,fee schedule,4098,3565.26,4098,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,AETNA,AETNA,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22522.56,87,percent of total billed charges,22522.56,22522.56,25888,percent of total billed charges,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,UNITED HEALTHCARE,UNITED HEALTHCARE,,22781.44,88,percent of total billed charges,22781.44,22522.56,25888,percent of total billed charges,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,AETNA,AETNA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,ALLIANT,ALLIANT,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,AMBETTER,AMBETTER,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,BEECH STREET,BEECH STREET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,CARESOURCE,CARESOURCE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,MEDICAID,MEDICAID,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,MEDICARE,MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,NOVA NET,NOVA NET,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,PEACHSTATE,PEACHSTATE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,SELFPAY,SELFPAY,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,TRICARE,TRICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
CAGE-LUMBAR ANTER. SECURE,C1889,CPT,both,,,25888,25888,UHC MEDICARE,UHC MEDICARE,,25888,,fee schedule,25888,22522.56,25888,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,AETNA,AETNA,,21379.38,87,percent of total billed charges,21379.38,21379.38,24574,percent of total billed charges,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21379.38,87,percent of total billed charges,21379.38,21379.38,24574,percent of total billed charges,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,UNITED HEALTHCARE,UNITED HEALTHCARE,,21625.12,88,percent of total billed charges,21625.12,21379.38,24574,percent of total billed charges,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,AETNA,AETNA,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,ALLIANT,ALLIANT,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,AMBETTER,AMBETTER,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,BEECH STREET,BEECH STREET,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,CARESOURCE,CARESOURCE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,MEDICAID,MEDICAID,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,MEDICARE,MEDICARE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,NOVA NET,NOVA NET,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,PEACHSTATE,PEACHSTATE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,SELFPAY,SELFPAY,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,TRICARE,TRICARE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
ELLIPYSIS CATHETER,C1889,CPT,both,,,24574,24574,UHC MEDICARE,UHC MEDICARE,,24574,,fee schedule,24574,21379.38,24574,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,AETNA,AETNA,,8512.95,87,percent of total billed charges,8512.95,8512.95,9785,percent of total billed charges,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8512.95,87,percent of total billed charges,8512.95,8512.95,9785,percent of total billed charges,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,UNITED HEALTHCARE,UNITED HEALTHCARE,,8610.8,88,percent of total billed charges,8610.8,8512.95,9785,percent of total billed charges,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,AETNA,AETNA,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,ALLIANT,ALLIANT,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,AMBETTER,AMBETTER,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,BEECH STREET,BEECH STREET,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,CARESOURCE,CARESOURCE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,MEDICAID,MEDICAID,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,MEDICARE,MEDICARE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,NOVA NET,NOVA NET,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,PEACHSTATE,PEACHSTATE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,SELFPAY,SELFPAY,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,TRICARE,TRICARE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,9785,9785,UHC MEDICARE,UHC MEDICARE,,9785,,fee schedule,9785,8512.95,9785,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,AETNA,AETNA,,9857.1,87,percent of total billed charges,9857.1,9857.1,11330,percent of total billed charges,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9857.1,87,percent of total billed charges,9857.1,9857.1,11330,percent of total billed charges,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,UNITED HEALTHCARE,UNITED HEALTHCARE,,9970.4,88,percent of total billed charges,9970.4,9857.1,11330,percent of total billed charges,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,AETNA,AETNA,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,ALLIANT,ALLIANT,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,AMBETTER,AMBETTER,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,BEECH STREET,BEECH STREET,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,CARESOURCE,CARESOURCE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,MEDICAID,MEDICAID,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,MEDICARE,MEDICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,NOVA NET,NOVA NET,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,PEACHSTATE,PEACHSTATE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,SELFPAY,SELFPAY,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,TRICARE,TRICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
GLENOSPHERE,C1889,CPT,both,,,11330,11330,UHC MEDICARE,UHC MEDICARE,,11330,,fee schedule,11330,9857.1,11330,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,AETNA,AETNA,,8188.44,87,percent of total billed charges,8188.44,8188.44,9412,percent of total billed charges,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8188.44,87,percent of total billed charges,8188.44,8188.44,9412,percent of total billed charges,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,UNITED HEALTHCARE,UNITED HEALTHCARE,,8282.56,88,percent of total billed charges,8282.56,8188.44,9412,percent of total billed charges,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,AETNA,AETNA,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,ALLIANT,ALLIANT,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,AMBETTER,AMBETTER,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,BEECH STREET,BEECH STREET,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,CARESOURCE,CARESOURCE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,MEDICAID,MEDICAID,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,MEDICARE,MEDICARE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,NOVA NET,NOVA NET,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,PEACHSTATE,PEACHSTATE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,SELFPAY,SELFPAY,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,TRICARE,TRICARE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
HYDROGEL SYS SPACE OAR VUE,C1889,CPT,both,,,9412,9412,UHC MEDICARE,UHC MEDICARE,,9412,,fee schedule,9412,8188.44,9412,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,AETNA,AETNA,,6978.27,87,percent of total billed charges,6978.27,6978.27,8021,percent of total billed charges,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6978.27,87,percent of total billed charges,6978.27,6978.27,8021,percent of total billed charges,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,UNITED HEALTHCARE,UNITED HEALTHCARE,,7058.48,88,percent of total billed charges,7058.48,6978.27,8021,percent of total billed charges,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,AETNA,AETNA,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,ALLIANT,ALLIANT,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,AMBETTER,AMBETTER,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,BEECH STREET,BEECH STREET,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,CARESOURCE,CARESOURCE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,MEDICAID,MEDICAID,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,MEDICARE,MEDICARE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,NOVA NET,NOVA NET,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,PEACHSTATE,PEACHSTATE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,SELFPAY,SELFPAY,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,TRICARE,TRICARE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
INTERBODY FUSION DEVICE 36X24,C1889,CPT,both,,,8021,8021,UHC MEDICARE,UHC MEDICARE,,8021,,fee schedule,8021,6978.27,8021,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,AETNA,AETNA,,11017.68,87,percent of total billed charges,11017.68,11017.68,12664,percent of total billed charges,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11017.68,87,percent of total billed charges,11017.68,11017.68,12664,percent of total billed charges,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,UNITED HEALTHCARE,UNITED HEALTHCARE,,11144.32,88,percent of total billed charges,11144.32,11017.68,12664,percent of total billed charges,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,AETNA,AETNA,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,ALLIANT,ALLIANT,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,AMBETTER,AMBETTER,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,BEECH STREET,BEECH STREET,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,CARESOURCE,CARESOURCE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,MEDICAID,MEDICAID,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,MEDICARE,MEDICARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,NOVA NET,NOVA NET,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,PEACHSTATE,PEACHSTATE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,SELFPAY,SELFPAY,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,TRICARE,TRICARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE ANTERIOR  1904A18,C1889,CPT,both,,,12664,12664,UHC MEDICARE,UHC MEDICARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,AETNA,AETNA,,11017.68,87,percent of total billed charges,11017.68,11017.68,12664,percent of total billed charges,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11017.68,87,percent of total billed charges,11017.68,11017.68,12664,percent of total billed charges,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,UNITED HEALTHCARE,UNITED HEALTHCARE,,11144.32,88,percent of total billed charges,11144.32,11017.68,12664,percent of total billed charges,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,AETNA,AETNA,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,ALLIANT,ALLIANT,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,AMBETTER,AMBETTER,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,BEECH STREET,BEECH STREET,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,CARESOURCE,CARESOURCE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,MEDICAID,MEDICAID,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,MEDICARE,MEDICARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,NOVA NET,NOVA NET,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,PEACHSTATE,PEACHSTATE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,SELFPAY,SELFPAY,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,TRICARE,TRICARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE SACRAL ANTERIOR 1904518,C1889,CPT,both,,,12664,12664,UHC MEDICARE,UHC MEDICARE,,12664,,fee schedule,12664,11017.68,12664,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,AETNA,AETNA,,4298.67,87,percent of total billed charges,4298.67,4298.67,4941,percent of total billed charges,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4298.67,87,percent of total billed charges,4298.67,4298.67,4941,percent of total billed charges,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,UNITED HEALTHCARE,UNITED HEALTHCARE,,4348.08,88,percent of total billed charges,4348.08,4298.67,4941,percent of total billed charges,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,AETNA,AETNA,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,ALLIANT,ALLIANT,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,AMBETTER,AMBETTER,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,BEECH STREET,BEECH STREET,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,CARESOURCE,CARESOURCE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,MEDICAID,MEDICAID,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,MEDICARE,MEDICARE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,NOVA NET,NOVA NET,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,PEACHSTATE,PEACHSTATE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,SELFPAY,SELFPAY,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,TRICARE,TRICARE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
PLATE TIBIA PROXIMAL,C1889,CPT,both,,,4941,4941,UHC MEDICARE,UHC MEDICARE,,4941,,fee schedule,4941,4298.67,4941,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,AETNA,AETNA,,17536.59,87,percent of total billed charges,17536.59,17536.59,20157,percent of total billed charges,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17536.59,87,percent of total billed charges,17536.59,17536.59,20157,percent of total billed charges,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,UNITED HEALTHCARE,UNITED HEALTHCARE,,17738.16,88,percent of total billed charges,17738.16,17536.59,20157,percent of total billed charges,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,AETNA,AETNA,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,ALLIANT,ALLIANT,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,AMBETTER,AMBETTER,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,BEECH STREET,BEECH STREET,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,CARESOURCE,CARESOURCE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,MEDICAID,MEDICAID,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,MEDICARE,MEDICARE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,NOVA NET,NOVA NET,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,PEACHSTATE,PEACHSTATE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,SELFPAY,SELFPAY,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,TRICARE,TRICARE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
POSTERIOR SPINE TRUSS,C1889,CPT,both,,,20157,20157,UHC MEDICARE,UHC MEDICARE,,20157,,fee schedule,20157,17536.59,20157,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,AETNA,AETNA,,1783.5,87,percent of total billed charges,1783.5,1783.5,2050,percent of total billed charges,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1783.5,87,percent of total billed charges,1783.5,1783.5,2050,percent of total billed charges,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,UNITED HEALTHCARE,UNITED HEALTHCARE,,1804,88,percent of total billed charges,1804,1783.5,2050,percent of total billed charges,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,AETNA,AETNA,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,ALLIANT,ALLIANT,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,AMBETTER,AMBETTER,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,BEECH STREET,BEECH STREET,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,CARESOURCE,CARESOURCE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,MEDICAID,MEDICAID,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,MEDICARE,MEDICARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,NOVA NET,NOVA NET,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,PEACHSTATE,PEACHSTATE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,SELFPAY,SELFPAY,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,TRICARE,TRICARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
ROD PRE-LORDOSED 4.5MM,C1889,CPT,both,,,2050,2050,UHC MEDICARE,UHC MEDICARE,,2050,,fee schedule,2050,1783.5,2050,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,AETNA,AETNA,,218.37,87,percent of total billed charges,218.37,218.37,251,percent of total billed charges,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218.37,87,percent of total billed charges,218.37,218.37,251,percent of total billed charges,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,UNITED HEALTHCARE,UNITED HEALTHCARE,,220.88,88,percent of total billed charges,220.88,218.37,251,percent of total billed charges,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,AETNA,AETNA,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,ALLIANT,ALLIANT,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,AMBETTER,AMBETTER,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,BEECH STREET,BEECH STREET,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,CARESOURCE,CARESOURCE,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,MEDICAID,MEDICAID,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,MEDICARE,MEDICARE,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,NOVA NET,NOVA NET,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,PEACHSTATE,PEACHSTATE,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,SELFPAY,SELFPAY,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,TRICARE,TRICARE,,251,,fee schedule,251,218.37,251,fee schedule,
10F12F INTRODUCER,C1894,CPT,both,,,251,251,UHC MEDICARE,UHC MEDICARE,,251,,fee schedule,251,218.37,251,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,160.08,184,percent of total billed charges,
9F INTRODUCER,C1894,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,160.08,184,percent of total billed charges,
9F INTRODUCER,C1894,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,160.08,184,percent of total billed charges,
9F INTRODUCER,C1894,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,ALLIANT,ALLIANT,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,AMBETTER,AMBETTER,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,MEDICARE,MEDICARE,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,TRICARE,TRICARE,,184,,fee schedule,184,160.08,184,fee schedule,
9F INTRODUCER,C1894,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,184,,fee schedule,184,160.08,184,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,AETNA,AETNA,,172.26,87,percent of total billed charges,172.26,172.26,198,percent of total billed charges,
ACCUSTICK,C1894,CPT,both,,,198,198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172.26,87,percent of total billed charges,172.26,172.26,198,percent of total billed charges,
ACCUSTICK,C1894,CPT,both,,,198,198,UNITED HEALTHCARE,UNITED HEALTHCARE,,174.24,88,percent of total billed charges,174.24,172.26,198,percent of total billed charges,
ACCUSTICK,C1894,CPT,both,,,198,198,AETNA,AETNA,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,ALLIANT,ALLIANT,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,AMBETTER,AMBETTER,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,BEECH STREET,BEECH STREET,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,CARESOURCE,CARESOURCE,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,MEDICAID,MEDICAID,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,MEDICARE,MEDICARE,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,NOVA NET,NOVA NET,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,PEACHSTATE,PEACHSTATE,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,SELFPAY,SELFPAY,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,TRICARE,TRICARE,,198,,fee schedule,198,172.26,198,fee schedule,
ACCUSTICK,C1894,CPT,both,,,198,198,UHC MEDICARE,UHC MEDICARE,,198,,fee schedule,198,172.26,198,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,AETNA,AETNA,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2851.86,87,percent of total billed charges,2851.86,2851.86,3278,percent of total billed charges,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,UNITED HEALTHCARE,UNITED HEALTHCARE,,2884.64,88,percent of total billed charges,2884.64,2851.86,3278,percent of total billed charges,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,AETNA,AETNA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,ALLIANT,ALLIANT,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,AMBETTER,AMBETTER,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,BEECH STREET,BEECH STREET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,CARESOURCE,CARESOURCE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,MEDICAID,MEDICAID,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,MEDICARE,MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,NOVA NET,NOVA NET,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,PEACHSTATE,PEACHSTATE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,SELFPAY,SELFPAY,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,TRICARE,TRICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
CLOT RETRIEVER SHEATH,C1894,CPT,both,,,3278,3278,UHC MEDICARE,UHC MEDICARE,,3278,,fee schedule,3278,2851.86,3278,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
COOK DILATOR,C1894,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
COOK DILATOR,C1894,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
COOK DILATOR,C1894,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK DILATOR,C1894,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,483.72,556,percent of total billed charges,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,483.72,556,percent of total billed charges,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,483.72,556,percent of total billed charges,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,ALLIANT,ALLIANT,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,AMBETTER,AMBETTER,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,MEDICARE,MEDICARE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,TRICARE,TRICARE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO  6F,C1894,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,556,,fee schedule,556,483.72,556,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,187.05,215,percent of total billed charges,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,187.05,215,percent of total billed charges,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,187.05,215,percent of total billed charges,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,ALLIANT,ALLIANT,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,AMBETTER,AMBETTER,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,MEDICARE,MEDICARE,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,TRICARE,TRICARE,,215,,fee schedule,215,187.05,215,fee schedule,
COOK FLEXOR CHECK-FLO 7F,C1894,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,215,,fee schedule,215,187.05,215,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,AETNA,AETNA,,245.34,87,percent of total billed charges,245.34,245.34,282,percent of total billed charges,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,245.34,87,percent of total billed charges,245.34,245.34,282,percent of total billed charges,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,UNITED HEALTHCARE,UNITED HEALTHCARE,,248.16,88,percent of total billed charges,248.16,245.34,282,percent of total billed charges,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,AETNA,AETNA,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,ALLIANT,ALLIANT,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,AMBETTER,AMBETTER,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,BEECH STREET,BEECH STREET,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,CARESOURCE,CARESOURCE,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,MEDICAID,MEDICAID,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,MEDICARE,MEDICARE,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,NOVA NET,NOVA NET,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,PEACHSTATE,PEACHSTATE,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,SELFPAY,SELFPAY,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,TRICARE,TRICARE,,282,,fee schedule,282,245.34,282,fee schedule,
DESTINATION SHEATH 45CM,C1894,CPT,both,,,282,282,UHC MEDICARE,UHC MEDICARE,,282,,fee schedule,282,245.34,282,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,AETNA,AETNA,,938.73,87,percent of total billed charges,938.73,938.73,1079,percent of total billed charges,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,938.73,87,percent of total billed charges,938.73,938.73,1079,percent of total billed charges,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,UNITED HEALTHCARE,UNITED HEALTHCARE,,949.52,88,percent of total billed charges,949.52,938.73,1079,percent of total billed charges,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,AETNA,AETNA,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,ALLIANT,ALLIANT,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,AMBETTER,AMBETTER,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,BEECH STREET,BEECH STREET,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,CARESOURCE,CARESOURCE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,MEDICAID,MEDICAID,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,MEDICARE,MEDICARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,NOVA NET,NOVA NET,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,PEACHSTATE,PEACHSTATE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,SELFPAY,SELFPAY,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,TRICARE,TRICARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
GORE DRYSEAL SHEATH,C1894,CPT,both,,,1079,1079,UHC MEDICARE,UHC MEDICARE,,1079,,fee schedule,1079,938.73,1079,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
MINI STICK  4F10,C1894,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,64,percent of total billed charges,
MINI STICK  4F10,C1894,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,64,percent of total billed charges,
MINI STICK  4F10,C1894,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,64,fee schedule,
MINI STICK  4F10,C1894,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,64,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,AETNA,AETNA,,155.73,87,percent of total billed charges,155.73,155.73,179,percent of total billed charges,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,155.73,87,percent of total billed charges,155.73,155.73,179,percent of total billed charges,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,UNITED HEALTHCARE,UNITED HEALTHCARE,,157.52,88,percent of total billed charges,157.52,155.73,179,percent of total billed charges,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,AETNA,AETNA,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,ALLIANT,ALLIANT,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,AMBETTER,AMBETTER,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,BEECH STREET,BEECH STREET,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,CARESOURCE,CARESOURCE,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,MEDICAID,MEDICAID,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,MEDICARE,MEDICARE,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,NOVA NET,NOVA NET,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,PEACHSTATE,PEACHSTATE,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,SELFPAY,SELFPAY,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,TRICARE,TRICARE,,179,,fee schedule,179,155.73,179,fee schedule,
PEDAL ACCESS KIT,C1894,CPT,both,,,179,179,UHC MEDICARE,UHC MEDICARE,,179,,fee schedule,179,155.73,179,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,80.91,93,percent of total billed charges,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,80.91,93,percent of total billed charges,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,80.91,93,percent of total billed charges,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,ALLIANT,ALLIANT,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,AMBETTER,AMBETTER,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,MEDICARE,MEDICARE,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,TRICARE,TRICARE,,93,,fee schedule,93,80.91,93,fee schedule,
PINNACLE SHEATH 25CM,C1894,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,93,,fee schedule,93,80.91,93,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,188.79,217,percent of total billed charges,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,188.79,217,percent of total billed charges,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,ALLIANT,ALLIANT,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,AMBETTER,AMBETTER,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,MEDICARE,MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,TRICARE,TRICARE,,217,,fee schedule,217,188.79,217,fee schedule,
QUINTON 36MM INTRODUCER,C1894,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,217,,fee schedule,217,188.79,217,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,278.4,320,percent of total billed charges,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,278.4,320,percent of total billed charges,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,278.4,320,percent of total billed charges,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,ALLIANT,ALLIANT,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,AMBETTER,AMBETTER,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,MEDICARE,MEDICARE,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,TRICARE,TRICARE,,320,,fee schedule,320,278.4,320,fee schedule,
SHEATH TERUMO RADIAL,C1894,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,320,,fee schedule,320,278.4,320,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,AETNA,AETNA,,340.17,87,percent of total billed charges,340.17,340.17,391,percent of total billed charges,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,340.17,87,percent of total billed charges,340.17,340.17,391,percent of total billed charges,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,UNITED HEALTHCARE,UNITED HEALTHCARE,,344.08,88,percent of total billed charges,344.08,340.17,391,percent of total billed charges,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,AETNA,AETNA,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,ALLIANT,ALLIANT,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,AMBETTER,AMBETTER,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,BEECH STREET,BEECH STREET,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,CARESOURCE,CARESOURCE,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,MEDICAID,MEDICAID,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,MEDICARE,MEDICARE,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,NOVA NET,NOVA NET,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,PEACHSTATE,PEACHSTATE,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,SELFPAY,SELFPAY,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,TRICARE,TRICARE,,391,,fee schedule,391,340.17,391,fee schedule,
URETERAL ACCESS SHEATH,C1894,CPT,both,,,391,391,UHC MEDICARE,UHC MEDICARE,,391,,fee schedule,391,340.17,391,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,49.59,57,percent of total billed charges,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,49.59,57,percent of total billed charges,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER IS-8F07,C1894,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,49.59,57,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS INTRODUCER MIS-6F07,C1894,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,68.73,79,percent of total billed charges,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,68.73,79,percent of total billed charges,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,68.73,79,fee schedule,
VNUS MICRO PUNCTURE KIT M,C1894,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,68.73,79,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,AETNA,AETNA,,12209.58,87,percent of total billed charges,12209.58,12209.58,14034,percent of total billed charges,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12209.58,87,percent of total billed charges,12209.58,12209.58,14034,percent of total billed charges,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,UNITED HEALTHCARE,UNITED HEALTHCARE,,12349.92,88,percent of total billed charges,12349.92,12209.58,14034,percent of total billed charges,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,AETNA,AETNA,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,ALLIANT,ALLIANT,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,AMBETTER,AMBETTER,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,BEECH STREET,BEECH STREET,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,CARESOURCE,CARESOURCE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,MEDICAID,MEDICAID,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,MEDICARE,MEDICARE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,NOVA NET,NOVA NET,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,PEACHSTATE,PEACHSTATE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,SELFPAY,SELFPAY,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,TRICARE,TRICARE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
LEAD AICD ENDO DUAL COIL,C1895,CPT,both,,,14034,14034,UHC MEDICARE,UHC MEDICARE,,14034,,fee schedule,14034,12209.58,14034,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,AETNA,AETNA,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131.37,87,percent of total billed charges,131.37,131.37,151,percent of total billed charges,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,UNITED HEALTHCARE,UNITED HEALTHCARE,,132.88,88,percent of total billed charges,132.88,131.37,151,percent of total billed charges,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,AETNA,AETNA,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,ALLIANT,ALLIANT,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,AMBETTER,AMBETTER,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,BEECH STREET,BEECH STREET,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,CARESOURCE,CARESOURCE,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,MEDICAID,MEDICAID,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,MEDICARE,MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,NOVA NET,NOVA NET,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,PEACHSTATE,PEACHSTATE,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,SELFPAY,SELFPAY,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,TRICARE,TRICARE,,151,,fee schedule,151,131.37,151,fee schedule,
BOSTON SCIENTIFIC TRIAL KIT,C1897,CPT,both,,,151,151,UHC MEDICARE,UHC MEDICARE,,151,,fee schedule,151,131.37,151,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,AETNA,AETNA,,6669.42,87,percent of total billed charges,6669.42,6669.42,7666,percent of total billed charges,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6669.42,87,percent of total billed charges,6669.42,6669.42,7666,percent of total billed charges,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,UNITED HEALTHCARE,UNITED HEALTHCARE,,6746.08,88,percent of total billed charges,6746.08,6669.42,7666,percent of total billed charges,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,AETNA,AETNA,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,ALLIANT,ALLIANT,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,AMBETTER,AMBETTER,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,BEECH STREET,BEECH STREET,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,CARESOURCE,CARESOURCE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,MEDICAID,MEDICAID,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,MEDICARE,MEDICARE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,NOVA NET,NOVA NET,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,PEACHSTATE,PEACHSTATE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,SELFPAY,SELFPAY,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,TRICARE,TRICARE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
LEAD KIT 50X2X8,C1897,CPT,both,,,7666,7666,UHC MEDICARE,UHC MEDICARE,,7666,,fee schedule,7666,6669.42,7666,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,AETNA,AETNA,,1262.37,87,percent of total billed charges,1262.37,1262.37,1451,percent of total billed charges,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1262.37,87,percent of total billed charges,1262.37,1262.37,1451,percent of total billed charges,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,UNITED HEALTHCARE,UNITED HEALTHCARE,,1276.88,88,percent of total billed charges,1276.88,1262.37,1451,percent of total billed charges,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,AETNA,AETNA,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,ALLIANT,ALLIANT,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,AMBETTER,AMBETTER,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,BEECH STREET,BEECH STREET,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,CARESOURCE,CARESOURCE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,MEDICAID,MEDICAID,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,MEDICARE,MEDICARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,NOVA NET,NOVA NET,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,PEACHSTATE,PEACHSTATE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,SELFPAY,SELFPAY,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,TRICARE,TRICARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
PNS TRIAL LEAD KIT 8 CONTACT,C1897,CPT,both,,,1451,1451,UHC MEDICARE,UHC MEDICARE,,1451,,fee schedule,1451,1262.37,1451,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,AETNA,AETNA,,1265.85,87,percent of total billed charges,1265.85,1265.85,1455,percent of total billed charges,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1265.85,87,percent of total billed charges,1265.85,1265.85,1455,percent of total billed charges,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,UNITED HEALTHCARE,UNITED HEALTHCARE,,1280.4,88,percent of total billed charges,1280.4,1265.85,1455,percent of total billed charges,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,AETNA,AETNA,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,ALLIANT,ALLIANT,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,AMBETTER,AMBETTER,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,BEECH STREET,BEECH STREET,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,CARESOURCE,CARESOURCE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,MEDICAID,MEDICAID,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,MEDICARE,MEDICARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,NOVA NET,NOVA NET,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,PEACHSTATE,PEACHSTATE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,SELFPAY,SELFPAY,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,TRICARE,TRICARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
LEAD KIT PACEMAKER,C1898,CPT,both,,,1455,1455,UHC MEDICARE,UHC MEDICARE,,1455,,fee schedule,1455,1265.85,1455,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,UNITED HEALTHCARE,UNITED HEALTHCARE,,2799.28,88,percent of total billed charges,2799.28,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,ALLIANT,ALLIANT,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,AMBETTER,AMBETTER,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,BEECH STREET,BEECH STREET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,CARESOURCE,CARESOURCE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,MEDICAID,MEDICAID,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,MEDICARE,MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,NOVA NET,NOVA NET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,PEACHSTATE,PEACHSTATE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,SELFPAY,SELFPAY,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,TRICARE,TRICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD,C1898,CPT,both,,,3181,3181,UHC MEDICARE,UHC MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,AETNA,AETNA,,2301.15,87,percent of total billed charges,2301.15,2301.15,2645,percent of total billed charges,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2301.15,87,percent of total billed charges,2301.15,2301.15,2645,percent of total billed charges,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,UNITED HEALTHCARE,UNITED HEALTHCARE,,2327.6,88,percent of total billed charges,2327.6,2301.15,2645,percent of total billed charges,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,AETNA,AETNA,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,ALLIANT,ALLIANT,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,AMBETTER,AMBETTER,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,BEECH STREET,BEECH STREET,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,CARESOURCE,CARESOURCE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,MEDICAID,MEDICAID,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,MEDICARE,MEDICARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,NOVA NET,NOVA NET,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,PEACHSTATE,PEACHSTATE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,SELFPAY,SELFPAY,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,TRICARE,TRICARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1346T/58,C1898,CPT,both,,,2645,2645,UHC MEDICARE,UHC MEDICARE,,2645,,fee schedule,2645,2301.15,2645,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,AETNA,AETNA,,2482.98,87,percent of total billed charges,2482.98,2482.98,2854,percent of total billed charges,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2482.98,87,percent of total billed charges,2482.98,2482.98,2854,percent of total billed charges,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,UNITED HEALTHCARE,UNITED HEALTHCARE,,2511.52,88,percent of total billed charges,2511.52,2482.98,2854,percent of total billed charges,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,AETNA,AETNA,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,ALLIANT,ALLIANT,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,AMBETTER,AMBETTER,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,BEECH STREET,BEECH STREET,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,CARESOURCE,CARESOURCE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,MEDICAID,MEDICAID,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,MEDICARE,MEDICARE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,NOVA NET,NOVA NET,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,PEACHSTATE,PEACHSTATE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,SELFPAY,SELFPAY,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,TRICARE,TRICARE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1388TC/52,C1898,CPT,both,,,2854,2854,UHC MEDICARE,UHC MEDICARE,,2854,,fee schedule,2854,2482.98,2854,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,AETNA,AETNA,,2129.76,87,percent of total billed charges,2129.76,2129.76,2448,percent of total billed charges,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2129.76,87,percent of total billed charges,2129.76,2129.76,2448,percent of total billed charges,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,UNITED HEALTHCARE,UNITED HEALTHCARE,,2154.24,88,percent of total billed charges,2154.24,2129.76,2448,percent of total billed charges,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,AETNA,AETNA,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,ALLIANT,ALLIANT,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,AMBETTER,AMBETTER,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,BEECH STREET,BEECH STREET,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,CARESOURCE,CARESOURCE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,MEDICAID,MEDICAID,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,MEDICARE,MEDICARE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,NOVA NET,NOVA NET,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,PEACHSTATE,PEACHSTATE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,SELFPAY,SELFPAY,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,TRICARE,TRICARE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 1488TC 52/,C1898,CPT,both,,,2448,2448,UHC MEDICARE,UHC MEDICARE,,2448,,fee schedule,2448,2129.76,2448,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,AETNA,AETNA,,2191.53,87,percent of total billed charges,2191.53,2191.53,2519,percent of total billed charges,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2191.53,87,percent of total billed charges,2191.53,2191.53,2519,percent of total billed charges,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,UNITED HEALTHCARE,UNITED HEALTHCARE,,2216.72,88,percent of total billed charges,2216.72,2191.53,2519,percent of total billed charges,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,AETNA,AETNA,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,ALLIANT,ALLIANT,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,AMBETTER,AMBETTER,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,BEECH STREET,BEECH STREET,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,CARESOURCE,CARESOURCE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,MEDICAID,MEDICAID,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,MEDICARE,MEDICARE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,NOVA NET,NOVA NET,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,PEACHSTATE,PEACHSTATE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,SELFPAY,SELFPAY,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,TRICARE,TRICARE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4024/58 OR,C1898,CPT,both,,,2519,2519,UHC MEDICARE,UHC MEDICARE,,2519,,fee schedule,2519,2191.53,2519,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,AETNA,AETNA,,1991.43,87,percent of total billed charges,1991.43,1991.43,2289,percent of total billed charges,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1991.43,87,percent of total billed charges,1991.43,1991.43,2289,percent of total billed charges,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,UNITED HEALTHCARE,UNITED HEALTHCARE,,2014.32,88,percent of total billed charges,2014.32,1991.43,2289,percent of total billed charges,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,AETNA,AETNA,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,ALLIANT,ALLIANT,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,AMBETTER,AMBETTER,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,BEECH STREET,BEECH STREET,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,CARESOURCE,CARESOURCE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,MEDICAID,MEDICAID,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,MEDICARE,MEDICARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,NOVA NET,NOVA NET,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,PEACHSTATE,PEACHSTATE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,SELFPAY,SELFPAY,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,TRICARE,TRICARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4076 45/52,C1898,CPT,both,,,2289,2289,UHC MEDICARE,UHC MEDICARE,,2289,,fee schedule,2289,1991.43,2289,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,AETNA,AETNA,,2525.61,87,percent of total billed charges,2525.61,2525.61,2903,percent of total billed charges,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2525.61,87,percent of total billed charges,2525.61,2525.61,2903,percent of total billed charges,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,UNITED HEALTHCARE,UNITED HEALTHCARE,,2554.64,88,percent of total billed charges,2554.64,2525.61,2903,percent of total billed charges,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,AETNA,AETNA,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,ALLIANT,ALLIANT,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,AMBETTER,AMBETTER,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,BEECH STREET,BEECH STREET,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,CARESOURCE,CARESOURCE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,MEDICAID,MEDICAID,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,MEDICARE,MEDICARE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,NOVA NET,NOVA NET,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,PEACHSTATE,PEACHSTATE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,SELFPAY,SELFPAY,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,TRICARE,TRICARE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4088,C1898,CPT,both,,,2903,2903,UHC MEDICARE,UHC MEDICARE,,2903,,fee schedule,2903,2525.61,2903,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,AETNA,AETNA,,1845.27,87,percent of total billed charges,1845.27,1845.27,2121,percent of total billed charges,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1845.27,87,percent of total billed charges,1845.27,1845.27,2121,percent of total billed charges,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,UNITED HEALTHCARE,UNITED HEALTHCARE,,1866.48,88,percent of total billed charges,1866.48,1845.27,2121,percent of total billed charges,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,AETNA,AETNA,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,ALLIANT,ALLIANT,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,AMBETTER,AMBETTER,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,BEECH STREET,BEECH STREET,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,CARESOURCE,CARESOURCE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,MEDICAID,MEDICAID,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,MEDICARE,MEDICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,NOVA NET,NOVA NET,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,PEACHSTATE,PEACHSTATE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,SELFPAY,SELFPAY,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,TRICARE,TRICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 4568-45,C1898,CPT,both,,,2121,2121,UHC MEDICARE,UHC MEDICARE,,2121,,fee schedule,2121,1845.27,2121,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,AETNA,AETNA,,1949.67,87,percent of total billed charges,1949.67,1949.67,2241,percent of total billed charges,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1949.67,87,percent of total billed charges,1949.67,1949.67,2241,percent of total billed charges,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,UNITED HEALTHCARE,UNITED HEALTHCARE,,1972.08,88,percent of total billed charges,1972.08,1949.67,2241,percent of total billed charges,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,AETNA,AETNA,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,ALLIANT,ALLIANT,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,AMBETTER,AMBETTER,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,BEECH STREET,BEECH STREET,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,CARESOURCE,CARESOURCE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,MEDICAID,MEDICAID,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,MEDICARE,MEDICARE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,NOVA NET,NOVA NET,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,PEACHSTATE,PEACHSTATE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,SELFPAY,SELFPAY,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,TRICARE,TRICARE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5034-58CM,C1898,CPT,both,,,2241,2241,UHC MEDICARE,UHC MEDICARE,,2241,,fee schedule,2241,1949.67,2241,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,AETNA,AETNA,,1856.58,87,percent of total billed charges,1856.58,1856.58,2134,percent of total billed charges,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1856.58,87,percent of total billed charges,1856.58,1856.58,2134,percent of total billed charges,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,UNITED HEALTHCARE,UNITED HEALTHCARE,,1877.92,88,percent of total billed charges,1877.92,1856.58,2134,percent of total billed charges,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,AETNA,AETNA,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,ALLIANT,ALLIANT,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,AMBETTER,AMBETTER,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,BEECH STREET,BEECH STREET,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,CARESOURCE,CARESOURCE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,MEDICAID,MEDICAID,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,MEDICARE,MEDICARE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,NOVA NET,NOVA NET,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,PEACHSTATE,PEACHSTATE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,SELFPAY,SELFPAY,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,TRICARE,TRICARE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5054-53/58,C1898,CPT,both,,,2134,2134,UHC MEDICARE,UHC MEDICARE,,2134,,fee schedule,2134,1856.58,2134,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,AETNA,AETNA,,2625.66,87,percent of total billed charges,2625.66,2625.66,3018,percent of total billed charges,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2625.66,87,percent of total billed charges,2625.66,2625.66,3018,percent of total billed charges,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,UNITED HEALTHCARE,UNITED HEALTHCARE,,2655.84,88,percent of total billed charges,2655.84,2625.66,3018,percent of total billed charges,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,AETNA,AETNA,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,ALLIANT,ALLIANT,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,AMBETTER,AMBETTER,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,BEECH STREET,BEECH STREET,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,CARESOURCE,CARESOURCE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,MEDICAID,MEDICAID,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,MEDICARE,MEDICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,NOVA NET,NOVA NET,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,PEACHSTATE,PEACHSTATE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,SELFPAY,SELFPAY,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,TRICARE,TRICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5076,C1898,CPT,both,,,3018,3018,UHC MEDICARE,UHC MEDICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,AETNA,AETNA,,1385.91,87,percent of total billed charges,1385.91,1385.91,1593,percent of total billed charges,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1385.91,87,percent of total billed charges,1385.91,1385.91,1593,percent of total billed charges,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,UNITED HEALTHCARE,UNITED HEALTHCARE,,1401.84,88,percent of total billed charges,1401.84,1385.91,1593,percent of total billed charges,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,AETNA,AETNA,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,ALLIANT,ALLIANT,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,AMBETTER,AMBETTER,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,BEECH STREET,BEECH STREET,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,CARESOURCE,CARESOURCE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,MEDICAID,MEDICAID,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,MEDICARE,MEDICARE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,NOVA NET,NOVA NET,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,PEACHSTATE,PEACHSTATE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,SELFPAY,SELFPAY,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,TRICARE,TRICARE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086,C1898,CPT,both,,,1593,1593,UHC MEDICARE,UHC MEDICARE,,1593,,fee schedule,1593,1385.91,1593,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,UNITED HEALTHCARE,UNITED HEALTHCARE,,2799.28,88,percent of total billed charges,2799.28,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,ALLIANT,ALLIANT,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,AMBETTER,AMBETTER,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,BEECH STREET,BEECH STREET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,CARESOURCE,CARESOURCE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,MEDICAID,MEDICAID,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,MEDICARE,MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,NOVA NET,NOVA NET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,PEACHSTATE,PEACHSTATE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,SELFPAY,SELFPAY,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,TRICARE,TRICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-45,C1898,CPT,both,,,3181,3181,UHC MEDICARE,UHC MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,UNITED HEALTHCARE,UNITED HEALTHCARE,,2799.28,88,percent of total billed charges,2799.28,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,ALLIANT,ALLIANT,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,AMBETTER,AMBETTER,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,BEECH STREET,BEECH STREET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,CARESOURCE,CARESOURCE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,MEDICAID,MEDICAID,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,MEDICARE,MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,NOVA NET,NOVA NET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,PEACHSTATE,PEACHSTATE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,SELFPAY,SELFPAY,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,TRICARE,TRICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-52,C1898,CPT,both,,,3181,3181,UHC MEDICARE,UHC MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2767.47,87,percent of total billed charges,2767.47,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,UNITED HEALTHCARE,UNITED HEALTHCARE,,2799.28,88,percent of total billed charges,2799.28,2767.47,3181,percent of total billed charges,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,AETNA,AETNA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,ALLIANT,ALLIANT,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,AMBETTER,AMBETTER,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,BEECH STREET,BEECH STREET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,CARESOURCE,CARESOURCE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,MEDICAID,MEDICAID,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,MEDICARE,MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,NOVA NET,NOVA NET,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,PEACHSTATE,PEACHSTATE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,SELFPAY,SELFPAY,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,TRICARE,TRICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5086MRI-58,C1898,CPT,both,,,3181,3181,UHC MEDICARE,UHC MEDICARE,,3181,,fee schedule,3181,2767.47,3181,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,AETNA,AETNA,,2432.52,87,percent of total billed charges,2432.52,2432.52,2796,percent of total billed charges,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2432.52,87,percent of total billed charges,2432.52,2432.52,2796,percent of total billed charges,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,UNITED HEALTHCARE,UNITED HEALTHCARE,,2460.48,88,percent of total billed charges,2460.48,2432.52,2796,percent of total billed charges,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,AETNA,AETNA,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,ALLIANT,ALLIANT,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,AMBETTER,AMBETTER,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,BEECH STREET,BEECH STREET,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,CARESOURCE,CARESOURCE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,MEDICAID,MEDICAID,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,MEDICARE,MEDICARE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,NOVA NET,NOVA NET,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,PEACHSTATE,PEACHSTATE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,SELFPAY,SELFPAY,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,TRICARE,TRICARE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5534,C1898,CPT,both,,,2796,2796,UHC MEDICARE,UHC MEDICARE,,2796,,fee schedule,2796,2432.52,2796,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,AETNA,AETNA,,1702.59,87,percent of total billed charges,1702.59,1702.59,1957,percent of total billed charges,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1702.59,87,percent of total billed charges,1702.59,1702.59,1957,percent of total billed charges,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,UNITED HEALTHCARE,UNITED HEALTHCARE,,1722.16,88,percent of total billed charges,1722.16,1702.59,1957,percent of total billed charges,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,AETNA,AETNA,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,ALLIANT,ALLIANT,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,AMBETTER,AMBETTER,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,BEECH STREET,BEECH STREET,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,CARESOURCE,CARESOURCE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,MEDICAID,MEDICAID,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,MEDICARE,MEDICARE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,NOVA NET,NOVA NET,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,PEACHSTATE,PEACHSTATE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,SELFPAY,SELFPAY,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,TRICARE,TRICARE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5554,C1898,CPT,both,,,1957,1957,UHC MEDICARE,UHC MEDICARE,,1957,,fee schedule,1957,1702.59,1957,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,AETNA,AETNA,,1938.36,87,percent of total billed charges,1938.36,1938.36,2228,percent of total billed charges,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1938.36,87,percent of total billed charges,1938.36,1938.36,2228,percent of total billed charges,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,UNITED HEALTHCARE,UNITED HEALTHCARE,,1960.64,88,percent of total billed charges,1960.64,1938.36,2228,percent of total billed charges,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,AETNA,AETNA,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,ALLIANT,ALLIANT,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,AMBETTER,AMBETTER,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,BEECH STREET,BEECH STREET,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,CARESOURCE,CARESOURCE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,MEDICAID,MEDICAID,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,MEDICARE,MEDICARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,NOVA NET,NOVA NET,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,PEACHSTATE,PEACHSTATE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,SELFPAY,SELFPAY,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,TRICARE,TRICARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEAD 5568-53CM,C1898,CPT,both,,,2228,2228,UHC MEDICARE,UHC MEDICARE,,2228,,fee schedule,2228,1938.36,2228,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,AETNA,AETNA,,2625.66,87,percent of total billed charges,2625.66,2625.66,3018,percent of total billed charges,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2625.66,87,percent of total billed charges,2625.66,2625.66,3018,percent of total billed charges,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,UNITED HEALTHCARE,UNITED HEALTHCARE,,2655.84,88,percent of total billed charges,2655.84,2625.66,3018,percent of total billed charges,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,AETNA,AETNA,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,ALLIANT,ALLIANT,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,AMBETTER,AMBETTER,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,BEECH STREET,BEECH STREET,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,CARESOURCE,CARESOURCE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,MEDICAID,MEDICAID,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,MEDICARE,MEDICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,NOVA NET,NOVA NET,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,PEACHSTATE,PEACHSTATE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,SELFPAY,SELFPAY,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,TRICARE,TRICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LEADS 5076,C1898,CPT,both,,,3018,3018,UHC MEDICARE,UHC MEDICARE,,3018,,fee schedule,3018,2625.66,3018,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,AETNA,AETNA,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,723.84,87,percent of total billed charges,723.84,723.84,832,percent of total billed charges,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,UNITED HEALTHCARE,UNITED HEALTHCARE,,732.16,88,percent of total billed charges,732.16,723.84,832,percent of total billed charges,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,AETNA,AETNA,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,ALLIANT,ALLIANT,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,AMBETTER,AMBETTER,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,BEECH STREET,BEECH STREET,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,CARESOURCE,CARESOURCE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,MEDICAID,MEDICAID,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,MEDICARE,MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,NOVA NET,NOVA NET,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,PEACHSTATE,PEACHSTATE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,SELFPAY,SELFPAY,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,TRICARE,TRICARE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMAKER LOCATOR 4036,C1898,CPT,both,,,832,832,UHC MEDICARE,UHC MEDICARE,,832,,fee schedule,832,723.84,832,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,AETNA,AETNA,,1172.76,87,percent of total billed charges,1172.76,1172.76,1348,percent of total billed charges,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1172.76,87,percent of total billed charges,1172.76,1172.76,1348,percent of total billed charges,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,UNITED HEALTHCARE,UNITED HEALTHCARE,,1186.24,88,percent of total billed charges,1186.24,1172.76,1348,percent of total billed charges,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,AETNA,AETNA,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,ALLIANT,ALLIANT,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,AMBETTER,AMBETTER,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,BEECH STREET,BEECH STREET,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,CARESOURCE,CARESOURCE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,MEDICAID,MEDICAID,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,MEDICARE,MEDICARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,NOVA NET,NOVA NET,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,PEACHSTATE,PEACHSTATE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,SELFPAY,SELFPAY,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,TRICARE,TRICARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR BIOTRON LEAD,C1898,CPT,both,,,1348,1348,UHC MEDICARE,UHC MEDICARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,AETNA,AETNA,,1172.76,87,percent of total billed charges,1172.76,1172.76,1348,percent of total billed charges,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1172.76,87,percent of total billed charges,1172.76,1172.76,1348,percent of total billed charges,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,UNITED HEALTHCARE,UNITED HEALTHCARE,,1186.24,88,percent of total billed charges,1186.24,1172.76,1348,percent of total billed charges,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,AETNA,AETNA,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,ALLIANT,ALLIANT,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,AMBETTER,AMBETTER,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,BEECH STREET,BEECH STREET,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,CARESOURCE,CARESOURCE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,MEDICAID,MEDICAID,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,MEDICARE,MEDICARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,NOVA NET,NOVA NET,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,PEACHSTATE,PEACHSTATE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,SELFPAY,SELFPAY,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,TRICARE,TRICARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
PACEMKR LEAD SETROX,C1898,CPT,both,,,1348,1348,UHC MEDICARE,UHC MEDICARE,,1348,,fee schedule,1348,1172.76,1348,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,AETNA,AETNA,,447.18,87,percent of total billed charges,447.18,447.18,514,percent of total billed charges,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,447.18,87,percent of total billed charges,447.18,447.18,514,percent of total billed charges,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,UNITED HEALTHCARE,UNITED HEALTHCARE,,452.32,88,percent of total billed charges,452.32,447.18,514,percent of total billed charges,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,AETNA,AETNA,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,ALLIANT,ALLIANT,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,AMBETTER,AMBETTER,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,BEECH STREET,BEECH STREET,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,CARESOURCE,CARESOURCE,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,MEDICAID,MEDICAID,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,MEDICARE,MEDICARE,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,NOVA NET,NOVA NET,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,PEACHSTATE,PEACHSTATE,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,SELFPAY,SELFPAY,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,TRICARE,TRICARE,,514,,fee schedule,514,447.18,514,fee schedule,
SEAMGUARD 1 PAIR,C2615,CPT,both,,,514,514,UHC MEDICARE,UHC MEDICARE,,514,,fee schedule,514,447.18,514,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,AETNA,AETNA,,303.63,87,percent of total billed charges,303.63,303.63,349,percent of total billed charges,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,303.63,87,percent of total billed charges,303.63,303.63,349,percent of total billed charges,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,UNITED HEALTHCARE,UNITED HEALTHCARE,,307.12,88,percent of total billed charges,307.12,303.63,349,percent of total billed charges,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,AETNA,AETNA,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,ALLIANT,ALLIANT,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,AMBETTER,AMBETTER,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,BEECH STREET,BEECH STREET,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,CARESOURCE,CARESOURCE,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,MEDICAID,MEDICAID,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,MEDICARE,MEDICARE,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,NOVA NET,NOVA NET,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,PEACHSTATE,PEACHSTATE,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,SELFPAY,SELFPAY,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,TRICARE,TRICARE,,349,,fee schedule,349,303.63,349,fee schedule,
ADVANIX BILIARY STENT 342,C2617,CPT,both,,,349,349,UHC MEDICARE,UHC MEDICARE,,349,,fee schedule,349,303.63,349,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,65.25,75,percent of total billed charges,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,65.25,75,percent of total billed charges,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,ALLIANT,ALLIANT,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,AMBETTER,AMBETTER,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,MEDICARE,MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,TRICARE,TRICARE,,75,,fee schedule,75,65.25,75,fee schedule,
ARGYLE CAROTID ARTERY SHU,C2617,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,75,,fee schedule,75,65.25,75,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,140.94,162,percent of total billed charges,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,140.94,162,percent of total billed charges,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,140.94,162,fee schedule,
COTTON-LEUNG BILIARY STEN,C2617,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,140.94,162,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,AETNA,AETNA,,564.63,87,percent of total billed charges,564.63,564.63,649,percent of total billed charges,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,564.63,87,percent of total billed charges,564.63,564.63,649,percent of total billed charges,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,UNITED HEALTHCARE,UNITED HEALTHCARE,,571.12,88,percent of total billed charges,571.12,564.63,649,percent of total billed charges,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,AETNA,AETNA,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,ALLIANT,ALLIANT,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,AMBETTER,AMBETTER,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,BEECH STREET,BEECH STREET,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,CARESOURCE,CARESOURCE,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,MEDICAID,MEDICAID,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,MEDICARE,MEDICARE,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,NOVA NET,NOVA NET,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,PEACHSTATE,PEACHSTATE,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,SELFPAY,SELFPAY,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,TRICARE,TRICARE,,649,,fee schedule,649,564.63,649,fee schedule,
LIGHTED URETERAL STENTS,C2617,CPT,both,,,649,649,UHC MEDICARE,UHC MEDICARE,,649,,fee schedule,649,564.63,649,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,AETNA,AETNA,,454.14,87,percent of total billed charges,454.14,454.14,522,percent of total billed charges,
POLARIS STENT,C2617,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,454.14,87,percent of total billed charges,454.14,454.14,522,percent of total billed charges,
POLARIS STENT,C2617,CPT,both,,,522,522,UNITED HEALTHCARE,UNITED HEALTHCARE,,459.36,88,percent of total billed charges,459.36,454.14,522,percent of total billed charges,
POLARIS STENT,C2617,CPT,both,,,522,522,AETNA,AETNA,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,ALLIANT,ALLIANT,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,AMBETTER,AMBETTER,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,BEECH STREET,BEECH STREET,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,CARESOURCE,CARESOURCE,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,MEDICAID,MEDICAID,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,MEDICARE,MEDICARE,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,NOVA NET,NOVA NET,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,PEACHSTATE,PEACHSTATE,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,SELFPAY,SELFPAY,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,TRICARE,TRICARE,,522,,fee schedule,522,454.14,522,fee schedule,
POLARIS STENT,C2617,CPT,both,,,522,522,UHC MEDICARE,UHC MEDICARE,,522,,fee schedule,522,454.14,522,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,AETNA,AETNA,,347.13,87,percent of total billed charges,347.13,347.13,399,percent of total billed charges,
URETERAL STENT,C2617,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347.13,87,percent of total billed charges,347.13,347.13,399,percent of total billed charges,
URETERAL STENT,C2617,CPT,both,,,399,399,UNITED HEALTHCARE,UNITED HEALTHCARE,,351.12,88,percent of total billed charges,351.12,347.13,399,percent of total billed charges,
URETERAL STENT,C2617,CPT,both,,,399,399,AETNA,AETNA,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,ALLIANT,ALLIANT,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,AMBETTER,AMBETTER,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,BEECH STREET,BEECH STREET,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,CARESOURCE,CARESOURCE,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,MEDICAID,MEDICAID,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,MEDICARE,MEDICARE,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,NOVA NET,NOVA NET,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,PEACHSTATE,PEACHSTATE,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,SELFPAY,SELFPAY,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,TRICARE,TRICARE,,399,,fee schedule,399,347.13,399,fee schedule,
URETERAL STENT,C2617,CPT,both,,,399,399,UHC MEDICARE,UHC MEDICARE,,399,,fee schedule,399,347.13,399,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,AETNA,AETNA,,16621.35,87,percent of total billed charges,16621.35,16621.35,19105,percent of total billed charges,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16621.35,87,percent of total billed charges,16621.35,16621.35,19105,percent of total billed charges,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,UNITED HEALTHCARE,UNITED HEALTHCARE,,16812.4,88,percent of total billed charges,16812.4,16621.35,19105,percent of total billed charges,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,AETNA,AETNA,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,ALLIANT,ALLIANT,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,AMBETTER,AMBETTER,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,BEECH STREET,BEECH STREET,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,CARESOURCE,CARESOURCE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,MEDICAID,MEDICAID,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,MEDICARE,MEDICARE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,NOVA NET,NOVA NET,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,PEACHSTATE,PEACHSTATE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,SELFPAY,SELFPAY,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,TRICARE,TRICARE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
PACEMKR GEN 5180,C2620,CPT,both,,,19105,19105,UHC MEDICARE,UHC MEDICARE,,19105,,fee schedule,19105,16621.35,19105,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,AETNA,AETNA,,3721.86,87,percent of total billed charges,3721.86,3721.86,4278,percent of total billed charges,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3721.86,87,percent of total billed charges,3721.86,3721.86,4278,percent of total billed charges,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,UNITED HEALTHCARE,UNITED HEALTHCARE,,3764.64,88,percent of total billed charges,3764.64,3721.86,4278,percent of total billed charges,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,AETNA,AETNA,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,ALLIANT,ALLIANT,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,AMBETTER,AMBETTER,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,BEECH STREET,BEECH STREET,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,CARESOURCE,CARESOURCE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,MEDICAID,MEDICAID,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,MEDICARE,MEDICARE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,NOVA NET,NOVA NET,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,PEACHSTATE,PEACHSTATE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,SELFPAY,SELFPAY,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,TRICARE,TRICARE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
IN PACT ADMIRAL DCB,C2623,CPT,both,,,4278,4278,UHC MEDICARE,UHC MEDICARE,,4278,,fee schedule,4278,3721.86,4278,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,AETNA,AETNA,,4283.01,87,percent of total billed charges,4283.01,4283.01,4923,percent of total billed charges,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4283.01,87,percent of total billed charges,4283.01,4283.01,4923,percent of total billed charges,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,UNITED HEALTHCARE,UNITED HEALTHCARE,,4332.24,88,percent of total billed charges,4332.24,4283.01,4923,percent of total billed charges,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,AETNA,AETNA,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,ALLIANT,ALLIANT,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,AMBETTER,AMBETTER,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,BEECH STREET,BEECH STREET,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,CARESOURCE,CARESOURCE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,MEDICAID,MEDICAID,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,MEDICARE,MEDICARE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,NOVA NET,NOVA NET,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,PEACHSTATE,PEACHSTATE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,SELFPAY,SELFPAY,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,TRICARE,TRICARE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 120,C2623,CPT,both,,,4923,4923,UHC MEDICARE,UHC MEDICARE,,4923,,fee schedule,4923,4283.01,4923,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,AETNA,AETNA,,4884.18,87,percent of total billed charges,4884.18,4884.18,5614,percent of total billed charges,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4884.18,87,percent of total billed charges,4884.18,4884.18,5614,percent of total billed charges,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,UNITED HEALTHCARE,UNITED HEALTHCARE,,4940.32,88,percent of total billed charges,4940.32,4884.18,5614,percent of total billed charges,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,AETNA,AETNA,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,ALLIANT,ALLIANT,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,AMBETTER,AMBETTER,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,BEECH STREET,BEECH STREET,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,CARESOURCE,CARESOURCE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,MEDICAID,MEDICAID,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,MEDICARE,MEDICARE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,NOVA NET,NOVA NET,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,PEACHSTATE,PEACHSTATE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,SELFPAY,SELFPAY,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,TRICARE,TRICARE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 150,C2623,CPT,both,,,5614,5614,UHC MEDICARE,UHC MEDICARE,,5614,,fee schedule,5614,4884.18,5614,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,AETNA,AETNA,,5360.07,87,percent of total billed charges,5360.07,5360.07,6161,percent of total billed charges,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5360.07,87,percent of total billed charges,5360.07,5360.07,6161,percent of total billed charges,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,UNITED HEALTHCARE,UNITED HEALTHCARE,,5421.68,88,percent of total billed charges,5421.68,5360.07,6161,percent of total billed charges,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,AETNA,AETNA,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,ALLIANT,ALLIANT,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,AMBETTER,AMBETTER,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,BEECH STREET,BEECH STREET,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,CARESOURCE,CARESOURCE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,MEDICAID,MEDICAID,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,MEDICARE,MEDICARE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,NOVA NET,NOVA NET,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,PEACHSTATE,PEACHSTATE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,SELFPAY,SELFPAY,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,TRICARE,TRICARE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 220,C2623,CPT,both,,,6161,6161,UHC MEDICARE,UHC MEDICARE,,6161,,fee schedule,6161,5360.07,6161,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,AETNA,AETNA,,3881.94,87,percent of total billed charges,3881.94,3881.94,4462,percent of total billed charges,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3881.94,87,percent of total billed charges,3881.94,3881.94,4462,percent of total billed charges,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,UNITED HEALTHCARE,UNITED HEALTHCARE,,3926.56,88,percent of total billed charges,3926.56,3881.94,4462,percent of total billed charges,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,AETNA,AETNA,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,ALLIANT,ALLIANT,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,AMBETTER,AMBETTER,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,BEECH STREET,BEECH STREET,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,CARESOURCE,CARESOURCE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,MEDICAID,MEDICAID,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,MEDICARE,MEDICARE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,NOVA NET,NOVA NET,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,PEACHSTATE,PEACHSTATE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,SELFPAY,SELFPAY,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,TRICARE,TRICARE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
LUTONIX BALLOON 40-100,C2623,CPT,both,,,4462,4462,UHC MEDICARE,UHC MEDICARE,,4462,,fee schedule,4462,3881.94,4462,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,AETNA,AETNA,,437.61,87,percent of total billed charges,437.61,437.61,503,percent of total billed charges,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437.61,87,percent of total billed charges,437.61,437.61,503,percent of total billed charges,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,UNITED HEALTHCARE,UNITED HEALTHCARE,,442.64,88,percent of total billed charges,442.64,437.61,503,percent of total billed charges,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,AETNA,AETNA,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,ALLIANT,ALLIANT,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,AMBETTER,AMBETTER,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,BEECH STREET,BEECH STREET,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,CARESOURCE,CARESOURCE,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,MEDICAID,MEDICAID,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,MEDICARE,MEDICARE,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,NOVA NET,NOVA NET,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,PEACHSTATE,PEACHSTATE,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,SELFPAY,SELFPAY,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,TRICARE,TRICARE,,503,,fee schedule,503,437.61,503,fee schedule,
ERCP CENTER BEND BILIARY STENT,C2625,CPT,both,,,503,503,UHC MEDICARE,UHC MEDICARE,,503,,fee schedule,503,437.61,503,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,AETNA,AETNA,,358.44,87,percent of total billed charges,358.44,358.44,412,percent of total billed charges,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358.44,87,percent of total billed charges,358.44,358.44,412,percent of total billed charges,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,UNITED HEALTHCARE,UNITED HEALTHCARE,,362.56,88,percent of total billed charges,362.56,358.44,412,percent of total billed charges,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,AETNA,AETNA,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,ALLIANT,ALLIANT,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,AMBETTER,AMBETTER,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,BEECH STREET,BEECH STREET,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,MEDICAID,MEDICAID,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,MEDICARE,MEDICARE,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,NOVA NET,NOVA NET,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,SELFPAY,SELFPAY,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,TRICARE,TRICARE,,412,,fee schedule,412,358.44,412,fee schedule,
RESONANCE STENT INTRODUCE,C2625,CPT,both,,,412,412,UHC MEDICARE,UHC MEDICARE,,412,,fee schedule,412,358.44,412,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,73.08,84,percent of total billed charges,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,73.08,84,percent of total billed charges,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,73.08,84,percent of total billed charges,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,ALLIANT,ALLIANT,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,AMBETTER,AMBETTER,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,MEDICARE,MEDICARE,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,TRICARE,TRICARE,,84,,fee schedule,84,73.08,84,fee schedule,
COVELAIRE 3WAY CATH 24CH,C2627,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,84,,fee schedule,84,73.08,84,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,AETNA,AETNA,,91.35,87,percent of total billed charges,91.35,91.35,105,percent of total billed charges,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91.35,87,percent of total billed charges,91.35,91.35,105,percent of total billed charges,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,UNITED HEALTHCARE,UNITED HEALTHCARE,,92.4,88,percent of total billed charges,92.4,91.35,105,percent of total billed charges,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,AETNA,AETNA,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,ALLIANT,ALLIANT,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,AMBETTER,AMBETTER,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,BEECH STREET,BEECH STREET,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,CARESOURCE,CARESOURCE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,MEDICAID,MEDICAID,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,MEDICARE,MEDICARE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,NOVA NET,NOVA NET,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,PEACHSTATE,PEACHSTATE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,SELFPAY,SELFPAY,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,TRICARE,TRICARE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH SE,C2627,CPT,both,,,105,105,UHC MEDICARE,UHC MEDICARE,,105,,fee schedule,105,91.35,105,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,AETNA,AETNA,,148.77,87,percent of total billed charges,148.77,148.77,171,percent of total billed charges,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,148.77,87,percent of total billed charges,148.77,148.77,171,percent of total billed charges,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,UNITED HEALTHCARE,UNITED HEALTHCARE,,150.48,88,percent of total billed charges,150.48,148.77,171,percent of total billed charges,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,AETNA,AETNA,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,ALLIANT,ALLIANT,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,AMBETTER,AMBETTER,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,BEECH STREET,BEECH STREET,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,CARESOURCE,CARESOURCE,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,MEDICAID,MEDICAID,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,MEDICARE,MEDICARE,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,NOVA NET,NOVA NET,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,PEACHSTATE,PEACHSTATE,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,SELFPAY,SELFPAY,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,TRICARE,TRICARE,,171,,fee schedule,171,148.77,171,fee schedule,
STAMEY SUPRAPUBIC CATH. 1,C2627,CPT,both,,,171,171,UHC MEDICARE,UHC MEDICARE,,171,,fee schedule,171,148.77,171,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,260.13,299,percent of total billed charges,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,260.13,299,percent of total billed charges,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,260.13,299,percent of total billed charges,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC CATH,C2627,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,260.13,299,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,152.25,175,percent of total billed charges,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,152.25,175,percent of total billed charges,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,152.25,175,percent of total billed charges,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,ALLIANT,ALLIANT,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,AMBETTER,AMBETTER,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,MEDICARE,MEDICARE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,TRICARE,TRICARE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC DRAIN CATHETER,C2627,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,175,,fee schedule,175,152.25,175,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,AETNA,AETNA,,199.23,87,percent of total billed charges,199.23,199.23,229,percent of total billed charges,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,199.23,87,percent of total billed charges,199.23,199.23,229,percent of total billed charges,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,UNITED HEALTHCARE,UNITED HEALTHCARE,,201.52,88,percent of total billed charges,201.52,199.23,229,percent of total billed charges,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,AETNA,AETNA,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,ALLIANT,ALLIANT,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,AMBETTER,AMBETTER,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,BEECH STREET,BEECH STREET,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,CARESOURCE,CARESOURCE,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,MEDICAID,MEDICAID,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,MEDICARE,MEDICARE,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,NOVA NET,NOVA NET,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,PEACHSTATE,PEACHSTATE,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,SELFPAY,SELFPAY,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,TRICARE,TRICARE,,229,,fee schedule,229,199.23,229,fee schedule,
SUPRAPUBIC SET BLADDER DRAIN,C2627,CPT,both,,,229,229,UHC MEDICARE,UHC MEDICARE,,229,,fee schedule,229,199.23,229,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,AETNA,AETNA,,3459.12,87,percent of total billed charges,3459.12,3459.12,3976,percent of total billed charges,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3459.12,87,percent of total billed charges,3459.12,3459.12,3976,percent of total billed charges,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,UNITED HEALTHCARE,UNITED HEALTHCARE,,3498.88,88,percent of total billed charges,3498.88,3459.12,3976,percent of total billed charges,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,AETNA,AETNA,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,ALLIANT,ALLIANT,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,AMBETTER,AMBETTER,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,BEECH STREET,BEECH STREET,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,CARESOURCE,CARESOURCE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,MEDICAID,MEDICAID,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,MEDICARE,MEDICARE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,NOVA NET,NOVA NET,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,PEACHSTATE,PEACHSTATE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,SELFPAY,SELFPAY,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,TRICARE,TRICARE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
GYNECARE PROLIFT KIT,C2631,CPT,both,,,3976,3976,UHC MEDICARE,UHC MEDICARE,,3976,,fee schedule,3976,3459.12,3976,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,AETNA,AETNA,,1486.83,87,percent of total billed charges,1486.83,1486.83,1709,percent of total billed charges,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1486.83,87,percent of total billed charges,1486.83,1486.83,1709,percent of total billed charges,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,UNITED HEALTHCARE,UNITED HEALTHCARE,,1503.92,88,percent of total billed charges,1503.92,1486.83,1709,percent of total billed charges,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,AETNA,AETNA,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,ALLIANT,ALLIANT,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,AMBETTER,AMBETTER,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,BEECH STREET,BEECH STREET,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,CARESOURCE,CARESOURCE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,MEDICAID,MEDICAID,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,MEDICARE,MEDICARE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,NOVA NET,NOVA NET,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,PEACHSTATE,PEACHSTATE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,SELFPAY,SELFPAY,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,TRICARE,TRICARE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
PRECISION TWIST SUTURE KI,C2631,CPT,both,,,1709,1709,UHC MEDICARE,UHC MEDICARE,,1709,,fee schedule,1709,1486.83,1709,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,AETNA,AETNA,,2034.06,87,percent of total billed charges,2034.06,2034.06,2338,percent of total billed charges,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2034.06,87,percent of total billed charges,2034.06,2034.06,2338,percent of total billed charges,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,UNITED HEALTHCARE,UNITED HEALTHCARE,,2057.44,88,percent of total billed charges,2057.44,2034.06,2338,percent of total billed charges,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,AETNA,AETNA,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,ALLIANT,ALLIANT,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,AMBETTER,AMBETTER,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,BEECH STREET,BEECH STREET,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,CARESOURCE,CARESOURCE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,MEDICAID,MEDICAID,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,MEDICARE,MEDICARE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,NOVA NET,NOVA NET,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,PEACHSTATE,PEACHSTATE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,SELFPAY,SELFPAY,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,TRICARE,TRICARE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING INFAST GUN,C2631,CPT,both,,,2338,2338,UHC MEDICARE,UHC MEDICARE,,2338,,fee schedule,2338,2034.06,2338,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,AETNA,AETNA,,2102.79,87,percent of total billed charges,2102.79,2102.79,2417,percent of total billed charges,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2102.79,87,percent of total billed charges,2102.79,2102.79,2417,percent of total billed charges,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,UNITED HEALTHCARE,UNITED HEALTHCARE,,2126.96,88,percent of total billed charges,2126.96,2102.79,2417,percent of total billed charges,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,AETNA,AETNA,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,ALLIANT,ALLIANT,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,AMBETTER,AMBETTER,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,BEECH STREET,BEECH STREET,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,CARESOURCE,CARESOURCE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,MEDICAID,MEDICAID,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,MEDICARE,MEDICARE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,NOVA NET,NOVA NET,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,PEACHSTATE,PEACHSTATE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,SELFPAY,SELFPAY,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,TRICARE,TRICARE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
VAG SLING PRECISION TWIST,C2631,CPT,both,,,2417,2417,UHC MEDICARE,UHC MEDICARE,,2417,,fee schedule,2417,2102.79,2417,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,ALLIANT,ALLIANT,,62.95,,fee schedule,62.95,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,AMBETTER,AMBETTER,,49.6,,fee schedule,49.6,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,MEDICARE,MEDICARE,,38.15,,fee schedule,38.15,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,TRICARE,TRICARE,,38.15,,fee schedule,38.15,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,38.15,,fee schedule,38.15,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,38.15,101,percent of total billed charges,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,38.15,101,percent of total billed charges,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,38.15,101,percent of total billed charges,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,38.15,101,fee schedule,
BRACHYTX STRANDED I-125,C2638,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,38.15,101,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,ALLIANT,ALLIANT,,58.26,,fee schedule,58.26,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,AMBETTER,AMBETTER,,45.9,,fee schedule,45.9,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,MEDICARE,MEDICARE,,35.31,,fee schedule,35.31,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,TRICARE,TRICARE,,35.31,,fee schedule,35.31,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,UHC MEDICARE,UHC MEDICARE,,35.31,,fee schedule,35.31,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,AETNA,AETNA,,153.12,87,percent of total billed charges,153.12,35.31,176,percent of total billed charges,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153.12,87,percent of total billed charges,153.12,35.31,176,percent of total billed charges,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,UNITED HEALTHCARE,UNITED HEALTHCARE,,154.88,88,percent of total billed charges,154.88,35.31,176,percent of total billed charges,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,AETNA,AETNA,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,BEECH STREET,BEECH STREET,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,CARESOURCE,CARESOURCE,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,MEDICAID,MEDICAID,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,NOVA NET,NOVA NET,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,PEACHSTATE,PEACHSTATE,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,SELFPAY,SELFPAY,,176,,fee schedule,176,35.31,176,fee schedule,
IODINE-125 BRACHYTX SEED,C2639,CPT,both,,,176,176,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,176,,fee schedule,176,35.31,176,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,ALLIANT,ALLIANT,,146.24,,fee schedule,146.24,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,AMBETTER,AMBETTER,,115.22,,fee schedule,115.22,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,MEDICARE,MEDICARE,,88.63,,fee schedule,88.63,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,TRICARE,TRICARE,,88.63,,fee schedule,88.63,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,UHC MEDICARE,UHC MEDICARE,,88.63,,fee schedule,88.63,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,AETNA,AETNA,,225.33,87,percent of total billed charges,225.33,88.63,259,percent of total billed charges,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225.33,87,percent of total billed charges,225.33,88.63,259,percent of total billed charges,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.92,88,percent of total billed charges,227.92,88.63,259,percent of total billed charges,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,AETNA,AETNA,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,BEECH STREET,BEECH STREET,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,MEDICAID,MEDICAID,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,NOVA NET,NOVA NET,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,SELFPAY,SELFPAY,,259,,fee schedule,259,88.63,259,fee schedule,
BRACHYTX STRANDED P-103,C2640,CPT,both,,,259,259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,259,,fee schedule,259,88.63,259,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,ALLIANT,ALLIANT,,133.63,,fee schedule,133.63,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,AMBETTER,AMBETTER,,105.29,,fee schedule,105.29,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,MEDICARE,MEDICARE,,80.99,,fee schedule,80.99,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,TRICARE,TRICARE,,80.99,,fee schedule,80.99,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,UHC MEDICARE,UHC MEDICARE,,80.99,,fee schedule,80.99,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,AETNA,AETNA,,187.05,87,percent of total billed charges,187.05,80.99,215,percent of total billed charges,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187.05,87,percent of total billed charges,187.05,80.99,215,percent of total billed charges,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,UNITED HEALTHCARE,UNITED HEALTHCARE,,189.2,88,percent of total billed charges,189.2,80.99,215,percent of total billed charges,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,AETNA,AETNA,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,BEECH STREET,BEECH STREET,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,CARESOURCE,CARESOURCE,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,MEDICAID,MEDICAID,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,NOVA NET,NOVA NET,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,PEACHSTATE,PEACHSTATE,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,SELFPAY,SELFPAY,,215,,fee schedule,215,80.99,215,fee schedule,
PALLIDIUM-103 BRACHYTX SE,C2641,CPT,both,,,215,215,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,215,,fee schedule,215,80.99,215,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,TRICARE,TRICARE,,368.43,,fee schedule,368.43,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,AETNA,AETNA,,3253.8,87,percent of total billed charges,3253.8,368.43,3740,percent of total billed charges,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3253.8,87,percent of total billed charges,3253.8,368.43,3740,percent of total billed charges,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,UNITED HEALTHCARE,UNITED HEALTHCARE,,3291.2,88,percent of total billed charges,3291.2,368.43,3740,percent of total billed charges,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,AETNA,AETNA,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,BEECH STREET,BEECH STREET,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,CARESOURCE,CARESOURCE,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,MEDICAID,MEDICAID,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,NOVA NET,NOVA NET,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,PEACHSTATE,PEACHSTATE,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,SELFPAY,SELFPAY,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MRA OF ABDOMEN,C8900,CPT,both,,,3740,3740,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3740,,fee schedule,3740,368.43,3740,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,ALLIANT,ALLIANT,,297.56,,fee schedule,297.56,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,AMBETTER,AMBETTER,,234.44,,fee schedule,234.44,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,MEDICARE,MEDICARE,,180.34,,fee schedule,180.34,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,TRICARE,TRICARE,,180.34,,fee schedule,180.34,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,UHC MEDICARE,UHC MEDICARE,,180.34,,fee schedule,180.34,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,AETNA,AETNA,,737.76,87,percent of total billed charges,737.76,180.34,848,percent of total billed charges,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,737.76,87,percent of total billed charges,737.76,180.34,848,percent of total billed charges,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,UNITED HEALTHCARE,UNITED HEALTHCARE,,746.24,88,percent of total billed charges,746.24,180.34,848,percent of total billed charges,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,AETNA,AETNA,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,BEECH STREET,BEECH STREET,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,CARESOURCE,CARESOURCE,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,MEDICAID,MEDICAID,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,NOVA NET,NOVA NET,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,PEACHSTATE,PEACHSTATE,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,SELFPAY,SELFPAY,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST RT W/CON,C8903,CPT,both,,,848,848,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,848,,fee schedule,848,180.34,848,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,TRICARE,TRICARE,,368.43,,fee schedule,368.43,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,AETNA,AETNA,,833.46,87,percent of total billed charges,833.46,368.43,958,percent of total billed charges,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,833.46,87,percent of total billed charges,833.46,368.43,958,percent of total billed charges,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,UNITED HEALTHCARE,UNITED HEALTHCARE,,843.04,88,percent of total billed charges,843.04,368.43,958,percent of total billed charges,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,AETNA,AETNA,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,BEECH STREET,BEECH STREET,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,MEDICAID,MEDICAID,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,NOVA NET,NOVA NET,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,SELFPAY,SELFPAY,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST LT W/O & W CON,C8905,CPT,both,,,958,958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,TRICARE,TRICARE,,368.43,,fee schedule,368.43,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,AETNA,AETNA,,833.46,87,percent of total billed charges,833.46,368.43,958,percent of total billed charges,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,833.46,87,percent of total billed charges,833.46,368.43,958,percent of total billed charges,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,UNITED HEALTHCARE,UNITED HEALTHCARE,,843.04,88,percent of total billed charges,843.04,368.43,958,percent of total billed charges,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,AETNA,AETNA,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,BEECH STREET,BEECH STREET,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,MEDICAID,MEDICAID,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,NOVA NET,NOVA NET,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,SELFPAY,SELFPAY,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST RT W/O & W CON,C8905,CPT,both,,,958,958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,958,,fee schedule,958,368.43,958,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,TRICARE,TRICARE,,368.43,,fee schedule,368.43,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,AETNA,AETNA,,1378.95,87,percent of total billed charges,1378.95,368.43,1585,percent of total billed charges,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1378.95,87,percent of total billed charges,1378.95,368.43,1585,percent of total billed charges,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,UNITED HEALTHCARE,UNITED HEALTHCARE,,1394.8,88,percent of total billed charges,1394.8,368.43,1585,percent of total billed charges,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,AETNA,AETNA,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,BEECH STREET,BEECH STREET,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,CARESOURCE,CARESOURCE,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,MEDICAID,MEDICAID,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,NOVA NET,NOVA NET,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,PEACHSTATE,PEACHSTATE,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,SELFPAY,SELFPAY,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W/CON,C8906,CPT,both,,,1585,1585,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1585,,fee schedule,1585,368.43,1585,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,TRICARE,TRICARE,,368.43,,fee schedule,368.43,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,AETNA,AETNA,,1473.78,87,percent of total billed charges,1473.78,368.43,1694,percent of total billed charges,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1473.78,87,percent of total billed charges,1473.78,368.43,1694,percent of total billed charges,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,UNITED HEALTHCARE,UNITED HEALTHCARE,,1490.72,88,percent of total billed charges,1490.72,368.43,1694,percent of total billed charges,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,AETNA,AETNA,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,BEECH STREET,BEECH STREET,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,CARESOURCE,CARESOURCE,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,MEDICAID,MEDICAID,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,NOVA NET,NOVA NET,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,PEACHSTATE,PEACHSTATE,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,SELFPAY,SELFPAY,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MR BREAST BI W & W/O CON,C8908,CPT,both,,,1694,1694,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1694,,fee schedule,1694,368.43,1694,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,ALLIANT,ALLIANT,,385.31,,fee schedule,385.31,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,AMBETTER,AMBETTER,,303.58,,fee schedule,303.58,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,MEDICARE,MEDICARE,,233.52,,fee schedule,233.52,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,TRICARE,TRICARE,,233.52,,fee schedule,233.52,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,UHC MEDICARE,UHC MEDICARE,,233.52,,fee schedule,233.52,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,AETNA,AETNA,,3252.93,87,percent of total billed charges,3252.93,233.52,3739,percent of total billed charges,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3252.93,87,percent of total billed charges,3252.93,233.52,3739,percent of total billed charges,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,UNITED HEALTHCARE,UNITED HEALTHCARE,,3290.32,88,percent of total billed charges,3290.32,233.52,3739,percent of total billed charges,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,AETNA,AETNA,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,BEECH STREET,BEECH STREET,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,CARESOURCE,CARESOURCE,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,MEDICAID,MEDICAID,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,NOVA NET,NOVA NET,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,PEACHSTATE,PEACHSTATE,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,SELFPAY,SELFPAY,,3739,,fee schedule,3739,233.52,3739,fee schedule,
MRA EXTREMITY RUNOFF,C8913,CPT,both,,,3739,3739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3739,,fee schedule,3739,233.52,3739,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,ALLIANT,ALLIANT,,607.91,,fee schedule,607.91,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,AMBETTER,AMBETTER,,478.96,,fee schedule,478.96,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,MEDICARE,MEDICARE,,368.43,,fee schedule,368.43,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,TRICARE,TRICARE,,368.43,,fee schedule,368.43,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,UHC MEDICARE,UHC MEDICARE,,368.43,,fee schedule,368.43,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,AETNA,AETNA,,1480.74,87,percent of total billed charges,1480.74,368.43,1702,percent of total billed charges,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1480.74,87,percent of total billed charges,1480.74,368.43,1702,percent of total billed charges,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,UNITED HEALTHCARE,UNITED HEALTHCARE,,1497.76,88,percent of total billed charges,1497.76,368.43,1702,percent of total billed charges,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,AETNA,AETNA,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,BEECH STREET,BEECH STREET,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,CARESOURCE,CARESOURCE,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,MEDICAID,MEDICAID,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,NOVA NET,NOVA NET,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,PEACHSTATE,PEACHSTATE,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,SELFPAY,SELFPAY,,1702,,fee schedule,1702,368.43,1702,fee schedule,
LIMITED ECHO WITH CONTRAST,C8924,CPT,both,,,1702,1702,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1702,,fee schedule,1702,368.43,1702,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,ALLIANT,ALLIANT,,1222.24,,fee schedule,1222.24,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,AMBETTER,AMBETTER,,962.98,,fee schedule,962.98,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,MEDICARE,MEDICARE,,740.75,,fee schedule,740.75,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,TRICARE,TRICARE,,740.75,,fee schedule,740.75,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,UHC MEDICARE,UHC MEDICARE,,740.75,,fee schedule,740.75,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,AETNA,AETNA,,2154.99,87,percent of total billed charges,2154.99,740.75,2477,percent of total billed charges,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2154.99,87,percent of total billed charges,2154.99,740.75,2477,percent of total billed charges,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,UNITED HEALTHCARE,UNITED HEALTHCARE,,2179.76,88,percent of total billed charges,2179.76,740.75,2477,percent of total billed charges,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,AETNA,AETNA,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,BEECH STREET,BEECH STREET,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,CARESOURCE,CARESOURCE,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,MEDICAID,MEDICAID,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,NOVA NET,NOVA NET,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,PEACHSTATE,PEACHSTATE,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,SELFPAY,SELFPAY,,2477,,fee schedule,2477,740.75,2477,fee schedule,
TRANSTHORACIC ECHO WITH CONTRA,C8929,CPT,both,,,2477,2477,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2477,,fee schedule,2477,740.75,2477,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,AETNA,AETNA,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,240.12,87,percent of total billed charges,240.12,240.12,276,percent of total billed charges,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,UNITED HEALTHCARE,UNITED HEALTHCARE,,242.88,88,percent of total billed charges,242.88,240.12,276,percent of total billed charges,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,AETNA,AETNA,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,ALLIANT,ALLIANT,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,AMBETTER,AMBETTER,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,BEECH STREET,BEECH STREET,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,CARESOURCE,CARESOURCE,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,MEDICAID,MEDICAID,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,MEDICARE,MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,NOVA NET,NOVA NET,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,PEACHSTATE,PEACHSTATE,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,SELFPAY,SELFPAY,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,TRICARE,TRICARE,,276,,fee schedule,276,240.12,276,fee schedule,
COCAINE TOP SOLN 4%: 4ML,C9046,CPT,both,,,276,276,UHC MEDICARE,UHC MEDICARE,,276,,fee schedule,276,240.12,276,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cocaine (4%) 4 ML TOP SOLUTION,C9046,CPT,both,4,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,AETNA,AETNA,,122.67,87,percent of total billed charges,122.67,122.67,141,percent of total billed charges,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122.67,87,percent of total billed charges,122.67,122.67,141,percent of total billed charges,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.08,88,percent of total billed charges,124.08,122.67,141,percent of total billed charges,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,AETNA,AETNA,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,ALLIANT,ALLIANT,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,AMBETTER,AMBETTER,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,BEECH STREET,BEECH STREET,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,MEDICAID,MEDICAID,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,MEDICARE,MEDICARE,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,NOVA NET,NOVA NET,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,SELFPAY,SELFPAY,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,TRICARE,TRICARE,,141,,fee schedule,141,122.67,141,fee schedule,
PROTONIX 40MG IV SDV,C9113,CPT,both,,,141,141,UHC MEDICARE,UHC MEDICARE,,141,,fee schedule,141,122.67,141,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,AETNA,AETNA,,1639.95,87,percent of total billed charges,1639.95,1639.95,1885,percent of total billed charges,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1639.95,87,percent of total billed charges,1639.95,1639.95,1885,percent of total billed charges,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,UNITED HEALTHCARE,UNITED HEALTHCARE,,1658.8,88,percent of total billed charges,1658.8,1639.95,1885,percent of total billed charges,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,AETNA,AETNA,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,ALLIANT,ALLIANT,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,AMBETTER,AMBETTER,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,BEECH STREET,BEECH STREET,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,CARESOURCE,CARESOURCE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,MEDICAID,MEDICAID,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,MEDICARE,MEDICARE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,NOVA NET,NOVA NET,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,PEACHSTATE,PEACHSTATE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,SELFPAY,SELFPAY,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,TRICARE,TRICARE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
KCENTRA KIT 500 UNITS,C9132,CPT,both,,,1885,1885,UHC MEDICARE,UHC MEDICARE,,1885,,fee schedule,1885,1639.95,1885,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,AETNA,AETNA,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,179.22,87,percent of total billed charges,179.22,179.22,206,percent of total billed charges,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,UNITED HEALTHCARE,UNITED HEALTHCARE,,181.28,88,percent of total billed charges,181.28,179.22,206,percent of total billed charges,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,AETNA,AETNA,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,ALLIANT,ALLIANT,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,AMBETTER,AMBETTER,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,BEECH STREET,BEECH STREET,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,CARESOURCE,CARESOURCE,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,MEDICAID,MEDICAID,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,MEDICARE,MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,NOVA NET,NOVA NET,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,PEACHSTATE,PEACHSTATE,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,SELFPAY,SELFPAY,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,TRICARE,TRICARE,,206,,fee schedule,206,179.22,206,fee schedule,
VIMPAT 200MG/20ML INJ,C9254,CPT,both,,,206,206,UHC MEDICARE,UHC MEDICARE,,206,,fee schedule,206,179.22,206,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Lacosamide,C9254,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,228.81,263,percent of total billed charges,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,228.81,263,percent of total billed charges,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,228.81,263,fee schedule,
BUPIVACAINE 100MG INJ,C9290,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,228.81,263,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,AETNA,AETNA,,2082.78,87,percent of total billed charges,2082.78,2082.78,2394,percent of total billed charges,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2082.78,87,percent of total billed charges,2082.78,2082.78,2394,percent of total billed charges,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,UNITED HEALTHCARE,UNITED HEALTHCARE,,2106.72,88,percent of total billed charges,2106.72,2082.78,2394,percent of total billed charges,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,AETNA,AETNA,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,ALLIANT,ALLIANT,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,AMBETTER,AMBETTER,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,BEECH STREET,BEECH STREET,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,CARESOURCE,CARESOURCE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,MEDICAID,MEDICAID,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,MEDICARE,MEDICARE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,NOVA NET,NOVA NET,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,PEACHSTATE,PEACHSTATE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,SELFPAY,SELFPAY,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,TRICARE,TRICARE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
EXPAREL 1.3% 20ML INJ,C9290,CPT,both,,,2394,2394,UHC MEDICARE,UHC MEDICARE,,2394,,fee schedule,2394,2082.78,2394,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bupivacaine Liposome-PF (1.3%) 266 MG/20 ML VIAL,C9290,CPT,both,20,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,AETNA,AETNA,,4337.82,87,percent of total billed charges,4337.82,4337.82,4986,percent of total billed charges,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4337.82,87,percent of total billed charges,4337.82,4337.82,4986,percent of total billed charges,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,UNITED HEALTHCARE,UNITED HEALTHCARE,,4387.68,88,percent of total billed charges,4387.68,4337.82,4986,percent of total billed charges,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,AETNA,AETNA,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,ALLIANT,ALLIANT,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,AMBETTER,AMBETTER,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,BEECH STREET,BEECH STREET,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,CARESOURCE,CARESOURCE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,MEDICAID,MEDICAID,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,MEDICARE,MEDICARE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,NOVA NET,NOVA NET,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,PEACHSTATE,PEACHSTATE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,SELFPAY,SELFPAY,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,TRICARE,TRICARE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT SKIN,C9356,CPT,both,,,4986,4986,UHC MEDICARE,UHC MEDICARE,,4986,,fee schedule,4986,4337.82,4986,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,AETNA,AETNA,,3136.35,87,percent of total billed charges,3136.35,3136.35,3605,percent of total billed charges,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3136.35,87,percent of total billed charges,3136.35,3136.35,3605,percent of total billed charges,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,UNITED HEALTHCARE,UNITED HEALTHCARE,,3172.4,88,percent of total billed charges,3172.4,3136.35,3605,percent of total billed charges,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,AETNA,AETNA,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,ALLIANT,ALLIANT,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,AMBETTER,AMBETTER,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,BEECH STREET,BEECH STREET,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,CARESOURCE,CARESOURCE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,MEDICAID,MEDICAID,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,MEDICARE,MEDICARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,NOVA NET,NOVA NET,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,PEACHSTATE,PEACHSTATE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,SELFPAY,SELFPAY,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,TRICARE,TRICARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFT TENDON,C9356,CPT,both,,,3605,3605,UHC MEDICARE,UHC MEDICARE,,3605,,fee schedule,3605,3136.35,3605,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,AETNA,AETNA,,6925.2,87,percent of total billed charges,6925.2,6925.2,7960,percent of total billed charges,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6925.2,87,percent of total billed charges,6925.2,6925.2,7960,percent of total billed charges,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,UNITED HEALTHCARE,UNITED HEALTHCARE,,7004.8,88,percent of total billed charges,7004.8,6925.2,7960,percent of total billed charges,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,AETNA,AETNA,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,ALLIANT,ALLIANT,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,AMBETTER,AMBETTER,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,BEECH STREET,BEECH STREET,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,CARESOURCE,CARESOURCE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,MEDICAID,MEDICAID,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,MEDICARE,MEDICARE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,NOVA NET,NOVA NET,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,PEACHSTATE,PEACHSTATE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,SELFPAY,SELFPAY,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,TRICARE,TRICARE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
GRAFTBONE PATELLA TENDON,C9356,CPT,both,,,7960,7960,UHC MEDICARE,UHC MEDICARE,,7960,,fee schedule,7960,6925.2,7960,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,AETNA,AETNA,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6272.7,87,percent of total billed charges,6272.7,6272.7,7210,percent of total billed charges,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,UNITED HEALTHCARE,UNITED HEALTHCARE,,6344.8,88,percent of total billed charges,6344.8,6272.7,7210,percent of total billed charges,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,AETNA,AETNA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,ALLIANT,ALLIANT,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,AMBETTER,AMBETTER,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,BEECH STREET,BEECH STREET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,CARESOURCE,CARESOURCE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,MEDICAID,MEDICAID,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,MEDICARE,MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,NOVA NET,NOVA NET,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,PEACHSTATE,PEACHSTATE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,SELFPAY,SELFPAY,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,TRICARE,TRICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BIOMET CERAMENT BONE FILL,C9359,CPT,both,,,7210,7210,UHC MEDICARE,UHC MEDICARE,,7210,,fee schedule,7210,6272.7,7210,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,AETNA,AETNA,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
BONE FILLER,C9359,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5376.6,87,percent of total billed charges,5376.6,5376.6,6180,percent of total billed charges,
BONE FILLER,C9359,CPT,both,,,6180,6180,UNITED HEALTHCARE,UNITED HEALTHCARE,,5438.4,88,percent of total billed charges,5438.4,5376.6,6180,percent of total billed charges,
BONE FILLER,C9359,CPT,both,,,6180,6180,AETNA,AETNA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,ALLIANT,ALLIANT,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,AMBETTER,AMBETTER,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,BEECH STREET,BEECH STREET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,CARESOURCE,CARESOURCE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,MEDICAID,MEDICAID,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,MEDICARE,MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,NOVA NET,NOVA NET,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,PEACHSTATE,PEACHSTATE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,SELFPAY,SELFPAY,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,TRICARE,TRICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE FILLER,C9359,CPT,both,,,6180,6180,UHC MEDICARE,UHC MEDICARE,,6180,,fee schedule,6180,5376.6,6180,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,AETNA,AETNA,,625.53,87,percent of total billed charges,625.53,625.53,719,percent of total billed charges,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,625.53,87,percent of total billed charges,625.53,625.53,719,percent of total billed charges,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,UNITED HEALTHCARE,UNITED HEALTHCARE,,632.72,88,percent of total billed charges,632.72,625.53,719,percent of total billed charges,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,AETNA,AETNA,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,ALLIANT,ALLIANT,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,AMBETTER,AMBETTER,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,BEECH STREET,BEECH STREET,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,CARESOURCE,CARESOURCE,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,MEDICAID,MEDICAID,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,MEDICARE,MEDICARE,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,NOVA NET,NOVA NET,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,PEACHSTATE,PEACHSTATE,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,SELFPAY,SELFPAY,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,TRICARE,TRICARE,,719,,fee schedule,719,625.53,719,fee schedule,
BONE PUTTY 1CC,C9359,CPT,both,,,719,719,UHC MEDICARE,UHC MEDICARE,,719,,fee schedule,719,625.53,719,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,AETNA,AETNA,,1854.84,87,percent of total billed charges,1854.84,1854.84,2132,percent of total billed charges,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1854.84,87,percent of total billed charges,1854.84,1854.84,2132,percent of total billed charges,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,UNITED HEALTHCARE,UNITED HEALTHCARE,,1876.16,88,percent of total billed charges,1876.16,1854.84,2132,percent of total billed charges,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,AETNA,AETNA,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,ALLIANT,ALLIANT,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,AMBETTER,AMBETTER,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,BEECH STREET,BEECH STREET,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,CARESOURCE,CARESOURCE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,MEDICAID,MEDICAID,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,MEDICARE,MEDICARE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,NOVA NET,NOVA NET,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,PEACHSTATE,PEACHSTATE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,SELFPAY,SELFPAY,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,TRICARE,TRICARE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
BONECANCELLOUS (GRAFTING,C9359,CPT,both,,,2132,2132,UHC MEDICARE,UHC MEDICARE,,2132,,fee schedule,2132,1854.84,2132,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,AETNA,AETNA,,2867.52,87,percent of total billed charges,2867.52,2867.52,3296,percent of total billed charges,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2867.52,87,percent of total billed charges,2867.52,2867.52,3296,percent of total billed charges,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,UNITED HEALTHCARE,UNITED HEALTHCARE,,2900.48,88,percent of total billed charges,2900.48,2867.52,3296,percent of total billed charges,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,AETNA,AETNA,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,ALLIANT,ALLIANT,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,AMBETTER,AMBETTER,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,BEECH STREET,BEECH STREET,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,CARESOURCE,CARESOURCE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,MEDICAID,MEDICAID,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,MEDICARE,MEDICARE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,NOVA NET,NOVA NET,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,PEACHSTATE,PEACHSTATE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,SELFPAY,SELFPAY,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,TRICARE,TRICARE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
CORTICAL FIBERS,C9359,CPT,both,,,3296,3296,UHC MEDICARE,UHC MEDICARE,,3296,,fee schedule,3296,2867.52,3296,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,AETNA,AETNA,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2688.3,87,percent of total billed charges,2688.3,2688.3,3090,percent of total billed charges,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,UNITED HEALTHCARE,UNITED HEALTHCARE,,2719.2,88,percent of total billed charges,2719.2,2688.3,3090,percent of total billed charges,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,AETNA,AETNA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,ALLIANT,ALLIANT,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,AMBETTER,AMBETTER,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,BEECH STREET,BEECH STREET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,CARESOURCE,CARESOURCE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,MEDICAID,MEDICAID,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,MEDICARE,MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,NOVA NET,NOVA NET,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,PEACHSTATE,PEACHSTATE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,SELFPAY,SELFPAY,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,TRICARE,TRICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FEMORAL DISTAL AUGMENT,C9359,CPT,both,,,3090,3090,UHC MEDICARE,UHC MEDICARE,,3090,,fee schedule,3090,2688.3,3090,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,AETNA,AETNA,,806.49,87,percent of total billed charges,806.49,806.49,927,percent of total billed charges,
FIBER CORTICAL,C9359,CPT,both,,,927,927,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,806.49,87,percent of total billed charges,806.49,806.49,927,percent of total billed charges,
FIBER CORTICAL,C9359,CPT,both,,,927,927,UNITED HEALTHCARE,UNITED HEALTHCARE,,815.76,88,percent of total billed charges,815.76,806.49,927,percent of total billed charges,
FIBER CORTICAL,C9359,CPT,both,,,927,927,AETNA,AETNA,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,ALLIANT,ALLIANT,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,AMBETTER,AMBETTER,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,BEECH STREET,BEECH STREET,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,CARESOURCE,CARESOURCE,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,MEDICAID,MEDICAID,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,MEDICARE,MEDICARE,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,NOVA NET,NOVA NET,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,PEACHSTATE,PEACHSTATE,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,SELFPAY,SELFPAY,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,TRICARE,TRICARE,,927,,fee schedule,927,806.49,927,fee schedule,
FIBER CORTICAL,C9359,CPT,both,,,927,927,UHC MEDICARE,UHC MEDICARE,,927,,fee schedule,927,806.49,927,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,AETNA,AETNA,,3890.64,87,percent of total billed charges,3890.64,3890.64,4472,percent of total billed charges,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3890.64,87,percent of total billed charges,3890.64,3890.64,4472,percent of total billed charges,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,UNITED HEALTHCARE,UNITED HEALTHCARE,,3935.36,88,percent of total billed charges,3935.36,3890.64,4472,percent of total billed charges,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,AETNA,AETNA,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,ALLIANT,ALLIANT,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,AMBETTER,AMBETTER,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,BEECH STREET,BEECH STREET,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,CARESOURCE,CARESOURCE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,MEDICAID,MEDICAID,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,MEDICARE,MEDICARE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,NOVA NET,NOVA NET,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,PEACHSTATE,PEACHSTATE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,SELFPAY,SELFPAY,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,TRICARE,TRICARE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
GLOBUS KINEX PUTTY 5CC,C9359,CPT,both,,,4472,4472,UHC MEDICARE,UHC MEDICARE,,4472,,fee schedule,4472,3890.64,4472,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,AETNA,AETNA,,13572,87,percent of total billed charges,13572,13572,15600,percent of total billed charges,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13572,87,percent of total billed charges,13572,13572,15600,percent of total billed charges,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,UNITED HEALTHCARE,UNITED HEALTHCARE,,13728,88,percent of total billed charges,13728,13572,15600,percent of total billed charges,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,AETNA,AETNA,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,ALLIANT,ALLIANT,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,AMBETTER,AMBETTER,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,BEECH STREET,BEECH STREET,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,CARESOURCE,CARESOURCE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,MEDICAID,MEDICAID,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,MEDICARE,MEDICARE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,NOVA NET,NOVA NET,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,PEACHSTATE,PEACHSTATE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,SELFPAY,SELFPAY,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,TRICARE,TRICARE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT LG,C9359,CPT,both,,,15600,15600,UHC MEDICARE,UHC MEDICARE,,15600,,fee schedule,15600,13572,15600,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,AETNA,AETNA,,9886.68,87,percent of total billed charges,9886.68,9886.68,11364,percent of total billed charges,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9886.68,87,percent of total billed charges,9886.68,9886.68,11364,percent of total billed charges,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,UNITED HEALTHCARE,UNITED HEALTHCARE,,10000.32,88,percent of total billed charges,10000.32,9886.68,11364,percent of total billed charges,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,AETNA,AETNA,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,ALLIANT,ALLIANT,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,AMBETTER,AMBETTER,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,BEECH STREET,BEECH STREET,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,CARESOURCE,CARESOURCE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,MEDICAID,MEDICAID,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,MEDICARE,MEDICARE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,NOVA NET,NOVA NET,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,PEACHSTATE,PEACHSTATE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,SELFPAY,SELFPAY,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,TRICARE,TRICARE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
INFUSE BONE KIT SMALL,C9359,CPT,both,,,11364,11364,UHC MEDICARE,UHC MEDICARE,,11364,,fee schedule,11364,9886.68,11364,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,AETNA,AETNA,,432.39,87,percent of total billed charges,432.39,432.39,497,percent of total billed charges,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432.39,87,percent of total billed charges,432.39,432.39,497,percent of total billed charges,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,UNITED HEALTHCARE,UNITED HEALTHCARE,,437.36,88,percent of total billed charges,437.36,432.39,497,percent of total billed charges,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,AETNA,AETNA,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,ALLIANT,ALLIANT,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,AMBETTER,AMBETTER,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,BEECH STREET,BEECH STREET,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,CARESOURCE,CARESOURCE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,MEDICAID,MEDICAID,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,MEDICARE,MEDICARE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,NOVA NET,NOVA NET,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,PEACHSTATE,PEACHSTATE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,SELFPAY,SELFPAY,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,TRICARE,TRICARE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF 1CC DBX PUTTY,C9359,CPT,both,,,497,497,UHC MEDICARE,UHC MEDICARE,,497,,fee schedule,497,432.39,497,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,AETNA,AETNA,,2804.01,87,percent of total billed charges,2804.01,2804.01,3223,percent of total billed charges,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2804.01,87,percent of total billed charges,2804.01,2804.01,3223,percent of total billed charges,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,UNITED HEALTHCARE,UNITED HEALTHCARE,,2836.24,88,percent of total billed charges,2836.24,2804.01,3223,percent of total billed charges,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,AETNA,AETNA,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,ALLIANT,ALLIANT,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,AMBETTER,AMBETTER,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,BEECH STREET,BEECH STREET,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,CARESOURCE,CARESOURCE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,MEDICAID,MEDICAID,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,MEDICARE,MEDICARE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,NOVA NET,NOVA NET,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,PEACHSTATE,PEACHSTATE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,SELFPAY,SELFPAY,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,TRICARE,TRICARE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 10CC,C9359,CPT,both,,,3223,3223,UHC MEDICARE,UHC MEDICARE,,3223,,fee schedule,3223,2804.01,3223,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,AETNA,AETNA,,1820.04,87,percent of total billed charges,1820.04,1820.04,2092,percent of total billed charges,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1820.04,87,percent of total billed charges,1820.04,1820.04,2092,percent of total billed charges,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,UNITED HEALTHCARE,UNITED HEALTHCARE,,1840.96,88,percent of total billed charges,1840.96,1820.04,2092,percent of total billed charges,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,AETNA,AETNA,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,ALLIANT,ALLIANT,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,AMBETTER,AMBETTER,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,BEECH STREET,BEECH STREET,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,CARESOURCE,CARESOURCE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,MEDICAID,MEDICAID,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,MEDICARE,MEDICARE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,NOVA NET,NOVA NET,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,PEACHSTATE,PEACHSTATE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,SELFPAY,SELFPAY,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,TRICARE,TRICARE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY 5CC (114175,C9359,CPT,both,,,2092,2092,UHC MEDICARE,UHC MEDICARE,,2092,,fee schedule,2092,1820.04,2092,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,AETNA,AETNA,,3805.38,87,percent of total billed charges,3805.38,3805.38,4374,percent of total billed charges,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3805.38,87,percent of total billed charges,3805.38,3805.38,4374,percent of total billed charges,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,UNITED HEALTHCARE,UNITED HEALTHCARE,,3849.12,88,percent of total billed charges,3849.12,3805.38,4374,percent of total billed charges,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,AETNA,AETNA,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,ALLIANT,ALLIANT,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,AMBETTER,AMBETTER,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,BEECH STREET,BEECH STREET,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,CARESOURCE,CARESOURCE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,MEDICAID,MEDICAID,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,MEDICARE,MEDICARE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,NOVA NET,NOVA NET,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,PEACHSTATE,PEACHSTATE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,SELFPAY,SELFPAY,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,TRICARE,TRICARE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 10CC,C9359,CPT,both,,,4374,4374,UHC MEDICARE,UHC MEDICARE,,4374,,fee schedule,4374,3805.38,4374,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,AETNA,AETNA,,2381.19,87,percent of total billed charges,2381.19,2381.19,2737,percent of total billed charges,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2381.19,87,percent of total billed charges,2381.19,2381.19,2737,percent of total billed charges,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,UNITED HEALTHCARE,UNITED HEALTHCARE,,2408.56,88,percent of total billed charges,2408.56,2381.19,2737,percent of total billed charges,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,AETNA,AETNA,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,ALLIANT,ALLIANT,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,AMBETTER,AMBETTER,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,BEECH STREET,BEECH STREET,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,CARESOURCE,CARESOURCE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,MEDICAID,MEDICAID,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,MEDICARE,MEDICARE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,NOVA NET,NOVA NET,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,PEACHSTATE,PEACHSTATE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,SELFPAY,SELFPAY,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,TRICARE,TRICARE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
MTF DBX PUTTY MIX 5CC,C9359,CPT,both,,,2737,2737,UHC MEDICARE,UHC MEDICARE,,2737,,fee schedule,2737,2381.19,2737,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,AETNA,AETNA,,602.04,87,percent of total billed charges,602.04,602.04,692,percent of total billed charges,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,602.04,87,percent of total billed charges,602.04,602.04,692,percent of total billed charges,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.96,88,percent of total billed charges,608.96,602.04,692,percent of total billed charges,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,AETNA,AETNA,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,ALLIANT,ALLIANT,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,AMBETTER,AMBETTER,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,BEECH STREET,BEECH STREET,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,MEDICAID,MEDICAID,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,MEDICARE,MEDICARE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,NOVA NET,NOVA NET,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,SELFPAY,SELFPAY,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,TRICARE,TRICARE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS  1CC,C9359,CPT,both,,,692,692,UHC MEDICARE,UHC MEDICARE,,692,,fee schedule,692,602.04,692,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,AETNA,AETNA,,3611.37,87,percent of total billed charges,3611.37,3611.37,4151,percent of total billed charges,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3611.37,87,percent of total billed charges,3611.37,3611.37,4151,percent of total billed charges,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,UNITED HEALTHCARE,UNITED HEALTHCARE,,3652.88,88,percent of total billed charges,3652.88,3611.37,4151,percent of total billed charges,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,AETNA,AETNA,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,ALLIANT,ALLIANT,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,AMBETTER,AMBETTER,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,BEECH STREET,BEECH STREET,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,CARESOURCE,CARESOURCE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,MEDICAID,MEDICAID,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,MEDICARE,MEDICARE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,NOVA NET,NOVA NET,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,PEACHSTATE,PEACHSTATE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,SELFPAY,SELFPAY,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,TRICARE,TRICARE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 10CC,C9359,CPT,both,,,4151,4151,UHC MEDICARE,UHC MEDICARE,,4151,,fee schedule,4151,3611.37,4151,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,AETNA,AETNA,,2355.09,87,percent of total billed charges,2355.09,2355.09,2707,percent of total billed charges,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2355.09,87,percent of total billed charges,2355.09,2355.09,2707,percent of total billed charges,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,UNITED HEALTHCARE,UNITED HEALTHCARE,,2382.16,88,percent of total billed charges,2382.16,2355.09,2707,percent of total billed charges,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,AETNA,AETNA,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,ALLIANT,ALLIANT,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,AMBETTER,AMBETTER,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,BEECH STREET,BEECH STREET,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,CARESOURCE,CARESOURCE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,MEDICAID,MEDICAID,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,MEDICARE,MEDICARE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,NOVA NET,NOVA NET,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,PEACHSTATE,PEACHSTATE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,SELFPAY,SELFPAY,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,TRICARE,TRICARE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PLUS 5CC,C9359,CPT,both,,,2707,2707,UHC MEDICARE,UHC MEDICARE,,2707,,fee schedule,2707,2355.09,2707,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,AETNA,AETNA,,2799.66,87,percent of total billed charges,2799.66,2799.66,3218,percent of total billed charges,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2799.66,87,percent of total billed charges,2799.66,2799.66,3218,percent of total billed charges,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,UNITED HEALTHCARE,UNITED HEALTHCARE,,2831.84,88,percent of total billed charges,2831.84,2799.66,3218,percent of total billed charges,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,AETNA,AETNA,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,ALLIANT,ALLIANT,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,AMBETTER,AMBETTER,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,BEECH STREET,BEECH STREET,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,CARESOURCE,CARESOURCE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,MEDICAID,MEDICAID,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,MEDICARE,MEDICARE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,NOVA NET,NOVA NET,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,PEACHSTATE,PEACHSTATE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,SELFPAY,SELFPAY,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,TRICARE,TRICARE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 10CC,C9359,CPT,both,,,3218,3218,UHC MEDICARE,UHC MEDICARE,,3218,,fee schedule,3218,2799.66,3218,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,AETNA,AETNA,,484.59,87,percent of total billed charges,484.59,484.59,557,percent of total billed charges,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,484.59,87,percent of total billed charges,484.59,484.59,557,percent of total billed charges,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,UNITED HEALTHCARE,UNITED HEALTHCARE,,490.16,88,percent of total billed charges,490.16,484.59,557,percent of total billed charges,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,AETNA,AETNA,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,ALLIANT,ALLIANT,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,AMBETTER,AMBETTER,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,BEECH STREET,BEECH STREET,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,CARESOURCE,CARESOURCE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,MEDICAID,MEDICAID,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,MEDICARE,MEDICARE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,NOVA NET,NOVA NET,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,PEACHSTATE,PEACHSTATE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,SELFPAY,SELFPAY,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,TRICARE,TRICARE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 1CC,C9359,CPT,both,,,557,557,UHC MEDICARE,UHC MEDICARE,,557,,fee schedule,557,484.59,557,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,AETNA,AETNA,,1684.32,87,percent of total billed charges,1684.32,1684.32,1936,percent of total billed charges,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1684.32,87,percent of total billed charges,1684.32,1684.32,1936,percent of total billed charges,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,UNITED HEALTHCARE,UNITED HEALTHCARE,,1703.68,88,percent of total billed charges,1703.68,1684.32,1936,percent of total billed charges,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,AETNA,AETNA,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,ALLIANT,ALLIANT,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,AMBETTER,AMBETTER,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,BEECH STREET,BEECH STREET,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,CARESOURCE,CARESOURCE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,MEDICAID,MEDICAID,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,MEDICARE,MEDICARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,NOVA NET,NOVA NET,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,PEACHSTATE,PEACHSTATE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,SELFPAY,SELFPAY,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,TRICARE,TRICARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PROGENIX PUTTY 5CC,C9359,CPT,both,,,1936,1936,UHC MEDICARE,UHC MEDICARE,,1936,,fee schedule,1936,1684.32,1936,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,AETNA,AETNA,,1996.65,87,percent of total billed charges,1996.65,1996.65,2295,percent of total billed charges,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1996.65,87,percent of total billed charges,1996.65,1996.65,2295,percent of total billed charges,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,UNITED HEALTHCARE,UNITED HEALTHCARE,,2019.6,88,percent of total billed charges,2019.6,1996.65,2295,percent of total billed charges,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,AETNA,AETNA,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,ALLIANT,ALLIANT,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,AMBETTER,AMBETTER,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,BEECH STREET,BEECH STREET,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,CARESOURCE,CARESOURCE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,MEDICAID,MEDICAID,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,MEDICARE,MEDICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,NOVA NET,NOVA NET,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,PEACHSTATE,PEACHSTATE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,SELFPAY,SELFPAY,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,TRICARE,TRICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY 5CC,C9359,CPT,both,,,2295,2295,UHC MEDICARE,UHC MEDICARE,,2295,,fee schedule,2295,1996.65,2295,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,AETNA,AETNA,,9414.27,87,percent of total billed charges,9414.27,9414.27,10821,percent of total billed charges,
PUTTY BONE,C9359,CPT,both,,,10821,10821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9414.27,87,percent of total billed charges,9414.27,9414.27,10821,percent of total billed charges,
PUTTY BONE,C9359,CPT,both,,,10821,10821,UNITED HEALTHCARE,UNITED HEALTHCARE,,9522.48,88,percent of total billed charges,9522.48,9414.27,10821,percent of total billed charges,
PUTTY BONE,C9359,CPT,both,,,10821,10821,AETNA,AETNA,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,ALLIANT,ALLIANT,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,AMBETTER,AMBETTER,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,BEECH STREET,BEECH STREET,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,CARESOURCE,CARESOURCE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,MEDICAID,MEDICAID,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,MEDICARE,MEDICARE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,NOVA NET,NOVA NET,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,PEACHSTATE,PEACHSTATE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,SELFPAY,SELFPAY,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,TRICARE,TRICARE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY BONE,C9359,CPT,both,,,10821,10821,UHC MEDICARE,UHC MEDICARE,,10821,,fee schedule,10821,9414.27,10821,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,AETNA,AETNA,,6935.64,87,percent of total billed charges,6935.64,6935.64,7972,percent of total billed charges,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6935.64,87,percent of total billed charges,6935.64,6935.64,7972,percent of total billed charges,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,UNITED HEALTHCARE,UNITED HEALTHCARE,,7015.36,88,percent of total billed charges,7015.36,6935.64,7972,percent of total billed charges,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,AETNA,AETNA,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,ALLIANT,ALLIANT,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,AMBETTER,AMBETTER,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,BEECH STREET,BEECH STREET,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,CARESOURCE,CARESOURCE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,MEDICAID,MEDICAID,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,MEDICARE,MEDICARE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,NOVA NET,NOVA NET,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,PEACHSTATE,PEACHSTATE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,SELFPAY,SELFPAY,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,TRICARE,TRICARE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
PUTTY NOVABONE SPINEWAVE,C9359,CPT,both,,,7972,7972,UHC MEDICARE,UHC MEDICARE,,7972,,fee schedule,7972,6935.64,7972,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,AETNA,AETNA,,5532.33,87,percent of total billed charges,5532.33,5532.33,6359,percent of total billed charges,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5532.33,87,percent of total billed charges,5532.33,5532.33,6359,percent of total billed charges,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,UNITED HEALTHCARE,UNITED HEALTHCARE,,5595.92,88,percent of total billed charges,5595.92,5532.33,6359,percent of total billed charges,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,AETNA,AETNA,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,ALLIANT,ALLIANT,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,AMBETTER,AMBETTER,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,BEECH STREET,BEECH STREET,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,CARESOURCE,CARESOURCE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,MEDICAID,MEDICAID,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,MEDICARE,MEDICARE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,NOVA NET,NOVA NET,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,PEACHSTATE,PEACHSTATE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,SELFPAY,SELFPAY,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,TRICARE,TRICARE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
CELLENTRA 5CC,C9360,CPT,both,,,6359,6359,UHC MEDICARE,UHC MEDICARE,,6359,,fee schedule,6359,5532.33,6359,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,AETNA,AETNA,,3371.25,87,percent of total billed charges,3371.25,3371.25,3875,percent of total billed charges,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3371.25,87,percent of total billed charges,3371.25,3371.25,3875,percent of total billed charges,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,UNITED HEALTHCARE,UNITED HEALTHCARE,,3410,88,percent of total billed charges,3410,3371.25,3875,percent of total billed charges,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,AETNA,AETNA,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,ALLIANT,ALLIANT,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,AMBETTER,AMBETTER,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,BEECH STREET,BEECH STREET,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,CARESOURCE,CARESOURCE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,MEDICAID,MEDICAID,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,MEDICARE,MEDICARE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,NOVA NET,NOVA NET,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,PEACHSTATE,PEACHSTATE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,SELFPAY,SELFPAY,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,TRICARE,TRICARE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
STRYKER NUEROMEND NERVE W,C9361,CPT,both,,,3875,3875,UHC MEDICARE,UHC MEDICARE,,3875,,fee schedule,3875,3371.25,3875,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,AETNA,AETNA,,6916.5,87,percent of total billed charges,6916.5,6916.5,7950,percent of total billed charges,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6916.5,87,percent of total billed charges,6916.5,6916.5,7950,percent of total billed charges,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,UNITED HEALTHCARE,UNITED HEALTHCARE,,6996,88,percent of total billed charges,6996,6916.5,7950,percent of total billed charges,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,AETNA,AETNA,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,ALLIANT,ALLIANT,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,AMBETTER,AMBETTER,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,BEECH STREET,BEECH STREET,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,CARESOURCE,CARESOURCE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,MEDICAID,MEDICAID,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,MEDICARE,MEDICARE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,NOVA NET,NOVA NET,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,PEACHSTATE,PEACHSTATE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,SELFPAY,SELFPAY,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,TRICARE,TRICARE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL 15X20,C9364,CPT,both,,,7950,7950,UHC MEDICARE,UHC MEDICARE,,7950,,fee schedule,7950,6916.5,7950,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,AETNA,AETNA,,5149.53,87,percent of total billed charges,5149.53,5149.53,5919,percent of total billed charges,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5149.53,87,percent of total billed charges,5149.53,5149.53,5919,percent of total billed charges,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,UNITED HEALTHCARE,UNITED HEALTHCARE,,5208.72,88,percent of total billed charges,5208.72,5149.53,5919,percent of total billed charges,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,AETNA,AETNA,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,ALLIANT,ALLIANT,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,AMBETTER,AMBETTER,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,BEECH STREET,BEECH STREET,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,CARESOURCE,CARESOURCE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,MEDICAID,MEDICAID,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,MEDICARE,MEDICARE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,NOVA NET,NOVA NET,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,PEACHSTATE,PEACHSTATE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,SELFPAY,SELFPAY,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,TRICARE,TRICARE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
PERMACOL MESH 10 X 15 SQ,C9364,CPT,both,,,5919,5919,UHC MEDICARE,UHC MEDICARE,,5919,,fee schedule,5919,5149.53,5919,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,AETNA,AETNA,,1546.86,87,percent of total billed charges,1546.86,1546.86,1778,percent of total billed charges,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1546.86,87,percent of total billed charges,1546.86,1546.86,1778,percent of total billed charges,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,UNITED HEALTHCARE,UNITED HEALTHCARE,,1564.64,88,percent of total billed charges,1564.64,1546.86,1778,percent of total billed charges,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,AETNA,AETNA,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,ALLIANT,ALLIANT,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,AMBETTER,AMBETTER,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,BEECH STREET,BEECH STREET,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,CARESOURCE,CARESOURCE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,MEDICAID,MEDICAID,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,MEDICARE,MEDICARE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,NOVA NET,NOVA NET,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,PEACHSTATE,PEACHSTATE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,SELFPAY,SELFPAY,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,TRICARE,TRICARE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
ADUHELM 300MG VIAL,C9399,CPT,both,,,1778,1778,UHC MEDICARE,UHC MEDICARE,,1778,,fee schedule,1778,1546.86,1778,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,AETNA,AETNA,,1349.37,87,percent of total billed charges,1349.37,1349.37,1551,percent of total billed charges,
DURASEAL,C9399,CPT,both,,,1551,1551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1349.37,87,percent of total billed charges,1349.37,1349.37,1551,percent of total billed charges,
DURASEAL,C9399,CPT,both,,,1551,1551,UNITED HEALTHCARE,UNITED HEALTHCARE,,1364.88,88,percent of total billed charges,1364.88,1349.37,1551,percent of total billed charges,
DURASEAL,C9399,CPT,both,,,1551,1551,AETNA,AETNA,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,ALLIANT,ALLIANT,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,AMBETTER,AMBETTER,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,BEECH STREET,BEECH STREET,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,CARESOURCE,CARESOURCE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,MEDICAID,MEDICAID,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,MEDICARE,MEDICARE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,NOVA NET,NOVA NET,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,PEACHSTATE,PEACHSTATE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,SELFPAY,SELFPAY,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,TRICARE,TRICARE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
DURASEAL,C9399,CPT,both,,,1551,1551,UHC MEDICARE,UHC MEDICARE,,1551,,fee schedule,1551,1349.37,1551,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,AETNA,AETNA,,3339.06,87,percent of total billed charges,3339.06,3339.06,3838,percent of total billed charges,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3339.06,87,percent of total billed charges,3339.06,3339.06,3838,percent of total billed charges,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,UNITED HEALTHCARE,UNITED HEALTHCARE,,3377.44,88,percent of total billed charges,3377.44,3339.06,3838,percent of total billed charges,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,AETNA,AETNA,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,ALLIANT,ALLIANT,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,AMBETTER,AMBETTER,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,BEECH STREET,BEECH STREET,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,CARESOURCE,CARESOURCE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,MEDICAID,MEDICAID,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,MEDICARE,MEDICARE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,NOVA NET,NOVA NET,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,PEACHSTATE,PEACHSTATE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,SELFPAY,SELFPAY,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,TRICARE,TRICARE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
TEZSPIRE 210MG SYRINGE,C9399,CPT,both,,,3838,3838,UHC MEDICARE,UHC MEDICARE,,3838,,fee schedule,3838,3339.06,3838,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,AETNA,AETNA,,3065.01,87,percent of total billed charges,3065.01,3065.01,3523,percent of total billed charges,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3065.01,87,percent of total billed charges,3065.01,3065.01,3523,percent of total billed charges,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,UNITED HEALTHCARE,UNITED HEALTHCARE,,3100.24,88,percent of total billed charges,3100.24,3065.01,3523,percent of total billed charges,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,AETNA,AETNA,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,ALLIANT,ALLIANT,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,AMBETTER,AMBETTER,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,BEECH STREET,BEECH STREET,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,CARESOURCE,CARESOURCE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,MEDICAID,MEDICAID,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,MEDICARE,MEDICARE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,NOVA NET,NOVA NET,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,PEACHSTATE,PEACHSTATE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,SELFPAY,SELFPAY,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,TRICARE,TRICARE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
YONDELIS 1MG INJ,C9399,CPT,both,,,3523,3523,UHC MEDICARE,UHC MEDICARE,,3523,,fee schedule,3523,3065.01,3523,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Aducanumab-AVWA,C9399,CPT,both,300,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Tezepelumab-ekko 210 mg/1.91 ml Syringe,C9399,CPT,both,210,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Trabectedin 1 mg/20 ml Vial,C9399,CPT,both,1,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,ALLIANT,ALLIANT,,17515.26,,fee schedule,17515.26,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,AMBETTER,AMBETTER,,13799.9,,fee schedule,13799.9,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,MEDICARE,MEDICARE,,10615.31,,fee schedule,10615.31,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,TRICARE,TRICARE,,10615.31,,fee schedule,10615.31,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,UHC MEDICARE,UHC MEDICARE,,10615.31,,fee schedule,10615.31,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,AETNA,AETNA,,23670.09,87,percent of total billed charges,23670.09,10615.31,27207,percent of total billed charges,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23670.09,87,percent of total billed charges,23670.09,10615.31,27207,percent of total billed charges,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,UNITED HEALTHCARE,UNITED HEALTHCARE,,23942.16,88,percent of total billed charges,23942.16,10615.31,27207,percent of total billed charges,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,AETNA,AETNA,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,BEECH STREET,BEECH STREET,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,CARESOURCE,CARESOURCE,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,MEDICAID,MEDICAID,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,NOVA NET,NOVA NET,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,PEACHSTATE,PEACHSTATE,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,SELFPAY,SELFPAY,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL PTA,C9764,CPT,both,,,27207,27207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27207,,fee schedule,27207,10615.31,27207,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,AETNA,AETNA,,23670.09,87,percent of total billed charges,23670.09,17177.6,28343.04,percent of total billed charges,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23670.09,87,percent of total billed charges,23670.09,17177.6,28343.04,percent of total billed charges,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,UNITED HEALTHCARE,UNITED HEALTHCARE,,23942.16,88,percent of total billed charges,23942.16,17177.6,28343.04,percent of total billed charges,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,AETNA,AETNA,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,BEECH STREET,BEECH STREET,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,CARESOURCE,CARESOURCE,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,MEDICAID,MEDICAID,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,NOVA NET,NOVA NET,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,PEACHSTATE,PEACHSTATE,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,SELFPAY,SELFPAY,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL FEMORAL/POPLITEAL STENT,C9765,CPT,both,,,27207,27207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27207,,fee schedule,27207,17177.6,28343.04,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,AETNA,AETNA,,27481.56,87,percent of total billed charges,27481.56,17177.6,31588,percent of total billed charges,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27481.56,87,percent of total billed charges,27481.56,17177.6,31588,percent of total billed charges,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,UNITED HEALTHCARE,UNITED HEALTHCARE,,27797.44,88,percent of total billed charges,27797.44,17177.6,31588,percent of total billed charges,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,AETNA,AETNA,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,BEECH STREET,BEECH STREET,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,CARESOURCE,CARESOURCE,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,MEDICAID,MEDICAID,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,NOVA NET,NOVA NET,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,PEACHSTATE,PEACHSTATE,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,SELFPAY,SELFPAY,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL AND ATHER W/ ANGIOPLASTY,C9766,CPT,both,,,31588,31588,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31588,,fee schedule,31588,17177.6,31588,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,ALLIANT,ALLIANT,,28343.04,,fee schedule,28343.04,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,AMBETTER,AMBETTER,,22330.88,,fee schedule,22330.88,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,MEDICARE,MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,TRICARE,TRICARE,,17177.6,,fee schedule,17177.6,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,UHC MEDICARE,UHC MEDICARE,,17177.6,,fee schedule,17177.6,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,AETNA,AETNA,,37847.61,87,percent of total billed charges,37847.61,17177.6,43503,percent of total billed charges,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37847.61,87,percent of total billed charges,37847.61,17177.6,43503,percent of total billed charges,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,UNITED HEALTHCARE,UNITED HEALTHCARE,,38282.64,88,percent of total billed charges,38282.64,17177.6,43503,percent of total billed charges,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,AETNA,AETNA,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,BEECH STREET,BEECH STREET,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,CARESOURCE,CARESOURCE,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,MEDICAID,MEDICAID,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,NOVA NET,NOVA NET,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,PEACHSTATE,PEACHSTATE,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,SELFPAY,SELFPAY,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
IVL TIBIAL/PERONEAL,C9774,CPT,both,,,43503,43503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43503,,fee schedule,43503,17177.6,43503,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,ALLIANT,ALLIANT,,41.18,,fee schedule,41.18,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,AMBETTER,AMBETTER,,32.45,,fee schedule,32.45,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,MEDICARE,MEDICARE,,24.96,,fee schedule,24.96,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,TRICARE,TRICARE,,24.96,,fee schedule,24.96,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,UHC MEDICARE,UHC MEDICARE,,24.96,,fee schedule,24.96,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,AETNA,AETNA,,57.42,87,percent of total billed charges,57.42,24.96,66,percent of total billed charges,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57.42,87,percent of total billed charges,57.42,24.96,66,percent of total billed charges,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.08,88,percent of total billed charges,58.08,24.96,66,percent of total billed charges,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,AETNA,AETNA,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,BEECH STREET,BEECH STREET,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,CARESOURCE,CARESOURCE,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,MEDICAID,MEDICAID,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,NOVA NET,NOVA NET,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,PEACHSTATE,PEACHSTATE,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,SELFPAY,SELFPAY,,66,,fee schedule,66,24.96,66,fee schedule,
SARS/COVID COLLECTION,C9803,CPT,both,,,66,66,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,66,,fee schedule,66,24.96,66,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF FLU VACCINE,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMIN,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
INFLUENZA ADMINISTRATION,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
VACCINE ADMINISTRATION,G0008,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN OF PNEUMONIA VACCIN,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEU VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN PNEUMONIA VACCINE,G0009,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIS B VACCINE,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITIX B VACCINE,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
ADMIN HEPATITS B VACCINE,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,ALLIANT,ALLIANT,,69.91,,fee schedule,69.91,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,AMBETTER,AMBETTER,,55.08,,fee schedule,55.08,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,MEDICARE,MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,TRICARE,TRICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,42.37,,fee schedule,42.37,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,42.37,69.91,percent of total billed charges,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,42.37,69.91,percent of total billed charges,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,42.37,69.91,fee schedule,
HEP B ADMINISTRATION,G0010,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,42.37,69.91,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,ALLIANT,ALLIANT,,31.86,,fee schedule,31.86,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,AMBETTER,AMBETTER,,25.1,,fee schedule,25.1,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,26.99,,fee schedule,26.99,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,27.5,,fee schedule,27.5,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,MEDICARE,MEDICARE,,19.31,,fee schedule,19.31,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,25.7,,fee schedule,25.7,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,TRICARE,TRICARE,,19.31,,fee schedule,19.31,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,19.31,,fee schedule,19.31,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,19.31,72,percent of total billed charges,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,19.31,72,percent of total billed charges,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,19.31,72,percent of total billed charges,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,19.31,72,fee schedule,
PROSTATE CANCER SCREEN; ANNUAL,G0103,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,19.31,72,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,ALLIANT,ALLIANT,,31.86,,fee schedule,31.86,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,AMBETTER,AMBETTER,,25.1,,fee schedule,25.1,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,AMERIGROUP,AMERIGROUP,,26.99,,fee schedule,26.99,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,27.5,,fee schedule,27.5,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,MEDICARE,MEDICARE,,19.31,,fee schedule,19.31,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,25.7,,fee schedule,25.7,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,TRICARE,TRICARE,,19.31,,fee schedule,19.31,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,UHC MEDICARE,UHC MEDICARE,,19.31,,fee schedule,19.31,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,AETNA,AETNA,,201.84,87,percent of total billed charges,201.84,19.31,232,percent of total billed charges,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,201.84,87,percent of total billed charges,201.84,19.31,232,percent of total billed charges,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,UNITED HEALTHCARE,UNITED HEALTHCARE,,204.16,88,percent of total billed charges,204.16,19.31,232,percent of total billed charges,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,AETNA,AETNA,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,BEECH STREET,BEECH STREET,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,CARESOURCE,CARESOURCE,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,MEDICAID,MEDICAID,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,NOVA NET,NOVA NET,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,PEACHSTATE,PEACHSTATE,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,SELFPAY,SELFPAY,,232,,fee schedule,232,19.31,232,fee schedule,
PSA ANNUAL SCREEN,G0103,CPT,both,,,232,232,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,232,,fee schedule,232,19.31,232,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,ALLIANT,ALLIANT,,91.41,,fee schedule,91.41,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,AMBETTER,AMBETTER,,72.02,,fee schedule,72.02,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,MEDICARE,MEDICARE,,55.4,,fee schedule,55.4,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,TRICARE,TRICARE,,55.4,,fee schedule,55.4,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,55.4,,fee schedule,55.4,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,55.4,91.41,percent of total billed charges,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,55.4,91.41,percent of total billed charges,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,55.4,91.41,percent of total billed charges,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIAB SMT- INDIVID PER UNI,G0108,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,55.4,91.41,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,ALLIANT,ALLIANT,,26,,fee schedule,26,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,AMBETTER,AMBETTER,,20.49,,fee schedule,20.49,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,MEDICARE,MEDICARE,,15.76,,fee schedule,15.76,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,TRICARE,TRICARE,,15.76,,fee schedule,15.76,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,UHC MEDICARE,UHC MEDICARE,,15.76,,fee schedule,15.76,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,AETNA,AETNA,,243.6,87,percent of total billed charges,243.6,15.76,280,percent of total billed charges,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243.6,87,percent of total billed charges,243.6,15.76,280,percent of total billed charges,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,UNITED HEALTHCARE,UNITED HEALTHCARE,,246.4,88,percent of total billed charges,246.4,15.76,280,percent of total billed charges,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,AETNA,AETNA,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,BEECH STREET,BEECH STREET,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,MEDICAID,MEDICAID,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,NOVA NET,NOVA NET,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,SELFPAY,SELFPAY,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT - INSULIN,G0109,CPT,both,,,280,280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,280,,fee schedule,280,15.76,280,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,ALLIANT,ALLIANT,,26,,fee schedule,26,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,AMBETTER,AMBETTER,,20.49,,fee schedule,20.49,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,MEDICARE,MEDICARE,,15.76,,fee schedule,15.76,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,TRICARE,TRICARE,,15.76,,fee schedule,15.76,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,15.76,,fee schedule,15.76,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,15.76,43,percent of total billed charges,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,15.76,43,percent of total billed charges,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,15.76,43,percent of total billed charges,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,15.76,43,fee schedule,
DIABETES SMT-GROUP PER UN,G0109,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,15.76,43,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,ALLIANT,ALLIANT,,33.43,,fee schedule,33.43,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,AMBETTER,AMBETTER,,26.34,,fee schedule,26.34,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,26.75,,fee schedule,26.75,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,27.26,,fee schedule,27.26,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,MEDICARE,MEDICARE,,20.26,,fee schedule,20.26,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,25.48,,fee schedule,25.48,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,TRICARE,TRICARE,,20.26,,fee schedule,20.26,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,20.26,,fee schedule,20.26,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,20.26,93,percent of total billed charges,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,20.26,93,percent of total billed charges,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,20.26,93,percent of total billed charges,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,20.26,93,fee schedule,
CYTOPATHOLOGY CERVICAL/V,G0123,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,20.26,93,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
OTA HH VISIT,G0158,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
OTA HH VISIT,G0158,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,87,100,percent of total billed charges,
OTA HH VISIT,G0158,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,ALLIANT,ALLIANT,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,AMBETTER,AMBETTER,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,MEDICARE,MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,TRICARE,TRICARE,,100,,fee schedule,100,87,100,fee schedule,
OTA HH VISIT,G0158,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,112.23,129,percent of total billed charges,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,112.23,129,percent of total billed charges,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,112.23,129,percent of total billed charges,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,112.23,129,fee schedule,
HM HLTH/PT OVRSIGHT 30MIN,G0181,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,112.23,129,percent of total billed charges,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,112.23,129,percent of total billed charges,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,112.23,129,percent of total billed charges,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,112.23,129,fee schedule,
HOSPICE PT OVRSIGHT 30 MI,G0182,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,112.23,129,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,AETNA,AETNA,,8741.76,87,percent of total billed charges,8741.76,8741.76,10048,percent of total billed charges,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8741.76,87,percent of total billed charges,8741.76,8741.76,10048,percent of total billed charges,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,UNITED HEALTHCARE,UNITED HEALTHCARE,,8842.24,88,percent of total billed charges,8842.24,8741.76,10048,percent of total billed charges,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,AETNA,AETNA,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,ALLIANT,ALLIANT,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,AMBETTER,AMBETTER,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,BEECH STREET,BEECH STREET,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,CARESOURCE,CARESOURCE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,MEDICAID,MEDICAID,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,MEDICARE,MEDICARE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,NOVA NET,NOVA NET,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,PEACHSTATE,PEACHSTATE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,SELFPAY,SELFPAY,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,TRICARE,TRICARE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
MELANOMA;NONCOVERED,G0219,CPT,both,,,10048,10048,UHC MEDICARE,UHC MEDICARE,,10048,,fee schedule,10048,8741.76,10048,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,ALLIANT,ALLIANT,,1040.36,,fee schedule,1040.36,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,AMBETTER,AMBETTER,,819.68,,fee schedule,819.68,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,MEDICARE,MEDICARE,,630.52,,fee schedule,630.52,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,TRICARE,TRICARE,,630.52,,fee schedule,630.52,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,UHC MEDICARE,UHC MEDICARE,,630.52,,fee schedule,630.52,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,AETNA,AETNA,,2785.74,87,percent of total billed charges,2785.74,630.52,3202,percent of total billed charges,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2785.74,87,percent of total billed charges,2785.74,630.52,3202,percent of total billed charges,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,UNITED HEALTHCARE,UNITED HEALTHCARE,,2817.76,88,percent of total billed charges,2817.76,630.52,3202,percent of total billed charges,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,AETNA,AETNA,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,BEECH STREET,BEECH STREET,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,CARESOURCE,CARESOURCE,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,MEDICAID,MEDICAID,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,NOVA NET,NOVA NET,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,PEACHSTATE,PEACHSTATE,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,SELFPAY,SELFPAY,,3202,,fee schedule,3202,630.52,3202,fee schedule,
OP HOSPITAL DIALYSIS,G0257,CPT,both,,,3202,3202,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3202,,fee schedule,3202,630.52,3202,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,ALLIANT,ALLIANT,,1040.36,,fee schedule,1040.36,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,AMBETTER,AMBETTER,,819.68,,fee schedule,819.68,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,MEDICARE,MEDICARE,,630.52,,fee schedule,630.52,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,TRICARE,TRICARE,,630.52,,fee schedule,630.52,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,UHC MEDICARE,UHC MEDICARE,,630.52,,fee schedule,630.52,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,AETNA,AETNA,,675.12,87,percent of total billed charges,675.12,630.52,1040.36,percent of total billed charges,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,675.12,87,percent of total billed charges,675.12,630.52,1040.36,percent of total billed charges,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,UNITED HEALTHCARE,UNITED HEALTHCARE,,682.88,88,percent of total billed charges,682.88,630.52,1040.36,percent of total billed charges,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,AETNA,AETNA,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,BEECH STREET,BEECH STREET,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CARESOURCE,CARESOURCE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,MEDICAID,MEDICAID,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,NOVA NET,NOVA NET,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,PEACHSTATE,PEACHSTATE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,SELFPAY,SELFPAY,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,ALLIANT,ALLIANT,,1040.36,,fee schedule,1040.36,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,AMBETTER,AMBETTER,,819.68,,fee schedule,819.68,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,MEDICARE,MEDICARE,,630.52,,fee schedule,630.52,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,TRICARE,TRICARE,,630.52,,fee schedule,630.52,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,UHC MEDICARE,UHC MEDICARE,,630.52,,fee schedule,630.52,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,AETNA,AETNA,,675.12,87,percent of total billed charges,675.12,630.52,1040.36,percent of total billed charges,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,675.12,87,percent of total billed charges,675.12,630.52,1040.36,percent of total billed charges,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,UNITED HEALTHCARE,UNITED HEALTHCARE,,682.88,88,percent of total billed charges,682.88,630.52,1040.36,percent of total billed charges,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,AETNA,AETNA,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,BEECH STREET,BEECH STREET,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CARESOURCE,CARESOURCE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,MEDICAID,MEDICAID,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,NOVA NET,NOVA NET,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,PEACHSTATE,PEACHSTATE,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,SELFPAY,SELFPAY,,776,,fee schedule,776,630.52,1040.36,fee schedule,
UNSCHED HEMODIALYSIS,G0257,CPT,both,,,776,776,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,776,,fee schedule,776,630.52,1040.36,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,TRICARE,TRICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,AETNA,AETNA,,1303.26,87,percent of total billed charges,1303.26,644.34,1498,percent of total billed charges,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1303.26,87,percent of total billed charges,1303.26,644.34,1498,percent of total billed charges,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,UNITED HEALTHCARE,UNITED HEALTHCARE,,1318.24,88,percent of total billed charges,1318.24,644.34,1498,percent of total billed charges,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,AETNA,AETNA,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,BEECH STREET,BEECH STREET,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,MEDICAID,MEDICAID,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,NOVA NET,NOVA NET,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,SELFPAY,SELFPAY,,1498,,fee schedule,1498,644.34,1498,fee schedule,
INJECT SACROILIAC JOINT,G0260,CPT,both,,,1498,1498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,TRICARE,TRICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,AETNA,AETNA,,1303.26,87,percent of total billed charges,1303.26,644.34,1498,percent of total billed charges,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1303.26,87,percent of total billed charges,1303.26,644.34,1498,percent of total billed charges,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,UNITED HEALTHCARE,UNITED HEALTHCARE,,1318.24,88,percent of total billed charges,1318.24,644.34,1498,percent of total billed charges,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,AETNA,AETNA,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,BEECH STREET,BEECH STREET,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,MEDICAID,MEDICAID,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,NOVA NET,NOVA NET,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,SELFPAY,SELFPAY,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SACRAOILIAC JOINT INJECTI,G0260,CPT,both,,,1498,1498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,ALLIANT,ALLIANT,,1063.16,,fee schedule,1063.16,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,AMBETTER,AMBETTER,,837.64,,fee schedule,837.64,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,MEDICARE,MEDICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,TRICARE,TRICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,UHC MEDICARE,UHC MEDICARE,,644.34,,fee schedule,644.34,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,AETNA,AETNA,,1303.26,87,percent of total billed charges,1303.26,644.34,1498,percent of total billed charges,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1303.26,87,percent of total billed charges,1303.26,644.34,1498,percent of total billed charges,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,UNITED HEALTHCARE,UNITED HEALTHCARE,,1318.24,88,percent of total billed charges,1318.24,644.34,1498,percent of total billed charges,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,AETNA,AETNA,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,BEECH STREET,BEECH STREET,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,CARESOURCE,CARESOURCE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,MEDICAID,MEDICAID,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,NOVA NET,NOVA NET,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,PEACHSTATE,PEACHSTATE,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,SELFPAY,SELFPAY,,1498,,fee schedule,1498,644.34,1498,fee schedule,
SI JOINT INJECTION,G0260,CPT,both,,,1498,1498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1498,,fee schedule,1498,644.34,1498,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,ALLIANT,ALLIANT,,206.37,,fee schedule,206.37,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,AMBETTER,AMBETTER,,162.59,,fee schedule,162.59,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,AMERIGROUP,AMERIGROUP,,42.12,,fee schedule,42.12,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,CARESOURCE,CARESOURCE,,42.92,,fee schedule,42.92,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,MEDICARE,MEDICARE,,125.07,,fee schedule,125.07,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,PEACHSTATE,PEACHSTATE,,40.11,,fee schedule,40.11,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,TRICARE,TRICARE,,125.07,,fee schedule,125.07,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,UHC MEDICARE,UHC MEDICARE,,125.07,,fee schedule,125.07,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,AETNA,AETNA,,298.41,87,percent of total billed charges,298.41,40.11,343,percent of total billed charges,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298.41,87,percent of total billed charges,298.41,40.11,343,percent of total billed charges,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,UNITED HEALTHCARE,UNITED HEALTHCARE,,301.84,88,percent of total billed charges,301.84,40.11,343,percent of total billed charges,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,AETNA,AETNA,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,BEECH STREET,BEECH STREET,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,CARESOURCE,CARESOURCE,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,MEDICAID,MEDICAID,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,NOVA NET,NOVA NET,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,PEACHSTATE,PEACHSTATE,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,SELFPAY,SELFPAY,,343,,fee schedule,343,40.11,343,fee schedule,
"HBOT, FULL BODY CHAMBER, 30M",G0277,CPT,both,,,343,343,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,343,,fee schedule,343,40.11,343,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,ALLIANT,ALLIANT,,206.37,,fee schedule,206.37,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,AMBETTER,AMBETTER,,162.59,,fee schedule,162.59,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,AMERIGROUP,AMERIGROUP,,42.12,,fee schedule,42.12,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,42.92,,fee schedule,42.92,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,MEDICARE,MEDICARE,,125.07,,fee schedule,125.07,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,40.11,,fee schedule,40.11,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,TRICARE,TRICARE,,125.07,,fee schedule,125.07,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,UHC MEDICARE,UHC MEDICARE,,125.07,,fee schedule,125.07,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,AETNA,AETNA,,107.88,87,percent of total billed charges,107.88,40.11,206.37,percent of total billed charges,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.88,87,percent of total billed charges,107.88,40.11,206.37,percent of total billed charges,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,UNITED HEALTHCARE,UNITED HEALTHCARE,,109.12,88,percent of total billed charges,109.12,40.11,206.37,percent of total billed charges,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,AETNA,AETNA,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,BEECH STREET,BEECH STREET,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,CARESOURCE,CARESOURCE,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,MEDICAID,MEDICAID,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,NOVA NET,NOVA NET,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,PEACHSTATE,PEACHSTATE,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,SELFPAY,SELFPAY,,124,,fee schedule,124,40.11,206.37,fee schedule,
HBOT/30 MIN ~ CASH,G0277,CPT,both,,,124,124,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,124,,fee schedule,124,40.11,206.37,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,59.39,,fee schedule,59.39,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,32.25,,fee schedule,32.25,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,27.14,,fee schedule,27.14,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,60.52,,fee schedule,60.52,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,32.86,,fee schedule,32.86,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,27.66,,fee schedule,27.66,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,56.56,,fee schedule,56.56,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,30.71,,fee schedule,30.71,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,25.85,,fee schedule,25.85,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,TRICARE,TRICARE,,54.55,,fee schedule,54.55,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,25.85,103,percent of total billed charges,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,25.85,103,percent of total billed charges,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,25.85,103,percent of total billed charges,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS,G0279,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,ALLIANT,ALLIANT,,90.01,,fee schedule,90.01,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,AMBETTER,AMBETTER,,70.92,,fee schedule,70.92,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,59.39,,fee schedule,59.39,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,32.25,,fee schedule,32.25,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,27.14,,fee schedule,27.14,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,60.52,,fee schedule,60.52,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,32.86,,fee schedule,32.86,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,27.66,,fee schedule,27.66,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,MEDICARE,MEDICARE,,54.55,,fee schedule,54.55,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,56.56,,fee schedule,56.56,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,30.71,,fee schedule,30.71,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,25.85,,fee schedule,25.85,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,TRICARE,TRICARE,,54.55,,fee schedule,54.55,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,54.55,,fee schedule,54.55,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,25.85,103,percent of total billed charges,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,25.85,103,percent of total billed charges,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,25.85,103,percent of total billed charges,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,25.85,103,fee schedule,
TOMOSYNTHESIS SINGLE,G0279,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,25.85,103,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,ALLIANT,ALLIANT,,20.34,,fee schedule,20.34,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,AMBETTER,AMBETTER,,16.03,,fee schedule,16.03,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,MEDICARE,MEDICARE,,12.33,,fee schedule,12.33,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,TRICARE,TRICARE,,12.33,,fee schedule,12.33,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,12.33,,fee schedule,12.33,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,12.33,88,percent of total billed charges,
E-STIM (OP),G0283,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,12.33,88,percent of total billed charges,
E-STIM (OP),G0283,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,12.33,88,percent of total billed charges,
E-STIM (OP),G0283,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,12.33,88,fee schedule,
E-STIM (OP),G0283,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,12.33,88,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
ER OBSERVATION,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
ER OBSERVATION,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
ER OBSERVATION,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
ER OBSERVATION,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,AETNA,AETNA,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280.14,87,percent of total billed charges,280.14,280.14,322,percent of total billed charges,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,UNITED HEALTHCARE,UNITED HEALTHCARE,,283.36,88,percent of total billed charges,283.36,280.14,322,percent of total billed charges,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,AETNA,AETNA,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,ALLIANT,ALLIANT,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,AMBETTER,AMBETTER,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,BEECH STREET,BEECH STREET,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,CARESOURCE,CARESOURCE,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,MEDICAID,MEDICAID,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,MEDICARE,MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,NOVA NET,NOVA NET,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,PEACHSTATE,PEACHSTATE,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,SELFPAY,SELFPAY,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,TRICARE,TRICARE,,322,,fee schedule,322,280.14,322,fee schedule,
ICU OBSERVATION HRS,G0378,CPT,both,,,322,322,UHC MEDICARE,UHC MEDICARE,,322,,fee schedule,322,280.14,322,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSER CHG/HR ~ NON PREGNA,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION PER HOUR CHAR,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION TIME,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
OBSERVATION TIME,G0378,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
OBSERVATION TIME,G0378,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
OBSERVATION TIME,G0378,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIR ADMIT OBSERV,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,ALLIANT,ALLIANT,,904.38,,fee schedule,904.38,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AMBETTER,AMBETTER,,712.54,,fee schedule,712.54,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICARE,MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,TRICARE,TRICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,548.11,,fee schedule,548.11,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,177.48,904.38,percent of total billed charges,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,177.48,904.38,fee schedule,
DIRECT ADMIT TO OBSERVATI,G0379,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,177.48,904.38,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,ALLIANT,ALLIANT,,100.93,,fee schedule,100.93,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,AMBETTER,AMBETTER,,79.52,,fee schedule,79.52,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,MEDICARE,MEDICARE,,61.17,,fee schedule,61.17,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,TRICARE,TRICARE,,61.17,,fee schedule,61.17,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,UHC MEDICARE,UHC MEDICARE,,61.17,,fee schedule,61.17,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,AETNA,AETNA,,111.36,87,percent of total billed charges,111.36,61.17,128,percent of total billed charges,
FT LEVEL 1,G0380,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,111.36,87,percent of total billed charges,111.36,61.17,128,percent of total billed charges,
FT LEVEL 1,G0380,CPT,both,,,128,128,UNITED HEALTHCARE,UNITED HEALTHCARE,,112.64,88,percent of total billed charges,112.64,61.17,128,percent of total billed charges,
FT LEVEL 1,G0380,CPT,both,,,128,128,AETNA,AETNA,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,BEECH STREET,BEECH STREET,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,CARESOURCE,CARESOURCE,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,MEDICAID,MEDICAID,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,NOVA NET,NOVA NET,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,PEACHSTATE,PEACHSTATE,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,SELFPAY,SELFPAY,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 1,G0380,CPT,both,,,128,128,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,128,,fee schedule,128,61.17,128,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,ALLIANT,ALLIANT,,183.86,,fee schedule,183.86,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,AMBETTER,AMBETTER,,144.86,,fee schedule,144.86,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,MEDICARE,MEDICARE,,111.43,,fee schedule,111.43,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,TRICARE,TRICARE,,111.43,,fee schedule,111.43,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,111.43,,fee schedule,111.43,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,111.43,183.86,percent of total billed charges,
FT LEVEL 2,G0381,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,111.43,183.86,percent of total billed charges,
FT LEVEL 2,G0381,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,111.43,183.86,percent of total billed charges,
FT LEVEL 2,G0381,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 2,G0381,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,111.43,183.86,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,ALLIANT,ALLIANT,,321.27,,fee schedule,321.27,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,AMBETTER,AMBETTER,,253.12,,fee schedule,253.12,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,MEDICARE,MEDICARE,,194.71,,fee schedule,194.71,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,TRICARE,TRICARE,,194.71,,fee schedule,194.71,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,UHC MEDICARE,UHC MEDICARE,,194.71,,fee schedule,194.71,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,AETNA,AETNA,,166.17,87,percent of total billed charges,166.17,166.17,321.27,percent of total billed charges,
FT LEVEL 3,G0382,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,166.17,87,percent of total billed charges,166.17,166.17,321.27,percent of total billed charges,
FT LEVEL 3,G0382,CPT,both,,,191,191,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.08,88,percent of total billed charges,168.08,166.17,321.27,percent of total billed charges,
FT LEVEL 3,G0382,CPT,both,,,191,191,AETNA,AETNA,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,BEECH STREET,BEECH STREET,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,CARESOURCE,CARESOURCE,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,MEDICAID,MEDICAID,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,NOVA NET,NOVA NET,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,PEACHSTATE,PEACHSTATE,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,SELFPAY,SELFPAY,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 3,G0382,CPT,both,,,191,191,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,191,,fee schedule,191,166.17,321.27,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,ALLIANT,ALLIANT,,461.54,,fee schedule,461.54,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,AMBETTER,AMBETTER,,363.64,,fee schedule,363.64,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,MEDICARE,MEDICARE,,279.72,,fee schedule,279.72,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,TRICARE,TRICARE,,279.72,,fee schedule,279.72,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,UHC MEDICARE,UHC MEDICARE,,279.72,,fee schedule,279.72,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,AETNA,AETNA,,226.2,87,percent of total billed charges,226.2,226.2,461.54,percent of total billed charges,
FT LEVEL 4,G0383,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226.2,87,percent of total billed charges,226.2,226.2,461.54,percent of total billed charges,
FT LEVEL 4,G0383,CPT,both,,,260,260,UNITED HEALTHCARE,UNITED HEALTHCARE,,228.8,88,percent of total billed charges,228.8,226.2,461.54,percent of total billed charges,
FT LEVEL 4,G0383,CPT,both,,,260,260,AETNA,AETNA,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,BEECH STREET,BEECH STREET,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,CARESOURCE,CARESOURCE,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,MEDICAID,MEDICAID,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,NOVA NET,NOVA NET,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,PEACHSTATE,PEACHSTATE,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,SELFPAY,SELFPAY,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 4,G0383,CPT,both,,,260,260,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,260,,fee schedule,260,226.2,461.54,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,ALLIANT,ALLIANT,,569.48,,fee schedule,569.48,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,AMBETTER,AMBETTER,,448.68,,fee schedule,448.68,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,MEDICARE,MEDICARE,,345.14,,fee schedule,345.14,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,TRICARE,TRICARE,,345.14,,fee schedule,345.14,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,UHC MEDICARE,UHC MEDICARE,,345.14,,fee schedule,345.14,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,AETNA,AETNA,,271.44,87,percent of total billed charges,271.44,271.44,569.48,percent of total billed charges,
FT LEVEL 5,G0384,CPT,both,,,312,312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271.44,87,percent of total billed charges,271.44,271.44,569.48,percent of total billed charges,
FT LEVEL 5,G0384,CPT,both,,,312,312,UNITED HEALTHCARE,UNITED HEALTHCARE,,274.56,88,percent of total billed charges,274.56,271.44,569.48,percent of total billed charges,
FT LEVEL 5,G0384,CPT,both,,,312,312,AETNA,AETNA,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,BEECH STREET,BEECH STREET,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,CARESOURCE,CARESOURCE,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,MEDICAID,MEDICAID,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,NOVA NET,NOVA NET,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,PEACHSTATE,PEACHSTATE,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,SELFPAY,SELFPAY,,312,,fee schedule,312,271.44,569.48,fee schedule,
FT LEVEL 5,G0384,CPT,both,,,312,312,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,312,,fee schedule,312,271.44,569.48,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,ALLIANT,ALLIANT,,32.29,,fee schedule,32.29,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,AMBETTER,AMBETTER,,25.44,,fee schedule,25.44,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,MEDICARE,MEDICARE,,19.57,,fee schedule,19.57,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,TRICARE,TRICARE,,19.57,,fee schedule,19.57,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,UHC MEDICARE,UHC MEDICARE,,19.57,,fee schedule,19.57,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,AETNA,AETNA,,182.7,87,percent of total billed charges,182.7,19.57,210,percent of total billed charges,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182.7,87,percent of total billed charges,182.7,19.57,210,percent of total billed charges,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,UNITED HEALTHCARE,UNITED HEALTHCARE,,184.8,88,percent of total billed charges,184.8,19.57,210,percent of total billed charges,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,AETNA,AETNA,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,BEECH STREET,BEECH STREET,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,CARESOURCE,CARESOURCE,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,MEDICAID,MEDICAID,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,NOVA NET,NOVA NET,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,PEACHSTATE,PEACHSTATE,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,SELFPAY,SELFPAY,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-I/II SCREEN,G0432,CPT,both,,,210,210,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,210,,fee schedule,210,19.57,210,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,11.98,61,percent of total billed charges,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,11.98,61,percent of total billed charges,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,11.98,61,percent of total billed charges,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,11.98,61,fee schedule,
HIV-1/II SCREEN,G0435,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,11.98,61,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,AETNA,AETNA,,328.86,87,percent of total billed charges,328.86,328.86,2847.67,percent of total billed charges,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,328.86,87,percent of total billed charges,328.86,328.86,2847.67,percent of total billed charges,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,UNITED HEALTHCARE,UNITED HEALTHCARE,,332.64,88,percent of total billed charges,332.64,328.86,2847.67,percent of total billed charges,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,AETNA,AETNA,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,BEECH STREET,BEECH STREET,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,CARESOURCE,CARESOURCE,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,MEDICAID,MEDICAID,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,NOVA NET,NOVA NET,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,PEACHSTATE,PEACHSTATE,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,SELFPAY,SELFPAY,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,378,378,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,378,,fee schedule,378,328.86,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,ALLIANT,ALLIANT,,2847.67,,fee schedule,2847.67,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,AMBETTER,AMBETTER,,2243.62,,fee schedule,2243.62,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,MEDICARE,MEDICARE,,1725.86,,fee schedule,1725.86,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,TRICARE,TRICARE,,1725.86,,fee schedule,1725.86,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,UHC MEDICARE,UHC MEDICARE,,1725.86,,fee schedule,1725.86,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,AETNA,AETNA,,1131.87,87,percent of total billed charges,1131.87,1131.87,2847.67,percent of total billed charges,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1131.87,87,percent of total billed charges,1131.87,1131.87,2847.67,percent of total billed charges,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,UNITED HEALTHCARE,UNITED HEALTHCARE,,1144.88,88,percent of total billed charges,1144.88,1131.87,2847.67,percent of total billed charges,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,AETNA,AETNA,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,BEECH STREET,BEECH STREET,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,CARESOURCE,CARESOURCE,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,MEDICAID,MEDICAID,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,NOVA NET,NOVA NET,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,PEACHSTATE,PEACHSTATE,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,SELFPAY,SELFPAY,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
PLATELET RICH PLASMA,G0460,CPT,both,,,1301,1301,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1301,,fee schedule,1301,1131.87,2847.67,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 1,G0463,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 2,G0463,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,120.86,199.42,percent of total billed charges,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 3,G0463,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,120.86,199.42,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,120.86,263,percent of total billed charges,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,120.86,263,percent of total billed charges,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,120.86,263,percent of total billed charges,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 4,G0463,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,120.86,263,percent of total billed charges,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,120.86,263,percent of total billed charges,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,120.86,263,percent of total billed charges,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,120.86,263,fee schedule,
EST PATIENT LEVEL 5,G0463,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,120.86,263,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,120.86,231,percent of total billed charges,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,120.86,231,percent of total billed charges,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,120.86,231,percent of total billed charges,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,120.86,231,fee schedule,
INITIAL WOUND VISIT,G0463,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,120.86,231,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,ALLIANT,ALLIANT,,199.42,,fee schedule,199.42,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,AMBETTER,AMBETTER,,157.12,,fee schedule,157.12,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,MEDICARE,MEDICARE,,120.86,,fee schedule,120.86,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,TRICARE,TRICARE,,120.86,,fee schedule,120.86,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,UHC MEDICARE,UHC MEDICARE,,120.86,,fee schedule,120.86,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,AETNA,AETNA,,267.09,87,percent of total billed charges,267.09,120.86,307,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,267.09,87,percent of total billed charges,267.09,120.86,307,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,UNITED HEALTHCARE,UNITED HEALTHCARE,,270.16,88,percent of total billed charges,270.16,120.86,307,percent of total billed charges,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,AETNA,AETNA,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,BEECH STREET,BEECH STREET,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,CARESOURCE,CARESOURCE,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,MEDICAID,MEDICAID,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,NOVA NET,NOVA NET,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,PEACHSTATE,PEACHSTATE,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,SELFPAY,SELFPAY,,307,,fee schedule,307,120.86,307,fee schedule,
PAIN CLINIC OP FOLLOWUP 1,G0463,CPT,both,,,307,307,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,307,,fee schedule,307,120.86,307,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,TRICARE,TRICARE,,114.43,,fee schedule,114.43,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,94.12,279,percent of total billed charges,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,94.12,279,percent of total billed charges,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,94.12,279,percent of total billed charges,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,94.12,279,fee schedule,
AMITRIPTYLINE (ELAVIL)QT,G0480,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,94.12,279,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,TRICARE,TRICARE,,114.43,,fee schedule,114.43,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,94.12,347,percent of total billed charges,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,94.12,347,percent of total billed charges,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,94.12,347,percent of total billed charges,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN 6 PANEL QUAL,G0480,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,94.12,347,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,TRICARE,TRICARE,,114.43,,fee schedule,114.43,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,43.5,188.81,percent of total billed charges,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,43.5,188.81,percent of total billed charges,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,43.5,188.81,percent of total billed charges,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG SCREEN/DOT/REGULAR,G0480,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,43.5,188.81,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,TRICARE,TRICARE,,114.43,,fee schedule,114.43,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,AETNA,AETNA,,376.71,87,percent of total billed charges,376.71,94.12,433,percent of total billed charges,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,376.71,87,percent of total billed charges,376.71,94.12,433,percent of total billed charges,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.04,88,percent of total billed charges,381.04,94.12,433,percent of total billed charges,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,AETNA,AETNA,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,BEECH STREET,BEECH STREET,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,CARESOURCE,CARESOURCE,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,MEDICAID,MEDICAID,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,NOVA NET,NOVA NET,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,PEACHSTATE,PEACHSTATE,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,SELFPAY,SELFPAY,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST DEFINITIVE 1-7 DRUG,G0480,CPT,both,,,433,433,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,433,,fee schedule,433,94.12,433,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,TRICARE,TRICARE,,114.43,,fee schedule,114.43,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,AETNA,AETNA,,377.58,87,percent of total billed charges,377.58,94.12,434,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,377.58,87,percent of total billed charges,377.58,94.12,434,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,UNITED HEALTHCARE,UNITED HEALTHCARE,,381.92,88,percent of total billed charges,381.92,94.12,434,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,AETNA,AETNA,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,BEECH STREET,BEECH STREET,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,CARESOURCE,CARESOURCE,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,MEDICAID,MEDICAID,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,NOVA NET,NOVA NET,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,PEACHSTATE,PEACHSTATE,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,SELFPAY,SELFPAY,,434,,fee schedule,434,94.12,434,fee schedule,
DRUG TEST(S) DEFINITIVE 1-7 D,G0480,CPT,both,,,434,434,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,434,,fee schedule,434,94.12,434,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,TRICARE,TRICARE,,114.43,,fee schedule,114.43,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,AETNA,AETNA,,53.07,87,percent of total billed charges,53.07,53.07,188.81,percent of total billed charges,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.07,87,percent of total billed charges,53.07,53.07,188.81,percent of total billed charges,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,UNITED HEALTHCARE,UNITED HEALTHCARE,,53.68,88,percent of total billed charges,53.68,53.07,188.81,percent of total billed charges,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,AETNA,AETNA,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,BEECH STREET,BEECH STREET,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,CARESOURCE,CARESOURCE,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,MEDICAID,MEDICAID,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,NOVA NET,NOVA NET,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,PEACHSTATE,PEACHSTATE,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,SELFPAY,SELFPAY,,61,,fee schedule,61,53.07,188.81,fee schedule,
IN HOUSE DRUG SCREEN,G0480,CPT,both,,,61,61,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,61,,fee schedule,61,53.07,188.81,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,ALLIANT,ALLIANT,,188.81,,fee schedule,188.81,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,AMBETTER,AMBETTER,,148.76,,fee schedule,148.76,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,AMERIGROUP,AMERIGROUP,,98.83,,fee schedule,98.83,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,100.71,,fee schedule,100.71,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,MEDICARE,MEDICARE,,114.43,,fee schedule,114.43,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,94.12,,fee schedule,94.12,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,TRICARE,TRICARE,,114.43,,fee schedule,114.43,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,UHC MEDICARE,UHC MEDICARE,,114.43,,fee schedule,114.43,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,AETNA,AETNA,,242.73,87,percent of total billed charges,242.73,94.12,279,percent of total billed charges,
OXYCODONE,G0480,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,242.73,87,percent of total billed charges,242.73,94.12,279,percent of total billed charges,
OXYCODONE,G0480,CPT,both,,,279,279,UNITED HEALTHCARE,UNITED HEALTHCARE,,245.52,88,percent of total billed charges,245.52,94.12,279,percent of total billed charges,
OXYCODONE,G0480,CPT,both,,,279,279,AETNA,AETNA,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,BEECH STREET,BEECH STREET,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,CARESOURCE,CARESOURCE,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,MEDICAID,MEDICAID,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,NOVA NET,NOVA NET,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,PEACHSTATE,PEACHSTATE,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,SELFPAY,SELFPAY,,279,,fee schedule,279,94.12,279,fee schedule,
OXYCODONE,G0480,CPT,both,,,279,279,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,279,,fee schedule,279,94.12,279,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,ALLIANT,ALLIANT,,258.37,,fee schedule,258.37,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,AMBETTER,AMBETTER,,203.57,,fee schedule,203.57,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,135.23,,fee schedule,135.23,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,137.81,,fee schedule,137.81,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,MEDICARE,MEDICARE,,156.59,,fee schedule,156.59,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,128.79,,fee schedule,128.79,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,TRICARE,TRICARE,,156.59,,fee schedule,156.59,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,156.59,,fee schedule,156.59,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,128.79,347,percent of total billed charges,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,128.79,347,percent of total billed charges,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,128.79,347,percent of total billed charges,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,128.79,347,fee schedule,
COCAINE URINE CONF,G0481,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,ALLIANT,ALLIANT,,258.37,,fee schedule,258.37,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,AMBETTER,AMBETTER,,203.57,,fee schedule,203.57,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,AMERIGROUP,AMERIGROUP,,135.23,,fee schedule,135.23,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,137.81,,fee schedule,137.81,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,MEDICARE,MEDICARE,,156.59,,fee schedule,156.59,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,128.79,,fee schedule,128.79,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,TRICARE,TRICARE,,156.59,,fee schedule,156.59,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,UHC MEDICARE,UHC MEDICARE,,156.59,,fee schedule,156.59,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,AETNA,AETNA,,321.9,87,percent of total billed charges,321.9,128.79,370,percent of total billed charges,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.9,87,percent of total billed charges,321.9,128.79,370,percent of total billed charges,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,UNITED HEALTHCARE,UNITED HEALTHCARE,,325.6,88,percent of total billed charges,325.6,128.79,370,percent of total billed charges,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,AETNA,AETNA,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,BEECH STREET,BEECH STREET,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,MEDICAID,MEDICAID,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,NOVA NET,NOVA NET,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,SELFPAY,SELFPAY,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG SCREEN 10 PANEL,G0481,CPT,both,,,370,370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,370,,fee schedule,370,128.79,370,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,ALLIANT,ALLIANT,,258.37,,fee schedule,258.37,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,AMBETTER,AMBETTER,,203.57,,fee schedule,203.57,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,AMERIGROUP,AMERIGROUP,,135.23,,fee schedule,135.23,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,137.81,,fee schedule,137.81,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,MEDICARE,MEDICARE,,156.59,,fee schedule,156.59,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,128.79,,fee schedule,128.79,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,TRICARE,TRICARE,,156.59,,fee schedule,156.59,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,UHC MEDICARE,UHC MEDICARE,,156.59,,fee schedule,156.59,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,AETNA,AETNA,,301.89,87,percent of total billed charges,301.89,128.79,347,percent of total billed charges,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.89,87,percent of total billed charges,301.89,128.79,347,percent of total billed charges,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,UNITED HEALTHCARE,UNITED HEALTHCARE,,305.36,88,percent of total billed charges,305.36,128.79,347,percent of total billed charges,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,AETNA,AETNA,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,BEECH STREET,BEECH STREET,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,CARESOURCE,CARESOURCE,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,MEDICAID,MEDICAID,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,NOVA NET,NOVA NET,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,PEACHSTATE,PEACHSTATE,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,SELFPAY,SELFPAY,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST DEFINITIVE 8-14 DRUG,G0481,CPT,both,,,347,347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,347,,fee schedule,347,128.79,347,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,ALLIANT,ALLIANT,,258.37,,fee schedule,258.37,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,AMBETTER,AMBETTER,,203.57,,fee schedule,203.57,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,AMERIGROUP,AMERIGROUP,,135.23,,fee schedule,135.23,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,137.81,,fee schedule,137.81,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,MEDICARE,MEDICARE,,156.59,,fee schedule,156.59,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,128.79,,fee schedule,128.79,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,TRICARE,TRICARE,,156.59,,fee schedule,156.59,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,UHC MEDICARE,UHC MEDICARE,,156.59,,fee schedule,156.59,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,AETNA,AETNA,,483.72,87,percent of total billed charges,483.72,128.79,556,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,483.72,87,percent of total billed charges,483.72,128.79,556,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,UNITED HEALTHCARE,UNITED HEALTHCARE,,489.28,88,percent of total billed charges,489.28,128.79,556,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,AETNA,AETNA,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,BEECH STREET,BEECH STREET,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,CARESOURCE,CARESOURCE,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,MEDICAID,MEDICAID,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,NOVA NET,NOVA NET,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,PEACHSTATE,PEACHSTATE,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,SELFPAY,SELFPAY,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 8-14,G0481,CPT,both,,,556,556,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,556,,fee schedule,556,128.79,556,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,ALLIANT,ALLIANT,,327.92,,fee schedule,327.92,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AMBETTER,AMBETTER,,258.36,,fee schedule,258.36,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,171.64,,fee schedule,171.64,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,174.91,,fee schedule,174.91,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,MEDICARE,MEDICARE,,198.74,,fee schedule,198.74,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,163.47,,fee schedule,163.47,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,TRICARE,TRICARE,,198.74,,fee schedule,198.74,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,198.74,,fee schedule,198.74,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,163.47,681,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,163.47,681,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,163.47,681,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,ALLIANT,ALLIANT,,327.92,,fee schedule,327.92,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AMBETTER,AMBETTER,,258.36,,fee schedule,258.36,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AMERIGROUP,AMERIGROUP,,171.64,,fee schedule,171.64,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,174.91,,fee schedule,174.91,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,MEDICARE,MEDICARE,,198.74,,fee schedule,198.74,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,163.47,,fee schedule,163.47,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,TRICARE,TRICARE,,198.74,,fee schedule,198.74,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,UHC MEDICARE,UHC MEDICARE,,198.74,,fee schedule,198.74,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AETNA,AETNA,,592.47,87,percent of total billed charges,592.47,163.47,681,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,592.47,87,percent of total billed charges,592.47,163.47,681,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,UNITED HEALTHCARE,UNITED HEALTHCARE,,599.28,88,percent of total billed charges,599.28,163.47,681,percent of total billed charges,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,AETNA,AETNA,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,BEECH STREET,BEECH STREET,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CARESOURCE,CARESOURCE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,MEDICAID,MEDICAID,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,NOVA NET,NOVA NET,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,PEACHSTATE,PEACHSTATE,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,SELFPAY,SELFPAY,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFINITIVE 15-21,G0482,CPT,both,,,681,681,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,681,,fee schedule,681,163.47,681,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,ALLIANT,ALLIANT,,407.42,,fee schedule,407.42,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AMBETTER,AMBETTER,,321,,fee schedule,321,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,213.26,,fee schedule,213.26,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,213.26,,fee schedule,213.26,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,217.32,,fee schedule,217.32,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,217.32,,fee schedule,217.32,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,MEDICARE,MEDICARE,,246.92,,fee schedule,246.92,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,203.1,,fee schedule,203.1,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,203.1,,fee schedule,203.1,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,TRICARE,TRICARE,,246.92,,fee schedule,246.92,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,246.92,,fee schedule,246.92,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,203.1,803,percent of total billed charges,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,203.1,803,percent of total billed charges,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,203.1,803,percent of total billed charges,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,ALLIANT,ALLIANT,,407.42,,fee schedule,407.42,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AMBETTER,AMBETTER,,321,,fee schedule,321,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,213.26,,fee schedule,213.26,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AMERIGROUP,AMERIGROUP,,213.26,,fee schedule,213.26,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,217.32,,fee schedule,217.32,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,217.32,,fee schedule,217.32,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,MEDICARE,MEDICARE,,246.92,,fee schedule,246.92,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,203.1,,fee schedule,203.1,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,203.1,,fee schedule,203.1,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,TRICARE,TRICARE,,246.92,,fee schedule,246.92,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,UHC MEDICARE,UHC MEDICARE,,246.92,,fee schedule,246.92,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AETNA,AETNA,,698.61,87,percent of total billed charges,698.61,203.1,803,percent of total billed charges,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,698.61,87,percent of total billed charges,698.61,203.1,803,percent of total billed charges,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,UNITED HEALTHCARE,UNITED HEALTHCARE,,706.64,88,percent of total billed charges,706.64,203.1,803,percent of total billed charges,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,AETNA,AETNA,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,BEECH STREET,BEECH STREET,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CARESOURCE,CARESOURCE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,MEDICAID,MEDICAID,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,NOVA NET,NOVA NET,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,PEACHSTATE,PEACHSTATE,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,SELFPAY,SELFPAY,,803,,fee schedule,803,203.1,803,fee schedule,
DRUG TEST(S) DEFIINITIVE 22+,G0483,CPT,both,,,803,803,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,803,,fee schedule,803,203.1,803,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,AETNA,AETNA,,38179.08,87,percent of total billed charges,38179.08,38179.08,43884,percent of total billed charges,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,38179.08,87,percent of total billed charges,38179.08,38179.08,43884,percent of total billed charges,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,UNITED HEALTHCARE,UNITED HEALTHCARE,,38617.92,88,percent of total billed charges,38617.92,38179.08,43884,percent of total billed charges,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,AETNA,AETNA,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,ALLIANT,ALLIANT,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,AMBETTER,AMBETTER,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,BEECH STREET,BEECH STREET,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,CARESOURCE,CARESOURCE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,MEDICAID,MEDICAID,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,MEDICARE,MEDICARE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,NOVA NET,NOVA NET,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,PEACHSTATE,PEACHSTATE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,SELFPAY,SELFPAY,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,TRICARE,TRICARE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
PERCUT CREATION AV FISTULA,G2170,CPT,both,,,43884,43884,UHC MEDICARE,UHC MEDICARE,,43884,,fee schedule,43884,38179.08,43884,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,ALLIANT,ALLIANT,,6.07,,fee schedule,6.07,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,AMBETTER,AMBETTER,,4.78,,fee schedule,4.78,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,MEDICARE,MEDICARE,,3.68,,fee schedule,3.68,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,TRICARE,TRICARE,,3.68,,fee schedule,3.68,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,UHC MEDICARE,UHC MEDICARE,,3.68,,fee schedule,3.68,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,AETNA,AETNA,,378.45,87,percent of total billed charges,378.45,3.68,435,percent of total billed charges,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,378.45,87,percent of total billed charges,378.45,3.68,435,percent of total billed charges,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,UNITED HEALTHCARE,UNITED HEALTHCARE,,382.8,88,percent of total billed charges,382.8,3.68,435,percent of total billed charges,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,AETNA,AETNA,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,BEECH STREET,BEECH STREET,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,CARESOURCE,CARESOURCE,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,MEDICAID,MEDICAID,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,NOVA NET,NOVA NET,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,PEACHSTATE,PEACHSTATE,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,SELFPAY,SELFPAY,,435,,fee schedule,435,3.68,435,fee schedule,
NUZYRA 100MG VIAL,J0121,CPT,both,,,435,435,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,435,,fee schedule,435,3.68,435,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,6.07,,fee schedule,6.07,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,4.78,,fee schedule,4.78,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,3.68,,fee schedule,3.68,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,3.68,,fee schedule,3.68,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,3.68,,fee schedule,3.68,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.68,149.77,percent of total billed charges,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.68,149.77,percent of total billed charges,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.68,149.77,percent of total billed charges,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
Omadacycline,J0121,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.68,149.77,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,ALLIANT,ALLIANT,,71.78,,fee schedule,71.78,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,AMBETTER,AMBETTER,,56.55,,fee schedule,56.55,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,AMERIGROUP,AMERIGROUP,,45.91,,fee schedule,45.91,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,CARESOURCE,CARESOURCE,,46.79,,fee schedule,46.79,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,MEDICARE,MEDICARE,,43.5,,fee schedule,43.5,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,PEACHSTATE,PEACHSTATE,,43.73,,fee schedule,43.73,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,TRICARE,TRICARE,,43.5,,fee schedule,43.5,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,UHC MEDICARE,UHC MEDICARE,,43.5,,fee schedule,43.5,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,AETNA,AETNA,,2020.14,87,percent of total billed charges,2020.14,43.5,2322,percent of total billed charges,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2020.14,87,percent of total billed charges,2020.14,43.5,2322,percent of total billed charges,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,UNITED HEALTHCARE,UNITED HEALTHCARE,,2043.36,88,percent of total billed charges,2043.36,43.5,2322,percent of total billed charges,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,AETNA,AETNA,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,BEECH STREET,BEECH STREET,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,CARESOURCE,CARESOURCE,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,MEDICAID,MEDICAID,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,NOVA NET,NOVA NET,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,PEACHSTATE,PEACHSTATE,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,SELFPAY,SELFPAY,,2322,,fee schedule,2322,43.5,2322,fee schedule,
ORENCIA 250MG IV SDV,J0129,CPT,both,,,2322,2322,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2322,,fee schedule,2322,43.5,2322,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,AETNA,AETNA,,3158.1,87,percent of total billed charges,3158.1,3158.1,3630,percent of total billed charges,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3158.1,87,percent of total billed charges,3158.1,3158.1,3630,percent of total billed charges,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,UNITED HEALTHCARE,UNITED HEALTHCARE,,3194.4,88,percent of total billed charges,3194.4,3158.1,3630,percent of total billed charges,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,AETNA,AETNA,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,ALLIANT,ALLIANT,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,AMBETTER,AMBETTER,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,BEECH STREET,BEECH STREET,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,CARESOURCE,CARESOURCE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,MEDICAID,MEDICAID,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,MEDICARE,MEDICARE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,NOVA NET,NOVA NET,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,PEACHSTATE,PEACHSTATE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,SELFPAY,SELFPAY,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,TRICARE,TRICARE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
REPRO 2MG/ML 5ML SDV,J0130,CPT,both,,,3630,3630,UHC MEDICARE,UHC MEDICARE,,3630,,fee schedule,3630,3158.1,3630,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
OFIRMEV 1000MG/100ML IV P,J0131,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"Acetaminophen 1,000 MG/100 ML VIAL",J0131,CPT,both,1000,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,AETNA,AETNA,,342.78,87,percent of total billed charges,342.78,342.78,394,percent of total billed charges,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342.78,87,percent of total billed charges,342.78,342.78,394,percent of total billed charges,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,UNITED HEALTHCARE,UNITED HEALTHCARE,,346.72,88,percent of total billed charges,346.72,342.78,394,percent of total billed charges,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,AETNA,AETNA,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,ALLIANT,ALLIANT,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,AMBETTER,AMBETTER,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,BEECH STREET,BEECH STREET,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,CARESOURCE,CARESOURCE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,MEDICAID,MEDICAID,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,MEDICARE,MEDICARE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,NOVA NET,NOVA NET,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,PEACHSTATE,PEACHSTATE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,SELFPAY,SELFPAY,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,TRICARE,TRICARE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETADOTE 6 GM/30ML  INJ,J0132,CPT,both,,,394,394,UHC MEDICARE,UHC MEDICARE,,394,,fee schedule,394,342.78,394,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,35,percent of total billed charges,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,35,percent of total billed charges,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,30.45,35,fee schedule,
ACETYLCYSTEIN 20% 4ML AMP,J0132,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,30.45,35,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
"Acetylcysteine 6,000 mg/30 ml Vial",J0132,CPT,both,6000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Acetylcysteine 20% 800 mg/4 ml Vial,J0132,CPT,both,800,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.04,,fee schedule,0.04,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.04,,fee schedule,0.04,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.04,,fee schedule,0.04,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.04,157,percent of total billed charges,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.04,157,percent of total billed charges,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.04,157,percent of total billed charges,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.04,157,fee schedule,
ZOVIRAX INJ 500MG,J0133,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.04,157,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.04,,fee schedule,0.04,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.04,,fee schedule,0.04,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.04,,fee schedule,0.04,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.04,149.77,percent of total billed charges,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.04,149.77,percent of total billed charges,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.04,149.77,percent of total billed charges,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir Ped IV 5 MG/ML Solution,J0133,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.04,,fee schedule,0.04,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.04,,fee schedule,0.04,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.04,,fee schedule,0.04,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.04,149.77,percent of total billed charges,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.04,149.77,percent of total billed charges,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.04,149.77,percent of total billed charges,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
Acyclovir 500 mg/10 ml Vial,J0133,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.04,149.77,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,0.42,70,percent of total billed charges,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,0.42,70,percent of total billed charges,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,0.42,70,percent of total billed charges,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD INJ 6MG 2ML,J0153,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,0.42,70,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,AETNA,AETNA,,363.66,87,percent of total billed charges,363.66,0.42,418,percent of total billed charges,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,363.66,87,percent of total billed charges,363.66,0.42,418,percent of total billed charges,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,UNITED HEALTHCARE,UNITED HEALTHCARE,,367.84,88,percent of total billed charges,367.84,0.42,418,percent of total billed charges,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,AETNA,AETNA,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,ALLIANT,ALLIANT,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,AMBETTER,AMBETTER,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,BEECH STREET,BEECH STREET,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,CARESOURCE,CARESOURCE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,MEDICAID,MEDICAID,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,MEDICARE,MEDICARE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,NOVA NET,NOVA NET,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,PEACHSTATE,PEACHSTATE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,SELFPAY,SELFPAY,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,TRICARE,TRICARE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 12MG/5ML,J0153,CPT,both,,,418,418,UHC MEDICARE,UHC MEDICARE,,418,,fee schedule,418,0.42,418,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,AETNA,AETNA,,171.39,87,percent of total billed charges,171.39,0.42,197,percent of total billed charges,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171.39,87,percent of total billed charges,171.39,0.42,197,percent of total billed charges,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,UNITED HEALTHCARE,UNITED HEALTHCARE,,173.36,88,percent of total billed charges,173.36,0.42,197,percent of total billed charges,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,AETNA,AETNA,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,ALLIANT,ALLIANT,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,AMBETTER,AMBETTER,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,BEECH STREET,BEECH STREET,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,CARESOURCE,CARESOURCE,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,MEDICAID,MEDICAID,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,MEDICARE,MEDICARE,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,NOVA NET,NOVA NET,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,PEACHSTATE,PEACHSTATE,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,SELFPAY,SELFPAY,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,TRICARE,TRICARE,,197,,fee schedule,197,0.42,197,fee schedule,
ADENOCARD SDS 6MG/2ML,J0153,CPT,both,,,197,197,UHC MEDICARE,UHC MEDICARE,,197,,fee schedule,197,0.42,197,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,0.42,3.06,percent of total billed charges,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,0.42,3.06,percent of total billed charges,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,0.42,3.06,percent of total billed charges,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 12 mg/4 ml Inj,J0153,CPT,both,12,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,0.42,3.06,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.42,35.29,percent of total billed charges,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.42,35.29,percent of total billed charges,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.42,35.29,percent of total billed charges,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Vial,J0153,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.42,35.29,percent of total billed charges,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.42,35.29,percent of total billed charges,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.42,35.29,percent of total billed charges,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
Adenosine 6 mg/2 ml Syringe,J0153,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.42,35.29,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,0.81,84,percent of total billed charges,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,0.81,84,percent of total billed charges,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,0.81,84,percent of total billed charges,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,ALLIANT,ALLIANT,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,AMBETTER,AMBETTER,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,MEDICARE,MEDICARE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,TRICARE,TRICARE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE AMP 1:1000 1,J0171,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,84,,fee schedule,84,0.81,84,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.81,34,percent of total billed charges,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.81,34,percent of total billed charges,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.81,34,percent of total billed charges,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPHINEPHRINE SYR 1:10000,J0171,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,0.81,33,percent of total billed charges,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,0.81,33,percent of total billed charges,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,0.81,33,percent of total billed charges,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRIN 1MG/ML 30ML,J0171,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,0.81,33,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.81,34,percent of total billed charges,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.81,34,percent of total billed charges,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.81,34,percent of total billed charges,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPINEPHRINE 1MG INJ CRASH,J0171,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.81,34,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,0.81,304,percent of total billed charges,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,0.81,304,percent of total billed charges,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,0.81,304,percent of total billed charges,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN 0.3MG,J0171,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,0.81,304,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,0.81,178,percent of total billed charges,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,0.81,178,percent of total billed charges,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,0.81,178,percent of total billed charges,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,ALLIANT,ALLIANT,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,AMBETTER,AMBETTER,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,MEDICARE,MEDICARE,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,TRICARE,TRICARE,,178,,fee schedule,178,0.81,178,fee schedule,
EPIPEN JR. 0.15MG,J0171,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,178,,fee schedule,178,0.81,178,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.81,35.29,percent of total billed charges,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/10 ml Syringe,J0171,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.81,35.29,percent of total billed charges,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 1 mg/ml (1:1000) 30 ml Vial,J0171,CPT,both,30,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
NULL,J0171,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
NULL,J0171,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.81,35.29,percent of total billed charges,
NULL,J0171,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
NULL,J0171,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.81,35.29,percent of total billed charges,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.3 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.85,,fee schedule,0.85,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.81,,fee schedule,0.81,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.81,35.29,percent of total billed charges,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.81,35.29,percent of total billed charges,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
EPINEPHrine 0.15 mg/0.3 ml Auto-injector,J0171,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.81,35.29,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,ALLIANT,ALLIANT,,9.87,,fee schedule,9.87,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,AMBETTER,AMBETTER,,7.77,,fee schedule,7.77,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,MEDICARE,MEDICARE,,5.98,,fee schedule,5.98,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,TRICARE,TRICARE,,5.98,,fee schedule,5.98,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,UHC MEDICARE,UHC MEDICARE,,5.98,,fee schedule,5.98,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,AETNA,AETNA,,876.09,87,percent of total billed charges,876.09,5.98,1007,percent of total billed charges,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,876.09,87,percent of total billed charges,876.09,5.98,1007,percent of total billed charges,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,UNITED HEALTHCARE,UNITED HEALTHCARE,,886.16,88,percent of total billed charges,886.16,5.98,1007,percent of total billed charges,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,AETNA,AETNA,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,BEECH STREET,BEECH STREET,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,CARESOURCE,CARESOURCE,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,MEDICAID,MEDICAID,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,NOVA NET,NOVA NET,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,PEACHSTATE,PEACHSTATE,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,SELFPAY,SELFPAY,,1007,,fee schedule,1007,5.98,1007,fee schedule,
ADUHELM 170MG VIAL,J0172,CPT,both,,,1007,1007,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1007,,fee schedule,1007,5.98,1007,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,ALLIANT,ALLIANT,,9.87,,fee schedule,9.87,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,AMBETTER,AMBETTER,,7.77,,fee schedule,7.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.28,,fee schedule,6.28,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.4,,fee schedule,6.4,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,MEDICARE,MEDICARE,,5.98,,fee schedule,5.98,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,5.98,,fee schedule,5.98,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,TRICARE,TRICARE,,5.98,,fee schedule,5.98,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,5.98,,fee schedule,5.98,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,5.98,149.77,percent of total billed charges,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,5.98,149.77,percent of total billed charges,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,5.98,149.77,percent of total billed charges,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
Aducanumab-AVWA,J0172,CPT,both,170,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,5.98,149.77,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,ALLIANT,ALLIANT,,343.73,,fee schedule,343.73,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,AMBETTER,AMBETTER,,270.82,,fee schedule,270.82,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,AMERIGROUP,AMERIGROUP,,234.08,,fee schedule,234.08,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,CARESOURCE,CARESOURCE,,238.54,,fee schedule,238.54,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,MEDICARE,MEDICARE,,208.32,,fee schedule,208.32,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,PEACHSTATE,PEACHSTATE,,222.93,,fee schedule,222.93,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,TRICARE,TRICARE,,208.32,,fee schedule,208.32,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,UHC MEDICARE,UHC MEDICARE,,208.32,,fee schedule,208.32,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,AETNA,AETNA,,23733.6,87,percent of total billed charges,23733.6,208.32,27280,percent of total billed charges,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23733.6,87,percent of total billed charges,23733.6,208.32,27280,percent of total billed charges,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,UNITED HEALTHCARE,UNITED HEALTHCARE,,24006.4,88,percent of total billed charges,24006.4,208.32,27280,percent of total billed charges,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,AETNA,AETNA,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,BEECH STREET,BEECH STREET,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,CARESOURCE,CARESOURCE,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,MEDICAID,MEDICAID,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,NOVA NET,NOVA NET,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,PEACHSTATE,PEACHSTATE,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,SELFPAY,SELFPAY,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 35MG INJ,J0180,CPT,both,,,27280,27280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27280,,fee schedule,27280,208.32,27280,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,ALLIANT,ALLIANT,,343.73,,fee schedule,343.73,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,AMBETTER,AMBETTER,,270.82,,fee schedule,270.82,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,AMERIGROUP,AMERIGROUP,,234.08,,fee schedule,234.08,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,CARESOURCE,CARESOURCE,,238.54,,fee schedule,238.54,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,MEDICARE,MEDICARE,,208.32,,fee schedule,208.32,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,PEACHSTATE,PEACHSTATE,,222.93,,fee schedule,222.93,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,TRICARE,TRICARE,,208.32,,fee schedule,208.32,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,UHC MEDICARE,UHC MEDICARE,,208.32,,fee schedule,208.32,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,AETNA,AETNA,,2192.4,87,percent of total billed charges,2192.4,208.32,2520,percent of total billed charges,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2192.4,87,percent of total billed charges,2192.4,208.32,2520,percent of total billed charges,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,UNITED HEALTHCARE,UNITED HEALTHCARE,,2217.6,88,percent of total billed charges,2217.6,208.32,2520,percent of total billed charges,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,AETNA,AETNA,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,BEECH STREET,BEECH STREET,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,CARESOURCE,CARESOURCE,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,MEDICAID,MEDICAID,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,NOVA NET,NOVA NET,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,PEACHSTATE,PEACHSTATE,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,SELFPAY,SELFPAY,,2520,,fee schedule,2520,208.32,2520,fee schedule,
FABRAZYME 5MG VIAL,J0180,CPT,both,,,2520,2520,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2520,,fee schedule,2520,208.32,2520,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,ALLIANT,ALLIANT,,7.57,,fee schedule,7.57,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,AMBETTER,AMBETTER,,5.97,,fee schedule,5.97,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,AMERIGROUP,AMERIGROUP,,3.74,,fee schedule,3.74,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,CARESOURCE,CARESOURCE,,3.81,,fee schedule,3.81,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,MEDICARE,MEDICARE,,4.59,,fee schedule,4.59,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,PEACHSTATE,PEACHSTATE,,3.57,,fee schedule,3.57,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,TRICARE,TRICARE,,4.59,,fee schedule,4.59,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,UHC MEDICARE,UHC MEDICARE,,4.59,,fee schedule,4.59,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,AETNA,AETNA,,426.3,87,percent of total billed charges,426.3,3.57,490,percent of total billed charges,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,426.3,87,percent of total billed charges,426.3,3.57,490,percent of total billed charges,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,UNITED HEALTHCARE,UNITED HEALTHCARE,,431.2,88,percent of total billed charges,431.2,3.57,490,percent of total billed charges,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,AETNA,AETNA,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,BEECH STREET,BEECH STREET,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,CARESOURCE,CARESOURCE,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,MEDICAID,MEDICAID,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,NOVA NET,NOVA NET,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,PEACHSTATE,PEACHSTATE,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,SELFPAY,SELFPAY,,490,,fee schedule,490,3.57,490,fee schedule,
ALPHA-1 PROTEINASE INHIBITOR,J0256,CPT,both,,,490,490,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,490,,fee schedule,490,3.57,490,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,AMERIGROUP,AMERIGROUP,,0.83,,fee schedule,0.83,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,0.84,,fee schedule,0.84,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,0.79,,fee schedule,0.79,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,AETNA,AETNA,,140.94,87,percent of total billed charges,140.94,0.79,162,percent of total billed charges,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.94,87,percent of total billed charges,140.94,0.79,162,percent of total billed charges,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,UNITED HEALTHCARE,UNITED HEALTHCARE,,142.56,88,percent of total billed charges,142.56,0.79,162,percent of total billed charges,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,AETNA,AETNA,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,ALLIANT,ALLIANT,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,AMBETTER,AMBETTER,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,BEECH STREET,BEECH STREET,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,CARESOURCE,CARESOURCE,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,MEDICAID,MEDICAID,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,MEDICARE,MEDICARE,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,NOVA NET,NOVA NET,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,PEACHSTATE,PEACHSTATE,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,SELFPAY,SELFPAY,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,TRICARE,TRICARE,,162,,fee schedule,162,0.79,162,fee schedule,
AMIKACIN 500MG INJ,J0278,CPT,both,,,162,162,UHC MEDICARE,UHC MEDICARE,,162,,fee schedule,162,0.79,162,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,0.83,,fee schedule,0.83,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,CARESOURCE,CARESOURCE,,0.84,,fee schedule,0.84,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,0.79,,fee schedule,0.79,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,0.79,3.06,percent of total billed charges,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,0.79,3.06,percent of total billed charges,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,0.79,3.06,percent of total billed charges,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
Amikacin,J0278,CPT,both,1000,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,0.79,3.06,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,13.84,,fee schedule,13.84,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,14.1,,fee schedule,14.1,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,13.18,,fee schedule,13.18,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,13.18,34,percent of total billed charges,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,13.18,34,percent of total billed charges,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,13.18,34,percent of total billed charges,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLIN INJ 500MG IV,J0280,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,13.18,34,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,13.84,,fee schedule,13.84,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,14.1,,fee schedule,14.1,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,13.18,,fee schedule,13.18,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,13.18,39,percent of total billed charges,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,13.18,39,percent of total billed charges,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,13.18,39,percent of total billed charges,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,13.18,39,fee schedule,
AMINOPHYLLINE,J0280,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,13.18,39,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,13.84,,fee schedule,13.84,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,14.1,,fee schedule,14.1,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,13.18,,fee schedule,13.18,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,13.18,35.29,percent of total billed charges,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,13.18,35.29,percent of total billed charges,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,13.18,35.29,percent of total billed charges,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
Aminophylline,J0280,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,13.18,35.29,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE 150MG/3ML AMP,J0282,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,26.1,30,percent of total billed charges,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,26.1,30,percent of total billed charges,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE HCL 450MG/9ML INJ,J0282,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,26.1,30,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,AETNA,AETNA,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88.74,87,percent of total billed charges,88.74,88.74,102,percent of total billed charges,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,UNITED HEALTHCARE,UNITED HEALTHCARE,,89.76,88,percent of total billed charges,89.76,88.74,102,percent of total billed charges,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,AETNA,AETNA,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,ALLIANT,ALLIANT,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,AMBETTER,AMBETTER,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,BEECH STREET,BEECH STREET,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,CARESOURCE,CARESOURCE,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,MEDICAID,MEDICAID,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,MEDICARE,MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,NOVA NET,NOVA NET,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,PEACHSTATE,PEACHSTATE,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,SELFPAY,SELFPAY,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,TRICARE,TRICARE,,102,,fee schedule,102,88.74,102,fee schedule,
AMIODARONE INJ 900MG/18ML,J0282,CPT,both,,,102,102,UHC MEDICARE,UHC MEDICARE,,102,,fee schedule,102,88.74,102,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 150MG/100ML PRE,J0282,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
NEXTERONE 360MG/200ML PRE,J0282,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 18ML VIAL,J0282,CPT,both,900,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 50 MG/ML 3ML VIAL,J0282,CPT,both,150,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 450 mg/9 ml Vial,J0282,CPT,both,450,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 150 MG/100 ML,J0282,CPT,both,150,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Amiodarone 360 MG/200 ML,J0282,CPT,both,360,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,AMERIGROUP,AMERIGROUP,,49.24,,fee schedule,49.24,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,50.18,,fee schedule,50.18,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,46.9,,fee schedule,46.9,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,AETNA,AETNA,,299.28,87,percent of total billed charges,299.28,46.9,344,percent of total billed charges,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299.28,87,percent of total billed charges,299.28,46.9,344,percent of total billed charges,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,UNITED HEALTHCARE,UNITED HEALTHCARE,,302.72,88,percent of total billed charges,302.72,46.9,344,percent of total billed charges,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,AETNA,AETNA,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,ALLIANT,ALLIANT,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,AMBETTER,AMBETTER,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,BEECH STREET,BEECH STREET,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,CARESOURCE,CARESOURCE,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,MEDICAID,MEDICAID,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,MEDICARE,MEDICARE,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,NOVA NET,NOVA NET,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,PEACHSTATE,PEACHSTATE,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,SELFPAY,SELFPAY,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,TRICARE,TRICARE,,344,,fee schedule,344,46.9,344,fee schedule,
AMBISOME 50MG INJ,J0285,CPT,both,,,344,344,UHC MEDICARE,UHC MEDICARE,,344,,fee schedule,344,46.9,344,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,49.24,,fee schedule,49.24,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,50.18,,fee schedule,50.18,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,46.9,,fee schedule,46.9,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,46.9,149.77,percent of total billed charges,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,46.9,149.77,percent of total billed charges,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,46.9,149.77,percent of total billed charges,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
Amphotericin B Liposome,J0285,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,46.9,149.77,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,ALLIANT,ALLIANT,,17,,fee schedule,17,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,AMBETTER,AMBETTER,,13.39,,fee schedule,13.39,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,AMERIGROUP,AMERIGROUP,,11.03,,fee schedule,11.03,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,CARESOURCE,CARESOURCE,,11.24,,fee schedule,11.24,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,MEDICARE,MEDICARE,,10.3,,fee schedule,10.3,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,PEACHSTATE,PEACHSTATE,,10.5,,fee schedule,10.5,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,TRICARE,TRICARE,,10.3,,fee schedule,10.3,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,UHC MEDICARE,UHC MEDICARE,,10.3,,fee schedule,10.3,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,AETNA,AETNA,,1023.99,87,percent of total billed charges,1023.99,10.3,1177,percent of total billed charges,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1023.99,87,percent of total billed charges,1023.99,10.3,1177,percent of total billed charges,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,UNITED HEALTHCARE,UNITED HEALTHCARE,,1035.76,88,percent of total billed charges,1035.76,10.3,1177,percent of total billed charges,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,AETNA,AETNA,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,BEECH STREET,BEECH STREET,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,CARESOURCE,CARESOURCE,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,MEDICAID,MEDICAID,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,NOVA NET,NOVA NET,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,PEACHSTATE,PEACHSTATE,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,SELFPAY,SELFPAY,,1177,,fee schedule,1177,10.3,1177,fee schedule,
ABELCET 100MG/20ML SDV,J0287,CPT,both,,,1177,1177,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1177,,fee schedule,1177,10.3,1177,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,0.88,32,percent of total billed charges,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,0.88,32,percent of total billed charges,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,0.88,32,percent of total billed charges,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN 500MG INJ,J0290,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,0.88,32,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,AETNA,AETNA,,93.96,87,percent of total billed charges,93.96,0.88,108,percent of total billed charges,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93.96,87,percent of total billed charges,93.96,0.88,108,percent of total billed charges,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.04,88,percent of total billed charges,95.04,0.88,108,percent of total billed charges,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,AETNA,AETNA,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,ALLIANT,ALLIANT,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,AMBETTER,AMBETTER,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,BEECH STREET,BEECH STREET,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,MEDICAID,MEDICAID,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,MEDICARE,MEDICARE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,NOVA NET,NOVA NET,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,SELFPAY,SELFPAY,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,TRICARE,TRICARE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 1GM,J0290,CPT,both,,,108,108,UHC MEDICARE,UHC MEDICARE,,108,,fee schedule,108,0.88,108,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,0.88,90,percent of total billed charges,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,0.88,90,percent of total billed charges,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,0.88,90,percent of total billed charges,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,ALLIANT,ALLIANT,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,AMBETTER,AMBETTER,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,MEDICARE,MEDICARE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,TRICARE,TRICARE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 250MG,J0290,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,90,,fee schedule,90,0.88,90,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.88,157,percent of total billed charges,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.88,157,percent of total billed charges,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.88,157,percent of total billed charges,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 2GM,J0290,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.88,157,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,0.88,64,percent of total billed charges,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,0.88,64,percent of total billed charges,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,0.88,64,percent of total billed charges,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,0.88,64,fee schedule,
AMPICILLIN INJ 500MG,J0290,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,0.88,64,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,0.88,19,percent of total billed charges,
UNASYN 500MG,J0290,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,0.88,19,percent of total billed charges,
UNASYN 500MG,J0290,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,0.88,19,percent of total billed charges,
UNASYN 500MG,J0290,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,0.88,19,fee schedule,
UNASYN 500MG,J0290,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,0.88,19,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.88,35.29,percent of total billed charges,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.88,35.29,percent of total billed charges,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.88,35.29,percent of total billed charges,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 1 GM VIAL,J0290,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.88,35.29,percent of total billed charges,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.88,35.29,percent of total billed charges,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.88,35.29,percent of total billed charges,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin 2 GM VIAL,J0290,CPT,both,2,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.92,,fee schedule,0.92,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.94,,fee schedule,0.94,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.88,,fee schedule,0.88,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.88,35.29,percent of total billed charges,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.88,35.29,percent of total billed charges,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.88,35.29,percent of total billed charges,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
Ampicillin,J0290,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.88,35.29,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,1.94,53,percent of total billed charges,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,1.94,53,percent of total billed charges,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,1.94,53,percent of total billed charges,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,ALLIANT,ALLIANT,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,AMBETTER,AMBETTER,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,MEDICARE,MEDICARE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,TRICARE,TRICARE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN 1.5GM,J0295,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,53,,fee schedule,53,1.94,53,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,AETNA,AETNA,,0.87,87,percent of total billed charges,0.87,0.87,2.08,percent of total billed charges,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,0.87,87,percent of total billed charges,0.87,0.87,2.08,percent of total billed charges,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,UNITED HEALTHCARE,UNITED HEALTHCARE,,0.88,88,percent of total billed charges,0.88,0.87,2.08,percent of total billed charges,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,AETNA,AETNA,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,ALLIANT,ALLIANT,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,AMBETTER,AMBETTER,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,BEECH STREET,BEECH STREET,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,MEDICAID,MEDICAID,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,MEDICARE,MEDICARE,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,NOVA NET,NOVA NET,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,PEACHSTATE,PEACHSTATE,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,SELFPAY,SELFPAY,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,TRICARE,TRICARE,,1,,fee schedule,1,0.87,2.08,fee schedule,
AMPICILLIN/SULBACTAM 100 MG/ML,J0295,CPT,both,,,1,1,UHC MEDICARE,UHC MEDICARE,,1,,fee schedule,1,0.87,2.08,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,AETNA,AETNA,,46.11,87,percent of total billed charges,46.11,1.94,53,percent of total billed charges,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.11,87,percent of total billed charges,46.11,1.94,53,percent of total billed charges,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,UNITED HEALTHCARE,UNITED HEALTHCARE,,46.64,88,percent of total billed charges,46.64,1.94,53,percent of total billed charges,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,AETNA,AETNA,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,ALLIANT,ALLIANT,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,AMBETTER,AMBETTER,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,BEECH STREET,BEECH STREET,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,CARESOURCE,CARESOURCE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,MEDICAID,MEDICAID,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,MEDICARE,MEDICARE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,NOVA NET,NOVA NET,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,PEACHSTATE,PEACHSTATE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,SELFPAY,SELFPAY,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,TRICARE,TRICARE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM,J0295,CPT,both,,,53,53,UHC MEDICARE,UHC MEDICARE,,53,,fee schedule,53,1.94,53,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,1.94,157,percent of total billed charges,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,1.94,157,percent of total billed charges,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,1.94,157,percent of total billed charges,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 1.5GM INJ,J0295,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,1.94,157,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,1.94,87,percent of total billed charges,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,1.94,87,percent of total billed charges,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,1.94,87,percent of total billed charges,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,ALLIANT,ALLIANT,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,AMBETTER,AMBETTER,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,MEDICARE,MEDICARE,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,TRICARE,TRICARE,,87,,fee schedule,87,1.94,87,fee schedule,
UNASYN 3GM INJ,J0295,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,87,,fee schedule,87,1.94,87,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.94,149.77,percent of total billed charges,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.94,149.77,percent of total billed charges,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.94,149.77,percent of total billed charges,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 3 GM/100 ML PREMIX,J0295,CPT,both,3,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.94,35.29,percent of total billed charges,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.94,35.29,percent of total billed charges,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.94,35.29,percent of total billed charges,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 1.5 GM VIAL,J0295,CPT,both,2,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.94,35.29,percent of total billed charges,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.94,35.29,percent of total billed charges,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.94,35.29,percent of total billed charges,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulbactam 3 GM VIAL,J0295,CPT,both,3,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.94,35.29,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.04,,fee schedule,2.04,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.08,,fee schedule,2.08,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.94,,fee schedule,1.94,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.94,149.77,percent of total billed charges,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.94,149.77,percent of total billed charges,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.94,149.77,percent of total billed charges,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
Ampicillin/Sulb Ped 20 MG/ML Syringe,J0295,CPT,both,2000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.94,149.77,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
QUELICIN 200MG/10ML SDV,J0330,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Succinylcholine,J0330,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,4.31,,fee schedule,4.31,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,4.4,,fee schedule,4.4,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,4.11,,fee schedule,4.11,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,4.11,78,percent of total billed charges,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,4.11,78,percent of total billed charges,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,4.11,78,percent of total billed charges,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,ALLIANT,ALLIANT,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,AMBETTER,AMBETTER,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,MEDICARE,MEDICARE,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,TRICARE,TRICARE,,78,,fee schedule,78,4.11,78,fee schedule,
HYDRALAZINE HCL INJ 20MG,J0360,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,78,,fee schedule,78,4.11,78,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.31,,fee schedule,4.31,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.4,,fee schedule,4.4,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.11,,fee schedule,4.11,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.11,35.29,percent of total billed charges,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.11,35.29,percent of total billed charges,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.11,35.29,percent of total billed charges,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
hydrALAZINE 20 mg/ml Vial,J0360,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.11,35.29,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,ALLIANT,ALLIANT,,10.59,,fee schedule,10.59,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,AMBETTER,AMBETTER,,8.35,,fee schedule,8.35,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,AMERIGROUP,AMERIGROUP,,7.36,,fee schedule,7.36,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,CARESOURCE,CARESOURCE,,7.5,,fee schedule,7.5,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,MEDICARE,MEDICARE,,6.42,,fee schedule,6.42,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,PEACHSTATE,PEACHSTATE,,7.01,,fee schedule,7.01,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,TRICARE,TRICARE,,6.42,,fee schedule,6.42,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,UHC MEDICARE,UHC MEDICARE,,6.42,,fee schedule,6.42,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,AETNA,AETNA,,2044.5,87,percent of total billed charges,2044.5,6.42,2350,percent of total billed charges,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2044.5,87,percent of total billed charges,2044.5,6.42,2350,percent of total billed charges,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,UNITED HEALTHCARE,UNITED HEALTHCARE,,2068,88,percent of total billed charges,2068,6.42,2350,percent of total billed charges,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,AETNA,AETNA,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,BEECH STREET,BEECH STREET,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,CARESOURCE,CARESOURCE,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,MEDICAID,MEDICAID,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,NOVA NET,NOVA NET,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,PEACHSTATE,PEACHSTATE,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,SELFPAY,SELFPAY,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ABILITY MAINTENA 300MG IM,J0401,CPT,both,,,2350,2350,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2350,,fee schedule,2350,6.42,2350,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,ALLIANT,ALLIANT,,10.59,,fee schedule,10.59,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,AMBETTER,AMBETTER,,8.35,,fee schedule,8.35,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,7.36,,fee schedule,7.36,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,CARESOURCE,CARESOURCE,,7.5,,fee schedule,7.5,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,MEDICARE,MEDICARE,,6.42,,fee schedule,6.42,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,7.01,,fee schedule,7.01,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,TRICARE,TRICARE,,6.42,,fee schedule,6.42,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,6.42,,fee schedule,6.42,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,6.42,35.29,percent of total billed charges,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,6.42,35.29,percent of total billed charges,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,6.42,35.29,percent of total billed charges,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ARIPiprazole 300 mg SusER.Vial,J0401,CPT,both,300,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,6.42,35.29,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
ZITHROMAX IV VIAL 500 MG,J0456,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin 500 mg Vial,J0456,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Azithromycin,J0456,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.09,34,percent of total billed charges,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 1 MG INJ  CRASH,J0461,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.09,34,percent of total billed charges,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE 400 MCG/ML 1 ML,J0461,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,0.09,43,percent of total billed charges,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,0.09,43,percent of total billed charges,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,0.09,43,percent of total billed charges,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE S04 SYR 0.25MG 5,J0461,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,0.09,43,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,0.09,35,percent of total billed charges,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,0.09,35,percent of total billed charges,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,0.09,35,percent of total billed charges,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 0.5MG 5,J0461,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,0.09,35,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.09,34,percent of total billed charges,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF SYR 1MG 10M,J0461,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.09,34,percent of total billed charges,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE SULF VIAL .4MG/M,J0461,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.09,34,percent of total billed charges,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ATROPINE; 1MG/ML 1ML,J0461,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.09,35.29,percent of total billed charges,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 0.5 MG/5 ML ABBJ SYRINGE,J0461,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.09,35.29,percent of total billed charges,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine 1 MG/10 ML Abboject Syringe,J0461,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,8,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.09,35.29,percent of total billed charges,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Atropine,J0461,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,ALLIANT,ALLIANT,,306.77,,fee schedule,306.77,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,AMBETTER,AMBETTER,,241.7,,fee schedule,241.7,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,186.46,,fee schedule,186.46,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,190.01,,fee schedule,190.01,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,MEDICARE,MEDICARE,,185.92,,fee schedule,185.92,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,177.58,,fee schedule,177.58,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,TRICARE,TRICARE,,185.92,,fee schedule,185.92,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,185.92,,fee schedule,185.92,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,177.58,306.77,percent of total billed charges,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,177.58,306.77,percent of total billed charges,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,177.58,306.77,percent of total billed charges,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,177.58,306.77,fee schedule,
BACLOFEN 1MG INJ,J0475,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,177.58,306.77,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,ALLIANT,ALLIANT,,6.24,,fee schedule,6.24,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,AMBETTER,AMBETTER,,4.91,,fee schedule,4.91,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,AMERIGROUP,AMERIGROUP,,4.07,,fee schedule,4.07,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,CARESOURCE,CARESOURCE,,4.15,,fee schedule,4.15,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,MEDICARE,MEDICARE,,3.78,,fee schedule,3.78,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,PEACHSTATE,PEACHSTATE,,3.87,,fee schedule,3.87,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,TRICARE,TRICARE,,3.78,,fee schedule,3.78,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,UHC MEDICARE,UHC MEDICARE,,3.78,,fee schedule,3.78,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,AETNA,AETNA,,838.68,87,percent of total billed charges,838.68,3.78,964,percent of total billed charges,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,838.68,87,percent of total billed charges,838.68,3.78,964,percent of total billed charges,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,UNITED HEALTHCARE,UNITED HEALTHCARE,,848.32,88,percent of total billed charges,848.32,3.78,964,percent of total billed charges,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,AETNA,AETNA,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,BEECH STREET,BEECH STREET,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,CARESOURCE,CARESOURCE,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,MEDICAID,MEDICAID,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,NOVA NET,NOVA NET,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,PEACHSTATE,PEACHSTATE,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,SELFPAY,SELFPAY,,964,,fee schedule,964,3.78,964,fee schedule,
BELATACEPT INJECTION 250MG,J0485,CPT,both,,,964,964,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,964,,fee schedule,964,3.78,964,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,ALLIANT,ALLIANT,,6.24,,fee schedule,6.24,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,AMBETTER,AMBETTER,,4.91,,fee schedule,4.91,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,4.07,,fee schedule,4.07,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,4.15,,fee schedule,4.15,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,MEDICARE,MEDICARE,,3.78,,fee schedule,3.78,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.87,,fee schedule,3.87,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,TRICARE,TRICARE,,3.78,,fee schedule,3.78,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,3.78,,fee schedule,3.78,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.78,149.77,percent of total billed charges,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.78,149.77,percent of total billed charges,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.78,149.77,percent of total billed charges,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
Belatacept,J0485,CPT,both,250,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.78,149.77,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,ALLIANT,ALLIANT,,82.83,,fee schedule,82.83,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,AMBETTER,AMBETTER,,65.26,,fee schedule,65.26,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,AMERIGROUP,AMERIGROUP,,56.84,,fee schedule,56.84,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,CARESOURCE,CARESOURCE,,57.92,,fee schedule,57.92,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,MEDICARE,MEDICARE,,50.2,,fee schedule,50.2,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,PEACHSTATE,PEACHSTATE,,54.13,,fee schedule,54.13,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,TRICARE,TRICARE,,50.2,,fee schedule,50.2,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,UHC MEDICARE,UHC MEDICARE,,50.2,,fee schedule,50.2,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,AETNA,AETNA,,1954.89,87,percent of total billed charges,1954.89,50.2,2247,percent of total billed charges,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1954.89,87,percent of total billed charges,1954.89,50.2,2247,percent of total billed charges,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,UNITED HEALTHCARE,UNITED HEALTHCARE,,1977.36,88,percent of total billed charges,1977.36,50.2,2247,percent of total billed charges,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,AETNA,AETNA,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,BEECH STREET,BEECH STREET,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,CARESOURCE,CARESOURCE,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,MEDICAID,MEDICAID,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,NOVA NET,NOVA NET,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,PEACHSTATE,PEACHSTATE,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,SELFPAY,SELFPAY,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 120MG INJ,J0490,CPT,both,,,2247,2247,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2247,,fee schedule,2247,50.2,2247,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,ALLIANT,ALLIANT,,82.83,,fee schedule,82.83,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,AMBETTER,AMBETTER,,65.26,,fee schedule,65.26,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,AMERIGROUP,AMERIGROUP,,56.84,,fee schedule,56.84,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,CARESOURCE,CARESOURCE,,57.92,,fee schedule,57.92,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,MEDICARE,MEDICARE,,50.2,,fee schedule,50.2,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,PEACHSTATE,PEACHSTATE,,54.13,,fee schedule,54.13,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,TRICARE,TRICARE,,50.2,,fee schedule,50.2,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,UHC MEDICARE,UHC MEDICARE,,50.2,,fee schedule,50.2,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,AETNA,AETNA,,3209.43,87,percent of total billed charges,3209.43,50.2,3689,percent of total billed charges,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3209.43,87,percent of total billed charges,3209.43,50.2,3689,percent of total billed charges,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,UNITED HEALTHCARE,UNITED HEALTHCARE,,3246.32,88,percent of total billed charges,3246.32,50.2,3689,percent of total billed charges,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,AETNA,AETNA,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,BEECH STREET,BEECH STREET,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,CARESOURCE,CARESOURCE,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,MEDICAID,MEDICAID,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,NOVA NET,NOVA NET,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,PEACHSTATE,PEACHSTATE,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,SELFPAY,SELFPAY,,3689,,fee schedule,3689,50.2,3689,fee schedule,
BENLYSTA 400MG INJ,J0490,CPT,both,,,3689,3689,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3689,,fee schedule,3689,50.2,3689,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,ALLIANT,ALLIANT,,26.93,,fee schedule,26.93,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,AMBETTER,AMBETTER,,21.22,,fee schedule,21.22,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,AMERIGROUP,AMERIGROUP,,18.2,,fee schedule,18.2,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,CARESOURCE,CARESOURCE,,18.54,,fee schedule,18.54,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,MEDICARE,MEDICARE,,16.32,,fee schedule,16.32,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,PEACHSTATE,PEACHSTATE,,17.33,,fee schedule,17.33,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,TRICARE,TRICARE,,16.32,,fee schedule,16.32,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,UHC MEDICARE,UHC MEDICARE,,16.32,,fee schedule,16.32,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,AETNA,AETNA,,4285.62,87,percent of total billed charges,4285.62,16.32,4926,percent of total billed charges,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4285.62,87,percent of total billed charges,4285.62,16.32,4926,percent of total billed charges,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,UNITED HEALTHCARE,UNITED HEALTHCARE,,4334.88,88,percent of total billed charges,4334.88,16.32,4926,percent of total billed charges,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,AETNA,AETNA,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,BEECH STREET,BEECH STREET,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,CARESOURCE,CARESOURCE,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,MEDICAID,MEDICAID,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,NOVA NET,NOVA NET,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,PEACHSTATE,PEACHSTATE,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,SELFPAY,SELFPAY,,4926,,fee schedule,4926,16.32,4926,fee schedule,
SAPHNELO 300MG/2ML VIAL,J0491,CPT,both,,,4926,4926,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4926,,fee schedule,4926,16.32,4926,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,ALLIANT,ALLIANT,,26.93,,fee schedule,26.93,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,AMBETTER,AMBETTER,,21.22,,fee schedule,21.22,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,18.2,,fee schedule,18.2,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,CARESOURCE,CARESOURCE,,18.54,,fee schedule,18.54,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,MEDICARE,MEDICARE,,16.32,,fee schedule,16.32,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,17.33,,fee schedule,17.33,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,TRICARE,TRICARE,,16.32,,fee schedule,16.32,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,16.32,,fee schedule,16.32,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,16.32,139.78,percent of total billed charges,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,16.32,139.78,percent of total billed charges,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,16.32,139.78,percent of total billed charges,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
Anifrolumab-fnia,J0491,CPT,both,300,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,16.32,139.78,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,AMERIGROUP,AMERIGROUP,,21.35,,fee schedule,21.35,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,21.76,,fee schedule,21.76,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,20.33,,fee schedule,20.33,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,20.33,122,percent of total billed charges,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,20.33,122,percent of total billed charges,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,20.33,122,percent of total billed charges,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,ALLIANT,ALLIANT,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,AMBETTER,AMBETTER,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,MEDICARE,MEDICARE,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,TRICARE,TRICARE,,122,,fee schedule,122,20.33,122,fee schedule,
BENTYL INJ 20MG 2ML,J0500,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,122,,fee schedule,122,20.33,122,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,21.35,,fee schedule,21.35,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,21.76,,fee schedule,21.76,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,20.33,,fee schedule,20.33,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,20.33,35.29,percent of total billed charges,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,20.33,35.29,percent of total billed charges,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,20.33,35.29,percent of total billed charges,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
Dicyclomine HCL 20 MG/2 ML AMPUL,J0500,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,20.33,35.29,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,AMERIGROUP,AMERIGROUP,,17.11,,fee schedule,17.11,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,17.43,,fee schedule,17.43,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,16.29,,fee schedule,16.29,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,AETNA,AETNA,,332.34,87,percent of total billed charges,332.34,16.29,382,percent of total billed charges,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,332.34,87,percent of total billed charges,332.34,16.29,382,percent of total billed charges,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,UNITED HEALTHCARE,UNITED HEALTHCARE,,336.16,88,percent of total billed charges,336.16,16.29,382,percent of total billed charges,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,AETNA,AETNA,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,ALLIANT,ALLIANT,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,AMBETTER,AMBETTER,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,BEECH STREET,BEECH STREET,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,CARESOURCE,CARESOURCE,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,MEDICAID,MEDICAID,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,MEDICARE,MEDICARE,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,NOVA NET,NOVA NET,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,PEACHSTATE,PEACHSTATE,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,SELFPAY,SELFPAY,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,TRICARE,TRICARE,,382,,fee schedule,382,16.29,382,fee schedule,
COGENTIN INJ 2 MG 2 ML,J0515,CPT,both,,,382,382,UHC MEDICARE,UHC MEDICARE,,382,,fee schedule,382,16.29,382,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,17.11,,fee schedule,17.11,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,17.43,,fee schedule,17.43,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,16.29,,fee schedule,16.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,16.29,35.29,percent of total billed charges,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,16.29,35.29,percent of total billed charges,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,16.29,35.29,percent of total billed charges,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
Benztropine 2 mg/2 ml Ampule,J0515,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,16.29,35.29,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,ALLIANT,ALLIANT,,277.61,,fee schedule,277.61,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,AMBETTER,AMBETTER,,218.73,,fee schedule,218.73,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,AMERIGROUP,AMERIGROUP,,176.63,,fee schedule,176.63,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,CARESOURCE,CARESOURCE,,180,,fee schedule,180,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,MEDICARE,MEDICARE,,168.25,,fee schedule,168.25,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,PEACHSTATE,PEACHSTATE,,168.22,,fee schedule,168.22,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,TRICARE,TRICARE,,168.25,,fee schedule,168.25,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,UHC MEDICARE,UHC MEDICARE,,168.25,,fee schedule,168.25,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,AETNA,AETNA,,8995.8,87,percent of total billed charges,8995.8,168.22,10340,percent of total billed charges,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8995.8,87,percent of total billed charges,8995.8,168.22,10340,percent of total billed charges,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,UNITED HEALTHCARE,UNITED HEALTHCARE,,9099.2,88,percent of total billed charges,9099.2,168.22,10340,percent of total billed charges,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,AETNA,AETNA,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,BEECH STREET,BEECH STREET,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,CARESOURCE,CARESOURCE,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,MEDICAID,MEDICAID,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,NOVA NET,NOVA NET,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,PEACHSTATE,PEACHSTATE,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,SELFPAY,SELFPAY,,10340,,fee schedule,10340,168.22,10340,fee schedule,
BENRALIZUMAB 30MG/ML,J0517,CPT,both,,,10340,10340,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10340,,fee schedule,10340,168.22,10340,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,ALLIANT,ALLIANT,,277.61,,fee schedule,277.61,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,AMBETTER,AMBETTER,,218.73,,fee schedule,218.73,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,176.63,,fee schedule,176.63,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,180,,fee schedule,180,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,MEDICARE,MEDICARE,,168.25,,fee schedule,168.25,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,168.22,,fee schedule,168.22,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,TRICARE,TRICARE,,168.25,,fee schedule,168.25,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,168.25,,fee schedule,168.25,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,277.61,percent of total billed charges,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,277.61,percent of total billed charges,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,277.61,percent of total billed charges,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
Benralizumab,J0517,CPT,both,30,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,277.61,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,ALLIANT,ALLIANT,,22.9,,fee schedule,22.9,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,AMBETTER,AMBETTER,,18.04,,fee schedule,18.04,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,AMERIGROUP,AMERIGROUP,,20.5,,fee schedule,20.5,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,20.89,,fee schedule,20.89,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,MEDICARE,MEDICARE,,13.88,,fee schedule,13.88,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,19.52,,fee schedule,19.52,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,TRICARE,TRICARE,,13.88,,fee schedule,13.88,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,UHC MEDICARE,UHC MEDICARE,,13.88,,fee schedule,13.88,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,AETNA,AETNA,,188.79,87,percent of total billed charges,188.79,13.88,217,percent of total billed charges,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188.79,87,percent of total billed charges,188.79,13.88,217,percent of total billed charges,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,UNITED HEALTHCARE,UNITED HEALTHCARE,,190.96,88,percent of total billed charges,190.96,13.88,217,percent of total billed charges,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,AETNA,AETNA,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,BEECH STREET,BEECH STREET,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,CARESOURCE,CARESOURCE,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,MEDICAID,MEDICAID,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,NOVA NET,NOVA NET,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,PEACHSTATE,PEACHSTATE,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,SELFPAY,SELFPAY,,217,,fee schedule,217,13.88,217,fee schedule,
BACILLIN-CR 1200000U,J0558,CPT,both,,,217,217,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,217,,fee schedule,217,13.88,217,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,ALLIANT,ALLIANT,,22.9,,fee schedule,22.9,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,AMBETTER,AMBETTER,,18.04,,fee schedule,18.04,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,20.5,,fee schedule,20.5,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,20.89,,fee schedule,20.89,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,MEDICARE,MEDICARE,,13.88,,fee schedule,13.88,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,19.52,,fee schedule,19.52,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,TRICARE,TRICARE,,13.88,,fee schedule,13.88,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,13.88,,fee schedule,13.88,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,13.88,35.29,percent of total billed charges,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,13.88,35.29,percent of total billed charges,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,13.88,35.29,percent of total billed charges,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
"penicillin G Benzathine/Procaine 1,200,000 Unit/2 ml Syringe",J0558,CPT,both,1200000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,13.88,35.29,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,ALLIANT,ALLIANT,,29.88,,fee schedule,29.88,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,AMBETTER,AMBETTER,,23.54,,fee schedule,23.54,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,AMERIGROUP,AMERIGROUP,,25.17,,fee schedule,25.17,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,25.65,,fee schedule,25.65,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,MEDICARE,MEDICARE,,18.11,,fee schedule,18.11,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,23.97,,fee schedule,23.97,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,TRICARE,TRICARE,,18.11,,fee schedule,18.11,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,UHC MEDICARE,UHC MEDICARE,,18.11,,fee schedule,18.11,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,AETNA,AETNA,,200.97,87,percent of total billed charges,200.97,18.11,231,percent of total billed charges,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.97,87,percent of total billed charges,200.97,18.11,231,percent of total billed charges,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,UNITED HEALTHCARE,UNITED HEALTHCARE,,203.28,88,percent of total billed charges,203.28,18.11,231,percent of total billed charges,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,AETNA,AETNA,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,BEECH STREET,BEECH STREET,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,CARESOURCE,CARESOURCE,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,MEDICAID,MEDICAID,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,NOVA NET,NOVA NET,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,PEACHSTATE,PEACHSTATE,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,SELFPAY,SELFPAY,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA 1200000U TU,J0561,CPT,both,,,231,231,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,231,,fee schedule,231,18.11,231,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,ALLIANT,ALLIANT,,29.88,,fee schedule,29.88,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,AMBETTER,AMBETTER,,23.54,,fee schedule,23.54,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,25.17,,fee schedule,25.17,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,25.65,,fee schedule,25.65,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,MEDICARE,MEDICARE,,18.11,,fee schedule,18.11,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,23.97,,fee schedule,23.97,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,TRICARE,TRICARE,,18.11,,fee schedule,18.11,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,18.11,,fee schedule,18.11,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,18.11,93,percent of total billed charges,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,18.11,93,percent of total billed charges,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,18.11,93,percent of total billed charges,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 2400000,J0561,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,18.11,93,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,ALLIANT,ALLIANT,,29.88,,fee schedule,29.88,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,AMBETTER,AMBETTER,,23.54,,fee schedule,23.54,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,25.17,,fee schedule,25.17,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,25.65,,fee schedule,25.65,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,MEDICARE,MEDICARE,,18.11,,fee schedule,18.11,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,23.97,,fee schedule,23.97,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,TRICARE,TRICARE,,18.11,,fee schedule,18.11,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,18.11,,fee schedule,18.11,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,18.11,37,percent of total billed charges,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,18.11,37,percent of total billed charges,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,18.11,37,percent of total billed charges,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,18.11,37,fee schedule,
BICILLIN-LA INJ 600000U,J0561,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,18.11,37,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,ALLIANT,ALLIANT,,65.84,,fee schedule,65.84,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,AMBETTER,AMBETTER,,51.87,,fee schedule,51.87,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,AMERIGROUP,AMERIGROUP,,41.88,,fee schedule,41.88,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,CARESOURCE,CARESOURCE,,42.68,,fee schedule,42.68,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,MEDICARE,MEDICARE,,39.9,,fee schedule,39.9,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,PEACHSTATE,PEACHSTATE,,39.89,,fee schedule,39.89,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,TRICARE,TRICARE,,39.9,,fee schedule,39.9,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,UHC MEDICARE,UHC MEDICARE,,39.9,,fee schedule,39.9,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,AETNA,AETNA,,3386.04,87,percent of total billed charges,3386.04,39.89,3892,percent of total billed charges,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3386.04,87,percent of total billed charges,3386.04,39.89,3892,percent of total billed charges,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,UNITED HEALTHCARE,UNITED HEALTHCARE,,3424.96,88,percent of total billed charges,3424.96,39.89,3892,percent of total billed charges,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,AETNA,AETNA,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,BEECH STREET,BEECH STREET,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,CARESOURCE,CARESOURCE,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,MEDICAID,MEDICAID,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,NOVA NET,NOVA NET,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,PEACHSTATE,PEACHSTATE,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,SELFPAY,SELFPAY,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"ZINPLAVA 1,000MG/40ML VIAL",J0565,CPT,both,,,3892,3892,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3892,,fee schedule,3892,39.89,3892,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,ALLIANT,ALLIANT,,65.84,,fee schedule,65.84,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,AMBETTER,AMBETTER,,51.87,,fee schedule,51.87,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,41.88,,fee schedule,41.88,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,42.68,,fee schedule,42.68,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,MEDICARE,MEDICARE,,39.9,,fee schedule,39.9,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,39.89,,fee schedule,39.89,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,TRICARE,TRICARE,,39.9,,fee schedule,39.9,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,39.9,,fee schedule,39.9,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,39.89,149.77,percent of total billed charges,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,39.89,149.77,percent of total billed charges,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,39.89,149.77,percent of total billed charges,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
"Bexlotoxumab 1,000 mg/40 ml vial",J0565,CPT,both,1000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,39.89,149.77,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,AETNA,AETNA,,1139.7,87,percent of total billed charges,1139.7,1139.7,1310,percent of total billed charges,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1139.7,87,percent of total billed charges,1139.7,1139.7,1310,percent of total billed charges,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,UNITED HEALTHCARE,UNITED HEALTHCARE,,1152.8,88,percent of total billed charges,1152.8,1139.7,1310,percent of total billed charges,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,AETNA,AETNA,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,ALLIANT,ALLIANT,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,AMBETTER,AMBETTER,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,BEECH STREET,BEECH STREET,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,CARESOURCE,CARESOURCE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,MEDICAID,MEDICAID,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,MEDICARE,MEDICARE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,NOVA NET,NOVA NET,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,PEACHSTATE,PEACHSTATE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,SELFPAY,SELFPAY,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,TRICARE,TRICARE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
BIVALIRUDIN 250MG VIAL,J0583,CPT,both,,,1310,1310,UHC MEDICARE,UHC MEDICARE,,1310,,fee schedule,1310,1139.7,1310,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bivalirudin,J0583,CPT,both,250,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,ALLIANT,ALLIANT,,10.43,,fee schedule,10.43,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,AMBETTER,AMBETTER,,8.22,,fee schedule,8.22,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,AMERIGROUP,AMERIGROUP,,6.69,,fee schedule,6.69,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,CARESOURCE,CARESOURCE,,6.82,,fee schedule,6.82,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,MEDICARE,MEDICARE,,6.32,,fee schedule,6.32,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,PEACHSTATE,PEACHSTATE,,6.38,,fee schedule,6.38,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,TRICARE,TRICARE,,6.32,,fee schedule,6.32,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,UHC MEDICARE,UHC MEDICARE,,6.32,,fee schedule,6.32,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,AETNA,AETNA,,1233.66,87,percent of total billed charges,1233.66,6.32,1418,percent of total billed charges,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1233.66,87,percent of total billed charges,1233.66,6.32,1418,percent of total billed charges,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,UNITED HEALTHCARE,UNITED HEALTHCARE,,1247.84,88,percent of total billed charges,1247.84,6.32,1418,percent of total billed charges,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,AETNA,AETNA,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,BEECH STREET,BEECH STREET,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,CARESOURCE,CARESOURCE,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,MEDICAID,MEDICAID,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,NOVA NET,NOVA NET,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,PEACHSTATE,PEACHSTATE,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,SELFPAY,SELFPAY,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 100U SD VIAL,J0585,CPT,both,,,1418,1418,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1418,,fee schedule,1418,6.32,1418,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,ALLIANT,ALLIANT,,10.43,,fee schedule,10.43,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,AMBETTER,AMBETTER,,8.22,,fee schedule,8.22,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,AMERIGROUP,AMERIGROUP,,6.69,,fee schedule,6.69,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,6.82,,fee schedule,6.82,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,MEDICARE,MEDICARE,,6.32,,fee schedule,6.32,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,6.38,,fee schedule,6.38,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,TRICARE,TRICARE,,6.32,,fee schedule,6.32,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,6.32,,fee schedule,6.32,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,6.32,15,percent of total billed charges,
BOTOX 1U,J0585,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,6.32,15,percent of total billed charges,
BOTOX 1U,J0585,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,6.32,15,percent of total billed charges,
BOTOX 1U,J0585,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX 1U,J0585,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,6.32,15,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,ALLIANT,ALLIANT,,10.43,,fee schedule,10.43,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,AMBETTER,AMBETTER,,8.22,,fee schedule,8.22,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,AMERIGROUP,AMERIGROUP,,6.69,,fee schedule,6.69,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,CARESOURCE,CARESOURCE,,6.82,,fee schedule,6.82,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,MEDICARE,MEDICARE,,6.32,,fee schedule,6.32,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,PEACHSTATE,PEACHSTATE,,6.38,,fee schedule,6.38,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,TRICARE,TRICARE,,6.32,,fee schedule,6.32,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,UHC MEDICARE,UHC MEDICARE,,6.32,,fee schedule,6.32,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,AETNA,AETNA,,1980.12,87,percent of total billed charges,1980.12,6.32,2276,percent of total billed charges,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1980.12,87,percent of total billed charges,1980.12,6.32,2276,percent of total billed charges,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,UNITED HEALTHCARE,UNITED HEALTHCARE,,2002.88,88,percent of total billed charges,2002.88,6.32,2276,percent of total billed charges,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,AETNA,AETNA,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,BEECH STREET,BEECH STREET,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,CARESOURCE,CARESOURCE,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,MEDICAID,MEDICAID,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,NOVA NET,NOVA NET,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,PEACHSTATE,PEACHSTATE,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,SELFPAY,SELFPAY,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BOTOX VIAL 100 UNITS,J0585,CPT,both,,,2276,2276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2276,,fee schedule,2276,6.32,2276,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,3.82,11,percent of total billed charges,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,3.82,11,percent of total billed charges,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,3.82,11,percent of total billed charges,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL 1MG VIAL,J0595,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,3.82,11,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,3.82,35,percent of total billed charges,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,3.82,35,percent of total billed charges,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,3.82,35,percent of total billed charges,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,3.82,35,fee schedule,
BUTORPHANOL TART 4 MG/2ML VIAL,J0595,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,3.82,35,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,3.82,47,percent of total billed charges,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,3.82,47,percent of total billed charges,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,3.82,47,percent of total billed charges,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,3.82,47,fee schedule,
STADOL INJ 2MG 1ML,J0595,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,3.82,47,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.82,35.29,percent of total billed charges,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.82,35.29,percent of total billed charges,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.82,35.29,percent of total billed charges,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.82,35.29,percent of total billed charges,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.82,35.29,percent of total billed charges,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.82,35.29,percent of total billed charges,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol Tartrate,J0595,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.01,,fee schedule,4.01,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.08,,fee schedule,4.08,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.82,,fee schedule,3.82,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.82,35.29,percent of total billed charges,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.82,35.29,percent of total billed charges,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.82,35.29,percent of total billed charges,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
Butorphanol,J0595,CPT,both,4,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.82,35.29,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE 10% INJ,J0610,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
CALCIUM GLUCONATE INJ 10M,J0610,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.04,,fee schedule,0.04,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,CARESOURCE,CARESOURCE,,0.04,,fee schedule,0.04,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.04,,fee schedule,0.04,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.04,35.29,percent of total billed charges,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.04,35.29,percent of total billed charges,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.04,35.29,percent of total billed charges,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
Calcium Gluconate,J0612,CPT,both,5,EA,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.04,35.29,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,ALLIANT,ALLIANT,,3197.52,,fee schedule,3197.52,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,AMBETTER,AMBETTER,,2519.26,,fee schedule,2519.26,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,1125.57,,fee schedule,1125.57,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,1147.01,,fee schedule,1147.01,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,MEDICARE,MEDICARE,,1937.89,,fee schedule,1937.89,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,1071.97,,fee schedule,1071.97,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,TRICARE,TRICARE,,1937.89,,fee schedule,1937.89,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,1937.89,,fee schedule,1937.89,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,228.81,3197.52,percent of total billed charges,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,228.81,3197.52,percent of total billed charges,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,228.81,3197.52,percent of total billed charges,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCIMAR INJ 2ML,J0630,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,228.81,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,ALLIANT,ALLIANT,,3197.52,,fee schedule,3197.52,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,AMBETTER,AMBETTER,,2519.26,,fee schedule,2519.26,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,1125.57,,fee schedule,1125.57,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,1147.01,,fee schedule,1147.01,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,MEDICARE,MEDICARE,,1937.89,,fee schedule,1937.89,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,1071.97,,fee schedule,1071.97,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,TRICARE,TRICARE,,1937.89,,fee schedule,1937.89,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,1937.89,,fee schedule,1937.89,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,30.45,3197.52,percent of total billed charges,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,30.45,3197.52,percent of total billed charges,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,30.45,3197.52,percent of total billed charges,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CALCITONIN-SALMON 50 IU,J0630,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,30.45,3197.52,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,75.69,87,percent of total billed charges,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,75.69,87,percent of total billed charges,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,75.69,87,percent of total billed charges,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,ALLIANT,ALLIANT,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,AMBETTER,AMBETTER,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,MEDICARE,MEDICARE,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,TRICARE,TRICARE,,87,,fee schedule,87,75.69,87,fee schedule,
CLACIJEX 1MCG,J0636,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,87,,fee schedule,87,75.69,87,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,4.43,157,percent of total billed charges,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,4.43,157,percent of total billed charges,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,4.43,157,percent of total billed charges,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALC INJ 100MG,J0640,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,4.43,9,percent of total billed charges,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,4.43,9,percent of total billed charges,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,4.43,9,percent of total billed charges,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN CALCIUM INJ 50MG,J0640,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,4.43,9,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,4.43,157,percent of total billed charges,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,4.43,157,percent of total billed charges,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,4.43,157,percent of total billed charges,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,4.43,157,fee schedule,
LEUCOVORIN INJ; 350MG,J0640,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,4.43,157,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.43,35.29,percent of total billed charges,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 200 MG/20 ML Vial,J0640,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.43,35.29,percent of total billed charges,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium,J0640,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.43,35.29,percent of total billed charges,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 100 mg/10 ml Vial,J0640,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.43,35.29,percent of total billed charges,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin Calcium 350 mg/17.5 ml Vial,J0640,CPT,both,350,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.65,,fee schedule,4.65,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.74,,fee schedule,4.74,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.43,,fee schedule,4.43,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.43,35.29,percent of total billed charges,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.43,35.29,percent of total billed charges,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
Leucovorin 500 MG Vial,J0640,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.43,35.29,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,AMERIGROUP,AMERIGROUP,,3.55,,fee schedule,3.55,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,3.62,,fee schedule,3.62,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,3.38,,fee schedule,3.38,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,AETNA,AETNA,,49.59,87,percent of total billed charges,49.59,3.38,57,percent of total billed charges,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49.59,87,percent of total billed charges,49.59,3.38,57,percent of total billed charges,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,UNITED HEALTHCARE,UNITED HEALTHCARE,,50.16,88,percent of total billed charges,50.16,3.38,57,percent of total billed charges,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,AETNA,AETNA,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,ALLIANT,ALLIANT,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,AMBETTER,AMBETTER,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,BEECH STREET,BEECH STREET,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,CARESOURCE,CARESOURCE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,MEDICAID,MEDICAID,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,MEDICARE,MEDICARE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,NOVA NET,NOVA NET,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,PEACHSTATE,PEACHSTATE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,SELFPAY,SELFPAY,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,TRICARE,TRICARE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE 1% 30ML,J0670,CPT,both,,,57,57,UHC MEDICARE,UHC MEDICARE,,57,,fee schedule,57,3.38,57,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,AMERIGROUP,AMERIGROUP,,3.55,,fee schedule,3.55,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,3.62,,fee schedule,3.62,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,3.38,,fee schedule,3.38,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,3.38,78,percent of total billed charges,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,3.38,78,percent of total billed charges,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,3.38,78,percent of total billed charges,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,ALLIANT,ALLIANT,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,AMBETTER,AMBETTER,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,MEDICARE,MEDICARE,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,TRICARE,TRICARE,,78,,fee schedule,78,3.38,78,fee schedule,
CARBOCAINE INJ 1%50ML,J0670,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,78,,fee schedule,78,3.38,78,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,AMERIGROUP,AMERIGROUP,,3.55,,fee schedule,3.55,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,3.62,,fee schedule,3.62,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,3.38,,fee schedule,3.38,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,3.38,60,percent of total billed charges,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,3.38,60,percent of total billed charges,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,3.38,60,percent of total billed charges,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,3.38,60,fee schedule,
POLOCAINE-MPF 1.5% 30ML,J0670,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,3.38,60,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.55,,fee schedule,3.55,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,CARESOURCE,CARESOURCE,,3.62,,fee schedule,3.62,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.38,,fee schedule,3.38,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.38,35.29,percent of total billed charges,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.38,35.29,percent of total billed charges,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.38,35.29,percent of total billed charges,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1% 30 ML SDV,J0670,CPT,both,30,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.55,,fee schedule,3.55,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,CARESOURCE,CARESOURCE,,3.62,,fee schedule,3.62,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.38,,fee schedule,3.38,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.38,35.29,percent of total billed charges,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.38,35.29,percent of total billed charges,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.38,35.29,percent of total billed charges,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine (1%) 50 ML VIAL,J0670,CPT,both,50,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.55,,fee schedule,3.55,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,CARESOURCE,CARESOURCE,,3.62,,fee schedule,3.62,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.38,,fee schedule,3.38,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.38,35.29,percent of total billed charges,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.38,35.29,percent of total billed charges,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.38,35.29,percent of total billed charges,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
Mepivacaine/PF 1.5%,J0670,CPT,both,30,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.38,35.29,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,0.82,32,percent of total billed charges,
ANCEF 500 MG,J0690,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,0.82,32,percent of total billed charges,
ANCEF 500 MG,J0690,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,0.82,32,percent of total billed charges,
ANCEF 500 MG,J0690,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,0.82,32,fee schedule,
ANCEF 500 MG,J0690,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,0.82,32,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,0.82,156,percent of total billed charges,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,0.82,156,percent of total billed charges,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,0.82,156,percent of total billed charges,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 1GM INJ,J0690,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,0.82,156,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.82,157,percent of total billed charges,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.82,157,percent of total billed charges,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.82,157,percent of total billed charges,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2 GM/100ML NS I,J0690,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.82,157,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,AETNA,AETNA,,5.22,87,percent of total billed charges,5.22,0.82,6,percent of total billed charges,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5.22,87,percent of total billed charges,5.22,0.82,6,percent of total billed charges,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,UNITED HEALTHCARE,UNITED HEALTHCARE,,5.28,88,percent of total billed charges,5.28,0.82,6,percent of total billed charges,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,AETNA,AETNA,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,ALLIANT,ALLIANT,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,AMBETTER,AMBETTER,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,BEECH STREET,BEECH STREET,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,CARESOURCE,CARESOURCE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,MEDICAID,MEDICAID,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,MEDICARE,MEDICARE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,NOVA NET,NOVA NET,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,PEACHSTATE,PEACHSTATE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,SELFPAY,SELFPAY,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,TRICARE,TRICARE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 2G VIAL,J0690,CPT,both,,,6,6,UHC MEDICARE,UHC MEDICARE,,6,,fee schedule,6,0.82,6,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,AETNA,AETNA,,6.96,87,percent of total billed charges,6.96,0.82,8,percent of total billed charges,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6.96,87,percent of total billed charges,6.96,0.82,8,percent of total billed charges,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.04,88,percent of total billed charges,7.04,0.82,8,percent of total billed charges,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,AETNA,AETNA,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,ALLIANT,ALLIANT,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,AMBETTER,AMBETTER,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,BEECH STREET,BEECH STREET,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,CARESOURCE,CARESOURCE,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,MEDICAID,MEDICAID,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,MEDICARE,MEDICARE,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,NOVA NET,NOVA NET,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,PEACHSTATE,PEACHSTATE,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,SELFPAY,SELFPAY,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,TRICARE,TRICARE,,8,,fee schedule,8,0.82,8,fee schedule,
CEFAZOLIN 3G VIAL,J0690,CPT,both,,,8,8,UHC MEDICARE,UHC MEDICARE,,8,,fee schedule,8,0.82,8,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,AETNA,AETNA,,101.79,87,percent of total billed charges,101.79,0.82,117,percent of total billed charges,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101.79,87,percent of total billed charges,101.79,0.82,117,percent of total billed charges,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,UNITED HEALTHCARE,UNITED HEALTHCARE,,102.96,88,percent of total billed charges,102.96,0.82,117,percent of total billed charges,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,AETNA,AETNA,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,ALLIANT,ALLIANT,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,AMBETTER,AMBETTER,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,BEECH STREET,BEECH STREET,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,CARESOURCE,CARESOURCE,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,MEDICAID,MEDICAID,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,MEDICARE,MEDICARE,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,NOVA NET,NOVA NET,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,PEACHSTATE,PEACHSTATE,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,SELFPAY,SELFPAY,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,TRICARE,TRICARE,,117,,fee schedule,117,0.82,117,fee schedule,
MAXIPINE 1GM ~ INJ,J0690,CPT,both,,,117,117,UHC MEDICARE,UHC MEDICARE,,117,,fee schedule,117,0.82,117,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.82,35.29,percent of total billed charges,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,2,GM,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.82,35.29,percent of total billed charges,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin,J0690,CPT,both,3,GM,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.82,35.29,percent of total billed charges,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 GM VIAL,J0690,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.82,35.29,percent of total billed charges,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.82,35.29,percent of total billed charges,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 1 gm/50 ml Premix,J0690,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.82,35.29,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.82,149.77,percent of total billed charges,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.82,149.77,percent of total billed charges,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.82,149.77,percent of total billed charges,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin 2 gm/100 ml Premix,J0690,CPT,both,2,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.86,,fee schedule,0.86,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.87,,fee schedule,0.87,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.82,,fee schedule,0.82,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.82,149.77,percent of total billed charges,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.82,149.77,percent of total billed charges,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.82,149.77,percent of total billed charges,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
ceFAZolin Ped 100 mg/mL SYRINGE,J0690,CPT,both,5000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.82,149.77,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 1GM  INJ,J0692,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
MAXIPIME 2GM/20ML,J0692,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 1 GM VIAL,J0692,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Cefepime 2 GM VIAL,J0692,CPT,both,2,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,AMERIGROUP,AMERIGROUP,,4.71,,fee schedule,4.71,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,4.8,,fee schedule,4.8,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,4.48,,fee schedule,4.48,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,AETNA,AETNA,,130.5,87,percent of total billed charges,130.5,4.48,150,percent of total billed charges,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.5,87,percent of total billed charges,130.5,4.48,150,percent of total billed charges,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,UNITED HEALTHCARE,UNITED HEALTHCARE,,132,88,percent of total billed charges,132,4.48,150,percent of total billed charges,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,AETNA,AETNA,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,ALLIANT,ALLIANT,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,AMBETTER,AMBETTER,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,BEECH STREET,BEECH STREET,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,MEDICAID,MEDICAID,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,MEDICARE,MEDICARE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,NOVA NET,NOVA NET,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,SELFPAY,SELFPAY,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,TRICARE,TRICARE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 1GM,J0694,CPT,both,,,150,150,UHC MEDICARE,UHC MEDICARE,,150,,fee schedule,150,4.48,150,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,4.71,,fee schedule,4.71,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,4.8,,fee schedule,4.8,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,4.48,,fee schedule,4.48,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,4.48,157,percent of total billed charges,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,4.48,157,percent of total billed charges,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,4.48,157,percent of total billed charges,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,4.48,157,fee schedule,
MEFOXIN INJ 2GM,J0694,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,4.48,157,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.71,,fee schedule,4.71,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,4.8,,fee schedule,4.8,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.48,,fee schedule,4.48,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.48,35.29,percent of total billed charges,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.48,35.29,percent of total billed charges,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.48,35.29,percent of total billed charges,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 1 Gram vial,J0694,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.71,,fee schedule,4.71,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,CARESOURCE,CARESOURCE,,4.8,,fee schedule,4.8,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,4.48,,fee schedule,4.48,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,4.48,35.29,percent of total billed charges,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,4.48,35.29,percent of total billed charges,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,4.48,35.29,percent of total billed charges,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin 2 Grams Vial,J0694,CPT,both,2,GM,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,4.48,35.29,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,4.71,,fee schedule,4.71,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,4.8,,fee schedule,4.8,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,4.48,,fee schedule,4.48,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,4.48,149.77,percent of total billed charges,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,4.48,149.77,percent of total billed charges,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,4.48,149.77,percent of total billed charges,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
cefOXitin Ped IV 100 MG/ML Syringe,J0694,CPT,both,1000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,4.48,149.77,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,ALLIANT,ALLIANT,,10.82,,fee schedule,10.82,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,AMBETTER,AMBETTER,,8.53,,fee schedule,8.53,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,AMERIGROUP,AMERIGROUP,,8.65,,fee schedule,8.65,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,CARESOURCE,CARESOURCE,,8.82,,fee schedule,8.82,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,MEDICARE,MEDICARE,,6.56,,fee schedule,6.56,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,PEACHSTATE,PEACHSTATE,,8.24,,fee schedule,8.24,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,TRICARE,TRICARE,,6.56,,fee schedule,6.56,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,UHC MEDICARE,UHC MEDICARE,,6.56,,fee schedule,6.56,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,AETNA,AETNA,,487.2,87,percent of total billed charges,487.2,6.56,560,percent of total billed charges,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,487.2,87,percent of total billed charges,487.2,6.56,560,percent of total billed charges,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,UNITED HEALTHCARE,UNITED HEALTHCARE,,492.8,88,percent of total billed charges,492.8,6.56,560,percent of total billed charges,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,AETNA,AETNA,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,BEECH STREET,BEECH STREET,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,CARESOURCE,CARESOURCE,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,MEDICAID,MEDICAID,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,NOVA NET,NOVA NET,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,PEACHSTATE,PEACHSTATE,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,SELFPAY,SELFPAY,,560,,fee schedule,560,6.56,560,fee schedule,
ZERBAXA 1.5GM VIAL,J0695,CPT,both,,,560,560,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,560,,fee schedule,560,6.56,560,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,ALLIANT,ALLIANT,,10.82,,fee schedule,10.82,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,AMBETTER,AMBETTER,,8.53,,fee schedule,8.53,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,8.65,,fee schedule,8.65,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,CARESOURCE,CARESOURCE,,8.82,,fee schedule,8.82,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,MEDICARE,MEDICARE,,6.56,,fee schedule,6.56,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,8.24,,fee schedule,8.24,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,TRICARE,TRICARE,,6.56,,fee schedule,6.56,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,6.56,,fee schedule,6.56,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,6.56,149.77,percent of total billed charges,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,6.56,149.77,percent of total billed charges,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,6.56,149.77,percent of total billed charges,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
Ceftolozane/Tazobactam 1.5 GM VIAL,J0695,CPT,both,2,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,6.56,149.77,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,0.46,97,percent of total billed charges,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,0.46,97,percent of total billed charges,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,0.46,97,percent of total billed charges,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN 250MG,J0696,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,0.46,97,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,AETNA,AETNA,,195.75,87,percent of total billed charges,195.75,0.46,225,percent of total billed charges,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195.75,87,percent of total billed charges,195.75,0.46,225,percent of total billed charges,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,UNITED HEALTHCARE,UNITED HEALTHCARE,,198,88,percent of total billed charges,198,0.46,225,percent of total billed charges,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,AETNA,AETNA,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,ALLIANT,ALLIANT,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,AMBETTER,AMBETTER,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,BEECH STREET,BEECH STREET,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,CARESOURCE,CARESOURCE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,MEDICAID,MEDICAID,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,MEDICARE,MEDICARE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,NOVA NET,NOVA NET,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,PEACHSTATE,PEACHSTATE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,SELFPAY,SELFPAY,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,TRICARE,TRICARE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 1GM,J0696,CPT,both,,,225,225,UHC MEDICARE,UHC MEDICARE,,225,,fee schedule,225,0.46,225,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.46,157,percent of total billed charges,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.46,157,percent of total billed charges,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.46,157,percent of total billed charges,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 250MG,J0696,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.46,157,percent of total billed charges,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.46,157,percent of total billed charges,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.46,157,percent of total billed charges,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 2GM PB,J0696,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.46,157,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,0.46,144,percent of total billed charges,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,0.46,144,percent of total billed charges,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,0.46,144,percent of total billed charges,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,ALLIANT,ALLIANT,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,AMBETTER,AMBETTER,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,MEDICARE,MEDICARE,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,TRICARE,TRICARE,,144,,fee schedule,144,0.46,144,fee schedule,
ROCEPHIN INJ 500MG,J0696,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,144,,fee schedule,144,0.46,144,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.46,149.77,percent of total billed charges,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.46,149.77,percent of total billed charges,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.46,149.77,percent of total billed charges,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone Ped IV 40 MG/ML Solution,J0696,CPT,both,4000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.46,149.77,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.46,35.29,percent of total billed charges,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 1 gm Vial,J0696,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.46,35.29,percent of total billed charges,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 250 mg Vial,J0696,CPT,both,250,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.46,35.29,percent of total billed charges,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 2 gm Vial,J0696,CPT,both,2,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.46,35.29,percent of total billed charges,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.46,35.29,percent of total billed charges,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
cefTRIAXone 500 mg Vial,J0696,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.46,35.29,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,10.29,,fee schedule,10.29,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,10.49,,fee schedule,10.49,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,9.8,,fee schedule,9.8,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,9.8,34,percent of total billed charges,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,9.8,34,percent of total billed charges,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,9.8,34,percent of total billed charges,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 0.5GM VIAL,J0698,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,9.8,34,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,10.29,,fee schedule,10.29,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,10.49,,fee schedule,10.49,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,9.8,,fee schedule,9.8,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,9.8,157,percent of total billed charges,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,9.8,157,percent of total billed charges,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,9.8,157,percent of total billed charges,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,9.8,157,fee schedule,
CLAFORAN 1GM,J0698,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,9.8,157,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,7.64,,fee schedule,7.64,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,7.79,,fee schedule,7.79,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,7.28,,fee schedule,7.28,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,7.28,34,percent of total billed charges,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,7.28,34,percent of total billed charges,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,7.28,34,percent of total billed charges,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,7.28,34,fee schedule,
CELESTONE SOLUSPAN INJ CC,J0702,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,7.28,34,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,7.64,,fee schedule,7.64,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,7.79,,fee schedule,7.79,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,7.28,,fee schedule,7.28,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,7.28,35.29,percent of total billed charges,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,7.28,35.29,percent of total billed charges,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,7.28,35.29,percent of total billed charges,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
Betamethasone Acet/Sodium Phos,J0702,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,7.28,35.29,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,AETNA,AETNA,,167.91,87,percent of total billed charges,167.91,167.91,193,percent of total billed charges,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.91,87,percent of total billed charges,167.91,167.91,193,percent of total billed charges,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,UNITED HEALTHCARE,UNITED HEALTHCARE,,169.84,88,percent of total billed charges,169.84,167.91,193,percent of total billed charges,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,AETNA,AETNA,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,ALLIANT,ALLIANT,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,AMBETTER,AMBETTER,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,BEECH STREET,BEECH STREET,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,CARESOURCE,CARESOURCE,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,MEDICAID,MEDICAID,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,MEDICARE,MEDICARE,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,NOVA NET,NOVA NET,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,PEACHSTATE,PEACHSTATE,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,SELFPAY,SELFPAY,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,TRICARE,TRICARE,,193,,fee schedule,193,167.91,193,fee schedule,
CAFCIT 60MG/3ML SDV,J0706,CPT,both,,,193,193,UHC MEDICARE,UHC MEDICARE,,193,,fee schedule,193,167.91,193,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,ALLIANT,ALLIANT,,6.24,,fee schedule,6.24,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,AMBETTER,AMBETTER,,4.91,,fee schedule,4.91,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,MEDICARE,MEDICARE,,3.78,,fee schedule,3.78,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,TRICARE,TRICARE,,3.78,,fee schedule,3.78,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,3.78,,fee schedule,3.78,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,3.78,156,percent of total billed charges,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,3.78,156,percent of total billed charges,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,3.78,156,percent of total billed charges,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,3.78,156,fee schedule,
TEFLARO 600MG IV,J0712,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,3.78,156,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,1.7,,fee schedule,1.7,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,1.73,,fee schedule,1.73,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,1.62,,fee schedule,1.62,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,1.62,157,percent of total billed charges,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,1.62,157,percent of total billed charges,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,1.62,157,percent of total billed charges,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADIME 2GM PB,J0713,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,1.62,157,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,AMERIGROUP,AMERIGROUP,,1.7,,fee schedule,1.7,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,1.73,,fee schedule,1.73,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,1.62,,fee schedule,1.62,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,1.62,140,percent of total billed charges,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,1.62,140,percent of total billed charges,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,1.62,140,percent of total billed charges,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,ALLIANT,ALLIANT,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,AMBETTER,AMBETTER,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,MEDICARE,MEDICARE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,TRICARE,TRICARE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZADINE INJ 1GM,J0713,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,140,,fee schedule,140,1.62,140,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,AMERIGROUP,AMERIGROUP,,1.7,,fee schedule,1.7,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,1.73,,fee schedule,1.73,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,1.62,,fee schedule,1.62,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,1.62,39,percent of total billed charges,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,1.62,39,percent of total billed charges,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,1.62,39,percent of total billed charges,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,ALLIANT,ALLIANT,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,AMBETTER,AMBETTER,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,MEDICARE,MEDICARE,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,TRICARE,TRICARE,,39,,fee schedule,39,1.62,39,fee schedule,
CEFTAZIDIME INJ 500MG,J0713,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,39,,fee schedule,39,1.62,39,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,AMERIGROUP,AMERIGROUP,,1.7,,fee schedule,1.7,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,1.73,,fee schedule,1.73,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,1.62,,fee schedule,1.62,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,1.62,28,percent of total billed charges,
FORTAZ 1GM,J0713,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,1.62,28,percent of total billed charges,
FORTAZ 1GM,J0713,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,1.62,28,percent of total billed charges,
FORTAZ 1GM,J0713,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,1.62,28,fee schedule,
FORTAZ 1GM,J0713,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,1.62,28,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.7,,fee schedule,1.7,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,1.73,,fee schedule,1.73,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.62,,fee schedule,1.62,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.62,35.29,percent of total billed charges,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.62,35.29,percent of total billed charges,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.62,35.29,percent of total billed charges,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 2 gm Vial,J0713,CPT,both,2,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.7,,fee schedule,1.7,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,1.73,,fee schedule,1.73,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.62,,fee schedule,1.62,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.62,35.29,percent of total billed charges,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.62,35.29,percent of total billed charges,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.62,35.29,percent of total billed charges,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
cefTAZidime 1 gm Vial,J0713,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.62,35.29,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,ALLIANT,ALLIANT,,150.76,,fee schedule,150.76,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,AMBETTER,AMBETTER,,118.78,,fee schedule,118.78,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,MEDICARE,MEDICARE,,91.37,,fee schedule,91.37,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,TRICARE,TRICARE,,91.37,,fee schedule,91.37,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,UHC MEDICARE,UHC MEDICARE,,91.37,,fee schedule,91.37,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,AETNA,AETNA,,814.32,87,percent of total billed charges,814.32,91.37,936,percent of total billed charges,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,814.32,87,percent of total billed charges,814.32,91.37,936,percent of total billed charges,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,UNITED HEALTHCARE,UNITED HEALTHCARE,,823.68,88,percent of total billed charges,823.68,91.37,936,percent of total billed charges,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,AETNA,AETNA,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,BEECH STREET,BEECH STREET,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,CARESOURCE,CARESOURCE,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,MEDICAID,MEDICAID,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,NOVA NET,NOVA NET,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,PEACHSTATE,PEACHSTATE,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,SELFPAY,SELFPAY,,936,,fee schedule,936,91.37,936,fee schedule,
AVYCAZ 2.5 GM INJ,J0714,CPT,both,,,936,936,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,936,,fee schedule,936,91.37,936,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,AETNA,AETNA,,186.18,87,percent of total billed charges,186.18,186.18,214,percent of total billed charges,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,186.18,87,percent of total billed charges,186.18,186.18,214,percent of total billed charges,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,UNITED HEALTHCARE,UNITED HEALTHCARE,,188.32,88,percent of total billed charges,188.32,186.18,214,percent of total billed charges,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,AETNA,AETNA,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,ALLIANT,ALLIANT,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,AMBETTER,AMBETTER,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,BEECH STREET,BEECH STREET,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,MEDICAID,MEDICAID,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,MEDICARE,MEDICARE,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,NOVA NET,NOVA NET,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,SELFPAY,SELFPAY,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,TRICARE,TRICARE,,214,,fee schedule,214,186.18,214,fee schedule,
DURACLON 100MCG/ML INJ 10,J0735,CPT,both,,,214,214,UHC MEDICARE,UHC MEDICARE,,214,,fee schedule,214,186.18,214,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"cloNIDine PF 1,000 mcg/10 ml Vial",J0735,CPT,both,1000,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,7.26,,fee schedule,7.26,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,7.4,,fee schedule,7.4,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,6.91,,fee schedule,6.91,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,6.91,97,percent of total billed charges,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,6.91,97,percent of total billed charges,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,6.91,97,percent of total billed charges,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,6.91,97,fee schedule,
PRIMAXIN 500MG IV,J0743,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,6.91,97,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
CIPRO 200MG,J0744,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
CIPRO 200MG,J0744,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,82.65,95,percent of total billed charges,
CIPRO 200MG,J0744,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,ALLIANT,ALLIANT,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,AMBETTER,AMBETTER,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,MEDICARE,MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,TRICARE,TRICARE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO 200MG,J0744,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 200MG 347,J0744,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
CIPRO IV; 400MG 347,J0744,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 200 MG/100 ML (BACKORDERED),J0744,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Ciprofloxacin 400 MG/200 ML (BACKORDERED),J0744,CPT,both,400,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,11.44,,fee schedule,11.44,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,11.66,,fee schedule,11.66,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,10.9,,fee schedule,10.9,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,10.9,238,percent of total billed charges,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,10.9,238,percent of total billed charges,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,10.9,238,percent of total billed charges,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,ALLIANT,ALLIANT,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,AMBETTER,AMBETTER,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,MEDICARE,MEDICARE,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,TRICARE,TRICARE,,238,,fee schedule,238,10.9,238,fee schedule,
COLISTIMETHATE 150MG VIAL,J0770,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,238,,fee schedule,238,10.9,238,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,11.44,,fee schedule,11.44,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,CARESOURCE,CARESOURCE,,11.66,,fee schedule,11.66,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,10.9,,fee schedule,10.9,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,10.9,35.29,percent of total billed charges,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,10.9,35.29,percent of total billed charges,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,10.9,35.29,percent of total billed charges,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
Colistimethate,J0770,CPT,both,150,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,10.9,35.29,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,AMERIGROUP,AMERIGROUP,,3.83,,fee schedule,3.83,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,3.9,,fee schedule,3.9,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,3.64,,fee schedule,3.64,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,AETNA,AETNA,,186.18,87,percent of total billed charges,186.18,3.64,214,percent of total billed charges,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,186.18,87,percent of total billed charges,186.18,3.64,214,percent of total billed charges,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,UNITED HEALTHCARE,UNITED HEALTHCARE,,188.32,88,percent of total billed charges,188.32,3.64,214,percent of total billed charges,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,AETNA,AETNA,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,ALLIANT,ALLIANT,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,AMBETTER,AMBETTER,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,BEECH STREET,BEECH STREET,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,CARESOURCE,CARESOURCE,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,MEDICAID,MEDICAID,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,MEDICARE,MEDICARE,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,NOVA NET,NOVA NET,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,PEACHSTATE,PEACHSTATE,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,SELFPAY,SELFPAY,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,TRICARE,TRICARE,,214,,fee schedule,214,3.64,214,fee schedule,
COMPAZINE VIAL 5MG/ML 10M,J0780,CPT,both,,,214,214,UHC MEDICARE,UHC MEDICARE,,214,,fee schedule,214,3.64,214,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.83,,fee schedule,3.83,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.9,,fee schedule,3.9,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.64,,fee schedule,3.64,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.64,35.29,percent of total billed charges,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.64,35.29,percent of total billed charges,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.64,35.29,percent of total billed charges,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
Prochlorperazine 10 mg/2 ml Vial,J0780,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.64,35.29,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,ALLIANT,ALLIANT,,206.46,,fee schedule,206.46,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,AMBETTER,AMBETTER,,162.67,,fee schedule,162.67,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,AMERIGROUP,AMERIGROUP,,133.76,,fee schedule,133.76,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,CARESOURCE,CARESOURCE,,136.3,,fee schedule,136.3,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,MEDICARE,MEDICARE,,125.13,,fee schedule,125.13,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,PEACHSTATE,PEACHSTATE,,127.39,,fee schedule,127.39,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,TRICARE,TRICARE,,125.13,,fee schedule,125.13,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,UHC MEDICARE,UHC MEDICARE,,125.13,,fee schedule,125.13,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,AETNA,AETNA,,2308.98,87,percent of total billed charges,2308.98,125.13,2654,percent of total billed charges,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2308.98,87,percent of total billed charges,2308.98,125.13,2654,percent of total billed charges,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,UNITED HEALTHCARE,UNITED HEALTHCARE,,2335.52,88,percent of total billed charges,2335.52,125.13,2654,percent of total billed charges,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,AETNA,AETNA,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,BEECH STREET,BEECH STREET,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,CARESOURCE,CARESOURCE,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,MEDICAID,MEDICAID,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,NOVA NET,NOVA NET,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,PEACHSTATE,PEACHSTATE,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,SELFPAY,SELFPAY,,2654,,fee schedule,2654,125.13,2654,fee schedule,
ADAKVEO 100MG/10ML VIAL,J0791,CPT,both,,,2654,2654,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2654,,fee schedule,2654,125.13,2654,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,206.46,,fee schedule,206.46,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,162.67,,fee schedule,162.67,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,133.76,,fee schedule,133.76,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,136.3,,fee schedule,136.3,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,125.13,,fee schedule,125.13,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,127.39,,fee schedule,127.39,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,125.13,,fee schedule,125.13,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,125.13,,fee schedule,125.13,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,206.46,percent of total billed charges,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,206.46,percent of total billed charges,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,206.46,percent of total billed charges,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
Crizanlizumab-tmca,J0791,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,206.46,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,AMERIGROUP,AMERIGROUP,,22.82,,fee schedule,22.82,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,23.25,,fee schedule,23.25,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,21.73,,fee schedule,21.73,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,21.73,54,percent of total billed charges,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,21.73,54,percent of total billed charges,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,21.73,54,percent of total billed charges,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,21.73,54,fee schedule,
CORTROSYN INJ 0.25MG W/DI,J0834,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,21.73,54,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,22.82,,fee schedule,22.82,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,23.25,,fee schedule,23.25,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,21.73,,fee schedule,21.73,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,21.73,35.29,percent of total billed charges,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,21.73,35.29,percent of total billed charges,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,21.73,35.29,percent of total billed charges,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
Cosyntropin,J0834,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,21.73,35.29,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,ALLIANT,ALLIANT,,3484.95,,fee schedule,3484.95,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,AMBETTER,AMBETTER,,2745.72,,fee schedule,2745.72,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,MEDICARE,MEDICARE,,2112.09,,fee schedule,2112.09,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,TRICARE,TRICARE,,2112.09,,fee schedule,2112.09,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,UHC MEDICARE,UHC MEDICARE,,2112.09,,fee schedule,2112.09,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,AETNA,AETNA,,4885.05,87,percent of total billed charges,4885.05,2112.09,5615,percent of total billed charges,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4885.05,87,percent of total billed charges,4885.05,2112.09,5615,percent of total billed charges,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,UNITED HEALTHCARE,UNITED HEALTHCARE,,4941.2,88,percent of total billed charges,4941.2,2112.09,5615,percent of total billed charges,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,AETNA,AETNA,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,BEECH STREET,BEECH STREET,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,CARESOURCE,CARESOURCE,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,MEDICAID,MEDICAID,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,NOVA NET,NOVA NET,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,PEACHSTATE,PEACHSTATE,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,SELFPAY,SELFPAY,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
CROFAB 1GM SDV,J0840,CPT,both,,,5615,5615,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5615,,fee schedule,5615,2112.09,5615,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,ALLIANT,ALLIANT,,1628.55,,fee schedule,1628.55,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,AMBETTER,AMBETTER,,1283.1,,fee schedule,1283.1,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,MEDICARE,MEDICARE,,987,,fee schedule,987,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,TRICARE,TRICARE,,987,,fee schedule,987,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,UHC MEDICARE,UHC MEDICARE,,987,,fee schedule,987,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,AETNA,AETNA,,906.54,87,percent of total billed charges,906.54,906.54,1628.55,percent of total billed charges,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,906.54,87,percent of total billed charges,906.54,906.54,1628.55,percent of total billed charges,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,UNITED HEALTHCARE,UNITED HEALTHCARE,,916.96,88,percent of total billed charges,916.96,906.54,1628.55,percent of total billed charges,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,AETNA,AETNA,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,BEECH STREET,BEECH STREET,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,CARESOURCE,CARESOURCE,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,MEDICAID,MEDICAID,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,NOVA NET,NOVA NET,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,PEACHSTATE,PEACHSTATE,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,SELFPAY,SELFPAY,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
ANAVIP ANTIVENIN,J0841,CPT,both,,,1042,1042,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1042,,fee schedule,1042,906.54,1628.55,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,ALLIANT,ALLIANT,,24.6,,fee schedule,24.6,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,AMBETTER,AMBETTER,,19.38,,fee schedule,19.38,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,AMERIGROUP,AMERIGROUP,,16.58,,fee schedule,16.58,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,CARESOURCE,CARESOURCE,,16.89,,fee schedule,16.89,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,MEDICARE,MEDICARE,,14.91,,fee schedule,14.91,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,PEACHSTATE,PEACHSTATE,,15.79,,fee schedule,15.79,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,TRICARE,TRICARE,,14.91,,fee schedule,14.91,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,UHC MEDICARE,UHC MEDICARE,,14.91,,fee schedule,14.91,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,AETNA,AETNA,,3090.24,87,percent of total billed charges,3090.24,14.91,3552,percent of total billed charges,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3090.24,87,percent of total billed charges,3090.24,14.91,3552,percent of total billed charges,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,UNITED HEALTHCARE,UNITED HEALTHCARE,,3125.76,88,percent of total billed charges,3125.76,14.91,3552,percent of total billed charges,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,AETNA,AETNA,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,BEECH STREET,BEECH STREET,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,CARESOURCE,CARESOURCE,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,MEDICAID,MEDICAID,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,NOVA NET,NOVA NET,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,PEACHSTATE,PEACHSTATE,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,SELFPAY,SELFPAY,,3552,,fee schedule,3552,14.91,3552,fee schedule,
DALVANCE 500MG INJ,J0875,CPT,both,,,3552,3552,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3552,,fee schedule,3552,14.91,3552,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,AETNA,AETNA,,468.93,87,percent of total billed charges,468.93,0.02,539,percent of total billed charges,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,468.93,87,percent of total billed charges,468.93,0.02,539,percent of total billed charges,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,UNITED HEALTHCARE,UNITED HEALTHCARE,,474.32,88,percent of total billed charges,474.32,0.02,539,percent of total billed charges,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,AETNA,AETNA,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,ALLIANT,ALLIANT,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,AMBETTER,AMBETTER,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,BEECH STREET,BEECH STREET,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,CARESOURCE,CARESOURCE,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,MEDICAID,MEDICAID,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,MEDICARE,MEDICARE,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,NOVA NET,NOVA NET,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,PEACHSTATE,PEACHSTATE,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,SELFPAY,SELFPAY,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,TRICARE,TRICARE,,539,,fee schedule,539,0.02,539,fee schedule,
CUBICIN INJ 500MG,J0878,CPT,both,,,539,539,UHC MEDICARE,UHC MEDICARE,,539,,fee schedule,539,0.02,539,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,AETNA,AETNA,,3164.19,87,percent of total billed charges,3164.19,3.06,3637,percent of total billed charges,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3164.19,87,percent of total billed charges,3164.19,3.06,3637,percent of total billed charges,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,UNITED HEALTHCARE,UNITED HEALTHCARE,,3200.56,88,percent of total billed charges,3200.56,3.06,3637,percent of total billed charges,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,AETNA,AETNA,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,BEECH STREET,BEECH STREET,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,CARESOURCE,CARESOURCE,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,MEDICAID,MEDICAID,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,NOVA NET,NOVA NET,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,PEACHSTATE,PEACHSTATE,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,SELFPAY,SELFPAY,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 200MCG 1ML SDV,J0881,CPT,both,,,3637,3637,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3637,,fee schedule,3637,3.06,3637,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,AETNA,AETNA,,5345.28,87,percent of total billed charges,5345.28,3.06,6144,percent of total billed charges,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5345.28,87,percent of total billed charges,5345.28,3.06,6144,percent of total billed charges,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,UNITED HEALTHCARE,UNITED HEALTHCARE,,5406.72,88,percent of total billed charges,5406.72,3.06,6144,percent of total billed charges,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,AETNA,AETNA,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,BEECH STREET,BEECH STREET,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,CARESOURCE,CARESOURCE,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,MEDICAID,MEDICAID,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,NOVA NET,NOVA NET,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,PEACHSTATE,PEACHSTATE,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,SELFPAY,SELFPAY,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 300MCG/0.6ML INJ,J0881,CPT,both,,,6144,6144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6144,,fee schedule,6144,3.06,6144,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,AETNA,AETNA,,636.84,87,percent of total billed charges,636.84,3.06,732,percent of total billed charges,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636.84,87,percent of total billed charges,636.84,3.06,732,percent of total billed charges,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,UNITED HEALTHCARE,UNITED HEALTHCARE,,644.16,88,percent of total billed charges,644.16,3.06,732,percent of total billed charges,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,AETNA,AETNA,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,BEECH STREET,BEECH STREET,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,CARESOURCE,CARESOURCE,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,MEDICAID,MEDICAID,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,NOVA NET,NOVA NET,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,PEACHSTATE,PEACHSTATE,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,SELFPAY,SELFPAY,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 40MCG/ML 4X 1ML,J0881,CPT,both,,,732,732,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,732,,fee schedule,732,3.06,732,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,AETNA,AETNA,,8377.23,87,percent of total billed charges,8377.23,3.06,9629,percent of total billed charges,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8377.23,87,percent of total billed charges,8377.23,3.06,9629,percent of total billed charges,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,UNITED HEALTHCARE,UNITED HEALTHCARE,,8473.52,88,percent of total billed charges,8473.52,3.06,9629,percent of total billed charges,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,AETNA,AETNA,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,BEECH STREET,BEECH STREET,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,CARESOURCE,CARESOURCE,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,MEDICAID,MEDICAID,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,NOVA NET,NOVA NET,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,PEACHSTATE,PEACHSTATE,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,SELFPAY,SELFPAY,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 500MCG INJ,J0881,CPT,both,,,9629,9629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9629,,fee schedule,9629,3.06,9629,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,AETNA,AETNA,,930.03,87,percent of total billed charges,930.03,3.06,1069,percent of total billed charges,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,930.03,87,percent of total billed charges,930.03,3.06,1069,percent of total billed charges,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,UNITED HEALTHCARE,UNITED HEALTHCARE,,940.72,88,percent of total billed charges,940.72,3.06,1069,percent of total billed charges,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,AETNA,AETNA,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,BEECH STREET,BEECH STREET,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,CARESOURCE,CARESOURCE,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,MEDICAID,MEDICAID,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,NOVA NET,NOVA NET,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,PEACHSTATE,PEACHSTATE,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,SELFPAY,SELFPAY,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP 60MCG 0.3ML,J0881,CPT,both,,,1069,1069,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1069,,fee schedule,1069,3.06,1069,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,AETNA,AETNA,,1251.06,87,percent of total billed charges,1251.06,3.06,1438,percent of total billed charges,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1251.06,87,percent of total billed charges,1251.06,3.06,1438,percent of total billed charges,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,UNITED HEALTHCARE,UNITED HEALTHCARE,,1265.44,88,percent of total billed charges,1265.44,3.06,1438,percent of total billed charges,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,AETNA,AETNA,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,BEECH STREET,BEECH STREET,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,CARESOURCE,CARESOURCE,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,MEDICAID,MEDICAID,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,NOVA NET,NOVA NET,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,PEACHSTATE,PEACHSTATE,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,SELFPAY,SELFPAY,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP SDS 100MCG,J0881,CPT,both,,,1438,1438,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1438,,fee schedule,1438,3.06,1438,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,3.06,19,percent of total billed charges,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,3.06,19,percent of total billed charges,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,3.06,19,percent of total billed charges,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 1 MCG,J0882,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,3.06,19,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,AETNA,AETNA,,1245.84,87,percent of total billed charges,1245.84,3.06,1432,percent of total billed charges,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1245.84,87,percent of total billed charges,1245.84,3.06,1432,percent of total billed charges,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,UNITED HEALTHCARE,UNITED HEALTHCARE,,1260.16,88,percent of total billed charges,1260.16,3.06,1432,percent of total billed charges,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,AETNA,AETNA,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,BEECH STREET,BEECH STREET,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,CARESOURCE,CARESOURCE,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,MEDICAID,MEDICAID,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,NOVA NET,NOVA NET,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,PEACHSTATE,PEACHSTATE,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,SELFPAY,SELFPAY,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 100 MCG EACH VIAL,J0882,CPT,both,,,1432,1432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1432,,fee schedule,1432,3.06,1432,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,AETNA,AETNA,,1867.89,87,percent of total billed charges,1867.89,3.06,2147,percent of total billed charges,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1867.89,87,percent of total billed charges,1867.89,3.06,2147,percent of total billed charges,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,UNITED HEALTHCARE,UNITED HEALTHCARE,,1889.36,88,percent of total billed charges,1889.36,3.06,2147,percent of total billed charges,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,AETNA,AETNA,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,BEECH STREET,BEECH STREET,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,CARESOURCE,CARESOURCE,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,MEDICAID,MEDICAID,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,NOVA NET,NOVA NET,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,PEACHSTATE,PEACHSTATE,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,SELFPAY,SELFPAY,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 150 MCG EACH VIAL,J0882,CPT,both,,,2147,2147,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2147,,fee schedule,2147,3.06,2147,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,AETNA,AETNA,,2488.2,87,percent of total billed charges,2488.2,3.06,2860,percent of total billed charges,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2488.2,87,percent of total billed charges,2488.2,3.06,2860,percent of total billed charges,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,UNITED HEALTHCARE,UNITED HEALTHCARE,,2516.8,88,percent of total billed charges,2516.8,3.06,2860,percent of total billed charges,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,AETNA,AETNA,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,BEECH STREET,BEECH STREET,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,CARESOURCE,CARESOURCE,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,MEDICAID,MEDICAID,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,NOVA NET,NOVA NET,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,PEACHSTATE,PEACHSTATE,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,SELFPAY,SELFPAY,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 200 MCG EACH VIAL,J0882,CPT,both,,,2860,2860,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2860,,fee schedule,2860,3.06,2860,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,AETNA,AETNA,,314.07,87,percent of total billed charges,314.07,3.06,361,percent of total billed charges,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314.07,87,percent of total billed charges,314.07,3.06,361,percent of total billed charges,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,UNITED HEALTHCARE,UNITED HEALTHCARE,,317.68,88,percent of total billed charges,317.68,3.06,361,percent of total billed charges,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,AETNA,AETNA,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,BEECH STREET,BEECH STREET,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,CARESOURCE,CARESOURCE,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,MEDICAID,MEDICAID,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,NOVA NET,NOVA NET,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,PEACHSTATE,PEACHSTATE,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,SELFPAY,SELFPAY,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 25 MCG EACH VIAL,J0882,CPT,both,,,361,361,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,361,,fee schedule,361,3.06,361,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,AETNA,AETNA,,3732.3,87,percent of total billed charges,3732.3,3.06,4290,percent of total billed charges,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3732.3,87,percent of total billed charges,3732.3,3.06,4290,percent of total billed charges,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,UNITED HEALTHCARE,UNITED HEALTHCARE,,3775.2,88,percent of total billed charges,3775.2,3.06,4290,percent of total billed charges,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,AETNA,AETNA,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,BEECH STREET,BEECH STREET,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,CARESOURCE,CARESOURCE,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,MEDICAID,MEDICAID,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,NOVA NET,NOVA NET,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,PEACHSTATE,PEACHSTATE,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,SELFPAY,SELFPAY,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 300 MCG EACH VIAL,J0882,CPT,both,,,4290,4290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4290,,fee schedule,4290,3.06,4290,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,AETNA,AETNA,,501.12,87,percent of total billed charges,501.12,3.06,576,percent of total billed charges,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,501.12,87,percent of total billed charges,501.12,3.06,576,percent of total billed charges,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,UNITED HEALTHCARE,UNITED HEALTHCARE,,506.88,88,percent of total billed charges,506.88,3.06,576,percent of total billed charges,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,AETNA,AETNA,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,BEECH STREET,BEECH STREET,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,CARESOURCE,CARESOURCE,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,MEDICAID,MEDICAID,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,NOVA NET,NOVA NET,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,PEACHSTATE,PEACHSTATE,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,SELFPAY,SELFPAY,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 40 MCG EACH VIAL,J0882,CPT,both,,,576,576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,576,,fee schedule,576,3.06,576,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,ALLIANT,ALLIANT,,5.15,,fee schedule,5.15,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,AMBETTER,AMBETTER,,4.06,,fee schedule,4.06,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,AMERIGROUP,AMERIGROUP,,3.22,,fee schedule,3.22,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,CARESOURCE,CARESOURCE,,3.28,,fee schedule,3.28,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,MEDICARE,MEDICARE,,3.12,,fee schedule,3.12,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,TRICARE,TRICARE,,3.12,,fee schedule,3.12,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,UHC MEDICARE,UHC MEDICARE,,3.12,,fee schedule,3.12,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,AETNA,AETNA,,749.07,87,percent of total billed charges,749.07,3.06,861,percent of total billed charges,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,749.07,87,percent of total billed charges,749.07,3.06,861,percent of total billed charges,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,UNITED HEALTHCARE,UNITED HEALTHCARE,,757.68,88,percent of total billed charges,757.68,3.06,861,percent of total billed charges,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,AETNA,AETNA,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,BEECH STREET,BEECH STREET,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,CARESOURCE,CARESOURCE,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,MEDICAID,MEDICAID,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,NOVA NET,NOVA NET,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,PEACHSTATE,PEACHSTATE,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,SELFPAY,SELFPAY,,861,,fee schedule,861,3.06,861,fee schedule,
ARANESP 60 MCG EACH VIAL,J0882,CPT,both,,,861,861,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,861,,fee schedule,861,3.06,861,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,ALLIANT,ALLIANT,,2.28,,fee schedule,2.28,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,AMBETTER,AMBETTER,,1.79,,fee schedule,1.79,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,MEDICARE,MEDICARE,,1.38,,fee schedule,1.38,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,TRICARE,TRICARE,,1.38,,fee schedule,1.38,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,UHC MEDICARE,UHC MEDICARE,,1.38,,fee schedule,1.38,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,AETNA,AETNA,,4172.52,87,percent of total billed charges,4172.52,1.38,4796,percent of total billed charges,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4172.52,87,percent of total billed charges,4172.52,1.38,4796,percent of total billed charges,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,UNITED HEALTHCARE,UNITED HEALTHCARE,,4220.48,88,percent of total billed charges,4220.48,1.38,4796,percent of total billed charges,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,AETNA,AETNA,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,BEECH STREET,BEECH STREET,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,CARESOURCE,CARESOURCE,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,MEDICAID,MEDICAID,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,NOVA NET,NOVA NET,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,PEACHSTATE,PEACHSTATE,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,SELFPAY,SELFPAY,,4796,,fee schedule,4796,1.38,4796,fee schedule,
ARGATROBAN 250MG/2.5ML,J0883,CPT,both,,,4796,4796,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4796,,fee schedule,4796,1.38,4796,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,ALLIANT,ALLIANT,,13.61,,fee schedule,13.61,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,AMBETTER,AMBETTER,,10.73,,fee schedule,10.73,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,MEDICARE,MEDICARE,,8.25,,fee schedule,8.25,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,TRICARE,TRICARE,,8.25,,fee schedule,8.25,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,UHC MEDICARE,UHC MEDICARE,,8.25,,fee schedule,8.25,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,AETNA,AETNA,,145.29,87,percent of total billed charges,145.29,8.13,167,percent of total billed charges,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145.29,87,percent of total billed charges,145.29,8.13,167,percent of total billed charges,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,UNITED HEALTHCARE,UNITED HEALTHCARE,,146.96,88,percent of total billed charges,146.96,8.13,167,percent of total billed charges,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,AETNA,AETNA,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,BEECH STREET,BEECH STREET,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,CARESOURCE,CARESOURCE,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,MEDICAID,MEDICAID,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,NOVA NET,NOVA NET,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,PEACHSTATE,PEACHSTATE,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,SELFPAY,SELFPAY,,167,,fee schedule,167,8.13,167,fee schedule,
"EPOETIN ALFA 2,000 UNIT/ML INJ",J0885,CPT,both,,,167,167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,167,,fee schedule,167,8.13,167,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,ALLIANT,ALLIANT,,13.61,,fee schedule,13.61,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,AMBETTER,AMBETTER,,10.73,,fee schedule,10.73,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,MEDICARE,MEDICARE,,8.25,,fee schedule,8.25,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,TRICARE,TRICARE,,8.25,,fee schedule,8.25,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,8.25,,fee schedule,8.25,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,8.13,440,percent of total billed charges,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,8.13,440,percent of total billed charges,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,8.13,440,percent of total billed charges,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 10000U/ML; 1ML,J0885,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,8.13,440,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,ALLIANT,ALLIANT,,13.61,,fee schedule,13.61,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,AMBETTER,AMBETTER,,10.73,,fee schedule,10.73,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,MEDICARE,MEDICARE,,8.25,,fee schedule,8.25,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,TRICARE,TRICARE,,8.25,,fee schedule,8.25,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,UHC MEDICARE,UHC MEDICARE,,8.25,,fee schedule,8.25,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,AETNA,AETNA,,152.25,87,percent of total billed charges,152.25,8.13,175,percent of total billed charges,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,152.25,87,percent of total billed charges,152.25,8.13,175,percent of total billed charges,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,UNITED HEALTHCARE,UNITED HEALTHCARE,,154,88,percent of total billed charges,154,8.13,175,percent of total billed charges,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,AETNA,AETNA,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,BEECH STREET,BEECH STREET,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,CARESOURCE,CARESOURCE,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,MEDICAID,MEDICAID,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,NOVA NET,NOVA NET,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,PEACHSTATE,PEACHSTATE,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,SELFPAY,SELFPAY,,175,,fee schedule,175,8.13,175,fee schedule,
EPOGEN 2000U/ML; 1ML,J0885,CPT,both,,,175,175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,175,,fee schedule,175,8.13,175,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,ALLIANT,ALLIANT,,13.61,,fee schedule,13.61,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,AMBETTER,AMBETTER,,10.73,,fee schedule,10.73,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,MEDICARE,MEDICARE,,8.25,,fee schedule,8.25,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,TRICARE,TRICARE,,8.25,,fee schedule,8.25,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,UHC MEDICARE,UHC MEDICARE,,8.25,,fee schedule,8.25,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,AETNA,AETNA,,762.99,87,percent of total billed charges,762.99,8.13,877,percent of total billed charges,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,762.99,87,percent of total billed charges,762.99,8.13,877,percent of total billed charges,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,UNITED HEALTHCARE,UNITED HEALTHCARE,,771.76,88,percent of total billed charges,771.76,8.13,877,percent of total billed charges,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,AETNA,AETNA,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,BEECH STREET,BEECH STREET,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,CARESOURCE,CARESOURCE,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,MEDICAID,MEDICAID,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,NOVA NET,NOVA NET,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,PEACHSTATE,PEACHSTATE,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,SELFPAY,SELFPAY,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT 20000U/ML SDV,J0885,CPT,both,,,877,877,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,877,,fee schedule,877,8.13,877,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,ALLIANT,ALLIANT,,13.61,,fee schedule,13.61,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,AMBETTER,AMBETTER,,10.73,,fee schedule,10.73,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,MEDICARE,MEDICARE,,8.25,,fee schedule,8.25,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,TRICARE,TRICARE,,8.25,,fee schedule,8.25,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,UHC MEDICARE,UHC MEDICARE,,8.25,,fee schedule,8.25,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,AETNA,AETNA,,1523.37,87,percent of total billed charges,1523.37,8.13,1751,percent of total billed charges,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1523.37,87,percent of total billed charges,1523.37,8.13,1751,percent of total billed charges,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,UNITED HEALTHCARE,UNITED HEALTHCARE,,1540.88,88,percent of total billed charges,1540.88,8.13,1751,percent of total billed charges,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,AETNA,AETNA,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,BEECH STREET,BEECH STREET,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,CARESOURCE,CARESOURCE,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,MEDICAID,MEDICAID,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,NOVA NET,NOVA NET,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,PEACHSTATE,PEACHSTATE,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,SELFPAY,SELFPAY,,1751,,fee schedule,1751,8.13,1751,fee schedule,
PROCRIT SDV 40000U 1ML,J0885,CPT,both,,,1751,1751,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1751,,fee schedule,1751,8.13,1751,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,ALLIANT,ALLIANT,,13.61,,fee schedule,13.61,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,AMBETTER,AMBETTER,,10.73,,fee schedule,10.73,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,8.54,,fee schedule,8.54,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,8.7,,fee schedule,8.7,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,MEDICARE,MEDICARE,,8.25,,fee schedule,8.25,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,8.13,,fee schedule,8.13,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,TRICARE,TRICARE,,8.25,,fee schedule,8.25,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,8.25,,fee schedule,8.25,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,8.13,35.29,percent of total billed charges,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,8.13,35.29,percent of total billed charges,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,8.13,35.29,percent of total billed charges,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
Epoetin Alfa,J0885,CPT,both,2000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,8.13,35.29,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,AMERIGROUP,AMERIGROUP,,1.5,,fee schedule,1.5,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,CARESOURCE,CARESOURCE,,1.53,,fee schedule,1.53,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,PEACHSTATE,PEACHSTATE,,1.43,,fee schedule,1.43,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,AETNA,AETNA,,4315.2,87,percent of total billed charges,4315.2,1.43,4960,percent of total billed charges,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4315.2,87,percent of total billed charges,4315.2,1.43,4960,percent of total billed charges,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,UNITED HEALTHCARE,UNITED HEALTHCARE,,4364.8,88,percent of total billed charges,4364.8,1.43,4960,percent of total billed charges,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,AETNA,AETNA,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,ALLIANT,ALLIANT,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,AMBETTER,AMBETTER,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,BEECH STREET,BEECH STREET,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,CARESOURCE,CARESOURCE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,MEDICAID,MEDICAID,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,MEDICARE,MEDICARE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,NOVA NET,NOVA NET,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,PEACHSTATE,PEACHSTATE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,SELFPAY,SELFPAY,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,TRICARE,TRICARE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DACOGEN 50 MG INJ,J0894,CPT,both,,,4960,4960,UHC MEDICARE,UHC MEDICARE,,4960,,fee schedule,4960,1.43,4960,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,6.9,50,percent of total billed charges,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,6.9,50,percent of total billed charges,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,6.9,50,percent of total billed charges,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,6.9,50,fee schedule,
DESFERAL INJ 500MG,J0895,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,6.9,50,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,7.25,,fee schedule,7.25,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,7.38,,fee schedule,7.38,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,6.9,,fee schedule,6.9,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,6.9,35.29,percent of total billed charges,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,6.9,35.29,percent of total billed charges,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,6.9,35.29,percent of total billed charges,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
Deferoxamine,J0895,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,6.9,35.29,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,ALLIANT,ALLIANT,,63.48,,fee schedule,63.48,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,AMBETTER,AMBETTER,,50.01,,fee schedule,50.01,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,AMERIGROUP,AMERIGROUP,,42.71,,fee schedule,42.71,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,CARESOURCE,CARESOURCE,,43.53,,fee schedule,43.53,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,MEDICARE,MEDICARE,,38.47,,fee schedule,38.47,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,PEACHSTATE,PEACHSTATE,,40.68,,fee schedule,40.68,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,TRICARE,TRICARE,,38.47,,fee schedule,38.47,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,UHC MEDICARE,UHC MEDICARE,,38.47,,fee schedule,38.47,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,AETNA,AETNA,,3306.87,87,percent of total billed charges,3306.87,38.47,3801,percent of total billed charges,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3306.87,87,percent of total billed charges,3306.87,38.47,3801,percent of total billed charges,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,UNITED HEALTHCARE,UNITED HEALTHCARE,,3344.88,88,percent of total billed charges,3344.88,38.47,3801,percent of total billed charges,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,AETNA,AETNA,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,BEECH STREET,BEECH STREET,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,CARESOURCE,CARESOURCE,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,MEDICAID,MEDICAID,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,NOVA NET,NOVA NET,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,PEACHSTATE,PEACHSTATE,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,SELFPAY,SELFPAY,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 25MG VIAL,J0896,CPT,both,,,3801,3801,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3801,,fee schedule,3801,38.47,3801,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,ALLIANT,ALLIANT,,63.48,,fee schedule,63.48,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,AMBETTER,AMBETTER,,50.01,,fee schedule,50.01,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,AMERIGROUP,AMERIGROUP,,42.71,,fee schedule,42.71,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,CARESOURCE,CARESOURCE,,43.53,,fee schedule,43.53,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,MEDICARE,MEDICARE,,38.47,,fee schedule,38.47,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,PEACHSTATE,PEACHSTATE,,40.68,,fee schedule,40.68,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,TRICARE,TRICARE,,38.47,,fee schedule,38.47,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,UHC MEDICARE,UHC MEDICARE,,38.47,,fee schedule,38.47,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,AETNA,AETNA,,9919.74,87,percent of total billed charges,9919.74,38.47,11402,percent of total billed charges,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9919.74,87,percent of total billed charges,9919.74,38.47,11402,percent of total billed charges,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,UNITED HEALTHCARE,UNITED HEALTHCARE,,10033.76,88,percent of total billed charges,10033.76,38.47,11402,percent of total billed charges,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,AETNA,AETNA,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,BEECH STREET,BEECH STREET,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,CARESOURCE,CARESOURCE,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,MEDICAID,MEDICAID,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,NOVA NET,NOVA NET,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,PEACHSTATE,PEACHSTATE,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,SELFPAY,SELFPAY,,11402,,fee schedule,11402,38.47,11402,fee schedule,
REBLOZYL 75 MG VIAL,J0896,CPT,both,,,11402,11402,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11402,,fee schedule,11402,38.47,11402,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,ALLIANT,ALLIANT,,63.48,,fee schedule,63.48,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,AMBETTER,AMBETTER,,50.01,,fee schedule,50.01,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,42.71,,fee schedule,42.71,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,CARESOURCE,CARESOURCE,,43.53,,fee schedule,43.53,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,MEDICARE,MEDICARE,,38.47,,fee schedule,38.47,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,40.68,,fee schedule,40.68,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,TRICARE,TRICARE,,38.47,,fee schedule,38.47,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,38.47,,fee schedule,38.47,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,63.48,percent of total billed charges,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,63.48,percent of total billed charges,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,63.48,percent of total billed charges,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,25,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,ALLIANT,ALLIANT,,63.48,,fee schedule,63.48,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,AMBETTER,AMBETTER,,50.01,,fee schedule,50.01,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,42.71,,fee schedule,42.71,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,CARESOURCE,CARESOURCE,,43.53,,fee schedule,43.53,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,MEDICARE,MEDICARE,,38.47,,fee schedule,38.47,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,40.68,,fee schedule,40.68,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,TRICARE,TRICARE,,38.47,,fee schedule,38.47,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,38.47,,fee schedule,38.47,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,63.48,percent of total billed charges,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,63.48,percent of total billed charges,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,63.48,percent of total billed charges,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
Luspatercept-AAMT,J0896,CPT,both,75,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,63.48,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,ALLIANT,ALLIANT,,38.07,,fee schedule,38.07,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,AMBETTER,AMBETTER,,29.99,,fee schedule,29.99,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,AMERIGROUP,AMERIGROUP,,28.09,,fee schedule,28.09,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,AMERIGROUP,AMERIGROUP,,28.09,,fee schedule,28.09,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,CARESOURCE,CARESOURCE,,28.62,,fee schedule,28.62,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,CARESOURCE,CARESOURCE,,28.62,,fee schedule,28.62,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,MEDICARE,MEDICARE,,23.07,,fee schedule,23.07,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,PEACHSTATE,PEACHSTATE,,26.75,,fee schedule,26.75,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,PEACHSTATE,PEACHSTATE,,26.75,,fee schedule,26.75,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,TRICARE,TRICARE,,23.07,,fee schedule,23.07,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,UHC MEDICARE,UHC MEDICARE,,23.07,,fee schedule,23.07,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,AETNA,AETNA,,4121.19,87,percent of total billed charges,4121.19,23.07,4737,percent of total billed charges,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4121.19,87,percent of total billed charges,4121.19,23.07,4737,percent of total billed charges,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,UNITED HEALTHCARE,UNITED HEALTHCARE,,4168.56,88,percent of total billed charges,4168.56,23.07,4737,percent of total billed charges,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,AETNA,AETNA,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,BEECH STREET,BEECH STREET,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,CARESOURCE,CARESOURCE,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,MEDICAID,MEDICAID,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,NOVA NET,NOVA NET,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,PEACHSTATE,PEACHSTATE,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,SELFPAY,SELFPAY,,4737,,fee schedule,4737,23.07,4737,fee schedule,
PROLIA 60MG 1 ML SDS,J0897,CPT,both,,,4737,4737,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4737,,fee schedule,4737,23.07,4737,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,ALLIANT,ALLIANT,,38.07,,fee schedule,38.07,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,AMBETTER,AMBETTER,,29.99,,fee schedule,29.99,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,AMERIGROUP,AMERIGROUP,,28.09,,fee schedule,28.09,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,AMERIGROUP,AMERIGROUP,,28.09,,fee schedule,28.09,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,CARESOURCE,CARESOURCE,,28.62,,fee schedule,28.62,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,CARESOURCE,CARESOURCE,,28.62,,fee schedule,28.62,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,MEDICARE,MEDICARE,,23.07,,fee schedule,23.07,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,PEACHSTATE,PEACHSTATE,,26.75,,fee schedule,26.75,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,PEACHSTATE,PEACHSTATE,,26.75,,fee schedule,26.75,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,TRICARE,TRICARE,,23.07,,fee schedule,23.07,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,UHC MEDICARE,UHC MEDICARE,,23.07,,fee schedule,23.07,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,AETNA,AETNA,,8412.03,87,percent of total billed charges,8412.03,23.07,9669,percent of total billed charges,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8412.03,87,percent of total billed charges,8412.03,23.07,9669,percent of total billed charges,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,UNITED HEALTHCARE,UNITED HEALTHCARE,,8508.72,88,percent of total billed charges,8508.72,23.07,9669,percent of total billed charges,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,AETNA,AETNA,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,BEECH STREET,BEECH STREET,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,CARESOURCE,CARESOURCE,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,MEDICAID,MEDICAID,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,NOVA NET,NOVA NET,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,PEACHSTATE,PEACHSTATE,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,SELFPAY,SELFPAY,,9669,,fee schedule,9669,23.07,9669,fee schedule,
XGENVA 120MG/1.7ML INJ,J0897,CPT,both,,,9669,9669,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9669,,fee schedule,9669,23.07,9669,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,42.63,49,percent of total billed charges,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,42.63,49,percent of total billed charges,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL INJ 40MG 1ML,J1030,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,42.63,49,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,12.18,14,percent of total billed charges,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,12.18,14,percent of total billed charges,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-MEDROL 80MG/ML VIAL,J1040,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,12.18,14,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,0.03,70,percent of total billed charges,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,0.03,70,percent of total billed charges,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,0.03,70,percent of total billed charges,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,0.03,70,fee schedule,
DEPO-TESTOSTERONE 200MG/M,J1071,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,0.03,70,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.03,35.29,percent of total billed charges,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.03,35.29,percent of total billed charges,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.03,35.29,percent of total billed charges,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
Testosterone Cypionate,J1071,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.03,35.29,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.11,34,percent of total billed charges,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.11,34,percent of total billed charges,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.11,34,percent of total billed charges,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 10MG 1C,J1100,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.11,34,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,0.11,43,percent of total billed charges,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,0.11,43,percent of total billed charges,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,0.11,43,percent of total billed charges,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE INJ 4MG 1CC,J1100,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,0.11,43,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,0.11,29,percent of total billed charges,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,0.11,29,percent of total billed charges,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,0.11,29,percent of total billed charges,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,0.11,29,fee schedule,
DEXAMETHASONE-PF SOD PHOS,J1100,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,0.11,29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 100 mg/10 ml Vial,J1100,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 10 mg/ml Vial,J1100,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 4 mg/ml SDV,J1100,CPT,both,4,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
dexAMETHasone 20 mg/5 ml MDV,J1100,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,AMERIGROUP,AMERIGROUP,,49.47,,fee schedule,49.47,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,50.41,,fee schedule,50.41,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,47.11,,fee schedule,47.11,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,47.11,187,percent of total billed charges,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,47.11,187,percent of total billed charges,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,47.11,187,percent of total billed charges,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,47.11,187,fee schedule,
D.H.E. 45 INJ 1MG,J1110,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,47.11,187,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,AMERIGROUP,AMERIGROUP,,25.24,,fee schedule,25.24,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,25.72,,fee schedule,25.72,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,24.04,,fee schedule,24.04,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,AETNA,AETNA,,192.27,87,percent of total billed charges,192.27,24.04,221,percent of total billed charges,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192.27,87,percent of total billed charges,192.27,24.04,221,percent of total billed charges,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,UNITED HEALTHCARE,UNITED HEALTHCARE,,194.48,88,percent of total billed charges,194.48,24.04,221,percent of total billed charges,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,AETNA,AETNA,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,ALLIANT,ALLIANT,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,AMBETTER,AMBETTER,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,BEECH STREET,BEECH STREET,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,CARESOURCE,CARESOURCE,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,MEDICAID,MEDICAID,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,MEDICARE,MEDICARE,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,NOVA NET,NOVA NET,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,PEACHSTATE,PEACHSTATE,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,SELFPAY,SELFPAY,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,TRICARE,TRICARE,,221,,fee schedule,221,24.04,221,fee schedule,
DIAMOX INJ 500MG,J1120,CPT,both,,,221,221,UHC MEDICARE,UHC MEDICARE,,221,,fee schedule,221,24.04,221,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,25.24,,fee schedule,25.24,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,25.72,,fee schedule,25.72,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,24.04,,fee schedule,24.04,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,24.04,35.29,percent of total billed charges,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,24.04,35.29,percent of total billed charges,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,24.04,35.29,percent of total billed charges,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
acetaZOLAMIDE 500 mg Vial,J1120,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,24.04,35.29,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,AMERIGROUP,AMERIGROUP,,9.52,,fee schedule,9.52,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,9.7,,fee schedule,9.7,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,9.06,,fee schedule,9.06,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,9.06,14,percent of total billed charges,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,9.06,14,percent of total billed charges,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,9.06,14,percent of total billed charges,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG INJECTABLE,J1160,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,9.06,14,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,9.52,,fee schedule,9.52,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,9.7,,fee schedule,9.7,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,9.06,,fee schedule,9.06,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,9.06,34,percent of total billed charges,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,9.06,34,percent of total billed charges,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,9.06,34,percent of total billed charges,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN 0.5MG/2CC AMPS,J1160,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,9.06,34,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,AMERIGROUP,AMERIGROUP,,9.52,,fee schedule,9.52,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,9.7,,fee schedule,9.7,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,9.06,,fee schedule,9.06,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,9.06,16,percent of total billed charges,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,9.06,16,percent of total billed charges,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,9.06,16,percent of total billed charges,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,9.06,16,fee schedule,
LANOXIN INJ 0.1MG AMP,J1160,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,9.06,16,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,9.52,,fee schedule,9.52,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,CARESOURCE,CARESOURCE,,9.7,,fee schedule,9.7,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,9.06,,fee schedule,9.06,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.06,35.29,percent of total billed charges,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.06,35.29,percent of total billed charges,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.06,35.29,percent of total billed charges,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin Pediatric 100 MCG/ML AMPUL,J1160,CPT,both,100,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,9.52,,fee schedule,9.52,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,CARESOURCE,CARESOURCE,,9.7,,fee schedule,9.7,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,9.06,,fee schedule,9.06,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.06,35.29,percent of total billed charges,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.06,35.29,percent of total billed charges,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.06,35.29,percent of total billed charges,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
Digoxin,J1160,CPT,both,500,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,9.06,35.29,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,ALLIANT,ALLIANT,,7585.08,,fee schedule,7585.08,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,AMBETTER,AMBETTER,,5976.13,,fee schedule,5976.13,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,MEDICARE,MEDICARE,,4597.02,,fee schedule,4597.02,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,TRICARE,TRICARE,,4597.02,,fee schedule,4597.02,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,UHC MEDICARE,UHC MEDICARE,,4597.02,,fee schedule,4597.02,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,AETNA,AETNA,,2908.41,87,percent of total billed charges,2908.41,2908.41,7585.08,percent of total billed charges,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2908.41,87,percent of total billed charges,2908.41,2908.41,7585.08,percent of total billed charges,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,UNITED HEALTHCARE,UNITED HEALTHCARE,,2941.84,88,percent of total billed charges,2941.84,2908.41,7585.08,percent of total billed charges,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,AETNA,AETNA,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,BEECH STREET,BEECH STREET,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,CARESOURCE,CARESOURCE,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,MEDICAID,MEDICAID,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,NOVA NET,NOVA NET,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,PEACHSTATE,PEACHSTATE,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,SELFPAY,SELFPAY,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DIGIBIND INJ; 40MG 347,J1162,CPT,both,,,3343,3343,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3343,,fee schedule,3343,2908.41,7585.08,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.52,,fee schedule,0.52,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.53,,fee schedule,0.53,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.5,34,percent of total billed charges,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.5,34,percent of total billed charges,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.5,34,percent of total billed charges,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 100MG AMP.,J1165,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.5,34,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,AMERIGROUP,AMERIGROUP,,0.52,,fee schedule,0.52,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,0.53,,fee schedule,0.53,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,AETNA,AETNA,,97.44,87,percent of total billed charges,97.44,0.5,112,percent of total billed charges,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97.44,87,percent of total billed charges,97.44,0.5,112,percent of total billed charges,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,UNITED HEALTHCARE,UNITED HEALTHCARE,,98.56,88,percent of total billed charges,98.56,0.5,112,percent of total billed charges,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,AETNA,AETNA,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,ALLIANT,ALLIANT,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,AMBETTER,AMBETTER,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,BEECH STREET,BEECH STREET,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,CARESOURCE,CARESOURCE,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,MEDICAID,MEDICAID,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,MEDICARE,MEDICARE,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,NOVA NET,NOVA NET,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,PEACHSTATE,PEACHSTATE,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,SELFPAY,SELFPAY,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,TRICARE,TRICARE,,112,,fee schedule,112,0.5,112,fee schedule,
DILANTIN INJ 250 MG AMP,J1165,CPT,both,,,112,112,UHC MEDICARE,UHC MEDICARE,,112,,fee schedule,112,0.5,112,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.52,,fee schedule,0.52,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.53,,fee schedule,0.53,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.5,35.29,percent of total billed charges,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.5,35.29,percent of total billed charges,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.5,35.29,percent of total billed charges,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin,J1165,CPT,both,250,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.52,,fee schedule,0.52,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.53,,fee schedule,0.53,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.5,35.29,percent of total billed charges,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.5,35.29,percent of total billed charges,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.5,35.29,percent of total billed charges,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Phenytoin 100 mg/2 ml vial,J1165,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,2.7,12,percent of total billed charges,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,2.7,12,percent of total billed charges,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,2.7,12,percent of total billed charges,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID 2MG/ML SDV,J1170,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,2.7,12,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,2.7,34,percent of total billed charges,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,2.7,34,percent of total billed charges,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,2.7,34,percent of total billed charges,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID INJ 2MG,J1170,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,2.7,34,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,AETNA,AETNA,,265.35,87,percent of total billed charges,265.35,2.7,305,percent of total billed charges,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,265.35,87,percent of total billed charges,265.35,2.7,305,percent of total billed charges,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,UNITED HEALTHCARE,UNITED HEALTHCARE,,268.4,88,percent of total billed charges,268.4,2.7,305,percent of total billed charges,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,AETNA,AETNA,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,ALLIANT,ALLIANT,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,AMBETTER,AMBETTER,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,BEECH STREET,BEECH STREET,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,CARESOURCE,CARESOURCE,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,MEDICAID,MEDICAID,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,MEDICARE,MEDICARE,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,NOVA NET,NOVA NET,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,PEACHSTATE,PEACHSTATE,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,SELFPAY,SELFPAY,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,TRICARE,TRICARE,,305,,fee schedule,305,2.7,305,fee schedule,
DILAUDID PCA 0.5MG/30ML,J1170,CPT,both,,,305,305,UHC MEDICARE,UHC MEDICARE,,305,,fee schedule,305,2.7,305,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,2.7,31,percent of total billed charges,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,2.7,31,percent of total billed charges,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,2.7,31,percent of total billed charges,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 0.5 MG/0.5 ML IN,J1170,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,2.7,31,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,2.7,263,percent of total billed charges,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,2.7,263,percent of total billed charges,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,2.7,263,percent of total billed charges,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 100MG INJ,J1170,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,2.7,263,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,AETNA,AETNA,,26.1,87,percent of total billed charges,26.1,2.7,30,percent of total billed charges,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.1,87,percent of total billed charges,26.1,2.7,30,percent of total billed charges,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,UNITED HEALTHCARE,UNITED HEALTHCARE,,26.4,88,percent of total billed charges,26.4,2.7,30,percent of total billed charges,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,AETNA,AETNA,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,ALLIANT,ALLIANT,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,AMBETTER,AMBETTER,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,BEECH STREET,BEECH STREET,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,CARESOURCE,CARESOURCE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,MEDICAID,MEDICAID,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,MEDICARE,MEDICARE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,NOVA NET,NOVA NET,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,PEACHSTATE,PEACHSTATE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,SELFPAY,SELFPAY,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,TRICARE,TRICARE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 1MG/ML INJ,J1170,CPT,both,,,30,30,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,2.7,30,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,2.7,172,percent of total billed charges,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,2.7,172,percent of total billed charges,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,2.7,172,percent of total billed charges,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,ALLIANT,ALLIANT,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,AMBETTER,AMBETTER,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,MEDICARE,MEDICARE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,TRICARE,TRICARE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROMORPHONE 40MG/100ML DRIP,J1170,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,172,,fee schedule,172,2.7,172,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.7,149.77,percent of total billed charges,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.7,149.77,percent of total billed charges,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.7,149.77,percent of total billed charges,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone Drip 40 mg/100 ml Premix,J1170,CPT,both,40,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.7,149.77,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.84,,fee schedule,2.84,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.89,,fee schedule,2.89,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.7,,fee schedule,2.7,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.7,35.29,percent of total billed charges,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.7,35.29,percent of total billed charges,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.7,35.29,percent of total billed charges,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
HYDROmorphone 15 mg/30 ml PCA,J1170,CPT,both,15,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.7,35.29,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,0.91,,fee schedule,0.91,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,0.91,32,percent of total billed charges,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,0.91,32,percent of total billed charges,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,0.91,32,percent of total billed charges,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,0.91,32,fee schedule,
BENADRYL 50MG INJ,J1200,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,0.91,32,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.91,,fee schedule,0.91,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.91,34,percent of total billed charges,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.91,34,percent of total billed charges,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.91,34,percent of total billed charges,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.91,34,fee schedule,
DIPHENHYDRAMINE 50MG/CC 1,J1200,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.91,34,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.91,,fee schedule,0.91,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.91,35.29,percent of total billed charges,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.91,35.29,percent of total billed charges,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.91,35.29,percent of total billed charges,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
diphenhydrAMINE 50 mg/ml Vial,J1200,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.91,35.29,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,AETNA,AETNA,,1337.19,87,percent of total billed charges,1337.19,1337.19,1537,percent of total billed charges,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1337.19,87,percent of total billed charges,1337.19,1337.19,1537,percent of total billed charges,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,UNITED HEALTHCARE,UNITED HEALTHCARE,,1352.56,88,percent of total billed charges,1352.56,1337.19,1537,percent of total billed charges,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,AETNA,AETNA,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,ALLIANT,ALLIANT,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,AMBETTER,AMBETTER,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,BEECH STREET,BEECH STREET,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,CARESOURCE,CARESOURCE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,MEDICAID,MEDICAID,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,MEDICARE,MEDICARE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,NOVA NET,NOVA NET,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,PEACHSTATE,PEACHSTATE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,SELFPAY,SELFPAY,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,TRICARE,TRICARE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
DIURILL INJ 0.5GM,J1205,CPT,both,,,1537,1537,UHC MEDICARE,UHC MEDICARE,,1537,,fee schedule,1537,1337.19,1537,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chlorothiazide,J1205,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
DRAMAMINE INJ 50MG 1ML,J1240,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
dimenhyDRINATE 50 mg/ml Vial,J1240,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,4.07,,fee schedule,4.07,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,4.15,,fee schedule,4.15,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,3.88,,fee schedule,3.88,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,3.88,93,percent of total billed charges,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,3.88,93,percent of total billed charges,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,3.88,93,percent of total billed charges,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,ALLIANT,ALLIANT,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,AMBETTER,AMBETTER,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,MEDICARE,MEDICARE,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,TRICARE,TRICARE,,93,,fee schedule,93,3.88,93,fee schedule,
IV PERSANTINE/10MG,J1245,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,93,,fee schedule,93,3.88,93,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,7.96,,fee schedule,7.96,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,8.11,,fee schedule,8.11,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,7.58,,fee schedule,7.58,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,7.58,157,percent of total billed charges,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,7.58,157,percent of total billed charges,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,7.58,157,percent of total billed charges,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE 500MG/250ML D5,J1250,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,7.58,157,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,7.96,,fee schedule,7.96,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,8.11,,fee schedule,8.11,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,7.58,,fee schedule,7.58,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,7.58,156,percent of total billed charges,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,7.58,156,percent of total billed charges,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,7.58,156,percent of total billed charges,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTAMINE/D5W 250MG/250M,J1250,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,7.58,156,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,AMERIGROUP,AMERIGROUP,,7.96,,fee schedule,7.96,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,8.11,,fee schedule,8.11,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,7.58,,fee schedule,7.58,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,AETNA,AETNA,,76.56,87,percent of total billed charges,76.56,7.58,88,percent of total billed charges,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76.56,87,percent of total billed charges,76.56,7.58,88,percent of total billed charges,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,UNITED HEALTHCARE,UNITED HEALTHCARE,,77.44,88,percent of total billed charges,77.44,7.58,88,percent of total billed charges,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,AETNA,AETNA,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,ALLIANT,ALLIANT,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,AMBETTER,AMBETTER,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,BEECH STREET,BEECH STREET,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,CARESOURCE,CARESOURCE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,MEDICAID,MEDICAID,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,MEDICARE,MEDICARE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,NOVA NET,NOVA NET,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,PEACHSTATE,PEACHSTATE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,SELFPAY,SELFPAY,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,TRICARE,TRICARE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTREX INJ 250MG,J1250,CPT,both,,,88,88,UHC MEDICARE,UHC MEDICARE,,88,,fee schedule,88,7.58,88,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,7.96,,fee schedule,7.96,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,8.11,,fee schedule,8.11,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,7.58,,fee schedule,7.58,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,7.58,149.77,percent of total billed charges,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,7.58,149.77,percent of total billed charges,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,7.58,149.77,percent of total billed charges,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 250 mg/250 ml Premix,J1250,CPT,both,250,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,7.96,,fee schedule,7.96,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,8.11,,fee schedule,8.11,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,7.58,,fee schedule,7.58,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,7.58,149.77,percent of total billed charges,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,7.58,149.77,percent of total billed charges,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,7.58,149.77,percent of total billed charges,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine/D5W 500 mg/250 ml Premix,J1250,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,7.96,,fee schedule,7.96,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,8.11,,fee schedule,8.11,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,7.58,,fee schedule,7.58,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,7.58,149.77,percent of total billed charges,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,7.58,149.77,percent of total billed charges,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,7.58,149.77,percent of total billed charges,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
DOBUTamine 250 mg/20 ml Vial,J1250,CPT,both,250,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,7.58,149.77,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,AETNA,AETNA,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,87,percent of total billed charges,87,87,100,percent of total billed charges,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,UNITED HEALTHCARE,UNITED HEALTHCARE,,88,88,percent of total billed charges,88,87,100,percent of total billed charges,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,AETNA,AETNA,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,ALLIANT,ALLIANT,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,AMBETTER,AMBETTER,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,BEECH STREET,BEECH STREET,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,CARESOURCE,CARESOURCE,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,MEDICAID,MEDICAID,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,MEDICARE,MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,NOVA NET,NOVA NET,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,PEACHSTATE,PEACHSTATE,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,SELFPAY,SELFPAY,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,TRICARE,TRICARE,,100,,fee schedule,100,87,100,fee schedule,
ANZEMET AMP 12.5MG/0.625M,J1260,CPT,both,,,100,100,UHC MEDICARE,UHC MEDICARE,,100,,fee schedule,100,87,100,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG 5ML,J1265,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,AETNA,AETNA,,114.84,87,percent of total billed charges,114.84,114.84,132,percent of total billed charges,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114.84,87,percent of total billed charges,114.84,114.84,132,percent of total billed charges,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,UNITED HEALTHCARE,UNITED HEALTHCARE,,116.16,88,percent of total billed charges,116.16,114.84,132,percent of total billed charges,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,AETNA,AETNA,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,ALLIANT,ALLIANT,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,AMBETTER,AMBETTER,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,BEECH STREET,BEECH STREET,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,CARESOURCE,CARESOURCE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,MEDICAID,MEDICAID,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,MEDICARE,MEDICARE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,NOVA NET,NOVA NET,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,PEACHSTATE,PEACHSTATE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,SELFPAY,SELFPAY,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,TRICARE,TRICARE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 200MG/D5W 25,J1265,CPT,both,,,132,132,UHC MEDICARE,UHC MEDICARE,,132,,fee schedule,132,114.84,132,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPAMINE INJ 400MG/D5W 25,J1265,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 200 mg/250 ml Premix,J1265,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine/D5W 400 mg/250 ml Premix,J1265,CPT,both,400,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOPamine 200 mg/5 ml Vial,J1265,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,0.35,,fee schedule,0.35,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,0.35,,fee schedule,0.35,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,0.33,,fee schedule,0.33,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,0.33,55,percent of total billed charges,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,0.33,55,percent of total billed charges,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,0.33,55,percent of total billed charges,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,0.33,55,fee schedule,
DOXERCALCIFEROL 4MCG/2ML INJ,J1270,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,0.33,55,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,0.35,,fee schedule,0.35,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,0.35,,fee schedule,0.35,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,0.33,,fee schedule,0.33,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,0.33,31,percent of total billed charges,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,0.33,31,percent of total billed charges,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,0.33,31,percent of total billed charges,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,0.33,31,fee schedule,
HECTOROL 2 MCG/ML VIAL,J1270,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,0.33,31,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.35,,fee schedule,0.35,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.35,,fee schedule,0.35,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.33,,fee schedule,0.33,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.33,35.29,percent of total billed charges,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.33,35.29,percent of total billed charges,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.33,35.29,percent of total billed charges,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
Doxercalciferol,J1270,CPT,both,4,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.33,35.29,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,ALLIANT,ALLIANT,,374.62,,fee schedule,374.62,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,AMBETTER,AMBETTER,,295.15,,fee schedule,295.15,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,AMERIGROUP,AMERIGROUP,,236.74,,fee schedule,236.74,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,CARESOURCE,CARESOURCE,,241.25,,fee schedule,241.25,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,MEDICARE,MEDICARE,,227.04,,fee schedule,227.04,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,PEACHSTATE,PEACHSTATE,,225.47,,fee schedule,225.47,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,TRICARE,TRICARE,,227.04,,fee schedule,227.04,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,UHC MEDICARE,UHC MEDICARE,,227.04,,fee schedule,227.04,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,AETNA,AETNA,,4505.73,87,percent of total billed charges,4505.73,225.47,5179,percent of total billed charges,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4505.73,87,percent of total billed charges,4505.73,225.47,5179,percent of total billed charges,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,UNITED HEALTHCARE,UNITED HEALTHCARE,,4557.52,88,percent of total billed charges,4557.52,225.47,5179,percent of total billed charges,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,AETNA,AETNA,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,BEECH STREET,BEECH STREET,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,CARESOURCE,CARESOURCE,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,MEDICAID,MEDICAID,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,NOVA NET,NOVA NET,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,PEACHSTATE,PEACHSTATE,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,SELFPAY,SELFPAY,,5179,,fee schedule,5179,225.47,5179,fee schedule,
SOLIRIS 300MG INJ,J1300,CPT,both,,,5179,5179,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5179,,fee schedule,5179,225.47,5179,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,ALLIANT,ALLIANT,,374.62,,fee schedule,374.62,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,AMBETTER,AMBETTER,,295.15,,fee schedule,295.15,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,236.74,,fee schedule,236.74,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,241.25,,fee schedule,241.25,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,MEDICARE,MEDICARE,,227.04,,fee schedule,227.04,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,225.47,,fee schedule,225.47,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,TRICARE,TRICARE,,227.04,,fee schedule,227.04,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,227.04,,fee schedule,227.04,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,374.62,percent of total billed charges,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,374.62,percent of total billed charges,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,374.62,percent of total billed charges,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
Eculizumab 300 mg/30 ml Vial,J1300,CPT,both,300,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,374.62,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,ALLIANT,ALLIANT,,367.42,,fee schedule,367.42,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,AMBETTER,AMBETTER,,289.48,,fee schedule,289.48,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,AMERIGROUP,AMERIGROUP,,232.27,,fee schedule,232.27,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,CARESOURCE,CARESOURCE,,236.69,,fee schedule,236.69,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,MEDICARE,MEDICARE,,222.68,,fee schedule,222.68,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,PEACHSTATE,PEACHSTATE,,221.21,,fee schedule,221.21,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,TRICARE,TRICARE,,222.68,,fee schedule,222.68,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,UHC MEDICARE,UHC MEDICARE,,222.68,,fee schedule,222.68,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,AETNA,AETNA,,20924.37,87,percent of total billed charges,20924.37,221.21,24051,percent of total billed charges,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20924.37,87,percent of total billed charges,20924.37,221.21,24051,percent of total billed charges,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,UNITED HEALTHCARE,UNITED HEALTHCARE,,21164.88,88,percent of total billed charges,21164.88,221.21,24051,percent of total billed charges,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,AETNA,AETNA,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,BEECH STREET,BEECH STREET,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,CARESOURCE,CARESOURCE,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,MEDICAID,MEDICAID,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,NOVA NET,NOVA NET,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,PEACHSTATE,PEACHSTATE,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,SELFPAY,SELFPAY,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 1100MG/11ML VIAL,J1303,CPT,both,,,24051,24051,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24051,,fee schedule,24051,221.21,24051,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,ALLIANT,ALLIANT,,367.42,,fee schedule,367.42,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,AMBETTER,AMBETTER,,289.48,,fee schedule,289.48,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,AMERIGROUP,AMERIGROUP,,232.27,,fee schedule,232.27,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,CARESOURCE,CARESOURCE,,236.69,,fee schedule,236.69,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,MEDICARE,MEDICARE,,222.68,,fee schedule,222.68,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,PEACHSTATE,PEACHSTATE,,221.21,,fee schedule,221.21,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,TRICARE,TRICARE,,222.68,,fee schedule,222.68,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,UHC MEDICARE,UHC MEDICARE,,222.68,,fee schedule,222.68,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,AETNA,AETNA,,5706.33,87,percent of total billed charges,5706.33,221.21,6559,percent of total billed charges,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5706.33,87,percent of total billed charges,5706.33,221.21,6559,percent of total billed charges,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,UNITED HEALTHCARE,UNITED HEALTHCARE,,5771.92,88,percent of total billed charges,5771.92,221.21,6559,percent of total billed charges,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,AETNA,AETNA,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,BEECH STREET,BEECH STREET,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,CARESOURCE,CARESOURCE,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,MEDICAID,MEDICAID,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,NOVA NET,NOVA NET,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,PEACHSTATE,PEACHSTATE,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,SELFPAY,SELFPAY,,6559,,fee schedule,6559,221.21,6559,fee schedule,
ULTOMIRIS 300MG/3ML VIAL,J1303,CPT,both,,,6559,6559,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6559,,fee schedule,6559,221.21,6559,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,ALLIANT,ALLIANT,,367.42,,fee schedule,367.42,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,AMBETTER,AMBETTER,,289.48,,fee schedule,289.48,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,232.27,,fee schedule,232.27,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,236.69,,fee schedule,236.69,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,MEDICARE,MEDICARE,,222.68,,fee schedule,222.68,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,221.21,,fee schedule,221.21,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,TRICARE,TRICARE,,222.68,,fee schedule,222.68,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,222.68,,fee schedule,222.68,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,121.61,367.42,percent of total billed charges,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,121.61,367.42,percent of total billed charges,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,121.61,367.42,percent of total billed charges,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,1100,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,ALLIANT,ALLIANT,,367.42,,fee schedule,367.42,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,AMBETTER,AMBETTER,,289.48,,fee schedule,289.48,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,232.27,,fee schedule,232.27,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,CARESOURCE,CARESOURCE,,236.69,,fee schedule,236.69,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,MEDICARE,MEDICARE,,222.68,,fee schedule,222.68,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,221.21,,fee schedule,221.21,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,TRICARE,TRICARE,,222.68,,fee schedule,222.68,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,222.68,,fee schedule,222.68,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,121.61,367.42,percent of total billed charges,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,121.61,367.42,percent of total billed charges,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,121.61,367.42,percent of total billed charges,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
Ravulizumab-cwvz,J1303,CPT,both,300,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,367.42,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,ALLIANT,ALLIANT,,19.78,,fee schedule,19.78,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,AMBETTER,AMBETTER,,15.59,,fee schedule,15.59,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,AMERIGROUP,AMERIGROUP,,12.82,,fee schedule,12.82,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,CARESOURCE,CARESOURCE,,13.06,,fee schedule,13.06,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,MEDICARE,MEDICARE,,11.99,,fee schedule,11.99,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,PEACHSTATE,PEACHSTATE,,12.21,,fee schedule,12.21,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,TRICARE,TRICARE,,11.99,,fee schedule,11.99,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,UHC MEDICARE,UHC MEDICARE,,11.99,,fee schedule,11.99,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,AETNA,AETNA,,2990.19,87,percent of total billed charges,2990.19,11.99,3437,percent of total billed charges,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2990.19,87,percent of total billed charges,2990.19,11.99,3437,percent of total billed charges,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,UNITED HEALTHCARE,UNITED HEALTHCARE,,3024.56,88,percent of total billed charges,3024.56,11.99,3437,percent of total billed charges,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,AETNA,AETNA,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,BEECH STREET,BEECH STREET,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,CARESOURCE,CARESOURCE,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,MEDICAID,MEDICAID,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,NOVA NET,NOVA NET,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,PEACHSTATE,PEACHSTATE,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,SELFPAY,SELFPAY,,3437,,fee schedule,3437,11.99,3437,fee schedule,
LEQVIO 284MG/1.5ML SYRINGE,J1306,CPT,both,,,3437,3437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3437,,fee schedule,3437,11.99,3437,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,ALLIANT,ALLIANT,,19.78,,fee schedule,19.78,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,AMBETTER,AMBETTER,,15.59,,fee schedule,15.59,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,12.82,,fee schedule,12.82,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,CARESOURCE,CARESOURCE,,13.06,,fee schedule,13.06,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,MEDICARE,MEDICARE,,11.99,,fee schedule,11.99,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,12.21,,fee schedule,12.21,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,TRICARE,TRICARE,,11.99,,fee schedule,11.99,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,11.99,,fee schedule,11.99,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,11.99,35.29,percent of total billed charges,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,11.99,35.29,percent of total billed charges,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,11.99,35.29,percent of total billed charges,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
Inclisiran,J1306,CPT,both,284,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,11.99,35.29,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,AETNA,AETNA,,1950.54,87,percent of total billed charges,1950.54,1950.54,2242,percent of total billed charges,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1950.54,87,percent of total billed charges,1950.54,1950.54,2242,percent of total billed charges,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,UNITED HEALTHCARE,UNITED HEALTHCARE,,1972.96,88,percent of total billed charges,1972.96,1950.54,2242,percent of total billed charges,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,AETNA,AETNA,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,ALLIANT,ALLIANT,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,AMBETTER,AMBETTER,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,BEECH STREET,BEECH STREET,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,CARESOURCE,CARESOURCE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,MEDICAID,MEDICAID,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,MEDICARE,MEDICARE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,NOVA NET,NOVA NET,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,PEACHSTATE,PEACHSTATE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,SELFPAY,SELFPAY,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,TRICARE,TRICARE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 200MG/100ML IN,J1327,CPT,both,,,2242,2242,UHC MEDICARE,UHC MEDICARE,,2242,,fee schedule,2242,1950.54,2242,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,AETNA,AETNA,,408.03,87,percent of total billed charges,408.03,408.03,469,percent of total billed charges,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,408.03,87,percent of total billed charges,408.03,408.03,469,percent of total billed charges,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,UNITED HEALTHCARE,UNITED HEALTHCARE,,412.72,88,percent of total billed charges,412.72,408.03,469,percent of total billed charges,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,AETNA,AETNA,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,ALLIANT,ALLIANT,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,AMBETTER,AMBETTER,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,BEECH STREET,BEECH STREET,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,CARESOURCE,CARESOURCE,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,MEDICAID,MEDICAID,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,MEDICARE,MEDICARE,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,NOVA NET,NOVA NET,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,PEACHSTATE,PEACHSTATE,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,SELFPAY,SELFPAY,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,TRICARE,TRICARE,,469,,fee schedule,469,408.03,469,fee schedule,
INTEGRILIN 20MG/10ML INJ,J1327,CPT,both,,,469,469,UHC MEDICARE,UHC MEDICARE,,469,,fee schedule,469,408.03,469,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,11.28,,fee schedule,11.28,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,11.49,,fee schedule,11.49,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,10.74,,fee schedule,10.74,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,10.74,156,percent of total billed charges,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,10.74,156,percent of total billed charges,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,10.74,156,percent of total billed charges,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,10.74,156,fee schedule,
INVANZ 1GM INJ,J1335,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,10.74,156,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,11.28,,fee schedule,11.28,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,11.49,,fee schedule,11.49,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,10.74,,fee schedule,10.74,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,10.74,35.29,percent of total billed charges,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,10.74,35.29,percent of total billed charges,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,10.74,35.29,percent of total billed charges,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
Ertapenem 1 gm Vial,J1335,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,10.74,35.29,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,ALLIANT,ALLIANT,,137.89,,fee schedule,137.89,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,AMBETTER,AMBETTER,,108.64,,fee schedule,108.64,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,73.27,,fee schedule,73.27,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,74.67,,fee schedule,74.67,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,MEDICARE,MEDICARE,,83.57,,fee schedule,83.57,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,69.79,,fee schedule,69.79,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,TRICARE,TRICARE,,83.57,,fee schedule,83.57,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,83.57,,fee schedule,83.57,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,69.79,157,percent of total billed charges,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,69.79,157,percent of total billed charges,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,69.79,157,percent of total billed charges,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACT INJ 500,J1364,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,69.79,157,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,ALLIANT,ALLIANT,,137.89,,fee schedule,137.89,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,AMBETTER,AMBETTER,,108.64,,fee schedule,108.64,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,AMERIGROUP,AMERIGROUP,,73.27,,fee schedule,73.27,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,74.67,,fee schedule,74.67,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,MEDICARE,MEDICARE,,83.57,,fee schedule,83.57,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,69.79,,fee schedule,69.79,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,TRICARE,TRICARE,,83.57,,fee schedule,83.57,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,83.57,,fee schedule,83.57,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,137.89,percent of total billed charges,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,137.89,percent of total billed charges,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,137.89,percent of total billed charges,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,137.89,fee schedule,
ERYTHROMYCIN LACTOBIONATE,J1364,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,137.89,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,60.9,70,percent of total billed charges,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,60.9,70,percent of total billed charges,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,60.9,70,fee schedule,
DELESTROGEN MDV 20MG/ML 5,J1380,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,60.9,70,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Estradiol Valerate,J1380,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,ALLIANT,ALLIANT,,586.61,,fee schedule,586.61,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,AMBETTER,AMBETTER,,462.18,,fee schedule,462.18,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,AMERIGROUP,AMERIGROUP,,403.23,,fee schedule,403.23,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,410.91,,fee schedule,410.91,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,MEDICARE,MEDICARE,,355.52,,fee schedule,355.52,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,384.03,,fee schedule,384.03,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,TRICARE,TRICARE,,355.52,,fee schedule,355.52,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,UHC MEDICARE,UHC MEDICARE,,355.52,,fee schedule,355.52,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,AETNA,AETNA,,143.55,87,percent of total billed charges,143.55,143.55,586.61,percent of total billed charges,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143.55,87,percent of total billed charges,143.55,143.55,586.61,percent of total billed charges,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,UNITED HEALTHCARE,UNITED HEALTHCARE,,145.2,88,percent of total billed charges,145.2,143.55,586.61,percent of total billed charges,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,AETNA,AETNA,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,BEECH STREET,BEECH STREET,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,MEDICAID,MEDICAID,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,NOVA NET,NOVA NET,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,SELFPAY,SELFPAY,,165,,fee schedule,165,143.55,586.61,fee schedule,
PREMARIN INJ IV 25MG,J1410,CPT,both,,,165,165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,165,,fee schedule,165,143.55,586.61,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,ALLIANT,ALLIANT,,37.47,,fee schedule,37.47,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,AMBETTER,AMBETTER,,29.52,,fee schedule,29.52,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,AMERIGROUP,AMERIGROUP,,21.68,,fee schedule,21.68,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,CARESOURCE,CARESOURCE,,22.09,,fee schedule,22.09,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,MEDICARE,MEDICARE,,22.71,,fee schedule,22.71,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,PEACHSTATE,PEACHSTATE,,20.65,,fee schedule,20.65,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,TRICARE,TRICARE,,22.71,,fee schedule,22.71,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,UHC MEDICARE,UHC MEDICARE,,22.71,,fee schedule,22.71,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,AETNA,AETNA,,2264.61,87,percent of total billed charges,2264.61,20.65,2603,percent of total billed charges,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2264.61,87,percent of total billed charges,2264.61,20.65,2603,percent of total billed charges,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,UNITED HEALTHCARE,UNITED HEALTHCARE,,2290.64,88,percent of total billed charges,2290.64,20.65,2603,percent of total billed charges,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,AETNA,AETNA,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,BEECH STREET,BEECH STREET,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,CARESOURCE,CARESOURCE,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,MEDICAID,MEDICAID,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,NOVA NET,NOVA NET,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,PEACHSTATE,PEACHSTATE,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,SELFPAY,SELFPAY,,2603,,fee schedule,2603,20.65,2603,fee schedule,
MONOFERRIC 10ML VIAL,J1437,CPT,both,,,2603,2603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2603,,fee schedule,2603,20.65,2603,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,ALLIANT,ALLIANT,,37.47,,fee schedule,37.47,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,AMBETTER,AMBETTER,,29.52,,fee schedule,29.52,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,21.68,,fee schedule,21.68,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,22.09,,fee schedule,22.09,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,MEDICARE,MEDICARE,,22.71,,fee schedule,22.71,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,20.65,,fee schedule,20.65,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,TRICARE,TRICARE,,22.71,,fee schedule,22.71,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,22.71,,fee schedule,22.71,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,20.65,149.77,percent of total billed charges,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,20.65,149.77,percent of total billed charges,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,20.65,149.77,percent of total billed charges,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
Ferric Derisomaltose,J1437,CPT,both,1000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,20.65,149.77,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,ALLIANT,ALLIANT,,1304.79,,fee schedule,1304.79,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,AMBETTER,AMBETTER,,1028.01,,fee schedule,1028.01,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,MEDICARE,MEDICARE,,790.78,,fee schedule,790.78,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,TRICARE,TRICARE,,790.78,,fee schedule,790.78,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,UHC MEDICARE,UHC MEDICARE,,790.78,,fee schedule,790.78,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,AETNA,AETNA,,725.58,87,percent of total billed charges,725.58,725.58,1304.79,percent of total billed charges,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,725.58,87,percent of total billed charges,725.58,725.58,1304.79,percent of total billed charges,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,UNITED HEALTHCARE,UNITED HEALTHCARE,,733.92,88,percent of total billed charges,733.92,725.58,1304.79,percent of total billed charges,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,AETNA,AETNA,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,BEECH STREET,BEECH STREET,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,CARESOURCE,CARESOURCE,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,MEDICAID,MEDICAID,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,NOVA NET,NOVA NET,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,PEACHSTATE,PEACHSTATE,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,SELFPAY,SELFPAY,,834,,fee schedule,834,725.58,1304.79,fee schedule,
ENBREL INJ 25MG,J1438,CPT,both,,,834,834,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,834,,fee schedule,834,725.58,1304.79,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,ALLIANT,ALLIANT,,1.82,,fee schedule,1.82,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,AMBETTER,AMBETTER,,1.43,,fee schedule,1.43,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,AMERIGROUP,AMERIGROUP,,1.18,,fee schedule,1.18,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,CARESOURCE,CARESOURCE,,1.2,,fee schedule,1.2,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,MEDICARE,MEDICARE,,1.1,,fee schedule,1.1,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,PEACHSTATE,PEACHSTATE,,1.13,,fee schedule,1.13,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,TRICARE,TRICARE,,1.1,,fee schedule,1.1,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,UHC MEDICARE,UHC MEDICARE,,1.1,,fee schedule,1.1,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,AETNA,AETNA,,2382.93,87,percent of total billed charges,2382.93,1.1,2739,percent of total billed charges,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2382.93,87,percent of total billed charges,2382.93,1.1,2739,percent of total billed charges,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,UNITED HEALTHCARE,UNITED HEALTHCARE,,2410.32,88,percent of total billed charges,2410.32,1.1,2739,percent of total billed charges,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,AETNA,AETNA,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,BEECH STREET,BEECH STREET,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,CARESOURCE,CARESOURCE,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,MEDICAID,MEDICAID,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,NOVA NET,NOVA NET,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,PEACHSTATE,PEACHSTATE,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,SELFPAY,SELFPAY,,2739,,fee schedule,2739,1.1,2739,fee schedule,
INJECTAFER 750MG/15ML VIAL,J1439,CPT,both,,,2739,2739,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2739,,fee schedule,2739,1.1,2739,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,AMERIGROUP,AMERIGROUP,,66.45,,fee schedule,66.45,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,67.71,,fee schedule,67.71,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,63.28,,fee schedule,63.28,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,AETNA,AETNA,,8064.9,87,percent of total billed charges,8064.9,63.28,9270,percent of total billed charges,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8064.9,87,percent of total billed charges,8064.9,63.28,9270,percent of total billed charges,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,UNITED HEALTHCARE,UNITED HEALTHCARE,,8157.6,88,percent of total billed charges,8157.6,63.28,9270,percent of total billed charges,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,AETNA,AETNA,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,ALLIANT,ALLIANT,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,AMBETTER,AMBETTER,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,BEECH STREET,BEECH STREET,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,MEDICAID,MEDICAID,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,MEDICARE,MEDICARE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,NOVA NET,NOVA NET,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,SELFPAY,SELFPAY,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,TRICARE,TRICARE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
REBYOTA 150ML ENEMA,J1440,CPT,both,,,9270,9270,UHC MEDICARE,UHC MEDICARE,,9270,,fee schedule,9270,63.28,9270,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,AMERIGROUP,AMERIGROUP,,66.45,,fee schedule,66.45,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,CARESOURCE,CARESOURCE,,67.71,,fee schedule,67.71,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,63.28,,fee schedule,63.28,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,67.71,percent of total billed charges,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,67.71,percent of total billed charges,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,67.71,percent of total billed charges,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
"Fecal Microbiota, Live-jslm",J1440,CPT,both,150,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,67.71,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,ALLIANT,ALLIANT,,1.62,,fee schedule,1.62,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,AMBETTER,AMBETTER,,1.27,,fee schedule,1.27,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,AMERIGROUP,AMERIGROUP,,1.04,,fee schedule,1.04,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,1.06,,fee schedule,1.06,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,MEDICARE,MEDICARE,,0.98,,fee schedule,0.98,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,1,,fee schedule,1,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,TRICARE,TRICARE,,0.98,,fee schedule,0.98,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,0.98,,fee schedule,0.98,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,0.98,521,percent of total billed charges,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,0.98,521,percent of total billed charges,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,0.98,521,percent of total billed charges,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG SDV,J1442,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,0.98,521,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,ALLIANT,ALLIANT,,1.62,,fee schedule,1.62,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,AMBETTER,AMBETTER,,1.27,,fee schedule,1.27,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,AMERIGROUP,AMERIGROUP,,1.04,,fee schedule,1.04,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,CARESOURCE,CARESOURCE,,1.06,,fee schedule,1.06,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,MEDICARE,MEDICARE,,0.98,,fee schedule,0.98,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,PEACHSTATE,PEACHSTATE,,1,,fee schedule,1,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,TRICARE,TRICARE,,0.98,,fee schedule,0.98,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,UHC MEDICARE,UHC MEDICARE,,0.98,,fee schedule,0.98,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,AETNA,AETNA,,535.92,87,percent of total billed charges,535.92,0.98,616,percent of total billed charges,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,535.92,87,percent of total billed charges,535.92,0.98,616,percent of total billed charges,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.08,88,percent of total billed charges,542.08,0.98,616,percent of total billed charges,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,AETNA,AETNA,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,BEECH STREET,BEECH STREET,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,CARESOURCE,CARESOURCE,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,MEDICAID,MEDICAID,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,NOVA NET,NOVA NET,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,PEACHSTATE,PEACHSTATE,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,SELFPAY,SELFPAY,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 300MCG/ML: 1ML,J1442,CPT,both,,,616,616,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,616,,fee schedule,616,0.98,616,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,ALLIANT,ALLIANT,,1.62,,fee schedule,1.62,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,AMBETTER,AMBETTER,,1.27,,fee schedule,1.27,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,AMERIGROUP,AMERIGROUP,,1.04,,fee schedule,1.04,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,CARESOURCE,CARESOURCE,,1.06,,fee schedule,1.06,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,MEDICARE,MEDICARE,,0.98,,fee schedule,0.98,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,PEACHSTATE,PEACHSTATE,,1,,fee schedule,1,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,TRICARE,TRICARE,,0.98,,fee schedule,0.98,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,UHC MEDICARE,UHC MEDICARE,,0.98,,fee schedule,0.98,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,AETNA,AETNA,,1214.52,87,percent of total billed charges,1214.52,0.98,1396,percent of total billed charges,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1214.52,87,percent of total billed charges,1214.52,0.98,1396,percent of total billed charges,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,UNITED HEALTHCARE,UNITED HEALTHCARE,,1228.48,88,percent of total billed charges,1228.48,0.98,1396,percent of total billed charges,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,AETNA,AETNA,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,BEECH STREET,BEECH STREET,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,CARESOURCE,CARESOURCE,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,MEDICAID,MEDICAID,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,NOVA NET,NOVA NET,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,PEACHSTATE,PEACHSTATE,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,SELFPAY,SELFPAY,,1396,,fee schedule,1396,0.98,1396,fee schedule,
NEUPOGEN 480MCG/0.8ML,J1442,CPT,both,,,1396,1396,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1396,,fee schedule,1396,0.98,1396,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,ALLIANT,ALLIANT,,0.68,,fee schedule,0.68,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,AMBETTER,AMBETTER,,0.53,,fee schedule,0.53,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,AMERIGROUP,AMERIGROUP,,0.42,,fee schedule,0.42,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,0.43,,fee schedule,0.43,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,MEDICARE,MEDICARE,,0.41,,fee schedule,0.41,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,0.4,,fee schedule,0.4,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,TRICARE,TRICARE,,0.41,,fee schedule,0.41,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,UHC MEDICARE,UHC MEDICARE,,0.41,,fee schedule,0.41,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,AETNA,AETNA,,358.44,87,percent of total billed charges,358.44,0.4,412,percent of total billed charges,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,358.44,87,percent of total billed charges,358.44,0.4,412,percent of total billed charges,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,UNITED HEALTHCARE,UNITED HEALTHCARE,,362.56,88,percent of total billed charges,362.56,0.4,412,percent of total billed charges,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,AETNA,AETNA,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,BEECH STREET,BEECH STREET,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,CARESOURCE,CARESOURCE,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,MEDICAID,MEDICAID,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,NOVA NET,NOVA NET,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,PEACHSTATE,PEACHSTATE,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,SELFPAY,SELFPAY,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 300MCG (FILGRASTIM-TBO),J1447,CPT,both,,,412,412,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,412,,fee schedule,412,0.4,412,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,ALLIANT,ALLIANT,,0.68,,fee schedule,0.68,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,AMBETTER,AMBETTER,,0.53,,fee schedule,0.53,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,AMERIGROUP,AMERIGROUP,,0.42,,fee schedule,0.42,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,0.43,,fee schedule,0.43,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,MEDICARE,MEDICARE,,0.41,,fee schedule,0.41,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,0.4,,fee schedule,0.4,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,TRICARE,TRICARE,,0.41,,fee schedule,0.41,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,UHC MEDICARE,UHC MEDICARE,,0.41,,fee schedule,0.41,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,AETNA,AETNA,,570.72,87,percent of total billed charges,570.72,0.4,656,percent of total billed charges,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,570.72,87,percent of total billed charges,570.72,0.4,656,percent of total billed charges,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,UNITED HEALTHCARE,UNITED HEALTHCARE,,577.28,88,percent of total billed charges,577.28,0.4,656,percent of total billed charges,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,AETNA,AETNA,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,BEECH STREET,BEECH STREET,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,CARESOURCE,CARESOURCE,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,MEDICAID,MEDICAID,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,NOVA NET,NOVA NET,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,PEACHSTATE,PEACHSTATE,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,SELFPAY,SELFPAY,,656,,fee schedule,656,0.4,656,fee schedule,
GRANIX 480MCG (FILGRASTIM-TBO),J1447,CPT,both,,,656,656,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,656,,fee schedule,656,0.4,656,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,ALLIANT,ALLIANT,,0.68,,fee schedule,0.68,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,AMBETTER,AMBETTER,,0.53,,fee schedule,0.53,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,AMERIGROUP,AMERIGROUP,,0.42,,fee schedule,0.42,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,CARESOURCE,CARESOURCE,,0.43,,fee schedule,0.43,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,MEDICARE,MEDICARE,,0.41,,fee schedule,0.41,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,0.4,,fee schedule,0.4,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,TRICARE,TRICARE,,0.41,,fee schedule,0.41,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,0.41,,fee schedule,0.41,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,0.4,3.06,percent of total billed charges,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,0.4,3.06,percent of total billed charges,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,0.4,3.06,percent of total billed charges,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,300,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,ALLIANT,ALLIANT,,0.68,,fee schedule,0.68,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,AMBETTER,AMBETTER,,0.53,,fee schedule,0.53,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,AMERIGROUP,AMERIGROUP,,0.42,,fee schedule,0.42,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,CARESOURCE,CARESOURCE,,0.43,,fee schedule,0.43,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,MEDICARE,MEDICARE,,0.41,,fee schedule,0.41,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,0.4,,fee schedule,0.4,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,TRICARE,TRICARE,,0.41,,fee schedule,0.41,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,0.41,,fee schedule,0.41,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,0.4,3.06,percent of total billed charges,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,0.4,3.06,percent of total billed charges,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,0.4,3.06,percent of total billed charges,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
Tbo-Filgrastim,J1447,CPT,both,480,F2,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,0.4,3.06,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,AMERIGROUP,AMERIGROUP,,2.57,,fee schedule,2.57,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,CARESOURCE,CARESOURCE,,2.62,,fee schedule,2.62,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,PEACHSTATE,PEACHSTATE,,2.45,,fee schedule,2.45,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,AETNA,AETNA,,467.19,87,percent of total billed charges,467.19,2.45,537,percent of total billed charges,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,467.19,87,percent of total billed charges,467.19,2.45,537,percent of total billed charges,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,UNITED HEALTHCARE,UNITED HEALTHCARE,,472.56,88,percent of total billed charges,472.56,2.45,537,percent of total billed charges,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,AETNA,AETNA,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,ALLIANT,ALLIANT,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,AMBETTER,AMBETTER,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,BEECH STREET,BEECH STREET,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,CARESOURCE,CARESOURCE,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,MEDICAID,MEDICAID,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,MEDICARE,MEDICARE,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,NOVA NET,NOVA NET,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,PEACHSTATE,PEACHSTATE,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,SELFPAY,SELFPAY,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,TRICARE,TRICARE,,537,,fee schedule,537,2.45,537,fee schedule,
DIFLUCAN 200MG IV,J1450,CPT,both,,,537,537,UHC MEDICARE,UHC MEDICARE,,537,,fee schedule,537,2.45,537,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,AMERIGROUP,AMERIGROUP,,2.57,,fee schedule,2.57,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,2.62,,fee schedule,2.62,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,2.45,,fee schedule,2.45,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,AETNA,AETNA,,7.83,87,percent of total billed charges,7.83,2.45,9,percent of total billed charges,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7.83,87,percent of total billed charges,7.83,2.45,9,percent of total billed charges,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,UNITED HEALTHCARE,UNITED HEALTHCARE,,7.92,88,percent of total billed charges,7.92,2.45,9,percent of total billed charges,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,AETNA,AETNA,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,ALLIANT,ALLIANT,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,AMBETTER,AMBETTER,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,BEECH STREET,BEECH STREET,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,CARESOURCE,CARESOURCE,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,MEDICAID,MEDICAID,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,MEDICARE,MEDICARE,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,NOVA NET,NOVA NET,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,PEACHSTATE,PEACHSTATE,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,SELFPAY,SELFPAY,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,TRICARE,TRICARE,,9,,fee schedule,9,2.45,9,fee schedule,
FLUCONAZOLE 2MG/1ML 100ML IVPB,J1450,CPT,both,,,9,9,UHC MEDICARE,UHC MEDICARE,,9,,fee schedule,9,2.45,9,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.57,,fee schedule,2.57,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.62,,fee schedule,2.62,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.45,,fee schedule,2.45,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.45,149.77,percent of total billed charges,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.45,149.77,percent of total billed charges,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.45,149.77,percent of total billed charges,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
Fluconazole Ped 2 MG/ML IV SOLN (Ped Conc),J1450,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.45,149.77,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,ALLIANT,ALLIANT,,11.91,,fee schedule,11.91,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,AMBETTER,AMBETTER,,9.39,,fee schedule,9.39,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,MEDICARE,MEDICARE,,7.22,,fee schedule,7.22,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,TRICARE,TRICARE,,7.22,,fee schedule,7.22,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,UHC MEDICARE,UHC MEDICARE,,7.22,,fee schedule,7.22,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,AETNA,AETNA,,4796.31,87,percent of total billed charges,4796.31,7.22,5513,percent of total billed charges,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4796.31,87,percent of total billed charges,4796.31,7.22,5513,percent of total billed charges,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,UNITED HEALTHCARE,UNITED HEALTHCARE,,4851.44,88,percent of total billed charges,4851.44,7.22,5513,percent of total billed charges,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,AETNA,AETNA,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,BEECH STREET,BEECH STREET,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,CARESOURCE,CARESOURCE,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,MEDICAID,MEDICAID,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,NOVA NET,NOVA NET,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,PEACHSTATE,PEACHSTATE,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,SELFPAY,SELFPAY,,5513,,fee schedule,5513,7.22,5513,fee schedule,
ANTIZOL 1.5GM 1.5ML SDV,J1451,CPT,both,,,5513,5513,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5513,,fee schedule,5513,7.22,5513,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,AMERIGROUP,AMERIGROUP,,0.17,,fee schedule,0.17,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,0.18,,fee schedule,0.18,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,0.17,,fee schedule,0.17,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,AETNA,AETNA,,790.83,87,percent of total billed charges,790.83,0.17,909,percent of total billed charges,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,790.83,87,percent of total billed charges,790.83,0.17,909,percent of total billed charges,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,UNITED HEALTHCARE,UNITED HEALTHCARE,,799.92,88,percent of total billed charges,799.92,0.17,909,percent of total billed charges,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,AETNA,AETNA,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,ALLIANT,ALLIANT,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,AMBETTER,AMBETTER,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,BEECH STREET,BEECH STREET,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,CARESOURCE,CARESOURCE,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,MEDICAID,MEDICAID,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,MEDICARE,MEDICARE,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,NOVA NET,NOVA NET,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,PEACHSTATE,PEACHSTATE,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,SELFPAY,SELFPAY,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,TRICARE,TRICARE,,909,,fee schedule,909,0.17,909,fee schedule,
EMEND 150MG IV INJ,J1453,CPT,both,,,909,909,UHC MEDICARE,UHC MEDICARE,,909,,fee schedule,909,0.17,909,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,TRICARE,TRICARE,,47.57,,fee schedule,47.57,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,AETNA,AETNA,,2292.45,87,percent of total billed charges,2292.45,47.57,2635,percent of total billed charges,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2292.45,87,percent of total billed charges,2292.45,47.57,2635,percent of total billed charges,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,UNITED HEALTHCARE,UNITED HEALTHCARE,,2318.8,88,percent of total billed charges,2318.8,47.57,2635,percent of total billed charges,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,AETNA,AETNA,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,BEECH STREET,BEECH STREET,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,CARESOURCE,CARESOURCE,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,MEDICAID,MEDICAID,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,NOVA NET,NOVA NET,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,PEACHSTATE,PEACHSTATE,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,SELFPAY,SELFPAY,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 10GM/100ML INJ,J1459,CPT,both,,,2635,2635,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2635,,fee schedule,2635,47.57,2635,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,TRICARE,TRICARE,,47.57,,fee schedule,47.57,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,AETNA,AETNA,,4579.68,87,percent of total billed charges,4579.68,47.57,5264,percent of total billed charges,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4579.68,87,percent of total billed charges,4579.68,47.57,5264,percent of total billed charges,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,UNITED HEALTHCARE,UNITED HEALTHCARE,,4632.32,88,percent of total billed charges,4632.32,47.57,5264,percent of total billed charges,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,AETNA,AETNA,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,BEECH STREET,BEECH STREET,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,CARESOURCE,CARESOURCE,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,MEDICAID,MEDICAID,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,NOVA NET,NOVA NET,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,PEACHSTATE,PEACHSTATE,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,SELFPAY,SELFPAY,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 20GM/200 ML INJ,J1459,CPT,both,,,5264,5264,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5264,,fee schedule,5264,47.57,5264,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,TRICARE,TRICARE,,47.57,,fee schedule,47.57,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,AETNA,AETNA,,10988.1,87,percent of total billed charges,10988.1,47.57,12630,percent of total billed charges,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10988.1,87,percent of total billed charges,10988.1,47.57,12630,percent of total billed charges,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,UNITED HEALTHCARE,UNITED HEALTHCARE,,11114.4,88,percent of total billed charges,11114.4,47.57,12630,percent of total billed charges,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,AETNA,AETNA,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,BEECH STREET,BEECH STREET,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,CARESOURCE,CARESOURCE,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,MEDICAID,MEDICAID,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,NOVA NET,NOVA NET,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,PEACHSTATE,PEACHSTATE,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,SELFPAY,SELFPAY,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 40GM/400ML INJ,J1459,CPT,both,,,12630,12630,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12630,,fee schedule,12630,47.57,12630,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,TRICARE,TRICARE,,47.57,,fee schedule,47.57,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,AETNA,AETNA,,1147.53,87,percent of total billed charges,1147.53,47.57,1319,percent of total billed charges,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1147.53,87,percent of total billed charges,1147.53,47.57,1319,percent of total billed charges,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,UNITED HEALTHCARE,UNITED HEALTHCARE,,1160.72,88,percent of total billed charges,1160.72,47.57,1319,percent of total billed charges,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,AETNA,AETNA,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,BEECH STREET,BEECH STREET,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,CARESOURCE,CARESOURCE,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,MEDICAID,MEDICAID,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,NOVA NET,NOVA NET,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,PEACHSTATE,PEACHSTATE,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,SELFPAY,SELFPAY,,1319,,fee schedule,1319,47.57,1319,fee schedule,
PRIVIGEN 5GM/50ML INJ,J1459,CPT,both,,,1319,1319,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1319,,fee schedule,1319,47.57,1319,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,TRICARE,TRICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 5 gm/50 ml Vial,J1459,CPT,both,5,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,TRICARE,TRICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 10 gm/100 ml Vial,J1459,CPT,both,10,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,TRICARE,TRICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 20 gm/200 ml Vial,J1459,CPT,both,20,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,ALLIANT,ALLIANT,,78.49,,fee schedule,78.49,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,AMBETTER,AMBETTER,,61.84,,fee schedule,61.84,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,51.1,,fee schedule,51.1,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,CARESOURCE,CARESOURCE,,52.08,,fee schedule,52.08,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,MEDICARE,MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,48.67,,fee schedule,48.67,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,TRICARE,TRICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.57,,fee schedule,47.57,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.49,percent of total billed charges,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
Immune Globulin (Privigen) 40 gm/400 ml Vial,J1459,CPT,both,40,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.49,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,ALLIANT,ALLIANT,,78.87,,fee schedule,78.87,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,AMBETTER,AMBETTER,,62.14,,fee schedule,62.14,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,MEDICARE,MEDICARE,,47.8,,fee schedule,47.8,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,TRICARE,TRICARE,,47.8,,fee schedule,47.8,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,UHC MEDICARE,UHC MEDICARE,,47.8,,fee schedule,47.8,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,AETNA,AETNA,,1472.04,87,percent of total billed charges,1472.04,47.8,1692,percent of total billed charges,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1472.04,87,percent of total billed charges,1472.04,47.8,1692,percent of total billed charges,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,UNITED HEALTHCARE,UNITED HEALTHCARE,,1488.96,88,percent of total billed charges,1488.96,47.8,1692,percent of total billed charges,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,AETNA,AETNA,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,BEECH STREET,BEECH STREET,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,CARESOURCE,CARESOURCE,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,MEDICAID,MEDICAID,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,NOVA NET,NOVA NET,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,PEACHSTATE,PEACHSTATE,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,SELFPAY,SELFPAY,,1692,,fee schedule,1692,47.8,1692,fee schedule,
GAMUNEX-C  1X100ML,J1561,CPT,both,,,1692,1692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1692,,fee schedule,1692,47.8,1692,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,ALLIANT,ALLIANT,,78.87,,fee schedule,78.87,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,AMBETTER,AMBETTER,,62.14,,fee schedule,62.14,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,MEDICARE,MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,TRICARE,TRICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 10 GM/100 ML VIAL,J1561,CPT,both,10,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,ALLIANT,ALLIANT,,78.87,,fee schedule,78.87,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,AMBETTER,AMBETTER,,62.14,,fee schedule,62.14,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,MEDICARE,MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,TRICARE,TRICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 20 GM/200 ML VIAL,J1561,CPT,both,20,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,ALLIANT,ALLIANT,,78.87,,fee schedule,78.87,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,AMBETTER,AMBETTER,,62.14,,fee schedule,62.14,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,MEDICARE,MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,TRICARE,TRICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 40 GM/400 ML VIAL,J1561,CPT,both,40,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,ALLIANT,ALLIANT,,78.87,,fee schedule,78.87,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,AMBETTER,AMBETTER,,62.14,,fee schedule,62.14,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,52.06,,fee schedule,52.06,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,53.05,,fee schedule,53.05,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,MEDICARE,MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,49.58,,fee schedule,49.58,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,TRICARE,TRICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,47.8,,fee schedule,47.8,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,78.87,percent of total billed charges,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
Immune Globulin (Gamunex) 5 GM/50 ML VIAL,J1561,CPT,both,5,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,78.87,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,ALLIANT,ALLIANT,,67.77,,fee schedule,67.77,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,AMBETTER,AMBETTER,,53.39,,fee schedule,53.39,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,AMERIGROUP,AMERIGROUP,,50.13,,fee schedule,50.13,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,CARESOURCE,CARESOURCE,,51.08,,fee schedule,51.08,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,MEDICARE,MEDICARE,,41.07,,fee schedule,41.07,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,PEACHSTATE,PEACHSTATE,,47.74,,fee schedule,47.74,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,TRICARE,TRICARE,,41.07,,fee schedule,41.07,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,UHC MEDICARE,UHC MEDICARE,,41.07,,fee schedule,41.07,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,AETNA,AETNA,,2425.56,87,percent of total billed charges,2425.56,41.07,2788,percent of total billed charges,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2425.56,87,percent of total billed charges,2425.56,41.07,2788,percent of total billed charges,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,UNITED HEALTHCARE,UNITED HEALTHCARE,,2453.44,88,percent of total billed charges,2453.44,41.07,2788,percent of total billed charges,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,AETNA,AETNA,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,BEECH STREET,BEECH STREET,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,CARESOURCE,CARESOURCE,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,MEDICAID,MEDICAID,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,NOVA NET,NOVA NET,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,PEACHSTATE,PEACHSTATE,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,SELFPAY,SELFPAY,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 10 GRAMS/100 M,J1568,CPT,both,,,2788,2788,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2788,,fee schedule,2788,41.07,2788,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,ALLIANT,ALLIANT,,67.77,,fee schedule,67.77,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,AMBETTER,AMBETTER,,53.39,,fee schedule,53.39,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,AMERIGROUP,AMERIGROUP,,50.13,,fee schedule,50.13,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,CARESOURCE,CARESOURCE,,51.08,,fee schedule,51.08,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,MEDICARE,MEDICARE,,41.07,,fee schedule,41.07,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,PEACHSTATE,PEACHSTATE,,47.74,,fee schedule,47.74,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,TRICARE,TRICARE,,41.07,,fee schedule,41.07,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,UHC MEDICARE,UHC MEDICARE,,41.07,,fee schedule,41.07,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,AETNA,AETNA,,1628.64,87,percent of total billed charges,1628.64,41.07,1872,percent of total billed charges,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1628.64,87,percent of total billed charges,1628.64,41.07,1872,percent of total billed charges,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,UNITED HEALTHCARE,UNITED HEALTHCARE,,1647.36,88,percent of total billed charges,1647.36,41.07,1872,percent of total billed charges,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,AETNA,AETNA,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,BEECH STREET,BEECH STREET,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,CARESOURCE,CARESOURCE,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,MEDICAID,MEDICAID,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,NOVA NET,NOVA NET,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,PEACHSTATE,PEACHSTATE,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,SELFPAY,SELFPAY,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM (10%) 20 GRAMS/200 ML,J1568,CPT,both,,,1872,1872,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1872,,fee schedule,1872,41.07,1872,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,ALLIANT,ALLIANT,,67.77,,fee schedule,67.77,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,AMBETTER,AMBETTER,,53.39,,fee schedule,53.39,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,AMERIGROUP,AMERIGROUP,,50.13,,fee schedule,50.13,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,CARESOURCE,CARESOURCE,,51.08,,fee schedule,51.08,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,MEDICARE,MEDICARE,,41.07,,fee schedule,41.07,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,PEACHSTATE,PEACHSTATE,,47.74,,fee schedule,47.74,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,TRICARE,TRICARE,,41.07,,fee schedule,41.07,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,UHC MEDICARE,UHC MEDICARE,,41.07,,fee schedule,41.07,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,AETNA,AETNA,,505.47,87,percent of total billed charges,505.47,41.07,581,percent of total billed charges,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,505.47,87,percent of total billed charges,505.47,41.07,581,percent of total billed charges,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,UNITED HEALTHCARE,UNITED HEALTHCARE,,511.28,88,percent of total billed charges,511.28,41.07,581,percent of total billed charges,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,AETNA,AETNA,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,BEECH STREET,BEECH STREET,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,CARESOURCE,CARESOURCE,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,MEDICAID,MEDICAID,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,NOVA NET,NOVA NET,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,PEACHSTATE,PEACHSTATE,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,SELFPAY,SELFPAY,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 2GM/20ML VIAL,J1568,CPT,both,,,581,581,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,581,,fee schedule,581,41.07,581,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,ALLIANT,ALLIANT,,67.77,,fee schedule,67.77,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,AMBETTER,AMBETTER,,53.39,,fee schedule,53.39,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,AMERIGROUP,AMERIGROUP,,50.13,,fee schedule,50.13,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,CARESOURCE,CARESOURCE,,51.08,,fee schedule,51.08,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,MEDICARE,MEDICARE,,41.07,,fee schedule,41.07,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,PEACHSTATE,PEACHSTATE,,47.74,,fee schedule,47.74,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,TRICARE,TRICARE,,41.07,,fee schedule,41.07,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,UHC MEDICARE,UHC MEDICARE,,41.07,,fee schedule,41.07,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,AETNA,AETNA,,1260.63,87,percent of total billed charges,1260.63,41.07,1449,percent of total billed charges,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1260.63,87,percent of total billed charges,1260.63,41.07,1449,percent of total billed charges,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,UNITED HEALTHCARE,UNITED HEALTHCARE,,1275.12,88,percent of total billed charges,1275.12,41.07,1449,percent of total billed charges,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,AETNA,AETNA,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,BEECH STREET,BEECH STREET,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,CARESOURCE,CARESOURCE,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,MEDICAID,MEDICAID,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,NOVA NET,NOVA NET,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,PEACHSTATE,PEACHSTATE,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,SELFPAY,SELFPAY,,1449,,fee schedule,1449,41.07,1449,fee schedule,
OCTAGAM 10% 5GM/50ML VIAL,J1568,CPT,both,,,1449,1449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1449,,fee schedule,1449,41.07,1449,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,ALLIANT,ALLIANT,,67.77,,fee schedule,67.77,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,AMBETTER,AMBETTER,,53.39,,fee schedule,53.39,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,50.13,,fee schedule,50.13,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,51.08,,fee schedule,51.08,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,MEDICARE,MEDICARE,,41.07,,fee schedule,41.07,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,47.74,,fee schedule,47.74,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,TRICARE,TRICARE,,41.07,,fee schedule,41.07,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,41.07,,fee schedule,41.07,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,67.77,percent of total billed charges,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,67.77,percent of total billed charges,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,67.77,percent of total billed charges,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 2 gm/20 ml Vial,J1568,CPT,both,2,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,ALLIANT,ALLIANT,,67.77,,fee schedule,67.77,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,AMBETTER,AMBETTER,,53.39,,fee schedule,53.39,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,50.13,,fee schedule,50.13,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,51.08,,fee schedule,51.08,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,MEDICARE,MEDICARE,,41.07,,fee schedule,41.07,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,47.74,,fee schedule,47.74,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,TRICARE,TRICARE,,41.07,,fee schedule,41.07,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,41.07,,fee schedule,41.07,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,67.77,percent of total billed charges,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,67.77,percent of total billed charges,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,67.77,percent of total billed charges,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
Immune Globulin (Octagam) 5 gm/50 ml Vial,J1568,CPT,both,5,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,67.77,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,AMERIGROUP,AMERIGROUP,,33.61,,fee schedule,33.61,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,CARESOURCE,CARESOURCE,,34.25,,fee schedule,34.25,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,PEACHSTATE,PEACHSTATE,,32.01,,fee schedule,32.01,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,AETNA,AETNA,,151.38,87,percent of total billed charges,151.38,32.01,174,percent of total billed charges,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151.38,87,percent of total billed charges,151.38,32.01,174,percent of total billed charges,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,UNITED HEALTHCARE,UNITED HEALTHCARE,,153.12,88,percent of total billed charges,153.12,32.01,174,percent of total billed charges,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,AETNA,AETNA,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,ALLIANT,ALLIANT,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,AMBETTER,AMBETTER,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,BEECH STREET,BEECH STREET,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,CARESOURCE,CARESOURCE,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,MEDICAID,MEDICAID,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,MEDICARE,MEDICARE,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,NOVA NET,NOVA NET,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,PEACHSTATE,PEACHSTATE,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,SELFPAY,SELFPAY,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,TRICARE,TRICARE,,174,,fee schedule,174,32.01,174,fee schedule,
CYTOVENE INJ; 500MG 344,J1570,CPT,both,,,174,174,UHC MEDICARE,UHC MEDICARE,,174,,fee schedule,174,32.01,174,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,33.61,,fee schedule,33.61,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,34.25,,fee schedule,34.25,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,32.01,,fee schedule,32.01,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ganciclovir,J1570,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,2.07,157,percent of total billed charges,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,2.07,157,percent of total billed charges,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,2.07,157,percent of total billed charges,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 100MG PREMIX,J1580,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,2.07,157,percent of total billed charges,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,2.07,157,percent of total billed charges,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,2.07,157,percent of total billed charges,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN 80MG/50ML PREM,J1580,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,2.07,157,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,AETNA,AETNA,,5.22,87,percent of total billed charges,5.22,2.07,6,percent of total billed charges,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5.22,87,percent of total billed charges,5.22,2.07,6,percent of total billed charges,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,UNITED HEALTHCARE,UNITED HEALTHCARE,,5.28,88,percent of total billed charges,5.28,2.07,6,percent of total billed charges,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,AETNA,AETNA,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,ALLIANT,ALLIANT,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,AMBETTER,AMBETTER,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,BEECH STREET,BEECH STREET,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,CARESOURCE,CARESOURCE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,MEDICAID,MEDICAID,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,MEDICARE,MEDICARE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,NOVA NET,NOVA NET,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,PEACHSTATE,PEACHSTATE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,SELFPAY,SELFPAY,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,TRICARE,TRICARE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PED 80MG/16ML SYRIN,J1580,CPT,both,,,6,6,UHC MEDICARE,UHC MEDICARE,,6,,fee schedule,6,2.07,6,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,AETNA,AETNA,,122.67,87,percent of total billed charges,122.67,2.07,141,percent of total billed charges,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122.67,87,percent of total billed charges,122.67,2.07,141,percent of total billed charges,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.08,88,percent of total billed charges,124.08,2.07,141,percent of total billed charges,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,AETNA,AETNA,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,ALLIANT,ALLIANT,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,AMBETTER,AMBETTER,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,BEECH STREET,BEECH STREET,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,MEDICAID,MEDICAID,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,MEDICARE,MEDICARE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,NOVA NET,NOVA NET,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,SELFPAY,SELFPAY,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,TRICARE,TRICARE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN PREMIX 120MG/1,J1580,CPT,both,,,141,141,UHC MEDICARE,UHC MEDICARE,,141,,fee schedule,141,2.07,141,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,AETNA,AETNA,,47.85,87,percent of total billed charges,47.85,2.07,55,percent of total billed charges,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47.85,87,percent of total billed charges,47.85,2.07,55,percent of total billed charges,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,UNITED HEALTHCARE,UNITED HEALTHCARE,,48.4,88,percent of total billed charges,48.4,2.07,55,percent of total billed charges,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,AETNA,AETNA,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,ALLIANT,ALLIANT,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,AMBETTER,AMBETTER,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,BEECH STREET,BEECH STREET,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,CARESOURCE,CARESOURCE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,MEDICAID,MEDICAID,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,MEDICARE,MEDICARE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,NOVA NET,NOVA NET,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,PEACHSTATE,PEACHSTATE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,SELFPAY,SELFPAY,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,TRICARE,TRICARE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 20MG 2CC,J1580,CPT,both,,,55,55,UHC MEDICARE,UHC MEDICARE,,55,,fee schedule,55,2.07,55,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,2.07,89,percent of total billed charges,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,2.07,89,percent of total billed charges,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,2.07,89,percent of total billed charges,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,ALLIANT,ALLIANT,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,AMBETTER,AMBETTER,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,MEDICARE,MEDICARE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,TRICARE,TRICARE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMICIN VIAL 80MG 2CC,J1580,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,89,,fee schedule,89,2.07,89,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,2.07,32,percent of total billed charges,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,2.07,32,percent of total billed charges,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,2.07,32,percent of total billed charges,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,2.07,32,fee schedule,
GENTAMYCIN 80MG,J1580,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,2.07,32,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.07,149.77,percent of total billed charges,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 100 MG/100 ML PIGGYBACK,J1580,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.07,35.29,percent of total billed charges,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.07,35.29,percent of total billed charges,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.07,35.29,percent of total billed charges,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin,J1580,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.07,149.77,percent of total billed charges,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 120 mg/100 ml Premix,J1580,CPT,both,120,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.07,35.29,percent of total billed charges,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.07,35.29,percent of total billed charges,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.07,35.29,percent of total billed charges,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 mg/2 ml Vial,J1580,CPT,both,80,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.07,35.29,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.07,149.77,percent of total billed charges,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin 80 MG/50 ML PIGGYBACK,J1580,CPT,both,80,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.17,,fee schedule,2.17,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.21,,fee schedule,2.21,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.07,,fee schedule,2.07,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.07,149.77,percent of total billed charges,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.07,149.77,percent of total billed charges,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
Gentamicin Ped Solution IV 5 MG/ML SYRINGE,J1580,CPT,both,80,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.07,149.77,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,ALLIANT,ALLIANT,,22.85,,fee schedule,22.85,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,AMBETTER,AMBETTER,,18.01,,fee schedule,18.01,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,AMERIGROUP,AMERIGROUP,,11.94,,fee schedule,11.94,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,CARESOURCE,CARESOURCE,,12.17,,fee schedule,12.17,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,MEDICARE,MEDICARE,,13.85,,fee schedule,13.85,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,TRICARE,TRICARE,,13.85,,fee schedule,13.85,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,UHC MEDICARE,UHC MEDICARE,,13.85,,fee schedule,13.85,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,AETNA,AETNA,,1853.97,87,percent of total billed charges,1853.97,11.37,2131,percent of total billed charges,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1853.97,87,percent of total billed charges,1853.97,11.37,2131,percent of total billed charges,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,UNITED HEALTHCARE,UNITED HEALTHCARE,,1875.28,88,percent of total billed charges,1875.28,11.37,2131,percent of total billed charges,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,AETNA,AETNA,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,BEECH STREET,BEECH STREET,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,CARESOURCE,CARESOURCE,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,MEDICAID,MEDICAID,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,NOVA NET,NOVA NET,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,PEACHSTATE,PEACHSTATE,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,SELFPAY,SELFPAY,,2131,,fee schedule,2131,11.37,2131,fee schedule,
SIMPONI ARIA 50MG/4ML,J1602,CPT,both,,,2131,2131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2131,,fee schedule,2131,11.37,2131,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,22.85,,fee schedule,22.85,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,18.01,,fee schedule,18.01,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,11.94,,fee schedule,11.94,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,12.17,,fee schedule,12.17,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,13.85,,fee schedule,13.85,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,13.85,,fee schedule,13.85,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,13.85,,fee schedule,13.85,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,11.37,149.77,percent of total billed charges,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,11.37,149.77,percent of total billed charges,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,11.37,149.77,percent of total billed charges,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
Golimumab 50 mg/4 ml Vial,J1602,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,11.37,149.77,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,ALLIANT,ALLIANT,,286.74,,fee schedule,286.74,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,AMBETTER,AMBETTER,,225.91,,fee schedule,225.91,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,AMERIGROUP,AMERIGROUP,,198.94,,fee schedule,198.94,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,202.72,,fee schedule,202.72,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,MEDICARE,MEDICARE,,173.78,,fee schedule,173.78,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,189.46,,fee schedule,189.46,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,TRICARE,TRICARE,,173.78,,fee schedule,173.78,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,UHC MEDICARE,UHC MEDICARE,,173.78,,fee schedule,173.78,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,AETNA,AETNA,,125.28,87,percent of total billed charges,125.28,125.28,286.74,percent of total billed charges,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125.28,87,percent of total billed charges,125.28,125.28,286.74,percent of total billed charges,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,UNITED HEALTHCARE,UNITED HEALTHCARE,,126.72,88,percent of total billed charges,126.72,125.28,286.74,percent of total billed charges,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,AETNA,AETNA,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,BEECH STREET,BEECH STREET,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,CARESOURCE,CARESOURCE,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,MEDICAID,MEDICAID,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,NOVA NET,NOVA NET,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,PEACHSTATE,PEACHSTATE,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,SELFPAY,SELFPAY,,144,,fee schedule,144,125.28,286.74,fee schedule,
GLUCAGON INJ 1MG,J1610,CPT,both,,,144,144,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,144,,fee schedule,144,125.28,286.74,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,1.21,,fee schedule,1.21,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,1.24,,fee schedule,1.24,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,1.16,,fee schedule,1.16,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,1.16,34,percent of total billed charges,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,1.16,34,percent of total billed charges,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,1.16,34,percent of total billed charges,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,1.16,34,fee schedule,
HALOPERIDOL INJ 5MG 1ML,J1630,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,1.16,34,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.21,,fee schedule,1.21,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,1.24,,fee schedule,1.24,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.16,,fee schedule,1.16,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.16,35.29,percent of total billed charges,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.16,35.29,percent of total billed charges,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.16,35.29,percent of total billed charges,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
Haloperidol Lactate,J1630,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.16,35.29,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,AMERIGROUP,AMERIGROUP,,6.85,,fee schedule,6.85,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,6.98,,fee schedule,6.98,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,6.53,,fee schedule,6.53,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,6.53,169,percent of total billed charges,
HALDOL 50MG,J1631,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,6.53,169,percent of total billed charges,
HALDOL 50MG,J1631,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,6.53,169,percent of total billed charges,
HALDOL 50MG,J1631,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,ALLIANT,ALLIANT,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,AMBETTER,AMBETTER,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,MEDICARE,MEDICARE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,TRICARE,TRICARE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL 50MG,J1631,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,169,,fee schedule,169,6.53,169,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,AMERIGROUP,AMERIGROUP,,6.85,,fee schedule,6.85,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,6.98,,fee schedule,6.98,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,6.53,,fee schedule,6.53,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,AETNA,AETNA,,122.67,87,percent of total billed charges,122.67,6.53,141,percent of total billed charges,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122.67,87,percent of total billed charges,122.67,6.53,141,percent of total billed charges,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.08,88,percent of total billed charges,124.08,6.53,141,percent of total billed charges,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,AETNA,AETNA,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,ALLIANT,ALLIANT,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,AMBETTER,AMBETTER,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,BEECH STREET,BEECH STREET,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,CARESOURCE,CARESOURCE,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,MEDICAID,MEDICAID,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,MEDICARE,MEDICARE,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,NOVA NET,NOVA NET,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,PEACHSTATE,PEACHSTATE,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,SELFPAY,SELFPAY,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,TRICARE,TRICARE,,141,,fee schedule,141,6.53,141,fee schedule,
HALDOL DECANOATE 50MG/ML,J1631,CPT,both,,,141,141,UHC MEDICARE,UHC MEDICARE,,141,,fee schedule,141,6.53,141,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,6.85,,fee schedule,6.85,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,6.98,,fee schedule,6.98,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,6.53,,fee schedule,6.53,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,6.53,35.29,percent of total billed charges,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,6.53,35.29,percent of total billed charges,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,6.53,35.29,percent of total billed charges,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
Haloperidol Decanoate,J1631,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,6.53,35.29,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,0.02,12,percent of total billed charges,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,0.02,12,percent of total billed charges,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,0.02,12,percent of total billed charges,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 100 UNIT/ML,J1642,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,0.02,12,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.02,34,percent of total billed charges,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.02,34,percent of total billed charges,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.02,34,percent of total billed charges,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN FLUSH 10U/ML 10CC,J1642,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.02,34,percent of total billed charges,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.02,34,percent of total billed charges,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.02,34,percent of total billed charges,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK 100 UNITS/ML,J1642,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.02,34,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,0.02,31,percent of total billed charges,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,0.02,31,percent of total billed charges,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,0.02,31,percent of total billed charges,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,0.02,31,fee schedule,
HEPARIN LOCK FLUSH 10 UNI,J1642,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,0.02,31,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.02,35.29,percent of total billed charges,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.02,35.29,percent of total billed charges,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.02,35.29,percent of total billed charges,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 500 UNIT/5 ML Flush,J1642,CPT,both,500,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.02,,fee schedule,0.02,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.02,,fee schedule,0.02,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.02,,fee schedule,0.02,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.02,35.29,percent of total billed charges,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.02,35.29,percent of total billed charges,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.02,35.29,percent of total billed charges,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
Heparin 50 UNIT/5 ML Flush,J1642,CPT,both,50,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.02,35.29,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.23,34,percent of total billed charges,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.23,34,percent of total billed charges,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.23,34,percent of total billed charges,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000 UNITS/ML 10M,J1644,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.23,157,percent of total billed charges,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.23,157,percent of total billed charges,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.23,157,percent of total billed charges,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U IN 500ML SO,J1644,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,AETNA,AETNA,,68.73,87,percent of total billed charges,68.73,0.23,79,percent of total billed charges,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68.73,87,percent of total billed charges,68.73,0.23,79,percent of total billed charges,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,UNITED HEALTHCARE,UNITED HEALTHCARE,,69.52,88,percent of total billed charges,69.52,0.23,79,percent of total billed charges,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,AETNA,AETNA,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,ALLIANT,ALLIANT,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,AMBETTER,AMBETTER,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,BEECH STREET,BEECH STREET,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,CARESOURCE,CARESOURCE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,MEDICAID,MEDICAID,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,MEDICARE,MEDICARE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,NOVA NET,NOVA NET,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,PEACHSTATE,PEACHSTATE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,SELFPAY,SELFPAY,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,TRICARE,TRICARE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 1000U/ML 30ML MDV,J1644,CPT,both,,,79,79,UHC MEDICARE,UHC MEDICARE,,79,,fee schedule,79,0.23,79,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,0.23,146,percent of total billed charges,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,0.23,146,percent of total billed charges,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,0.23,146,percent of total billed charges,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,ALLIANT,ALLIANT,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,AMBETTER,AMBETTER,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,MEDICARE,MEDICARE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,TRICARE,TRICARE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN 5000 UNITS/500ML,J1644,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,146,,fee schedule,146,0.23,146,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,0.23,160,percent of total billed charges,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,0.23,160,percent of total billed charges,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,0.23,160,percent of total billed charges,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN DRIP 25000U/500ML,J1644,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,0.23,160,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.23,157,percent of total billed charges,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.23,157,percent of total billed charges,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.23,157,percent of total billed charges,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN PREMIX 25000U/500,J1644,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.23,157,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.23,34,percent of total billed charges,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.23,34,percent of total billed charges,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.23,34,percent of total billed charges,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 1000U,J1644,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.23,34,percent of total billed charges,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.23,34,percent of total billed charges,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.23,34,percent of total billed charges,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.23,34,fee schedule,
HEPARIN SODIUM INJ 5000 U,J1644,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.23,34,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.23,149.77,percent of total billed charges,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.23,149.77,percent of total billed charges,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.23,149.77,percent of total billed charges,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
"Heparin 25,000 UNITS/500 ML PREMIX",J1644,CPT,both,25000,UN,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.23,35.29,percent of total billed charges,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,1000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.23,35.29,percent of total billed charges,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML vial",J1644,CPT,both,1000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.23,35.29,percent of total billed charges,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
"Heparin 1,000 UNIT/ML INJ",J1644,CPT,both,1000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.23,149.77,percent of total billed charges,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.23,149.77,percent of total billed charges,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.23,149.77,percent of total billed charges,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,5000,UN,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.23,35.29,percent of total billed charges,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin,J1644,CPT,both,5000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.25,,fee schedule,0.25,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.23,149.77,percent of total billed charges,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.23,149.77,percent of total billed charges,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.23,149.77,percent of total billed charges,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
Heparin (CATH LAB),J1644,CPT,both,1000,UN,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.23,149.77,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,81.78,94,percent of total billed charges,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,81.78,94,percent of total billed charges,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,81.78,94,percent of total billed charges,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,ALLIANT,ALLIANT,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,AMBETTER,AMBETTER,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,MEDICARE,MEDICARE,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,TRICARE,TRICARE,,94,,fee schedule,94,81.78,94,fee schedule,
ENOXAPARIN SODIUM 30MG,J1650,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,94,,fee schedule,94,81.78,94,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,AETNA,AETNA,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,264.48,87,percent of total billed charges,264.48,264.48,304,percent of total billed charges,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,UNITED HEALTHCARE,UNITED HEALTHCARE,,267.52,88,percent of total billed charges,267.52,264.48,304,percent of total billed charges,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,AETNA,AETNA,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,ALLIANT,ALLIANT,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,AMBETTER,AMBETTER,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,BEECH STREET,BEECH STREET,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,CARESOURCE,CARESOURCE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,MEDICAID,MEDICAID,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,MEDICARE,MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,NOVA NET,NOVA NET,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,PEACHSTATE,PEACHSTATE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,SELFPAY,SELFPAY,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,TRICARE,TRICARE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 100MG/1.0ML SYRIN,J1650,CPT,both,,,304,304,UHC MEDICARE,UHC MEDICARE,,304,,fee schedule,304,264.48,304,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,AETNA,AETNA,,301.02,87,percent of total billed charges,301.02,301.02,346,percent of total billed charges,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,301.02,87,percent of total billed charges,301.02,301.02,346,percent of total billed charges,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,UNITED HEALTHCARE,UNITED HEALTHCARE,,304.48,88,percent of total billed charges,304.48,301.02,346,percent of total billed charges,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,AETNA,AETNA,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,ALLIANT,ALLIANT,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,AMBETTER,AMBETTER,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,BEECH STREET,BEECH STREET,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,CARESOURCE,CARESOURCE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,MEDICAID,MEDICAID,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,MEDICARE,MEDICARE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,NOVA NET,NOVA NET,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,PEACHSTATE,PEACHSTATE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,SELFPAY,SELFPAY,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,TRICARE,TRICARE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 120MG/0.8ML SYRINGE,J1650,CPT,both,,,346,346,UHC MEDICARE,UHC MEDICARE,,346,,fee schedule,346,301.02,346,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,AETNA,AETNA,,375.84,87,percent of total billed charges,375.84,375.84,432,percent of total billed charges,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375.84,87,percent of total billed charges,375.84,375.84,432,percent of total billed charges,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,UNITED HEALTHCARE,UNITED HEALTHCARE,,380.16,88,percent of total billed charges,380.16,375.84,432,percent of total billed charges,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,AETNA,AETNA,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,ALLIANT,ALLIANT,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,AMBETTER,AMBETTER,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,BEECH STREET,BEECH STREET,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,CARESOURCE,CARESOURCE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,MEDICAID,MEDICAID,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,MEDICARE,MEDICARE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,NOVA NET,NOVA NET,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,PEACHSTATE,PEACHSTATE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,SELFPAY,SELFPAY,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,TRICARE,TRICARE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 150MG/1ML SYRINGE,J1650,CPT,both,,,432,432,UHC MEDICARE,UHC MEDICARE,,432,,fee schedule,432,375.84,432,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,109.62,126,percent of total billed charges,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,109.62,126,percent of total billed charges,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,ALLIANT,ALLIANT,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,AMBETTER,AMBETTER,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,MEDICARE,MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,TRICARE,TRICARE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 40MG/0.4ML SYRINGE,J1650,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,126,,fee schedule,126,109.62,126,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,AETNA,AETNA,,158.34,87,percent of total billed charges,158.34,158.34,182,percent of total billed charges,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,158.34,87,percent of total billed charges,158.34,158.34,182,percent of total billed charges,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,UNITED HEALTHCARE,UNITED HEALTHCARE,,160.16,88,percent of total billed charges,160.16,158.34,182,percent of total billed charges,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,AETNA,AETNA,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,ALLIANT,ALLIANT,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,AMBETTER,AMBETTER,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,BEECH STREET,BEECH STREET,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,CARESOURCE,CARESOURCE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,MEDICAID,MEDICAID,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,MEDICARE,MEDICARE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,NOVA NET,NOVA NET,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,PEACHSTATE,PEACHSTATE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,SELFPAY,SELFPAY,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,TRICARE,TRICARE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 60MG/0.6ML SYRING,J1650,CPT,both,,,182,182,UHC MEDICARE,UHC MEDICARE,,182,,fee schedule,182,158.34,182,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,211.41,243,percent of total billed charges,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,211.41,243,percent of total billed charges,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,ALLIANT,ALLIANT,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,AMBETTER,AMBETTER,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,MEDICARE,MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,TRICARE,TRICARE,,243,,fee schedule,243,211.41,243,fee schedule,
LOVENOX 80MG/0.8ML SYRING,J1650,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,243,,fee schedule,243,211.41,243,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,120,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,150,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,60,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Enoxaparin,J1650,CPT,both,80,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,AETNA,AETNA,,477.63,87,percent of total billed charges,477.63,477.63,549,percent of total billed charges,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,477.63,87,percent of total billed charges,477.63,477.63,549,percent of total billed charges,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,UNITED HEALTHCARE,UNITED HEALTHCARE,,483.12,88,percent of total billed charges,483.12,477.63,549,percent of total billed charges,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,AETNA,AETNA,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,ALLIANT,ALLIANT,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,AMBETTER,AMBETTER,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,BEECH STREET,BEECH STREET,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,CARESOURCE,CARESOURCE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,MEDICAID,MEDICAID,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,MEDICARE,MEDICARE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,NOVA NET,NOVA NET,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,PEACHSTATE,PEACHSTATE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,SELFPAY,SELFPAY,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,TRICARE,TRICARE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 10MG 0.8ML,J1652,CPT,both,,,549,549,UHC MEDICARE,UHC MEDICARE,,549,,fee schedule,549,477.63,549,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,AETNA,AETNA,,243.6,87,percent of total billed charges,243.6,243.6,280,percent of total billed charges,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243.6,87,percent of total billed charges,243.6,243.6,280,percent of total billed charges,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,UNITED HEALTHCARE,UNITED HEALTHCARE,,246.4,88,percent of total billed charges,246.4,243.6,280,percent of total billed charges,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,AETNA,AETNA,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,ALLIANT,ALLIANT,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,AMBETTER,AMBETTER,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,BEECH STREET,BEECH STREET,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,MEDICAID,MEDICAID,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,MEDICARE,MEDICARE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,NOVA NET,NOVA NET,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,SELFPAY,SELFPAY,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,TRICARE,TRICARE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 2.5MG 0.5ML,J1652,CPT,both,,,280,280,UHC MEDICARE,UHC MEDICARE,,280,,fee schedule,280,243.6,280,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,AETNA,AETNA,,602.04,87,percent of total billed charges,602.04,602.04,692,percent of total billed charges,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,602.04,87,percent of total billed charges,602.04,602.04,692,percent of total billed charges,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,UNITED HEALTHCARE,UNITED HEALTHCARE,,608.96,88,percent of total billed charges,608.96,602.04,692,percent of total billed charges,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,AETNA,AETNA,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,ALLIANT,ALLIANT,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,AMBETTER,AMBETTER,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,BEECH STREET,BEECH STREET,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,CARESOURCE,CARESOURCE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,MEDICAID,MEDICAID,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,MEDICARE,MEDICARE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,NOVA NET,NOVA NET,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,PEACHSTATE,PEACHSTATE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,SELFPAY,SELFPAY,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,TRICARE,TRICARE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 5MG 0.4ML,J1652,CPT,both,,,692,692,UHC MEDICARE,UHC MEDICARE,,692,,fee schedule,692,602.04,692,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,AETNA,AETNA,,572.46,87,percent of total billed charges,572.46,572.46,658,percent of total billed charges,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,572.46,87,percent of total billed charges,572.46,572.46,658,percent of total billed charges,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,UNITED HEALTHCARE,UNITED HEALTHCARE,,579.04,88,percent of total billed charges,579.04,572.46,658,percent of total billed charges,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,AETNA,AETNA,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,ALLIANT,ALLIANT,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,AMBETTER,AMBETTER,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,BEECH STREET,BEECH STREET,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,CARESOURCE,CARESOURCE,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,MEDICAID,MEDICAID,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,MEDICARE,MEDICARE,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,NOVA NET,NOVA NET,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,PEACHSTATE,PEACHSTATE,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,SELFPAY,SELFPAY,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,TRICARE,TRICARE,,658,,fee schedule,658,572.46,658,fee schedule,
ARIXTRA SDS 7.5MG 0.6ML,J1652,CPT,both,,,658,658,UHC MEDICARE,UHC MEDICARE,,658,,fee schedule,658,572.46,658,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,3,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Fondaparinux,J1652,CPT,both,8,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,ALLIANT,ALLIANT,,865.28,,fee schedule,865.28,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,AMBETTER,AMBETTER,,681.73,,fee schedule,681.73,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,AMERIGROUP,AMERIGROUP,,593.17,,fee schedule,593.17,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,604.47,,fee schedule,604.47,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,MEDICARE,MEDICARE,,524.41,,fee schedule,524.41,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,564.92,,fee schedule,564.92,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,TRICARE,TRICARE,,524.41,,fee schedule,524.41,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,UHC MEDICARE,UHC MEDICARE,,524.41,,fee schedule,524.41,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,AETNA,AETNA,,531.57,87,percent of total billed charges,531.57,524.41,865.28,percent of total billed charges,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,531.57,87,percent of total billed charges,531.57,524.41,865.28,percent of total billed charges,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,UNITED HEALTHCARE,UNITED HEALTHCARE,,537.68,88,percent of total billed charges,537.68,524.41,865.28,percent of total billed charges,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,AETNA,AETNA,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,BEECH STREET,BEECH STREET,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,CARESOURCE,CARESOURCE,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,MEDICAID,MEDICAID,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,NOVA NET,NOVA NET,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,PEACHSTATE,PEACHSTATE,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,SELFPAY,SELFPAY,,611,,fee schedule,611,524.41,865.28,fee schedule,
TETANUS IMMUNE GLOBULIN 2,J1670,CPT,both,,,611,611,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,611,,fee schedule,611,524.41,865.28,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,21.24,percent of total billed charges,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,21.24,percent of total billed charges,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,21.24,percent of total billed charges,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE 100MG,J1720,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,21.24,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,19.85,34,percent of total billed charges,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,19.85,34,percent of total billed charges,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,19.85,34,percent of total billed charges,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,19.85,34,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,19.85,170,percent of total billed charges,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,19.85,170,percent of total billed charges,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,19.85,170,percent of total billed charges,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 1,J1720,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,19.85,170,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,19.85,37,percent of total billed charges,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,19.85,37,percent of total billed charges,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,19.85,37,percent of total billed charges,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 2,J1720,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,19.85,37,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,19.85,93,percent of total billed charges,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,19.85,93,percent of total billed charges,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,19.85,93,percent of total billed charges,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,ALLIANT,ALLIANT,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,AMBETTER,AMBETTER,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,MEDICARE,MEDICARE,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,TRICARE,TRICARE,,93,,fee schedule,93,19.85,93,fee schedule,
HYDROCORTISONE SOD VIAL 5,J1720,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,93,,fee schedule,93,19.85,93,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,19.85,35.29,percent of total billed charges,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
"Hydrocortisone Sod Succ 1,000 mg/8 ml Vial",J1720,CPT,both,1000,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 100 mg/2 ml Vial,J1720,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 250 mg/2 ml Vial,J1720,CPT,both,250,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,20.85,,fee schedule,20.85,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,21.24,,fee schedule,21.24,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,19.85,,fee schedule,19.85,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,19.85,35.29,percent of total billed charges,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
Hydrocortisone Sod Succ 500 mg/4 ml Vial,J1720,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,19.85,35.29,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,AETNA,AETNA,,2264.61,87,percent of total billed charges,2264.61,2264.61,2603,percent of total billed charges,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2264.61,87,percent of total billed charges,2264.61,2264.61,2603,percent of total billed charges,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,UNITED HEALTHCARE,UNITED HEALTHCARE,,2290.64,88,percent of total billed charges,2290.64,2264.61,2603,percent of total billed charges,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,AETNA,AETNA,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,ALLIANT,ALLIANT,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,AMBETTER,AMBETTER,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,BEECH STREET,BEECH STREET,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,CARESOURCE,CARESOURCE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,MEDICAID,MEDICAID,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,MEDICARE,MEDICARE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,NOVA NET,NOVA NET,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,PEACHSTATE,PEACHSTATE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,SELFPAY,SELFPAY,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,TRICARE,TRICARE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
BONIVA 3MG/3ML INJ,J1740,CPT,both,,,2603,2603,UHC MEDICARE,UHC MEDICARE,,2603,,fee schedule,2603,2264.61,2603,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ibandronate,J1740,CPT,both,3,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,ALLIANT,ALLIANT,,392.93,,fee schedule,392.93,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,AMBETTER,AMBETTER,,309.58,,fee schedule,309.58,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,MEDICARE,MEDICARE,,238.14,,fee schedule,238.14,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,TRICARE,TRICARE,,238.14,,fee schedule,238.14,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,UHC MEDICARE,UHC MEDICARE,,238.14,,fee schedule,238.14,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,AETNA,AETNA,,678.6,87,percent of total billed charges,678.6,238.14,780,percent of total billed charges,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,678.6,87,percent of total billed charges,678.6,238.14,780,percent of total billed charges,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,UNITED HEALTHCARE,UNITED HEALTHCARE,,686.4,88,percent of total billed charges,686.4,238.14,780,percent of total billed charges,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,AETNA,AETNA,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,BEECH STREET,BEECH STREET,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,CARESOURCE,CARESOURCE,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,MEDICAID,MEDICAID,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,NOVA NET,NOVA NET,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,PEACHSTATE,PEACHSTATE,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,SELFPAY,SELFPAY,,780,,fee schedule,780,238.14,780,fee schedule,
CORVERT 0.1MG/ML 10ML VIA,J1742,CPT,both,,,780,780,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,780,,fee schedule,780,238.14,780,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,ALLIANT,ALLIANT,,267.15,,fee schedule,267.15,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,AMBETTER,AMBETTER,,210.48,,fee schedule,210.48,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,MEDICARE,MEDICARE,,161.91,,fee schedule,161.91,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,TRICARE,TRICARE,,161.91,,fee schedule,161.91,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,UHC MEDICARE,UHC MEDICARE,,161.91,,fee schedule,161.91,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,AETNA,AETNA,,10288.62,87,percent of total billed charges,10288.62,161.91,11826,percent of total billed charges,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10288.62,87,percent of total billed charges,10288.62,161.91,11826,percent of total billed charges,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,UNITED HEALTHCARE,UNITED HEALTHCARE,,10406.88,88,percent of total billed charges,10406.88,161.91,11826,percent of total billed charges,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,AETNA,AETNA,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,BEECH STREET,BEECH STREET,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,CARESOURCE,CARESOURCE,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,MEDICAID,MEDICAID,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,NOVA NET,NOVA NET,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,PEACHSTATE,PEACHSTATE,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,SELFPAY,SELFPAY,,11826,,fee schedule,11826,161.91,11826,fee schedule,
ICATIBANT 30MG SYRINGE,J1744,CPT,both,,,11826,11826,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11826,,fee schedule,11826,161.91,11826,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,ALLIANT,ALLIANT,,267.15,,fee schedule,267.15,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,AMBETTER,AMBETTER,,210.48,,fee schedule,210.48,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,MEDICARE,MEDICARE,,161.91,,fee schedule,161.91,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,TRICARE,TRICARE,,161.91,,fee schedule,161.91,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,UHC MEDICARE,UHC MEDICARE,,161.91,,fee schedule,161.91,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,AETNA,AETNA,,24.33,87,percent of total billed charges,24.33,24.33,267.15,percent of total billed charges,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.33,87,percent of total billed charges,24.33,24.33,267.15,percent of total billed charges,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.61,88,percent of total billed charges,24.61,24.33,267.15,percent of total billed charges,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,AETNA,AETNA,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,BEECH STREET,BEECH STREET,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,CARESOURCE,CARESOURCE,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,MEDICAID,MEDICAID,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,NOVA NET,NOVA NET,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,PEACHSTATE,PEACHSTATE,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,SELFPAY,SELFPAY,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
Icatibant,J1744,CPT,both,30,ME,27.97,27.97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27.97,,fee schedule,27.97,24.33,267.15,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,ALLIANT,ALLIANT,,57.52,,fee schedule,57.52,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,AMBETTER,AMBETTER,,45.32,,fee schedule,45.32,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,AMERIGROUP,AMERIGROUP,,33.29,,fee schedule,33.29,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,CARESOURCE,CARESOURCE,,33.93,,fee schedule,33.93,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,MEDICARE,MEDICARE,,34.86,,fee schedule,34.86,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,PEACHSTATE,PEACHSTATE,,31.71,,fee schedule,31.71,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,TRICARE,TRICARE,,34.86,,fee schedule,34.86,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,UHC MEDICARE,UHC MEDICARE,,34.86,,fee schedule,34.86,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,AETNA,AETNA,,1509.45,87,percent of total billed charges,1509.45,31.71,1735,percent of total billed charges,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1509.45,87,percent of total billed charges,1509.45,31.71,1735,percent of total billed charges,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,UNITED HEALTHCARE,UNITED HEALTHCARE,,1526.8,88,percent of total billed charges,1526.8,31.71,1735,percent of total billed charges,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,AETNA,AETNA,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,BEECH STREET,BEECH STREET,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,CARESOURCE,CARESOURCE,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,MEDICAID,MEDICAID,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,NOVA NET,NOVA NET,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,PEACHSTATE,PEACHSTATE,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,SELFPAY,SELFPAY,,1735,,fee schedule,1735,31.71,1735,fee schedule,
REMICADE 100MG INJ,J1745,CPT,both,,,1735,1735,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1735,,fee schedule,1735,31.71,1735,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,ALLIANT,ALLIANT,,27.36,,fee schedule,27.36,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,AMBETTER,AMBETTER,,21.55,,fee schedule,21.55,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,AMERIGROUP,AMERIGROUP,,18.89,,fee schedule,18.89,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,CARESOURCE,CARESOURCE,,19.25,,fee schedule,19.25,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,MEDICARE,MEDICARE,,16.58,,fee schedule,16.58,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,PEACHSTATE,PEACHSTATE,,17.99,,fee schedule,17.99,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,TRICARE,TRICARE,,16.58,,fee schedule,16.58,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,UHC MEDICARE,UHC MEDICARE,,16.58,,fee schedule,16.58,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,AETNA,AETNA,,163.56,87,percent of total billed charges,163.56,16.58,188,percent of total billed charges,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,163.56,87,percent of total billed charges,163.56,16.58,188,percent of total billed charges,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,UNITED HEALTHCARE,UNITED HEALTHCARE,,165.44,88,percent of total billed charges,165.44,16.58,188,percent of total billed charges,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,AETNA,AETNA,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,BEECH STREET,BEECH STREET,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,CARESOURCE,CARESOURCE,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,MEDICAID,MEDICAID,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,NOVA NET,NOVA NET,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,PEACHSTATE,PEACHSTATE,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,SELFPAY,SELFPAY,,188,,fee schedule,188,16.58,188,fee schedule,
IMFERON INJ 100MG/2ML,J1750,CPT,both,,,188,188,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,188,,fee schedule,188,16.58,188,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,0.24,,fee schedule,0.24,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,0.23,131,percent of total billed charges,
VENOFER 20 MG,J1756,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,0.23,131,percent of total billed charges,
VENOFER 20 MG,J1756,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,0.23,131,percent of total billed charges,
VENOFER 20 MG,J1756,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,ALLIANT,ALLIANT,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,AMBETTER,AMBETTER,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,MEDICARE,MEDICARE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,TRICARE,TRICARE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20 MG,J1756,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,131,,fee schedule,131,0.23,131,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,AMERIGROUP,AMERIGROUP,,0.24,,fee schedule,0.24,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,AETNA,AETNA,,297.54,87,percent of total billed charges,297.54,0.23,342,percent of total billed charges,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,297.54,87,percent of total billed charges,297.54,0.23,342,percent of total billed charges,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,UNITED HEALTHCARE,UNITED HEALTHCARE,,300.96,88,percent of total billed charges,300.96,0.23,342,percent of total billed charges,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,AETNA,AETNA,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,ALLIANT,ALLIANT,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,AMBETTER,AMBETTER,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,BEECH STREET,BEECH STREET,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,CARESOURCE,CARESOURCE,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,MEDICAID,MEDICAID,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,MEDICARE,MEDICARE,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,NOVA NET,NOVA NET,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,PEACHSTATE,PEACHSTATE,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,SELFPAY,SELFPAY,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,TRICARE,TRICARE,,342,,fee schedule,342,0.23,342,fee schedule,
VENOFER 20MG/ML 5ML SDV,J1756,CPT,both,,,342,342,UHC MEDICARE,UHC MEDICARE,,342,,fee schedule,342,0.23,342,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.24,,fee schedule,0.24,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.25,,fee schedule,0.25,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.23,,fee schedule,0.23,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.23,35.29,percent of total billed charges,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.23,35.29,percent of total billed charges,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
Iron Sucrose Complex,J1756,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.23,35.29,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,10.23,,fee schedule,10.23,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,10.42,,fee schedule,10.42,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,9.74,,fee schedule,9.74,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,9.74,127,percent of total billed charges,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,9.74,127,percent of total billed charges,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,9.74,127,percent of total billed charges,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,ALLIANT,ALLIANT,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,AMBETTER,AMBETTER,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,MEDICARE,MEDICARE,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,TRICARE,TRICARE,,127,,fee schedule,127,9.74,127,fee schedule,
INDOCIN IV 1MG INJ,J1800,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,127,,fee schedule,127,9.74,127,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,10.23,,fee schedule,10.23,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,10.42,,fee schedule,10.42,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,9.74,,fee schedule,9.74,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.74,35.29,percent of total billed charges,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.74,35.29,percent of total billed charges,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.74,35.29,percent of total billed charges,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
Indomethacin,J1800,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,9.74,35.29,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,AETNA,AETNA,,178.35,87,percent of total billed charges,178.35,0.22,205,percent of total billed charges,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178.35,87,percent of total billed charges,178.35,0.22,205,percent of total billed charges,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,UNITED HEALTHCARE,UNITED HEALTHCARE,,180.4,88,percent of total billed charges,180.4,0.22,205,percent of total billed charges,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,AETNA,AETNA,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,ALLIANT,ALLIANT,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,AMBETTER,AMBETTER,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,BEECH STREET,BEECH STREET,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,CARESOURCE,CARESOURCE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,MEDICAID,MEDICAID,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,MEDICARE,MEDICARE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,NOVA NET,NOVA NET,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,PEACHSTATE,PEACHSTATE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,SELFPAY,SELFPAY,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,TRICARE,TRICARE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMLIN R INSULIN U-100 10,J1815,CPT,both,,,205,205,UHC MEDICARE,UHC MEDICARE,,205,,fee schedule,205,0.22,205,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,AETNA,AETNA,,219.24,87,percent of total billed charges,219.24,0.22,252,percent of total billed charges,
HUMULIN 70/30,J1815,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,219.24,87,percent of total billed charges,219.24,0.22,252,percent of total billed charges,
HUMULIN 70/30,J1815,CPT,both,,,252,252,UNITED HEALTHCARE,UNITED HEALTHCARE,,221.76,88,percent of total billed charges,221.76,0.22,252,percent of total billed charges,
HUMULIN 70/30,J1815,CPT,both,,,252,252,AETNA,AETNA,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,ALLIANT,ALLIANT,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,AMBETTER,AMBETTER,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,BEECH STREET,BEECH STREET,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,CARESOURCE,CARESOURCE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,MEDICAID,MEDICAID,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,MEDICARE,MEDICARE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,NOVA NET,NOVA NET,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,PEACHSTATE,PEACHSTATE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,SELFPAY,SELFPAY,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,TRICARE,TRICARE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN 70/30,J1815,CPT,both,,,252,252,UHC MEDICARE,UHC MEDICARE,,252,,fee schedule,252,0.22,252,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,AETNA,AETNA,,123.54,87,percent of total billed charges,123.54,0.22,142,percent of total billed charges,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123.54,87,percent of total billed charges,123.54,0.22,142,percent of total billed charges,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,UNITED HEALTHCARE,UNITED HEALTHCARE,,124.96,88,percent of total billed charges,124.96,0.22,142,percent of total billed charges,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,AETNA,AETNA,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,ALLIANT,ALLIANT,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,AMBETTER,AMBETTER,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,BEECH STREET,BEECH STREET,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,CARESOURCE,CARESOURCE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,MEDICAID,MEDICAID,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,MEDICARE,MEDICARE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,NOVA NET,NOVA NET,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,PEACHSTATE,PEACHSTATE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,SELFPAY,SELFPAY,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,TRICARE,TRICARE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N (NPH) 100UN,J1815,CPT,both,,,142,142,UHC MEDICARE,UHC MEDICARE,,142,,fee schedule,142,0.22,142,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,AETNA,AETNA,,205.32,87,percent of total billed charges,205.32,0.22,236,percent of total billed charges,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,205.32,87,percent of total billed charges,205.32,0.22,236,percent of total billed charges,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,UNITED HEALTHCARE,UNITED HEALTHCARE,,207.68,88,percent of total billed charges,207.68,0.22,236,percent of total billed charges,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,AETNA,AETNA,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,ALLIANT,ALLIANT,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,AMBETTER,AMBETTER,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,BEECH STREET,BEECH STREET,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,CARESOURCE,CARESOURCE,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,MEDICAID,MEDICAID,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,MEDICARE,MEDICARE,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,NOVA NET,NOVA NET,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,PEACHSTATE,PEACHSTATE,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,SELFPAY,SELFPAY,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,TRICARE,TRICARE,,236,,fee schedule,236,0.22,236,fee schedule,
HUMULIN N INSULIN U-100 1,J1815,CPT,both,,,236,236,UHC MEDICARE,UHC MEDICARE,,236,,fee schedule,236,0.22,236,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,0.22,97,percent of total billed charges,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,0.22,97,percent of total billed charges,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,0.22,97,percent of total billed charges,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN GLARGINE-YFGN,J1815,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,0.22,97,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,AETNA,AETNA,,243.6,87,percent of total billed charges,243.6,0.22,280,percent of total billed charges,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243.6,87,percent of total billed charges,243.6,0.22,280,percent of total billed charges,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,UNITED HEALTHCARE,UNITED HEALTHCARE,,246.4,88,percent of total billed charges,246.4,0.22,280,percent of total billed charges,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,AETNA,AETNA,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,ALLIANT,ALLIANT,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,AMBETTER,AMBETTER,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,BEECH STREET,BEECH STREET,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,CARESOURCE,CARESOURCE,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,MEDICAID,MEDICAID,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,MEDICARE,MEDICARE,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,NOVA NET,NOVA NET,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,PEACHSTATE,PEACHSTATE,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,SELFPAY,SELFPAY,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,TRICARE,TRICARE,,280,,fee schedule,280,0.22,280,fee schedule,
INSULIN PROTAMIN/LISPRO VIAL,J1815,CPT,both,,,280,280,UHC MEDICARE,UHC MEDICARE,,280,,fee schedule,280,0.22,280,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,0.22,41,percent of total billed charges,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,0.22,41,percent of total billed charges,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,0.22,41,percent of total billed charges,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,0.22,41,fee schedule,
NOVOLIN R 100 UNITS,J1815,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,0.22,41,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.22,35.29,percent of total billed charges,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Glargine-YFGN 100 unit/ml Vial,J1815,CPT,both,100,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.22,35.29,percent of total billed charges,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Human NPH,J1815,CPT,both,1000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,0.22,25.07,percent of total billed charges,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Lispro Protamin/Lispro Mix (50/50) Vial,J1815,CPT,both,100,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,0.22,25.07,percent of total billed charges,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH/Regular Human Mix (70/30) Vial,J1815,CPT,both,100,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,0.22,25.07,percent of total billed charges,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.22,35.29,percent of total billed charges,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin NPH Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,0.22,25.07,percent of total billed charges,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Vial*,J1815,CPT,both,300,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.22,35.29,percent of total billed charges,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.22,35.29,percent of total billed charges,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 unit/ml Inj,J1815,CPT,both,300,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.22,35.29,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,AMERIGROUP,AMERIGROUP,,0.23,,fee schedule,0.23,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,CARESOURCE,CARESOURCE,,0.24,,fee schedule,0.24,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,0.22,,fee schedule,0.22,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,0.22,25.07,percent of total billed charges,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,0.22,25.07,percent of total billed charges,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
Insulin Regular Human 100 UNIT/ML Vial,J1815,CPT,both,1000,UN,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,0.22,25.07,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.87,,fee schedule,0.87,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.89,,fee schedule,0.89,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.83,,fee schedule,0.83,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.83,34,percent of total billed charges,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.83,34,percent of total billed charges,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.83,34,percent of total billed charges,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.83,34,fee schedule,
KETOROLAC 60MG/2ML INJ.,J1885,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,0.87,,fee schedule,0.87,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,0.89,,fee schedule,0.89,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,0.83,,fee schedule,0.83,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,0.83,45,percent of total billed charges,
TORADOL 15MG,J1885,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,0.83,45,percent of total billed charges,
TORADOL 15MG,J1885,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,0.83,45,percent of total billed charges,
TORADOL 15MG,J1885,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL 15MG,J1885,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,0.83,45,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.87,,fee schedule,0.87,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.89,,fee schedule,0.89,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.83,,fee schedule,0.83,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.83,34,percent of total billed charges,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.83,34,percent of total billed charges,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.83,34,percent of total billed charges,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.83,34,fee schedule,
TORADOL INJ 30MG,J1885,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.83,34,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.87,,fee schedule,0.87,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.89,,fee schedule,0.89,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.83,,fee schedule,0.83,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.83,35.29,percent of total billed charges,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.83,35.29,percent of total billed charges,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.83,35.29,percent of total billed charges,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,60,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.87,,fee schedule,0.87,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.89,,fee schedule,0.89,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.83,,fee schedule,0.83,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.83,35.29,percent of total billed charges,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.83,35.29,percent of total billed charges,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.83,35.29,percent of total billed charges,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
Ketorolac,J1885,CPT,both,30,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.83,35.29,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,ALLIANT,ALLIANT,,101.57,,fee schedule,101.57,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,AMBETTER,AMBETTER,,80.03,,fee schedule,80.03,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,AMERIGROUP,AMERIGROUP,,52.53,,fee schedule,52.53,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,CARESOURCE,CARESOURCE,,53.53,,fee schedule,53.53,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,MEDICARE,MEDICARE,,61.56,,fee schedule,61.56,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,PEACHSTATE,PEACHSTATE,,50.03,,fee schedule,50.03,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,TRICARE,TRICARE,,61.56,,fee schedule,61.56,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,UHC MEDICARE,UHC MEDICARE,,61.56,,fee schedule,61.56,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,AETNA,AETNA,,13613.76,87,percent of total billed charges,13613.76,50.03,15648,percent of total billed charges,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13613.76,87,percent of total billed charges,13613.76,50.03,15648,percent of total billed charges,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,UNITED HEALTHCARE,UNITED HEALTHCARE,,13770.24,88,percent of total billed charges,13770.24,50.03,15648,percent of total billed charges,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,AETNA,AETNA,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,BEECH STREET,BEECH STREET,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,CARESOURCE,CARESOURCE,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,MEDICAID,MEDICAID,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,NOVA NET,NOVA NET,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,PEACHSTATE,PEACHSTATE,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,SELFPAY,SELFPAY,,15648,,fee schedule,15648,50.03,15648,fee schedule,
LANREOTIDE ACETATE 120MG/0.5ML,J1930,CPT,both,,,15648,15648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15648,,fee schedule,15648,50.03,15648,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,0.44,35,percent of total billed charges,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,0.44,35,percent of total billed charges,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,0.44,35,percent of total billed charges,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 100MG 10CC,J1940,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,0.44,35,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,0.44,54,percent of total billed charges,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,0.44,54,percent of total billed charges,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,0.44,54,percent of total billed charges,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 20MG 2CC,J1940,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,0.44,54,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.44,34,percent of total billed charges,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.44,34,percent of total billed charges,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.44,34,percent of total billed charges,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.44,34,fee schedule,
FUROSEMIDE INJ 40 MG 4CC,J1940,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.44,34,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,AETNA,AETNA,,30.45,87,percent of total billed charges,30.45,0.44,35,percent of total billed charges,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.45,87,percent of total billed charges,30.45,0.44,35,percent of total billed charges,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,UNITED HEALTHCARE,UNITED HEALTHCARE,,30.8,88,percent of total billed charges,30.8,0.44,35,percent of total billed charges,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,AETNA,AETNA,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,ALLIANT,ALLIANT,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,AMBETTER,AMBETTER,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,BEECH STREET,BEECH STREET,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,CARESOURCE,CARESOURCE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,MEDICAID,MEDICAID,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,MEDICARE,MEDICARE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,NOVA NET,NOVA NET,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,PEACHSTATE,PEACHSTATE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,SELFPAY,SELFPAY,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,TRICARE,TRICARE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX 10MG/ML  VIAL,J1940,CPT,both,,,35,35,UHC MEDICARE,UHC MEDICARE,,35,,fee schedule,35,0.44,35,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,0.44,45,percent of total billed charges,
LASIX IV 20MG,J1940,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,0.44,45,percent of total billed charges,
LASIX IV 20MG,J1940,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,0.44,45,percent of total billed charges,
LASIX IV 20MG,J1940,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,0.44,45,fee schedule,
LASIX IV 20MG,J1940,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,0.44,45,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,40,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.44,35.29,percent of total billed charges,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
Furosemide,J1940,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.44,35.29,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,ALLIANT,ALLIANT,,2432.4,,fee schedule,2432.4,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,AMBETTER,AMBETTER,,1916.43,,fee schedule,1916.43,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,AMERIGROUP,AMERIGROUP,,1757.63,,fee schedule,1757.63,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,CARESOURCE,CARESOURCE,,1791.11,,fee schedule,1791.11,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,MEDICARE,MEDICARE,,1474.18,,fee schedule,1474.18,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,PEACHSTATE,PEACHSTATE,,1673.93,,fee schedule,1673.93,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,TRICARE,TRICARE,,1474.18,,fee schedule,1474.18,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,UHC MEDICARE,UHC MEDICARE,,1474.18,,fee schedule,1474.18,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,AETNA,AETNA,,5440.11,87,percent of total billed charges,5440.11,1474.18,6253,percent of total billed charges,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5440.11,87,percent of total billed charges,5440.11,1474.18,6253,percent of total billed charges,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,UNITED HEALTHCARE,UNITED HEALTHCARE,,5502.64,88,percent of total billed charges,5502.64,1474.18,6253,percent of total billed charges,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,AETNA,AETNA,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,BEECH STREET,BEECH STREET,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,CARESOURCE,CARESOURCE,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,MEDICAID,MEDICAID,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,NOVA NET,NOVA NET,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,PEACHSTATE,PEACHSTATE,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,SELFPAY,SELFPAY,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT 11.25MG,J1950,CPT,both,,,6253,6253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6253,,fee schedule,6253,1474.18,6253,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,ALLIANT,ALLIANT,,2432.4,,fee schedule,2432.4,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,AMBETTER,AMBETTER,,1916.43,,fee schedule,1916.43,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,AMERIGROUP,AMERIGROUP,,1757.63,,fee schedule,1757.63,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,CARESOURCE,CARESOURCE,,1791.11,,fee schedule,1791.11,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,MEDICARE,MEDICARE,,1474.18,,fee schedule,1474.18,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,PEACHSTATE,PEACHSTATE,,1673.93,,fee schedule,1673.93,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,TRICARE,TRICARE,,1474.18,,fee schedule,1474.18,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,UHC MEDICARE,UHC MEDICARE,,1474.18,,fee schedule,1474.18,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,AETNA,AETNA,,1781.76,87,percent of total billed charges,1781.76,1474.18,2432.4,percent of total billed charges,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1781.76,87,percent of total billed charges,1781.76,1474.18,2432.4,percent of total billed charges,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,UNITED HEALTHCARE,UNITED HEALTHCARE,,1802.24,88,percent of total billed charges,1802.24,1474.18,2432.4,percent of total billed charges,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,AETNA,AETNA,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,BEECH STREET,BEECH STREET,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,CARESOURCE,CARESOURCE,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,MEDICAID,MEDICAID,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,NOVA NET,NOVA NET,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,PEACHSTATE,PEACHSTATE,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,SELFPAY,SELFPAY,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LUPRON DEPOT KIT 3.75MG,J1950,CPT,both,,,2048,2048,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2048,,fee schedule,2048,1474.18,2432.4,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVETIRACETAM 500MG/5ML S,J1953,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
levETIRAcetam 500 mg/5 ml Vial,J1953,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,AMERIGROUP,AMERIGROUP,,32.07,,fee schedule,32.07,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,32.68,,fee schedule,32.68,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,30.54,,fee schedule,30.54,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,AETNA,AETNA,,84.39,87,percent of total billed charges,84.39,30.54,97,percent of total billed charges,
CARNITOR 1GM,J1955,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84.39,87,percent of total billed charges,84.39,30.54,97,percent of total billed charges,
CARNITOR 1GM,J1955,CPT,both,,,97,97,UNITED HEALTHCARE,UNITED HEALTHCARE,,85.36,88,percent of total billed charges,85.36,30.54,97,percent of total billed charges,
CARNITOR 1GM,J1955,CPT,both,,,97,97,AETNA,AETNA,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,ALLIANT,ALLIANT,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,AMBETTER,AMBETTER,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,BEECH STREET,BEECH STREET,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,CARESOURCE,CARESOURCE,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,MEDICAID,MEDICAID,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,MEDICARE,MEDICARE,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,NOVA NET,NOVA NET,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,PEACHSTATE,PEACHSTATE,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,SELFPAY,SELFPAY,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,TRICARE,TRICARE,,97,,fee schedule,97,30.54,97,fee schedule,
CARNITOR 1GM,J1955,CPT,both,,,97,97,UHC MEDICARE,UHC MEDICARE,,97,,fee schedule,97,30.54,97,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,AETNA,AETNA,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,162.69,87,percent of total billed charges,162.69,162.69,187,percent of total billed charges,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,UNITED HEALTHCARE,UNITED HEALTHCARE,,164.56,88,percent of total billed charges,164.56,162.69,187,percent of total billed charges,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,AETNA,AETNA,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,ALLIANT,ALLIANT,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,AMBETTER,AMBETTER,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,BEECH STREET,BEECH STREET,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,CARESOURCE,CARESOURCE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,MEDICAID,MEDICAID,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,MEDICARE,MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,NOVA NET,NOVA NET,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,PEACHSTATE,PEACHSTATE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,SELFPAY,SELFPAY,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,TRICARE,TRICARE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN 250MG,J1956,CPT,both,,,187,187,UHC MEDICARE,UHC MEDICARE,,187,,fee schedule,187,162.69,187,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 250MG 50M,J1956,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN PREMIX 500MG 100,J1956,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN VIAL 500MG 20ML,J1956,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
LEVAQUIN/D5W 750MG/150ML,J1956,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 750 mg/150 ml Premix,J1956,CPT,both,750,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 250 mg/50 ml Premix,J1956,CPT,both,250,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin/D5W 500 mg/100 ml Premix,J1956,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
levoFLOXacin 500 mg/20 ml Vial,J1956,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,AMERIGROUP,AMERIGROUP,,56.7,,fee schedule,56.7,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,57.78,,fee schedule,57.78,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,AETNA,AETNA,,129.63,87,percent of total billed charges,129.63,54,149,percent of total billed charges,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129.63,87,percent of total billed charges,129.63,54,149,percent of total billed charges,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.12,88,percent of total billed charges,131.12,54,149,percent of total billed charges,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,AETNA,AETNA,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,ALLIANT,ALLIANT,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,AMBETTER,AMBETTER,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,BEECH STREET,BEECH STREET,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,CARESOURCE,CARESOURCE,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,MEDICAID,MEDICAID,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,MEDICARE,MEDICARE,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,NOVA NET,NOVA NET,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,PEACHSTATE,PEACHSTATE,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,SELFPAY,SELFPAY,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,TRICARE,TRICARE,,149,,fee schedule,149,54,149,fee schedule,
LEVSIN INJ 0.5MG; 1ML,J1980,CPT,both,,,149,149,UHC MEDICARE,UHC MEDICARE,,149,,fee schedule,149,54,149,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,56.7,,fee schedule,56.7,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,57.78,,fee schedule,57.78,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,57.78,percent of total billed charges,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,57.78,percent of total billed charges,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,57.78,percent of total billed charges,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
Hyoscyamine 0.5 mg/ml Amp,J1980,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,57.78,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,0.03,31,percent of total billed charges,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,0.03,31,percent of total billed charges,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,0.03,31,percent of total billed charges,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,0.03,31,fee schedule,
"LIDOCAINE 1%EPI 1:100,000 30ML",J2001,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,0.03,31,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
LIDOCAINE IV 100MG SYR,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% 10ML MDV,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,0.03,33,percent of total billed charges,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,0.03,33,percent of total billed charges,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,0.03,33,percent of total billed charges,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 1% PLAIN,J2001,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,0.03,33,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE 2% 2ML SDV,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 0.5% 50ML,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 20ML,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 1% 30ML,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE INJ 2% 20ML,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,0.03,31,percent of total billed charges,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,0.03,31,percent of total billed charges,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,0.03,31,percent of total billed charges,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE MPF 2% INJ 5ML,J2001,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,0.03,31,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.03,34,percent of total billed charges,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.03,34,percent of total billed charges,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 1% 5ML AMP,J2001,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.03,34,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,0.03,,fee schedule,0.03,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,0.03,,fee schedule,0.03,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,0.03,,fee schedule,0.03,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,0.03,41,percent of total billed charges,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,0.03,41,percent of total billed charges,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,0.03,41,percent of total billed charges,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,0.03,41,fee schedule,
XYLOCAINE-MPF 4% 40MG/ML,J2001,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,0.03,41,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,AMERIGROUP,AMERIGROUP,,2.75,,fee schedule,2.75,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,2.8,,fee schedule,2.8,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,2.62,,fee schedule,2.62,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,AETNA,AETNA,,390.63,87,percent of total billed charges,390.63,2.62,449,percent of total billed charges,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,390.63,87,percent of total billed charges,390.63,2.62,449,percent of total billed charges,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,UNITED HEALTHCARE,UNITED HEALTHCARE,,395.12,88,percent of total billed charges,395.12,2.62,449,percent of total billed charges,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,AETNA,AETNA,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,ALLIANT,ALLIANT,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,AMBETTER,AMBETTER,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,BEECH STREET,BEECH STREET,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,CARESOURCE,CARESOURCE,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,MEDICAID,MEDICAID,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,MEDICARE,MEDICARE,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,NOVA NET,NOVA NET,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,PEACHSTATE,PEACHSTATE,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,SELFPAY,SELFPAY,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,TRICARE,TRICARE,,449,,fee schedule,449,2.62,449,fee schedule,
ZYVOX 600MG/300ML IV BAG,J2020,CPT,both,,,449,449,UHC MEDICARE,UHC MEDICARE,,449,,fee schedule,449,2.62,449,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.75,,fee schedule,2.75,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.8,,fee schedule,2.8,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.62,,fee schedule,2.62,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.62,149.77,percent of total billed charges,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.62,149.77,percent of total billed charges,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.62,149.77,percent of total billed charges,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
Linezolid 600 mg/300 ml Premix,J2020,CPT,both,600,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.62,149.77,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
ATIVAN 2MG,J2060,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,18.27,21,percent of total billed charges,
ATIVAN 2MG,J2060,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,18.27,21,percent of total billed charges,
ATIVAN 2MG,J2060,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN 2MG,J2060,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,18.27,21,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ATIVAN INJ 2MG TUBEX,J2060,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,AETNA,AETNA,,130.5,87,percent of total billed charges,130.5,130.5,150,percent of total billed charges,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.5,87,percent of total billed charges,130.5,130.5,150,percent of total billed charges,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,UNITED HEALTHCARE,UNITED HEALTHCARE,,132,88,percent of total billed charges,132,130.5,150,percent of total billed charges,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,AETNA,AETNA,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,ALLIANT,ALLIANT,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,AMBETTER,AMBETTER,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,BEECH STREET,BEECH STREET,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,MEDICAID,MEDICAID,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,MEDICARE,MEDICARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,NOVA NET,NOVA NET,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,SELFPAY,SELFPAY,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,TRICARE,TRICARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 20MG/10ML INJEC,J2060,CPT,both,,,150,150,UHC MEDICARE,UHC MEDICARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,AETNA,AETNA,,130.5,87,percent of total billed charges,130.5,130.5,150,percent of total billed charges,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.5,87,percent of total billed charges,130.5,130.5,150,percent of total billed charges,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,UNITED HEALTHCARE,UNITED HEALTHCARE,,132,88,percent of total billed charges,132,130.5,150,percent of total billed charges,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,AETNA,AETNA,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,ALLIANT,ALLIANT,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,AMBETTER,AMBETTER,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,BEECH STREET,BEECH STREET,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,MEDICAID,MEDICAID,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,MEDICARE,MEDICARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,NOVA NET,NOVA NET,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,SELFPAY,SELFPAY,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,TRICARE,TRICARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORAZEPAM 60MG/NS 60ML,J2060,CPT,both,,,150,150,UHC MEDICARE,UHC MEDICARE,,150,,fee schedule,150,130.5,150,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 2 MG/ML,J2060,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
NULL,J2060,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
NULL,J2060,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
NULL,J2060,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NULL,J2060,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 20 mg/10 ml Vial,J2060,CPT,both,20,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
LORazepam 60 MG/60 ML PREMIX,J2060,CPT,both,60,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,3.04,,fee schedule,3.04,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,3.1,,fee schedule,3.1,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,2.89,,fee schedule,2.89,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,2.89,48,percent of total billed charges,
MANNITOL  77150354,J2150,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,2.89,48,percent of total billed charges,
MANNITOL  77150354,J2150,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,2.89,48,percent of total billed charges,
MANNITOL  77150354,J2150,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL  77150354,J2150,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,2.89,48,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.04,,fee schedule,3.04,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.1,,fee schedule,3.1,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,2.89,,fee schedule,2.89,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,2.89,34,percent of total billed charges,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,2.89,34,percent of total billed charges,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,2.89,34,percent of total billed charges,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,2.89,34,fee schedule,
MANNITOL INJ 25% 50ML,J2150,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,2.89,34,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.04,,fee schedule,3.04,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,CARESOURCE,CARESOURCE,,3.1,,fee schedule,3.1,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.89,,fee schedule,2.89,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.89,149.77,percent of total billed charges,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.89,149.77,percent of total billed charges,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.89,149.77,percent of total billed charges,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
Mannitol (25%) 12.5 GM/50 ML VIAL,J2150,CPT,both,13,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.89,149.77,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,AMERIGROUP,AMERIGROUP,,6.32,,fee schedule,6.32,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,6.44,,fee schedule,6.44,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,6.02,,fee schedule,6.02,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,AETNA,AETNA,,9.57,87,percent of total billed charges,9.57,6.02,11,percent of total billed charges,
DEMEROL 100MG,J2175,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.57,87,percent of total billed charges,9.57,6.02,11,percent of total billed charges,
DEMEROL 100MG,J2175,CPT,both,,,11,11,UNITED HEALTHCARE,UNITED HEALTHCARE,,9.68,88,percent of total billed charges,9.68,6.02,11,percent of total billed charges,
DEMEROL 100MG,J2175,CPT,both,,,11,11,AETNA,AETNA,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,ALLIANT,ALLIANT,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,AMBETTER,AMBETTER,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,BEECH STREET,BEECH STREET,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,CARESOURCE,CARESOURCE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,MEDICAID,MEDICAID,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,MEDICARE,MEDICARE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,NOVA NET,NOVA NET,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,PEACHSTATE,PEACHSTATE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,SELFPAY,SELFPAY,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,TRICARE,TRICARE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 100MG,J2175,CPT,both,,,11,11,UHC MEDICARE,UHC MEDICARE,,11,,fee schedule,11,6.02,11,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,AMERIGROUP,AMERIGROUP,,6.32,,fee schedule,6.32,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,6.44,,fee schedule,6.44,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,6.02,,fee schedule,6.02,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,6.02,16,percent of total billed charges,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,6.02,16,percent of total billed charges,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,6.02,16,percent of total billed charges,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL 250MG/25ML PCA SY,J2175,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,6.02,16,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,6.32,,fee schedule,6.32,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,6.44,,fee schedule,6.44,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,6.02,,fee schedule,6.02,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,6.02,34,percent of total billed charges,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,6.02,34,percent of total billed charges,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,6.02,34,percent of total billed charges,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,6.02,34,fee schedule,
DEMEROL INJ 50MG,J2175,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,6.02,34,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,6.32,,fee schedule,6.32,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,6.44,,fee schedule,6.44,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,6.02,,fee schedule,6.02,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,6.02,35.29,percent of total billed charges,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,6.02,35.29,percent of total billed charges,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,6.02,35.29,percent of total billed charges,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
Meperidine,J2175,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,6.02,35.29,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,ALLIANT,ALLIANT,,48.92,,fee schedule,48.92,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,AMBETTER,AMBETTER,,38.55,,fee schedule,38.55,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,AMERIGROUP,AMERIGROUP,,31.98,,fee schedule,31.98,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,CARESOURCE,CARESOURCE,,32.59,,fee schedule,32.59,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,MEDICARE,MEDICARE,,29.65,,fee schedule,29.65,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,PEACHSTATE,PEACHSTATE,,30.46,,fee schedule,30.46,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,TRICARE,TRICARE,,29.65,,fee schedule,29.65,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,UHC MEDICARE,UHC MEDICARE,,29.65,,fee schedule,29.65,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,AETNA,AETNA,,2034.06,87,percent of total billed charges,2034.06,29.65,2338,percent of total billed charges,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2034.06,87,percent of total billed charges,2034.06,29.65,2338,percent of total billed charges,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,UNITED HEALTHCARE,UNITED HEALTHCARE,,2057.44,88,percent of total billed charges,2057.44,29.65,2338,percent of total billed charges,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,AETNA,AETNA,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,BEECH STREET,BEECH STREET,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,CARESOURCE,CARESOURCE,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,MEDICAID,MEDICAID,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,NOVA NET,NOVA NET,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,PEACHSTATE,PEACHSTATE,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,SELFPAY,SELFPAY,,2338,,fee schedule,2338,29.65,2338,fee schedule,
NUCALA 100MG VIAL,J2182,CPT,both,,,2338,2338,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2338,,fee schedule,2338,29.65,2338,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,ALLIANT,ALLIANT,,48.92,,fee schedule,48.92,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,AMBETTER,AMBETTER,,38.55,,fee schedule,38.55,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,31.98,,fee schedule,31.98,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,32.59,,fee schedule,32.59,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,MEDICARE,MEDICARE,,29.65,,fee schedule,29.65,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,30.46,,fee schedule,30.46,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,TRICARE,TRICARE,,29.65,,fee schedule,29.65,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,29.65,,fee schedule,29.65,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,48.92,percent of total billed charges,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,48.92,percent of total billed charges,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,48.92,percent of total billed charges,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
Mepolizumab (Recombinant) 100 mg Vial,J2182,CPT,both,100,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,48.92,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,AMERIGROUP,AMERIGROUP,,0.34,,fee schedule,0.34,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,CARESOURCE,CARESOURCE,,0.34,,fee schedule,0.34,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,PEACHSTATE,PEACHSTATE,,0.32,,fee schedule,0.32,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,AETNA,AETNA,,151.38,87,percent of total billed charges,151.38,0.32,174,percent of total billed charges,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,151.38,87,percent of total billed charges,151.38,0.32,174,percent of total billed charges,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,UNITED HEALTHCARE,UNITED HEALTHCARE,,153.12,88,percent of total billed charges,153.12,0.32,174,percent of total billed charges,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,AETNA,AETNA,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,ALLIANT,ALLIANT,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,AMBETTER,AMBETTER,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,BEECH STREET,BEECH STREET,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,CARESOURCE,CARESOURCE,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,MEDICAID,MEDICAID,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,MEDICARE,MEDICARE,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,NOVA NET,NOVA NET,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,PEACHSTATE,PEACHSTATE,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,SELFPAY,SELFPAY,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,TRICARE,TRICARE,,174,,fee schedule,174,0.32,174,fee schedule,
MERREM 1GM VIAL,J2185,CPT,both,,,174,174,UHC MEDICARE,UHC MEDICARE,,174,,fee schedule,174,0.32,174,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.34,,fee schedule,0.34,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,CARESOURCE,CARESOURCE,,0.34,,fee schedule,0.34,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.32,,fee schedule,0.32,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.32,149.77,percent of total billed charges,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.32,149.77,percent of total billed charges,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.32,149.77,percent of total billed charges,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
Meropenem 1 gm Vial,J2185,CPT,both,1,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.32,149.77,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,21.83,,fee schedule,21.83,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,22.25,,fee schedule,22.25,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,20.79,,fee schedule,20.79,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,20.79,41,percent of total billed charges,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,20.79,41,percent of total billed charges,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,20.79,41,percent of total billed charges,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,20.79,41,fee schedule,
METHERGINE INJ 0.2MG 1ML,J2210,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,20.79,41,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,21.83,,fee schedule,21.83,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,22.25,,fee schedule,22.25,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,20.79,,fee schedule,20.79,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,20.79,35.29,percent of total billed charges,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,20.79,35.29,percent of total billed charges,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,20.79,35.29,percent of total billed charges,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
Methylergonovine,J2210,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,20.79,35.29,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,AETNA,AETNA,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,216.63,87,percent of total billed charges,216.63,216.63,249,percent of total billed charges,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,UNITED HEALTHCARE,UNITED HEALTHCARE,,219.12,88,percent of total billed charges,219.12,216.63,249,percent of total billed charges,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,AETNA,AETNA,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,ALLIANT,ALLIANT,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,AMBETTER,AMBETTER,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,BEECH STREET,BEECH STREET,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,CARESOURCE,CARESOURCE,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,MEDICAID,MEDICAID,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,MEDICARE,MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,NOVA NET,NOVA NET,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,PEACHSTATE,PEACHSTATE,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,SELFPAY,SELFPAY,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,TRICARE,TRICARE,,249,,fee schedule,249,216.63,249,fee schedule,
RELISTOR INJ 12MG/0.6ML,J2212,CPT,both,,,249,249,UHC MEDICARE,UHC MEDICARE,,249,,fee schedule,249,216.63,249,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methylnaltrexone Bromide,J2212,CPT,both,12,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,0.42,238,percent of total billed charges,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,0.42,238,percent of total billed charges,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,0.42,238,percent of total billed charges,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,ALLIANT,ALLIANT,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,AMBETTER,AMBETTER,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,MEDICARE,MEDICARE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,TRICARE,TRICARE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMIN 50MG INJ,J2248,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,238,,fee schedule,238,0.42,238,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,AETNA,AETNA,,252.3,87,percent of total billed charges,252.3,0.42,290,percent of total billed charges,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,252.3,87,percent of total billed charges,252.3,0.42,290,percent of total billed charges,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,UNITED HEALTHCARE,UNITED HEALTHCARE,,255.2,88,percent of total billed charges,255.2,0.42,290,percent of total billed charges,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,AETNA,AETNA,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,ALLIANT,ALLIANT,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,AMBETTER,AMBETTER,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,BEECH STREET,BEECH STREET,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,CARESOURCE,CARESOURCE,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,MEDICAID,MEDICAID,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,MEDICARE,MEDICARE,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,NOVA NET,NOVA NET,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,PEACHSTATE,PEACHSTATE,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,SELFPAY,SELFPAY,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,TRICARE,TRICARE,,290,,fee schedule,290,0.42,290,fee schedule,
MYCAMINE 100MG IV,J2248,CPT,both,,,290,290,UHC MEDICARE,UHC MEDICARE,,290,,fee schedule,290,0.42,290,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.44,,fee schedule,0.44,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.45,,fee schedule,0.45,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.42,,fee schedule,0.42,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.42,149.77,percent of total billed charges,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.42,149.77,percent of total billed charges,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.42,149.77,percent of total billed charges,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
Micafungin,J2248,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.42,149.77,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,AETNA,AETNA,,143.55,87,percent of total billed charges,143.55,0.14,165,percent of total billed charges,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143.55,87,percent of total billed charges,143.55,0.14,165,percent of total billed charges,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,UNITED HEALTHCARE,UNITED HEALTHCARE,,145.2,88,percent of total billed charges,145.2,0.14,165,percent of total billed charges,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,AETNA,AETNA,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,ALLIANT,ALLIANT,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,AMBETTER,AMBETTER,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,BEECH STREET,BEECH STREET,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,CARESOURCE,CARESOURCE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,MEDICAID,MEDICAID,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,MEDICARE,MEDICARE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,NOVA NET,NOVA NET,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,PEACHSTATE,PEACHSTATE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,SELFPAY,SELFPAY,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,TRICARE,TRICARE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM 100MG/100ML IVP,J2250,CPT,both,,,165,165,UHC MEDICARE,UHC MEDICARE,,165,,fee schedule,165,0.14,165,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.14,34,percent of total billed charges,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.14,34,percent of total billed charges,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.14,34,percent of total billed charges,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.14,34,fee schedule,
MIDAZOLAM INJ 5MG 5ML,J2250,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,0.14,20,percent of total billed charges,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,0.14,20,percent of total billed charges,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,0.14,20,percent of total billed charges,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 10MG/2ML SDV,J2250,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,0.14,20,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.14,34,percent of total billed charges,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.14,34,percent of total billed charges,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.14,34,percent of total billed charges,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 1MG/ML 2ML,J2250,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.14,34,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,0.14,75,percent of total billed charges,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,0.14,75,percent of total billed charges,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,0.14,75,percent of total billed charges,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,ALLIANT,ALLIANT,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,AMBETTER,AMBETTER,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,MEDICARE,MEDICARE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,TRICARE,TRICARE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 2ML/2ML,J2250,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,75,,fee schedule,75,0.14,75,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.14,157,percent of total billed charges,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.14,157,percent of total billed charges,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.14,157,percent of total billed charges,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG 1ML SDV,J2250,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.14,157,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,AETNA,AETNA,,106.14,87,percent of total billed charges,106.14,0.14,122,percent of total billed charges,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106.14,87,percent of total billed charges,106.14,0.14,122,percent of total billed charges,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,UNITED HEALTHCARE,UNITED HEALTHCARE,,107.36,88,percent of total billed charges,107.36,0.14,122,percent of total billed charges,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,AETNA,AETNA,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,ALLIANT,ALLIANT,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,AMBETTER,AMBETTER,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,BEECH STREET,BEECH STREET,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,CARESOURCE,CARESOURCE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,MEDICAID,MEDICAID,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,MEDICARE,MEDICARE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,NOVA NET,NOVA NET,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,PEACHSTATE,PEACHSTATE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,SELFPAY,SELFPAY,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,TRICARE,TRICARE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10ML MDV,J2250,CPT,both,,,122,122,UHC MEDICARE,UHC MEDICARE,,122,,fee schedule,122,0.14,122,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,AETNA,AETNA,,116.58,87,percent of total billed charges,116.58,0.14,134,percent of total billed charges,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,116.58,87,percent of total billed charges,116.58,0.14,134,percent of total billed charges,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,UNITED HEALTHCARE,UNITED HEALTHCARE,,117.92,88,percent of total billed charges,117.92,0.14,134,percent of total billed charges,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,AETNA,AETNA,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,ALLIANT,ALLIANT,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,AMBETTER,AMBETTER,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,BEECH STREET,BEECH STREET,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,CARESOURCE,CARESOURCE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,MEDICAID,MEDICAID,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,MEDICARE,MEDICARE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,NOVA NET,NOVA NET,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,PEACHSTATE,PEACHSTATE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,SELFPAY,SELFPAY,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,TRICARE,TRICARE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML 10X10ML,J2250,CPT,both,,,134,134,UHC MEDICARE,UHC MEDICARE,,134,,fee schedule,134,0.14,134,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,AETNA,AETNA,,109.62,87,percent of total billed charges,109.62,0.14,126,percent of total billed charges,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,109.62,87,percent of total billed charges,109.62,0.14,126,percent of total billed charges,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,UNITED HEALTHCARE,UNITED HEALTHCARE,,110.88,88,percent of total billed charges,110.88,0.14,126,percent of total billed charges,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,AETNA,AETNA,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,ALLIANT,ALLIANT,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,AMBETTER,AMBETTER,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,BEECH STREET,BEECH STREET,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,CARESOURCE,CARESOURCE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,MEDICAID,MEDICAID,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,MEDICARE,MEDICARE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,NOVA NET,NOVA NET,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,PEACHSTATE,PEACHSTATE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,SELFPAY,SELFPAY,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,TRICARE,TRICARE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED 5MG/ML2MLSDV,J2250,CPT,both,,,126,126,UHC MEDICARE,UHC MEDICARE,,126,,fee schedule,126,0.14,126,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,0.14,41,percent of total billed charges,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,0.14,41,percent of total billed charges,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,0.14,41,percent of total billed charges,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,0.14,41,fee schedule,
VERSED INJ 10MG: 2ML,J2250,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,0.14,41,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.14,149.77,percent of total billed charges,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.14,149.77,percent of total billed charges,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.14,149.77,percent of total billed charges,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.14,35.29,percent of total billed charges,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam,J2250,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.14,35.29,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.15,,fee schedule,0.15,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.15,,fee schedule,0.15,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.14,,fee schedule,0.14,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.14,149.77,percent of total billed charges,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.14,149.77,percent of total billed charges,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.14,149.77,percent of total billed charges,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
Midazolam 100 MG/100 ML PREMIX,J2250,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.14,149.77,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,AMERIGROUP,AMERIGROUP,,1.46,,fee schedule,1.46,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,CARESOURCE,CARESOURCE,,1.49,,fee schedule,1.49,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,PEACHSTATE,PEACHSTATE,,1.39,,fee schedule,1.39,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,AETNA,AETNA,,511.56,87,percent of total billed charges,511.56,1.39,588,percent of total billed charges,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,511.56,87,percent of total billed charges,511.56,1.39,588,percent of total billed charges,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,UNITED HEALTHCARE,UNITED HEALTHCARE,,517.44,88,percent of total billed charges,517.44,1.39,588,percent of total billed charges,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,AETNA,AETNA,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,ALLIANT,ALLIANT,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,AMBETTER,AMBETTER,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,BEECH STREET,BEECH STREET,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,CARESOURCE,CARESOURCE,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,MEDICAID,MEDICAID,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,MEDICARE,MEDICARE,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,NOVA NET,NOVA NET,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,PEACHSTATE,PEACHSTATE,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,SELFPAY,SELFPAY,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,TRICARE,TRICARE,,588,,fee schedule,588,1.39,588,fee schedule,
PRIMACOR PREMIX 200MCG/ML,J2260,CPT,both,,,588,588,UHC MEDICARE,UHC MEDICARE,,588,,fee schedule,588,1.39,588,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.46,,fee schedule,1.46,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,1.49,,fee schedule,1.49,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.39,,fee schedule,1.39,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.39,35.29,percent of total billed charges,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.39,35.29,percent of total billed charges,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.39,35.29,percent of total billed charges,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
Milrinone 20 mg/100 ml PREMIX,J2260,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.39,35.29,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,3.24,263,percent of total billed charges,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,3.24,263,percent of total billed charges,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,3.24,263,percent of total billed charges,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG INJ,J2270,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,3.24,263,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,AETNA,AETNA,,130.5,87,percent of total billed charges,130.5,3.24,150,percent of total billed charges,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.5,87,percent of total billed charges,130.5,3.24,150,percent of total billed charges,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,UNITED HEALTHCARE,UNITED HEALTHCARE,,132,88,percent of total billed charges,132,3.24,150,percent of total billed charges,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,AETNA,AETNA,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,ALLIANT,ALLIANT,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,AMBETTER,AMBETTER,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,BEECH STREET,BEECH STREET,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,MEDICAID,MEDICAID,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,MEDICARE,MEDICARE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,NOVA NET,NOVA NET,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,SELFPAY,SELFPAY,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,TRICARE,TRICARE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE 100MG/100ML PREM,J2270,CPT,both,,,150,150,UHC MEDICARE,UHC MEDICARE,,150,,fee schedule,150,3.24,150,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,3.24,34,percent of total billed charges,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,3.24,34,percent of total billed charges,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,3.24,34,percent of total billed charges,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULF INJ 2MG 1ML,J2270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,3.24,34,percent of total billed charges,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,3.24,34,percent of total billed charges,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,3.24,34,percent of total billed charges,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE 4MG INJ,J2270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,3.24,34,percent of total billed charges,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,3.24,34,percent of total billed charges,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,3.24,34,percent of total billed charges,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 10MG,J2270,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,3.24,34,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,3.24,103,percent of total billed charges,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,3.24,103,percent of total billed charges,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,3.24,103,percent of total billed charges,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,3.24,103,fee schedule,
MORPHINE SULFATE INJ 30MG,J2270,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,3.24,103,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.24,35.29,percent of total billed charges,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine (PACU USE),J2270,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.24,35.29,percent of total billed charges,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 30 mg/30 ml PCA,J2270,CPT,both,30,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.24,35.29,percent of total billed charges,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 2 MG/ML SDV,J2270,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.24,35.29,percent of total billed charges,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.24,35.29,percent of total billed charges,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine,J2270,CPT,both,4,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.24,35.29,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.4,,fee schedule,3.4,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3.47,,fee schedule,3.47,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.24,,fee schedule,3.24,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.24,149.77,percent of total billed charges,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.24,149.77,percent of total billed charges,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.24,149.77,percent of total billed charges,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
Morphine 100 MG/100 ML BAG,J2270,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.24,149.77,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,AMERIGROUP,AMERIGROUP,,4.78,,fee schedule,4.78,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,4.87,,fee schedule,4.87,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,4.55,,fee schedule,4.55,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,AETNA,AETNA,,13.05,87,percent of total billed charges,13.05,4.55,15,percent of total billed charges,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.05,87,percent of total billed charges,13.05,4.55,15,percent of total billed charges,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,UNITED HEALTHCARE,UNITED HEALTHCARE,,13.2,88,percent of total billed charges,13.2,4.55,15,percent of total billed charges,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,AETNA,AETNA,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,ALLIANT,ALLIANT,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,AMBETTER,AMBETTER,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,BEECH STREET,BEECH STREET,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,CARESOURCE,CARESOURCE,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,MEDICAID,MEDICAID,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,MEDICARE,MEDICARE,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,NOVA NET,NOVA NET,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,PEACHSTATE,PEACHSTATE,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,SELFPAY,SELFPAY,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,TRICARE,TRICARE,,15,,fee schedule,15,4.55,15,fee schedule,
MORPHINE 10 MG/5 ML SYRINGE,J2272,CPT,both,,,15,15,UHC MEDICARE,UHC MEDICARE,,15,,fee schedule,15,4.55,15,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,4.78,,fee schedule,4.78,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,4.87,,fee schedule,4.87,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,4.55,,fee schedule,4.55,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,4.87,percent of total billed charges,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,4.87,percent of total billed charges,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,4.87,percent of total billed charges,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
Morphine 10 MG/5 ML Oral Syringe,J2272,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,4.87,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,11.01,,fee schedule,11.01,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,11.22,,fee schedule,11.22,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,10.48,,fee schedule,10.48,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,10.48,50,percent of total billed charges,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,10.48,50,percent of total billed charges,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,10.48,50,percent of total billed charges,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 10MG AMP; 10,J2274,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,10.48,50,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,AMERIGROUP,AMERIGROUP,,11.01,,fee schedule,11.01,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,11.22,,fee schedule,11.22,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,10.48,,fee schedule,10.48,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,AETNA,AETNA,,40.89,87,percent of total billed charges,40.89,10.48,47,percent of total billed charges,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.89,87,percent of total billed charges,40.89,10.48,47,percent of total billed charges,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,UNITED HEALTHCARE,UNITED HEALTHCARE,,41.36,88,percent of total billed charges,41.36,10.48,47,percent of total billed charges,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,AETNA,AETNA,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,ALLIANT,ALLIANT,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,AMBETTER,AMBETTER,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,BEECH STREET,BEECH STREET,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,CARESOURCE,CARESOURCE,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,MEDICAID,MEDICAID,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,MEDICARE,MEDICARE,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,NOVA NET,NOVA NET,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,PEACHSTATE,PEACHSTATE,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,SELFPAY,SELFPAY,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,TRICARE,TRICARE,,47,,fee schedule,47,10.48,47,fee schedule,
DURAMORPH-PF 5MG AMP; 10M,J2274,CPT,both,,,47,47,UHC MEDICARE,UHC MEDICARE,,47,,fee schedule,47,10.48,47,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,11.01,,fee schedule,11.01,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,11.22,,fee schedule,11.22,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,10.48,,fee schedule,10.48,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,10.48,27,percent of total billed charges,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,10.48,27,percent of total billed charges,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,10.48,27,percent of total billed charges,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,10.48,27,fee schedule,
MORPHINE SULFATE 1MG/2ML AMP,J2274,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,10.48,27,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,11.01,,fee schedule,11.01,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,11.22,,fee schedule,11.22,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,10.48,,fee schedule,10.48,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,11.01,,fee schedule,11.01,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,11.22,,fee schedule,11.22,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,10.48,,fee schedule,10.48,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,11.01,,fee schedule,11.01,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,11.22,,fee schedule,11.22,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,10.48,,fee schedule,10.48,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,10.48,35.29,percent of total billed charges,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
Morphine-PF (Anes Use),J2274,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,10.48,35.29,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,ALLIANT,ALLIANT,,15.03,,fee schedule,15.03,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,AMBETTER,AMBETTER,,11.84,,fee schedule,11.84,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,AMERIGROUP,AMERIGROUP,,10.26,,fee schedule,10.26,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,CARESOURCE,CARESOURCE,,10.46,,fee schedule,10.46,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,MEDICARE,MEDICARE,,9.11,,fee schedule,9.11,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,PEACHSTATE,PEACHSTATE,,9.78,,fee schedule,9.78,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,TRICARE,TRICARE,,9.11,,fee schedule,9.11,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,UHC MEDICARE,UHC MEDICARE,,9.11,,fee schedule,9.11,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,AETNA,AETNA,,1824.39,87,percent of total billed charges,1824.39,9.11,2097,percent of total billed charges,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1824.39,87,percent of total billed charges,1824.39,9.11,2097,percent of total billed charges,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,UNITED HEALTHCARE,UNITED HEALTHCARE,,1845.36,88,percent of total billed charges,1845.36,9.11,2097,percent of total billed charges,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,AETNA,AETNA,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,BEECH STREET,BEECH STREET,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,CARESOURCE,CARESOURCE,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,MEDICAID,MEDICAID,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,NOVA NET,NOVA NET,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,PEACHSTATE,PEACHSTATE,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,SELFPAY,SELFPAY,,2097,,fee schedule,2097,9.11,2097,fee schedule,
PRIALT 100 MCG/ML INJ,J2278,CPT,both,,,2097,2097,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2097,,fee schedule,2097,9.11,2097,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.39,,fee schedule,3.39,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.46,,fee schedule,3.46,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,3.23,,fee schedule,3.23,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,3.23,34,percent of total billed charges,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,3.23,34,percent of total billed charges,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,3.23,34,percent of total billed charges,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,3.23,34,fee schedule,
NUBAIN INJ 10MG,J2300,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,3.23,34,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.39,,fee schedule,3.39,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.46,,fee schedule,3.46,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.23,,fee schedule,3.23,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.23,35.29,percent of total billed charges,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.23,35.29,percent of total billed charges,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.23,35.29,percent of total billed charges,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
Nalbuphine 10 MG/ML Amp,J2300,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.23,35.29,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,9.8,,fee schedule,9.8,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,9.99,,fee schedule,9.99,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,9.34,,fee schedule,9.34,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,9.34,20,percent of total billed charges,
NARCAN 1MG,J2310,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,9.34,20,percent of total billed charges,
NARCAN 1MG,J2310,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,9.34,20,percent of total billed charges,
NARCAN 1MG,J2310,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN 1MG,J2310,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,9.34,20,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,9.8,,fee schedule,9.8,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,9.99,,fee schedule,9.99,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,9.34,,fee schedule,9.34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,9.34,34,percent of total billed charges,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,9.34,34,percent of total billed charges,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,9.34,34,percent of total billed charges,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 0.4MG 1ML,J2310,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,9.34,34,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,9.8,,fee schedule,9.8,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,9.99,,fee schedule,9.99,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,9.34,,fee schedule,9.34,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,9.34,114,percent of total billed charges,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,9.34,114,percent of total billed charges,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,9.34,114,percent of total billed charges,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,ALLIANT,ALLIANT,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,AMBETTER,AMBETTER,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,MEDICARE,MEDICARE,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,TRICARE,TRICARE,,114,,fee schedule,114,9.34,114,fee schedule,
NARCAN INJ 1MG,J2310,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,114,,fee schedule,114,9.34,114,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,9.8,,fee schedule,9.8,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,9.99,,fee schedule,9.99,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,9.34,,fee schedule,9.34,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.34,35.29,percent of total billed charges,
Naloxone,J2310,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.34,35.29,percent of total billed charges,
Naloxone,J2310,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.34,35.29,percent of total billed charges,
Naloxone,J2310,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,9.8,,fee schedule,9.8,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,9.99,,fee schedule,9.99,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,9.34,,fee schedule,9.34,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.34,35.29,percent of total billed charges,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.34,35.29,percent of total billed charges,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.34,35.29,percent of total billed charges,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
Naloxone,J2310,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,9.34,35.29,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,AETNA,AETNA,,2002.74,87,percent of total billed charges,2002.74,2002.74,2302,percent of total billed charges,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2002.74,87,percent of total billed charges,2002.74,2002.74,2302,percent of total billed charges,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,UNITED HEALTHCARE,UNITED HEALTHCARE,,2025.76,88,percent of total billed charges,2025.76,2002.74,2302,percent of total billed charges,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,AETNA,AETNA,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,ALLIANT,ALLIANT,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,AMBETTER,AMBETTER,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,BEECH STREET,BEECH STREET,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,CARESOURCE,CARESOURCE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,MEDICAID,MEDICAID,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,MEDICARE,MEDICARE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,NOVA NET,NOVA NET,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,PEACHSTATE,PEACHSTATE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,SELFPAY,SELFPAY,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,TRICARE,TRICARE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
NATRECOR 1.5MG/5ML,J2325,CPT,both,,,2302,2302,UHC MEDICARE,UHC MEDICARE,,2302,,fee schedule,2302,2002.74,2302,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,ALLIANT,ALLIANT,,26.09,,fee schedule,26.09,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,AMBETTER,AMBETTER,,20.55,,fee schedule,20.55,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,AMERIGROUP,AMERIGROUP,,15.74,,fee schedule,15.74,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,CARESOURCE,CARESOURCE,,16.04,,fee schedule,16.04,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,MEDICARE,MEDICARE,,15.81,,fee schedule,15.81,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,PEACHSTATE,PEACHSTATE,,14.99,,fee schedule,14.99,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,TRICARE,TRICARE,,15.81,,fee schedule,15.81,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,UHC MEDICARE,UHC MEDICARE,,15.81,,fee schedule,15.81,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,AETNA,AETNA,,8141.46,87,percent of total billed charges,8141.46,14.99,9358,percent of total billed charges,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8141.46,87,percent of total billed charges,8141.46,14.99,9358,percent of total billed charges,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,UNITED HEALTHCARE,UNITED HEALTHCARE,,8235.04,88,percent of total billed charges,8235.04,14.99,9358,percent of total billed charges,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,AETNA,AETNA,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,BEECH STREET,BEECH STREET,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,CARESOURCE,CARESOURCE,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,MEDICAID,MEDICAID,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,NOVA NET,NOVA NET,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,PEACHSTATE,PEACHSTATE,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,SELFPAY,SELFPAY,,9358,,fee schedule,9358,14.99,9358,fee schedule,
SKYRIZI 600 MG/10ML VIAL,J2327,CPT,both,,,9358,9358,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9358,,fee schedule,9358,14.99,9358,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,ALLIANT,ALLIANT,,26.09,,fee schedule,26.09,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,AMBETTER,AMBETTER,,20.55,,fee schedule,20.55,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,15.74,,fee schedule,15.74,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,CARESOURCE,CARESOURCE,,16.04,,fee schedule,16.04,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,MEDICARE,MEDICARE,,15.81,,fee schedule,15.81,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,14.99,,fee schedule,14.99,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,TRICARE,TRICARE,,15.81,,fee schedule,15.81,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,15.81,,fee schedule,15.81,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,14.99,139.78,percent of total billed charges,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,14.99,139.78,percent of total billed charges,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,14.99,139.78,percent of total billed charges,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
Risankizumab-rzaa,J2327,CPT,both,600,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,14.99,139.78,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,ALLIANT,ALLIANT,,98.42,,fee schedule,98.42,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,AMBETTER,AMBETTER,,77.55,,fee schedule,77.55,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,AMERIGROUP,AMERIGROUP,,63.26,,fee schedule,63.26,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,CARESOURCE,CARESOURCE,,64.47,,fee schedule,64.47,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,MEDICARE,MEDICARE,,59.65,,fee schedule,59.65,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,PEACHSTATE,PEACHSTATE,,60.25,,fee schedule,60.25,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,TRICARE,TRICARE,,59.65,,fee schedule,59.65,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,UHC MEDICARE,UHC MEDICARE,,59.65,,fee schedule,59.65,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,AETNA,AETNA,,29667,87,percent of total billed charges,29667,59.65,34100,percent of total billed charges,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29667,87,percent of total billed charges,29667,59.65,34100,percent of total billed charges,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,UNITED HEALTHCARE,UNITED HEALTHCARE,,30008,88,percent of total billed charges,30008,59.65,34100,percent of total billed charges,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,AETNA,AETNA,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,BEECH STREET,BEECH STREET,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,CARESOURCE,CARESOURCE,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,MEDICAID,MEDICAID,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,NOVA NET,NOVA NET,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,PEACHSTATE,PEACHSTATE,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,SELFPAY,SELFPAY,,34100,,fee schedule,34100,59.65,34100,fee schedule,
OCREVUS 300MG INJ,J2350,CPT,both,,,34100,34100,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34100,,fee schedule,34100,59.65,34100,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,ALLIANT,ALLIANT,,339.32,,fee schedule,339.32,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,AMBETTER,AMBETTER,,267.35,,fee schedule,267.35,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,AMERIGROUP,AMERIGROUP,,226.26,,fee schedule,226.26,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,CARESOURCE,CARESOURCE,,230.57,,fee schedule,230.57,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,MEDICARE,MEDICARE,,205.65,,fee schedule,205.65,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,PEACHSTATE,PEACHSTATE,,215.48,,fee schedule,215.48,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,TRICARE,TRICARE,,205.65,,fee schedule,205.65,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,UHC MEDICARE,UHC MEDICARE,,205.65,,fee schedule,205.65,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,AETNA,AETNA,,3393,87,percent of total billed charges,3393,205.65,3900,percent of total billed charges,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3393,87,percent of total billed charges,3393,205.65,3900,percent of total billed charges,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,UNITED HEALTHCARE,UNITED HEALTHCARE,,3432,88,percent of total billed charges,3432,205.65,3900,percent of total billed charges,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,AETNA,AETNA,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,BEECH STREET,BEECH STREET,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,CARESOURCE,CARESOURCE,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,MEDICAID,MEDICAID,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,NOVA NET,NOVA NET,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,PEACHSTATE,PEACHSTATE,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,SELFPAY,SELFPAY,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 10M,J2353,CPT,both,,,3900,3900,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3900,,fee schedule,3900,205.65,3900,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,ALLIANT,ALLIANT,,339.32,,fee schedule,339.32,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,AMBETTER,AMBETTER,,267.35,,fee schedule,267.35,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,AMERIGROUP,AMERIGROUP,,226.26,,fee schedule,226.26,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,CARESOURCE,CARESOURCE,,230.57,,fee schedule,230.57,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,MEDICARE,MEDICARE,,205.65,,fee schedule,205.65,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,PEACHSTATE,PEACHSTATE,,215.48,,fee schedule,215.48,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,TRICARE,TRICARE,,205.65,,fee schedule,205.65,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,UHC MEDICARE,UHC MEDICARE,,205.65,,fee schedule,205.65,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,AETNA,AETNA,,4071.6,87,percent of total billed charges,4071.6,205.65,4680,percent of total billed charges,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4071.6,87,percent of total billed charges,4071.6,205.65,4680,percent of total billed charges,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,UNITED HEALTHCARE,UNITED HEALTHCARE,,4118.4,88,percent of total billed charges,4118.4,205.65,4680,percent of total billed charges,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,AETNA,AETNA,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,BEECH STREET,BEECH STREET,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,CARESOURCE,CARESOURCE,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,MEDICAID,MEDICAID,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,NOVA NET,NOVA NET,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,PEACHSTATE,PEACHSTATE,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,SELFPAY,SELFPAY,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 20M,J2353,CPT,both,,,4680,4680,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4680,,fee schedule,4680,205.65,4680,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,ALLIANT,ALLIANT,,339.32,,fee schedule,339.32,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,AMBETTER,AMBETTER,,267.35,,fee schedule,267.35,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,AMERIGROUP,AMERIGROUP,,226.26,,fee schedule,226.26,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,CARESOURCE,CARESOURCE,,230.57,,fee schedule,230.57,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,MEDICARE,MEDICARE,,205.65,,fee schedule,205.65,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,PEACHSTATE,PEACHSTATE,,215.48,,fee schedule,215.48,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,TRICARE,TRICARE,,205.65,,fee schedule,205.65,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,UHC MEDICARE,UHC MEDICARE,,205.65,,fee schedule,205.65,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,AETNA,AETNA,,9819.69,87,percent of total billed charges,9819.69,205.65,11287,percent of total billed charges,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9819.69,87,percent of total billed charges,9819.69,205.65,11287,percent of total billed charges,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,UNITED HEALTHCARE,UNITED HEALTHCARE,,9932.56,88,percent of total billed charges,9932.56,205.65,11287,percent of total billed charges,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,AETNA,AETNA,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,BEECH STREET,BEECH STREET,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,CARESOURCE,CARESOURCE,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,MEDICAID,MEDICAID,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,NOVA NET,NOVA NET,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,PEACHSTATE,PEACHSTATE,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,SELFPAY,SELFPAY,,11287,,fee schedule,11287,205.65,11287,fee schedule,
SANDOSTATIN LAR DEPOT 30M,J2353,CPT,both,,,11287,11287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11287,,fee schedule,11287,205.65,11287,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,AETNA,AETNA,,167.04,87,percent of total billed charges,167.04,0.9,192,percent of total billed charges,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,167.04,87,percent of total billed charges,167.04,0.9,192,percent of total billed charges,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,UNITED HEALTHCARE,UNITED HEALTHCARE,,168.96,88,percent of total billed charges,168.96,0.9,192,percent of total billed charges,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,AETNA,AETNA,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,ALLIANT,ALLIANT,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,AMBETTER,AMBETTER,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,BEECH STREET,BEECH STREET,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,CARESOURCE,CARESOURCE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,MEDICAID,MEDICAID,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,MEDICARE,MEDICARE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,NOVA NET,NOVA NET,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,PEACHSTATE,PEACHSTATE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,SELFPAY,SELFPAY,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,TRICARE,TRICARE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE 500 MC,J2354,CPT,both,,,192,192,UHC MEDICARE,UHC MEDICARE,,192,,fee schedule,192,0.9,192,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,0.9,50,percent of total billed charges,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,0.9,50,percent of total billed charges,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,0.9,50,percent of total billed charges,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,0.9,50,fee schedule,
OCTREOTIDE ACETATE INJ 50,J2354,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,0.9,50,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,AETNA,AETNA,,113.97,87,percent of total billed charges,113.97,0.9,131,percent of total billed charges,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,113.97,87,percent of total billed charges,113.97,0.9,131,percent of total billed charges,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,UNITED HEALTHCARE,UNITED HEALTHCARE,,115.28,88,percent of total billed charges,115.28,0.9,131,percent of total billed charges,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,AETNA,AETNA,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,ALLIANT,ALLIANT,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,AMBETTER,AMBETTER,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,BEECH STREET,BEECH STREET,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,CARESOURCE,CARESOURCE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,MEDICAID,MEDICAID,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,MEDICARE,MEDICARE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,NOVA NET,NOVA NET,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,PEACHSTATE,PEACHSTATE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,SELFPAY,SELFPAY,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,TRICARE,TRICARE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 200MCG/ML 5ML,J2354,CPT,both,,,131,131,UHC MEDICARE,UHC MEDICARE,,131,,fee schedule,131,0.9,131,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,AETNA,AETNA,,250.56,87,percent of total billed charges,250.56,0.9,288,percent of total billed charges,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,250.56,87,percent of total billed charges,250.56,0.9,288,percent of total billed charges,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,UNITED HEALTHCARE,UNITED HEALTHCARE,,253.44,88,percent of total billed charges,253.44,0.9,288,percent of total billed charges,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,AETNA,AETNA,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,ALLIANT,ALLIANT,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,AMBETTER,AMBETTER,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,BEECH STREET,BEECH STREET,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,CARESOURCE,CARESOURCE,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,MEDICAID,MEDICAID,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,MEDICARE,MEDICARE,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,NOVA NET,NOVA NET,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,PEACHSTATE,PEACHSTATE,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,SELFPAY,SELFPAY,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,TRICARE,TRICARE,,288,,fee schedule,288,0.9,288,fee schedule,
SANDOSTATIN 5000MCG/5ML 1,J2354,CPT,both,,,288,288,UHC MEDICARE,UHC MEDICARE,,288,,fee schedule,288,0.9,288,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,500,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,50,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,5000,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.95,,fee schedule,0.95,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.97,,fee schedule,0.97,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.9,,fee schedule,0.9,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.9,35.29,percent of total billed charges,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
Octreotide,J2354,CPT,both,200,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.9,35.29,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,ALLIANT,ALLIANT,,63.03,,fee schedule,63.03,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,AMBETTER,AMBETTER,,49.66,,fee schedule,49.66,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,AMERIGROUP,AMERIGROUP,,40.24,,fee schedule,40.24,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,CARESOURCE,CARESOURCE,,41.01,,fee schedule,41.01,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,MEDICARE,MEDICARE,,38.2,,fee schedule,38.2,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,PEACHSTATE,PEACHSTATE,,38.33,,fee schedule,38.33,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,TRICARE,TRICARE,,38.2,,fee schedule,38.2,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,UHC MEDICARE,UHC MEDICARE,,38.2,,fee schedule,38.2,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,AETNA,AETNA,,2963.22,87,percent of total billed charges,2963.22,38.2,3406,percent of total billed charges,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2963.22,87,percent of total billed charges,2963.22,38.2,3406,percent of total billed charges,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,UNITED HEALTHCARE,UNITED HEALTHCARE,,2997.28,88,percent of total billed charges,2997.28,38.2,3406,percent of total billed charges,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,AETNA,AETNA,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,BEECH STREET,BEECH STREET,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,CARESOURCE,CARESOURCE,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,MEDICAID,MEDICAID,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,NOVA NET,NOVA NET,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,PEACHSTATE,PEACHSTATE,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,SELFPAY,SELFPAY,,3406,,fee schedule,3406,38.2,3406,fee schedule,
XOLAIR 150MG INJ,J2357,CPT,both,,,3406,3406,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3406,,fee schedule,3406,38.2,3406,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,AMERIGROUP,AMERIGROUP,,9.55,,fee schedule,9.55,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,AETNA,AETNA,,99.18,87,percent of total billed charges,99.18,9.09,114,percent of total billed charges,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,99.18,87,percent of total billed charges,99.18,9.09,114,percent of total billed charges,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,UNITED HEALTHCARE,UNITED HEALTHCARE,,100.32,88,percent of total billed charges,100.32,9.09,114,percent of total billed charges,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,AETNA,AETNA,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,ALLIANT,ALLIANT,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,AMBETTER,AMBETTER,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,BEECH STREET,BEECH STREET,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,CARESOURCE,CARESOURCE,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,MEDICAID,MEDICAID,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,MEDICARE,MEDICARE,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,NOVA NET,NOVA NET,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,PEACHSTATE,PEACHSTATE,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,SELFPAY,SELFPAY,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,TRICARE,TRICARE,,114,,fee schedule,114,9.09,114,fee schedule,
NORFLEX INJ 2ML,J2360,CPT,both,,,114,114,UHC MEDICARE,UHC MEDICARE,,114,,fee schedule,114,9.09,114,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,9.55,,fee schedule,9.55,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,CARESOURCE,CARESOURCE,,9.73,,fee schedule,9.73,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,9.09,,fee schedule,9.09,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.09,35.29,percent of total billed charges,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.09,35.29,percent of total billed charges,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.09,35.29,percent of total billed charges,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
Orphenadrine,J2360,CPT,both,60,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,9.09,35.29,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,AETNA,AETNA,,21.75,87,percent of total billed charges,21.75,21.75,25,percent of total billed charges,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.75,87,percent of total billed charges,21.75,21.75,25,percent of total billed charges,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,UNITED HEALTHCARE,UNITED HEALTHCARE,,22,88,percent of total billed charges,22,21.75,25,percent of total billed charges,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,AETNA,AETNA,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,ALLIANT,ALLIANT,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,AMBETTER,AMBETTER,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,BEECH STREET,BEECH STREET,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,CARESOURCE,CARESOURCE,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,MEDICAID,MEDICAID,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,MEDICARE,MEDICARE,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,NOVA NET,NOVA NET,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,PEACHSTATE,PEACHSTATE,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,SELFPAY,SELFPAY,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,TRICARE,TRICARE,,25,,fee schedule,25,21.75,25,fee schedule,
PHENYLEPHRINE 50MG/250ML IVPB,J2370,CPT,both,,,25,25,UHC MEDICARE,UHC MEDICARE,,25,,fee schedule,25,21.75,25,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Phenylephrine 50 MG/250 ML Premix,J2370,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,AETNA,AETNA,,80.91,87,percent of total billed charges,80.91,80.91,93,percent of total billed charges,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80.91,87,percent of total billed charges,80.91,80.91,93,percent of total billed charges,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,UNITED HEALTHCARE,UNITED HEALTHCARE,,81.84,88,percent of total billed charges,81.84,80.91,93,percent of total billed charges,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,AETNA,AETNA,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,ALLIANT,ALLIANT,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,AMBETTER,AMBETTER,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,BEECH STREET,BEECH STREET,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,CARESOURCE,CARESOURCE,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,MEDICAID,MEDICAID,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,MEDICARE,MEDICARE,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,NOVA NET,NOVA NET,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,PEACHSTATE,PEACHSTATE,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,SELFPAY,SELFPAY,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,TRICARE,TRICARE,,93,,fee schedule,93,80.91,93,fee schedule,
NESACAINE MPF VIALS 3% 30,J2401,CPT,both,,,93,93,UHC MEDICARE,UHC MEDICARE,,93,,fee schedule,93,80.91,93,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Chloroprocaine-PF (30 MG/ML) 20 ML VIAL,J2401,CPT,both,20,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.1,,fee schedule,0.1,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.1,,fee schedule,0.1,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.09,,fee schedule,0.09,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.09,34,percent of total billed charges,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.09,34,percent of total billed charges,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.09,34,fee schedule,
ZOFRAN SDV 4MG/2ML,J2405,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.09,34,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.1,,fee schedule,0.1,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.1,,fee schedule,0.1,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.09,,fee schedule,0.09,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.09,35.29,percent of total billed charges,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.09,35.29,percent of total billed charges,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
Ondansetron 4 mg/2 ml SDV,J2405,CPT,both,4,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.09,35.29,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,ALLIANT,ALLIANT,,42.92,,fee schedule,42.92,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,AMBETTER,AMBETTER,,33.81,,fee schedule,33.81,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,AMERIGROUP,AMERIGROUP,,29.53,,fee schedule,29.53,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,CARESOURCE,CARESOURCE,,30.09,,fee schedule,30.09,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,MEDICARE,MEDICARE,,26.01,,fee schedule,26.01,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,PEACHSTATE,PEACHSTATE,,28.12,,fee schedule,28.12,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,TRICARE,TRICARE,,26.01,,fee schedule,26.01,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,UHC MEDICARE,UHC MEDICARE,,26.01,,fee schedule,26.01,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,AETNA,AETNA,,2006.22,87,percent of total billed charges,2006.22,26.01,2306,percent of total billed charges,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2006.22,87,percent of total billed charges,2006.22,26.01,2306,percent of total billed charges,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,UNITED HEALTHCARE,UNITED HEALTHCARE,,2029.28,88,percent of total billed charges,2029.28,26.01,2306,percent of total billed charges,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,AETNA,AETNA,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,BEECH STREET,BEECH STREET,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,CARESOURCE,CARESOURCE,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,MEDICAID,MEDICAID,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,NOVA NET,NOVA NET,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,PEACHSTATE,PEACHSTATE,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,SELFPAY,SELFPAY,,2306,,fee schedule,2306,26.01,2306,fee schedule,
ORBACTIV 400MG INJ,J2407,CPT,both,,,2306,2306,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2306,,fee schedule,2306,26.01,2306,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,AMERIGROUP,AMERIGROUP,,12.25,,fee schedule,12.25,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,CARESOURCE,CARESOURCE,,12.48,,fee schedule,12.48,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,PEACHSTATE,PEACHSTATE,,11.67,,fee schedule,11.67,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,AETNA,AETNA,,388.02,87,percent of total billed charges,388.02,11.67,446,percent of total billed charges,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,388.02,87,percent of total billed charges,388.02,11.67,446,percent of total billed charges,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,UNITED HEALTHCARE,UNITED HEALTHCARE,,392.48,88,percent of total billed charges,392.48,11.67,446,percent of total billed charges,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,AETNA,AETNA,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,ALLIANT,ALLIANT,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,AMBETTER,AMBETTER,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,BEECH STREET,BEECH STREET,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,CARESOURCE,CARESOURCE,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,MEDICAID,MEDICAID,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,MEDICARE,MEDICARE,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,NOVA NET,NOVA NET,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,PEACHSTATE,PEACHSTATE,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,SELFPAY,SELFPAY,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,TRICARE,TRICARE,,446,,fee schedule,446,11.67,446,fee schedule,
AREDIA 90MG SDV,J2430,CPT,both,,,446,446,UHC MEDICARE,UHC MEDICARE,,446,,fee schedule,446,11.67,446,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,12.25,,fee schedule,12.25,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,12.48,,fee schedule,12.48,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,11.67,,fee schedule,11.67,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,11.67,157,percent of total billed charges,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,11.67,157,percent of total billed charges,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,11.67,157,percent of total billed charges,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,11.67,157,fee schedule,
PAMIDRONATE INJ 30MG/10ML,J2430,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,11.67,157,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,12.25,,fee schedule,12.25,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,CARESOURCE,CARESOURCE,,12.48,,fee schedule,12.48,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,11.67,,fee schedule,11.67,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,11.67,149.77,percent of total billed charges,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,11.67,149.77,percent of total billed charges,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,11.67,149.77,percent of total billed charges,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate Disodium,J2430,CPT,both,90,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,12.25,,fee schedule,12.25,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,CARESOURCE,CARESOURCE,,12.48,,fee schedule,12.48,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,11.67,,fee schedule,11.67,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,11.67,149.77,percent of total billed charges,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,11.67,149.77,percent of total billed charges,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,11.67,149.77,percent of total billed charges,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
Pamidronate 30 MG/10 ML VIAL,J2430,CPT,both,30,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,11.67,149.77,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,AETNA,AETNA,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82.65,87,percent of total billed charges,82.65,82.65,95,percent of total billed charges,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,UNITED HEALTHCARE,UNITED HEALTHCARE,,83.6,88,percent of total billed charges,83.6,82.65,95,percent of total billed charges,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,AETNA,AETNA,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,ALLIANT,ALLIANT,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,AMBETTER,AMBETTER,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,BEECH STREET,BEECH STREET,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,CARESOURCE,CARESOURCE,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,MEDICAID,MEDICAID,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,MEDICARE,MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,NOVA NET,NOVA NET,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,PEACHSTATE,PEACHSTATE,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,SELFPAY,SELFPAY,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,TRICARE,TRICARE,,95,,fee schedule,95,82.65,95,fee schedule,
PAPAVERINE HCL SDV 60MG/2,J2440,CPT,both,,,95,95,UHC MEDICARE,UHC MEDICARE,,95,,fee schedule,95,82.65,95,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Papaverine 60 mg/2 ml Vial,J2440,CPT,both,60,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,AETNA,AETNA,,846.51,87,percent of total billed charges,846.51,0.98,973,percent of total billed charges,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,846.51,87,percent of total billed charges,846.51,0.98,973,percent of total billed charges,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,UNITED HEALTHCARE,UNITED HEALTHCARE,,856.24,88,percent of total billed charges,856.24,0.98,973,percent of total billed charges,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,AETNA,AETNA,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,ALLIANT,ALLIANT,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,AMBETTER,AMBETTER,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,BEECH STREET,BEECH STREET,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,CARESOURCE,CARESOURCE,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,MEDICAID,MEDICAID,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,MEDICARE,MEDICARE,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,NOVA NET,NOVA NET,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,PEACHSTATE,PEACHSTATE,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,SELFPAY,SELFPAY,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,TRICARE,TRICARE,,973,,fee schedule,973,0.98,973,fee schedule,
ALOXI 0.25MG/5ML SDV,J2469,CPT,both,,,973,973,UHC MEDICARE,UHC MEDICARE,,973,,fee schedule,973,0.98,973,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,0.98,62,percent of total billed charges,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,0.98,62,percent of total billed charges,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,0.98,62,percent of total billed charges,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZAMPLAR 2MCG VIAL,J2501,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,0.98,62,percent of total billed charges,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,0.98,62,percent of total billed charges,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,0.98,62,percent of total billed charges,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR - 1MCG,J2501,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,0.98,62,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,AETNA,AETNA,,126.15,87,percent of total billed charges,126.15,0.98,145,percent of total billed charges,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126.15,87,percent of total billed charges,126.15,0.98,145,percent of total billed charges,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,UNITED HEALTHCARE,UNITED HEALTHCARE,,127.6,88,percent of total billed charges,127.6,0.98,145,percent of total billed charges,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,AETNA,AETNA,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,ALLIANT,ALLIANT,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,AMBETTER,AMBETTER,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,BEECH STREET,BEECH STREET,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,CARESOURCE,CARESOURCE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,MEDICAID,MEDICAID,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,MEDICARE,MEDICARE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,NOVA NET,NOVA NET,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,PEACHSTATE,PEACHSTATE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,SELFPAY,SELFPAY,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,TRICARE,TRICARE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG 1ML INJ,J2501,CPT,both,,,145,145,UHC MEDICARE,UHC MEDICARE,,145,,fee schedule,145,0.98,145,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,0.98,161,percent of total billed charges,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,0.98,161,percent of total billed charges,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,0.98,161,percent of total billed charges,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,ALLIANT,ALLIANT,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,AMBETTER,AMBETTER,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,MEDICARE,MEDICARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,TRICARE,TRICARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG VIAL,J2501,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,AETNA,AETNA,,140.07,87,percent of total billed charges,140.07,0.98,161,percent of total billed charges,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140.07,87,percent of total billed charges,140.07,0.98,161,percent of total billed charges,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,UNITED HEALTHCARE,UNITED HEALTHCARE,,141.68,88,percent of total billed charges,141.68,0.98,161,percent of total billed charges,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,AETNA,AETNA,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,ALLIANT,ALLIANT,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,AMBETTER,AMBETTER,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,BEECH STREET,BEECH STREET,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,CARESOURCE,CARESOURCE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,MEDICAID,MEDICAID,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,MEDICARE,MEDICARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,NOVA NET,NOVA NET,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,PEACHSTATE,PEACHSTATE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,SELFPAY,SELFPAY,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,TRICARE,TRICARE,,161,,fee schedule,161,0.98,161,fee schedule,
ZEMPLAR 5MCG/1ML,J2501,CPT,both,,,161,161,UHC MEDICARE,UHC MEDICARE,,161,,fee schedule,161,0.98,161,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.03,,fee schedule,1.03,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,CARESOURCE,CARESOURCE,,1.05,,fee schedule,1.05,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.98,,fee schedule,0.98,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.98,35.29,percent of total billed charges,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.98,35.29,percent of total billed charges,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.98,35.29,percent of total billed charges,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
Paricalcitol 5 mcg/ml Vial,J2501,CPT,both,5,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.98,35.29,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,ALLIANT,ALLIANT,,223.03,,fee schedule,223.03,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,AMBETTER,AMBETTER,,175.72,,fee schedule,175.72,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,AMERIGROUP,AMERIGROUP,,57.88,,fee schedule,57.88,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,CARESOURCE,CARESOURCE,,58.98,,fee schedule,58.98,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,MEDICARE,MEDICARE,,135.17,,fee schedule,135.17,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,PEACHSTATE,PEACHSTATE,,55.13,,fee schedule,55.13,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,TRICARE,TRICARE,,135.17,,fee schedule,135.17,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,UHC MEDICARE,UHC MEDICARE,,135.17,,fee schedule,135.17,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,AETNA,AETNA,,9746.61,87,percent of total billed charges,9746.61,55.13,11203,percent of total billed charges,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9746.61,87,percent of total billed charges,9746.61,55.13,11203,percent of total billed charges,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,UNITED HEALTHCARE,UNITED HEALTHCARE,,9858.64,88,percent of total billed charges,9858.64,55.13,11203,percent of total billed charges,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,AETNA,AETNA,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,BEECH STREET,BEECH STREET,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,CARESOURCE,CARESOURCE,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,MEDICAID,MEDICAID,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,NOVA NET,NOVA NET,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,PEACHSTATE,PEACHSTATE,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,SELFPAY,SELFPAY,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG 0.6ML SDS,J2506,CPT,both,,,11203,11203,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11203,,fee schedule,11203,55.13,11203,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,ALLIANT,ALLIANT,,223.03,,fee schedule,223.03,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,AMBETTER,AMBETTER,,175.72,,fee schedule,175.72,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,AMERIGROUP,AMERIGROUP,,57.88,,fee schedule,57.88,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,CARESOURCE,CARESOURCE,,58.98,,fee schedule,58.98,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,MEDICARE,MEDICARE,,135.17,,fee schedule,135.17,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,PEACHSTATE,PEACHSTATE,,55.13,,fee schedule,55.13,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,TRICARE,TRICARE,,135.17,,fee schedule,135.17,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,UHC MEDICARE,UHC MEDICARE,,135.17,,fee schedule,135.17,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,AETNA,AETNA,,8973.18,87,percent of total billed charges,8973.18,55.13,10314,percent of total billed charges,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8973.18,87,percent of total billed charges,8973.18,55.13,10314,percent of total billed charges,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,UNITED HEALTHCARE,UNITED HEALTHCARE,,9076.32,88,percent of total billed charges,9076.32,55.13,10314,percent of total billed charges,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,AETNA,AETNA,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,BEECH STREET,BEECH STREET,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,CARESOURCE,CARESOURCE,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,MEDICAID,MEDICAID,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,NOVA NET,NOVA NET,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,PEACHSTATE,PEACHSTATE,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,SELFPAY,SELFPAY,,10314,,fee schedule,10314,55.13,10314,fee schedule,
NEULASTA 6MG/0.6ML INJ KI,J2506,CPT,both,,,10314,10314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10314,,fee schedule,10314,55.13,10314,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,223.03,,fee schedule,223.03,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,175.72,,fee schedule,175.72,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,57.88,,fee schedule,57.88,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,58.98,,fee schedule,58.98,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,135.17,,fee schedule,135.17,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,55.13,,fee schedule,55.13,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,135.17,,fee schedule,135.17,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,135.17,,fee schedule,135.17,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,223.03,percent of total billed charges,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,223.03,percent of total billed charges,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,223.03,percent of total billed charges,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,223.03,,fee schedule,223.03,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,175.72,,fee schedule,175.72,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,57.88,,fee schedule,57.88,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,58.98,,fee schedule,58.98,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,135.17,,fee schedule,135.17,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,55.13,,fee schedule,55.13,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,135.17,,fee schedule,135.17,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,135.17,,fee schedule,135.17,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,223.03,percent of total billed charges,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,223.03,percent of total billed charges,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,223.03,percent of total billed charges,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
Pegfilgrastim,J2506,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,223.03,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,ALLIANT,ALLIANT,,5271.72,,fee schedule,5271.72,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,AMBETTER,AMBETTER,,4153.47,,fee schedule,4153.47,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,AMERIGROUP,AMERIGROUP,,3619.41,,fee schedule,3619.41,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,CARESOURCE,CARESOURCE,,3688.35,,fee schedule,3688.35,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,MEDICARE,MEDICARE,,3194.98,,fee schedule,3194.98,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,PEACHSTATE,PEACHSTATE,,3447.06,,fee schedule,3447.06,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,TRICARE,TRICARE,,3194.98,,fee schedule,3194.98,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,UHC MEDICARE,UHC MEDICARE,,3194.98,,fee schedule,3194.98,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,AETNA,AETNA,,37252.53,87,percent of total billed charges,37252.53,3194.98,42819,percent of total billed charges,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37252.53,87,percent of total billed charges,37252.53,3194.98,42819,percent of total billed charges,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,UNITED HEALTHCARE,UNITED HEALTHCARE,,37680.72,88,percent of total billed charges,37680.72,3194.98,42819,percent of total billed charges,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,AETNA,AETNA,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,BEECH STREET,BEECH STREET,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,CARESOURCE,CARESOURCE,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,MEDICAID,MEDICAID,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,NOVA NET,NOVA NET,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,PEACHSTATE,PEACHSTATE,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,SELFPAY,SELFPAY,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
KRYSTEXXA 8 MG/ML INJ,J2507,CPT,both,,,42819,42819,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,42819,,fee schedule,42819,3194.98,42819,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,ALLIANT,ALLIANT,,5271.72,,fee schedule,5271.72,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,AMBETTER,AMBETTER,,4153.47,,fee schedule,4153.47,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3619.41,,fee schedule,3619.41,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3688.35,,fee schedule,3688.35,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,MEDICARE,MEDICARE,,3194.98,,fee schedule,3194.98,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3447.06,,fee schedule,3447.06,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,TRICARE,TRICARE,,3194.98,,fee schedule,3194.98,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,3194.98,,fee schedule,3194.98,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,5271.72,percent of total billed charges,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,5271.72,percent of total billed charges,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,5271.72,percent of total billed charges,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
Pegloticase,J2507,CPT,both,8,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,5271.72,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,ALLIANT,ALLIANT,,62.9,,fee schedule,62.9,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,AMBETTER,AMBETTER,,49.56,,fee schedule,49.56,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,MEDICARE,MEDICARE,,38.12,,fee schedule,38.12,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,TRICARE,TRICARE,,38.12,,fee schedule,38.12,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,38.12,,fee schedule,38.12,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,62.9,percent of total billed charges,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,62.9,percent of total billed charges,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,62.9,percent of total billed charges,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,62.9,fee schedule,
WYCILLIN TUBEX 1200000U,J2510,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,ALLIANT,ALLIANT,,62.9,,fee schedule,62.9,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,AMBETTER,AMBETTER,,49.56,,fee schedule,49.56,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,MEDICARE,MEDICARE,,38.12,,fee schedule,38.12,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,TRICARE,TRICARE,,38.12,,fee schedule,38.12,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,38.12,,fee schedule,38.12,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,62.9,percent of total billed charges,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,62.9,percent of total billed charges,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,62.9,percent of total billed charges,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
"penicillin G Procaine 1,200,000 Unit/2 ml Syringe",J2510,CPT,both,1200000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,62.9,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,AMERIGROUP,AMERIGROUP,,0.98,,fee schedule,0.98,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,0.93,,fee schedule,0.93,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,AETNA,AETNA,,149.64,87,percent of total billed charges,149.64,0.93,172,percent of total billed charges,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.64,87,percent of total billed charges,149.64,0.93,172,percent of total billed charges,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,UNITED HEALTHCARE,UNITED HEALTHCARE,,151.36,88,percent of total billed charges,151.36,0.93,172,percent of total billed charges,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,AETNA,AETNA,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,ALLIANT,ALLIANT,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,AMBETTER,AMBETTER,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,BEECH STREET,BEECH STREET,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,CARESOURCE,CARESOURCE,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,MEDICAID,MEDICAID,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,MEDICARE,MEDICARE,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,NOVA NET,NOVA NET,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,PEACHSTATE,PEACHSTATE,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,SELFPAY,SELFPAY,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,TRICARE,TRICARE,,172,,fee schedule,172,0.93,172,fee schedule,
PENICILLIN G INJ 5MIL UNI,J2540,CPT,both,,,172,172,UHC MEDICARE,UHC MEDICARE,,172,,fee schedule,172,0.93,172,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.98,,fee schedule,0.98,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.93,,fee schedule,0.93,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.93,35.29,percent of total billed charges,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.93,35.29,percent of total billed charges,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.93,35.29,percent of total billed charges,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Potassium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.98,,fee schedule,0.98,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.93,,fee schedule,0.93,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.93,35.29,percent of total billed charges,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.93,35.29,percent of total billed charges,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.93,35.29,percent of total billed charges,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
"penicillin G Sodium 5,000,000 Unit Vial",J2540,CPT,both,5000000,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,1.24,,fee schedule,1.24,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,1.26,,fee schedule,1.26,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,1.18,,fee schedule,1.18,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,1.18,157,percent of total billed charges,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,1.18,157,percent of total billed charges,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,1.18,157,percent of total billed charges,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,1.18,157,fee schedule,
ZOSYN IV 3.375GM,J2543,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,1.18,157,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.24,,fee schedule,1.24,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,1.26,,fee schedule,1.26,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.18,,fee schedule,1.18,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.18,149.77,percent of total billed charges,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.18,149.77,percent of total billed charges,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.18,149.77,percent of total billed charges,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin Sod/Tazo 3.375 GM/50 ML PREMIX,J2543,CPT,both,3,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.24,,fee schedule,1.24,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,1.26,,fee schedule,1.26,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.18,,fee schedule,1.18,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.18,149.77,percent of total billed charges,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.18,149.77,percent of total billed charges,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.18,149.77,percent of total billed charges,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
Piperacillin/Tazobactam 3.375 g Vial,J2543,CPT,both,3,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.18,149.77,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,AMERIGROUP,AMERIGROUP,,3.75,,fee schedule,3.75,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,3.82,,fee schedule,3.82,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,3.57,,fee schedule,3.57,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,3.57,10,percent of total billed charges,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,3.57,10,percent of total billed charges,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,3.57,10,percent of total billed charges,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,3.57,10,fee schedule,
PHENERGAN 50MG,J2550,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,3.57,10,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.75,,fee schedule,3.75,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.82,,fee schedule,3.82,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,3.57,,fee schedule,3.57,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,3.57,34,percent of total billed charges,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,3.57,34,percent of total billed charges,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,3.57,34,percent of total billed charges,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,3.57,34,fee schedule,
PROMETHAZINE INJ 25MG 1ML,J2550,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,3.57,34,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.75,,fee schedule,3.75,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.82,,fee schedule,3.82,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.57,,fee schedule,3.57,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.57,35.29,percent of total billed charges,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.57,35.29,percent of total billed charges,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.57,35.29,percent of total billed charges,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
Promethazine,J2550,CPT,both,25,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.57,35.29,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,AMERIGROUP,AMERIGROUP,,34.41,,fee schedule,34.41,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,CARESOURCE,CARESOURCE,,35.07,,fee schedule,35.07,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,PEACHSTATE,PEACHSTATE,,32.77,,fee schedule,32.77,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,AETNA,AETNA,,90.48,87,percent of total billed charges,90.48,32.77,104,percent of total billed charges,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90.48,87,percent of total billed charges,90.48,32.77,104,percent of total billed charges,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,UNITED HEALTHCARE,UNITED HEALTHCARE,,91.52,88,percent of total billed charges,91.52,32.77,104,percent of total billed charges,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,AETNA,AETNA,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,ALLIANT,ALLIANT,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,AMBETTER,AMBETTER,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,BEECH STREET,BEECH STREET,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,CARESOURCE,CARESOURCE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,MEDICAID,MEDICAID,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,MEDICARE,MEDICARE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,NOVA NET,NOVA NET,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,PEACHSTATE,PEACHSTATE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,SELFPAY,SELFPAY,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,TRICARE,TRICARE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL 65MG/ML INJ,J2560,CPT,both,,,104,104,UHC MEDICARE,UHC MEDICARE,,104,,fee schedule,104,32.77,104,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,34.41,,fee schedule,34.41,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,35.07,,fee schedule,35.07,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,32.77,,fee schedule,32.77,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,35.07,percent of total billed charges,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,35.07,percent of total billed charges,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,35.07,percent of total billed charges,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENOBARBITAL INJ 130MG,J2560,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,35.07,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,34.41,,fee schedule,34.41,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.07,,fee schedule,35.07,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,32.77,,fee schedule,32.77,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 130 mg/ml Vial,J2560,CPT,both,130,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,34.41,,fee schedule,34.41,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.07,,fee schedule,35.07,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,32.77,,fee schedule,32.77,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
PHENobarbital 65 mg/ml Vial,J2560,CPT,both,65,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
OXYTOCIN 30U/500ML LR BAG,J2590,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN 10U/ML INJ 10ML V,J2590,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
PITOCIN INJ SYRINGE 10U,J2590,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin 30 units/500 ml PREMIX,J2590,CPT,both,30,UN,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin,J2590,CPT,both,10,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Oxytocin 100 UNIT/10ML MDV,J2590,CPT,both,10,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,ALLIANT,ALLIANT,,12.09,,fee schedule,12.09,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,AMBETTER,AMBETTER,,9.53,,fee schedule,9.53,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,MEDICARE,MEDICARE,,7.33,,fee schedule,7.33,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,TRICARE,TRICARE,,7.33,,fee schedule,7.33,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,7.33,,fee schedule,7.33,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,7.33,90,percent of total billed charges,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,7.33,90,percent of total billed charges,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,7.33,90,percent of total billed charges,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,7.33,90,fee schedule,
DDAVP INJ 4MCG,J2597,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,7.33,90,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,ALLIANT,ALLIANT,,12.09,,fee schedule,12.09,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,AMBETTER,AMBETTER,,9.53,,fee schedule,9.53,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,MEDICARE,MEDICARE,,7.33,,fee schedule,7.33,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,TRICARE,TRICARE,,7.33,,fee schedule,7.33,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,7.33,,fee schedule,7.33,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,7.33,22,percent of total billed charges,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,7.33,22,percent of total billed charges,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,7.33,22,percent of total billed charges,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,7.33,22,fee schedule,
DESMOPRESSIN INJ 4MCG/ML,J2597,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,7.33,22,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,AMERIGROUP,AMERIGROUP,,433.38,,fee schedule,433.38,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,441.63,,fee schedule,441.63,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,412.74,,fee schedule,412.74,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,AETNA,AETNA,,160.08,87,percent of total billed charges,160.08,160.08,441.63,percent of total billed charges,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160.08,87,percent of total billed charges,160.08,160.08,441.63,percent of total billed charges,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,UNITED HEALTHCARE,UNITED HEALTHCARE,,161.92,88,percent of total billed charges,161.92,160.08,441.63,percent of total billed charges,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,AETNA,AETNA,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,ALLIANT,ALLIANT,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,AMBETTER,AMBETTER,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,BEECH STREET,BEECH STREET,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,CARESOURCE,CARESOURCE,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,MEDICAID,MEDICAID,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,MEDICARE,MEDICARE,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,NOVA NET,NOVA NET,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,PEACHSTATE,PEACHSTATE,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,SELFPAY,SELFPAY,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,TRICARE,TRICARE,,184,,fee schedule,184,160.08,441.63,fee schedule,
PROCAINAMIDE INJ 1GM 10CC,J2690,CPT,both,,,184,184,UHC MEDICARE,UHC MEDICARE,,184,,fee schedule,184,160.08,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,433.38,,fee schedule,433.38,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,441.63,,fee schedule,441.63,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,412.74,,fee schedule,412.74,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,441.63,percent of total billed charges,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,441.63,percent of total billed charges,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,441.63,percent of total billed charges,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
Procainamide,J2690,CPT,both,1000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,441.63,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
DIPRIVAN 10MG/5ML 20ML AM,J2704,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,AETNA,AETNA,,130.5,87,percent of total billed charges,130.5,130.5,150,percent of total billed charges,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.5,87,percent of total billed charges,130.5,130.5,150,percent of total billed charges,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,UNITED HEALTHCARE,UNITED HEALTHCARE,,132,88,percent of total billed charges,132,130.5,150,percent of total billed charges,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,AETNA,AETNA,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,ALLIANT,ALLIANT,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,AMBETTER,AMBETTER,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,BEECH STREET,BEECH STREET,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,MEDICAID,MEDICAID,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,MEDICARE,MEDICARE,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,NOVA NET,NOVA NET,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,SELFPAY,SELFPAY,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,TRICARE,TRICARE,,150,,fee schedule,150,130.5,150,fee schedule,
PROPOFOL IV 500MG/50ML,J2704,CPT,both,,,150,150,UHC MEDICARE,UHC MEDICARE,,150,,fee schedule,150,130.5,150,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Propofol,J2704,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,0.84,,fee schedule,0.84,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,0.86,,fee schedule,0.86,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,0.8,,fee schedule,0.8,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,0.8,298,percent of total billed charges,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,0.8,298,percent of total billed charges,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,0.8,298,percent of total billed charges,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,ALLIANT,ALLIANT,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,AMBETTER,AMBETTER,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,MEDICARE,MEDICARE,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,TRICARE,TRICARE,,298,,fee schedule,298,0.8,298,fee schedule,
BLOXIVERZ 5MG/10ML INJ,J2710,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,298,,fee schedule,298,0.8,298,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,AMERIGROUP,AMERIGROUP,,0.84,,fee schedule,0.84,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,CARESOURCE,CARESOURCE,,0.86,,fee schedule,0.86,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,PEACHSTATE,PEACHSTATE,,0.8,,fee schedule,0.8,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,AETNA,AETNA,,90.48,87,percent of total billed charges,90.48,0.8,104,percent of total billed charges,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90.48,87,percent of total billed charges,90.48,0.8,104,percent of total billed charges,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,UNITED HEALTHCARE,UNITED HEALTHCARE,,91.52,88,percent of total billed charges,91.52,0.8,104,percent of total billed charges,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,AETNA,AETNA,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,ALLIANT,ALLIANT,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,AMBETTER,AMBETTER,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,BEECH STREET,BEECH STREET,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,CARESOURCE,CARESOURCE,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,MEDICAID,MEDICAID,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,MEDICARE,MEDICARE,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,NOVA NET,NOVA NET,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,PEACHSTATE,PEACHSTATE,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,SELFPAY,SELFPAY,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,TRICARE,TRICARE,,104,,fee schedule,104,0.8,104,fee schedule,
NEOSTIGMINE 5MG/5ML INJ,J2710,CPT,both,,,104,104,UHC MEDICARE,UHC MEDICARE,,104,,fee schedule,104,0.8,104,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.84,,fee schedule,0.84,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.86,,fee schedule,0.86,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.8,,fee schedule,0.8,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.8,34,percent of total billed charges,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.8,34,percent of total billed charges,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.8,34,percent of total billed charges,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.8,34,fee schedule,
PROSTIGMIN INJ 1:1000 1ML,J2710,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.8,34,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.84,,fee schedule,0.84,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.86,,fee schedule,0.86,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.8,,fee schedule,0.8,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.84,,fee schedule,0.84,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.86,,fee schedule,0.86,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.8,,fee schedule,0.8,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.84,,fee schedule,0.84,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.86,,fee schedule,0.86,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.8,,fee schedule,0.8,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.8,35.29,percent of total billed charges,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
Neostigmine,J2710,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.8,35.29,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,0.93,,fee schedule,0.93,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,0.95,,fee schedule,0.95,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,0.89,,fee schedule,0.89,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,0.89,12,percent of total billed charges,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,0.89,12,percent of total billed charges,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,0.89,12,percent of total billed charges,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE 10MG,J2720,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,0.89,12,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.93,,fee schedule,0.93,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.95,,fee schedule,0.95,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.89,,fee schedule,0.89,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.89,34,percent of total billed charges,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.89,34,percent of total billed charges,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.89,34,percent of total billed charges,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.89,34,fee schedule,
PROTAMINE SULFATE INJ 50M,J2720,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.89,34,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.93,,fee schedule,0.93,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.95,,fee schedule,0.95,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.89,,fee schedule,0.89,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.89,35.29,percent of total billed charges,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.89,35.29,percent of total billed charges,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.89,35.29,percent of total billed charges,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
Protamine,J2720,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.89,35.29,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,ALLIANT,ALLIANT,,743.09,,fee schedule,743.09,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,AMBETTER,AMBETTER,,585.47,,fee schedule,585.47,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,MEDICARE,MEDICARE,,450.36,,fee schedule,450.36,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,TRICARE,TRICARE,,450.36,,fee schedule,450.36,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,UHC MEDICARE,UHC MEDICARE,,450.36,,fee schedule,450.36,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,AETNA,AETNA,,289.71,87,percent of total billed charges,289.71,289.71,743.09,percent of total billed charges,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,289.71,87,percent of total billed charges,289.71,289.71,743.09,percent of total billed charges,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,UNITED HEALTHCARE,UNITED HEALTHCARE,,293.04,88,percent of total billed charges,293.04,289.71,743.09,percent of total billed charges,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,AETNA,AETNA,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,BEECH STREET,BEECH STREET,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,CARESOURCE,CARESOURCE,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,MEDICAID,MEDICAID,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,NOVA NET,NOVA NET,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,PEACHSTATE,PEACHSTATE,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,SELFPAY,SELFPAY,,333,,fee schedule,333,289.71,743.09,fee schedule,
REGITINE INJ 5MG,J2760,CPT,both,,,333,333,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,333,,fee schedule,333,289.71,743.09,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.97,,fee schedule,0.97,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.99,,fee schedule,0.99,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.93,,fee schedule,0.93,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.93,34,percent of total billed charges,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.93,34,percent of total billed charges,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.93,34,percent of total billed charges,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.93,34,fee schedule,
METOCLOPRAMIDE 10MG INJ,J2765,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.93,34,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,0.97,,fee schedule,0.97,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,0.99,,fee schedule,0.99,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,0.93,,fee schedule,0.93,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,0.93,12,percent of total billed charges,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,0.93,12,percent of total billed charges,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,0.93,12,percent of total billed charges,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,0.93,12,fee schedule,
REGLAN 10MG INJ. SDV,J2765,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,0.93,12,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.97,,fee schedule,0.97,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,0.99,,fee schedule,0.99,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.93,,fee schedule,0.93,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.93,35.29,percent of total billed charges,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.93,35.29,percent of total billed charges,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.93,35.29,percent of total billed charges,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
Metoclopramide,J2765,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.93,35.29,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,ALLIANT,ALLIANT,,562.42,,fee schedule,562.42,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,AMBETTER,AMBETTER,,443.12,,fee schedule,443.12,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,AMERIGROUP,AMERIGROUP,,389.45,,fee schedule,389.45,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,CARESOURCE,CARESOURCE,,396.87,,fee schedule,396.87,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,MEDICARE,MEDICARE,,340.86,,fee schedule,340.86,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,PEACHSTATE,PEACHSTATE,,370.9,,fee schedule,370.9,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,TRICARE,TRICARE,,340.86,,fee schedule,340.86,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,UHC MEDICARE,UHC MEDICARE,,340.86,,fee schedule,340.86,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,AETNA,AETNA,,1571.22,87,percent of total billed charges,1571.22,340.86,1806,percent of total billed charges,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1571.22,87,percent of total billed charges,1571.22,340.86,1806,percent of total billed charges,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,UNITED HEALTHCARE,UNITED HEALTHCARE,,1589.28,88,percent of total billed charges,1589.28,340.86,1806,percent of total billed charges,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,AETNA,AETNA,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,BEECH STREET,BEECH STREET,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,CARESOURCE,CARESOURCE,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,MEDICAID,MEDICAID,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,NOVA NET,NOVA NET,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,PEACHSTATE,PEACHSTATE,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,SELFPAY,SELFPAY,,1806,,fee schedule,1806,340.86,1806,fee schedule,
ELITEK 1.5MG VIAL,J2783,CPT,both,,,1806,1806,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1806,,fee schedule,1806,340.86,1806,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,AMERIGROUP,AMERIGROUP,,3.56,,fee schedule,3.56,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,CARESOURCE,CARESOURCE,,3.63,,fee schedule,3.63,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,PEACHSTATE,PEACHSTATE,,3.39,,fee schedule,3.39,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,AETNA,AETNA,,464.58,87,percent of total billed charges,464.58,3.39,534,percent of total billed charges,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464.58,87,percent of total billed charges,464.58,3.39,534,percent of total billed charges,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,UNITED HEALTHCARE,UNITED HEALTHCARE,,469.92,88,percent of total billed charges,469.92,3.39,534,percent of total billed charges,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,AETNA,AETNA,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,ALLIANT,ALLIANT,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,AMBETTER,AMBETTER,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,BEECH STREET,BEECH STREET,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,CARESOURCE,CARESOURCE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,MEDICAID,MEDICAID,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,MEDICARE,MEDICARE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,NOVA NET,NOVA NET,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,PEACHSTATE,PEACHSTATE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,SELFPAY,SELFPAY,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,TRICARE,TRICARE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML INJECT,J2785,CPT,both,,,534,534,UHC MEDICARE,UHC MEDICARE,,534,,fee schedule,534,3.39,534,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,AMERIGROUP,AMERIGROUP,,3.56,,fee schedule,3.56,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,CARESOURCE,CARESOURCE,,3.63,,fee schedule,3.63,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,PEACHSTATE,PEACHSTATE,,3.39,,fee schedule,3.39,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,AETNA,AETNA,,685.56,87,percent of total billed charges,685.56,3.39,788,percent of total billed charges,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,685.56,87,percent of total billed charges,685.56,3.39,788,percent of total billed charges,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,UNITED HEALTHCARE,UNITED HEALTHCARE,,693.44,88,percent of total billed charges,693.44,3.39,788,percent of total billed charges,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,AETNA,AETNA,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,ALLIANT,ALLIANT,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,AMBETTER,AMBETTER,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,BEECH STREET,BEECH STREET,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,CARESOURCE,CARESOURCE,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,MEDICAID,MEDICAID,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,MEDICARE,MEDICARE,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,NOVA NET,NOVA NET,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,PEACHSTATE,PEACHSTATE,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,SELFPAY,SELFPAY,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,TRICARE,TRICARE,,788,,fee schedule,788,3.39,788,fee schedule,
LEXISCAN 0.4MG/5ML PRE-FI,J2785,CPT,both,,,788,788,UHC MEDICARE,UHC MEDICARE,,788,,fee schedule,788,3.39,788,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.56,,fee schedule,3.56,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,3.63,,fee schedule,3.63,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.39,,fee schedule,3.39,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.39,35.29,percent of total billed charges,
Regadenoson,J2785,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.39,35.29,percent of total billed charges,
Regadenoson,J2785,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.39,35.29,percent of total billed charges,
Regadenoson,J2785,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
Regadenoson,J2785,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.39,35.29,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,ALLIANT,ALLIANT,,16.67,,fee schedule,16.67,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,AMBETTER,AMBETTER,,13.13,,fee schedule,13.13,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,AMERIGROUP,AMERIGROUP,,10.59,,fee schedule,10.59,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,CARESOURCE,CARESOURCE,,10.79,,fee schedule,10.79,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,MEDICARE,MEDICARE,,10.1,,fee schedule,10.1,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,PEACHSTATE,PEACHSTATE,,10.09,,fee schedule,10.09,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,TRICARE,TRICARE,,10.1,,fee schedule,10.1,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,UHC MEDICARE,UHC MEDICARE,,10.1,,fee schedule,10.1,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,AETNA,AETNA,,896.1,87,percent of total billed charges,896.1,10.09,1030,percent of total billed charges,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,896.1,87,percent of total billed charges,896.1,10.09,1030,percent of total billed charges,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,UNITED HEALTHCARE,UNITED HEALTHCARE,,906.4,88,percent of total billed charges,906.4,10.09,1030,percent of total billed charges,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,AETNA,AETNA,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,BEECH STREET,BEECH STREET,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,CARESOURCE,CARESOURCE,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,MEDICAID,MEDICAID,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,NOVA NET,NOVA NET,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,PEACHSTATE,PEACHSTATE,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,SELFPAY,SELFPAY,,1030,,fee schedule,1030,10.09,1030,fee schedule,
CINQAIR 100MG/10ML,J2786,CPT,both,,,1030,1030,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1030,,fee schedule,1030,10.09,1030,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,ALLIANT,ALLIANT,,16.67,,fee schedule,16.67,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,AMBETTER,AMBETTER,,13.13,,fee schedule,13.13,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,10.59,,fee schedule,10.59,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,10.79,,fee schedule,10.79,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,MEDICARE,MEDICARE,,10.1,,fee schedule,10.1,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,10.09,,fee schedule,10.09,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,TRICARE,TRICARE,,10.1,,fee schedule,10.1,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,10.1,,fee schedule,10.1,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,10.09,139.78,percent of total billed charges,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,10.09,139.78,percent of total billed charges,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,10.09,139.78,percent of total billed charges,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
Reslizumab,J2786,CPT,both,100,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,10.09,139.78,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,81.18,,fee schedule,81.18,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,82.73,,fee schedule,82.73,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,77.32,,fee schedule,77.32,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,77.32,695,percent of total billed charges,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,77.32,695,percent of total billed charges,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,77.32,695,percent of total billed charges,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,ALLIANT,ALLIANT,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,AMBETTER,AMBETTER,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,MEDICARE,MEDICARE,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,TRICARE,TRICARE,,695,,fee schedule,695,77.32,695,fee schedule,
RHOGAM 300MCG INJ,J2790,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,695,,fee schedule,695,77.32,695,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,81.18,,fee schedule,81.18,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,CARESOURCE,CARESOURCE,,82.73,,fee schedule,82.73,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,77.32,,fee schedule,77.32,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,82.73,percent of total billed charges,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,82.73,percent of total billed charges,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,82.73,percent of total billed charges,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
Rho(D) Immune Globulin (1500 units) 300 MCG SYRINGE,J2790,CPT,both,300,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,82.73,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,AMERIGROUP,AMERIGROUP,,5,,fee schedule,5,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,CARESOURCE,CARESOURCE,,5.09,,fee schedule,5.09,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,PEACHSTATE,PEACHSTATE,,4.76,,fee schedule,4.76,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,AETNA,AETNA,,261,87,percent of total billed charges,261,4.76,300,percent of total billed charges,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261,87,percent of total billed charges,261,4.76,300,percent of total billed charges,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,UNITED HEALTHCARE,UNITED HEALTHCARE,,264,88,percent of total billed charges,264,4.76,300,percent of total billed charges,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,AETNA,AETNA,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,ALLIANT,ALLIANT,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,AMBETTER,AMBETTER,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,BEECH STREET,BEECH STREET,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,CARESOURCE,CARESOURCE,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,MEDICAID,MEDICAID,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,MEDICARE,MEDICARE,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,NOVA NET,NOVA NET,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,PEACHSTATE,PEACHSTATE,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,SELFPAY,SELFPAY,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,TRICARE,TRICARE,,300,,fee schedule,300,4.76,300,fee schedule,
RH IMMUNE GLOBULIN (RHOPH,J2791,CPT,both,,,300,300,UHC MEDICARE,UHC MEDICARE,,300,,fee schedule,300,4.76,300,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,ALLIANT,ALLIANT,,54.32,,fee schedule,54.32,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,AMBETTER,AMBETTER,,42.8,,fee schedule,42.8,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,AMERIGROUP,AMERIGROUP,,35.41,,fee schedule,35.41,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,CARESOURCE,CARESOURCE,,36.08,,fee schedule,36.08,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,MEDICARE,MEDICARE,,32.92,,fee schedule,32.92,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,PEACHSTATE,PEACHSTATE,,33.72,,fee schedule,33.72,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,TRICARE,TRICARE,,32.92,,fee schedule,32.92,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,UHC MEDICARE,UHC MEDICARE,,32.92,,fee schedule,32.92,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,AETNA,AETNA,,4563.15,87,percent of total billed charges,4563.15,32.92,5245,percent of total billed charges,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4563.15,87,percent of total billed charges,4563.15,32.92,5245,percent of total billed charges,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,UNITED HEALTHCARE,UNITED HEALTHCARE,,4615.6,88,percent of total billed charges,4615.6,32.92,5245,percent of total billed charges,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,AETNA,AETNA,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,BEECH STREET,BEECH STREET,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,CARESOURCE,CARESOURCE,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,MEDICAID,MEDICAID,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,NOVA NET,NOVA NET,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,PEACHSTATE,PEACHSTATE,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,SELFPAY,SELFPAY,,5245,,fee schedule,5245,32.92,5245,fee schedule,
WINRHO 5000U 1 VL W/DIL,J2792,CPT,both,,,5245,5245,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5245,,fee schedule,5245,32.92,5245,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,71.34,82,percent of total billed charges,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,71.34,82,percent of total billed charges,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.2% 20ML INJ,J2795,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,71.34,82,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,63.51,73,percent of total billed charges,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,63.51,73,percent of total billed charges,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,ALLIANT,ALLIANT,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,AMBETTER,AMBETTER,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,MEDICARE,MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,TRICARE,TRICARE,,73,,fee schedule,73,63.51,73,fee schedule,
ROPIVACAINE 0.5% INJ 20ML,J2795,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,73,,fee schedule,73,63.51,73,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ropivacaine (0.2%)/PF 20 ML SDV,J2795,CPT,both,20,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,ALLIANT,ALLIANT,,150.55,,fee schedule,150.55,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,AMBETTER,AMBETTER,,118.61,,fee schedule,118.61,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,AMERIGROUP,AMERIGROUP,,105.85,,fee schedule,105.85,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,CARESOURCE,CARESOURCE,,107.87,,fee schedule,107.87,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,MEDICARE,MEDICARE,,91.24,,fee schedule,91.24,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,PEACHSTATE,PEACHSTATE,,100.81,,fee schedule,100.81,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,TRICARE,TRICARE,,91.24,,fee schedule,91.24,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,UHC MEDICARE,UHC MEDICARE,,91.24,,fee schedule,91.24,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,AETNA,AETNA,,7314.96,87,percent of total billed charges,7314.96,91.24,8408,percent of total billed charges,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7314.96,87,percent of total billed charges,7314.96,91.24,8408,percent of total billed charges,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,UNITED HEALTHCARE,UNITED HEALTHCARE,,7399.04,88,percent of total billed charges,7399.04,91.24,8408,percent of total billed charges,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,AETNA,AETNA,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,BEECH STREET,BEECH STREET,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,CARESOURCE,CARESOURCE,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,MEDICAID,MEDICAID,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,NOVA NET,NOVA NET,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,PEACHSTATE,PEACHSTATE,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,SELFPAY,SELFPAY,,8408,,fee schedule,8408,91.24,8408,fee schedule,
ROMIPLOSTIM 250MCG VIAL,J2796,CPT,both,,,8408,8408,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8408,,fee schedule,8408,91.24,8408,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,ALLIANT,ALLIANT,,150.55,,fee schedule,150.55,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,AMBETTER,AMBETTER,,118.61,,fee schedule,118.61,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,105.85,,fee schedule,105.85,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,CARESOURCE,CARESOURCE,,107.87,,fee schedule,107.87,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,MEDICARE,MEDICARE,,91.24,,fee schedule,91.24,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,100.81,,fee schedule,100.81,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,TRICARE,TRICARE,,91.24,,fee schedule,91.24,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,91.24,,fee schedule,91.24,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,150.55,percent of total billed charges,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,150.55,percent of total billed charges,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,150.55,percent of total billed charges,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 125 MCG Vial,J2796,CPT,both,125,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,ALLIANT,ALLIANT,,150.55,,fee schedule,150.55,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,AMBETTER,AMBETTER,,118.61,,fee schedule,118.61,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,105.85,,fee schedule,105.85,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,CARESOURCE,CARESOURCE,,107.87,,fee schedule,107.87,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,MEDICARE,MEDICARE,,91.24,,fee schedule,91.24,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,100.81,,fee schedule,100.81,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,TRICARE,TRICARE,,91.24,,fee schedule,91.24,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,91.24,,fee schedule,91.24,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,150.55,percent of total billed charges,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,150.55,percent of total billed charges,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,150.55,percent of total billed charges,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
romiPLOStim 500 MCG Vial,J2796,CPT,both,500,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,150.55,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,8.5,,fee schedule,8.5,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,8.67,,fee schedule,8.67,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,8.1,,fee schedule,8.1,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,8.1,34,percent of total billed charges,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,8.1,34,percent of total billed charges,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,8.1,34,percent of total billed charges,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,8.1,34,fee schedule,
ROBAXIN INJ 1GM 10ML,J2800,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,8.1,34,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,8.5,,fee schedule,8.5,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,8.67,,fee schedule,8.67,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,8.1,,fee schedule,8.1,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,8.1,35.29,percent of total billed charges,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,8.1,35.29,percent of total billed charges,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,8.1,35.29,percent of total billed charges,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
"Methocarbamol 1,000 mg/10 ml Vial",J2800,CPT,both,1000,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,8.1,35.29,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,AETNA,AETNA,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,321.9,87,percent of total billed charges,321.9,321.9,370,percent of total billed charges,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,UNITED HEALTHCARE,UNITED HEALTHCARE,,325.6,88,percent of total billed charges,325.6,321.9,370,percent of total billed charges,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,AETNA,AETNA,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,ALLIANT,ALLIANT,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,AMBETTER,AMBETTER,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,BEECH STREET,BEECH STREET,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,CARESOURCE,CARESOURCE,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,MEDICAID,MEDICAID,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,MEDICARE,MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,NOVA NET,NOVA NET,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,PEACHSTATE,PEACHSTATE,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,SELFPAY,SELFPAY,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,TRICARE,TRICARE,,370,,fee schedule,370,321.9,370,fee schedule,
KINEVAC INJECTION,J2805,CPT,both,,,370,370,UHC MEDICARE,UHC MEDICARE,,370,,fee schedule,370,321.9,370,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,ALLIANT,ALLIANT,,93.23,,fee schedule,93.23,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,AMBETTER,AMBETTER,,73.45,,fee schedule,73.45,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,AMERIGROUP,AMERIGROUP,,62.99,,fee schedule,62.99,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,CARESOURCE,CARESOURCE,,64.19,,fee schedule,64.19,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,MEDICARE,MEDICARE,,56.5,,fee schedule,56.5,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,TRICARE,TRICARE,,56.5,,fee schedule,56.5,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,UHC MEDICARE,UHC MEDICARE,,56.5,,fee schedule,56.5,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,AETNA,AETNA,,395.85,87,percent of total billed charges,395.85,56.5,455,percent of total billed charges,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,395.85,87,percent of total billed charges,395.85,56.5,455,percent of total billed charges,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,UNITED HEALTHCARE,UNITED HEALTHCARE,,400.4,88,percent of total billed charges,400.4,56.5,455,percent of total billed charges,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,AETNA,AETNA,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,BEECH STREET,BEECH STREET,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,CARESOURCE,CARESOURCE,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,MEDICAID,MEDICAID,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,NOVA NET,NOVA NET,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,PEACHSTATE,PEACHSTATE,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,SELFPAY,SELFPAY,,455,,fee schedule,455,56.5,455,fee schedule,
LEUKINE 250 MCG INJ,J2820,CPT,both,,,455,455,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,455,,fee schedule,455,56.5,455,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,2.24,,fee schedule,2.24,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,2.29,,fee schedule,2.29,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,2.14,,fee schedule,2.14,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,2.14,26,percent of total billed charges,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,2.14,26,percent of total billed charges,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,2.14,26,percent of total billed charges,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 12.5MG,J2916,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,2.14,26,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,AMERIGROUP,AMERIGROUP,,2.24,,fee schedule,2.24,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,2.29,,fee schedule,2.29,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,2.14,,fee schedule,2.14,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,AETNA,AETNA,,89.61,87,percent of total billed charges,89.61,2.14,103,percent of total billed charges,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89.61,87,percent of total billed charges,89.61,2.14,103,percent of total billed charges,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,UNITED HEALTHCARE,UNITED HEALTHCARE,,90.64,88,percent of total billed charges,90.64,2.14,103,percent of total billed charges,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,AETNA,AETNA,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,ALLIANT,ALLIANT,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,AMBETTER,AMBETTER,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,BEECH STREET,BEECH STREET,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,CARESOURCE,CARESOURCE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,MEDICAID,MEDICAID,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,MEDICARE,MEDICARE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,NOVA NET,NOVA NET,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,PEACHSTATE,PEACHSTATE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,SELFPAY,SELFPAY,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,TRICARE,TRICARE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5 MCG SDV,J2916,CPT,both,,,103,103,UHC MEDICARE,UHC MEDICARE,,103,,fee schedule,103,2.14,103,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,AMERIGROUP,AMERIGROUP,,2.24,,fee schedule,2.24,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,2.29,,fee schedule,2.29,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,2.14,,fee schedule,2.14,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,AETNA,AETNA,,93.96,87,percent of total billed charges,93.96,2.14,108,percent of total billed charges,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93.96,87,percent of total billed charges,93.96,2.14,108,percent of total billed charges,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.04,88,percent of total billed charges,95.04,2.14,108,percent of total billed charges,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,AETNA,AETNA,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,ALLIANT,ALLIANT,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,AMBETTER,AMBETTER,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,BEECH STREET,BEECH STREET,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,MEDICAID,MEDICAID,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,MEDICARE,MEDICARE,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,NOVA NET,NOVA NET,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,SELFPAY,SELFPAY,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,TRICARE,TRICARE,,108,,fee schedule,108,2.14,108,fee schedule,
FERRLECIT 62.5MG/5ML AMP,J2916,CPT,both,,,108,108,UHC MEDICARE,UHC MEDICARE,,108,,fee schedule,108,2.14,108,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
"methylPREDNISolone Sod Succ 1,000 mg/16 ml Vial",J2919,CPT,both,1000,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 125 mg/2 ml Vial,J2919,CPT,both,125,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 40 mg/ml Vial,J2919,CPT,both,40,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 4,J2920,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 1,J2930,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,AETNA,AETNA,,87.87,87,percent of total billed charges,87.87,87.87,101,percent of total billed charges,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87.87,87,percent of total billed charges,87.87,87.87,101,percent of total billed charges,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,UNITED HEALTHCARE,UNITED HEALTHCARE,,88.88,88,percent of total billed charges,88.88,87.87,101,percent of total billed charges,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,AETNA,AETNA,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,ALLIANT,ALLIANT,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,AMBETTER,AMBETTER,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,BEECH STREET,BEECH STREET,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,CARESOURCE,CARESOURCE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,MEDICAID,MEDICAID,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,MEDICARE,MEDICARE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,NOVA NET,NOVA NET,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,PEACHSTATE,PEACHSTATE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,SELFPAY,SELFPAY,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,TRICARE,TRICARE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOL SOD SUC 5,J2930,CPT,both,,,101,101,UHC MEDICARE,UHC MEDICARE,,101,,fee schedule,101,87.87,101,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,112.23,129,percent of total billed charges,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,112.23,129,percent of total billed charges,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,112.23,129,percent of total billed charges,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,112.23,129,fee schedule,
METHYLPREDNISOLONE SOD SU,J2930,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,112.23,129,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,28.71,33,percent of total billed charges,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,28.71,33,percent of total billed charges,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,28.71,33,fee schedule,
SOLU-MEDROL 125MG INJ,J2930,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,28.71,33,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
methylPREDNISolone Sod Succ 500 mg Vial,J2930,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,ALLIANT,ALLIANT,,145.25,,fee schedule,145.25,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,AMBETTER,AMBETTER,,114.44,,fee schedule,114.44,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,MEDICARE,MEDICARE,,88.03,,fee schedule,88.03,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,TRICARE,TRICARE,,88.03,,fee schedule,88.03,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,UHC MEDICARE,UHC MEDICARE,,88.03,,fee schedule,88.03,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,AETNA,AETNA,,10341.69,87,percent of total billed charges,10341.69,88.03,11887,percent of total billed charges,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10341.69,87,percent of total billed charges,10341.69,88.03,11887,percent of total billed charges,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,UNITED HEALTHCARE,UNITED HEALTHCARE,,10460.56,88,percent of total billed charges,10460.56,88.03,11887,percent of total billed charges,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,AETNA,AETNA,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,BEECH STREET,BEECH STREET,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,CARESOURCE,CARESOURCE,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,MEDICAID,MEDICAID,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,NOVA NET,NOVA NET,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,PEACHSTATE,PEACHSTATE,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,SELFPAY,SELFPAY,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE (ALTEPLASE) 100MG VIA,J2997,CPT,both,,,11887,11887,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11887,,fee schedule,11887,88.03,11887,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,ALLIANT,ALLIANT,,145.25,,fee schedule,145.25,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,AMBETTER,AMBETTER,,114.44,,fee schedule,114.44,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,MEDICARE,MEDICARE,,88.03,,fee schedule,88.03,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,TRICARE,TRICARE,,88.03,,fee schedule,88.03,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,88.03,,fee schedule,88.03,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,88.03,253,percent of total billed charges,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,88.03,253,percent of total billed charges,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,88.03,253,percent of total billed charges,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 2MG/2ML SYRINGE,J2997,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,ALLIANT,ALLIANT,,145.25,,fee schedule,145.25,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,AMBETTER,AMBETTER,,114.44,,fee schedule,114.44,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,MEDICARE,MEDICARE,,88.03,,fee schedule,88.03,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,TRICARE,TRICARE,,88.03,,fee schedule,88.03,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,UHC MEDICARE,UHC MEDICARE,,88.03,,fee schedule,88.03,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,AETNA,AETNA,,4379.58,87,percent of total billed charges,4379.58,88.03,5034,percent of total billed charges,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4379.58,87,percent of total billed charges,4379.58,88.03,5034,percent of total billed charges,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,UNITED HEALTHCARE,UNITED HEALTHCARE,,4429.92,88,percent of total billed charges,4429.92,88.03,5034,percent of total billed charges,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,AETNA,AETNA,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,BEECH STREET,BEECH STREET,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,CARESOURCE,CARESOURCE,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,MEDICAID,MEDICAID,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,NOVA NET,NOVA NET,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,PEACHSTATE,PEACHSTATE,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,SELFPAY,SELFPAY,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE 50MG IV3,J2997,CPT,both,,,5034,5034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5034,,fee schedule,5034,88.03,5034,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,ALLIANT,ALLIANT,,145.25,,fee schedule,145.25,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,AMBETTER,AMBETTER,,114.44,,fee schedule,114.44,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,MEDICARE,MEDICARE,,88.03,,fee schedule,88.03,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,TRICARE,TRICARE,,88.03,,fee schedule,88.03,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,UHC MEDICARE,UHC MEDICARE,,88.03,,fee schedule,88.03,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,AETNA,AETNA,,220.11,87,percent of total billed charges,220.11,88.03,253,percent of total billed charges,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,220.11,87,percent of total billed charges,220.11,88.03,253,percent of total billed charges,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,UNITED HEALTHCARE,UNITED HEALTHCARE,,222.64,88,percent of total billed charges,222.64,88.03,253,percent of total billed charges,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,AETNA,AETNA,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,BEECH STREET,BEECH STREET,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,CARESOURCE,CARESOURCE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,MEDICAID,MEDICAID,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,NOVA NET,NOVA NET,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,PEACHSTATE,PEACHSTATE,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,SELFPAY,SELFPAY,,253,,fee schedule,253,88.03,253,fee schedule,
ACTIVASE FOR DECLOT PROCEDURE,J2997,CPT,both,,,253,253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,253,,fee schedule,253,88.03,253,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,ALLIANT,ALLIANT,,145.25,,fee schedule,145.25,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,AMBETTER,AMBETTER,,114.44,,fee schedule,114.44,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,MEDICARE,MEDICARE,,88.03,,fee schedule,88.03,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,TRICARE,TRICARE,,88.03,,fee schedule,88.03,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,UHC MEDICARE,UHC MEDICARE,,88.03,,fee schedule,88.03,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,AETNA,AETNA,,211.41,87,percent of total billed charges,211.41,88.03,243,percent of total billed charges,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,211.41,87,percent of total billed charges,211.41,88.03,243,percent of total billed charges,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,UNITED HEALTHCARE,UNITED HEALTHCARE,,213.84,88,percent of total billed charges,213.84,88.03,243,percent of total billed charges,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,AETNA,AETNA,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,BEECH STREET,BEECH STREET,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,CARESOURCE,CARESOURCE,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,MEDICAID,MEDICAID,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,NOVA NET,NOVA NET,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,PEACHSTATE,PEACHSTATE,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,SELFPAY,SELFPAY,,243,,fee schedule,243,88.03,243,fee schedule,
CATH-FLOW (ALTEPLASE 2MG),J2997,CPT,both,,,243,243,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,243,,fee schedule,243,88.03,243,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,145.25,,fee schedule,145.25,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,114.44,,fee schedule,114.44,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,88.03,,fee schedule,88.03,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,88.03,,fee schedule,88.03,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,88.03,,fee schedule,88.03,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,145.25,percent of total billed charges,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,145.25,percent of total billed charges,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,145.25,percent of total billed charges,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
Alteplase,J2997,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,145.25,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,33.57,,fee schedule,33.57,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34.21,,fee schedule,34.21,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,31.98,,fee schedule,31.98,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34.21,percent of total billed charges,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34.21,percent of total billed charges,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34.21,percent of total billed charges,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34.21,fee schedule,
STREPTOMYCIN 1GM SDV,J3000,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34.21,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,AMERIGROUP,AMERIGROUP,,33.57,,fee schedule,33.57,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,34.21,,fee schedule,34.21,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,31.98,,fee schedule,31.98,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Streptomycin 1gm Vial,J3000,CPT,both,1,GR,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,AETNA,AETNA,,39.15,87,percent of total billed charges,39.15,0.84,45,percent of total billed charges,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39.15,87,percent of total billed charges,39.15,0.84,45,percent of total billed charges,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,UNITED HEALTHCARE,UNITED HEALTHCARE,,39.6,88,percent of total billed charges,39.6,0.84,45,percent of total billed charges,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,AETNA,AETNA,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,ALLIANT,ALLIANT,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,AMBETTER,AMBETTER,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,BEECH STREET,BEECH STREET,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,CARESOURCE,CARESOURCE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,MEDICAID,MEDICAID,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,MEDICARE,MEDICARE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,NOVA NET,NOVA NET,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,PEACHSTATE,PEACHSTATE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,SELFPAY,SELFPAY,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,TRICARE,TRICARE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2500MCG/250ML IVPB,J3010,CPT,both,,,45,45,UHC MEDICARE,UHC MEDICARE,,45,,fee schedule,45,0.84,45,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,AETNA,AETNA,,154.86,87,percent of total billed charges,154.86,0.84,178,percent of total billed charges,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,154.86,87,percent of total billed charges,154.86,0.84,178,percent of total billed charges,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,UNITED HEALTHCARE,UNITED HEALTHCARE,,156.64,88,percent of total billed charges,156.64,0.84,178,percent of total billed charges,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,AETNA,AETNA,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,ALLIANT,ALLIANT,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,AMBETTER,AMBETTER,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,BEECH STREET,BEECH STREET,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,CARESOURCE,CARESOURCE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,MEDICAID,MEDICAID,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,MEDICARE,MEDICARE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,NOVA NET,NOVA NET,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,PEACHSTATE,PEACHSTATE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,SELFPAY,SELFPAY,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,TRICARE,TRICARE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 2MCG/ML/BUPIVACA,J3010,CPT,both,,,178,178,UHC MEDICARE,UHC MEDICARE,,178,,fee schedule,178,0.84,178,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,0.84,156,percent of total billed charges,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,0.84,156,percent of total billed charges,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,0.84,156,percent of total billed charges,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 5000MCG/NS 250ML,J3010,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,0.84,156,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,AETNA,AETNA,,1.74,87,percent of total billed charges,1.74,0.84,2,percent of total billed charges,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1.74,87,percent of total billed charges,1.74,0.84,2,percent of total billed charges,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,UNITED HEALTHCARE,UNITED HEALTHCARE,,1.76,88,percent of total billed charges,1.76,0.84,2,percent of total billed charges,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,AETNA,AETNA,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,ALLIANT,ALLIANT,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,AMBETTER,AMBETTER,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,BEECH STREET,BEECH STREET,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,CARESOURCE,CARESOURCE,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,MEDICAID,MEDICAID,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,MEDICARE,MEDICARE,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,NOVA NET,NOVA NET,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,SELFPAY,SELFPAY,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,TRICARE,TRICARE,,2,,fee schedule,2,0.84,2,fee schedule,
FENTANYL 50MCG/1ML VIAL,J3010,CPT,both,,,2,2,UHC MEDICARE,UHC MEDICARE,,2,,fee schedule,2,0.84,2,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.84,34,percent of total billed charges,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.84,34,percent of total billed charges,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.84,34,percent of total billed charges,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 2ML,J3010,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.84,34,percent of total billed charges,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.84,34,percent of total billed charges,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.84,34,percent of total billed charges,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.84,34,fee schedule,
SUBLIMAZE INJ 5ML,J3010,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.84,34,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.84,35.29,percent of total billed charges,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL 2 mcg/ml-Bupivacaine 0.125%-NS 100 ml Epidural,J3010,CPT,both,100,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.84,35.29,percent of total billed charges,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 100 mcg/2 ml Ampul,J3010,CPT,both,100,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.84,149.77,percent of total billed charges,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.84,149.77,percent of total billed charges,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.84,149.77,percent of total billed charges,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
"fentaNYL Drip 2,500 MCG/250 ML",J3010,CPT,both,2500,F2,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.84,149.77,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.84,35.29,percent of total billed charges,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
fentaNYL PF 250 mcg/5 ml Ampul/Vial,J3010,CPT,both,250,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.88,,fee schedule,0.88,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.9,,fee schedule,0.9,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.84,,fee schedule,0.84,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
NULL,J3010,CPT,both,50,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.84,35.29,percent of total billed charges,
NULL,J3010,CPT,both,50,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.84,35.29,percent of total billed charges,
NULL,J3010,CPT,both,50,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
NULL,J3010,CPT,both,50,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.84,35.29,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,AMERIGROUP,AMERIGROUP,,65.89,,fee schedule,65.89,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,CARESOURCE,CARESOURCE,,67.14,,fee schedule,67.14,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,PEACHSTATE,PEACHSTATE,,62.75,,fee schedule,62.75,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,AETNA,AETNA,,449.79,87,percent of total billed charges,449.79,62.75,517,percent of total billed charges,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,449.79,87,percent of total billed charges,449.79,62.75,517,percent of total billed charges,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,UNITED HEALTHCARE,UNITED HEALTHCARE,,454.96,88,percent of total billed charges,454.96,62.75,517,percent of total billed charges,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,AETNA,AETNA,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,ALLIANT,ALLIANT,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,AMBETTER,AMBETTER,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,BEECH STREET,BEECH STREET,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,CARESOURCE,CARESOURCE,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,MEDICAID,MEDICAID,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,MEDICARE,MEDICARE,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,NOVA NET,NOVA NET,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,PEACHSTATE,PEACHSTATE,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,SELFPAY,SELFPAY,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,TRICARE,TRICARE,,517,,fee schedule,517,62.75,517,fee schedule,
IMITREX INK 6 MG 0.5ML,J3030,CPT,both,,,517,517,UHC MEDICARE,UHC MEDICARE,,517,,fee schedule,517,62.75,517,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,65.89,,fee schedule,65.89,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,67.14,,fee schedule,67.14,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,62.75,,fee schedule,62.75,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,67.14,percent of total billed charges,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,67.14,percent of total billed charges,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,67.14,percent of total billed charges,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
SUMAtriptan 6 mg/0.5 ml Vial,J3030,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,67.14,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,ALLIANT,ALLIANT,,27.87,,fee schedule,27.87,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,AMBETTER,AMBETTER,,21.96,,fee schedule,21.96,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,AMERIGROUP,AMERIGROUP,,19.59,,fee schedule,19.59,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,CARESOURCE,CARESOURCE,,19.96,,fee schedule,19.96,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,MEDICARE,MEDICARE,,16.89,,fee schedule,16.89,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,PEACHSTATE,PEACHSTATE,,18.66,,fee schedule,18.66,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,TRICARE,TRICARE,,16.89,,fee schedule,16.89,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,UHC MEDICARE,UHC MEDICARE,,16.89,,fee schedule,16.89,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,AETNA,AETNA,,1485.09,87,percent of total billed charges,1485.09,16.89,1707,percent of total billed charges,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1485.09,87,percent of total billed charges,1485.09,16.89,1707,percent of total billed charges,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,UNITED HEALTHCARE,UNITED HEALTHCARE,,1502.16,88,percent of total billed charges,1502.16,16.89,1707,percent of total billed charges,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,AETNA,AETNA,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,BEECH STREET,BEECH STREET,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,CARESOURCE,CARESOURCE,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,MEDICAID,MEDICAID,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,NOVA NET,NOVA NET,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,PEACHSTATE,PEACHSTATE,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,SELFPAY,SELFPAY,,1707,,fee schedule,1707,16.89,1707,fee schedule,
VYEPTI 100MG/1ML VIAL,J3032,CPT,both,,,1707,1707,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1707,,fee schedule,1707,16.89,1707,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,27.87,,fee schedule,27.87,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,21.96,,fee schedule,21.96,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,19.59,,fee schedule,19.59,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,19.96,,fee schedule,19.96,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,16.89,,fee schedule,16.89,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,18.66,,fee schedule,18.66,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,16.89,,fee schedule,16.89,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,16.89,,fee schedule,16.89,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,16.89,149.77,percent of total billed charges,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,16.89,149.77,percent of total billed charges,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,16.89,149.77,percent of total billed charges,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
Eptinezumab-jjmr 100 MG/ML Vial,J3032,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,16.89,149.77,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,ALLIANT,ALLIANT,,237.02,,fee schedule,237.02,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,AMBETTER,AMBETTER,,186.75,,fee schedule,186.75,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,MEDICARE,MEDICARE,,143.65,,fee schedule,143.65,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,TRICARE,TRICARE,,143.65,,fee schedule,143.65,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,UHC MEDICARE,UHC MEDICARE,,143.65,,fee schedule,143.65,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,AETNA,AETNA,,16343.82,87,percent of total billed charges,16343.82,143.65,18786,percent of total billed charges,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16343.82,87,percent of total billed charges,16343.82,143.65,18786,percent of total billed charges,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,UNITED HEALTHCARE,UNITED HEALTHCARE,,16531.68,88,percent of total billed charges,16531.68,143.65,18786,percent of total billed charges,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,AETNA,AETNA,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,BEECH STREET,BEECH STREET,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,CARESOURCE,CARESOURCE,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,MEDICAID,MEDICAID,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,NOVA NET,NOVA NET,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,PEACHSTATE,PEACHSTATE,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,SELFPAY,SELFPAY,,18786,,fee schedule,18786,143.65,18786,fee schedule,
TNKASE 50 MG KIT,J3101,CPT,both,,,18786,18786,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,18786,,fee schedule,18786,143.65,18786,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,3.85,,fee schedule,3.85,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,3.92,,fee schedule,3.92,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,3.66,,fee schedule,3.66,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,3.66,34,percent of total billed charges,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,3.66,34,percent of total billed charges,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,3.66,34,percent of total billed charges,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,3.66,34,fee schedule,
BRETHINE AMPS. 1MG/ML,J3105,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,3.66,34,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.85,,fee schedule,3.85,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.92,,fee schedule,3.92,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.66,,fee schedule,3.66,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.66,35.29,percent of total billed charges,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.66,35.29,percent of total billed charges,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.66,35.29,percent of total billed charges,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
Terbutaline,J3105,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.66,35.29,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,AETNA,AETNA,,1642.56,87,percent of total billed charges,1642.56,1642.56,1888,percent of total billed charges,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1642.56,87,percent of total billed charges,1642.56,1642.56,1888,percent of total billed charges,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,UNITED HEALTHCARE,UNITED HEALTHCARE,,1661.44,88,percent of total billed charges,1661.44,1642.56,1888,percent of total billed charges,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,AETNA,AETNA,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,ALLIANT,ALLIANT,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,AMBETTER,AMBETTER,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,BEECH STREET,BEECH STREET,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,CARESOURCE,CARESOURCE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,MEDICAID,MEDICAID,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,MEDICARE,MEDICARE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,NOVA NET,NOVA NET,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,PEACHSTATE,PEACHSTATE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,SELFPAY,SELFPAY,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,TRICARE,TRICARE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
FORTEO PEN 750MCG/3ML KIT,J3110,CPT,both,,,1888,1888,UHC MEDICARE,UHC MEDICARE,,1888,,fee schedule,1888,1642.56,1888,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Teriparatide,J3110,CPT,both,20,F2,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,ALLIANT,ALLIANT,,16.43,,fee schedule,16.43,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,AMBETTER,AMBETTER,,12.95,,fee schedule,12.95,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,AMERIGROUP,AMERIGROUP,,11.71,,fee schedule,11.71,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,CARESOURCE,CARESOURCE,,11.94,,fee schedule,11.94,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,MEDICARE,MEDICARE,,9.96,,fee schedule,9.96,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,PEACHSTATE,PEACHSTATE,,11.16,,fee schedule,11.16,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,TRICARE,TRICARE,,9.96,,fee schedule,9.96,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,UHC MEDICARE,UHC MEDICARE,,9.96,,fee schedule,9.96,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,AETNA,AETNA,,2205.45,87,percent of total billed charges,2205.45,9.96,2535,percent of total billed charges,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2205.45,87,percent of total billed charges,2205.45,9.96,2535,percent of total billed charges,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,UNITED HEALTHCARE,UNITED HEALTHCARE,,2230.8,88,percent of total billed charges,2230.8,9.96,2535,percent of total billed charges,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,AETNA,AETNA,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,BEECH STREET,BEECH STREET,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,CARESOURCE,CARESOURCE,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,MEDICAID,MEDICAID,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,NOVA NET,NOVA NET,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,PEACHSTATE,PEACHSTATE,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,SELFPAY,SELFPAY,,2535,,fee schedule,2535,9.96,2535,fee schedule,
EVENITY  210MG/2.34ML,J3111,CPT,both,,,2535,2535,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2535,,fee schedule,2535,9.96,2535,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,ALLIANT,ALLIANT,,16.43,,fee schedule,16.43,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,AMBETTER,AMBETTER,,12.95,,fee schedule,12.95,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,11.71,,fee schedule,11.71,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,CARESOURCE,CARESOURCE,,11.94,,fee schedule,11.94,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,MEDICARE,MEDICARE,,9.96,,fee schedule,9.96,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,11.16,,fee schedule,11.16,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,TRICARE,TRICARE,,9.96,,fee schedule,9.96,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,9.96,,fee schedule,9.96,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,9.96,35.29,percent of total billed charges,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,9.96,35.29,percent of total billed charges,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,9.96,35.29,percent of total billed charges,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
Romosozumab-aqqg,J3111,CPT,both,210,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,9.96,35.29,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,31.6,,fee schedule,31.6,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,32.2,,fee schedule,32.2,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,30.09,,fee schedule,30.09,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,30.09,41,percent of total billed charges,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,30.09,41,percent of total billed charges,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,30.09,41,percent of total billed charges,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,30.09,41,fee schedule,
CHLORPROMAZINE INJ 25MG,J3230,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,30.09,41,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,31.6,,fee schedule,31.6,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,CARESOURCE,CARESOURCE,,32.2,,fee schedule,32.2,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,30.09,,fee schedule,30.09,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.09,35.29,percent of total billed charges,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.09,35.29,percent of total billed charges,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.09,35.29,percent of total billed charges,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
chlorproMAZINE 25 mg/ml Ampul,J3230,CPT,both,25,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.09,35.29,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,ALLIANT,ALLIANT,,3176.15,,fee schedule,3176.15,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,AMBETTER,AMBETTER,,2502.42,,fee schedule,2502.42,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,AMERIGROUP,AMERIGROUP,,2169.13,,fee schedule,2169.13,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,CARESOURCE,CARESOURCE,,2210.45,,fee schedule,2210.45,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,MEDICARE,MEDICARE,,1924.94,,fee schedule,1924.94,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,PEACHSTATE,PEACHSTATE,,2065.84,,fee schedule,2065.84,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,TRICARE,TRICARE,,1924.94,,fee schedule,1924.94,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,UHC MEDICARE,UHC MEDICARE,,1924.94,,fee schedule,1924.94,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,AETNA,AETNA,,1728.69,87,percent of total billed charges,1728.69,1728.69,3176.15,percent of total billed charges,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1728.69,87,percent of total billed charges,1728.69,1728.69,3176.15,percent of total billed charges,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,UNITED HEALTHCARE,UNITED HEALTHCARE,,1748.56,88,percent of total billed charges,1748.56,1728.69,3176.15,percent of total billed charges,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,AETNA,AETNA,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,BEECH STREET,BEECH STREET,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,CARESOURCE,CARESOURCE,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,MEDICAID,MEDICAID,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,NOVA NET,NOVA NET,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,PEACHSTATE,PEACHSTATE,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,SELFPAY,SELFPAY,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
THYROGEN 0.9MG VIAL,J3240,CPT,both,,,1987,1987,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1987,,fee schedule,1987,1728.69,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,3176.15,,fee schedule,3176.15,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,2502.42,,fee schedule,2502.42,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2169.13,,fee schedule,2169.13,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2210.45,,fee schedule,2210.45,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,1924.94,,fee schedule,1924.94,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2065.84,,fee schedule,2065.84,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,1924.94,,fee schedule,1924.94,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,1924.94,,fee schedule,1924.94,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,3176.15,percent of total billed charges,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,3176.15,percent of total billed charges,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,3176.15,percent of total billed charges,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
Thyrotropin,J3240,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,3176.15,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,ALLIANT,ALLIANT,,531.1,,fee schedule,531.1,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,AMBETTER,AMBETTER,,418.44,,fee schedule,418.44,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,AMERIGROUP,AMERIGROUP,,352.95,,fee schedule,352.95,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,CARESOURCE,CARESOURCE,,359.67,,fee schedule,359.67,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,MEDICARE,MEDICARE,,321.88,,fee schedule,321.88,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,PEACHSTATE,PEACHSTATE,,336.14,,fee schedule,336.14,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,TRICARE,TRICARE,,321.88,,fee schedule,321.88,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,UHC MEDICARE,UHC MEDICARE,,321.88,,fee schedule,321.88,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,AETNA,AETNA,,13786.89,87,percent of total billed charges,13786.89,321.88,15847,percent of total billed charges,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13786.89,87,percent of total billed charges,13786.89,321.88,15847,percent of total billed charges,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,UNITED HEALTHCARE,UNITED HEALTHCARE,,13945.36,88,percent of total billed charges,13945.36,321.88,15847,percent of total billed charges,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,AETNA,AETNA,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,BEECH STREET,BEECH STREET,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,CARESOURCE,CARESOURCE,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,MEDICAID,MEDICAID,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,NOVA NET,NOVA NET,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,PEACHSTATE,PEACHSTATE,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,SELFPAY,SELFPAY,,15847,,fee schedule,15847,321.88,15847,fee schedule,
TEPEZZA 500MG VIAL,J3241,CPT,both,,,15847,15847,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15847,,fee schedule,15847,321.88,15847,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,ALLIANT,ALLIANT,,531.1,,fee schedule,531.1,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,AMBETTER,AMBETTER,,418.44,,fee schedule,418.44,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,352.95,,fee schedule,352.95,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,CARESOURCE,CARESOURCE,,359.67,,fee schedule,359.67,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,MEDICARE,MEDICARE,,321.88,,fee schedule,321.88,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,336.14,,fee schedule,336.14,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,TRICARE,TRICARE,,321.88,,fee schedule,321.88,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,321.88,,fee schedule,321.88,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,121.61,531.1,percent of total billed charges,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,121.61,531.1,percent of total billed charges,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,121.61,531.1,percent of total billed charges,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
Teprotumumab-trbw,J3241,CPT,both,500,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,531.1,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,184.44,212,percent of total billed charges,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,184.44,212,percent of total billed charges,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,184.44,212,percent of total billed charges,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,ALLIANT,ALLIANT,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,AMBETTER,AMBETTER,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,MEDICARE,MEDICARE,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,TRICARE,TRICARE,,212,,fee schedule,212,184.44,212,fee schedule,
TYGACIL INJ 50MG,J3243,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,212,,fee schedule,212,184.44,212,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,AETNA,AETNA,,1159.71,87,percent of total billed charges,1159.71,1159.71,1333,percent of total billed charges,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1159.71,87,percent of total billed charges,1159.71,1159.71,1333,percent of total billed charges,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,UNITED HEALTHCARE,UNITED HEALTHCARE,,1173.04,88,percent of total billed charges,1173.04,1159.71,1333,percent of total billed charges,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,AETNA,AETNA,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,ALLIANT,ALLIANT,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,AMBETTER,AMBETTER,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,BEECH STREET,BEECH STREET,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,CARESOURCE,CARESOURCE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,MEDICAID,MEDICAID,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,MEDICARE,MEDICARE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,NOVA NET,NOVA NET,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,PEACHSTATE,PEACHSTATE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,SELFPAY,SELFPAY,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,TRICARE,TRICARE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
AGGRASTAT PREMIX 12.5MG/2,J3246,CPT,both,,,1333,1333,UHC MEDICARE,UHC MEDICARE,,1333,,fee schedule,1333,1159.71,1333,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,50.78,,fee schedule,50.78,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,51.74,,fee schedule,51.74,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,48.36,,fee schedule,48.36,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,51.74,percent of total billed charges,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,51.74,percent of total billed charges,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,51.74,percent of total billed charges,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,51.74,fee schedule,
TIGAN INJ 200MG 2ML,J3250,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,51.74,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,2.39,41,percent of total billed charges,
NEBCIN 80MG,J3260,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,2.39,41,percent of total billed charges,
NEBCIN 80MG,J3260,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,2.39,41,percent of total billed charges,
NEBCIN 80MG,J3260,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN 80MG,J3260,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,2.39,41,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,2.39,138,percent of total billed charges,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,2.39,138,percent of total billed charges,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,2.39,138,percent of total billed charges,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,ALLIANT,ALLIANT,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,AMBETTER,AMBETTER,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,MEDICARE,MEDICARE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,TRICARE,TRICARE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 20MG 2ML,J3260,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,138,,fee schedule,138,2.39,138,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,2.39,157,percent of total billed charges,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,2.39,157,percent of total billed charges,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,2.39,157,percent of total billed charges,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN INJ 80MG 2ML,J3260,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,2.39,157,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,AETNA,AETNA,,471.54,87,percent of total billed charges,471.54,2.39,542,percent of total billed charges,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,471.54,87,percent of total billed charges,471.54,2.39,542,percent of total billed charges,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,UNITED HEALTHCARE,UNITED HEALTHCARE,,476.96,88,percent of total billed charges,476.96,2.39,542,percent of total billed charges,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,AETNA,AETNA,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,ALLIANT,ALLIANT,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,AMBETTER,AMBETTER,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,BEECH STREET,BEECH STREET,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,CARESOURCE,CARESOURCE,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,MEDICAID,MEDICAID,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,MEDICARE,MEDICARE,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,NOVA NET,NOVA NET,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,PEACHSTATE,PEACHSTATE,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,SELFPAY,SELFPAY,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,TRICARE,TRICARE,,542,,fee schedule,542,2.39,542,fee schedule,
NEBCIN POWDER 1.2MG,J3260,CPT,both,,,542,542,UHC MEDICARE,UHC MEDICARE,,542,,fee schedule,542,2.39,542,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.39,35.29,percent of total billed charges,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
Tobramycin,J3260,CPT,both,80,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.51,,fee schedule,2.51,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.56,,fee schedule,2.56,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.39,,fee schedule,2.39,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.39,35.29,percent of total billed charges,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.39,35.29,percent of total billed charges,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
"Tobramycin 1,200 mg Vial",J3260,CPT,both,1200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.39,35.29,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,AETNA,AETNA,,3052.83,87,percent of total billed charges,3052.83,5.95,3509,percent of total billed charges,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3052.83,87,percent of total billed charges,3052.83,5.95,3509,percent of total billed charges,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,UNITED HEALTHCARE,UNITED HEALTHCARE,,3087.92,88,percent of total billed charges,3087.92,5.95,3509,percent of total billed charges,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,AETNA,AETNA,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,BEECH STREET,BEECH STREET,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,CARESOURCE,CARESOURCE,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,MEDICAID,MEDICAID,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,NOVA NET,NOVA NET,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,PEACHSTATE,PEACHSTATE,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,SELFPAY,SELFPAY,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 400 MG/ML 20 ML,J3262,CPT,both,,,3509,3509,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3509,,fee schedule,3509,5.95,3509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,AETNA,AETNA,,442.83,87,percent of total billed charges,442.83,5.95,509,percent of total billed charges,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,442.83,87,percent of total billed charges,442.83,5.95,509,percent of total billed charges,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,UNITED HEALTHCARE,UNITED HEALTHCARE,,447.92,88,percent of total billed charges,447.92,5.95,509,percent of total billed charges,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,AETNA,AETNA,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,BEECH STREET,BEECH STREET,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,CARESOURCE,CARESOURCE,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,MEDICAID,MEDICAID,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,NOVA NET,NOVA NET,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,PEACHSTATE,PEACHSTATE,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,SELFPAY,SELFPAY,,509,,fee schedule,509,5.95,509,fee schedule,
ACTEMRA 80MG VIAL,J3262,CPT,both,,,509,509,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,509,,fee schedule,509,5.95,509,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,AETNA,AETNA,,1094.46,87,percent of total billed charges,1094.46,5.95,1258,percent of total billed charges,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1094.46,87,percent of total billed charges,1094.46,5.95,1258,percent of total billed charges,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,UNITED HEALTHCARE,UNITED HEALTHCARE,,1107.04,88,percent of total billed charges,1107.04,5.95,1258,percent of total billed charges,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,AETNA,AETNA,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,BEECH STREET,BEECH STREET,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,CARESOURCE,CARESOURCE,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,MEDICAID,MEDICAID,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,NOVA NET,NOVA NET,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,PEACHSTATE,PEACHSTATE,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,SELFPAY,SELFPAY,,1258,,fee schedule,1258,5.95,1258,fee schedule,
TOCILIZUMAB 200MG VIAL,J3262,CPT,both,,,1258,1258,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1258,,fee schedule,1258,5.95,1258,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,5.95,149.77,percent of total billed charges,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,5.95,149.77,percent of total billed charges,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,5.95,149.77,percent of total billed charges,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 200 mg/10 ml Vial,J3262,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,ALLIANT,ALLIANT,,9.88,,fee schedule,9.88,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,AMBETTER,AMBETTER,,7.79,,fee schedule,7.79,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.25,,fee schedule,6.25,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.37,,fee schedule,6.37,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,MEDICARE,MEDICARE,,5.99,,fee schedule,5.99,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,5.95,,fee schedule,5.95,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,TRICARE,TRICARE,,5.99,,fee schedule,5.99,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,5.99,,fee schedule,5.99,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,5.95,149.77,percent of total billed charges,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,5.95,149.77,percent of total billed charges,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,5.95,149.77,percent of total billed charges,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
Tocilizumab 80 mg/4 ml Vial,J3262,CPT,both,80,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,5.95,149.77,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,1.08,,fee schedule,1.08,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,1.1,,fee schedule,1.1,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,1.03,,fee schedule,1.03,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,1.03,32,percent of total billed charges,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,1.03,32,percent of total billed charges,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,1.03,32,percent of total billed charges,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG 40MG INJECTION,J3301,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,1.03,32,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,AMERIGROUP,AMERIGROUP,,1.08,,fee schedule,1.08,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,1.1,,fee schedule,1.1,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,1.03,,fee schedule,1.03,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,AETNA,AETNA,,53.94,87,percent of total billed charges,53.94,1.03,62,percent of total billed charges,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,53.94,87,percent of total billed charges,53.94,1.03,62,percent of total billed charges,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,UNITED HEALTHCARE,UNITED HEALTHCARE,,54.56,88,percent of total billed charges,54.56,1.03,62,percent of total billed charges,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,AETNA,AETNA,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,ALLIANT,ALLIANT,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,AMBETTER,AMBETTER,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,BEECH STREET,BEECH STREET,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,CARESOURCE,CARESOURCE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,MEDICAID,MEDICAID,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,MEDICARE,MEDICARE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,NOVA NET,NOVA NET,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,PEACHSTATE,PEACHSTATE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,SELFPAY,SELFPAY,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,TRICARE,TRICARE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-10 INJ 10 MG,J3301,CPT,both,,,62,62,UHC MEDICARE,UHC MEDICARE,,62,,fee schedule,62,1.03,62,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,AMERIGROUP,AMERIGROUP,,1.08,,fee schedule,1.08,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,1.1,,fee schedule,1.1,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,1.03,,fee schedule,1.03,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,AETNA,AETNA,,43.5,87,percent of total billed charges,43.5,1.03,50,percent of total billed charges,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43.5,87,percent of total billed charges,43.5,1.03,50,percent of total billed charges,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,UNITED HEALTHCARE,UNITED HEALTHCARE,,44,88,percent of total billed charges,44,1.03,50,percent of total billed charges,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,AETNA,AETNA,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,ALLIANT,ALLIANT,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,AMBETTER,AMBETTER,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,BEECH STREET,BEECH STREET,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,CARESOURCE,CARESOURCE,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,MEDICAID,MEDICAID,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,MEDICARE,MEDICARE,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,NOVA NET,NOVA NET,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,PEACHSTATE,PEACHSTATE,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,SELFPAY,SELFPAY,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,TRICARE,TRICARE,,50,,fee schedule,50,1.03,50,fee schedule,
KENALOG-40 INJ 1CC,J3301,CPT,both,,,50,50,UHC MEDICARE,UHC MEDICARE,,50,,fee schedule,50,1.03,50,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.08,,fee schedule,1.08,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,1.1,,fee schedule,1.1,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.03,,fee schedule,1.03,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.03,35.29,percent of total billed charges,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.03,35.29,percent of total billed charges,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.03,35.29,percent of total billed charges,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
Triamcinolone Acetonide,J3301,CPT,both,40,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.03,35.29,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,ALLIANT,ALLIANT,,618.01,,fee schedule,618.01,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,AMBETTER,AMBETTER,,486.92,,fee schedule,486.92,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,AMERIGROUP,AMERIGROUP,,481.44,,fee schedule,481.44,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,CARESOURCE,CARESOURCE,,490.61,,fee schedule,490.61,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,MEDICARE,MEDICARE,,374.55,,fee schedule,374.55,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,PEACHSTATE,PEACHSTATE,,458.51,,fee schedule,458.51,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,TRICARE,TRICARE,,374.55,,fee schedule,374.55,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,UHC MEDICARE,UHC MEDICARE,,374.55,,fee schedule,374.55,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,AETNA,AETNA,,3971.55,87,percent of total billed charges,3971.55,374.55,4565,percent of total billed charges,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3971.55,87,percent of total billed charges,3971.55,374.55,4565,percent of total billed charges,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,UNITED HEALTHCARE,UNITED HEALTHCARE,,4017.2,88,percent of total billed charges,4017.2,374.55,4565,percent of total billed charges,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,AETNA,AETNA,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,BEECH STREET,BEECH STREET,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,CARESOURCE,CARESOURCE,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,MEDICAID,MEDICAID,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,NOVA NET,NOVA NET,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,PEACHSTATE,PEACHSTATE,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,SELFPAY,SELFPAY,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR 22.5MG SYRINGE,J3315,CPT,both,,,4565,4565,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4565,,fee schedule,4565,374.55,4565,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,ALLIANT,ALLIANT,,618.01,,fee schedule,618.01,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,AMBETTER,AMBETTER,,486.92,,fee schedule,486.92,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,AMERIGROUP,AMERIGROUP,,481.44,,fee schedule,481.44,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,CARESOURCE,CARESOURCE,,490.61,,fee schedule,490.61,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,MEDICARE,MEDICARE,,374.55,,fee schedule,374.55,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,PEACHSTATE,PEACHSTATE,,458.51,,fee schedule,458.51,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,TRICARE,TRICARE,,374.55,,fee schedule,374.55,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,UHC MEDICARE,UHC MEDICARE,,374.55,,fee schedule,374.55,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,AETNA,AETNA,,1013.55,87,percent of total billed charges,1013.55,374.55,1165,percent of total billed charges,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1013.55,87,percent of total billed charges,1013.55,374.55,1165,percent of total billed charges,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,UNITED HEALTHCARE,UNITED HEALTHCARE,,1025.2,88,percent of total billed charges,1025.2,374.55,1165,percent of total billed charges,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,AETNA,AETNA,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,BEECH STREET,BEECH STREET,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,CARESOURCE,CARESOURCE,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,MEDICAID,MEDICAID,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,NOVA NET,NOVA NET,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,PEACHSTATE,PEACHSTATE,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,SELFPAY,SELFPAY,,1165,,fee schedule,1165,374.55,1165,fee schedule,
TRELSTAR LA 11.25MG MIXJE,J3315,CPT,both,,,1165,1165,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1165,,fee schedule,1165,374.55,1165,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,ALLIANT,ALLIANT,,618.01,,fee schedule,618.01,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,AMBETTER,AMBETTER,,486.92,,fee schedule,486.92,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,481.44,,fee schedule,481.44,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,CARESOURCE,CARESOURCE,,490.61,,fee schedule,490.61,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,MEDICARE,MEDICARE,,374.55,,fee schedule,374.55,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,458.51,,fee schedule,458.51,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,TRICARE,TRICARE,,374.55,,fee schedule,374.55,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,374.55,,fee schedule,374.55,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,618.01,percent of total billed charges,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,618.01,percent of total billed charges,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,618.01,percent of total billed charges,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
Triptorelin Pamoate,J3315,CPT,both,23,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,618.01,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,5.72,,fee schedule,5.72,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,5.83,,fee schedule,5.83,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,5.45,,fee schedule,5.45,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,5.45,34,percent of total billed charges,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,5.45,34,percent of total billed charges,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,5.45,34,percent of total billed charges,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,5.45,34,fee schedule,
DIAZEPAM INJ 10MG/2ML,J3360,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,5.45,34,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,5.72,,fee schedule,5.72,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,5.83,,fee schedule,5.83,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,5.45,,fee schedule,5.45,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,5.45,35.29,percent of total billed charges,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,5.45,35.29,percent of total billed charges,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,5.45,35.29,percent of total billed charges,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
diazePAM 10 mg/2 ml Syringe,J3360,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,5.45,35.29,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,2,157,percent of total billed charges,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,2,157,percent of total billed charges,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,2,157,percent of total billed charges,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 1GM,J3370,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,2,157,percent of total billed charges,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,2,157,percent of total billed charges,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,2,157,percent of total billed charges,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOCIN INJ 500MG,J3370,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,2,157,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,2,14,percent of total billed charges,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,2,14,percent of total billed charges,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,2,14,percent of total billed charges,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1000MG IVPB,J3370,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,2,14,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,AETNA,AETNA,,200.1,87,percent of total billed charges,200.1,2,230,percent of total billed charges,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,200.1,87,percent of total billed charges,200.1,2,230,percent of total billed charges,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,UNITED HEALTHCARE,UNITED HEALTHCARE,,202.4,88,percent of total billed charges,202.4,2,230,percent of total billed charges,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,AETNA,AETNA,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,ALLIANT,ALLIANT,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,AMBETTER,AMBETTER,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,BEECH STREET,BEECH STREET,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,CARESOURCE,CARESOURCE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,MEDICAID,MEDICAID,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,MEDICARE,MEDICARE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,NOVA NET,NOVA NET,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,PEACHSTATE,PEACHSTATE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,SELFPAY,SELFPAY,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,TRICARE,TRICARE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 1500MG/300ML PREMIX,J3370,CPT,both,,,230,230,UHC MEDICARE,UHC MEDICARE,,230,,fee schedule,230,2,230,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,2,156,percent of total billed charges,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,2,156,percent of total billed charges,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,2,156,percent of total billed charges,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 500MG,J3370,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,2,156,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,AETNA,AETNA,,175.74,87,percent of total billed charges,175.74,2,202,percent of total billed charges,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,175.74,87,percent of total billed charges,175.74,2,202,percent of total billed charges,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,UNITED HEALTHCARE,UNITED HEALTHCARE,,177.76,88,percent of total billed charges,177.76,2,202,percent of total billed charges,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,AETNA,AETNA,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,ALLIANT,ALLIANT,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,AMBETTER,AMBETTER,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,BEECH STREET,BEECH STREET,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,CARESOURCE,CARESOURCE,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,MEDICAID,MEDICAID,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,MEDICARE,MEDICARE,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,NOVA NET,NOVA NET,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,PEACHSTATE,PEACHSTATE,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,SELFPAY,SELFPAY,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,TRICARE,TRICARE,,202,,fee schedule,202,2,202,fee schedule,
VANCOMYCIN 750MG/150ML PREMIX,J3370,CPT,both,,,202,202,UHC MEDICARE,UHC MEDICARE,,202,,fee schedule,202,2,202,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2,35.29,percent of total billed charges,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2,35.29,percent of total billed charges,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2,35.29,percent of total billed charges,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1000,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2,149.77,percent of total billed charges,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2,149.77,percent of total billed charges,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2,149.77,percent of total billed charges,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
"Vancomycin 1,000 mg/200 ml Premix",J3370,CPT,both,1000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2,35.29,percent of total billed charges,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2,35.29,percent of total billed charges,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2,35.29,percent of total billed charges,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2,35.29,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2,149.77,percent of total billed charges,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2,149.77,percent of total billed charges,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2,149.77,percent of total billed charges,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin,J3370,CPT,both,1500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.09,,fee schedule,2.09,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.13,,fee schedule,2.13,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2,,fee schedule,2,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2,149.77,percent of total billed charges,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2,149.77,percent of total billed charges,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2,149.77,percent of total billed charges,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin 750 mg/150 ml Premix,J3370,CPT,both,750,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.81,,fee schedule,6.81,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.93,,fee schedule,6.93,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,6.48,,fee schedule,6.48,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,6.48,149.77,percent of total billed charges,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,6.48,149.77,percent of total billed charges,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,6.48,149.77,percent of total billed charges,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin Ped 5 MG/ML Syringe,J3372,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.81,,fee schedule,6.81,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.93,,fee schedule,6.93,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,6.48,,fee schedule,6.48,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,6.48,149.77,percent of total billed charges,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,6.48,149.77,percent of total billed charges,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,6.48,149.77,percent of total billed charges,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,1750,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.81,,fee schedule,6.81,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.93,,fee schedule,6.93,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,6.48,,fee schedule,6.48,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,6.48,149.77,percent of total billed charges,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,6.48,149.77,percent of total billed charges,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,6.48,149.77,percent of total billed charges,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
Vancomycin,J3372,CPT,both,2000,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,6.48,149.77,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,ALLIANT,ALLIANT,,35.81,,fee schedule,35.81,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,AMBETTER,AMBETTER,,28.21,,fee schedule,28.21,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,AMERIGROUP,AMERIGROUP,,24.02,,fee schedule,24.02,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,CARESOURCE,CARESOURCE,,24.48,,fee schedule,24.48,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,MEDICARE,MEDICARE,,21.7,,fee schedule,21.7,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,PEACHSTATE,PEACHSTATE,,22.88,,fee schedule,22.88,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,TRICARE,TRICARE,,21.7,,fee schedule,21.7,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,UHC MEDICARE,UHC MEDICARE,,21.7,,fee schedule,21.7,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,AETNA,AETNA,,13035.21,87,percent of total billed charges,13035.21,21.7,14983,percent of total billed charges,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13035.21,87,percent of total billed charges,13035.21,21.7,14983,percent of total billed charges,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,UNITED HEALTHCARE,UNITED HEALTHCARE,,13185.04,88,percent of total billed charges,13185.04,21.7,14983,percent of total billed charges,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,AETNA,AETNA,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,BEECH STREET,BEECH STREET,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,CARESOURCE,CARESOURCE,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,MEDICAID,MEDICAID,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,NOVA NET,NOVA NET,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,PEACHSTATE,PEACHSTATE,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,SELFPAY,SELFPAY,,14983,,fee schedule,14983,21.7,14983,fee schedule,
ENTYVIO 300MG VIAL,J3380,CPT,both,,,14983,14983,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14983,,fee schedule,14983,21.7,14983,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,ALLIANT,ALLIANT,,35.81,,fee schedule,35.81,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,AMBETTER,AMBETTER,,28.21,,fee schedule,28.21,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,24.02,,fee schedule,24.02,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,24.48,,fee schedule,24.48,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,MEDICARE,MEDICARE,,21.7,,fee schedule,21.7,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,22.88,,fee schedule,22.88,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,TRICARE,TRICARE,,21.7,,fee schedule,21.7,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,21.7,,fee schedule,21.7,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,21.7,149.77,percent of total billed charges,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,21.7,149.77,percent of total billed charges,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,21.7,149.77,percent of total billed charges,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
Vedolizumab,J3380,CPT,both,300,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,21.7,149.77,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,AMERIGROUP,AMERIGROUP,,15.23,,fee schedule,15.23,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,15.52,,fee schedule,15.52,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,14.5,,fee schedule,14.5,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,AETNA,AETNA,,27.84,87,percent of total billed charges,27.84,14.5,32,percent of total billed charges,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27.84,87,percent of total billed charges,27.84,14.5,32,percent of total billed charges,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,UNITED HEALTHCARE,UNITED HEALTHCARE,,28.16,88,percent of total billed charges,28.16,14.5,32,percent of total billed charges,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,AETNA,AETNA,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,ALLIANT,ALLIANT,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,AMBETTER,AMBETTER,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,BEECH STREET,BEECH STREET,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,CARESOURCE,CARESOURCE,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,MEDICAID,MEDICAID,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,MEDICARE,MEDICARE,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,NOVA NET,NOVA NET,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,PEACHSTATE,PEACHSTATE,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,SELFPAY,SELFPAY,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,TRICARE,TRICARE,,32,,fee schedule,32,14.5,32,fee schedule,
VISTARIL 50MG INJ,J3410,CPT,both,,,32,32,UHC MEDICARE,UHC MEDICARE,,32,,fee schedule,32,14.5,32,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,58.29,67,percent of total billed charges,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,58.29,67,percent of total billed charges,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,58.29,67,fee schedule,
THIAMINE 200MG 2ML SDV,J3411,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,58.29,67,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Thiamine,J3411,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,1.17,,fee schedule,1.17,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,1.19,,fee schedule,1.19,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,1.11,,fee schedule,1.11,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,1.11,34,percent of total billed charges,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,1.11,34,percent of total billed charges,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,1.11,34,percent of total billed charges,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOCOBALAMIN INJ 1000MC,J3420,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,1.11,34,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,AMERIGROUP,AMERIGROUP,,1.17,,fee schedule,1.17,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,CARESOURCE,CARESOURCE,,1.19,,fee schedule,1.19,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,PEACHSTATE,PEACHSTATE,,1.11,,fee schedule,1.11,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,AETNA,AETNA,,1632.99,87,percent of total billed charges,1632.99,1.11,1877,percent of total billed charges,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1632.99,87,percent of total billed charges,1632.99,1.11,1877,percent of total billed charges,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,UNITED HEALTHCARE,UNITED HEALTHCARE,,1651.76,88,percent of total billed charges,1651.76,1.11,1877,percent of total billed charges,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,AETNA,AETNA,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,ALLIANT,ALLIANT,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,AMBETTER,AMBETTER,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,BEECH STREET,BEECH STREET,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,CARESOURCE,CARESOURCE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,MEDICAID,MEDICAID,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,MEDICARE,MEDICARE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,NOVA NET,NOVA NET,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,PEACHSTATE,PEACHSTATE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,SELFPAY,SELFPAY,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,TRICARE,TRICARE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
CYANOKIT 5GM,J3420,CPT,both,,,1877,1877,UHC MEDICARE,UHC MEDICARE,,1877,,fee schedule,1877,1.11,1877,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.17,,fee schedule,1.17,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,CARESOURCE,CARESOURCE,,1.19,,fee schedule,1.19,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.11,,fee schedule,1.11,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.11,35.29,percent of total billed charges,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.11,35.29,percent of total billed charges,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.11,35.29,percent of total billed charges,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
"Cyanocobalamin (Vitamin B-12) 1,000 MCG/ML VIAL",J3420,CPT,both,1000,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.11,35.29,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.17,,fee schedule,1.17,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,CARESOURCE,CARESOURCE,,1.19,,fee schedule,1.19,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.11,,fee schedule,1.11,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.11,149.77,percent of total billed charges,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.11,149.77,percent of total billed charges,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.11,149.77,percent of total billed charges,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
Hydroxocobalamin 5 GM VIAL,J3420,CPT,both,5,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.11,149.77,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,AMERIGROUP,AMERIGROUP,,3,,fee schedule,3,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,3.05,,fee schedule,3.05,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,2.85,,fee schedule,2.85,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,AETNA,AETNA,,56.55,87,percent of total billed charges,56.55,2.85,65,percent of total billed charges,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56.55,87,percent of total billed charges,56.55,2.85,65,percent of total billed charges,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,UNITED HEALTHCARE,UNITED HEALTHCARE,,57.2,88,percent of total billed charges,57.2,2.85,65,percent of total billed charges,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,AETNA,AETNA,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,ALLIANT,ALLIANT,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,AMBETTER,AMBETTER,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,BEECH STREET,BEECH STREET,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,MEDICAID,MEDICAID,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,MEDICARE,MEDICARE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,NOVA NET,NOVA NET,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,SELFPAY,SELFPAY,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,TRICARE,TRICARE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 10MG 1M,J3430,CPT,both,,,65,65,UHC MEDICARE,UHC MEDICARE,,65,,fee schedule,65,2.85,65,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,AMERIGROUP,AMERIGROUP,,3,,fee schedule,3,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,3.05,,fee schedule,3.05,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,2.85,,fee schedule,2.85,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,AETNA,AETNA,,32.19,87,percent of total billed charges,32.19,2.85,37,percent of total billed charges,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,32.19,87,percent of total billed charges,32.19,2.85,37,percent of total billed charges,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,UNITED HEALTHCARE,UNITED HEALTHCARE,,32.56,88,percent of total billed charges,32.56,2.85,37,percent of total billed charges,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,AETNA,AETNA,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,ALLIANT,ALLIANT,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,AMBETTER,AMBETTER,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,BEECH STREET,BEECH STREET,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,CARESOURCE,CARESOURCE,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,MEDICAID,MEDICAID,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,MEDICARE,MEDICARE,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,NOVA NET,NOVA NET,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,PEACHSTATE,PEACHSTATE,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,SELFPAY,SELFPAY,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,TRICARE,TRICARE,,37,,fee schedule,37,2.85,37,fee schedule,
AQUA-MEPHYTON INJ 1MG 0.5,J3430,CPT,both,,,37,37,UHC MEDICARE,UHC MEDICARE,,37,,fee schedule,37,2.85,37,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,3,,fee schedule,3,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,3.05,,fee schedule,3.05,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,2.85,,fee schedule,2.85,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,2.85,20,percent of total billed charges,
VIT. K 10MG,J3430,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,2.85,20,percent of total billed charges,
VIT. K 10MG,J3430,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,2.85,20,percent of total billed charges,
VIT. K 10MG,J3430,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,2.85,20,fee schedule,
VIT. K 10MG,J3430,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,2.85,20,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3,,fee schedule,3,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.05,,fee schedule,3.05,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.85,,fee schedule,2.85,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.85,35.29,percent of total billed charges,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.85,35.29,percent of total billed charges,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.85,35.29,percent of total billed charges,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
Phytonadione 10 mg/ml Ampule,J3430,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.85,35.29,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,AETNA,AETNA,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,464.58,87,percent of total billed charges,464.58,464.58,534,percent of total billed charges,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,UNITED HEALTHCARE,UNITED HEALTHCARE,,469.92,88,percent of total billed charges,469.92,464.58,534,percent of total billed charges,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,AETNA,AETNA,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,ALLIANT,ALLIANT,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,AMBETTER,AMBETTER,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,BEECH STREET,BEECH STREET,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,CARESOURCE,CARESOURCE,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,MEDICAID,MEDICAID,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,MEDICARE,MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,NOVA NET,NOVA NET,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,PEACHSTATE,PEACHSTATE,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,SELFPAY,SELFPAY,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,TRICARE,TRICARE,,534,,fee schedule,534,464.58,534,fee schedule,
VFEND 200MG INJ,J3465,CPT,both,,,534,534,UHC MEDICARE,UHC MEDICARE,,534,,fee schedule,534,464.58,534,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,AETNA,AETNA,,257.52,87,percent of total billed charges,257.52,257.52,296,percent of total billed charges,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,257.52,87,percent of total billed charges,257.52,257.52,296,percent of total billed charges,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,UNITED HEALTHCARE,UNITED HEALTHCARE,,260.48,88,percent of total billed charges,260.48,257.52,296,percent of total billed charges,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,AETNA,AETNA,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,ALLIANT,ALLIANT,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,AMBETTER,AMBETTER,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,BEECH STREET,BEECH STREET,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,CARESOURCE,CARESOURCE,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,MEDICAID,MEDICAID,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,MEDICARE,MEDICARE,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,NOVA NET,NOVA NET,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,PEACHSTATE,PEACHSTATE,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,SELFPAY,SELFPAY,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,TRICARE,TRICARE,,296,,fee schedule,296,257.52,296,fee schedule,
VORICONAZOLE 200 MG TABLE,J3465,CPT,both,,,296,296,UHC MEDICARE,UHC MEDICARE,,296,,fee schedule,296,257.52,296,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,AETNA,AETNA,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46.98,87,percent of total billed charges,46.98,46.98,54,percent of total billed charges,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,UNITED HEALTHCARE,UNITED HEALTHCARE,,47.52,88,percent of total billed charges,47.52,46.98,54,percent of total billed charges,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,AETNA,AETNA,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,ALLIANT,ALLIANT,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,AMBETTER,AMBETTER,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,BEECH STREET,BEECH STREET,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,CARESOURCE,CARESOURCE,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,MEDICAID,MEDICAID,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,MEDICARE,MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,NOVA NET,NOVA NET,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,PEACHSTATE,PEACHSTATE,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,SELFPAY,SELFPAY,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,TRICARE,TRICARE,,54,,fee schedule,54,46.98,54,fee schedule,
HYLENEX SD 150U/1ML VIAL,J3473,CPT,both,,,54,54,UHC MEDICARE,UHC MEDICARE,,54,,fee schedule,54,46.98,54,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,0.5,31,percent of total billed charges,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,0.5,31,percent of total billed charges,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,0.5,31,percent of total billed charges,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE 4MEQ/ML 1GM/2,J3475,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,0.5,31,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,AETNA,AETNA,,130.5,87,percent of total billed charges,130.5,0.5,150,percent of total billed charges,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.5,87,percent of total billed charges,130.5,0.5,150,percent of total billed charges,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,UNITED HEALTHCARE,UNITED HEALTHCARE,,132,88,percent of total billed charges,132,0.5,150,percent of total billed charges,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,AETNA,AETNA,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,ALLIANT,ALLIANT,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,AMBETTER,AMBETTER,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,BEECH STREET,BEECH STREET,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,CARESOURCE,CARESOURCE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,MEDICAID,MEDICAID,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,MEDICARE,MEDICARE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,NOVA NET,NOVA NET,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,PEACHSTATE,PEACHSTATE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,SELFPAY,SELFPAY,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,TRICARE,TRICARE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG SULFATE PREMIX IV 2GM,J3475,CPT,both,,,150,150,UHC MEDICARE,UHC MEDICARE,,150,,fee schedule,150,0.5,150,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.5,157,percent of total billed charges,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.5,157,percent of total billed charges,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.5,157,percent of total billed charges,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.5,157,fee schedule,
MAG.SULF.INJ IN H20 20GM/,J3475,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.5,157,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,0.5,156,percent of total billed charges,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,0.5,156,percent of total billed charges,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,0.5,156,percent of total billed charges,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 1GM/1OO,J3475,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,0.5,156,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,AETNA,AETNA,,4.35,87,percent of total billed charges,4.35,0.5,5,percent of total billed charges,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4.35,87,percent of total billed charges,4.35,0.5,5,percent of total billed charges,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,UNITED HEALTHCARE,UNITED HEALTHCARE,,4.4,88,percent of total billed charges,4.4,0.5,5,percent of total billed charges,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,AETNA,AETNA,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,ALLIANT,ALLIANT,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,AMBETTER,AMBETTER,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,BEECH STREET,BEECH STREET,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,CARESOURCE,CARESOURCE,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,MEDICAID,MEDICAID,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,MEDICARE,MEDICARE,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,NOVA NET,NOVA NET,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,PEACHSTATE,PEACHSTATE,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,SELFPAY,SELFPAY,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,TRICARE,TRICARE,,5,,fee schedule,5,0.5,5,fee schedule,
MAGNESIUM SULFATE 4G/50ML IVBP,J3475,CPT,both,,,5,5,UHC MEDICARE,UHC MEDICARE,,5,,fee schedule,5,0.5,5,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 4 GM/50 ML PIGGYBACK,J3475,CPT,both,4,GM,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 20 gm/500 ml Bag,J3475,CPT,both,20,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.5,35.29,percent of total billed charges,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.5,35.29,percent of total billed charges,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.5,35.29,percent of total billed charges,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate,J3475,CPT,both,4,EA,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.5,35.29,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 2 gm/50 ml Bag,J3475,CPT,both,2,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.53,,fee schedule,0.53,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,CARESOURCE,CARESOURCE,,0.54,,fee schedule,0.54,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.5,,fee schedule,0.5,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.5,149.77,percent of total billed charges,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
Magnesium Sulfate 1 gm/100 ml Bag,J3475,CPT,both,1,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.5,149.77,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.11,157,percent of total billed charges,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.11,157,percent of total billed charges,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.11,157,percent of total billed charges,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 10MEQ/H2O 100ML,J3480,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,0.11,157,percent of total billed charges,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,0.11,157,percent of total billed charges,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,0.11,157,percent of total billed charges,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,0.11,157,fee schedule,
KCL 20MEQ/D51/2NS 1000ML,J3480,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,0.11,157,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,0.11,156,percent of total billed charges,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,0.11,156,percent of total billed charges,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,0.11,156,percent of total billed charges,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 20MEQ/,J3480,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,0.11,156,percent of total billed charges,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,0.11,156,percent of total billed charges,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,0.11,156,percent of total billed charges,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE 40MEQ/,J3480,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,0.11,156,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,0.11,84,percent of total billed charges,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,0.11,84,percent of total billed charges,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,0.11,84,percent of total billed charges,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,ALLIANT,ALLIANT,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,AMBETTER,AMBETTER,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,MEDICARE,MEDICARE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,TRICARE,TRICARE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 20,J3480,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,84,,fee schedule,84,0.11,84,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,0.11,34,percent of total billed charges,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,0.11,34,percent of total billed charges,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,0.11,34,percent of total billed charges,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,0.11,34,fee schedule,
POTASSIUM CHLORIDE INJ 40,J3480,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,0.11,34,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,AETNA,AETNA,,120.5,87,percent of total billed charges,120.5,0.11,138.5,percent of total billed charges,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.5,87,percent of total billed charges,120.5,0.11,138.5,percent of total billed charges,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.88,88,percent of total billed charges,121.88,0.11,138.5,percent of total billed charges,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,AETNA,AETNA,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,ALLIANT,ALLIANT,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,AMBETTER,AMBETTER,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,BEECH STREET,BEECH STREET,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,CARESOURCE,CARESOURCE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,MEDICAID,MEDICAID,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,MEDICARE,MEDICARE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,NOVA NET,NOVA NET,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,PEACHSTATE,PEACHSTATE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,SELFPAY,SELFPAY,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,TRICARE,TRICARE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
"Potassium Cl 20 MEQ + D5W-0.45% NS 1,000 ML",J3480,CPT,both,20,EA,138.5,138.5,UHC MEDICARE,UHC MEDICARE,,138.5,,fee schedule,138.5,0.11,138.5,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.11,149.77,percent of total billed charges,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.11,149.77,percent of total billed charges,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.11,149.77,percent of total billed charges,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 10 MEQ/100 ML PREMIX,J3480,CPT,both,10,EA,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.11,149.77,percent of total billed charges,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.11,149.77,percent of total billed charges,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.11,149.77,percent of total billed charges,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 20 MEQ/100 ML PREMIX,J3480,CPT,both,20,EA,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,20,EA,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.11,35.29,percent of total billed charges,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.11,35.29,percent of total billed charges,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Chloride,J3480,CPT,both,40,EA,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.11,35.29,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.12,,fee schedule,0.12,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,CARESOURCE,CARESOURCE,,0.12,,fee schedule,0.12,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.11,,fee schedule,0.11,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.11,149.77,percent of total billed charges,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.11,149.77,percent of total billed charges,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.11,149.77,percent of total billed charges,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
Potassium Cl 40 MEQ/100 ML PREMIX,J3480,CPT,both,40,EA,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.11,149.77,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,AETNA,AETNA,,124.41,87,percent of total billed charges,124.41,124.41,143,percent of total billed charges,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,124.41,87,percent of total billed charges,124.41,124.41,143,percent of total billed charges,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,UNITED HEALTHCARE,UNITED HEALTHCARE,,125.84,88,percent of total billed charges,125.84,124.41,143,percent of total billed charges,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,AETNA,AETNA,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,ALLIANT,ALLIANT,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,AMBETTER,AMBETTER,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,BEECH STREET,BEECH STREET,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,CARESOURCE,CARESOURCE,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,MEDICAID,MEDICAID,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,MEDICARE,MEDICARE,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,NOVA NET,NOVA NET,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,PEACHSTATE,PEACHSTATE,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,SELFPAY,SELFPAY,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,TRICARE,TRICARE,,143,,fee schedule,143,124.41,143,fee schedule,
ZIDOVUDINE 200MG/20ML SDV,J3485,CPT,both,,,143,143,UHC MEDICARE,UHC MEDICARE,,143,,fee schedule,143,124.41,143,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Zidovudine,J3485,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,AMERIGROUP,AMERIGROUP,,8.49,,fee schedule,8.49,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,8.65,,fee schedule,8.65,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,8.08,,fee schedule,8.08,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,AETNA,AETNA,,65.25,87,percent of total billed charges,65.25,8.08,75,percent of total billed charges,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65.25,87,percent of total billed charges,65.25,8.08,75,percent of total billed charges,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,UNITED HEALTHCARE,UNITED HEALTHCARE,,66,88,percent of total billed charges,66,8.08,75,percent of total billed charges,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,AETNA,AETNA,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,ALLIANT,ALLIANT,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,AMBETTER,AMBETTER,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,BEECH STREET,BEECH STREET,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,CARESOURCE,CARESOURCE,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,MEDICAID,MEDICAID,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,MEDICARE,MEDICARE,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,NOVA NET,NOVA NET,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,PEACHSTATE,PEACHSTATE,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,SELFPAY,SELFPAY,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,TRICARE,TRICARE,,75,,fee schedule,75,8.08,75,fee schedule,
GEODON 20MG IM INJ,J3486,CPT,both,,,75,75,UHC MEDICARE,UHC MEDICARE,,75,,fee schedule,75,8.08,75,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,8.49,,fee schedule,8.49,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,8.65,,fee schedule,8.65,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,8.08,,fee schedule,8.08,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,8.08,35.29,percent of total billed charges,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,8.08,35.29,percent of total billed charges,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,8.08,35.29,percent of total billed charges,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
Ziprasidone 20 mg/ml Vial,J3486,CPT,both,20,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,8.08,35.29,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,AMERIGROUP,AMERIGROUP,,6.01,,fee schedule,6.01,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,CARESOURCE,CARESOURCE,,6.13,,fee schedule,6.13,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,PEACHSTATE,PEACHSTATE,,5.73,,fee schedule,5.73,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,AETNA,AETNA,,2576.94,87,percent of total billed charges,2576.94,5.73,2962,percent of total billed charges,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2576.94,87,percent of total billed charges,2576.94,5.73,2962,percent of total billed charges,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,UNITED HEALTHCARE,UNITED HEALTHCARE,,2606.56,88,percent of total billed charges,2606.56,5.73,2962,percent of total billed charges,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,AETNA,AETNA,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,ALLIANT,ALLIANT,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,AMBETTER,AMBETTER,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,BEECH STREET,BEECH STREET,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,CARESOURCE,CARESOURCE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,MEDICAID,MEDICAID,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,MEDICARE,MEDICARE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,NOVA NET,NOVA NET,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,PEACHSTATE,PEACHSTATE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,SELFPAY,SELFPAY,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,TRICARE,TRICARE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
RECLAST IV 5MG/100ML,J3489,CPT,both,,,2962,2962,UHC MEDICARE,UHC MEDICARE,,2962,,fee schedule,2962,5.73,2962,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,AMERIGROUP,AMERIGROUP,,6.01,,fee schedule,6.01,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,CARESOURCE,CARESOURCE,,6.13,,fee schedule,6.13,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,PEACHSTATE,PEACHSTATE,,5.73,,fee schedule,5.73,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,AETNA,AETNA,,1853.97,87,percent of total billed charges,1853.97,5.73,2131,percent of total billed charges,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1853.97,87,percent of total billed charges,1853.97,5.73,2131,percent of total billed charges,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,UNITED HEALTHCARE,UNITED HEALTHCARE,,1875.28,88,percent of total billed charges,1875.28,5.73,2131,percent of total billed charges,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,AETNA,AETNA,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,ALLIANT,ALLIANT,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,AMBETTER,AMBETTER,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,BEECH STREET,BEECH STREET,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,CARESOURCE,CARESOURCE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,MEDICAID,MEDICAID,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,MEDICARE,MEDICARE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,NOVA NET,NOVA NET,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,PEACHSTATE,PEACHSTATE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,SELFPAY,SELFPAY,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,TRICARE,TRICARE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
ZOMETA 4MG SDV,J3489,CPT,both,,,2131,2131,UHC MEDICARE,UHC MEDICARE,,2131,,fee schedule,2131,5.73,2131,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.01,,fee schedule,6.01,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.13,,fee schedule,6.13,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,5.73,,fee schedule,5.73,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,5.73,149.77,percent of total billed charges,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,5.73,149.77,percent of total billed charges,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,5.73,149.77,percent of total billed charges,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 5 MG/100 ML PREMIX,J3489,CPT,both,5,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,6.01,,fee schedule,6.01,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,CARESOURCE,CARESOURCE,,6.13,,fee schedule,6.13,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,5.73,,fee schedule,5.73,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,5.73,149.77,percent of total billed charges,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,5.73,149.77,percent of total billed charges,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,5.73,149.77,percent of total billed charges,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
Zoledronic Acid 4 mg/5 ml Vial,J3489,CPT,both,4,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,5.73,149.77,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,135.72,156,percent of total billed charges,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,135.72,156,percent of total billed charges,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,135.72,156,fee schedule,
0.9% SOD CHLORIDE 50ML MI,J3490,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,135.72,156,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,AETNA,AETNA,,126.15,87,percent of total billed charges,126.15,126.15,145,percent of total billed charges,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,126.15,87,percent of total billed charges,126.15,126.15,145,percent of total billed charges,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,UNITED HEALTHCARE,UNITED HEALTHCARE,,127.6,88,percent of total billed charges,127.6,126.15,145,percent of total billed charges,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,AETNA,AETNA,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,ALLIANT,ALLIANT,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,AMBETTER,AMBETTER,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,BEECH STREET,BEECH STREET,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,CARESOURCE,CARESOURCE,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,MEDICAID,MEDICAID,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,MEDICARE,MEDICARE,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,NOVA NET,NOVA NET,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,PEACHSTATE,PEACHSTATE,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,SELFPAY,SELFPAY,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,TRICARE,TRICARE,,145,,fee schedule,145,126.15,145,fee schedule,
AMIDATE SYR 40MG: 20ML,J3490,CPT,both,,,145,145,UHC MEDICARE,UHC MEDICARE,,145,,fee schedule,145,126.15,145,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,AETNA,AETNA,,407.16,87,percent of total billed charges,407.16,407.16,468,percent of total billed charges,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,407.16,87,percent of total billed charges,407.16,407.16,468,percent of total billed charges,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,UNITED HEALTHCARE,UNITED HEALTHCARE,,411.84,88,percent of total billed charges,411.84,407.16,468,percent of total billed charges,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,AETNA,AETNA,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,ALLIANT,ALLIANT,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,AMBETTER,AMBETTER,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,BEECH STREET,BEECH STREET,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,CARESOURCE,CARESOURCE,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,MEDICAID,MEDICAID,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,MEDICARE,MEDICARE,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,NOVA NET,NOVA NET,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,PEACHSTATE,PEACHSTATE,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,SELFPAY,SELFPAY,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,TRICARE,TRICARE,,468,,fee schedule,468,407.16,468,fee schedule,
BRIDION 20 MG/2 ML VIAL,J3490,CPT,both,,,468,468,UHC MEDICARE,UHC MEDICARE,,468,,fee schedule,468,407.16,468,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
FOLVITE INJ 5MG/ML 1ML,J3490,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,AETNA,AETNA,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.31,87,percent of total billed charges,11.31,11.31,13,percent of total billed charges,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,UNITED HEALTHCARE,UNITED HEALTHCARE,,11.44,88,percent of total billed charges,11.44,11.31,13,percent of total billed charges,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,AETNA,AETNA,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,ALLIANT,ALLIANT,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,AMBETTER,AMBETTER,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,BEECH STREET,BEECH STREET,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,CARESOURCE,CARESOURCE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,MEDICAID,MEDICAID,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,MEDICARE,MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,NOVA NET,NOVA NET,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,PEACHSTATE,PEACHSTATE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,SELFPAY,SELFPAY,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,TRICARE,TRICARE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 100MG/ML VIAL,J3490,CPT,both,,,13,13,UHC MEDICARE,UHC MEDICARE,,13,,fee schedule,13,11.31,13,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,AETNA,AETNA,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26.97,87,percent of total billed charges,26.97,26.97,31,percent of total billed charges,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,UNITED HEALTHCARE,UNITED HEALTHCARE,,27.28,88,percent of total billed charges,27.28,26.97,31,percent of total billed charges,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,AETNA,AETNA,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,ALLIANT,ALLIANT,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,AMBETTER,AMBETTER,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,BEECH STREET,BEECH STREET,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,CARESOURCE,CARESOURCE,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,MEDICAID,MEDICAID,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,MEDICARE,MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,NOVA NET,NOVA NET,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,PEACHSTATE,PEACHSTATE,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,SELFPAY,SELFPAY,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,TRICARE,TRICARE,,31,,fee schedule,31,26.97,31,fee schedule,
KETAMINE 50MG/1ML SDS,J3490,CPT,both,,,31,31,UHC MEDICARE,UHC MEDICARE,,31,,fee schedule,31,26.97,31,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
MARCAINE SDV 0.25% 30ML,J3490,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,AETNA,AETNA,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,50.46,87,percent of total billed charges,50.46,50.46,58,percent of total billed charges,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.04,88,percent of total billed charges,51.04,50.46,58,percent of total billed charges,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,AETNA,AETNA,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,ALLIANT,ALLIANT,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,AMBETTER,AMBETTER,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,BEECH STREET,BEECH STREET,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,CARESOURCE,CARESOURCE,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,MEDICAID,MEDICAID,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,MEDICARE,MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,NOVA NET,NOVA NET,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,PEACHSTATE,PEACHSTATE,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,SELFPAY,SELFPAY,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,TRICARE,TRICARE,,58,,fee schedule,58,50.46,58,fee schedule,
NITROGLYCERIN 1MG/10ML IN,J3490,CPT,both,,,58,58,UHC MEDICARE,UHC MEDICARE,,58,,fee schedule,58,50.46,58,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,51.33,59,percent of total billed charges,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,51.33,59,percent of total billed charges,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,51.33,59,fee schedule,
NORCURON INJ 10MG: 10ML,J3490,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,51.33,59,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,AETNA,AETNA,,54.81,87,percent of total billed charges,54.81,54.81,63,percent of total billed charges,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,54.81,87,percent of total billed charges,54.81,54.81,63,percent of total billed charges,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,UNITED HEALTHCARE,UNITED HEALTHCARE,,55.44,88,percent of total billed charges,55.44,54.81,63,percent of total billed charges,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,AETNA,AETNA,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,ALLIANT,ALLIANT,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,AMBETTER,AMBETTER,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,BEECH STREET,BEECH STREET,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,CARESOURCE,CARESOURCE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,MEDICAID,MEDICAID,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,MEDICARE,MEDICARE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,NOVA NET,NOVA NET,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,PEACHSTATE,PEACHSTATE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,SELFPAY,SELFPAY,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,TRICARE,TRICARE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 1MG VIAL,J3490,CPT,both,,,63,63,UHC MEDICARE,UHC MEDICARE,,63,,fee schedule,63,54.81,63,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,AETNA,AETNA,,108.75,87,percent of total billed charges,108.75,108.75,125,percent of total billed charges,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108.75,87,percent of total billed charges,108.75,108.75,125,percent of total billed charges,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,UNITED HEALTHCARE,UNITED HEALTHCARE,,110,88,percent of total billed charges,110,108.75,125,percent of total billed charges,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,AETNA,AETNA,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,ALLIANT,ALLIANT,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,AMBETTER,AMBETTER,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,BEECH STREET,BEECH STREET,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,CARESOURCE,CARESOURCE,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,MEDICAID,MEDICAID,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,MEDICARE,MEDICARE,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,NOVA NET,NOVA NET,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,PEACHSTATE,PEACHSTATE,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,SELFPAY,SELFPAY,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,TRICARE,TRICARE,,125,,fee schedule,125,108.75,125,fee schedule,
REMIFENTANIL 5MG VIAL,J3490,CPT,both,,,125,125,UHC MEDICARE,UHC MEDICARE,,125,,fee schedule,125,108.75,125,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,AETNA,AETNA,,67.86,87,percent of total billed charges,67.86,67.86,78,percent of total billed charges,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67.86,87,percent of total billed charges,67.86,67.86,78,percent of total billed charges,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,UNITED HEALTHCARE,UNITED HEALTHCARE,,68.64,88,percent of total billed charges,68.64,67.86,78,percent of total billed charges,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,AETNA,AETNA,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,ALLIANT,ALLIANT,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,AMBETTER,AMBETTER,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,BEECH STREET,BEECH STREET,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,CARESOURCE,CARESOURCE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,MEDICAID,MEDICAID,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,MEDICARE,MEDICARE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,NOVA NET,NOVA NET,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,PEACHSTATE,PEACHSTATE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,SELFPAY,SELFPAY,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,TRICARE,TRICARE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL 1MG/5ML INJECTION,J3490,CPT,both,,,78,78,UHC MEDICARE,UHC MEDICARE,,78,,fee schedule,78,67.86,78,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ROBINUL INJ 0.2MG/ML 1 DO,J3490,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONIUM 50MG/5ML SYRINGE,J3490,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,73.95,85,percent of total billed charges,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,73.95,85,percent of total billed charges,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,73.95,85,percent of total billed charges,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,ALLIANT,ALLIANT,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,AMBETTER,AMBETTER,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,MEDICARE,MEDICARE,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,TRICARE,TRICARE,,85,,fee schedule,85,73.95,85,fee schedule,
ROCURONUIM(10MG/ML) 10 ML VIAL,J3490,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,85,,fee schedule,85,73.95,85,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
VIBRAMYCIN IV 100MG,J3490,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Etomidate 40 MG/20 ML VIAL,J3490,CPT,both,40,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Doxycycline,J3490,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Famotidine Ped 4mg/mL SYRINGE,J3490,CPT,both,400,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Folic Acid,J3490,CPT,both,5,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Ketamine,J3490,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NITROglyercin,J3490,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Remifentanil,J3490,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Glycopyrrolate,J3490,CPT,both,,,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium,J3490,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
0.9 % Sodium Chloride 50 ml Minibag,J3490,CPT,both,50,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Sugammadex 200 mg/2 ml Vial,J3490,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Rocuronium (10 MG/ML) 10 ML VIAL,J3490,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,AETNA,AETNA,,227.07,87,percent of total billed charges,227.07,227.07,261,percent of total billed charges,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.07,87,percent of total billed charges,227.07,227.07,261,percent of total billed charges,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,UNITED HEALTHCARE,UNITED HEALTHCARE,,229.68,88,percent of total billed charges,229.68,227.07,261,percent of total billed charges,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,AETNA,AETNA,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,ALLIANT,ALLIANT,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,AMBETTER,AMBETTER,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,BEECH STREET,BEECH STREET,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,CARESOURCE,CARESOURCE,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,MEDICAID,MEDICAID,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,MEDICARE,MEDICARE,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,NOVA NET,NOVA NET,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,PEACHSTATE,PEACHSTATE,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,SELFPAY,SELFPAY,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,TRICARE,TRICARE,,261,,fee schedule,261,227.07,261,fee schedule,
FLUTICASONE PROPIONATE 110 MCG,J3535,CPT,both,,,261,261,UHC MEDICARE,UHC MEDICARE,,261,,fee schedule,261,227.07,261,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,AETNA,AETNA,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.81,87,percent of total billed charges,21.81,21.81,25.07,percent of total billed charges,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.06,88,percent of total billed charges,22.06,21.81,25.07,percent of total billed charges,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,AETNA,AETNA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,ALLIANT,ALLIANT,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,AMBETTER,AMBETTER,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,BEECH STREET,BEECH STREET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,CARESOURCE,CARESOURCE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,MEDICAID,MEDICAID,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,MEDICARE,MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,NOVA NET,NOVA NET,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,PEACHSTATE,PEACHSTATE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,SELFPAY,SELFPAY,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,TRICARE,TRICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
Fluticasone Propionate,J3535,CPT,both,1,GR,25.07,25.07,UHC MEDICARE,UHC MEDICARE,,25.07,,fee schedule,25.07,21.81,25.07,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,AETNA,AETNA,,6849.51,87,percent of total billed charges,6849.51,6849.51,7873,percent of total billed charges,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6849.51,87,percent of total billed charges,6849.51,6849.51,7873,percent of total billed charges,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,UNITED HEALTHCARE,UNITED HEALTHCARE,,6928.24,88,percent of total billed charges,6928.24,6849.51,7873,percent of total billed charges,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,AETNA,AETNA,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,ALLIANT,ALLIANT,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,AMBETTER,AMBETTER,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,BEECH STREET,BEECH STREET,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,CARESOURCE,CARESOURCE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,MEDICAID,MEDICAID,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,MEDICARE,MEDICARE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,NOVA NET,NOVA NET,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,PEACHSTATE,PEACHSTATE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,SELFPAY,SELFPAY,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,TRICARE,TRICARE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
SYLATRON 600MCG INJ,J3590,CPT,both,,,7873,7873,UHC MEDICARE,UHC MEDICARE,,7873,,fee schedule,7873,6849.51,7873,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,2.69,170,percent of total billed charges,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,2.69,170,fee schedule,
.45 NOR SALINE 1000 79850,J7030,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,AETNA,AETNA,,12.18,87,percent of total billed charges,12.18,2.69,14,percent of total billed charges,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12.18,87,percent of total billed charges,12.18,2.69,14,percent of total billed charges,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,UNITED HEALTHCARE,UNITED HEALTHCARE,,12.32,88,percent of total billed charges,12.32,2.69,14,percent of total billed charges,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,AETNA,AETNA,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,ALLIANT,ALLIANT,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,AMBETTER,AMBETTER,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,BEECH STREET,BEECH STREET,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,CARESOURCE,CARESOURCE,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,MEDICAID,MEDICAID,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,MEDICARE,MEDICARE,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,NOVA NET,NOVA NET,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,PEACHSTATE,PEACHSTATE,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,SELFPAY,SELFPAY,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,TRICARE,TRICARE,,14,,fee schedule,14,2.69,14,fee schedule,
0.45% NORMAL SALINE 1000M,J7030,CPT,both,,,14,14,UHC MEDICARE,UHC MEDICARE,,14,,fee schedule,14,2.69,14,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,2.69,170,percent of total billed charges,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,2.69,170,fee schedule,
3000ML NORMAL SALINE IRRI,J7030,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,2.69,170,percent of total billed charges,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,2.69,170,fee schedule,
IRRIG SOD CHL 3000 797208,J7030,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,2.69,48,percent of total billed charges,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,2.69,48,percent of total billed charges,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,2.69,48,percent of total billed charges,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,2.69,48,fee schedule,
IV FLUIDS 500CC TO 1000CC,J7030,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,2.69,48,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,2.69,170,percent of total billed charges,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,2.69,170,percent of total billed charges,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,2.69,170,fee schedule,
NOR SALINE 1000 79830939,J7030,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,2.69,170,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,AETNA,AETNA,,133.11,87,percent of total billed charges,133.11,2.69,153,percent of total billed charges,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,133.11,87,percent of total billed charges,133.11,2.69,153,percent of total billed charges,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,UNITED HEALTHCARE,UNITED HEALTHCARE,,134.64,88,percent of total billed charges,134.64,2.69,153,percent of total billed charges,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,AETNA,AETNA,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,ALLIANT,ALLIANT,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,AMBETTER,AMBETTER,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,BEECH STREET,BEECH STREET,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,CARESOURCE,CARESOURCE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,MEDICAID,MEDICAID,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,MEDICARE,MEDICARE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,NOVA NET,NOVA NET,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,PEACHSTATE,PEACHSTATE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,SELFPAY,SELFPAY,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,TRICARE,TRICARE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 1000ML,J7030,CPT,both,,,153,153,UHC MEDICARE,UHC MEDICARE,,153,,fee schedule,153,2.69,153,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,AETNA,AETNA,,51.33,87,percent of total billed charges,51.33,2.69,59,percent of total billed charges,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,51.33,87,percent of total billed charges,51.33,2.69,59,percent of total billed charges,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,UNITED HEALTHCARE,UNITED HEALTHCARE,,51.92,88,percent of total billed charges,51.92,2.69,59,percent of total billed charges,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,AETNA,AETNA,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,ALLIANT,ALLIANT,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,AMBETTER,AMBETTER,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,BEECH STREET,BEECH STREET,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,CARESOURCE,CARESOURCE,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,MEDICAID,MEDICAID,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,MEDICARE,MEDICARE,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,NOVA NET,NOVA NET,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,PEACHSTATE,PEACHSTATE,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,SELFPAY,SELFPAY,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,TRICARE,TRICARE,,59,,fee schedule,59,2.69,59,fee schedule,
NORMAL SALINE 500ML,J7030,CPT,both,,,59,59,UHC MEDICARE,UHC MEDICARE,,59,,fee schedule,59,2.69,59,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,AETNA,AETNA,,120.5,87,percent of total billed charges,120.5,2.69,138.5,percent of total billed charges,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.5,87,percent of total billed charges,120.5,2.69,138.5,percent of total billed charges,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.88,88,percent of total billed charges,121.88,2.69,138.5,percent of total billed charges,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,AETNA,AETNA,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,ALLIANT,ALLIANT,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,AMBETTER,AMBETTER,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,BEECH STREET,BEECH STREET,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,CARESOURCE,CARESOURCE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,MEDICAID,MEDICAID,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,MEDICARE,MEDICARE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,NOVA NET,NOVA NET,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,PEACHSTATE,PEACHSTATE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,SELFPAY,SELFPAY,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,TRICARE,TRICARE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
"0.9 % Sodium Chloride 1,000 ml Bag",J7030,CPT,both,1000,ML,138.5,138.5,UHC MEDICARE,UHC MEDICARE,,138.5,,fee schedule,138.5,2.69,138.5,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.82,,fee schedule,2.82,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,CARESOURCE,CARESOURCE,,2.88,,fee schedule,2.88,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.69,,fee schedule,2.69,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.69,149.77,percent of total billed charges,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.69,149.77,percent of total billed charges,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.69,149.77,percent of total billed charges,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
0.9 % Sodium Chloride,J7030,CPT,both,500,ML,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.69,149.77,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,1.41,,fee schedule,1.41,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,1.44,,fee schedule,1.44,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,1.35,,fee schedule,1.35,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,1.35,170,percent of total billed charges,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,1.35,170,percent of total billed charges,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,1.35,170,percent of total billed charges,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,1.35,170,fee schedule,
.45 NORMAL SALINE 500 798,J7040,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,1.41,,fee schedule,1.41,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,1.44,,fee schedule,1.44,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,1.35,,fee schedule,1.35,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,1.35,170,percent of total billed charges,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,1.35,170,percent of total billed charges,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,1.35,170,percent of total billed charges,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,1.35,170,fee schedule,
NOR SALINE 500 79830334,J7040,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,1.35,170,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,1.22,,fee schedule,1.22,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,1.24,,fee schedule,1.24,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,1.16,,fee schedule,1.16,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,1.16,157,percent of total billed charges,
D5NS 500ML,J7042,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,1.16,157,percent of total billed charges,
D5NS 500ML,J7042,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,1.16,157,percent of total billed charges,
D5NS 500ML,J7042,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,1.16,157,fee schedule,
D5NS 500ML,J7042,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,1.16,157,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,1.22,,fee schedule,1.22,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,1.24,,fee schedule,1.24,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,1.16,,fee schedule,1.16,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,1.16,170,percent of total billed charges,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,1.16,170,percent of total billed charges,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,1.16,170,percent of total billed charges,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,1.16,170,fee schedule,
DEX 10% WATER 500,J7042,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,1.16,170,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,AMERIGROUP,AMERIGROUP,,0.71,,fee schedule,0.71,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,0.72,,fee schedule,0.72,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,0.67,,fee schedule,0.67,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,AETNA,AETNA,,135.72,87,percent of total billed charges,135.72,0.67,156,percent of total billed charges,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,135.72,87,percent of total billed charges,135.72,0.67,156,percent of total billed charges,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,UNITED HEALTHCARE,UNITED HEALTHCARE,,137.28,88,percent of total billed charges,137.28,0.67,156,percent of total billed charges,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,AETNA,AETNA,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,ALLIANT,ALLIANT,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,AMBETTER,AMBETTER,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,BEECH STREET,BEECH STREET,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,CARESOURCE,CARESOURCE,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,MEDICAID,MEDICAID,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,MEDICARE,MEDICARE,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,NOVA NET,NOVA NET,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,PEACHSTATE,PEACHSTATE,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,SELFPAY,SELFPAY,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,TRICARE,TRICARE,,156,,fee schedule,156,0.67,156,fee schedule,
0.9% SOD. CHLOR 250MG MIN,J7050,CPT,both,,,156,156,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,0.67,156,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,0.71,,fee schedule,0.71,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,0.72,,fee schedule,0.72,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,0.67,,fee schedule,0.67,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,0.67,170,percent of total billed charges,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,0.67,170,percent of total billed charges,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,0.67,170,percent of total billed charges,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 100 79843737,J7050,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,0.71,,fee schedule,0.71,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,0.72,,fee schedule,0.72,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,0.67,,fee schedule,0.67,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,0.67,170,percent of total billed charges,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,0.67,170,percent of total billed charges,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,0.67,170,percent of total billed charges,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,0.67,170,fee schedule,
NOR SALINE 250 79830262,J7050,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,0.67,170,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,AMERIGROUP,AMERIGROUP,,0.71,,fee schedule,0.71,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,0.72,,fee schedule,0.72,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,0.67,,fee schedule,0.67,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,AETNA,AETNA,,23.49,87,percent of total billed charges,23.49,0.67,27,percent of total billed charges,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,23.49,87,percent of total billed charges,23.49,0.67,27,percent of total billed charges,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,UNITED HEALTHCARE,UNITED HEALTHCARE,,23.76,88,percent of total billed charges,23.76,0.67,27,percent of total billed charges,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,AETNA,AETNA,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,ALLIANT,ALLIANT,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,AMBETTER,AMBETTER,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,BEECH STREET,BEECH STREET,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,CARESOURCE,CARESOURCE,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,MEDICAID,MEDICAID,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,MEDICARE,MEDICARE,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,NOVA NET,NOVA NET,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,PEACHSTATE,PEACHSTATE,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,SELFPAY,SELFPAY,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,TRICARE,TRICARE,,27,,fee schedule,27,0.67,27,fee schedule,
NORMAL SALINE 250ML (L-C),J7050,CPT,both,,,27,27,UHC MEDICARE,UHC MEDICARE,,27,,fee schedule,27,0.67,27,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.71,,fee schedule,0.71,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,CARESOURCE,CARESOURCE,,0.72,,fee schedule,0.72,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.67,,fee schedule,0.67,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.67,35.29,percent of total billed charges,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.67,35.29,percent of total billed charges,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.67,35.29,percent of total billed charges,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ml Minibag,J7050,CPT,both,250,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.67,35.29,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.71,,fee schedule,0.71,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,CARESOURCE,CARESOURCE,,0.72,,fee schedule,0.72,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.67,,fee schedule,0.67,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.67,149.77,percent of total billed charges,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.67,149.77,percent of total billed charges,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.67,149.77,percent of total billed charges,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
0.9 % Sodium Chloride 250 ML IV.SOLN,J7050,CPT,both,250,ML,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.67,149.77,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,1.68,170,percent of total billed charges,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,1.68,170,percent of total billed charges,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,1.68,170,percent of total billed charges,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,1.68,170,fee schedule,
D5 INJ. 500ML GLASS CONTA,J7060,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,1.68,170,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,AETNA,AETNA,,18.27,87,percent of total billed charges,18.27,1.68,21,percent of total billed charges,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,18.27,87,percent of total billed charges,18.27,1.68,21,percent of total billed charges,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,UNITED HEALTHCARE,UNITED HEALTHCARE,,18.48,88,percent of total billed charges,18.48,1.68,21,percent of total billed charges,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,AETNA,AETNA,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,ALLIANT,ALLIANT,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,AMBETTER,AMBETTER,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,BEECH STREET,BEECH STREET,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,CARESOURCE,CARESOURCE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,MEDICAID,MEDICAID,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,MEDICARE,MEDICARE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,NOVA NET,NOVA NET,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,PEACHSTATE,PEACHSTATE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,SELFPAY,SELFPAY,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,TRICARE,TRICARE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 250ML (L-C),J7060,CPT,both,,,21,21,UHC MEDICARE,UHC MEDICARE,,21,,fee schedule,21,1.68,21,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,1.68,12,percent of total billed charges,
D5W 500ML,J7060,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,1.68,12,percent of total billed charges,
D5W 500ML,J7060,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,1.68,12,percent of total billed charges,
D5W 500ML,J7060,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 500ML,J7060,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,1.68,12,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,1.68,67,percent of total billed charges,
D5W 50ML,J7060,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,1.68,67,percent of total billed charges,
D5W 50ML,J7060,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,1.68,67,percent of total billed charges,
D5W 50ML,J7060,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,ALLIANT,ALLIANT,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,AMBETTER,AMBETTER,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,MEDICARE,MEDICARE,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,TRICARE,TRICARE,,67,,fee schedule,67,1.68,67,fee schedule,
D5W 50ML,J7060,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,67,,fee schedule,67,1.68,67,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.68,35.29,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.68,35.29,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.68,35.29,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,50,ML,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.68,35.29,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.68,149.77,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.68,149.77,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.68,149.77,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,250,ML,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.68,149.77,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,AMERIGROUP,AMERIGROUP,,1.76,,fee schedule,1.76,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,CARESOURCE,CARESOURCE,,1.8,,fee schedule,1.8,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,PEACHSTATE,PEACHSTATE,,1.68,,fee schedule,1.68,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,AETNA,AETNA,,120.5,87,percent of total billed charges,120.5,1.68,138.5,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.5,87,percent of total billed charges,120.5,1.68,138.5,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.88,88,percent of total billed charges,121.88,1.68,138.5,percent of total billed charges,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,AETNA,AETNA,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,ALLIANT,ALLIANT,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,AMBETTER,AMBETTER,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,BEECH STREET,BEECH STREET,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,CARESOURCE,CARESOURCE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,MEDICAID,MEDICAID,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,MEDICARE,MEDICARE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,NOVA NET,NOVA NET,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,PEACHSTATE,PEACHSTATE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,SELFPAY,SELFPAY,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,TRICARE,TRICARE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
Dextrose 5%,J7060,CPT,both,500,ML,138.5,138.5,UHC MEDICARE,UHC MEDICARE,,138.5,,fee schedule,138.5,1.68,138.5,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,AMERIGROUP,AMERIGROUP,,2.58,,fee schedule,2.58,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,2.63,,fee schedule,2.63,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,2.45,,fee schedule,2.45,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,AETNA,AETNA,,147.9,87,percent of total billed charges,147.9,2.45,170,percent of total billed charges,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.9,87,percent of total billed charges,147.9,2.45,170,percent of total billed charges,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,UNITED HEALTHCARE,UNITED HEALTHCARE,,149.6,88,percent of total billed charges,149.6,2.45,170,percent of total billed charges,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,AETNA,AETNA,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,ALLIANT,ALLIANT,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,AMBETTER,AMBETTER,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,BEECH STREET,BEECH STREET,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,CARESOURCE,CARESOURCE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,MEDICAID,MEDICAID,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,MEDICARE,MEDICARE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,NOVA NET,NOVA NET,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,PEACHSTATE,PEACHSTATE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,SELFPAY,SELFPAY,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,TRICARE,TRICARE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT RINGERS 1000 7953093,J7120,CPT,both,,,170,170,UHC MEDICARE,UHC MEDICARE,,170,,fee schedule,170,2.45,170,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,2.58,,fee schedule,2.58,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,2.63,,fee schedule,2.63,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,2.45,,fee schedule,2.45,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,2.45,157,percent of total billed charges,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,2.45,157,percent of total billed charges,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,2.45,157,percent of total billed charges,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,2.45,157,fee schedule,
LACT. RINGERS 1000ML,J7120,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,2.45,157,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,AMERIGROUP,AMERIGROUP,,2.58,,fee schedule,2.58,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,CARESOURCE,CARESOURCE,,2.63,,fee schedule,2.63,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,PEACHSTATE,PEACHSTATE,,2.45,,fee schedule,2.45,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,AETNA,AETNA,,120.5,87,percent of total billed charges,120.5,2.45,138.5,percent of total billed charges,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.5,87,percent of total billed charges,120.5,2.45,138.5,percent of total billed charges,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.88,88,percent of total billed charges,121.88,2.45,138.5,percent of total billed charges,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,AETNA,AETNA,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,ALLIANT,ALLIANT,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,AMBETTER,AMBETTER,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,BEECH STREET,BEECH STREET,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,CARESOURCE,CARESOURCE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,MEDICAID,MEDICAID,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,MEDICARE,MEDICARE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,NOVA NET,NOVA NET,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,PEACHSTATE,PEACHSTATE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,SELFPAY,SELFPAY,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,TRICARE,TRICARE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
"Ringer's Lactated 1,000 ml",J7120,CPT,both,1000,ML,138.5,138.5,UHC MEDICARE,UHC MEDICARE,,138.5,,fee schedule,138.5,2.45,138.5,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,ALLIANT,ALLIANT,,3.45,,fee schedule,3.45,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,AMBETTER,AMBETTER,,2.72,,fee schedule,2.72,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,MEDICARE,MEDICARE,,2.09,,fee schedule,2.09,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,TRICARE,TRICARE,,2.09,,fee schedule,2.09,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,UHC MEDICARE,UHC MEDICARE,,2.09,,fee schedule,2.09,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,AETNA,AETNA,,2424.69,87,percent of total billed charges,2424.69,2.09,2787,percent of total billed charges,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2424.69,87,percent of total billed charges,2424.69,2.09,2787,percent of total billed charges,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,UNITED HEALTHCARE,UNITED HEALTHCARE,,2452.56,88,percent of total billed charges,2452.56,2.09,2787,percent of total billed charges,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,AETNA,AETNA,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,BEECH STREET,BEECH STREET,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,CARESOURCE,CARESOURCE,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,MEDICAID,MEDICAID,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,NOVA NET,NOVA NET,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,PEACHSTATE,PEACHSTATE,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,SELFPAY,SELFPAY,,2787,,fee schedule,2787,2.09,2787,fee schedule,
KCENTRA KIT 1000 UNITS,J7168,CPT,both,,,2787,2787,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2787,,fee schedule,2787,2.09,2787,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,ALLIANT,ALLIANT,,3.45,,fee schedule,3.45,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,AMBETTER,AMBETTER,,2.72,,fee schedule,2.72,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,MEDICARE,MEDICARE,,2.09,,fee schedule,2.09,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,TRICARE,TRICARE,,2.09,,fee schedule,2.09,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,2.09,,fee schedule,2.09,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.09,149.77,percent of total billed charges,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.09,149.77,percent of total billed charges,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.09,149.77,percent of total billed charges,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
Human Prothrombin Complx (PCC),J7168,CPT,both,1000,UN,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.09,149.77,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,ALLIANT,ALLIANT,,166.8,,fee schedule,166.8,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,AMBETTER,AMBETTER,,131.42,,fee schedule,131.42,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,MEDICARE,MEDICARE,,101.09,,fee schedule,101.09,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,TRICARE,TRICARE,,101.09,,fee schedule,101.09,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,UHC MEDICARE,UHC MEDICARE,,101.09,,fee schedule,101.09,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,AETNA,AETNA,,2228.07,87,percent of total billed charges,2228.07,101.09,2561,percent of total billed charges,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2228.07,87,percent of total billed charges,2228.07,101.09,2561,percent of total billed charges,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,UNITED HEALTHCARE,UNITED HEALTHCARE,,2253.68,88,percent of total billed charges,2253.68,101.09,2561,percent of total billed charges,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,AETNA,AETNA,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,BEECH STREET,BEECH STREET,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,CARESOURCE,CARESOURCE,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,MEDICAID,MEDICAID,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,NOVA NET,NOVA NET,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,PEACHSTATE,PEACHSTATE,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,SELFPAY,SELFPAY,,2561,,fee schedule,2561,101.09,2561,fee schedule,
ANDEXXA 200MG VIAL,J7169,CPT,both,,,2561,2561,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2561,,fee schedule,2561,101.09,2561,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,166.8,,fee schedule,166.8,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,131.42,,fee schedule,131.42,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,101.09,,fee schedule,101.09,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,101.09,,fee schedule,101.09,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,101.09,,fee schedule,101.09,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,101.09,166.8,percent of total billed charges,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,101.09,166.8,percent of total billed charges,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,101.09,166.8,percent of total billed charges,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
"Factor Xa,Inactivated-zhzo",J7169,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,101.09,166.8,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,AMERIGROUP,AMERIGROUP,,931.73,,fee schedule,931.73,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,CARESOURCE,CARESOURCE,,949.48,,fee schedule,949.48,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,PEACHSTATE,PEACHSTATE,,887.36,,fee schedule,887.36,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,AETNA,AETNA,,1291.95,87,percent of total billed charges,1291.95,887.36,1485,percent of total billed charges,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1291.95,87,percent of total billed charges,1291.95,887.36,1485,percent of total billed charges,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,UNITED HEALTHCARE,UNITED HEALTHCARE,,1306.8,88,percent of total billed charges,1306.8,887.36,1485,percent of total billed charges,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,AETNA,AETNA,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,ALLIANT,ALLIANT,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,AMBETTER,AMBETTER,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,BEECH STREET,BEECH STREET,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,CARESOURCE,CARESOURCE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,MEDICAID,MEDICAID,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,MEDICARE,MEDICARE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,NOVA NET,NOVA NET,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,PEACHSTATE,PEACHSTATE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,SELFPAY,SELFPAY,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,TRICARE,TRICARE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
IUD INTRAUTERINE DEVICE,J7297,CPT,both,,,1485,1485,UHC MEDICARE,UHC MEDICARE,,1485,,fee schedule,1485,887.36,1485,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,AMERIGROUP,AMERIGROUP,,1214.63,,fee schedule,1214.63,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,1237.77,,fee schedule,1237.77,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,1156.79,,fee schedule,1156.79,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,AETNA,AETNA,,2131.5,87,percent of total billed charges,2131.5,1156.79,2450,percent of total billed charges,
MIRENA IUC,J7298,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2131.5,87,percent of total billed charges,2131.5,1156.79,2450,percent of total billed charges,
MIRENA IUC,J7298,CPT,both,,,2450,2450,UNITED HEALTHCARE,UNITED HEALTHCARE,,2156,88,percent of total billed charges,2156,1156.79,2450,percent of total billed charges,
MIRENA IUC,J7298,CPT,both,,,2450,2450,AETNA,AETNA,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,ALLIANT,ALLIANT,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,AMBETTER,AMBETTER,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,BEECH STREET,BEECH STREET,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,CARESOURCE,CARESOURCE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,MEDICAID,MEDICAID,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,MEDICARE,MEDICARE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,NOVA NET,NOVA NET,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,PEACHSTATE,PEACHSTATE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,SELFPAY,SELFPAY,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,TRICARE,TRICARE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
MIRENA IUC,J7298,CPT,both,,,2450,2450,UHC MEDICARE,UHC MEDICARE,,2450,,fee schedule,2450,1156.79,2450,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,1214.63,,fee schedule,1214.63,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,CARESOURCE,CARESOURCE,,1237.77,,fee schedule,1237.77,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,1156.79,,fee schedule,1156.79,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,1237.77,percent of total billed charges,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,1237.77,percent of total billed charges,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,1237.77,percent of total billed charges,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
Levonorgestrel,J7298,CPT,both,52,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,1237.77,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,AMERIGROUP,AMERIGROUP,,1214.09,,fee schedule,1214.09,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,CARESOURCE,CARESOURCE,,1237.22,,fee schedule,1237.22,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,PEACHSTATE,PEACHSTATE,,1156.28,,fee schedule,1156.28,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,AETNA,AETNA,,2509.08,87,percent of total billed charges,2509.08,1156.28,2884,percent of total billed charges,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2509.08,87,percent of total billed charges,2509.08,1156.28,2884,percent of total billed charges,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,UNITED HEALTHCARE,UNITED HEALTHCARE,,2537.92,88,percent of total billed charges,2537.92,1156.28,2884,percent of total billed charges,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,AETNA,AETNA,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,ALLIANT,ALLIANT,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,AMBETTER,AMBETTER,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,BEECH STREET,BEECH STREET,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,CARESOURCE,CARESOURCE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,MEDICAID,MEDICAID,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,MEDICARE,MEDICARE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,NOVA NET,NOVA NET,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,PEACHSTATE,PEACHSTATE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,SELFPAY,SELFPAY,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,TRICARE,TRICARE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
NEXPLANON CONTRACEPTIVE,J7307,CPT,both,,,2884,2884,UHC MEDICARE,UHC MEDICARE,,2884,,fee schedule,2884,1156.28,2884,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,ALLIANT,ALLIANT,,204.01,,fee schedule,204.01,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,AMBETTER,AMBETTER,,160.73,,fee schedule,160.73,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,MEDICARE,MEDICARE,,123.64,,fee schedule,123.64,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,TRICARE,TRICARE,,123.64,,fee schedule,123.64,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,UHC MEDICARE,UHC MEDICARE,,123.64,,fee schedule,123.64,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,AETNA,AETNA,,438.48,87,percent of total billed charges,438.48,123.64,504,percent of total billed charges,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,438.48,87,percent of total billed charges,438.48,123.64,504,percent of total billed charges,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,UNITED HEALTHCARE,UNITED HEALTHCARE,,443.52,88,percent of total billed charges,443.52,123.64,504,percent of total billed charges,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,AETNA,AETNA,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,BEECH STREET,BEECH STREET,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,CARESOURCE,CARESOURCE,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,MEDICAID,MEDICAID,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,NOVA NET,NOVA NET,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,PEACHSTATE,PEACHSTATE,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,SELFPAY,SELFPAY,,504,,fee schedule,504,123.64,504,fee schedule,
ORTHOVISC PER DOSE,J7324,CPT,both,,,504,504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,504,,fee schedule,504,123.64,504,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,ALLIANT,ALLIANT,,1175.1,,fee schedule,1175.1,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,AMBETTER,AMBETTER,,925.83,,fee schedule,925.83,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,MEDICARE,MEDICARE,,712.18,,fee schedule,712.18,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,TRICARE,TRICARE,,712.18,,fee schedule,712.18,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,UHC MEDICARE,UHC MEDICARE,,712.18,,fee schedule,712.18,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,AETNA,AETNA,,1996.65,87,percent of total billed charges,1996.65,712.18,2295,percent of total billed charges,
MONOVISC,J7327,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1996.65,87,percent of total billed charges,1996.65,712.18,2295,percent of total billed charges,
MONOVISC,J7327,CPT,both,,,2295,2295,UNITED HEALTHCARE,UNITED HEALTHCARE,,2019.6,88,percent of total billed charges,2019.6,712.18,2295,percent of total billed charges,
MONOVISC,J7327,CPT,both,,,2295,2295,AETNA,AETNA,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,BEECH STREET,BEECH STREET,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,CARESOURCE,CARESOURCE,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,MEDICAID,MEDICAID,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,NOVA NET,NOVA NET,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,PEACHSTATE,PEACHSTATE,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,SELFPAY,SELFPAY,,2295,,fee schedule,2295,712.18,2295,fee schedule,
MONOVISC,J7327,CPT,both,,,2295,2295,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2295,,fee schedule,2295,712.18,2295,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,ALLIANT,ALLIANT,,1.5,,fee schedule,1.5,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,AMBETTER,AMBETTER,,1.18,,fee schedule,1.18,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,MEDICARE,MEDICARE,,0.91,,fee schedule,0.91,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,TRICARE,TRICARE,,0.91,,fee schedule,0.91,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,UHC MEDICARE,UHC MEDICARE,,0.91,,fee schedule,0.91,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,AETNA,AETNA,,898.71,87,percent of total billed charges,898.71,0.91,1033,percent of total billed charges,
GELSYN,J7328,CPT,both,,,1033,1033,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,898.71,87,percent of total billed charges,898.71,0.91,1033,percent of total billed charges,
GELSYN,J7328,CPT,both,,,1033,1033,UNITED HEALTHCARE,UNITED HEALTHCARE,,909.04,88,percent of total billed charges,909.04,0.91,1033,percent of total billed charges,
GELSYN,J7328,CPT,both,,,1033,1033,AETNA,AETNA,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,BEECH STREET,BEECH STREET,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,CARESOURCE,CARESOURCE,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,MEDICAID,MEDICAID,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,NOVA NET,NOVA NET,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,PEACHSTATE,PEACHSTATE,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,SELFPAY,SELFPAY,,1033,,fee schedule,1033,0.91,1033,fee schedule,
GELSYN,J7328,CPT,both,,,1033,1033,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1033,,fee schedule,1033,0.91,1033,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 20MG,J7502,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 20 mg Tablet,J7502,CPT,both,20,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
PREDNISONE TABS 10MG,J7512,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
predniSONE 10 mg Tablet,J7512,CPT,both,10,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,AETNA,AETNA,,107.01,87,percent of total billed charges,107.01,107.01,123,percent of total billed charges,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,107.01,87,percent of total billed charges,107.01,107.01,123,percent of total billed charges,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,UNITED HEALTHCARE,UNITED HEALTHCARE,,108.24,88,percent of total billed charges,108.24,107.01,123,percent of total billed charges,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,AETNA,AETNA,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,ALLIANT,ALLIANT,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,AMBETTER,AMBETTER,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,BEECH STREET,BEECH STREET,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,CARESOURCE,CARESOURCE,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,MEDICAID,MEDICAID,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,MEDICARE,MEDICARE,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,NOVA NET,NOVA NET,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,PEACHSTATE,PEACHSTATE,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,SELFPAY,SELFPAY,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,TRICARE,TRICARE,,123,,fee schedule,123,107.01,123,fee schedule,
SANDIMMUNE 50MG/ML; 5,J7516,CPT,both,,,123,123,UHC MEDICARE,UHC MEDICARE,,123,,fee schedule,123,107.01,123,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,130.3,149.77,percent of total billed charges,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,130.3,149.77,percent of total billed charges,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
cycloSPORINE 250 mg/5 ml Ampul,J7516,CPT,both,250,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,130.3,149.77,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,AETNA,AETNA,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10.44,87,percent of total billed charges,10.44,10.44,12,percent of total billed charges,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.56,88,percent of total billed charges,10.56,10.44,12,percent of total billed charges,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,AETNA,AETNA,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,ALLIANT,ALLIANT,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,AMBETTER,AMBETTER,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,BEECH STREET,BEECH STREET,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,CARESOURCE,CARESOURCE,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,MEDICAID,MEDICAID,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,MEDICARE,MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,NOVA NET,NOVA NET,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,SELFPAY,SELFPAY,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,TRICARE,TRICARE,,12,,fee schedule,12,10.44,12,fee schedule,
PERFOROMIST 20MCG/2ML NEBS,J7606,CPT,both,,,12,12,UHC MEDICARE,UHC MEDICARE,,12,,fee schedule,12,10.44,12,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,AETNA,AETNA,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9.89,87,percent of total billed charges,9.89,9.89,11.37,percent of total billed charges,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,UNITED HEALTHCARE,UNITED HEALTHCARE,,10.01,88,percent of total billed charges,10.01,9.89,11.37,percent of total billed charges,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,AETNA,AETNA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,ALLIANT,ALLIANT,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,AMBETTER,AMBETTER,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,BEECH STREET,BEECH STREET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,CARESOURCE,CARESOURCE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,MEDICAID,MEDICAID,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,MEDICARE,MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,NOVA NET,NOVA NET,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,PEACHSTATE,PEACHSTATE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,SELFPAY,SELFPAY,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,TRICARE,TRICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
Formoterol Fumarate,J7606,CPT,both,20,F2,11.37,11.37,UHC MEDICARE,UHC MEDICARE,,11.37,,fee schedule,11.37,9.89,11.37,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,AETNA,AETNA,,235.77,87,percent of total billed charges,235.77,235.77,271,percent of total billed charges,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,235.77,87,percent of total billed charges,235.77,235.77,271,percent of total billed charges,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,UNITED HEALTHCARE,UNITED HEALTHCARE,,238.48,88,percent of total billed charges,238.48,235.77,271,percent of total billed charges,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,AETNA,AETNA,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,ALLIANT,ALLIANT,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,AMBETTER,AMBETTER,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,BEECH STREET,BEECH STREET,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,CARESOURCE,CARESOURCE,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,MEDICAID,MEDICAID,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,MEDICARE,MEDICARE,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,NOVA NET,NOVA NET,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,PEACHSTATE,PEACHSTATE,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,SELFPAY,SELFPAY,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,TRICARE,TRICARE,,271,,fee schedule,271,235.77,271,fee schedule,
EMEND 40 MG CAP,J8501,CPT,both,,,271,271,UHC MEDICARE,UHC MEDICARE,,271,,fee schedule,271,235.77,271,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Aprepitant 40 mg Cap,J8501,CPT,both,40,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
CYTOXAN 25MG TAB,J8530,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Cyclophosphamide,J8530,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,AETNA,AETNA,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13.92,87,percent of total billed charges,13.92,13.92,16,percent of total billed charges,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,UNITED HEALTHCARE,UNITED HEALTHCARE,,14.08,88,percent of total billed charges,14.08,13.92,16,percent of total billed charges,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,AETNA,AETNA,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,ALLIANT,ALLIANT,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,AMBETTER,AMBETTER,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,BEECH STREET,BEECH STREET,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,CARESOURCE,CARESOURCE,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,MEDICAID,MEDICAID,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,MEDICARE,MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,NOVA NET,NOVA NET,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,PEACHSTATE,PEACHSTATE,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,SELFPAY,SELFPAY,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,TRICARE,TRICARE,,16,,fee schedule,16,13.92,16,fee schedule,
DEXAMETHASONE ORAL 1MG/1ML/5ML,J8540,CPT,both,,,16,16,UHC MEDICARE,UHC MEDICARE,,16,,fee schedule,16,13.92,16,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
dexAMETHasone 5 mg/5 ml Oral Conc,J8540,CPT,both,5,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,AETNA,AETNA,,468.06,87,percent of total billed charges,468.06,468.06,538,percent of total billed charges,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,468.06,87,percent of total billed charges,468.06,468.06,538,percent of total billed charges,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,UNITED HEALTHCARE,UNITED HEALTHCARE,,473.44,88,percent of total billed charges,473.44,468.06,538,percent of total billed charges,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,AETNA,AETNA,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,ALLIANT,ALLIANT,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,AMBETTER,AMBETTER,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,BEECH STREET,BEECH STREET,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,CARESOURCE,CARESOURCE,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,MEDICAID,MEDICAID,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,MEDICARE,MEDICARE,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,NOVA NET,NOVA NET,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,PEACHSTATE,PEACHSTATE,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,SELFPAY,SELFPAY,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,TRICARE,TRICARE,,538,,fee schedule,538,468.06,538,fee schedule,
HYCAMTIN 1MG CAPSULE,J8705,CPT,both,,,538,538,UHC MEDICARE,UHC MEDICARE,,538,,fee schedule,538,468.06,538,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,AETNA,AETNA,,2.74,87,percent of total billed charges,2.74,2.74,3.15,percent of total billed charges,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.74,87,percent of total billed charges,2.74,2.74,3.15,percent of total billed charges,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.77,88,percent of total billed charges,2.77,2.74,3.15,percent of total billed charges,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,AETNA,AETNA,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,ALLIANT,ALLIANT,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,AMBETTER,AMBETTER,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,BEECH STREET,BEECH STREET,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,CARESOURCE,CARESOURCE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,MEDICAID,MEDICAID,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,MEDICARE,MEDICARE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,NOVA NET,NOVA NET,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,PEACHSTATE,PEACHSTATE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,SELFPAY,SELFPAY,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,TRICARE,TRICARE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
Topotecan 1 mg Cap,J8705,CPT,both,1,ME,3.15,3.15,UHC MEDICARE,UHC MEDICARE,,3.15,,fee schedule,3.15,2.74,3.15,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,3.43,,fee schedule,3.43,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,3.49,,fee schedule,3.49,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,3.26,,fee schedule,3.26,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,3.26,46,percent of total billed charges,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,3.26,46,percent of total billed charges,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,3.26,46,percent of total billed charges,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ 10MG OP,J9000,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,3.26,46,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,AMERIGROUP,AMERIGROUP,,3.43,,fee schedule,3.43,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,3.49,,fee schedule,3.49,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,3.26,,fee schedule,3.26,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,AETNA,AETNA,,221.85,87,percent of total billed charges,221.85,3.26,255,percent of total billed charges,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,221.85,87,percent of total billed charges,221.85,3.26,255,percent of total billed charges,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,UNITED HEALTHCARE,UNITED HEALTHCARE,,224.4,88,percent of total billed charges,224.4,3.26,255,percent of total billed charges,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,AETNA,AETNA,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,ALLIANT,ALLIANT,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,AMBETTER,AMBETTER,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,BEECH STREET,BEECH STREET,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,CARESOURCE,CARESOURCE,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,MEDICAID,MEDICAID,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,MEDICARE,MEDICARE,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,NOVA NET,NOVA NET,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,PEACHSTATE,PEACHSTATE,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,SELFPAY,SELFPAY,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,TRICARE,TRICARE,,255,,fee schedule,255,3.26,255,fee schedule,
ADRIAMYCIN INJ. 50MG. IP,J9000,CPT,both,,,255,255,UHC MEDICARE,UHC MEDICARE,,255,,fee schedule,255,3.26,255,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,AMERIGROUP,AMERIGROUP,,3.43,,fee schedule,3.43,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,3.49,,fee schedule,3.49,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,3.26,,fee schedule,3.26,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,AETNA,AETNA,,306.24,87,percent of total billed charges,306.24,3.26,352,percent of total billed charges,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,306.24,87,percent of total billed charges,306.24,3.26,352,percent of total billed charges,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,UNITED HEALTHCARE,UNITED HEALTHCARE,,309.76,88,percent of total billed charges,309.76,3.26,352,percent of total billed charges,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,AETNA,AETNA,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,ALLIANT,ALLIANT,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,AMBETTER,AMBETTER,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,BEECH STREET,BEECH STREET,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,CARESOURCE,CARESOURCE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,MEDICAID,MEDICAID,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,MEDICARE,MEDICARE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,NOVA NET,NOVA NET,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,PEACHSTATE,PEACHSTATE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,SELFPAY,SELFPAY,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,TRICARE,TRICARE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXORUBICIN 200MG/100ML V,J9000,CPT,both,,,352,352,UHC MEDICARE,UHC MEDICARE,,352,,fee schedule,352,3.26,352,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.43,,fee schedule,3.43,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.49,,fee schedule,3.49,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.26,,fee schedule,3.26,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.26,35.29,percent of total billed charges,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.26,35.29,percent of total billed charges,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.26,35.29,percent of total billed charges,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 10 mg/5 ml Vial,J9000,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.43,,fee schedule,3.43,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.49,,fee schedule,3.49,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.26,,fee schedule,3.26,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.26,35.29,percent of total billed charges,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.26,35.29,percent of total billed charges,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.26,35.29,percent of total billed charges,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 50 mg/25 ml Vial,J9000,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.43,,fee schedule,3.43,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.49,,fee schedule,3.49,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.26,,fee schedule,3.26,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.26,35.29,percent of total billed charges,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.26,35.29,percent of total billed charges,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.26,35.29,percent of total billed charges,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
DOXOrubicin 200 mg/100 ml Vial,J9000,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.26,35.29,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,ALLIANT,ALLIANT,,133.32,,fee schedule,133.32,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,AMBETTER,AMBETTER,,105.04,,fee schedule,105.04,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,AMERIGROUP,AMERIGROUP,,90.07,,fee schedule,90.07,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,CARESOURCE,CARESOURCE,,91.78,,fee schedule,91.78,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,MEDICARE,MEDICARE,,80.8,,fee schedule,80.8,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,PEACHSTATE,PEACHSTATE,,85.78,,fee schedule,85.78,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,TRICARE,TRICARE,,80.8,,fee schedule,80.8,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,UHC MEDICARE,UHC MEDICARE,,80.8,,fee schedule,80.8,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,AETNA,AETNA,,16739.67,87,percent of total billed charges,16739.67,80.8,19241,percent of total billed charges,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16739.67,87,percent of total billed charges,16739.67,80.8,19241,percent of total billed charges,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,UNITED HEALTHCARE,UNITED HEALTHCARE,,16932.08,88,percent of total billed charges,16932.08,80.8,19241,percent of total billed charges,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,AETNA,AETNA,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,BEECH STREET,BEECH STREET,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,CARESOURCE,CARESOURCE,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,MEDICAID,MEDICAID,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,NOVA NET,NOVA NET,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,PEACHSTATE,PEACHSTATE,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,SELFPAY,SELFPAY,,19241,,fee schedule,19241,80.8,19241,fee schedule,
TECENTRIQ 1200 MG/20ML VIAL,J9022,CPT,both,,,19241,19241,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19241,,fee schedule,19241,80.8,19241,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,ALLIANT,ALLIANT,,133.32,,fee schedule,133.32,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,AMBETTER,AMBETTER,,105.04,,fee schedule,105.04,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,90.07,,fee schedule,90.07,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,91.78,,fee schedule,91.78,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,MEDICARE,MEDICARE,,80.8,,fee schedule,80.8,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,85.78,,fee schedule,85.78,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,TRICARE,TRICARE,,80.8,,fee schedule,80.8,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,80.8,,fee schedule,80.8,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,80.8,149.77,percent of total billed charges,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,80.8,149.77,percent of total billed charges,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,80.8,149.77,percent of total billed charges,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
Atezolizumab,J9022,CPT,both,1200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,80.8,149.77,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,AMERIGROUP,AMERIGROUP,,0.46,,fee schedule,0.46,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,CARESOURCE,CARESOURCE,,0.47,,fee schedule,0.47,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,PEACHSTATE,PEACHSTATE,,0.44,,fee schedule,0.44,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,AETNA,AETNA,,1621.68,87,percent of total billed charges,1621.68,0.44,1864,percent of total billed charges,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1621.68,87,percent of total billed charges,1621.68,0.44,1864,percent of total billed charges,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,UNITED HEALTHCARE,UNITED HEALTHCARE,,1640.32,88,percent of total billed charges,1640.32,0.44,1864,percent of total billed charges,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,AETNA,AETNA,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,ALLIANT,ALLIANT,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,AMBETTER,AMBETTER,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,BEECH STREET,BEECH STREET,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,CARESOURCE,CARESOURCE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,MEDICAID,MEDICAID,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,MEDICARE,MEDICARE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,NOVA NET,NOVA NET,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,PEACHSTATE,PEACHSTATE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,SELFPAY,SELFPAY,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,TRICARE,TRICARE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
VIDAZA 100MG INJ,J9025,CPT,both,,,1864,1864,UHC MEDICARE,UHC MEDICARE,,1864,,fee schedule,1864,0.44,1864,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,AMERIGROUP,AMERIGROUP,,3.02,,fee schedule,3.02,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,CARESOURCE,CARESOURCE,,3.07,,fee schedule,3.07,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,PEACHSTATE,PEACHSTATE,,2.87,,fee schedule,2.87,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,AETNA,AETNA,,603.78,87,percent of total billed charges,603.78,2.87,694,percent of total billed charges,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603.78,87,percent of total billed charges,603.78,2.87,694,percent of total billed charges,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,UNITED HEALTHCARE,UNITED HEALTHCARE,,610.72,88,percent of total billed charges,610.72,2.87,694,percent of total billed charges,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,AETNA,AETNA,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,ALLIANT,ALLIANT,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,AMBETTER,AMBETTER,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,BEECH STREET,BEECH STREET,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,CARESOURCE,CARESOURCE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,MEDICAID,MEDICAID,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,MEDICARE,MEDICARE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,NOVA NET,NOVA NET,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,PEACHSTATE,PEACHSTATE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,SELFPAY,SELFPAY,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,TRICARE,TRICARE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9030,CPT,both,,,694,694,UHC MEDICARE,UHC MEDICARE,,694,,fee schedule,694,2.87,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,AETNA,AETNA,,603.78,87,percent of total billed charges,603.78,603.78,694,percent of total billed charges,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603.78,87,percent of total billed charges,603.78,603.78,694,percent of total billed charges,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,UNITED HEALTHCARE,UNITED HEALTHCARE,,610.72,88,percent of total billed charges,610.72,603.78,694,percent of total billed charges,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,AETNA,AETNA,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,ALLIANT,ALLIANT,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,AMBETTER,AMBETTER,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,BEECH STREET,BEECH STREET,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,CARESOURCE,CARESOURCE,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,MEDICAID,MEDICAID,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,MEDICARE,MEDICARE,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,NOVA NET,NOVA NET,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,PEACHSTATE,PEACHSTATE,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,SELFPAY,SELFPAY,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,TRICARE,TRICARE,,694,,fee schedule,694,603.78,694,fee schedule,
BCG LIVE 50MG INJ,J9031,CPT,both,,,694,694,UHC MEDICARE,UHC MEDICARE,,694,,fee schedule,694,603.78,694,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,ALLIANT,ALLIANT,,24.45,,fee schedule,24.45,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,AMBETTER,AMBETTER,,19.27,,fee schedule,19.27,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,AMERIGROUP,AMERIGROUP,,5.63,,fee schedule,5.63,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,CARESOURCE,CARESOURCE,,5.74,,fee schedule,5.74,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,MEDICARE,MEDICARE,,14.82,,fee schedule,14.82,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,PEACHSTATE,PEACHSTATE,,5.36,,fee schedule,5.36,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,TRICARE,TRICARE,,14.82,,fee schedule,14.82,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,UHC MEDICARE,UHC MEDICARE,,14.82,,fee schedule,14.82,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,AETNA,AETNA,,1526.85,87,percent of total billed charges,1526.85,5.36,1755,percent of total billed charges,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1526.85,87,percent of total billed charges,1526.85,5.36,1755,percent of total billed charges,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,UNITED HEALTHCARE,UNITED HEALTHCARE,,1544.4,88,percent of total billed charges,1544.4,5.36,1755,percent of total billed charges,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,AETNA,AETNA,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,BEECH STREET,BEECH STREET,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,CARESOURCE,CARESOURCE,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,MEDICAID,MEDICAID,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,NOVA NET,NOVA NET,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,PEACHSTATE,PEACHSTATE,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,SELFPAY,SELFPAY,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 100MG/20ML,J9033,CPT,both,,,1755,1755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1755,,fee schedule,1755,5.36,1755,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,ALLIANT,ALLIANT,,24.45,,fee schedule,24.45,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,AMBETTER,AMBETTER,,19.27,,fee schedule,19.27,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,AMERIGROUP,AMERIGROUP,,5.63,,fee schedule,5.63,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,5.74,,fee schedule,5.74,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,MEDICARE,MEDICARE,,14.82,,fee schedule,14.82,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,5.36,,fee schedule,5.36,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,TRICARE,TRICARE,,14.82,,fee schedule,14.82,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,UHC MEDICARE,UHC MEDICARE,,14.82,,fee schedule,14.82,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,AETNA,AETNA,,1407.66,87,percent of total billed charges,1407.66,5.36,1618,percent of total billed charges,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1407.66,87,percent of total billed charges,1407.66,5.36,1618,percent of total billed charges,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,UNITED HEALTHCARE,UNITED HEALTHCARE,,1423.84,88,percent of total billed charges,1423.84,5.36,1618,percent of total billed charges,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,AETNA,AETNA,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,BEECH STREET,BEECH STREET,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,CARESOURCE,CARESOURCE,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,MEDICAID,MEDICAID,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,NOVA NET,NOVA NET,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,PEACHSTATE,PEACHSTATE,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,SELFPAY,SELFPAY,,1618,,fee schedule,1618,5.36,1618,fee schedule,
TREANDA INJ 25MG,J9033,CPT,both,,,1618,1618,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1618,,fee schedule,1618,5.36,1618,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,ALLIANT,ALLIANT,,27.74,,fee schedule,27.74,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,AMBETTER,AMBETTER,,21.85,,fee schedule,21.85,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,AMERIGROUP,AMERIGROUP,,14.29,,fee schedule,14.29,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,CARESOURCE,CARESOURCE,,14.57,,fee schedule,14.57,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,MEDICARE,MEDICARE,,16.81,,fee schedule,16.81,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,PEACHSTATE,PEACHSTATE,,13.61,,fee schedule,13.61,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,TRICARE,TRICARE,,16.81,,fee schedule,16.81,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,UHC MEDICARE,UHC MEDICARE,,16.81,,fee schedule,16.81,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,AETNA,AETNA,,5411.4,87,percent of total billed charges,5411.4,13.61,6220,percent of total billed charges,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5411.4,87,percent of total billed charges,5411.4,13.61,6220,percent of total billed charges,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,UNITED HEALTHCARE,UNITED HEALTHCARE,,5473.6,88,percent of total billed charges,5473.6,13.61,6220,percent of total billed charges,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,AETNA,AETNA,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,BEECH STREET,BEECH STREET,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,CARESOURCE,CARESOURCE,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,MEDICAID,MEDICAID,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,NOVA NET,NOVA NET,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,PEACHSTATE,PEACHSTATE,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,SELFPAY,SELFPAY,,6220,,fee schedule,6220,13.61,6220,fee schedule,
BENDEKA 100MG/4ML INJ,J9034,CPT,both,,,6220,6220,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6220,,fee schedule,6220,13.61,6220,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,27.74,,fee schedule,27.74,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,21.85,,fee schedule,21.85,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,14.29,,fee schedule,14.29,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,14.57,,fee schedule,14.57,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,16.81,,fee schedule,16.81,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,13.61,,fee schedule,13.61,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,16.81,,fee schedule,16.81,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,16.81,,fee schedule,16.81,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,13.61,149.77,percent of total billed charges,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,13.61,149.77,percent of total billed charges,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,13.61,149.77,percent of total billed charges,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
Bendamustine,J9034,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,13.61,149.77,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,ALLIANT,ALLIANT,,116.74,,fee schedule,116.74,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,AMBETTER,AMBETTER,,91.98,,fee schedule,91.98,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,AMERIGROUP,AMERIGROUP,,76.09,,fee schedule,76.09,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,CARESOURCE,CARESOURCE,,77.53,,fee schedule,77.53,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,MEDICARE,MEDICARE,,70.75,,fee schedule,70.75,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,PEACHSTATE,PEACHSTATE,,72.46,,fee schedule,72.46,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,TRICARE,TRICARE,,70.75,,fee schedule,70.75,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,UHC MEDICARE,UHC MEDICARE,,70.75,,fee schedule,70.75,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,AETNA,AETNA,,1747.83,87,percent of total billed charges,1747.83,70.75,2009,percent of total billed charges,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1747.83,87,percent of total billed charges,1747.83,70.75,2009,percent of total billed charges,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,UNITED HEALTHCARE,UNITED HEALTHCARE,,1767.92,88,percent of total billed charges,1767.92,70.75,2009,percent of total billed charges,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,AETNA,AETNA,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,BEECH STREET,BEECH STREET,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,CARESOURCE,CARESOURCE,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,MEDICAID,MEDICAID,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,NOVA NET,NOVA NET,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,PEACHSTATE,PEACHSTATE,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,SELFPAY,SELFPAY,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN 100MG/4ML INJ,J9035,CPT,both,,,2009,2009,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2009,,fee schedule,2009,70.75,2009,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,ALLIANT,ALLIANT,,116.74,,fee schedule,116.74,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,AMBETTER,AMBETTER,,91.98,,fee schedule,91.98,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,AMERIGROUP,AMERIGROUP,,76.09,,fee schedule,76.09,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,CARESOURCE,CARESOURCE,,77.53,,fee schedule,77.53,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,MEDICARE,MEDICARE,,70.75,,fee schedule,70.75,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,PEACHSTATE,PEACHSTATE,,72.46,,fee schedule,72.46,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,TRICARE,TRICARE,,70.75,,fee schedule,70.75,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,UHC MEDICARE,UHC MEDICARE,,70.75,,fee schedule,70.75,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,AETNA,AETNA,,7038.3,87,percent of total billed charges,7038.3,70.75,8090,percent of total billed charges,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7038.3,87,percent of total billed charges,7038.3,70.75,8090,percent of total billed charges,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,UNITED HEALTHCARE,UNITED HEALTHCARE,,7119.2,88,percent of total billed charges,7119.2,70.75,8090,percent of total billed charges,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,AETNA,AETNA,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,BEECH STREET,BEECH STREET,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,CARESOURCE,CARESOURCE,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,MEDICAID,MEDICAID,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,NOVA NET,NOVA NET,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,PEACHSTATE,PEACHSTATE,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,SELFPAY,SELFPAY,,8090,,fee schedule,8090,70.75,8090,fee schedule,
AVASTIN INJ 400MG/16ML,J9035,CPT,both,,,8090,8090,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8090,,fee schedule,8090,70.75,8090,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,AMERIGROUP,AMERIGROUP,,26.39,,fee schedule,26.39,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,26.9,,fee schedule,26.9,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,25.14,,fee schedule,25.14,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,AETNA,AETNA,,150.51,87,percent of total billed charges,150.51,25.14,173,percent of total billed charges,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,150.51,87,percent of total billed charges,150.51,25.14,173,percent of total billed charges,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,UNITED HEALTHCARE,UNITED HEALTHCARE,,152.24,88,percent of total billed charges,152.24,25.14,173,percent of total billed charges,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,AETNA,AETNA,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,ALLIANT,ALLIANT,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,AMBETTER,AMBETTER,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,BEECH STREET,BEECH STREET,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,CARESOURCE,CARESOURCE,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,MEDICAID,MEDICAID,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,MEDICARE,MEDICARE,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,NOVA NET,NOVA NET,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,PEACHSTATE,PEACHSTATE,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,SELFPAY,SELFPAY,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,TRICARE,TRICARE,,173,,fee schedule,173,25.14,173,fee schedule,
BLENOXANE INJ 15 UNITS IP,J9040,CPT,both,,,173,173,UHC MEDICARE,UHC MEDICARE,,173,,fee schedule,173,25.14,173,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,AMERIGROUP,AMERIGROUP,,26.39,,fee schedule,26.39,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,26.9,,fee schedule,26.9,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,25.14,,fee schedule,25.14,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,AETNA,AETNA,,326.25,87,percent of total billed charges,326.25,25.14,375,percent of total billed charges,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,326.25,87,percent of total billed charges,326.25,25.14,375,percent of total billed charges,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,UNITED HEALTHCARE,UNITED HEALTHCARE,,330,88,percent of total billed charges,330,25.14,375,percent of total billed charges,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,AETNA,AETNA,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,ALLIANT,ALLIANT,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,AMBETTER,AMBETTER,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,BEECH STREET,BEECH STREET,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,CARESOURCE,CARESOURCE,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,MEDICAID,MEDICAID,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,MEDICARE,MEDICARE,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,NOVA NET,NOVA NET,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,PEACHSTATE,PEACHSTATE,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,SELFPAY,SELFPAY,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,TRICARE,TRICARE,,375,,fee schedule,375,25.14,375,fee schedule,
BLEOMYCIN 30 UNITS INJ,J9040,CPT,both,,,375,375,UHC MEDICARE,UHC MEDICARE,,375,,fee schedule,375,25.14,375,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,AMERIGROUP,AMERIGROUP,,26.39,,fee schedule,26.39,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,CARESOURCE,CARESOURCE,,26.9,,fee schedule,26.9,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,25.14,,fee schedule,25.14,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,25.14,35.29,percent of total billed charges,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,25.14,35.29,percent of total billed charges,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,25.14,35.29,percent of total billed charges,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
Bleomycin,J9040,CPT,both,15,UN,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,25.14,35.29,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,ALLIANT,ALLIANT,,14.87,,fee schedule,14.87,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,AMBETTER,AMBETTER,,11.71,,fee schedule,11.71,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,AMERIGROUP,AMERIGROUP,,1.82,,fee schedule,1.82,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,CARESOURCE,CARESOURCE,,1.85,,fee schedule,1.85,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,MEDICARE,MEDICARE,,9.01,,fee schedule,9.01,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,PEACHSTATE,PEACHSTATE,,1.73,,fee schedule,1.73,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,TRICARE,TRICARE,,9.01,,fee schedule,9.01,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,UHC MEDICARE,UHC MEDICARE,,9.01,,fee schedule,9.01,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,AETNA,AETNA,,4021.14,87,percent of total billed charges,4021.14,1.73,4622,percent of total billed charges,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4021.14,87,percent of total billed charges,4021.14,1.73,4622,percent of total billed charges,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,UNITED HEALTHCARE,UNITED HEALTHCARE,,4067.36,88,percent of total billed charges,4067.36,1.73,4622,percent of total billed charges,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,AETNA,AETNA,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,BEECH STREET,BEECH STREET,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,CARESOURCE,CARESOURCE,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,MEDICAID,MEDICAID,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,NOVA NET,NOVA NET,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,PEACHSTATE,PEACHSTATE,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,SELFPAY,SELFPAY,,4622,,fee schedule,4622,1.73,4622,fee schedule,
VELCADE INJ 3.5MG,J9041,CPT,both,,,4622,4622,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4622,,fee schedule,4622,1.73,4622,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,ALLIANT,ALLIANT,,352.52,,fee schedule,352.52,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,AMBETTER,AMBETTER,,277.75,,fee schedule,277.75,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,AMERIGROUP,AMERIGROUP,,251.58,,fee schedule,251.58,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,CARESOURCE,CARESOURCE,,256.37,,fee schedule,256.37,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,MEDICARE,MEDICARE,,213.65,,fee schedule,213.65,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,PEACHSTATE,PEACHSTATE,,239.6,,fee schedule,239.6,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,TRICARE,TRICARE,,213.65,,fee schedule,213.65,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,UHC MEDICARE,UHC MEDICARE,,213.65,,fee schedule,213.65,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,AETNA,AETNA,,9747.48,87,percent of total billed charges,9747.48,213.65,11204,percent of total billed charges,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9747.48,87,percent of total billed charges,9747.48,213.65,11204,percent of total billed charges,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,UNITED HEALTHCARE,UNITED HEALTHCARE,,9859.52,88,percent of total billed charges,9859.52,213.65,11204,percent of total billed charges,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,AETNA,AETNA,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,BEECH STREET,BEECH STREET,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,CARESOURCE,CARESOURCE,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,MEDICAID,MEDICAID,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,NOVA NET,NOVA NET,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,PEACHSTATE,PEACHSTATE,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,SELFPAY,SELFPAY,,11204,,fee schedule,11204,213.65,11204,fee schedule,
ADCETRIS 50MG VIAL,J9042,CPT,both,,,11204,11204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11204,,fee schedule,11204,213.65,11204,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,ALLIANT,ALLIANT,,352.52,,fee schedule,352.52,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,AMBETTER,AMBETTER,,277.75,,fee schedule,277.75,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,251.58,,fee schedule,251.58,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,CARESOURCE,CARESOURCE,,256.37,,fee schedule,256.37,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,MEDICARE,MEDICARE,,213.65,,fee schedule,213.65,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,239.6,,fee schedule,239.6,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,TRICARE,TRICARE,,213.65,,fee schedule,213.65,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,213.65,,fee schedule,213.65,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,121.61,352.52,percent of total billed charges,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,121.61,352.52,percent of total billed charges,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,121.61,352.52,percent of total billed charges,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
Brentuximab Vedotin,J9042,CPT,both,50,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,352.52,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,ALLIANT,ALLIANT,,328.7,,fee schedule,328.7,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,AMBETTER,AMBETTER,,258.97,,fee schedule,258.97,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,AMERIGROUP,AMERIGROUP,,226.28,,fee schedule,226.28,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,CARESOURCE,CARESOURCE,,230.59,,fee schedule,230.59,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,MEDICARE,MEDICARE,,199.21,,fee schedule,199.21,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,PEACHSTATE,PEACHSTATE,,215.5,,fee schedule,215.5,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,TRICARE,TRICARE,,199.21,,fee schedule,199.21,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,UHC MEDICARE,UHC MEDICARE,,199.21,,fee schedule,199.21,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,AETNA,AETNA,,25103.85,87,percent of total billed charges,25103.85,199.21,28855,percent of total billed charges,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25103.85,87,percent of total billed charges,25103.85,199.21,28855,percent of total billed charges,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,UNITED HEALTHCARE,UNITED HEALTHCARE,,25392.4,88,percent of total billed charges,25392.4,199.21,28855,percent of total billed charges,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,AETNA,AETNA,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,BEECH STREET,BEECH STREET,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,CARESOURCE,CARESOURCE,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,MEDICAID,MEDICAID,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,NOVA NET,NOVA NET,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,PEACHSTATE,PEACHSTATE,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,SELFPAY,SELFPAY,,28855,,fee schedule,28855,199.21,28855,fee schedule,
JEVTANA 60 MG/1.5ML INJ,J9043,CPT,both,,,28855,28855,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28855,,fee schedule,28855,199.21,28855,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,3.69,146,percent of total billed charges,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,3.69,146,percent of total billed charges,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,3.69,146,percent of total billed charges,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,ALLIANT,ALLIANT,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,AMBETTER,AMBETTER,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,MEDICARE,MEDICARE,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,TRICARE,TRICARE,,146,,fee schedule,146,3.69,146,fee schedule,
CARBOPLATIN 50MG/5ML INJ,J9045,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,146,,fee schedule,146,3.69,146,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,3.69,94,percent of total billed charges,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,3.69,94,percent of total billed charges,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,3.69,94,percent of total billed charges,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,ALLIANT,ALLIANT,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,AMBETTER,AMBETTER,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,MEDICARE,MEDICARE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,TRICARE,TRICARE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 150MG IP,J9045,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,94,,fee schedule,94,3.69,94,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,AETNA,AETNA,,3111.12,87,percent of total billed charges,3111.12,3.69,3576,percent of total billed charges,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3111.12,87,percent of total billed charges,3111.12,3.69,3576,percent of total billed charges,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,UNITED HEALTHCARE,UNITED HEALTHCARE,,3146.88,88,percent of total billed charges,3146.88,3.69,3576,percent of total billed charges,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,AETNA,AETNA,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,ALLIANT,ALLIANT,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,AMBETTER,AMBETTER,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,BEECH STREET,BEECH STREET,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,CARESOURCE,CARESOURCE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,MEDICAID,MEDICAID,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,MEDICARE,MEDICARE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,NOVA NET,NOVA NET,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,PEACHSTATE,PEACHSTATE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,SELFPAY,SELFPAY,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,TRICARE,TRICARE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
PARAPLATIN INJ; 450MG IP,J9045,CPT,both,,,3576,3576,UHC MEDICARE,UHC MEDICARE,,3576,,fee schedule,3576,3.69,3576,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.69,149.77,percent of total billed charges,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 50 mg/5 ml Vial,J9045,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.69,149.77,percent of total billed charges,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 150 mg/15 ml Vial,J9045,CPT,both,150,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.69,149.77,percent of total billed charges,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 450 mg/45 ml Vial,J9045,CPT,both,450,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.88,,fee schedule,3.88,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3.95,,fee schedule,3.95,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.69,,fee schedule,3.69,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.69,149.77,percent of total billed charges,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.69,149.77,percent of total billed charges,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
CARBOplatin 600 MG/60 ML Vial,J9045,CPT,both,600,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.69,149.77,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,ALLIANT,ALLIANT,,74.35,,fee schedule,74.35,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,AMBETTER,AMBETTER,,58.58,,fee schedule,58.58,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,AMERIGROUP,AMERIGROUP,,52.11,,fee schedule,52.11,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,CARESOURCE,CARESOURCE,,53.1,,fee schedule,53.1,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,MEDICARE,MEDICARE,,45.06,,fee schedule,45.06,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,PEACHSTATE,PEACHSTATE,,49.63,,fee schedule,49.63,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,TRICARE,TRICARE,,45.06,,fee schedule,45.06,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,UHC MEDICARE,UHC MEDICARE,,45.06,,fee schedule,45.06,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,AETNA,AETNA,,4075.08,87,percent of total billed charges,4075.08,45.06,4684,percent of total billed charges,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4075.08,87,percent of total billed charges,4075.08,45.06,4684,percent of total billed charges,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,UNITED HEALTHCARE,UNITED HEALTHCARE,,4121.92,88,percent of total billed charges,4121.92,45.06,4684,percent of total billed charges,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,AETNA,AETNA,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,BEECH STREET,BEECH STREET,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,CARESOURCE,CARESOURCE,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,MEDICAID,MEDICAID,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,NOVA NET,NOVA NET,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,PEACHSTATE,PEACHSTATE,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,SELFPAY,SELFPAY,,4684,,fee schedule,4684,45.06,4684,fee schedule,
KYPROLIS 60 MG/30 ML VIAL,J9047,CPT,both,,,4684,4684,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4684,,fee schedule,4684,45.06,4684,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,ALLIANT,ALLIANT,,405.83,,fee schedule,405.83,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,AMBETTER,AMBETTER,,319.75,,fee schedule,319.75,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,AMERIGROUP,AMERIGROUP,,397.09,,fee schedule,397.09,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,404.65,,fee schedule,404.65,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,MEDICARE,MEDICARE,,245.96,,fee schedule,245.96,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,378.18,,fee schedule,378.18,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,TRICARE,TRICARE,,245.96,,fee schedule,245.96,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,UHC MEDICARE,UHC MEDICARE,,245.96,,fee schedule,245.96,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,AETNA,AETNA,,536.79,87,percent of total billed charges,536.79,245.96,617,percent of total billed charges,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,536.79,87,percent of total billed charges,536.79,245.96,617,percent of total billed charges,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,UNITED HEALTHCARE,UNITED HEALTHCARE,,542.96,88,percent of total billed charges,542.96,245.96,617,percent of total billed charges,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,AETNA,AETNA,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,BEECH STREET,BEECH STREET,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,CARESOURCE,CARESOURCE,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,MEDICAID,MEDICAID,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,NOVA NET,NOVA NET,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,PEACHSTATE,PEACHSTATE,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,SELFPAY,SELFPAY,,617,,fee schedule,617,245.96,617,fee schedule,
BICNU 100MG VIAL,J9050,CPT,both,,,617,617,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,617,,fee schedule,617,245.96,617,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,ALLIANT,ALLIANT,,116.08,,fee schedule,116.08,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,AMBETTER,AMBETTER,,91.46,,fee schedule,91.46,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,AMERIGROUP,AMERIGROUP,,79.41,,fee schedule,79.41,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,CARESOURCE,CARESOURCE,,80.93,,fee schedule,80.93,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,MEDICARE,MEDICARE,,70.35,,fee schedule,70.35,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,PEACHSTATE,PEACHSTATE,,75.63,,fee schedule,75.63,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,TRICARE,TRICARE,,70.35,,fee schedule,70.35,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,UHC MEDICARE,UHC MEDICARE,,70.35,,fee schedule,70.35,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,AETNA,AETNA,,4490.94,87,percent of total billed charges,4490.94,70.35,5162,percent of total billed charges,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4490.94,87,percent of total billed charges,4490.94,70.35,5162,percent of total billed charges,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,UNITED HEALTHCARE,UNITED HEALTHCARE,,4542.56,88,percent of total billed charges,4542.56,70.35,5162,percent of total billed charges,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,AETNA,AETNA,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,BEECH STREET,BEECH STREET,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,CARESOURCE,CARESOURCE,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,MEDICAID,MEDICAID,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,NOVA NET,NOVA NET,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,PEACHSTATE,PEACHSTATE,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,SELFPAY,SELFPAY,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX 200MG/100ML INJ,J9055,CPT,both,,,5162,5162,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5162,,fee schedule,5162,70.35,5162,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,ALLIANT,ALLIANT,,116.08,,fee schedule,116.08,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,AMBETTER,AMBETTER,,91.46,,fee schedule,91.46,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,AMERIGROUP,AMERIGROUP,,79.41,,fee schedule,79.41,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,CARESOURCE,CARESOURCE,,80.93,,fee schedule,80.93,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,MEDICARE,MEDICARE,,70.35,,fee schedule,70.35,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,PEACHSTATE,PEACHSTATE,,75.63,,fee schedule,75.63,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,TRICARE,TRICARE,,70.35,,fee schedule,70.35,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,UHC MEDICARE,UHC MEDICARE,,70.35,,fee schedule,70.35,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,AETNA,AETNA,,1540.77,87,percent of total billed charges,1540.77,70.35,1771,percent of total billed charges,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1540.77,87,percent of total billed charges,1540.77,70.35,1771,percent of total billed charges,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,UNITED HEALTHCARE,UNITED HEALTHCARE,,1558.48,88,percent of total billed charges,1558.48,70.35,1771,percent of total billed charges,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,AETNA,AETNA,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,BEECH STREET,BEECH STREET,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,CARESOURCE,CARESOURCE,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,MEDICAID,MEDICAID,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,NOVA NET,NOVA NET,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,PEACHSTATE,PEACHSTATE,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,SELFPAY,SELFPAY,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ERBITUX INJ 100MG/50ML,J9055,CPT,both,,,1771,1771,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1771,,fee schedule,1771,70.35,1771,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,ALLIANT,ALLIANT,,138.17,,fee schedule,138.17,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,AMBETTER,AMBETTER,,108.86,,fee schedule,108.86,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,AMERIGROUP,AMERIGROUP,,91.94,,fee schedule,91.94,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,CARESOURCE,CARESOURCE,,93.69,,fee schedule,93.69,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,MEDICARE,MEDICARE,,83.74,,fee schedule,83.74,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,PEACHSTATE,PEACHSTATE,,87.56,,fee schedule,87.56,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,TRICARE,TRICARE,,83.74,,fee schedule,83.74,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,UHC MEDICARE,UHC MEDICARE,,83.74,,fee schedule,83.74,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,AETNA,AETNA,,9283.77,87,percent of total billed charges,9283.77,83.74,10671,percent of total billed charges,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9283.77,87,percent of total billed charges,9283.77,83.74,10671,percent of total billed charges,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,UNITED HEALTHCARE,UNITED HEALTHCARE,,9390.48,88,percent of total billed charges,9390.48,83.74,10671,percent of total billed charges,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,AETNA,AETNA,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,BEECH STREET,BEECH STREET,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,CARESOURCE,CARESOURCE,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,MEDICAID,MEDICAID,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,NOVA NET,NOVA NET,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,PEACHSTATE,PEACHSTATE,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,SELFPAY,SELFPAY,,10671,,fee schedule,10671,83.74,10671,fee schedule,
ALIQOPA 60 MG/4 ML INJ,J9057,CPT,both,,,10671,10671,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10671,,fee schedule,10671,83.74,10671,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,ALLIANT,ALLIANT,,138.17,,fee schedule,138.17,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,AMBETTER,AMBETTER,,108.86,,fee schedule,108.86,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,91.94,,fee schedule,91.94,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,CARESOURCE,CARESOURCE,,93.69,,fee schedule,93.69,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,MEDICARE,MEDICARE,,83.74,,fee schedule,83.74,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,87.56,,fee schedule,87.56,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,TRICARE,TRICARE,,83.74,,fee schedule,83.74,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,83.74,,fee schedule,83.74,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,83.74,149.77,percent of total billed charges,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,83.74,149.77,percent of total billed charges,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,83.74,149.77,percent of total billed charges,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
Copanlisib,J9057,CPT,both,60,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,83.74,149.77,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,AMERIGROUP,AMERIGROUP,,3.93,,fee schedule,3.93,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,3.75,180,percent of total billed charges,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,3.75,180,percent of total billed charges,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,3.75,180,percent of total billed charges,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,ALLIANT,ALLIANT,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,AMBETTER,AMBETTER,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,MEDICARE,MEDICARE,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,TRICARE,TRICARE,,180,,fee schedule,180,3.75,180,fee schedule,
CISPLATIN 100MG/100ML INJ,J9060,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,180,,fee schedule,180,3.75,180,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,3.93,,fee schedule,3.93,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,3.75,72,percent of total billed charges,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,3.75,72,percent of total billed charges,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,3.75,72,percent of total billed charges,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,3.75,72,fee schedule,
PLATINOL INJ. 50MG OP,J9060,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,3.75,72,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.93,,fee schedule,3.93,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.75,149.77,percent of total billed charges,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.75,149.77,percent of total billed charges,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.75,149.77,percent of total billed charges,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 100 mg/100 ml VIal,J9060,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.93,,fee schedule,3.93,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,4.01,,fee schedule,4.01,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.75,,fee schedule,3.75,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.75,149.77,percent of total billed charges,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.75,149.77,percent of total billed charges,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.75,149.77,percent of total billed charges,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CISplatin 50 mg/50 ml Vial,J9060,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.75,149.77,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,ALLIANT,ALLIANT,,38.02,,fee schedule,38.02,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,AMBETTER,AMBETTER,,29.95,,fee schedule,29.95,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,AMERIGROUP,AMERIGROUP,,13.94,,fee schedule,13.94,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,14.2,,fee schedule,14.2,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,MEDICARE,MEDICARE,,23.04,,fee schedule,23.04,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,13.28,,fee schedule,13.28,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,TRICARE,TRICARE,,23.04,,fee schedule,23.04,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,UHC MEDICARE,UHC MEDICARE,,23.04,,fee schedule,23.04,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,AETNA,AETNA,,361.05,87,percent of total billed charges,361.05,13.28,415,percent of total billed charges,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,361.05,87,percent of total billed charges,361.05,13.28,415,percent of total billed charges,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,UNITED HEALTHCARE,UNITED HEALTHCARE,,365.2,88,percent of total billed charges,365.2,13.28,415,percent of total billed charges,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,AETNA,AETNA,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,BEECH STREET,BEECH STREET,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,CARESOURCE,CARESOURCE,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,MEDICAID,MEDICAID,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,NOVA NET,NOVA NET,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,PEACHSTATE,PEACHSTATE,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,SELFPAY,SELFPAY,,415,,fee schedule,415,13.28,415,fee schedule,
CLADRIBINE 10MG/10ML VIAL,J9065,CPT,both,,,415,415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,415,,fee schedule,415,13.28,415,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,ALLIANT,ALLIANT,,38.02,,fee schedule,38.02,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,AMBETTER,AMBETTER,,29.95,,fee schedule,29.95,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,13.94,,fee schedule,13.94,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,CARESOURCE,CARESOURCE,,14.2,,fee schedule,14.2,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,MEDICARE,MEDICARE,,23.04,,fee schedule,23.04,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,13.28,,fee schedule,13.28,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,TRICARE,TRICARE,,23.04,,fee schedule,23.04,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,23.04,,fee schedule,23.04,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,13.28,149.77,percent of total billed charges,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,13.28,149.77,percent of total billed charges,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,13.28,149.77,percent of total billed charges,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
Cladribine,J9065,CPT,both,10,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,13.28,149.77,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,ALLIANT,ALLIANT,,36.51,,fee schedule,36.51,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,AMBETTER,AMBETTER,,28.77,,fee schedule,28.77,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,MEDICARE,MEDICARE,,22.13,,fee schedule,22.13,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,TRICARE,TRICARE,,22.13,,fee schedule,22.13,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,UHC MEDICARE,UHC MEDICARE,,22.13,,fee schedule,22.13,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,AETNA,AETNA,,77.43,87,percent of total billed charges,77.43,22.13,89,percent of total billed charges,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,77.43,87,percent of total billed charges,77.43,22.13,89,percent of total billed charges,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,UNITED HEALTHCARE,UNITED HEALTHCARE,,78.32,88,percent of total billed charges,78.32,22.13,89,percent of total billed charges,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,AETNA,AETNA,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,BEECH STREET,BEECH STREET,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,CARESOURCE,CARESOURCE,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,MEDICAID,MEDICAID,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,NOVA NET,NOVA NET,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,PEACHSTATE,PEACHSTATE,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,SELFPAY,SELFPAY,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 1000MG OP,J9070,CPT,both,,,89,89,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,89,,fee schedule,89,22.13,89,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,ALLIANT,ALLIANT,,36.51,,fee schedule,36.51,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,AMBETTER,AMBETTER,,28.77,,fee schedule,28.77,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,MEDICARE,MEDICARE,,22.13,,fee schedule,22.13,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,TRICARE,TRICARE,,22.13,,fee schedule,22.13,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,22.13,,fee schedule,22.13,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,22.13,157,percent of total billed charges,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,22.13,157,percent of total billed charges,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,22.13,157,percent of total billed charges,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,22.13,157,fee schedule,
CYTOXAN INJ. 500MG OP,J9070,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,22.13,157,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,ALLIANT,ALLIANT,,44.93,,fee schedule,44.93,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,AMBETTER,AMBETTER,,35.4,,fee schedule,35.4,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,AMERIGROUP,AMERIGROUP,,29.08,,fee schedule,29.08,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,CARESOURCE,CARESOURCE,,29.64,,fee schedule,29.64,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,MEDICARE,MEDICARE,,27.23,,fee schedule,27.23,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,PEACHSTATE,PEACHSTATE,,27.7,,fee schedule,27.7,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,TRICARE,TRICARE,,27.23,,fee schedule,27.23,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,UHC MEDICARE,UHC MEDICARE,,27.23,,fee schedule,27.23,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,AETNA,AETNA,,6826.89,87,percent of total billed charges,6826.89,27.23,7847,percent of total billed charges,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6826.89,87,percent of total billed charges,6826.89,27.23,7847,percent of total billed charges,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,UNITED HEALTHCARE,UNITED HEALTHCARE,,6905.36,88,percent of total billed charges,6905.36,27.23,7847,percent of total billed charges,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,AETNA,AETNA,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,BEECH STREET,BEECH STREET,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,CARESOURCE,CARESOURCE,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,MEDICAID,MEDICAID,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,NOVA NET,NOVA NET,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,PEACHSTATE,PEACHSTATE,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,SELFPAY,SELFPAY,,7847,,fee schedule,7847,27.23,7847,fee schedule,
CEMIPLIMAB-RWLC 350MG7ML,J9119,CPT,both,,,7847,7847,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7847,,fee schedule,7847,27.23,7847,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,ALLIANT,ALLIANT,,44.93,,fee schedule,44.93,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,AMBETTER,AMBETTER,,35.4,,fee schedule,35.4,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,29.08,,fee schedule,29.08,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,CARESOURCE,CARESOURCE,,29.64,,fee schedule,29.64,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,MEDICARE,MEDICARE,,27.23,,fee schedule,27.23,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,27.7,,fee schedule,27.7,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,TRICARE,TRICARE,,27.23,,fee schedule,27.23,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,27.23,,fee schedule,27.23,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,27.23,139.78,percent of total billed charges,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,27.23,139.78,percent of total billed charges,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,27.23,139.78,percent of total billed charges,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
Cemiplimab-rwlc,J9119,CPT,both,350,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,27.23,139.78,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,ALLIANT,ALLIANT,,997.9,,fee schedule,997.9,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,AMBETTER,AMBETTER,,786.23,,fee schedule,786.23,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,417.39,,fee schedule,417.39,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,425.34,,fee schedule,425.34,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,MEDICARE,MEDICARE,,604.79,,fee schedule,604.79,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,397.51,,fee schedule,397.51,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,TRICARE,TRICARE,,604.79,,fee schedule,604.79,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,604.79,,fee schedule,604.79,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,259.26,997.9,percent of total billed charges,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,259.26,997.9,percent of total billed charges,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,259.26,997.9,percent of total billed charges,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINOMYCIN 0.5MG VIAL,J9120,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,259.26,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,ALLIANT,ALLIANT,,997.9,,fee schedule,997.9,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,AMBETTER,AMBETTER,,786.23,,fee schedule,786.23,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,417.39,,fee schedule,417.39,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,CARESOURCE,CARESOURCE,,425.34,,fee schedule,425.34,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,MEDICARE,MEDICARE,,604.79,,fee schedule,604.79,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,397.51,,fee schedule,397.51,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,TRICARE,TRICARE,,604.79,,fee schedule,604.79,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,604.79,,fee schedule,604.79,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,997.9,percent of total billed charges,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,997.9,percent of total billed charges,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,997.9,percent of total billed charges,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DACTINomycin 500 mcg Vial,J9120,CPT,both,1,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,997.9,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,AMERIGROUP,AMERIGROUP,,3.78,,fee schedule,3.78,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,3.85,,fee schedule,3.85,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,3.6,,fee schedule,3.6,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,AETNA,AETNA,,73.08,87,percent of total billed charges,73.08,3.6,84,percent of total billed charges,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.08,87,percent of total billed charges,73.08,3.6,84,percent of total billed charges,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,UNITED HEALTHCARE,UNITED HEALTHCARE,,73.92,88,percent of total billed charges,73.92,3.6,84,percent of total billed charges,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,AETNA,AETNA,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,ALLIANT,ALLIANT,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,AMBETTER,AMBETTER,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,BEECH STREET,BEECH STREET,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,CARESOURCE,CARESOURCE,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,MEDICAID,MEDICAID,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,MEDICARE,MEDICARE,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,NOVA NET,NOVA NET,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,PEACHSTATE,PEACHSTATE,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,SELFPAY,SELFPAY,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,TRICARE,TRICARE,,84,,fee schedule,84,3.6,84,fee schedule,
DTIC INJ. 200MG OP,J9130,CPT,both,,,84,84,UHC MEDICARE,UHC MEDICARE,,84,,fee schedule,84,3.6,84,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,3.78,,fee schedule,3.78,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,3.85,,fee schedule,3.85,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,3.6,,fee schedule,3.6,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,3.6,149.77,percent of total billed charges,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,3.6,149.77,percent of total billed charges,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,3.6,149.77,percent of total billed charges,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
Dacarbazine,J9130,CPT,both,200,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,3.6,149.77,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,ALLIANT,ALLIANT,,77.2,,fee schedule,77.2,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,AMBETTER,AMBETTER,,60.83,,fee schedule,60.83,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,AMERIGROUP,AMERIGROUP,,53.55,,fee schedule,53.55,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,CARESOURCE,CARESOURCE,,54.57,,fee schedule,54.57,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,MEDICARE,MEDICARE,,46.79,,fee schedule,46.79,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,PEACHSTATE,PEACHSTATE,,51,,fee schedule,51,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,TRICARE,TRICARE,,46.79,,fee schedule,46.79,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,UHC MEDICARE,UHC MEDICARE,,46.79,,fee schedule,46.79,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,AETNA,AETNA,,7775.19,87,percent of total billed charges,7775.19,46.79,8937,percent of total billed charges,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7775.19,87,percent of total billed charges,7775.19,46.79,8937,percent of total billed charges,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,UNITED HEALTHCARE,UNITED HEALTHCARE,,7864.56,88,percent of total billed charges,7864.56,46.79,8937,percent of total billed charges,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,AETNA,AETNA,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,BEECH STREET,BEECH STREET,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,CARESOURCE,CARESOURCE,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,MEDICAID,MEDICAID,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,NOVA NET,NOVA NET,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,PEACHSTATE,PEACHSTATE,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,SELFPAY,SELFPAY,,8937,,fee schedule,8937,46.79,8937,fee schedule,
DARZALEX FASPRO VIAL,J9144,CPT,both,,,8937,8937,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8937,,fee schedule,8937,46.79,8937,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,ALLIANT,ALLIANT,,77.2,,fee schedule,77.2,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,AMBETTER,AMBETTER,,60.83,,fee schedule,60.83,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,53.55,,fee schedule,53.55,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,CARESOURCE,CARESOURCE,,54.57,,fee schedule,54.57,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,MEDICARE,MEDICARE,,46.79,,fee schedule,46.79,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,51,,fee schedule,51,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,TRICARE,TRICARE,,46.79,,fee schedule,46.79,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,46.79,,fee schedule,46.79,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,77.2,percent of total billed charges,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,77.2,percent of total billed charges,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,77.2,percent of total billed charges,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
Daratumumab-Hyaluronidase-FIHJ,J9144,CPT,both,1800,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,77.2,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,ALLIANT,ALLIANT,,97.22,,fee schedule,97.22,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,AMBETTER,AMBETTER,,76.6,,fee schedule,76.6,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,AMERIGROUP,AMERIGROUP,,67.6,,fee schedule,67.6,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,CARESOURCE,CARESOURCE,,68.88,,fee schedule,68.88,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,MEDICARE,MEDICARE,,58.92,,fee schedule,58.92,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,PEACHSTATE,PEACHSTATE,,64.38,,fee schedule,64.38,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,TRICARE,TRICARE,,58.92,,fee schedule,58.92,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,UHC MEDICARE,UHC MEDICARE,,58.92,,fee schedule,58.92,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,AETNA,AETNA,,1236.27,87,percent of total billed charges,1236.27,58.92,1421,percent of total billed charges,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1236.27,87,percent of total billed charges,1236.27,58.92,1421,percent of total billed charges,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,UNITED HEALTHCARE,UNITED HEALTHCARE,,1250.48,88,percent of total billed charges,1250.48,58.92,1421,percent of total billed charges,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,AETNA,AETNA,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,BEECH STREET,BEECH STREET,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,CARESOURCE,CARESOURCE,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,MEDICAID,MEDICAID,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,NOVA NET,NOVA NET,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,PEACHSTATE,PEACHSTATE,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,SELFPAY,SELFPAY,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 100MG INJ,J9145,CPT,both,,,1421,1421,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1421,,fee schedule,1421,58.92,1421,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,ALLIANT,ALLIANT,,97.22,,fee schedule,97.22,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,AMBETTER,AMBETTER,,76.6,,fee schedule,76.6,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,AMERIGROUP,AMERIGROUP,,67.6,,fee schedule,67.6,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,CARESOURCE,CARESOURCE,,68.88,,fee schedule,68.88,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,MEDICARE,MEDICARE,,58.92,,fee schedule,58.92,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,PEACHSTATE,PEACHSTATE,,64.38,,fee schedule,64.38,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,TRICARE,TRICARE,,58.92,,fee schedule,58.92,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,UHC MEDICARE,UHC MEDICARE,,58.92,,fee schedule,58.92,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,AETNA,AETNA,,4575.33,87,percent of total billed charges,4575.33,58.92,5259,percent of total billed charges,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4575.33,87,percent of total billed charges,4575.33,58.92,5259,percent of total billed charges,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,UNITED HEALTHCARE,UNITED HEALTHCARE,,4627.92,88,percent of total billed charges,4627.92,58.92,5259,percent of total billed charges,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,AETNA,AETNA,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,BEECH STREET,BEECH STREET,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,CARESOURCE,CARESOURCE,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,MEDICAID,MEDICAID,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,NOVA NET,NOVA NET,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,PEACHSTATE,PEACHSTATE,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,SELFPAY,SELFPAY,,5259,,fee schedule,5259,58.92,5259,fee schedule,
DARZALEX 400MG INJ,J9145,CPT,both,,,5259,5259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5259,,fee schedule,5259,58.92,5259,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,97.22,,fee schedule,97.22,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,76.6,,fee schedule,76.6,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,67.6,,fee schedule,67.6,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,68.88,,fee schedule,68.88,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,58.92,,fee schedule,58.92,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,64.38,,fee schedule,64.38,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,58.92,,fee schedule,58.92,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,58.92,,fee schedule,58.92,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,58.92,149.77,percent of total billed charges,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,58.92,149.77,percent of total billed charges,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,58.92,149.77,percent of total billed charges,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,ALLIANT,ALLIANT,,97.22,,fee schedule,97.22,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,AMBETTER,AMBETTER,,76.6,,fee schedule,76.6,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,67.6,,fee schedule,67.6,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,68.88,,fee schedule,68.88,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,MEDICARE,MEDICARE,,58.92,,fee schedule,58.92,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,64.38,,fee schedule,64.38,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,TRICARE,TRICARE,,58.92,,fee schedule,58.92,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,58.92,,fee schedule,58.92,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,58.92,149.77,percent of total billed charges,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,58.92,149.77,percent of total billed charges,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,58.92,149.77,percent of total billed charges,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
Daratumumab,J9145,CPT,both,400,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,58.92,149.77,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,ALLIANT,ALLIANT,,6.8,,fee schedule,6.8,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,AMBETTER,AMBETTER,,5.36,,fee schedule,5.36,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,AMERIGROUP,AMERIGROUP,,4.48,,fee schedule,4.48,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,CARESOURCE,CARESOURCE,,4.57,,fee schedule,4.57,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,MEDICARE,MEDICARE,,4.12,,fee schedule,4.12,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,PEACHSTATE,PEACHSTATE,,4.27,,fee schedule,4.27,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,TRICARE,TRICARE,,4.12,,fee schedule,4.12,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,UHC MEDICARE,UHC MEDICARE,,4.12,,fee schedule,4.12,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,AETNA,AETNA,,2864.91,87,percent of total billed charges,2864.91,4.12,3293,percent of total billed charges,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2864.91,87,percent of total billed charges,2864.91,4.12,3293,percent of total billed charges,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,UNITED HEALTHCARE,UNITED HEALTHCARE,,2897.84,88,percent of total billed charges,2897.84,4.12,3293,percent of total billed charges,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,AETNA,AETNA,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,BEECH STREET,BEECH STREET,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,CARESOURCE,CARESOURCE,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,MEDICAID,MEDICAID,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,NOVA NET,NOVA NET,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,PEACHSTATE,PEACHSTATE,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,SELFPAY,SELFPAY,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGOD 120MG VIAL,J9155,CPT,both,,,3293,3293,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3293,,fee schedule,3293,4.12,3293,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,ALLIANT,ALLIANT,,6.8,,fee schedule,6.8,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,AMBETTER,AMBETTER,,5.36,,fee schedule,5.36,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,AMERIGROUP,AMERIGROUP,,4.48,,fee schedule,4.48,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,CARESOURCE,CARESOURCE,,4.57,,fee schedule,4.57,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,MEDICARE,MEDICARE,,4.12,,fee schedule,4.12,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,PEACHSTATE,PEACHSTATE,,4.27,,fee schedule,4.27,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,TRICARE,TRICARE,,4.12,,fee schedule,4.12,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,UHC MEDICARE,UHC MEDICARE,,4.12,,fee schedule,4.12,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,AETNA,AETNA,,2203.71,87,percent of total billed charges,2203.71,4.12,2533,percent of total billed charges,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2203.71,87,percent of total billed charges,2203.71,4.12,2533,percent of total billed charges,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,UNITED HEALTHCARE,UNITED HEALTHCARE,,2229.04,88,percent of total billed charges,2229.04,4.12,2533,percent of total billed charges,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,AETNA,AETNA,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,BEECH STREET,BEECH STREET,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,CARESOURCE,CARESOURCE,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,MEDICAID,MEDICAID,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,NOVA NET,NOVA NET,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,PEACHSTATE,PEACHSTATE,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,SELFPAY,SELFPAY,,2533,,fee schedule,2533,4.12,2533,fee schedule,
FIRMAGON 80MG INJECTION,J9155,CPT,both,,,2533,2533,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2533,,fee schedule,2533,4.12,2533,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,AMERIGROUP,AMERIGROUP,,0.91,,fee schedule,0.91,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,CARESOURCE,CARESOURCE,,0.92,,fee schedule,0.92,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,PEACHSTATE,PEACHSTATE,,0.86,,fee schedule,0.86,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,AETNA,AETNA,,805.62,87,percent of total billed charges,805.62,0.86,926,percent of total billed charges,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,805.62,87,percent of total billed charges,805.62,0.86,926,percent of total billed charges,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,UNITED HEALTHCARE,UNITED HEALTHCARE,,814.88,88,percent of total billed charges,814.88,0.86,926,percent of total billed charges,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,AETNA,AETNA,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,ALLIANT,ALLIANT,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,AMBETTER,AMBETTER,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,BEECH STREET,BEECH STREET,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,CARESOURCE,CARESOURCE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,MEDICAID,MEDICAID,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,MEDICARE,MEDICARE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,NOVA NET,NOVA NET,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,PEACHSTATE,PEACHSTATE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,SELFPAY,SELFPAY,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,TRICARE,TRICARE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 20MG/0.5ML VIAL,J9171,CPT,both,,,926,926,UHC MEDICARE,UHC MEDICARE,,926,,fee schedule,926,0.86,926,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,AMERIGROUP,AMERIGROUP,,0.91,,fee schedule,0.91,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,CARESOURCE,CARESOURCE,,0.92,,fee schedule,0.92,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,PEACHSTATE,PEACHSTATE,,0.86,,fee schedule,0.86,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,AETNA,AETNA,,5210.43,87,percent of total billed charges,5210.43,0.86,5989,percent of total billed charges,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5210.43,87,percent of total billed charges,5210.43,0.86,5989,percent of total billed charges,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,UNITED HEALTHCARE,UNITED HEALTHCARE,,5270.32,88,percent of total billed charges,5270.32,0.86,5989,percent of total billed charges,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,AETNA,AETNA,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,ALLIANT,ALLIANT,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,AMBETTER,AMBETTER,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,BEECH STREET,BEECH STREET,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,CARESOURCE,CARESOURCE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,MEDICAID,MEDICAID,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,MEDICARE,MEDICARE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,NOVA NET,NOVA NET,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,PEACHSTATE,PEACHSTATE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,SELFPAY,SELFPAY,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,TRICARE,TRICARE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
TAXOTERE 80MG/2ML VIAL,J9171,CPT,both,,,5989,5989,UHC MEDICARE,UHC MEDICARE,,5989,,fee schedule,5989,0.86,5989,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,ALLIANT,ALLIANT,,130.19,,fee schedule,130.19,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,AMBETTER,AMBETTER,,102.57,,fee schedule,102.57,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,AMERIGROUP,AMERIGROUP,,85.97,,fee schedule,85.97,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,CARESOURCE,CARESOURCE,,87.61,,fee schedule,87.61,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,MEDICARE,MEDICARE,,78.9,,fee schedule,78.9,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,PEACHSTATE,PEACHSTATE,,81.87,,fee schedule,81.87,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,TRICARE,TRICARE,,78.9,,fee schedule,78.9,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,UHC MEDICARE,UHC MEDICARE,,78.9,,fee schedule,78.9,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,AETNA,AETNA,,2153.25,87,percent of total billed charges,2153.25,78.9,2475,percent of total billed charges,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2153.25,87,percent of total billed charges,2153.25,78.9,2475,percent of total billed charges,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,UNITED HEALTHCARE,UNITED HEALTHCARE,,2178,88,percent of total billed charges,2178,78.9,2475,percent of total billed charges,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,AETNA,AETNA,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,BEECH STREET,BEECH STREET,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,CARESOURCE,CARESOURCE,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,MEDICAID,MEDICAID,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,NOVA NET,NOVA NET,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,PEACHSTATE,PEACHSTATE,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,SELFPAY,SELFPAY,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 120 MG/2.5 ML VIAL,J9173,CPT,both,,,2475,2475,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2475,,fee schedule,2475,78.9,2475,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,ALLIANT,ALLIANT,,130.19,,fee schedule,130.19,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,AMBETTER,AMBETTER,,102.57,,fee schedule,102.57,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,AMERIGROUP,AMERIGROUP,,85.97,,fee schedule,85.97,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,CARESOURCE,CARESOURCE,,87.61,,fee schedule,87.61,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,MEDICARE,MEDICARE,,78.9,,fee schedule,78.9,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,PEACHSTATE,PEACHSTATE,,81.87,,fee schedule,81.87,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,TRICARE,TRICARE,,78.9,,fee schedule,78.9,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,UHC MEDICARE,UHC MEDICARE,,78.9,,fee schedule,78.9,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,AETNA,AETNA,,8973.18,87,percent of total billed charges,8973.18,78.9,10314,percent of total billed charges,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8973.18,87,percent of total billed charges,8973.18,78.9,10314,percent of total billed charges,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,UNITED HEALTHCARE,UNITED HEALTHCARE,,9076.32,88,percent of total billed charges,9076.32,78.9,10314,percent of total billed charges,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,AETNA,AETNA,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,BEECH STREET,BEECH STREET,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,CARESOURCE,CARESOURCE,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,MEDICAID,MEDICAID,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,NOVA NET,NOVA NET,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,PEACHSTATE,PEACHSTATE,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,SELFPAY,SELFPAY,,10314,,fee schedule,10314,78.9,10314,fee schedule,
DURVALUMAB 500 MG/10 ML VIAL,J9173,CPT,both,,,10314,10314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10314,,fee schedule,10314,78.9,10314,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,ALLIANT,ALLIANT,,130.19,,fee schedule,130.19,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,AMBETTER,AMBETTER,,102.57,,fee schedule,102.57,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,85.97,,fee schedule,85.97,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,CARESOURCE,CARESOURCE,,87.61,,fee schedule,87.61,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,MEDICARE,MEDICARE,,78.9,,fee schedule,78.9,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,81.87,,fee schedule,81.87,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,TRICARE,TRICARE,,78.9,,fee schedule,78.9,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,78.9,,fee schedule,78.9,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,78.9,139.78,percent of total billed charges,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,78.9,139.78,percent of total billed charges,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,78.9,139.78,percent of total billed charges,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Durvalumab,J9173,CPT,both,500,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,78.9,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,ALLIANT,ALLIANT,,53.74,,fee schedule,53.74,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,AMBETTER,AMBETTER,,42.34,,fee schedule,42.34,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,37.92,,fee schedule,37.92,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,CARESOURCE,CARESOURCE,,38.65,,fee schedule,38.65,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,MEDICARE,MEDICARE,,32.57,,fee schedule,32.57,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,36.12,,fee schedule,36.12,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,TRICARE,TRICARE,,32.57,,fee schedule,32.57,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,32.57,,fee schedule,32.57,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,32.57,139.78,percent of total billed charges,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,32.57,139.78,percent of total billed charges,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,32.57,139.78,percent of total billed charges,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 20 MG Vial,J9177,CPT,both,20,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,ALLIANT,ALLIANT,,53.74,,fee schedule,53.74,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,AMBETTER,AMBETTER,,42.34,,fee schedule,42.34,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,37.92,,fee schedule,37.92,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,CARESOURCE,CARESOURCE,,38.65,,fee schedule,38.65,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,MEDICARE,MEDICARE,,32.57,,fee schedule,32.57,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,36.12,,fee schedule,36.12,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,TRICARE,TRICARE,,32.57,,fee schedule,32.57,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,32.57,,fee schedule,32.57,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,32.57,139.78,percent of total billed charges,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,32.57,139.78,percent of total billed charges,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,32.57,139.78,percent of total billed charges,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
Enfortumab Vedotin-ejfv 30 MG Vial,J9177,CPT,both,30,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,32.57,139.78,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,AMERIGROUP,AMERIGROUP,,1.57,,fee schedule,1.57,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,CARESOURCE,CARESOURCE,,1.6,,fee schedule,1.6,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,PEACHSTATE,PEACHSTATE,,1.49,,fee schedule,1.49,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,AETNA,AETNA,,717.75,87,percent of total billed charges,717.75,1.49,825,percent of total billed charges,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,717.75,87,percent of total billed charges,717.75,1.49,825,percent of total billed charges,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,UNITED HEALTHCARE,UNITED HEALTHCARE,,726,88,percent of total billed charges,726,1.49,825,percent of total billed charges,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,AETNA,AETNA,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,ALLIANT,ALLIANT,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,AMBETTER,AMBETTER,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,BEECH STREET,BEECH STREET,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,CARESOURCE,CARESOURCE,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,MEDICAID,MEDICAID,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,MEDICARE,MEDICARE,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,NOVA NET,NOVA NET,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,PEACHSTATE,PEACHSTATE,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,SELFPAY,SELFPAY,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,TRICARE,TRICARE,,825,,fee schedule,825,1.49,825,fee schedule,
ELLENCE 200MG/100ML INJ,J9178,CPT,both,,,825,825,UHC MEDICARE,UHC MEDICARE,,825,,fee schedule,825,1.49,825,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,AMERIGROUP,AMERIGROUP,,1.57,,fee schedule,1.57,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,CARESOURCE,CARESOURCE,,1.6,,fee schedule,1.6,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,PEACHSTATE,PEACHSTATE,,1.49,,fee schedule,1.49,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,AETNA,AETNA,,2241.12,87,percent of total billed charges,2241.12,1.49,2576,percent of total billed charges,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2241.12,87,percent of total billed charges,2241.12,1.49,2576,percent of total billed charges,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,UNITED HEALTHCARE,UNITED HEALTHCARE,,2266.88,88,percent of total billed charges,2266.88,1.49,2576,percent of total billed charges,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,AETNA,AETNA,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,ALLIANT,ALLIANT,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,AMBETTER,AMBETTER,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,BEECH STREET,BEECH STREET,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,CARESOURCE,CARESOURCE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,MEDICAID,MEDICAID,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,MEDICARE,MEDICARE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,NOVA NET,NOVA NET,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,PEACHSTATE,PEACHSTATE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,SELFPAY,SELFPAY,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,TRICARE,TRICARE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
EPIRUBICIN 200MG/200MG IV,J9178,CPT,both,,,2576,2576,UHC MEDICARE,UHC MEDICARE,,2576,,fee schedule,2576,1.49,2576,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,1.57,,fee schedule,1.57,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,1.6,,fee schedule,1.6,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,1.49,,fee schedule,1.49,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,1.49,35.29,percent of total billed charges,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,1.49,35.29,percent of total billed charges,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,1.49,35.29,percent of total billed charges,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
epiRUBicin 200 mg/100 ml Vial,J9178,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,1.49,35.29,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,ALLIANT,ALLIANT,,208.94,,fee schedule,208.94,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,AMBETTER,AMBETTER,,164.62,,fee schedule,164.62,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,AMERIGROUP,AMERIGROUP,,148.36,,fee schedule,148.36,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,CARESOURCE,CARESOURCE,,151.18,,fee schedule,151.18,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,MEDICARE,MEDICARE,,126.63,,fee schedule,126.63,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,PEACHSTATE,PEACHSTATE,,141.29,,fee schedule,141.29,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,TRICARE,TRICARE,,126.63,,fee schedule,126.63,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,UHC MEDICARE,UHC MEDICARE,,126.63,,fee schedule,126.63,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,AETNA,AETNA,,2618.7,87,percent of total billed charges,2618.7,126.63,3010,percent of total billed charges,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2618.7,87,percent of total billed charges,2618.7,126.63,3010,percent of total billed charges,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,UNITED HEALTHCARE,UNITED HEALTHCARE,,2648.8,88,percent of total billed charges,2648.8,126.63,3010,percent of total billed charges,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,AETNA,AETNA,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,BEECH STREET,BEECH STREET,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,CARESOURCE,CARESOURCE,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,MEDICAID,MEDICAID,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,NOVA NET,NOVA NET,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,PEACHSTATE,PEACHSTATE,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,SELFPAY,SELFPAY,,3010,,fee schedule,3010,126.63,3010,fee schedule,
HALAVEN 1MG/2ML INJ,J9179,CPT,both,,,3010,3010,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3010,,fee schedule,3010,126.63,3010,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,AMERIGROUP,AMERIGROUP,,1.19,,fee schedule,1.19,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,CARESOURCE,CARESOURCE,,1.21,,fee schedule,1.21,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,PEACHSTATE,PEACHSTATE,,1.13,,fee schedule,1.13,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,AETNA,AETNA,,4.35,87,percent of total billed charges,4.35,1.13,5,percent of total billed charges,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4.35,87,percent of total billed charges,4.35,1.13,5,percent of total billed charges,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,UNITED HEALTHCARE,UNITED HEALTHCARE,,4.4,88,percent of total billed charges,4.4,1.13,5,percent of total billed charges,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,AETNA,AETNA,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,ALLIANT,ALLIANT,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,AMBETTER,AMBETTER,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,BEECH STREET,BEECH STREET,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,CARESOURCE,CARESOURCE,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,MEDICAID,MEDICAID,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,MEDICARE,MEDICARE,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,NOVA NET,NOVA NET,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,PEACHSTATE,PEACHSTATE,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,SELFPAY,SELFPAY,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,TRICARE,TRICARE,,5,,fee schedule,5,1.13,5,fee schedule,
ETOPOSIDE 500MG VIAL,J9181,CPT,both,,,5,5,UHC MEDICARE,UHC MEDICARE,,5,,fee schedule,5,1.13,5,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,AMERIGROUP,AMERIGROUP,,1.19,,fee schedule,1.19,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,1.21,,fee schedule,1.21,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,1.13,,fee schedule,1.13,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,1.13,157,percent of total billed charges,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,1.13,157,percent of total billed charges,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,1.13,157,percent of total billed charges,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,1.13,157,fee schedule,
VEPACID INJ. 20MG./ML OP,J9181,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,1.13,157,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.19,,fee schedule,1.19,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,1.21,,fee schedule,1.21,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.13,,fee schedule,1.13,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.13,149.77,percent of total billed charges,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.13,149.77,percent of total billed charges,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.13,149.77,percent of total billed charges,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.19,,fee schedule,1.19,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,1.21,,fee schedule,1.21,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.13,,fee schedule,1.13,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.13,149.77,percent of total billed charges,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.13,149.77,percent of total billed charges,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.13,149.77,percent of total billed charges,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
Etoposide,J9181,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.13,149.77,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,ALLIANT,ALLIANT,,174.24,,fee schedule,174.24,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,AMBETTER,AMBETTER,,137.28,,fee schedule,137.28,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,AMERIGROUP,AMERIGROUP,,240.77,,fee schedule,240.77,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,CARESOURCE,CARESOURCE,,245.36,,fee schedule,245.36,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,MEDICARE,MEDICARE,,105.6,,fee schedule,105.6,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,PEACHSTATE,PEACHSTATE,,229.3,,fee schedule,229.3,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,TRICARE,TRICARE,,105.6,,fee schedule,105.6,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,UHC MEDICARE,UHC MEDICARE,,105.6,,fee schedule,105.6,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,AETNA,AETNA,,982.23,87,percent of total billed charges,982.23,105.6,1129,percent of total billed charges,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,982.23,87,percent of total billed charges,982.23,105.6,1129,percent of total billed charges,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,UNITED HEALTHCARE,UNITED HEALTHCARE,,993.52,88,percent of total billed charges,993.52,105.6,1129,percent of total billed charges,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,AETNA,AETNA,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,BEECH STREET,BEECH STREET,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,CARESOURCE,CARESOURCE,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,MEDICAID,MEDICAID,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,NOVA NET,NOVA NET,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,PEACHSTATE,PEACHSTATE,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,SELFPAY,SELFPAY,,1129,,fee schedule,1129,105.6,1129,fee schedule,
FLUDARA 50MG SDV,J9185,CPT,both,,,1129,1129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1129,,fee schedule,1129,105.6,1129,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,AMERIGROUP,AMERIGROUP,,3.38,,fee schedule,3.38,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,3.44,,fee schedule,3.44,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,3.22,,fee schedule,3.22,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,AETNA,AETNA,,127.02,87,percent of total billed charges,127.02,3.22,146,percent of total billed charges,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127.02,87,percent of total billed charges,127.02,3.22,146,percent of total billed charges,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,UNITED HEALTHCARE,UNITED HEALTHCARE,,128.48,88,percent of total billed charges,128.48,3.22,146,percent of total billed charges,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,AETNA,AETNA,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,ALLIANT,ALLIANT,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,AMBETTER,AMBETTER,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,BEECH STREET,BEECH STREET,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,CARESOURCE,CARESOURCE,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,MEDICAID,MEDICAID,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,MEDICARE,MEDICARE,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,NOVA NET,NOVA NET,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,PEACHSTATE,PEACHSTATE,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,SELFPAY,SELFPAY,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,TRICARE,TRICARE,,146,,fee schedule,146,3.22,146,fee schedule,
5FU (FLUOROURACIL) 2500M,J9190,CPT,both,,,146,146,UHC MEDICARE,UHC MEDICARE,,146,,fee schedule,146,3.22,146,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,AMERIGROUP,AMERIGROUP,,3.38,,fee schedule,3.38,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,3.44,,fee schedule,3.44,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,3.22,,fee schedule,3.22,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,AETNA,AETNA,,37.41,87,percent of total billed charges,37.41,3.22,43,percent of total billed charges,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,37.41,87,percent of total billed charges,37.41,3.22,43,percent of total billed charges,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,UNITED HEALTHCARE,UNITED HEALTHCARE,,37.84,88,percent of total billed charges,37.84,3.22,43,percent of total billed charges,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,AETNA,AETNA,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,ALLIANT,ALLIANT,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,AMBETTER,AMBETTER,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,BEECH STREET,BEECH STREET,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,CARESOURCE,CARESOURCE,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,MEDICAID,MEDICAID,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,MEDICARE,MEDICARE,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,NOVA NET,NOVA NET,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,PEACHSTATE,PEACHSTATE,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,SELFPAY,SELFPAY,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,TRICARE,TRICARE,,43,,fee schedule,43,3.22,43,fee schedule,
FLUOROURACIL INJ. 500MG O,J9190,CPT,both,,,43,43,UHC MEDICARE,UHC MEDICARE,,43,,fee schedule,43,3.22,43,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.38,,fee schedule,3.38,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.44,,fee schedule,3.44,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.22,,fee schedule,3.22,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.22,35.29,percent of total billed charges,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.22,35.29,percent of total billed charges,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.22,35.29,percent of total billed charges,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
"Fluorouracil 2,500 mg/50 ml SDV",J9190,CPT,both,2500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.38,,fee schedule,3.38,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.44,,fee schedule,3.44,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.22,,fee schedule,3.22,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.22,35.29,percent of total billed charges,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.22,35.29,percent of total billed charges,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.22,35.29,percent of total billed charges,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
Fluorouracil,J9190,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.22,35.29,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,3.3,19,percent of total billed charges,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,3.3,19,percent of total billed charges,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,3.3,19,percent of total billed charges,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 1G/26.3ML VIAL,J9201,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,3.3,19,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,AETNA,AETNA,,28.71,87,percent of total billed charges,28.71,3.3,33,percent of total billed charges,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28.71,87,percent of total billed charges,28.71,3.3,33,percent of total billed charges,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.04,88,percent of total billed charges,29.04,3.3,33,percent of total billed charges,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,AETNA,AETNA,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,ALLIANT,ALLIANT,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,AMBETTER,AMBETTER,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,BEECH STREET,BEECH STREET,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,CARESOURCE,CARESOURCE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,MEDICAID,MEDICAID,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,MEDICARE,MEDICARE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,NOVA NET,NOVA NET,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,PEACHSTATE,PEACHSTATE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,SELFPAY,SELFPAY,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,TRICARE,TRICARE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE 2G/52.6ML VIAL,J9201,CPT,both,,,33,33,UHC MEDICARE,UHC MEDICARE,,33,,fee schedule,33,3.3,33,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,3.3,10,percent of total billed charges,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,3.3,10,percent of total billed charges,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,3.3,10,percent of total billed charges,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,3.3,10,fee schedule,
GEMCITABINE HCL 0.2G VIAL,J9201,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,3.3,10,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,AETNA,AETNA,,3.48,87,percent of total billed charges,3.48,3.3,4,percent of total billed charges,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.48,87,percent of total billed charges,3.48,3.3,4,percent of total billed charges,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,UNITED HEALTHCARE,UNITED HEALTHCARE,,3.52,88,percent of total billed charges,3.52,3.3,4,percent of total billed charges,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,AETNA,AETNA,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,ALLIANT,ALLIANT,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,AMBETTER,AMBETTER,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,BEECH STREET,BEECH STREET,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,CARESOURCE,CARESOURCE,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,MEDICAID,MEDICAID,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,MEDICARE,MEDICARE,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,NOVA NET,NOVA NET,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,PEACHSTATE,PEACHSTATE,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,SELFPAY,SELFPAY,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,TRICARE,TRICARE,,4,,fee schedule,4,3.3,4,fee schedule,
"GEMCITABINE HCL 200MG/5,26 VIA",J9201,CPT,both,,,4,4,UHC MEDICARE,UHC MEDICARE,,4,,fee schedule,4,3.3,4,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,AETNA,AETNA,,2208.06,87,percent of total billed charges,2208.06,3.3,2538,percent of total billed charges,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2208.06,87,percent of total billed charges,2208.06,3.3,2538,percent of total billed charges,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,UNITED HEALTHCARE,UNITED HEALTHCARE,,2233.44,88,percent of total billed charges,2233.44,3.3,2538,percent of total billed charges,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,AETNA,AETNA,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,ALLIANT,ALLIANT,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,AMBETTER,AMBETTER,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,BEECH STREET,BEECH STREET,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,CARESOURCE,CARESOURCE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,MEDICAID,MEDICAID,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,MEDICARE,MEDICARE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,NOVA NET,NOVA NET,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,PEACHSTATE,PEACHSTATE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,SELFPAY,SELFPAY,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,TRICARE,TRICARE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
GEMZAR 1GM SDV,J9201,CPT,both,,,2538,2538,UHC MEDICARE,UHC MEDICARE,,2538,,fee schedule,2538,3.3,2538,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,1,GM,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,200,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,AMERIGROUP,AMERIGROUP,,3.46,,fee schedule,3.46,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,CARESOURCE,CARESOURCE,,3.53,,fee schedule,3.53,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.3,,fee schedule,3.3,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.3,35.29,percent of total billed charges,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
Gemcitabine Liquid Vial,J9201,CPT,both,2,GM,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.3,35.29,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,ALLIANT,ALLIANT,,937.08,,fee schedule,937.08,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,AMBETTER,AMBETTER,,738.31,,fee schedule,738.31,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,MEDICARE,MEDICARE,,567.93,,fee schedule,567.93,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,TRICARE,TRICARE,,567.93,,fee schedule,567.93,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,UHC MEDICARE,UHC MEDICARE,,567.93,,fee schedule,567.93,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,AETNA,AETNA,,6027.36,87,percent of total billed charges,6027.36,567.93,6928,percent of total billed charges,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6027.36,87,percent of total billed charges,6027.36,567.93,6928,percent of total billed charges,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,UNITED HEALTHCARE,UNITED HEALTHCARE,,6096.64,88,percent of total billed charges,6096.64,567.93,6928,percent of total billed charges,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,AETNA,AETNA,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,BEECH STREET,BEECH STREET,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,CARESOURCE,CARESOURCE,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,MEDICAID,MEDICAID,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,NOVA NET,NOVA NET,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,PEACHSTATE,PEACHSTATE,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,SELFPAY,SELFPAY,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 10.8MG 3-MONTH IM,J9202,CPT,both,,,6928,6928,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6928,,fee schedule,6928,567.93,6928,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,ALLIANT,ALLIANT,,937.08,,fee schedule,937.08,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,AMBETTER,AMBETTER,,738.31,,fee schedule,738.31,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,MEDICARE,MEDICARE,,567.93,,fee schedule,567.93,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,TRICARE,TRICARE,,567.93,,fee schedule,567.93,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,UHC MEDICARE,UHC MEDICARE,,567.93,,fee schedule,567.93,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,AETNA,AETNA,,1206.69,87,percent of total billed charges,1206.69,567.93,1387,percent of total billed charges,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1206.69,87,percent of total billed charges,1206.69,567.93,1387,percent of total billed charges,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,UNITED HEALTHCARE,UNITED HEALTHCARE,,1220.56,88,percent of total billed charges,1220.56,567.93,1387,percent of total billed charges,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,AETNA,AETNA,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,BEECH STREET,BEECH STREET,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,CARESOURCE,CARESOURCE,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,MEDICAID,MEDICAID,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,NOVA NET,NOVA NET,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,PEACHSTATE,PEACHSTATE,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,SELFPAY,SELFPAY,,1387,,fee schedule,1387,567.93,1387,fee schedule,
ZOLADEX 3.6MG IMP 1MO DPT,J9202,CPT,both,,,1387,1387,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1387,,fee schedule,1387,567.93,1387,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,ALLIANT,ALLIANT,,99.1,,fee schedule,99.1,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,AMBETTER,AMBETTER,,78.08,,fee schedule,78.08,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,66.54,,fee schedule,66.54,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,CARESOURCE,CARESOURCE,,67.81,,fee schedule,67.81,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,MEDICARE,MEDICARE,,60.06,,fee schedule,60.06,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,63.38,,fee schedule,63.38,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,TRICARE,TRICARE,,60.06,,fee schedule,60.06,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,60.06,,fee schedule,60.06,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,60.06,149.77,percent of total billed charges,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,60.06,149.77,percent of total billed charges,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,60.06,149.77,percent of total billed charges,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
Irinotecan (Liposomal) 43 MG/10 ML Vial,J9205,CPT,both,43,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,60.06,149.77,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,AMERIGROUP,AMERIGROUP,,2.85,,fee schedule,2.85,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,CARESOURCE,CARESOURCE,,2.9,,fee schedule,2.9,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,PEACHSTATE,PEACHSTATE,,2.71,,fee schedule,2.71,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,AETNA,AETNA,,1647.78,87,percent of total billed charges,1647.78,2.71,1894,percent of total billed charges,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1647.78,87,percent of total billed charges,1647.78,2.71,1894,percent of total billed charges,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,UNITED HEALTHCARE,UNITED HEALTHCARE,,1666.72,88,percent of total billed charges,1666.72,2.71,1894,percent of total billed charges,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,AETNA,AETNA,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,ALLIANT,ALLIANT,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,AMBETTER,AMBETTER,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,BEECH STREET,BEECH STREET,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,CARESOURCE,CARESOURCE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,MEDICAID,MEDICAID,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,MEDICARE,MEDICARE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,NOVA NET,NOVA NET,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,PEACHSTATE,PEACHSTATE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,SELFPAY,SELFPAY,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,TRICARE,TRICARE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
CAMPTOSAR INJ 100MG/5ML,J9206,CPT,both,,,1894,1894,UHC MEDICARE,UHC MEDICARE,,1894,,fee schedule,1894,2.71,1894,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,2.85,,fee schedule,2.85,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,2.9,,fee schedule,2.9,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,2.71,,fee schedule,2.71,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,2.71,149.77,percent of total billed charges,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,2.71,149.77,percent of total billed charges,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,2.71,149.77,percent of total billed charges,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
Irinotecan,J9206,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,2.71,149.77,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,ALLIANT,ALLIANT,,195.77,,fee schedule,195.77,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,AMBETTER,AMBETTER,,154.25,,fee schedule,154.25,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,AMERIGROUP,AMERIGROUP,,139.82,,fee schedule,139.82,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,CARESOURCE,CARESOURCE,,142.49,,fee schedule,142.49,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,MEDICARE,MEDICARE,,118.65,,fee schedule,118.65,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,PEACHSTATE,PEACHSTATE,,133.16,,fee schedule,133.16,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,TRICARE,TRICARE,,118.65,,fee schedule,118.65,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,UHC MEDICARE,UHC MEDICARE,,118.65,,fee schedule,118.65,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,AETNA,AETNA,,3632.25,87,percent of total billed charges,3632.25,118.65,4175,percent of total billed charges,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3632.25,87,percent of total billed charges,3632.25,118.65,4175,percent of total billed charges,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,UNITED HEALTHCARE,UNITED HEALTHCARE,,3674,88,percent of total billed charges,3674,118.65,4175,percent of total billed charges,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,AETNA,AETNA,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,BEECH STREET,BEECH STREET,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,CARESOURCE,CARESOURCE,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,MEDICAID,MEDICAID,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,NOVA NET,NOVA NET,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,PEACHSTATE,PEACHSTATE,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,SELFPAY,SELFPAY,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 15MG INJ,J9207,CPT,both,,,4175,4175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4175,,fee schedule,4175,118.65,4175,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,ALLIANT,ALLIANT,,195.77,,fee schedule,195.77,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,AMBETTER,AMBETTER,,154.25,,fee schedule,154.25,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,AMERIGROUP,AMERIGROUP,,139.82,,fee schedule,139.82,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,CARESOURCE,CARESOURCE,,142.49,,fee schedule,142.49,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,MEDICARE,MEDICARE,,118.65,,fee schedule,118.65,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,PEACHSTATE,PEACHSTATE,,133.16,,fee schedule,133.16,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,TRICARE,TRICARE,,118.65,,fee schedule,118.65,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,UHC MEDICARE,UHC MEDICARE,,118.65,,fee schedule,118.65,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,AETNA,AETNA,,6478.89,87,percent of total billed charges,6478.89,118.65,7447,percent of total billed charges,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6478.89,87,percent of total billed charges,6478.89,118.65,7447,percent of total billed charges,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,UNITED HEALTHCARE,UNITED HEALTHCARE,,6553.36,88,percent of total billed charges,6553.36,118.65,7447,percent of total billed charges,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,AETNA,AETNA,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,BEECH STREET,BEECH STREET,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,CARESOURCE,CARESOURCE,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,MEDICAID,MEDICAID,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,NOVA NET,NOVA NET,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,PEACHSTATE,PEACHSTATE,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,SELFPAY,SELFPAY,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IXEMPRA 45MG INJ,J9207,CPT,both,,,7447,7447,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7447,,fee schedule,7447,118.65,7447,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,27.52,,fee schedule,27.52,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,25.72,,fee schedule,25.72,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,AETNA,AETNA,,120.06,87,percent of total billed charges,120.06,25.72,138,percent of total billed charges,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,120.06,87,percent of total billed charges,120.06,25.72,138,percent of total billed charges,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,UNITED HEALTHCARE,UNITED HEALTHCARE,,121.44,88,percent of total billed charges,121.44,25.72,138,percent of total billed charges,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,AETNA,AETNA,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,ALLIANT,ALLIANT,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,AMBETTER,AMBETTER,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,BEECH STREET,BEECH STREET,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,CARESOURCE,CARESOURCE,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,MEDICAID,MEDICAID,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,MEDICARE,MEDICARE,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,NOVA NET,NOVA NET,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,PEACHSTATE,PEACHSTATE,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,SELFPAY,SELFPAY,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,TRICARE,TRICARE,,138,,fee schedule,138,25.72,138,fee schedule,
IFOSFAMIDE 3GM VIAL,J9208,CPT,both,,,138,138,UHC MEDICARE,UHC MEDICARE,,138,,fee schedule,138,25.72,138,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,27,,fee schedule,27,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,27.52,,fee schedule,27.52,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,25.72,,fee schedule,25.72,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,25.72,149.77,percent of total billed charges,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,25.72,149.77,percent of total billed charges,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,25.72,149.77,percent of total billed charges,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
Ifosfamide 3 GM VIAL,J9208,CPT,both,3,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,25.72,149.77,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,AMERIGROUP,AMERIGROUP,,1.87,,fee schedule,1.87,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,CARESOURCE,CARESOURCE,,1.91,,fee schedule,1.91,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,PEACHSTATE,PEACHSTATE,,1.78,,fee schedule,1.78,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,AETNA,AETNA,,720.36,87,percent of total billed charges,720.36,1.78,828,percent of total billed charges,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,720.36,87,percent of total billed charges,720.36,1.78,828,percent of total billed charges,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,UNITED HEALTHCARE,UNITED HEALTHCARE,,728.64,88,percent of total billed charges,728.64,1.78,828,percent of total billed charges,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,AETNA,AETNA,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,ALLIANT,ALLIANT,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,AMBETTER,AMBETTER,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,BEECH STREET,BEECH STREET,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,CARESOURCE,CARESOURCE,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,MEDICAID,MEDICAID,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,MEDICARE,MEDICARE,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,NOVA NET,NOVA NET,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,PEACHSTATE,PEACHSTATE,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,SELFPAY,SELFPAY,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,TRICARE,TRICARE,,828,,fee schedule,828,1.78,828,fee schedule,
MESNEX 1GM VIAL,J9209,CPT,both,,,828,828,UHC MEDICARE,UHC MEDICARE,,828,,fee schedule,828,1.78,828,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,AMERIGROUP,AMERIGROUP,,1.87,,fee schedule,1.87,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,CARESOURCE,CARESOURCE,,1.91,,fee schedule,1.91,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,1.78,,fee schedule,1.78,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,1.78,149.77,percent of total billed charges,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,1.78,149.77,percent of total billed charges,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,1.78,149.77,percent of total billed charges,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
Mesna 1 gm/10 ml Vial,J9209,CPT,both,1,GR,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,1.78,149.77,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,ALLIANT,ALLIANT,,53.74,,fee schedule,53.74,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,AMBETTER,AMBETTER,,42.34,,fee schedule,42.34,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,MEDICARE,MEDICARE,,32.57,,fee schedule,32.57,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,TRICARE,TRICARE,,32.57,,fee schedule,32.57,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,UHC MEDICARE,UHC MEDICARE,,32.57,,fee schedule,32.57,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,AETNA,AETNA,,1972.29,87,percent of total billed charges,1972.29,32.57,2267,percent of total billed charges,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1972.29,87,percent of total billed charges,1972.29,32.57,2267,percent of total billed charges,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,UNITED HEALTHCARE,UNITED HEALTHCARE,,1994.96,88,percent of total billed charges,1994.96,32.57,2267,percent of total billed charges,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,AETNA,AETNA,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,BEECH STREET,BEECH STREET,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,CARESOURCE,CARESOURCE,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,MEDICAID,MEDICAID,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,NOVA NET,NOVA NET,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,PEACHSTATE,PEACHSTATE,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,SELFPAY,SELFPAY,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A INJ 25M UNITS/2.,J9214,CPT,both,,,2267,2267,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2267,,fee schedule,2267,32.57,2267,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,ALLIANT,ALLIANT,,53.74,,fee schedule,53.74,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,AMBETTER,AMBETTER,,42.34,,fee schedule,42.34,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,MEDICARE,MEDICARE,,32.57,,fee schedule,32.57,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,TRICARE,TRICARE,,32.57,,fee schedule,32.57,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,UHC MEDICARE,UHC MEDICARE,,32.57,,fee schedule,32.57,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,AETNA,AETNA,,453.27,87,percent of total billed charges,453.27,32.57,521,percent of total billed charges,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,453.27,87,percent of total billed charges,453.27,32.57,521,percent of total billed charges,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,UNITED HEALTHCARE,UNITED HEALTHCARE,,458.48,88,percent of total billed charges,458.48,32.57,521,percent of total billed charges,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,AETNA,AETNA,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,BEECH STREET,BEECH STREET,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,CARESOURCE,CARESOURCE,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,MEDICAID,MEDICAID,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,NOVA NET,NOVA NET,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,PEACHSTATE,PEACHSTATE,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,SELFPAY,SELFPAY,,521,,fee schedule,521,32.57,521,fee schedule,
INTRON A; 10MIL I.U.,J9214,CPT,both,,,521,521,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,521,,fee schedule,521,32.57,521,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,AETNA,AETNA,,2320.29,87,percent of total billed charges,2320.29,180.54,2667,percent of total billed charges,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2320.29,87,percent of total billed charges,2320.29,180.54,2667,percent of total billed charges,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,UNITED HEALTHCARE,UNITED HEALTHCARE,,2346.96,88,percent of total billed charges,2346.96,180.54,2667,percent of total billed charges,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,AETNA,AETNA,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,BEECH STREET,BEECH STREET,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,CARESOURCE,CARESOURCE,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,MEDICAID,MEDICAID,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,NOVA NET,NOVA NET,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,PEACHSTATE,PEACHSTATE,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,SELFPAY,SELFPAY,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 22.5 INJ,J9217,CPT,both,,,2667,2667,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2667,,fee schedule,2667,180.54,2667,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,AETNA,AETNA,,1626.9,87,percent of total billed charges,1626.9,180.54,1870,percent of total billed charges,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1626.9,87,percent of total billed charges,1626.9,180.54,1870,percent of total billed charges,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,UNITED HEALTHCARE,UNITED HEALTHCARE,,1645.6,88,percent of total billed charges,1645.6,180.54,1870,percent of total billed charges,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,AETNA,AETNA,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,BEECH STREET,BEECH STREET,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,CARESOURCE,CARESOURCE,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,MEDICAID,MEDICAID,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,NOVA NET,NOVA NET,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,PEACHSTATE,PEACHSTATE,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,SELFPAY,SELFPAY,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 30MG SYRINGE,J9217,CPT,both,,,1870,1870,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1870,,fee schedule,1870,180.54,1870,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,AETNA,AETNA,,4637.97,87,percent of total billed charges,4637.97,180.54,5331,percent of total billed charges,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4637.97,87,percent of total billed charges,4637.97,180.54,5331,percent of total billed charges,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,UNITED HEALTHCARE,UNITED HEALTHCARE,,4691.28,88,percent of total billed charges,4691.28,180.54,5331,percent of total billed charges,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,AETNA,AETNA,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,BEECH STREET,BEECH STREET,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,CARESOURCE,CARESOURCE,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,MEDICAID,MEDICAID,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,NOVA NET,NOVA NET,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,PEACHSTATE,PEACHSTATE,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,SELFPAY,SELFPAY,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 45MG SYRINGE,J9217,CPT,both,,,5331,5331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5331,,fee schedule,5331,180.54,5331,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,AETNA,AETNA,,382.8,87,percent of total billed charges,382.8,180.54,440,percent of total billed charges,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,382.8,87,percent of total billed charges,382.8,180.54,440,percent of total billed charges,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,UNITED HEALTHCARE,UNITED HEALTHCARE,,387.2,88,percent of total billed charges,387.2,180.54,440,percent of total billed charges,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,AETNA,AETNA,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,BEECH STREET,BEECH STREET,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,CARESOURCE,CARESOURCE,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,MEDICAID,MEDICAID,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,NOVA NET,NOVA NET,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,PEACHSTATE,PEACHSTATE,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,SELFPAY,SELFPAY,,440,,fee schedule,440,180.54,440,fee schedule,
ELIGARD 7.5MG SYRINGE,J9217,CPT,both,,,440,440,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,440,,fee schedule,440,180.54,440,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,AETNA,AETNA,,4269.96,87,percent of total billed charges,4269.96,180.54,4908,percent of total billed charges,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4269.96,87,percent of total billed charges,4269.96,180.54,4908,percent of total billed charges,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,UNITED HEALTHCARE,UNITED HEALTHCARE,,4319.04,88,percent of total billed charges,4319.04,180.54,4908,percent of total billed charges,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,AETNA,AETNA,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,BEECH STREET,BEECH STREET,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,CARESOURCE,CARESOURCE,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,MEDICAID,MEDICAID,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,NOVA NET,NOVA NET,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,PEACHSTATE,PEACHSTATE,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,SELFPAY,SELFPAY,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT 30MG KIT,J9217,CPT,both,,,4908,4908,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4908,,fee schedule,4908,180.54,4908,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,AETNA,AETNA,,3401.7,87,percent of total billed charges,3401.7,180.54,3910,percent of total billed charges,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3401.7,87,percent of total billed charges,3401.7,180.54,3910,percent of total billed charges,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,UNITED HEALTHCARE,UNITED HEALTHCARE,,3440.8,88,percent of total billed charges,3440.8,180.54,3910,percent of total billed charges,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,AETNA,AETNA,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,BEECH STREET,BEECH STREET,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,CARESOURCE,CARESOURCE,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,MEDICAID,MEDICAID,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,NOVA NET,NOVA NET,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,PEACHSTATE,PEACHSTATE,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,SELFPAY,SELFPAY,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT INJ 45MG,J9217,CPT,both,,,3910,3910,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3910,,fee schedule,3910,180.54,3910,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,TRICARE,TRICARE,,188.33,,fee schedule,188.33,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,AETNA,AETNA,,6786,87,percent of total billed charges,6786,180.54,7800,percent of total billed charges,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6786,87,percent of total billed charges,6786,180.54,7800,percent of total billed charges,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,UNITED HEALTHCARE,UNITED HEALTHCARE,,6864,88,percent of total billed charges,6864,180.54,7800,percent of total billed charges,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,AETNA,AETNA,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,BEECH STREET,BEECH STREET,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,CARESOURCE,CARESOURCE,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,MEDICAID,MEDICAID,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,NOVA NET,NOVA NET,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,PEACHSTATE,PEACHSTATE,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,SELFPAY,SELFPAY,,7800,,fee schedule,7800,180.54,7800,fee schedule,
LUPRON DEPOT KIT 22.5MG 3,J9217,CPT,both,,,7800,7800,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7800,,fee schedule,7800,180.54,7800,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,TRICARE,TRICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,310.74,percent of total billed charges,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide,J9217,CPT,both,23,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,TRICARE,TRICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,310.74,percent of total billed charges,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,30,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,TRICARE,TRICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,310.74,percent of total billed charges,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate,J9217,CPT,both,45,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,ALLIANT,ALLIANT,,310.74,,fee schedule,310.74,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,AMBETTER,AMBETTER,,244.83,,fee schedule,244.83,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,189.57,,fee schedule,189.57,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,CARESOURCE,CARESOURCE,,193.18,,fee schedule,193.18,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,MEDICARE,MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,180.54,,fee schedule,180.54,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,TRICARE,TRICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,188.33,,fee schedule,188.33,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,310.74,percent of total billed charges,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,310.74,percent of total billed charges,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
Leuprolide Acetate 7.5 mg Syringe,J9217,CPT,both,8,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,310.74,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,ALLIANT,ALLIANT,,306.87,,fee schedule,306.87,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,AMBETTER,AMBETTER,,241.77,,fee schedule,241.77,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,AMERIGROUP,AMERIGROUP,,212.9,,fee schedule,212.9,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,CARESOURCE,CARESOURCE,,216.95,,fee schedule,216.95,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,MEDICARE,MEDICARE,,185.98,,fee schedule,185.98,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,PEACHSTATE,PEACHSTATE,,202.76,,fee schedule,202.76,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,TRICARE,TRICARE,,185.98,,fee schedule,185.98,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,UHC MEDICARE,UHC MEDICARE,,185.98,,fee schedule,185.98,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,AETNA,AETNA,,6977.4,87,percent of total billed charges,6977.4,185.98,8020,percent of total billed charges,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6977.4,87,percent of total billed charges,6977.4,185.98,8020,percent of total billed charges,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,UNITED HEALTHCARE,UNITED HEALTHCARE,,7057.6,88,percent of total billed charges,7057.6,185.98,8020,percent of total billed charges,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,AETNA,AETNA,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,BEECH STREET,BEECH STREET,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,CARESOURCE,CARESOURCE,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,MEDICAID,MEDICAID,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,NOVA NET,NOVA NET,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,PEACHSTATE,PEACHSTATE,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,SELFPAY,SELFPAY,,8020,,fee schedule,8020,185.98,8020,fee schedule,
ZEPZELCA 4MG VIAL,J9223,CPT,both,,,8020,8020,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8020,,fee schedule,8020,185.98,8020,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,ALLIANT,ALLIANT,,306.87,,fee schedule,306.87,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,AMBETTER,AMBETTER,,241.77,,fee schedule,241.77,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,212.9,,fee schedule,212.9,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,CARESOURCE,CARESOURCE,,216.95,,fee schedule,216.95,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,MEDICARE,MEDICARE,,185.98,,fee schedule,185.98,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,202.76,,fee schedule,202.76,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,TRICARE,TRICARE,,185.98,,fee schedule,185.98,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,185.98,,fee schedule,185.98,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,121.61,306.87,percent of total billed charges,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,121.61,306.87,percent of total billed charges,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,121.61,306.87,percent of total billed charges,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
Lurbinectedin 4 mg Vial,J9223,CPT,both,4,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,121.61,306.87,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,ALLIANT,ALLIANT,,273.52,,fee schedule,273.52,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,AMBETTER,AMBETTER,,215.5,,fee schedule,215.5,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,AMERIGROUP,AMERIGROUP,,185.62,,fee schedule,185.62,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,CARESOURCE,CARESOURCE,,189.16,,fee schedule,189.16,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,MEDICARE,MEDICARE,,165.77,,fee schedule,165.77,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,PEACHSTATE,PEACHSTATE,,176.78,,fee schedule,176.78,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,TRICARE,TRICARE,,165.77,,fee schedule,165.77,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,UHC MEDICARE,UHC MEDICARE,,165.77,,fee schedule,165.77,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,AETNA,AETNA,,31753.26,87,percent of total billed charges,31753.26,165.77,36498,percent of total billed charges,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,31753.26,87,percent of total billed charges,31753.26,165.77,36498,percent of total billed charges,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,UNITED HEALTHCARE,UNITED HEALTHCARE,,32118.24,88,percent of total billed charges,32118.24,165.77,36498,percent of total billed charges,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,AETNA,AETNA,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,BEECH STREET,BEECH STREET,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,CARESOURCE,CARESOURCE,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,MEDICAID,MEDICAID,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,NOVA NET,NOVA NET,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,PEACHSTATE,PEACHSTATE,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,SELFPAY,SELFPAY,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 200MG/40ML INJECTI,J9228,CPT,both,,,36498,36498,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,36498,,fee schedule,36498,165.77,36498,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,ALLIANT,ALLIANT,,273.52,,fee schedule,273.52,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,AMBETTER,AMBETTER,,215.5,,fee schedule,215.5,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,AMERIGROUP,AMERIGROUP,,185.62,,fee schedule,185.62,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,CARESOURCE,CARESOURCE,,189.16,,fee schedule,189.16,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,MEDICARE,MEDICARE,,165.77,,fee schedule,165.77,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,PEACHSTATE,PEACHSTATE,,176.78,,fee schedule,176.78,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,TRICARE,TRICARE,,165.77,,fee schedule,165.77,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,UHC MEDICARE,UHC MEDICARE,,165.77,,fee schedule,165.77,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,AETNA,AETNA,,7945.71,87,percent of total billed charges,7945.71,165.77,9133,percent of total billed charges,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7945.71,87,percent of total billed charges,7945.71,165.77,9133,percent of total billed charges,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,UNITED HEALTHCARE,UNITED HEALTHCARE,,8037.04,88,percent of total billed charges,8037.04,165.77,9133,percent of total billed charges,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,AETNA,AETNA,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,BEECH STREET,BEECH STREET,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,CARESOURCE,CARESOURCE,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,MEDICAID,MEDICAID,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,NOVA NET,NOVA NET,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,PEACHSTATE,PEACHSTATE,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,SELFPAY,SELFPAY,,9133,,fee schedule,9133,165.77,9133,fee schedule,
YERVOY 50MG/10ML INJECTIO,J9228,CPT,both,,,9133,9133,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9133,,fee schedule,9133,165.77,9133,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,AETNA,AETNA,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136.59,87,percent of total billed charges,136.59,136.59,157,percent of total billed charges,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,UNITED HEALTHCARE,UNITED HEALTHCARE,,138.16,88,percent of total billed charges,138.16,136.59,157,percent of total billed charges,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,AETNA,AETNA,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,ALLIANT,ALLIANT,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,AMBETTER,AMBETTER,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,BEECH STREET,BEECH STREET,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,CARESOURCE,CARESOURCE,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,MEDICAID,MEDICAID,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,MEDICARE,MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,NOVA NET,NOVA NET,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,PEACHSTATE,PEACHSTATE,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,SELFPAY,SELFPAY,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,TRICARE,TRICARE,,157,,fee schedule,157,136.59,157,fee schedule,
METHOTREXATE VIAL 250MG/1,J9250,CPT,both,,,157,157,UHC MEDICARE,UHC MEDICARE,,157,,fee schedule,157,136.59,157,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Methotrexate-PF,J9250,CPT,both,250,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,2.71,,fee schedule,2.71,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,2.76,,fee schedule,2.76,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,2.58,,fee schedule,2.58,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,2.58,26,percent of total billed charges,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,2.58,26,percent of total billed charges,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,2.58,26,percent of total billed charges,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,2.58,26,fee schedule,
METHOTREXATE INJ. 50MG OP,J9260,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,2.58,26,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,2.71,,fee schedule,2.71,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,2.76,,fee schedule,2.76,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,2.58,,fee schedule,2.58,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,2.58,35.29,percent of total billed charges,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,2.58,35.29,percent of total billed charges,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,2.58,35.29,percent of total billed charges,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
Methotrexate-PF,J9260,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,2.58,35.29,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,AMERIGROUP,AMERIGROUP,,0.08,,fee schedule,0.08,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,CARESOURCE,CARESOURCE,,0.08,,fee schedule,0.08,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,AETNA,AETNA,,4711.05,87,percent of total billed charges,4711.05,0.08,5415,percent of total billed charges,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4711.05,87,percent of total billed charges,4711.05,0.08,5415,percent of total billed charges,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,UNITED HEALTHCARE,UNITED HEALTHCARE,,4765.2,88,percent of total billed charges,4765.2,0.08,5415,percent of total billed charges,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,AETNA,AETNA,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,ALLIANT,ALLIANT,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,AMBETTER,AMBETTER,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,BEECH STREET,BEECH STREET,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,CARESOURCE,CARESOURCE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,MEDICAID,MEDICAID,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,MEDICARE,MEDICARE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,NOVA NET,NOVA NET,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,PEACHSTATE,PEACHSTATE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,SELFPAY,SELFPAY,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,TRICARE,TRICARE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
ELOXATIN 100MG SDV,J9263,CPT,both,,,5415,5415,UHC MEDICARE,UHC MEDICARE,,5415,,fee schedule,5415,0.08,5415,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.08,,fee schedule,0.08,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.08,,fee schedule,0.08,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.08,,fee schedule,0.08,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.08,149.77,percent of total billed charges,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.08,149.77,percent of total billed charges,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.08,149.77,percent of total billed charges,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
Oxaliplatin,J9263,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.08,149.77,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,ALLIANT,ALLIANT,,19.77,,fee schedule,19.77,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,AMBETTER,AMBETTER,,15.57,,fee schedule,15.57,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,AMERIGROUP,AMERIGROUP,,13.9,,fee schedule,13.9,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,CARESOURCE,CARESOURCE,,14.17,,fee schedule,14.17,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,MEDICARE,MEDICARE,,11.98,,fee schedule,11.98,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,PEACHSTATE,PEACHSTATE,,13.24,,fee schedule,13.24,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,TRICARE,TRICARE,,11.98,,fee schedule,11.98,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,UHC MEDICARE,UHC MEDICARE,,11.98,,fee schedule,11.98,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,AETNA,AETNA,,2891.01,87,percent of total billed charges,2891.01,11.98,3323,percent of total billed charges,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2891.01,87,percent of total billed charges,2891.01,11.98,3323,percent of total billed charges,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,UNITED HEALTHCARE,UNITED HEALTHCARE,,2924.24,88,percent of total billed charges,2924.24,11.98,3323,percent of total billed charges,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,AETNA,AETNA,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,BEECH STREET,BEECH STREET,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,CARESOURCE,CARESOURCE,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,MEDICAID,MEDICAID,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,NOVA NET,NOVA NET,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,PEACHSTATE,PEACHSTATE,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,SELFPAY,SELFPAY,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ABRAXANE IV 100MG/20ML,J9264,CPT,both,,,3323,3323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3323,,fee schedule,3323,11.98,3323,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,ALLIANT,ALLIANT,,38902.07,,fee schedule,38902.07,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,AMBETTER,AMBETTER,,30650.11,,fee schedule,30650.11,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,AMERIGROUP,AMERIGROUP,,28365.6,,fee schedule,28365.6,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,CARESOURCE,CARESOURCE,,28905.9,,fee schedule,28905.9,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,MEDICARE,MEDICARE,,23577.01,,fee schedule,23577.01,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,PEACHSTATE,PEACHSTATE,,27014.86,,fee schedule,27014.86,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,TRICARE,TRICARE,,23577.01,,fee schedule,23577.01,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,UHC MEDICARE,UHC MEDICARE,,23577.01,,fee schedule,23577.01,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,AETNA,AETNA,,8393.76,87,percent of total billed charges,8393.76,8393.76,38902.07,percent of total billed charges,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8393.76,87,percent of total billed charges,8393.76,8393.76,38902.07,percent of total billed charges,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,UNITED HEALTHCARE,UNITED HEALTHCARE,,8490.24,88,percent of total billed charges,8490.24,8393.76,38902.07,percent of total billed charges,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,AETNA,AETNA,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,BEECH STREET,BEECH STREET,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,CARESOURCE,CARESOURCE,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,MEDICAID,MEDICAID,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,NOVA NET,NOVA NET,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,PEACHSTATE,PEACHSTATE,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,SELFPAY,SELFPAY,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
ONCASPAR 3750U/5ML,J9266,CPT,both,,,9648,9648,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9648,,fee schedule,9648,8393.76,38902.07,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,AMERIGROUP,AMERIGROUP,,0.1,,fee schedule,0.1,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,0.1,,fee schedule,0.1,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,0.09,,fee schedule,0.09,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,AETNA,AETNA,,278.4,87,percent of total billed charges,278.4,0.09,320,percent of total billed charges,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278.4,87,percent of total billed charges,278.4,0.09,320,percent of total billed charges,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,UNITED HEALTHCARE,UNITED HEALTHCARE,,281.6,88,percent of total billed charges,281.6,0.09,320,percent of total billed charges,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,AETNA,AETNA,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,ALLIANT,ALLIANT,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,AMBETTER,AMBETTER,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,BEECH STREET,BEECH STREET,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,CARESOURCE,CARESOURCE,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,MEDICAID,MEDICAID,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,MEDICARE,MEDICARE,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,NOVA NET,NOVA NET,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,PEACHSTATE,PEACHSTATE,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,SELFPAY,SELFPAY,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,TRICARE,TRICARE,,320,,fee schedule,320,0.09,320,fee schedule,
PACLITAXEL 300MG/50ML INJ,J9267,CPT,both,,,320,320,UHC MEDICARE,UHC MEDICARE,,320,,fee schedule,320,0.09,320,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,AMERIGROUP,AMERIGROUP,,0.1,,fee schedule,0.1,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,CARESOURCE,CARESOURCE,,0.1,,fee schedule,0.1,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,PEACHSTATE,PEACHSTATE,,0.09,,fee schedule,0.09,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,AETNA,AETNA,,1499.88,87,percent of total billed charges,1499.88,0.09,1724,percent of total billed charges,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1499.88,87,percent of total billed charges,1499.88,0.09,1724,percent of total billed charges,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,UNITED HEALTHCARE,UNITED HEALTHCARE,,1517.12,88,percent of total billed charges,1517.12,0.09,1724,percent of total billed charges,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,AETNA,AETNA,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,ALLIANT,ALLIANT,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,AMBETTER,AMBETTER,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,BEECH STREET,BEECH STREET,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,CARESOURCE,CARESOURCE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,MEDICAID,MEDICAID,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,MEDICARE,MEDICARE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,NOVA NET,NOVA NET,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,PEACHSTATE,PEACHSTATE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,SELFPAY,SELFPAY,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,TRICARE,TRICARE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
TAXOL INJ 100MG/16.7 ML,J9267,CPT,both,,,1724,1724,UHC MEDICARE,UHC MEDICARE,,1724,,fee schedule,1724,0.09,1724,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.1,,fee schedule,0.1,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.1,,fee schedule,0.1,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.09,,fee schedule,0.09,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.09,149.77,percent of total billed charges,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.09,149.77,percent of total billed charges,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.09,149.77,percent of total billed charges,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 300 mg/50 ml Vial,J9267,CPT,both,300,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,0.1,,fee schedule,0.1,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,0.1,,fee schedule,0.1,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,0.09,,fee schedule,0.09,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,0.09,149.77,percent of total billed charges,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,0.09,149.77,percent of total billed charges,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,0.09,149.77,percent of total billed charges,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
PACLitaxel 100 mg/16.7 ml Vial,J9267,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,149.77,,fee schedule,149.77,0.09,149.77,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,ALLIANT,ALLIANT,,88.95,,fee schedule,88.95,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,AMBETTER,AMBETTER,,70.08,,fee schedule,70.08,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,AMERIGROUP,AMERIGROUP,,59.49,,fee schedule,59.49,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,CARESOURCE,CARESOURCE,,60.62,,fee schedule,60.62,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,MEDICARE,MEDICARE,,53.91,,fee schedule,53.91,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,PEACHSTATE,PEACHSTATE,,56.66,,fee schedule,56.66,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,TRICARE,TRICARE,,53.91,,fee schedule,53.91,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,UHC MEDICARE,UHC MEDICARE,,53.91,,fee schedule,53.91,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,AETNA,AETNA,,8697.39,87,percent of total billed charges,8697.39,53.91,9997,percent of total billed charges,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8697.39,87,percent of total billed charges,8697.39,53.91,9997,percent of total billed charges,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,UNITED HEALTHCARE,UNITED HEALTHCARE,,8797.36,88,percent of total billed charges,8797.36,53.91,9997,percent of total billed charges,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,AETNA,AETNA,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,BEECH STREET,BEECH STREET,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,CARESOURCE,CARESOURCE,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,MEDICAID,MEDICAID,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,NOVA NET,NOVA NET,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,PEACHSTATE,PEACHSTATE,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,SELFPAY,SELFPAY,,9997,,fee schedule,9997,53.91,9997,fee schedule,
KEYTRUDA 100MG/4ML VIAL,J9271,CPT,both,,,9997,9997,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9997,,fee schedule,9997,53.91,9997,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,369.55,,fee schedule,369.55,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,291.16,,fee schedule,291.16,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,248.29,,fee schedule,248.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,253.02,,fee schedule,253.02,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,223.97,,fee schedule,223.97,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,236.47,,fee schedule,236.47,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,223.97,,fee schedule,223.97,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,223.97,,fee schedule,223.97,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,369.55,percent of total billed charges,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,369.55,percent of total billed charges,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,369.55,percent of total billed charges,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Dostarlimab-gxly 500 MG/10 ML Vial,J9272,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,369.55,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,ALLIANT,ALLIANT,,257.4,,fee schedule,257.4,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,AMBETTER,AMBETTER,,202.8,,fee schedule,202.8,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,183.69,,fee schedule,183.69,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,187.19,,fee schedule,187.19,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,MEDICARE,MEDICARE,,156,,fee schedule,156,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,174.95,,fee schedule,174.95,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,TRICARE,TRICARE,,156,,fee schedule,156,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,156,,fee schedule,156,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,257.4,percent of total billed charges,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,257.4,percent of total billed charges,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,257.4,percent of total billed charges,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
Tisotumab Vedotin-TFTV,J9273,CPT,both,40,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,257.4,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,ALLIANT,ALLIANT,,73.38,,fee schedule,73.38,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,AMBETTER,AMBETTER,,57.81,,fee schedule,57.81,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,AMERIGROUP,AMERIGROUP,,56.87,,fee schedule,56.87,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,57.96,,fee schedule,57.96,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,MEDICARE,MEDICARE,,44.47,,fee schedule,44.47,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,54.16,,fee schedule,54.16,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,TRICARE,TRICARE,,44.47,,fee schedule,44.47,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,UHC MEDICARE,UHC MEDICARE,,44.47,,fee schedule,44.47,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,AETNA,AETNA,,803.88,87,percent of total billed charges,803.88,44.47,924,percent of total billed charges,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,803.88,87,percent of total billed charges,803.88,44.47,924,percent of total billed charges,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,UNITED HEALTHCARE,UNITED HEALTHCARE,,813.12,88,percent of total billed charges,813.12,44.47,924,percent of total billed charges,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,AETNA,AETNA,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,BEECH STREET,BEECH STREET,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,CARESOURCE,CARESOURCE,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,MEDICAID,MEDICAID,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,NOVA NET,NOVA NET,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,PEACHSTATE,PEACHSTATE,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,SELFPAY,SELFPAY,,924,,fee schedule,924,44.47,924,fee schedule,
MITOMYCIN 40MG SDV,J9280,CPT,both,,,924,924,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,924,,fee schedule,924,44.47,924,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,ALLIANT,ALLIANT,,73.38,,fee schedule,73.38,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,AMBETTER,AMBETTER,,57.81,,fee schedule,57.81,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,AMERIGROUP,AMERIGROUP,,56.87,,fee schedule,56.87,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,57.96,,fee schedule,57.96,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,MEDICARE,MEDICARE,,44.47,,fee schedule,44.47,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,54.16,,fee schedule,54.16,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,TRICARE,TRICARE,,44.47,,fee schedule,44.47,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,UHC MEDICARE,UHC MEDICARE,,44.47,,fee schedule,44.47,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,AETNA,AETNA,,618.57,87,percent of total billed charges,618.57,44.47,711,percent of total billed charges,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,618.57,87,percent of total billed charges,618.57,44.47,711,percent of total billed charges,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,UNITED HEALTHCARE,UNITED HEALTHCARE,,625.68,88,percent of total billed charges,625.68,44.47,711,percent of total billed charges,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,AETNA,AETNA,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,BEECH STREET,BEECH STREET,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,CARESOURCE,CARESOURCE,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,MEDICAID,MEDICAID,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,NOVA NET,NOVA NET,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,PEACHSTATE,PEACHSTATE,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,SELFPAY,SELFPAY,,711,,fee schedule,711,44.47,711,fee schedule,
MUTAMYCIN INJ; 20MG OP,J9280,CPT,both,,,711,711,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,711,,fee schedule,711,44.47,711,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,ALLIANT,ALLIANT,,90.55,,fee schedule,90.55,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,AMBETTER,AMBETTER,,71.34,,fee schedule,71.34,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,AMERIGROUP,AMERIGROUP,,57.86,,fee schedule,57.86,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,CARESOURCE,CARESOURCE,,58.97,,fee schedule,58.97,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,MEDICARE,MEDICARE,,54.88,,fee schedule,54.88,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,PEACHSTATE,PEACHSTATE,,55.11,,fee schedule,55.11,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,TRICARE,TRICARE,,54.88,,fee schedule,54.88,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,UHC MEDICARE,UHC MEDICARE,,54.88,,fee schedule,54.88,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,AETNA,AETNA,,1349.37,87,percent of total billed charges,1349.37,54.88,1551,percent of total billed charges,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1349.37,87,percent of total billed charges,1349.37,54.88,1551,percent of total billed charges,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,UNITED HEALTHCARE,UNITED HEALTHCARE,,1364.88,88,percent of total billed charges,1364.88,54.88,1551,percent of total billed charges,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,AETNA,AETNA,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,BEECH STREET,BEECH STREET,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,CARESOURCE,CARESOURCE,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,MEDICAID,MEDICAID,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,NOVA NET,NOVA NET,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,PEACHSTATE,PEACHSTATE,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,SELFPAY,SELFPAY,,1551,,fee schedule,1551,54.88,1551,fee schedule,
NOVANTRONE INJ 5MG/ML,J9293,CPT,both,,,1551,1551,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1551,,fee schedule,1551,54.88,1551,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,ALLIANT,ALLIANT,,49.5,,fee schedule,49.5,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,AMBETTER,AMBETTER,,39,,fee schedule,39,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,AMERIGROUP,AMERIGROUP,,33.18,,fee schedule,33.18,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,CARESOURCE,CARESOURCE,,33.81,,fee schedule,33.81,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,MEDICARE,MEDICARE,,30,,fee schedule,30,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,PEACHSTATE,PEACHSTATE,,31.6,,fee schedule,31.6,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,TRICARE,TRICARE,,30,,fee schedule,30,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,AETNA,AETNA,,5054.7,87,percent of total billed charges,5054.7,30,5810,percent of total billed charges,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5054.7,87,percent of total billed charges,5054.7,30,5810,percent of total billed charges,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,UNITED HEALTHCARE,UNITED HEALTHCARE,,5112.8,88,percent of total billed charges,5112.8,30,5810,percent of total billed charges,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,AETNA,AETNA,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,BEECH STREET,BEECH STREET,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,CARESOURCE,CARESOURCE,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,MEDICAID,MEDICAID,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,NOVA NET,NOVA NET,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,PEACHSTATE,PEACHSTATE,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,SELFPAY,SELFPAY,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 100MG/10ML INJ,J9299,CPT,both,,,5810,5810,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5810,,fee schedule,5810,30,5810,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,ALLIANT,ALLIANT,,49.5,,fee schedule,49.5,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,AMBETTER,AMBETTER,,39,,fee schedule,39,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,AMERIGROUP,AMERIGROUP,,33.18,,fee schedule,33.18,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,33.81,,fee schedule,33.81,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,MEDICARE,MEDICARE,,30,,fee schedule,30,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,31.6,,fee schedule,31.6,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,TRICARE,TRICARE,,30,,fee schedule,30,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,UHC MEDICARE,UHC MEDICARE,,30,,fee schedule,30,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,AETNA,AETNA,,1467.69,87,percent of total billed charges,1467.69,30,1687,percent of total billed charges,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1467.69,87,percent of total billed charges,1467.69,30,1687,percent of total billed charges,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,UNITED HEALTHCARE,UNITED HEALTHCARE,,1484.56,88,percent of total billed charges,1484.56,30,1687,percent of total billed charges,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,AETNA,AETNA,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,BEECH STREET,BEECH STREET,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,CARESOURCE,CARESOURCE,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,MEDICAID,MEDICAID,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,NOVA NET,NOVA NET,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,PEACHSTATE,PEACHSTATE,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,SELFPAY,SELFPAY,,1687,,fee schedule,1687,30,1687,fee schedule,
OPDIVO 40MG INJ,J9299,CPT,both,,,1687,1687,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1687,,fee schedule,1687,30,1687,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,ALLIANT,ALLIANT,,110.47,,fee schedule,110.47,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,AMBETTER,AMBETTER,,87.04,,fee schedule,87.04,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,AMERIGROUP,AMERIGROUP,,77.86,,fee schedule,77.86,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,CARESOURCE,CARESOURCE,,79.34,,fee schedule,79.34,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,MEDICARE,MEDICARE,,66.95,,fee schedule,66.95,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,PEACHSTATE,PEACHSTATE,,74.15,,fee schedule,74.15,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,TRICARE,TRICARE,,66.95,,fee schedule,66.95,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,UHC MEDICARE,UHC MEDICARE,,66.95,,fee schedule,66.95,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,AETNA,AETNA,,11173.41,87,percent of total billed charges,11173.41,66.95,12843,percent of total billed charges,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11173.41,87,percent of total billed charges,11173.41,66.95,12843,percent of total billed charges,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,UNITED HEALTHCARE,UNITED HEALTHCARE,,11301.84,88,percent of total billed charges,11301.84,66.95,12843,percent of total billed charges,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,AETNA,AETNA,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,BEECH STREET,BEECH STREET,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,CARESOURCE,CARESOURCE,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,MEDICAID,MEDICAID,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,NOVA NET,NOVA NET,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,PEACHSTATE,PEACHSTATE,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,SELFPAY,SELFPAY,,12843,,fee schedule,12843,66.95,12843,fee schedule,
GAZYVA 1000MG/40ML INJ,J9301,CPT,both,,,12843,12843,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12843,,fee schedule,12843,66.95,12843,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,ALLIANT,ALLIANT,,236.79,,fee schedule,236.79,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,AMBETTER,AMBETTER,,186.56,,fee schedule,186.56,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,AMERIGROUP,AMERIGROUP,,166.62,,fee schedule,166.62,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,CARESOURCE,CARESOURCE,,169.79,,fee schedule,169.79,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,MEDICARE,MEDICARE,,143.51,,fee schedule,143.51,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,PEACHSTATE,PEACHSTATE,,158.69,,fee schedule,158.69,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,TRICARE,TRICARE,,143.51,,fee schedule,143.51,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,UHC MEDICARE,UHC MEDICARE,,143.51,,fee schedule,143.51,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,AETNA,AETNA,,4530.09,87,percent of total billed charges,4530.09,143.51,5207,percent of total billed charges,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4530.09,87,percent of total billed charges,4530.09,143.51,5207,percent of total billed charges,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,UNITED HEALTHCARE,UNITED HEALTHCARE,,4582.16,88,percent of total billed charges,4582.16,143.51,5207,percent of total billed charges,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,AETNA,AETNA,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,BEECH STREET,BEECH STREET,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,CARESOURCE,CARESOURCE,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,MEDICAID,MEDICAID,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,NOVA NET,NOVA NET,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,PEACHSTATE,PEACHSTATE,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,SELFPAY,SELFPAY,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 100MG/5ML INJ,J9303,CPT,both,,,5207,5207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5207,,fee schedule,5207,143.51,5207,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,ALLIANT,ALLIANT,,236.79,,fee schedule,236.79,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,AMBETTER,AMBETTER,,186.56,,fee schedule,186.56,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,AMERIGROUP,AMERIGROUP,,166.62,,fee schedule,166.62,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,CARESOURCE,CARESOURCE,,169.79,,fee schedule,169.79,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,MEDICARE,MEDICARE,,143.51,,fee schedule,143.51,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,PEACHSTATE,PEACHSTATE,,158.69,,fee schedule,158.69,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,TRICARE,TRICARE,,143.51,,fee schedule,143.51,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,UHC MEDICARE,UHC MEDICARE,,143.51,,fee schedule,143.51,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,AETNA,AETNA,,10192.05,87,percent of total billed charges,10192.05,143.51,11715,percent of total billed charges,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10192.05,87,percent of total billed charges,10192.05,143.51,11715,percent of total billed charges,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,UNITED HEALTHCARE,UNITED HEALTHCARE,,10309.2,88,percent of total billed charges,10309.2,143.51,11715,percent of total billed charges,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,AETNA,AETNA,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,BEECH STREET,BEECH STREET,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,CARESOURCE,CARESOURCE,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,MEDICAID,MEDICAID,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,NOVA NET,NOVA NET,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,PEACHSTATE,PEACHSTATE,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,SELFPAY,SELFPAY,,11715,,fee schedule,11715,143.51,11715,fee schedule,
VECTIBIX 400 MG/20 ML VIAL,J9303,CPT,both,,,11715,11715,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11715,,fee schedule,11715,143.51,11715,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,ALLIANT,ALLIANT,,45.67,,fee schedule,45.67,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,AMBETTER,AMBETTER,,35.98,,fee schedule,35.98,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,AMERIGROUP,AMERIGROUP,,5.9,,fee schedule,5.9,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,CARESOURCE,CARESOURCE,,6.01,,fee schedule,6.01,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,MEDICARE,MEDICARE,,27.68,,fee schedule,27.68,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,PEACHSTATE,PEACHSTATE,,5.62,,fee schedule,5.62,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,TRICARE,TRICARE,,27.68,,fee schedule,27.68,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,UHC MEDICARE,UHC MEDICARE,,27.68,,fee schedule,27.68,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,AETNA,AETNA,,5657.61,87,percent of total billed charges,5657.61,5.62,6503,percent of total billed charges,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5657.61,87,percent of total billed charges,5657.61,5.62,6503,percent of total billed charges,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,UNITED HEALTHCARE,UNITED HEALTHCARE,,5722.64,88,percent of total billed charges,5722.64,5.62,6503,percent of total billed charges,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,AETNA,AETNA,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,BEECH STREET,BEECH STREET,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,CARESOURCE,CARESOURCE,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,MEDICAID,MEDICAID,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,NOVA NET,NOVA NET,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,PEACHSTATE,PEACHSTATE,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,SELFPAY,SELFPAY,,6503,,fee schedule,6503,5.62,6503,fee schedule,
ALIMTA 500MG INJ,J9305,CPT,both,,,6503,6503,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6503,,fee schedule,6503,5.62,6503,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,ALLIANT,ALLIANT,,23.78,,fee schedule,23.78,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,AMBETTER,AMBETTER,,18.73,,fee schedule,18.73,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,AMERIGROUP,AMERIGROUP,,16.74,,fee schedule,16.74,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,CARESOURCE,CARESOURCE,,17.06,,fee schedule,17.06,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,MEDICARE,MEDICARE,,14.41,,fee schedule,14.41,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,PEACHSTATE,PEACHSTATE,,15.95,,fee schedule,15.95,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,TRICARE,TRICARE,,14.41,,fee schedule,14.41,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,UHC MEDICARE,UHC MEDICARE,,14.41,,fee schedule,14.41,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,AETNA,AETNA,,10429.56,87,percent of total billed charges,10429.56,14.41,11988,percent of total billed charges,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10429.56,87,percent of total billed charges,10429.56,14.41,11988,percent of total billed charges,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,UNITED HEALTHCARE,UNITED HEALTHCARE,,10549.44,88,percent of total billed charges,10549.44,14.41,11988,percent of total billed charges,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,AETNA,AETNA,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,BEECH STREET,BEECH STREET,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,CARESOURCE,CARESOURCE,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,MEDICAID,MEDICAID,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,NOVA NET,NOVA NET,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,PEACHSTATE,PEACHSTATE,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,SELFPAY,SELFPAY,,11988,,fee schedule,11988,14.41,11988,fee schedule,
PERJETA 420MG/14ML VIAL,J9306,CPT,both,,,11988,11988,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11988,,fee schedule,11988,14.41,11988,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,ALLIANT,ALLIANT,,110.32,,fee schedule,110.32,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,AMBETTER,AMBETTER,,86.92,,fee schedule,86.92,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,AMERIGROUP,AMERIGROUP,,74.82,,fee schedule,74.82,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,CARESOURCE,CARESOURCE,,76.25,,fee schedule,76.25,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,MEDICARE,MEDICARE,,66.86,,fee schedule,66.86,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,PEACHSTATE,PEACHSTATE,,71.26,,fee schedule,71.26,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,TRICARE,TRICARE,,66.86,,fee schedule,66.86,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,UHC MEDICARE,UHC MEDICARE,,66.86,,fee schedule,66.86,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,AETNA,AETNA,,1460.73,87,percent of total billed charges,1460.73,66.86,1679,percent of total billed charges,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1460.73,87,percent of total billed charges,1460.73,66.86,1679,percent of total billed charges,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,UNITED HEALTHCARE,UNITED HEALTHCARE,,1477.52,88,percent of total billed charges,1477.52,66.86,1679,percent of total billed charges,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,AETNA,AETNA,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,BEECH STREET,BEECH STREET,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,CARESOURCE,CARESOURCE,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,MEDICAID,MEDICAID,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,NOVA NET,NOVA NET,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,PEACHSTATE,PEACHSTATE,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,SELFPAY,SELFPAY,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 100MG/10ML INJECT,J9308,CPT,both,,,1679,1679,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1679,,fee schedule,1679,66.86,1679,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,ALLIANT,ALLIANT,,110.32,,fee schedule,110.32,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,AMBETTER,AMBETTER,,86.92,,fee schedule,86.92,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,AMERIGROUP,AMERIGROUP,,74.82,,fee schedule,74.82,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,CARESOURCE,CARESOURCE,,76.25,,fee schedule,76.25,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,MEDICARE,MEDICARE,,66.86,,fee schedule,66.86,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,PEACHSTATE,PEACHSTATE,,71.26,,fee schedule,71.26,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,TRICARE,TRICARE,,66.86,,fee schedule,66.86,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,UHC MEDICARE,UHC MEDICARE,,66.86,,fee schedule,66.86,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,AETNA,AETNA,,10747.98,87,percent of total billed charges,10747.98,66.86,12354,percent of total billed charges,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10747.98,87,percent of total billed charges,10747.98,66.86,12354,percent of total billed charges,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,UNITED HEALTHCARE,UNITED HEALTHCARE,,10871.52,88,percent of total billed charges,10871.52,66.86,12354,percent of total billed charges,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,AETNA,AETNA,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,BEECH STREET,BEECH STREET,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,CARESOURCE,CARESOURCE,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,MEDICAID,MEDICAID,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,NOVA NET,NOVA NET,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,PEACHSTATE,PEACHSTATE,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,SELFPAY,SELFPAY,,12354,,fee schedule,12354,66.86,12354,fee schedule,
CYRAMZA 500MG/50ML INJ SD,J9308,CPT,both,,,12354,12354,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12354,,fee schedule,12354,66.86,12354,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,ALLIANT,ALLIANT,,194.88,,fee schedule,194.88,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,AMBETTER,AMBETTER,,153.54,,fee schedule,153.54,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,AMERIGROUP,AMERIGROUP,,136.45,,fee schedule,136.45,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,CARESOURCE,CARESOURCE,,139.05,,fee schedule,139.05,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,MEDICARE,MEDICARE,,118.11,,fee schedule,118.11,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,PEACHSTATE,PEACHSTATE,,129.96,,fee schedule,129.96,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,TRICARE,TRICARE,,118.11,,fee schedule,118.11,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,UHC MEDICARE,UHC MEDICARE,,118.11,,fee schedule,118.11,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,AETNA,AETNA,,13804.29,87,percent of total billed charges,13804.29,118.11,15867,percent of total billed charges,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,13804.29,87,percent of total billed charges,13804.29,118.11,15867,percent of total billed charges,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,UNITED HEALTHCARE,UNITED HEALTHCARE,,13962.96,88,percent of total billed charges,13962.96,118.11,15867,percent of total billed charges,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,AETNA,AETNA,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,BEECH STREET,BEECH STREET,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,CARESOURCE,CARESOURCE,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,MEDICAID,MEDICAID,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,NOVA NET,NOVA NET,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,PEACHSTATE,PEACHSTATE,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,SELFPAY,SELFPAY,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 140MG VIAL,J9309,CPT,both,,,15867,15867,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,15867,,fee schedule,15867,118.11,15867,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,ALLIANT,ALLIANT,,194.88,,fee schedule,194.88,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,AMBETTER,AMBETTER,,153.54,,fee schedule,153.54,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,AMERIGROUP,AMERIGROUP,,136.45,,fee schedule,136.45,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,CARESOURCE,CARESOURCE,,139.05,,fee schedule,139.05,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,MEDICARE,MEDICARE,,118.11,,fee schedule,118.11,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,PEACHSTATE,PEACHSTATE,,129.96,,fee schedule,129.96,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,TRICARE,TRICARE,,118.11,,fee schedule,118.11,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,UHC MEDICARE,UHC MEDICARE,,118.11,,fee schedule,118.11,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,AETNA,AETNA,,2958.87,87,percent of total billed charges,2958.87,118.11,3401,percent of total billed charges,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2958.87,87,percent of total billed charges,2958.87,118.11,3401,percent of total billed charges,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,UNITED HEALTHCARE,UNITED HEALTHCARE,,2992.88,88,percent of total billed charges,2992.88,118.11,3401,percent of total billed charges,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,AETNA,AETNA,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,BEECH STREET,BEECH STREET,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,CARESOURCE,CARESOURCE,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,MEDICAID,MEDICAID,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,NOVA NET,NOVA NET,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,PEACHSTATE,PEACHSTATE,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,SELFPAY,SELFPAY,,3401,,fee schedule,3401,118.11,3401,fee schedule,
POLATUZUMAB 30MG VIAL,J9309,CPT,both,,,3401,3401,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3401,,fee schedule,3401,118.11,3401,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,ALLIANT,ALLIANT,,194.88,,fee schedule,194.88,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,AMBETTER,AMBETTER,,153.54,,fee schedule,153.54,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,136.45,,fee schedule,136.45,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,CARESOURCE,CARESOURCE,,139.05,,fee schedule,139.05,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,MEDICARE,MEDICARE,,118.11,,fee schedule,118.11,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,129.96,,fee schedule,129.96,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,TRICARE,TRICARE,,118.11,,fee schedule,118.11,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,118.11,,fee schedule,118.11,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,118.11,194.88,percent of total billed charges,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,118.11,194.88,percent of total billed charges,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,118.11,194.88,percent of total billed charges,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 140 MG Vial,J9309,CPT,both,140,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,ALLIANT,ALLIANT,,194.88,,fee schedule,194.88,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,AMBETTER,AMBETTER,,153.54,,fee schedule,153.54,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,136.45,,fee schedule,136.45,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,CARESOURCE,CARESOURCE,,139.05,,fee schedule,139.05,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,MEDICARE,MEDICARE,,118.11,,fee schedule,118.11,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,129.96,,fee schedule,129.96,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,TRICARE,TRICARE,,118.11,,fee schedule,118.11,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,118.11,,fee schedule,118.11,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,118.11,194.88,percent of total billed charges,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,118.11,194.88,percent of total billed charges,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,118.11,194.88,percent of total billed charges,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
Polatuzumab Vedotin-PIIQ 30 MG Vial,J9309,CPT,both,30,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,118.11,194.88,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,ALLIANT,ALLIANT,,134.89,,fee schedule,134.89,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,AMBETTER,AMBETTER,,106.28,,fee schedule,106.28,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,AMERIGROUP,AMERIGROUP,,81.56,,fee schedule,81.56,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,CARESOURCE,CARESOURCE,,83.11,,fee schedule,83.11,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,MEDICARE,MEDICARE,,81.75,,fee schedule,81.75,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,PEACHSTATE,PEACHSTATE,,77.68,,fee schedule,77.68,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,TRICARE,TRICARE,,81.75,,fee schedule,81.75,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,UHC MEDICARE,UHC MEDICARE,,81.75,,fee schedule,81.75,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,AETNA,AETNA,,1456.38,87,percent of total billed charges,1456.38,77.68,1674,percent of total billed charges,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1456.38,87,percent of total billed charges,1456.38,77.68,1674,percent of total billed charges,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,UNITED HEALTHCARE,UNITED HEALTHCARE,,1473.12,88,percent of total billed charges,1473.12,77.68,1674,percent of total billed charges,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,AETNA,AETNA,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,BEECH STREET,BEECH STREET,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,CARESOURCE,CARESOURCE,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,MEDICAID,MEDICAID,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,NOVA NET,NOVA NET,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,PEACHSTATE,PEACHSTATE,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,SELFPAY,SELFPAY,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 100MG/10ML SDV,J9312,CPT,both,,,1674,1674,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1674,,fee schedule,1674,77.68,1674,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,ALLIANT,ALLIANT,,134.89,,fee schedule,134.89,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,AMBETTER,AMBETTER,,106.28,,fee schedule,106.28,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,AMERIGROUP,AMERIGROUP,,81.56,,fee schedule,81.56,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,CARESOURCE,CARESOURCE,,83.11,,fee schedule,83.11,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,MEDICARE,MEDICARE,,81.75,,fee schedule,81.75,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,PEACHSTATE,PEACHSTATE,,77.68,,fee schedule,77.68,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,TRICARE,TRICARE,,81.75,,fee schedule,81.75,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,UHC MEDICARE,UHC MEDICARE,,81.75,,fee schedule,81.75,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,AETNA,AETNA,,6124.8,87,percent of total billed charges,6124.8,77.68,7040,percent of total billed charges,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6124.8,87,percent of total billed charges,6124.8,77.68,7040,percent of total billed charges,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,UNITED HEALTHCARE,UNITED HEALTHCARE,,6195.2,88,percent of total billed charges,6195.2,77.68,7040,percent of total billed charges,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,AETNA,AETNA,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,BEECH STREET,BEECH STREET,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,CARESOURCE,CARESOURCE,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,MEDICAID,MEDICAID,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,NOVA NET,NOVA NET,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,PEACHSTATE,PEACHSTATE,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,SELFPAY,SELFPAY,,7040,,fee schedule,7040,77.68,7040,fee schedule,
RITUXAN 500MG/50ML SDV,J9312,CPT,both,,,7040,7040,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7040,,fee schedule,7040,77.68,7040,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,134.89,,fee schedule,134.89,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,106.28,,fee schedule,106.28,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,81.56,,fee schedule,81.56,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,83.11,,fee schedule,83.11,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,81.75,,fee schedule,81.75,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,77.68,,fee schedule,77.68,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,81.75,,fee schedule,81.75,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,81.75,,fee schedule,81.75,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,77.68,149.77,percent of total billed charges,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,77.68,149.77,percent of total billed charges,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,77.68,149.77,percent of total billed charges,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 100 mg/10 ml Vial,J9312,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,ALLIANT,ALLIANT,,134.89,,fee schedule,134.89,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,AMBETTER,AMBETTER,,106.28,,fee schedule,106.28,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,81.56,,fee schedule,81.56,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,83.11,,fee schedule,83.11,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,MEDICARE,MEDICARE,,81.75,,fee schedule,81.75,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,77.68,,fee schedule,77.68,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,TRICARE,TRICARE,,81.75,,fee schedule,81.75,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,81.75,,fee schedule,81.75,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,77.68,149.77,percent of total billed charges,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,77.68,149.77,percent of total billed charges,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,77.68,149.77,percent of total billed charges,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
riTUXimab 500 mg/50 ml Vial,J9312,CPT,both,500,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,77.68,149.77,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,ALLIANT,ALLIANT,,53.76,,fee schedule,53.76,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,AMBETTER,AMBETTER,,42.35,,fee schedule,42.35,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,AMERIGROUP,AMERIGROUP,,36.67,,fee schedule,36.67,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,CARESOURCE,CARESOURCE,,37.37,,fee schedule,37.37,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,MEDICARE,MEDICARE,,32.58,,fee schedule,32.58,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,PEACHSTATE,PEACHSTATE,,34.93,,fee schedule,34.93,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,TRICARE,TRICARE,,32.58,,fee schedule,32.58,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,UHC MEDICARE,UHC MEDICARE,,32.58,,fee schedule,32.58,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,AETNA,AETNA,,2089.74,87,percent of total billed charges,2089.74,32.58,2402,percent of total billed charges,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2089.74,87,percent of total billed charges,2089.74,32.58,2402,percent of total billed charges,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,UNITED HEALTHCARE,UNITED HEALTHCARE,,2113.76,88,percent of total billed charges,2113.76,32.58,2402,percent of total billed charges,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,AETNA,AETNA,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,BEECH STREET,BEECH STREET,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,CARESOURCE,CARESOURCE,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,MEDICAID,MEDICAID,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,NOVA NET,NOVA NET,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,PEACHSTATE,PEACHSTATE,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,SELFPAY,SELFPAY,,2402,,fee schedule,2402,32.58,2402,fee schedule,
TRODELVY 180MG VIAL,J9317,CPT,both,,,2402,2402,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2402,,fee schedule,2402,32.58,2402,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,ALLIANT,ALLIANT,,53.76,,fee schedule,53.76,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,AMBETTER,AMBETTER,,42.35,,fee schedule,42.35,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,36.67,,fee schedule,36.67,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,CARESOURCE,CARESOURCE,,37.37,,fee schedule,37.37,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,MEDICARE,MEDICARE,,32.58,,fee schedule,32.58,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,34.93,,fee schedule,34.93,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,TRICARE,TRICARE,,32.58,,fee schedule,32.58,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,32.58,,fee schedule,32.58,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,32.58,139.78,percent of total billed charges,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,32.58,139.78,percent of total billed charges,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,32.58,139.78,percent of total billed charges,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
Sacituzumab Govitecan-hziy,J9317,CPT,both,180,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,32.58,139.78,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,ALLIANT,ALLIANT,,52.01,,fee schedule,52.01,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,AMBETTER,AMBETTER,,40.98,,fee schedule,40.98,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,AMERIGROUP,AMERIGROUP,,33.73,,fee schedule,33.73,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,CARESOURCE,CARESOURCE,,34.37,,fee schedule,34.37,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,MEDICARE,MEDICARE,,31.52,,fee schedule,31.52,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,PEACHSTATE,PEACHSTATE,,32.12,,fee schedule,32.12,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,TRICARE,TRICARE,,31.52,,fee schedule,31.52,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,UHC MEDICARE,UHC MEDICARE,,31.52,,fee schedule,31.52,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,AETNA,AETNA,,5302.65,87,percent of total billed charges,5302.65,31.52,6095,percent of total billed charges,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5302.65,87,percent of total billed charges,5302.65,31.52,6095,percent of total billed charges,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,UNITED HEALTHCARE,UNITED HEALTHCARE,,5363.6,88,percent of total billed charges,5363.6,31.52,6095,percent of total billed charges,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,AETNA,AETNA,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,BEECH STREET,BEECH STREET,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,CARESOURCE,CARESOURCE,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,MEDICAID,MEDICAID,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,NOVA NET,NOVA NET,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,PEACHSTATE,PEACHSTATE,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,SELFPAY,SELFPAY,,6095,,fee schedule,6095,31.52,6095,fee schedule,
VYVGART 400MG/20ML VIAL,J9332,CPT,both,,,6095,6095,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6095,,fee schedule,6095,31.52,6095,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,ALLIANT,ALLIANT,,52.01,,fee schedule,52.01,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,AMBETTER,AMBETTER,,40.98,,fee schedule,40.98,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,33.73,,fee schedule,33.73,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,34.37,,fee schedule,34.37,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,MEDICARE,MEDICARE,,31.52,,fee schedule,31.52,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,32.12,,fee schedule,32.12,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,TRICARE,TRICARE,,31.52,,fee schedule,31.52,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,31.52,,fee schedule,31.52,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,31.52,149.77,percent of total billed charges,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,31.52,149.77,percent of total billed charges,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,31.52,149.77,percent of total billed charges,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
Efgartigimod Alfa-FCAB,J9332,CPT,both,400,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,31.52,149.77,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,AMERIGROUP,AMERIGROUP,,0.98,,fee schedule,0.98,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,PEACHSTATE,PEACHSTATE,,0.94,,fee schedule,0.94,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,AETNA,AETNA,,3220.74,87,percent of total billed charges,3220.74,0.94,3702,percent of total billed charges,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3220.74,87,percent of total billed charges,3220.74,0.94,3702,percent of total billed charges,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,UNITED HEALTHCARE,UNITED HEALTHCARE,,3257.76,88,percent of total billed charges,3257.76,0.94,3702,percent of total billed charges,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,AETNA,AETNA,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,ALLIANT,ALLIANT,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,AMBETTER,AMBETTER,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,BEECH STREET,BEECH STREET,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,CARESOURCE,CARESOURCE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,MEDICAID,MEDICAID,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,MEDICARE,MEDICARE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,NOVA NET,NOVA NET,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,PEACHSTATE,PEACHSTATE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,SELFPAY,SELFPAY,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,TRICARE,TRICARE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
HYCAMTIN 4MG SDV,J9351,CPT,both,,,3702,3702,UHC MEDICARE,UHC MEDICARE,,3702,,fee schedule,3702,0.94,3702,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.98,,fee schedule,0.98,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,1,,fee schedule,1,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.94,,fee schedule,0.94,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.94,35.29,percent of total billed charges,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.94,35.29,percent of total billed charges,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.94,35.29,percent of total billed charges,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
Topotecan,J9351,CPT,both,4,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.94,35.29,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,ALLIANT,ALLIANT,,59.85,,fee schedule,59.85,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,AMBETTER,AMBETTER,,47.15,,fee schedule,47.15,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,AMERIGROUP,AMERIGROUP,,42.04,,fee schedule,42.04,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,CARESOURCE,CARESOURCE,,42.84,,fee schedule,42.84,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,MEDICARE,MEDICARE,,36.27,,fee schedule,36.27,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,PEACHSTATE,PEACHSTATE,,40.04,,fee schedule,40.04,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,TRICARE,TRICARE,,36.27,,fee schedule,36.27,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,UHC MEDICARE,UHC MEDICARE,,36.27,,fee schedule,36.27,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,AETNA,AETNA,,10246.86,87,percent of total billed charges,10246.86,36.27,11778,percent of total billed charges,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10246.86,87,percent of total billed charges,10246.86,36.27,11778,percent of total billed charges,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,UNITED HEALTHCARE,UNITED HEALTHCARE,,10364.64,88,percent of total billed charges,10364.64,36.27,11778,percent of total billed charges,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,AETNA,AETNA,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,BEECH STREET,BEECH STREET,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,CARESOURCE,CARESOURCE,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,MEDICAID,MEDICAID,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,NOVA NET,NOVA NET,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,PEACHSTATE,PEACHSTATE,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,SELFPAY,SELFPAY,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCULA 160MG INJ,J9354,CPT,both,,,11778,11778,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11778,,fee schedule,11778,36.27,11778,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,ALLIANT,ALLIANT,,59.85,,fee schedule,59.85,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,AMBETTER,AMBETTER,,47.15,,fee schedule,47.15,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,AMERIGROUP,AMERIGROUP,,42.04,,fee schedule,42.04,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,CARESOURCE,CARESOURCE,,42.84,,fee schedule,42.84,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,MEDICARE,MEDICARE,,36.27,,fee schedule,36.27,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,PEACHSTATE,PEACHSTATE,,40.04,,fee schedule,40.04,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,TRICARE,TRICARE,,36.27,,fee schedule,36.27,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,UHC MEDICARE,UHC MEDICARE,,36.27,,fee schedule,36.27,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,AETNA,AETNA,,6449.31,87,percent of total billed charges,6449.31,36.27,7413,percent of total billed charges,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6449.31,87,percent of total billed charges,6449.31,36.27,7413,percent of total billed charges,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,UNITED HEALTHCARE,UNITED HEALTHCARE,,6523.44,88,percent of total billed charges,6523.44,36.27,7413,percent of total billed charges,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,AETNA,AETNA,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,BEECH STREET,BEECH STREET,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,CARESOURCE,CARESOURCE,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,MEDICAID,MEDICAID,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,NOVA NET,NOVA NET,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,PEACHSTATE,PEACHSTATE,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,SELFPAY,SELFPAY,,7413,,fee schedule,7413,36.27,7413,fee schedule,
KADCYLA 100MG INJ,J9354,CPT,both,,,7413,7413,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7413,,fee schedule,7413,36.27,7413,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,59.85,,fee schedule,59.85,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,47.15,,fee schedule,47.15,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,42.04,,fee schedule,42.04,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,42.84,,fee schedule,42.84,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,36.27,,fee schedule,36.27,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,40.04,,fee schedule,40.04,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,36.27,,fee schedule,36.27,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,36.27,,fee schedule,36.27,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,36.27,149.77,percent of total billed charges,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,36.27,149.77,percent of total billed charges,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,36.27,149.77,percent of total billed charges,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,ALLIANT,ALLIANT,,59.85,,fee schedule,59.85,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,AMBETTER,AMBETTER,,47.15,,fee schedule,47.15,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,42.04,,fee schedule,42.04,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,CARESOURCE,CARESOURCE,,42.84,,fee schedule,42.84,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,MEDICARE,MEDICARE,,36.27,,fee schedule,36.27,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,40.04,,fee schedule,40.04,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,TRICARE,TRICARE,,36.27,,fee schedule,36.27,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,36.27,,fee schedule,36.27,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,36.27,149.77,percent of total billed charges,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,36.27,149.77,percent of total billed charges,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,36.27,149.77,percent of total billed charges,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
Ado-Trastuzumab Emtansine,J9354,CPT,both,160,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,36.27,149.77,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,ALLIANT,ALLIANT,,136.52,,fee schedule,136.52,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,AMBETTER,AMBETTER,,107.56,,fee schedule,107.56,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,AMERIGROUP,AMERIGROUP,,81.99,,fee schedule,81.99,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,CARESOURCE,CARESOURCE,,83.55,,fee schedule,83.55,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,MEDICARE,MEDICARE,,82.74,,fee schedule,82.74,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,PEACHSTATE,PEACHSTATE,,78.08,,fee schedule,78.08,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,TRICARE,TRICARE,,82.74,,fee schedule,82.74,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,UHC MEDICARE,UHC MEDICARE,,82.74,,fee schedule,82.74,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,AETNA,AETNA,,3325.14,87,percent of total billed charges,3325.14,78.08,3822,percent of total billed charges,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3325.14,87,percent of total billed charges,3325.14,78.08,3822,percent of total billed charges,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,UNITED HEALTHCARE,UNITED HEALTHCARE,,3363.36,88,percent of total billed charges,3363.36,78.08,3822,percent of total billed charges,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,AETNA,AETNA,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,BEECH STREET,BEECH STREET,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,CARESOURCE,CARESOURCE,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,MEDICAID,MEDICAID,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,NOVA NET,NOVA NET,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,PEACHSTATE,PEACHSTATE,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,SELFPAY,SELFPAY,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN 150MG INJ,J9355,CPT,both,,,3822,3822,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3822,,fee schedule,3822,78.08,3822,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,ALLIANT,ALLIANT,,136.52,,fee schedule,136.52,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,AMBETTER,AMBETTER,,107.56,,fee schedule,107.56,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,AMERIGROUP,AMERIGROUP,,81.99,,fee schedule,81.99,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,CARESOURCE,CARESOURCE,,83.55,,fee schedule,83.55,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,MEDICARE,MEDICARE,,82.74,,fee schedule,82.74,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,PEACHSTATE,PEACHSTATE,,78.08,,fee schedule,78.08,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,TRICARE,TRICARE,,82.74,,fee schedule,82.74,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,UHC MEDICARE,UHC MEDICARE,,82.74,,fee schedule,82.74,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,AETNA,AETNA,,4357.83,87,percent of total billed charges,4357.83,78.08,5009,percent of total billed charges,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4357.83,87,percent of total billed charges,4357.83,78.08,5009,percent of total billed charges,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,UNITED HEALTHCARE,UNITED HEALTHCARE,,4407.92,88,percent of total billed charges,4407.92,78.08,5009,percent of total billed charges,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,AETNA,AETNA,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,BEECH STREET,BEECH STREET,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,CARESOURCE,CARESOURCE,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,MEDICAID,MEDICAID,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,NOVA NET,NOVA NET,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,PEACHSTATE,PEACHSTATE,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,SELFPAY,SELFPAY,,5009,,fee schedule,5009,78.08,5009,fee schedule,
HERCEPTIN MDV 440MG/21ML,J9355,CPT,both,,,5009,5009,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5009,,fee schedule,5009,78.08,5009,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,ALLIANT,ALLIANT,,108.06,,fee schedule,108.06,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,AMBETTER,AMBETTER,,85.14,,fee schedule,85.14,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,67.84,,fee schedule,67.84,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,CARESOURCE,CARESOURCE,,69.13,,fee schedule,69.13,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,MEDICARE,MEDICARE,,65.49,,fee schedule,65.49,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,64.61,,fee schedule,64.61,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,TRICARE,TRICARE,,65.49,,fee schedule,65.49,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,65.49,,fee schedule,65.49,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,108.06,percent of total billed charges,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,108.06,percent of total billed charges,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,108.06,percent of total billed charges,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
Trastuzumab-hyaluronidase 120 MG/ML Vial,J9356,CPT,both,600,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,108.06,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,ALLIANT,ALLIANT,,42.44,,fee schedule,42.44,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,AMBETTER,AMBETTER,,33.44,,fee schedule,33.44,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,AMERIGROUP,AMERIGROUP,,29.14,,fee schedule,29.14,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,CARESOURCE,CARESOURCE,,29.69,,fee schedule,29.69,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,MEDICARE,MEDICARE,,25.72,,fee schedule,25.72,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,PEACHSTATE,PEACHSTATE,,27.75,,fee schedule,27.75,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,TRICARE,TRICARE,,25.72,,fee schedule,25.72,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,UHC MEDICARE,UHC MEDICARE,,25.72,,fee schedule,25.72,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,AETNA,AETNA,,2360.31,87,percent of total billed charges,2360.31,25.72,2713,percent of total billed charges,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2360.31,87,percent of total billed charges,2360.31,25.72,2713,percent of total billed charges,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,UNITED HEALTHCARE,UNITED HEALTHCARE,,2387.44,88,percent of total billed charges,2387.44,25.72,2713,percent of total billed charges,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,AETNA,AETNA,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,BEECH STREET,BEECH STREET,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,CARESOURCE,CARESOURCE,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,MEDICAID,MEDICAID,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,NOVA NET,NOVA NET,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,PEACHSTATE,PEACHSTATE,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,SELFPAY,SELFPAY,,2713,,fee schedule,2713,25.72,2713,fee schedule,
ENHERTU 100MG VIAL,J9358,CPT,both,,,2713,2713,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2713,,fee schedule,2713,25.72,2713,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,ALLIANT,ALLIANT,,42.44,,fee schedule,42.44,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,AMBETTER,AMBETTER,,33.44,,fee schedule,33.44,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,29.14,,fee schedule,29.14,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,29.69,,fee schedule,29.69,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,MEDICARE,MEDICARE,,25.72,,fee schedule,25.72,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,27.75,,fee schedule,27.75,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,TRICARE,TRICARE,,25.72,,fee schedule,25.72,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,25.72,,fee schedule,25.72,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,25.72,139.78,percent of total billed charges,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,25.72,139.78,percent of total billed charges,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,25.72,139.78,percent of total billed charges,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
fam-Trastuzumab Deruxtecn-nxki,J9358,CPT,both,100,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,25.72,139.78,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,4.07,,fee schedule,4.07,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,4.15,,fee schedule,4.15,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,3.88,,fee schedule,3.88,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,3.88,46,percent of total billed charges,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,3.88,46,percent of total billed charges,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,3.88,46,percent of total billed charges,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,3.88,46,fee schedule,
VELBAN 10MG/10ML VIAL,J9360,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,3.88,46,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,4.07,,fee schedule,4.07,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,4.15,,fee schedule,4.15,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,3.88,,fee schedule,3.88,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,3.88,35.29,percent of total billed charges,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,3.88,35.29,percent of total billed charges,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,3.88,35.29,percent of total billed charges,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
vinBLAStine 10 mg/10 ml Vial,J9360,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,3.88,35.29,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,AMERIGROUP,AMERIGROUP,,8.92,,fee schedule,8.92,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,9.09,,fee schedule,9.09,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,8.49,,fee schedule,8.49,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,AETNA,AETNA,,118.32,87,percent of total billed charges,118.32,8.49,136,percent of total billed charges,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,118.32,87,percent of total billed charges,118.32,8.49,136,percent of total billed charges,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,UNITED HEALTHCARE,UNITED HEALTHCARE,,119.68,88,percent of total billed charges,119.68,8.49,136,percent of total billed charges,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,AETNA,AETNA,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,ALLIANT,ALLIANT,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,AMBETTER,AMBETTER,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,BEECH STREET,BEECH STREET,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,CARESOURCE,CARESOURCE,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,MEDICAID,MEDICAID,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,MEDICARE,MEDICARE,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,NOVA NET,NOVA NET,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,PEACHSTATE,PEACHSTATE,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,SELFPAY,SELFPAY,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,TRICARE,TRICARE,,136,,fee schedule,136,8.49,136,fee schedule,
VINCRISTINE INJ. 2MG. OP,J9370,CPT,both,,,136,136,UHC MEDICARE,UHC MEDICARE,,136,,fee schedule,136,8.49,136,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,8.92,,fee schedule,8.92,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,9.09,,fee schedule,9.09,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,8.49,,fee schedule,8.49,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,8.49,35.29,percent of total billed charges,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,8.49,35.29,percent of total billed charges,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,8.49,35.29,percent of total billed charges,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
vinCRIStine 2 mg/2 ml Vial,J9370,CPT,both,2,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,8.49,35.29,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,AMERIGROUP,AMERIGROUP,,8.61,,fee schedule,8.61,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,8.77,,fee schedule,8.77,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,8.2,,fee schedule,8.2,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,AETNA,AETNA,,71.34,87,percent of total billed charges,71.34,8.2,82,percent of total billed charges,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,71.34,87,percent of total billed charges,71.34,8.2,82,percent of total billed charges,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,UNITED HEALTHCARE,UNITED HEALTHCARE,,72.16,88,percent of total billed charges,72.16,8.2,82,percent of total billed charges,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,AETNA,AETNA,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,ALLIANT,ALLIANT,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,AMBETTER,AMBETTER,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,BEECH STREET,BEECH STREET,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,CARESOURCE,CARESOURCE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,MEDICAID,MEDICAID,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,MEDICARE,MEDICARE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,NOVA NET,NOVA NET,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,PEACHSTATE,PEACHSTATE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,SELFPAY,SELFPAY,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,TRICARE,TRICARE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML  1ML,J9390,CPT,both,,,82,82,UHC MEDICARE,UHC MEDICARE,,82,,fee schedule,82,8.2,82,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,AMERIGROUP,AMERIGROUP,,8.61,,fee schedule,8.61,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,8.77,,fee schedule,8.77,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,8.2,,fee schedule,8.2,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,AETNA,AETNA,,334.95,87,percent of total billed charges,334.95,8.2,385,percent of total billed charges,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,334.95,87,percent of total billed charges,334.95,8.2,385,percent of total billed charges,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,UNITED HEALTHCARE,UNITED HEALTHCARE,,338.8,88,percent of total billed charges,338.8,8.2,385,percent of total billed charges,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,AETNA,AETNA,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,ALLIANT,ALLIANT,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,AMBETTER,AMBETTER,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,BEECH STREET,BEECH STREET,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,CARESOURCE,CARESOURCE,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,MEDICAID,MEDICAID,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,MEDICARE,MEDICARE,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,NOVA NET,NOVA NET,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,PEACHSTATE,PEACHSTATE,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,SELFPAY,SELFPAY,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,TRICARE,TRICARE,,385,,fee schedule,385,8.2,385,fee schedule,
NAVELBINE 10MG/ML 5ML,J9390,CPT,both,,,385,385,UHC MEDICARE,UHC MEDICARE,,385,,fee schedule,385,8.2,385,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,8.61,,fee schedule,8.61,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,8.77,,fee schedule,8.77,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,8.2,,fee schedule,8.2,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,8.2,35.29,percent of total billed charges,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,8.2,35.29,percent of total billed charges,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,8.2,35.29,percent of total billed charges,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,10,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,8.61,,fee schedule,8.61,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,8.77,,fee schedule,8.77,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,8.2,,fee schedule,8.2,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,8.2,35.29,percent of total billed charges,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,8.2,35.29,percent of total billed charges,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,8.2,35.29,percent of total billed charges,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
Vinorelbine Tartrate,J9390,CPT,both,50,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,8.2,35.29,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,ALLIANT,ALLIANT,,20.89,,fee schedule,20.89,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,AMBETTER,AMBETTER,,16.46,,fee schedule,16.46,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,AMERIGROUP,AMERIGROUP,,9.16,,fee schedule,9.16,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,CARESOURCE,CARESOURCE,,9.34,,fee schedule,9.34,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,MEDICARE,MEDICARE,,12.66,,fee schedule,12.66,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,PEACHSTATE,PEACHSTATE,,8.73,,fee schedule,8.73,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,TRICARE,TRICARE,,12.66,,fee schedule,12.66,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,UHC MEDICARE,UHC MEDICARE,,12.66,,fee schedule,12.66,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,AETNA,AETNA,,2572.59,87,percent of total billed charges,2572.59,8.73,2957,percent of total billed charges,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2572.59,87,percent of total billed charges,2572.59,8.73,2957,percent of total billed charges,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,UNITED HEALTHCARE,UNITED HEALTHCARE,,2602.16,88,percent of total billed charges,2602.16,8.73,2957,percent of total billed charges,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,AETNA,AETNA,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,BEECH STREET,BEECH STREET,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,CARESOURCE,CARESOURCE,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,MEDICAID,MEDICAID,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,NOVA NET,NOVA NET,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,PEACHSTATE,PEACHSTATE,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,SELFPAY,SELFPAY,,2957,,fee schedule,2957,8.73,2957,fee schedule,
FASLODEX 50MG/ML 5ML,J9395,CPT,both,,,2957,2957,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2957,,fee schedule,2957,8.73,2957,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,ALLIANT,ALLIANT,,11.57,,fee schedule,11.57,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,AMBETTER,AMBETTER,,9.11,,fee schedule,9.11,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,AMERIGROUP,AMERIGROUP,,7.45,,fee schedule,7.45,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,CARESOURCE,CARESOURCE,,7.59,,fee schedule,7.59,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,MEDICARE,MEDICARE,,7.01,,fee schedule,7.01,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,PEACHSTATE,PEACHSTATE,,7.09,,fee schedule,7.09,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,TRICARE,TRICARE,,7.01,,fee schedule,7.01,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,UHC MEDICARE,UHC MEDICARE,,7.01,,fee schedule,7.01,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,AETNA,AETNA,,14099.22,87,percent of total billed charges,14099.22,7.01,16206,percent of total billed charges,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14099.22,87,percent of total billed charges,14099.22,7.01,16206,percent of total billed charges,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,UNITED HEALTHCARE,UNITED HEALTHCARE,,14261.28,88,percent of total billed charges,14261.28,7.01,16206,percent of total billed charges,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,AETNA,AETNA,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,BEECH STREET,BEECH STREET,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,CARESOURCE,CARESOURCE,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,MEDICAID,MEDICAID,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,NOVA NET,NOVA NET,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,PEACHSTATE,PEACHSTATE,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,SELFPAY,SELFPAY,,16206,,fee schedule,16206,7.01,16206,fee schedule,
ZALTRAP 200MG/8ML INJECTI,J9400,CPT,both,,,16206,16206,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16206,,fee schedule,16206,7.01,16206,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,AETNA,AETNA,,79.17,87,percent of total billed charges,79.17,18.9,91,percent of total billed charges,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,79.17,87,percent of total billed charges,79.17,18.9,91,percent of total billed charges,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,UNITED HEALTHCARE,UNITED HEALTHCARE,,80.08,88,percent of total billed charges,80.08,18.9,91,percent of total billed charges,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,AETNA,AETNA,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,ALLIANT,ALLIANT,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,AMBETTER,AMBETTER,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,BEECH STREET,BEECH STREET,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,CARESOURCE,CARESOURCE,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,MEDICAID,MEDICAID,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,MEDICARE,MEDICARE,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,NOVA NET,NOVA NET,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,PEACHSTATE,PEACHSTATE,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,SELFPAY,SELFPAY,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,TRICARE,TRICARE,,91,,fee schedule,91,18.9,91,fee schedule,
CERVICAL COLLARS,L0120,CPT,both,,,91,91,UHC MEDICARE,UHC MEDICARE,,91,,fee schedule,91,18.9,91,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,AETNA,AETNA,,21.75,87,percent of total billed charges,21.75,18.9,25,percent of total billed charges,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21.75,87,percent of total billed charges,21.75,18.9,25,percent of total billed charges,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,UNITED HEALTHCARE,UNITED HEALTHCARE,,22,88,percent of total billed charges,22,18.9,25,percent of total billed charges,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,AETNA,AETNA,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,ALLIANT,ALLIANT,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,AMBETTER,AMBETTER,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,BEECH STREET,BEECH STREET,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,CARESOURCE,CARESOURCE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,MEDICAID,MEDICAID,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,MEDICARE,MEDICARE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,NOVA NET,NOVA NET,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,PEACHSTATE,PEACHSTATE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,SELFPAY,SELFPAY,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,TRICARE,TRICARE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 3X22 IN,L0120,CPT,both,,,25,25,UHC MEDICARE,UHC MEDICARE,,25,,fee schedule,25,18.9,25,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,18.9,26,percent of total billed charges,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,18.9,26,percent of total billed charges,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,18.9,26,percent of total billed charges,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR CERV XL 4X22 IN,L0120,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,AETNA,AETNA,,19.14,87,percent of total billed charges,19.14,18.9,22,percent of total billed charges,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19.14,87,percent of total billed charges,19.14,18.9,22,percent of total billed charges,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,UNITED HEALTHCARE,UNITED HEALTHCARE,,19.36,88,percent of total billed charges,19.36,18.9,22,percent of total billed charges,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,AETNA,AETNA,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,ALLIANT,ALLIANT,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,AMBETTER,AMBETTER,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,BEECH STREET,BEECH STREET,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,CARESOURCE,CARESOURCE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,MEDICAID,MEDICAID,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,MEDICARE,MEDICARE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,NOVA NET,NOVA NET,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,PEACHSTATE,PEACHSTATE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,SELFPAY,SELFPAY,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,TRICARE,TRICARE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SM XLONG CERV DEPU,L0120,CPT,both,,,22,22,UHC MEDICARE,UHC MEDICARE,,22,,fee schedule,22,18.9,22,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,AETNA,AETNA,,22.62,87,percent of total billed charges,22.62,18.9,26,percent of total billed charges,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22.62,87,percent of total billed charges,22.62,18.9,26,percent of total billed charges,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,UNITED HEALTHCARE,UNITED HEALTHCARE,,22.88,88,percent of total billed charges,22.88,18.9,26,percent of total billed charges,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,AETNA,AETNA,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,ALLIANT,ALLIANT,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,AMBETTER,AMBETTER,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,BEECH STREET,BEECH STREET,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,CARESOURCE,CARESOURCE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,MEDICAID,MEDICAID,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,MEDICARE,MEDICARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,NOVA NET,NOVA NET,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,PEACHSTATE,PEACHSTATE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,SELFPAY,SELFPAY,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,TRICARE,TRICARE,,26,,fee schedule,26,18.9,26,fee schedule,
COLLAR SMLL CERV DEPUY 30,L0120,CPT,both,,,26,26,UHC MEDICARE,UHC MEDICARE,,26,,fee schedule,26,18.9,26,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,AMERIGROUP,AMERIGROUP,,19.85,,fee schedule,19.85,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,20.22,,fee schedule,20.22,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,18.9,,fee schedule,18.9,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,AETNA,AETNA,,16.53,87,percent of total billed charges,16.53,16.53,20.22,percent of total billed charges,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16.53,87,percent of total billed charges,16.53,16.53,20.22,percent of total billed charges,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,UNITED HEALTHCARE,UNITED HEALTHCARE,,16.72,88,percent of total billed charges,16.72,16.53,20.22,percent of total billed charges,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,AETNA,AETNA,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,ALLIANT,ALLIANT,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,AMBETTER,AMBETTER,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,BEECH STREET,BEECH STREET,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,CARESOURCE,CARESOURCE,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,MEDICAID,MEDICAID,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,MEDICARE,MEDICARE,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,NOVA NET,NOVA NET,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,SELFPAY,SELFPAY,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,TRICARE,TRICARE,,19,,fee schedule,19,16.53,20.22,fee schedule,
TRACTION CERVICAL COLLAR,L0120,CPT,both,,,19,19,UHC MEDICARE,UHC MEDICARE,,19,,fee schedule,19,16.53,20.22,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AMERIGROUP,AMERIGROUP,,49.5,,fee schedule,49.5,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,50.44,,fee schedule,50.44,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,47.14,,fee schedule,47.14,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,47.14,180,percent of total billed charges,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,47.14,180,percent of total billed charges,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,47.14,180,percent of total billed charges,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,ALLIANT,ALLIANT,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AMBETTER,AMBETTER,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,MEDICARE,MEDICARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,TRICARE,TRICARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AMERIGROUP,AMERIGROUP,,49.5,,fee schedule,49.5,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,50.44,,fee schedule,50.44,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,47.14,,fee schedule,47.14,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AETNA,AETNA,,156.6,87,percent of total billed charges,156.6,47.14,180,percent of total billed charges,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,156.6,87,percent of total billed charges,156.6,47.14,180,percent of total billed charges,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,UNITED HEALTHCARE,UNITED HEALTHCARE,,158.4,88,percent of total billed charges,158.4,47.14,180,percent of total billed charges,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AETNA,AETNA,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,ALLIANT,ALLIANT,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,AMBETTER,AMBETTER,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,BEECH STREET,BEECH STREET,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CARESOURCE,CARESOURCE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,MEDICAID,MEDICAID,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,MEDICARE,MEDICARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,NOVA NET,NOVA NET,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,PEACHSTATE,PEACHSTATE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,SELFPAY,SELFPAY,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,TRICARE,TRICARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR ADULT 983,L0140,CPT,both,,,180,180,UHC MEDICARE,UHC MEDICARE,,180,,fee schedule,180,47.14,180,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
CERVICAL COLLAR MED #79-8,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN LG 10,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN MED 1,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL 2IN SM 10,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR CERVICAL PED 10040,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC LG 1034-53,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC MED 103452,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR DSC SM 103451,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR MED X LONG CERV DE,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,AMERIGROUP,AMERIGROUP,,82.55,,fee schedule,82.55,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,84.12,,fee schedule,84.12,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,78.62,,fee schedule,78.62,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,AETNA,AETNA,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,231.42,87,percent of total billed charges,231.42,78.62,266,percent of total billed charges,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,UNITED HEALTHCARE,UNITED HEALTHCARE,,234.08,88,percent of total billed charges,234.08,78.62,266,percent of total billed charges,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,AETNA,AETNA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,ALLIANT,ALLIANT,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,AMBETTER,AMBETTER,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,BEECH STREET,BEECH STREET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,CARESOURCE,CARESOURCE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,MEDICAID,MEDICAID,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,MEDICARE,MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,NOVA NET,NOVA NET,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,PEACHSTATE,PEACHSTATE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,SELFPAY,SELFPAY,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,TRICARE,TRICARE,,266,,fee schedule,266,78.62,266,fee schedule,
COLLAR PED CERVICAL,L0150,CPT,both,,,266,266,UHC MEDICARE,UHC MEDICARE,,266,,fee schedule,266,78.62,266,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,AMERIGROUP,AMERIGROUP,,100.85,,fee schedule,100.85,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,102.77,,fee schedule,102.77,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,96.05,,fee schedule,96.05,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,AETNA,AETNA,,259.26,87,percent of total billed charges,259.26,96.05,298,percent of total billed charges,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259.26,87,percent of total billed charges,259.26,96.05,298,percent of total billed charges,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,UNITED HEALTHCARE,UNITED HEALTHCARE,,262.24,88,percent of total billed charges,262.24,96.05,298,percent of total billed charges,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,AETNA,AETNA,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,ALLIANT,ALLIANT,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,AMBETTER,AMBETTER,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,BEECH STREET,BEECH STREET,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,CARESOURCE,CARESOURCE,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,MEDICAID,MEDICAID,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,MEDICARE,MEDICARE,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,NOVA NET,NOVA NET,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,PEACHSTATE,PEACHSTATE,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,SELFPAY,SELFPAY,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,TRICARE,TRICARE,,298,,fee schedule,298,96.05,298,fee schedule,
MIAMI J CERVICAL COLLAR L,L0172,CPT,both,,,298,298,UHC MEDICARE,UHC MEDICARE,,298,,fee schedule,298,96.05,298,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,AMERIGROUP,AMERIGROUP,,80.78,,fee schedule,80.78,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,82.32,,fee schedule,82.32,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,76.93,,fee schedule,76.93,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,AETNA,AETNA,,17.4,87,percent of total billed charges,17.4,17.4,82.32,percent of total billed charges,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,17.4,87,percent of total billed charges,17.4,17.4,82.32,percent of total billed charges,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,UNITED HEALTHCARE,UNITED HEALTHCARE,,17.6,88,percent of total billed charges,17.6,17.4,82.32,percent of total billed charges,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,AETNA,AETNA,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,ALLIANT,ALLIANT,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,AMBETTER,AMBETTER,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,BEECH STREET,BEECH STREET,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,CARESOURCE,CARESOURCE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,MEDICAID,MEDICAID,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,MEDICARE,MEDICARE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,NOVA NET,NOVA NET,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,PEACHSTATE,PEACHSTATE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,SELFPAY,SELFPAY,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,TRICARE,TRICARE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BELT RIB FEMALE 6IN 41040,L0220,CPT,both,,,20,20,UHC MEDICARE,UHC MEDICARE,,20,,fee schedule,20,17.4,82.32,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,AMERIGROUP,AMERIGROUP,,1054.11,,fee schedule,1054.11,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,CARESOURCE,CARESOURCE,,1074.18,,fee schedule,1074.18,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,PEACHSTATE,PEACHSTATE,,1003.91,,fee schedule,1003.91,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,AETNA,AETNA,,646.41,87,percent of total billed charges,646.41,646.41,1074.18,percent of total billed charges,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,646.41,87,percent of total billed charges,646.41,646.41,1074.18,percent of total billed charges,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,UNITED HEALTHCARE,UNITED HEALTHCARE,,653.84,88,percent of total billed charges,653.84,646.41,1074.18,percent of total billed charges,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,AETNA,AETNA,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,ALLIANT,ALLIANT,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,AMBETTER,AMBETTER,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,BEECH STREET,BEECH STREET,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,CARESOURCE,CARESOURCE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,MEDICAID,MEDICAID,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,MEDICARE,MEDICARE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,NOVA NET,NOVA NET,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,PEACHSTATE,PEACHSTATE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,SELFPAY,SELFPAY,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,TRICARE,TRICARE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
BRACE BACK TLSO,L0464,CPT,both,,,743,743,UHC MEDICARE,UHC MEDICARE,,743,,fee schedule,743,646.41,1074.18,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,727.99,,fee schedule,727.99,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,741.85,,fee schedule,741.85,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,693.32,,fee schedule,693.32,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,AETNA,AETNA,,534.18,87,percent of total billed charges,534.18,534.18,741.85,percent of total billed charges,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534.18,87,percent of total billed charges,534.18,534.18,741.85,percent of total billed charges,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,UNITED HEALTHCARE,UNITED HEALTHCARE,,540.32,88,percent of total billed charges,540.32,534.18,741.85,percent of total billed charges,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,AETNA,AETNA,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,ALLIANT,ALLIANT,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,AMBETTER,AMBETTER,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,BEECH STREET,BEECH STREET,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,MEDICAID,MEDICAID,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,MEDICARE,MEDICARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,NOVA NET,NOVA NET,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,SELFPAY,SELFPAY,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,TRICARE,TRICARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE SMALL,L0631,CPT,both,,,614,614,UHC MEDICARE,UHC MEDICARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,AMERIGROUP,AMERIGROUP,,727.99,,fee schedule,727.99,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,741.85,,fee schedule,741.85,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,693.32,,fee schedule,693.32,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,AETNA,AETNA,,534.18,87,percent of total billed charges,534.18,534.18,741.85,percent of total billed charges,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,534.18,87,percent of total billed charges,534.18,534.18,741.85,percent of total billed charges,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,UNITED HEALTHCARE,UNITED HEALTHCARE,,540.32,88,percent of total billed charges,540.32,534.18,741.85,percent of total billed charges,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,AETNA,AETNA,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,ALLIANT,ALLIANT,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,AMBETTER,AMBETTER,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,BEECH STREET,BEECH STREET,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,CARESOURCE,CARESOURCE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,MEDICAID,MEDICAID,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,MEDICARE,MEDICARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,NOVA NET,NOVA NET,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,PEACHSTATE,PEACHSTATE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,SELFPAY,SELFPAY,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,TRICARE,TRICARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
SUMMIT BACK BRACE XLARGE,L0631,CPT,both,,,614,614,UHC MEDICARE,UHC MEDICARE,,614,,fee schedule,614,534.18,741.85,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,AMERIGROUP,AMERIGROUP,,656.86,,fee schedule,656.86,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,CARESOURCE,CARESOURCE,,669.37,,fee schedule,669.37,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,PEACHSTATE,PEACHSTATE,,625.58,,fee schedule,625.58,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,AETNA,AETNA,,2041.89,87,percent of total billed charges,2041.89,625.58,2347,percent of total billed charges,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2041.89,87,percent of total billed charges,2041.89,625.58,2347,percent of total billed charges,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,UNITED HEALTHCARE,UNITED HEALTHCARE,,2065.36,88,percent of total billed charges,2065.36,625.58,2347,percent of total billed charges,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,AETNA,AETNA,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,ALLIANT,ALLIANT,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,AMBETTER,AMBETTER,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,BEECH STREET,BEECH STREET,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,CARESOURCE,CARESOURCE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,MEDICAID,MEDICAID,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,MEDICARE,MEDICARE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,NOVA NET,NOVA NET,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,PEACHSTATE,PEACHSTATE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,SELFPAY,SELFPAY,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,TRICARE,TRICARE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
HIP ABDUCTION BRACE L1686,L1686,CPT,both,,,2347,2347,UHC MEDICARE,UHC MEDICARE,,2347,,fee schedule,2347,625.58,2347,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,68.13,81,percent of total billed charges,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE 24 SM 1010247,L1830,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,AETNA,AETNA,,380.19,87,percent of total billed charges,380.19,68.13,437,percent of total billed charges,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380.19,87,percent of total billed charges,380.19,68.13,437,percent of total billed charges,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,UNITED HEALTHCARE,UNITED HEALTHCARE,,384.56,88,percent of total billed charges,384.56,68.13,437,percent of total billed charges,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,AETNA,AETNA,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,ALLIANT,ALLIANT,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,AMBETTER,AMBETTER,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,BEECH STREET,BEECH STREET,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,MEDICAID,MEDICAID,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,MEDICARE,MEDICARE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,NOVA NET,NOVA NET,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,SELFPAY,SELFPAY,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,TRICARE,TRICARE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE BLEDSOE 28IN AK1002,L1830,CPT,both,,,437,437,UHC MEDICARE,UHC MEDICARE,,437,,fee schedule,437,68.13,437,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,68.13,299,percent of total billed charges,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,68.13,299,percent of total billed charges,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,68.13,299,percent of total billed charges,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19 SM W/ APP,L1830,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,72.9,percent of total billed charges,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,72.9,percent of total billed charges,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,72.9,percent of total billed charges,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,68.13,299,percent of total billed charges,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,68.13,299,percent of total billed charges,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,68.13,299,percent of total billed charges,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN LG W/ APP,L1830,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,68.13,299,percent of total billed charges,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,68.13,299,percent of total billed charges,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,68.13,299,percent of total billed charges,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19IN MED W/ AP,L1830,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,68.13,299,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,72.9,percent of total billed charges,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,72.9,percent of total billed charges,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,72.9,percent of total billed charges,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 19SM 1010197,L1830,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,68.13,81,percent of total billed charges,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 EXLG 104024,L1830,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,68.13,81,percent of total billed charges,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG 1030247,L1830,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,68.13,314,percent of total billed charges,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,ALLIANT,ALLIANT,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,AMBETTER,AMBETTER,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,MEDICARE,MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,TRICARE,TRICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 LG W/ APP,L1830,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,68.13,81,percent of total billed charges,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED 1020247,L1830,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,68.13,314,percent of total billed charges,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,ALLIANT,ALLIANT,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,AMBETTER,AMBETTER,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,MEDICARE,MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,TRICARE,TRICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 MED W/ APP,L1830,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,68.13,314,percent of total billed charges,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,ALLIANT,ALLIANT,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,AMBETTER,AMBETTER,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,MEDICARE,MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,TRICARE,TRICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 SMALL W/ AP,L1830,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,68.13,314,percent of total billed charges,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,ALLIANT,ALLIANT,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,AMBETTER,AMBETTER,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,MEDICARE,MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,TRICARE,TRICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XL W/ APP,L1830,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,273.18,87,percent of total billed charges,273.18,68.13,314,percent of total billed charges,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,UNITED HEALTHCARE,UNITED HEALTHCARE,,276.32,88,percent of total billed charges,276.32,68.13,314,percent of total billed charges,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,AETNA,AETNA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,ALLIANT,ALLIANT,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,AMBETTER,AMBETTER,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,BEECH STREET,BEECH STREET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,CARESOURCE,CARESOURCE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,MEDICAID,MEDICAID,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,MEDICARE,MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,NOVA NET,NOVA NET,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,PEACHSTATE,PEACHSTATE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,SELFPAY,SELFPAY,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,TRICARE,TRICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXL W/ APP,L1830,CPT,both,,,314,314,UHC MEDICARE,UHC MEDICARE,,314,,fee schedule,314,68.13,314,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,68.13,81,percent of total billed charges,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,68.13,81,percent of total billed charges,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,ALLIANT,ALLIANT,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,AMBETTER,AMBETTER,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,MEDICARE,MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,TRICARE,TRICARE,,81,,fee schedule,81,68.13,81,fee schedule,
BRACE KNEE 24 XXLG 105024,L1830,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,81,,fee schedule,81,68.13,81,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,AETNA,AETNA,,48.72,87,percent of total billed charges,48.72,48.72,72.9,percent of total billed charges,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48.72,87,percent of total billed charges,48.72,48.72,72.9,percent of total billed charges,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,UNITED HEALTHCARE,UNITED HEALTHCARE,,49.28,88,percent of total billed charges,49.28,48.72,72.9,percent of total billed charges,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,AETNA,AETNA,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,ALLIANT,ALLIANT,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,AMBETTER,AMBETTER,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,BEECH STREET,BEECH STREET,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,CARESOURCE,CARESOURCE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,MEDICAID,MEDICAID,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,MEDICARE,MEDICARE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,NOVA NET,NOVA NET,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,PEACHSTATE,PEACHSTATE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,SELFPAY,SELFPAY,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,TRICARE,TRICARE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMBILIZER KNEE 16 SM 101,L1830,CPT,both,,,56,56,UHC MEDICARE,UHC MEDICARE,,56,,fee schedule,56,48.72,72.9,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,AETNA,AETNA,,255.78,87,percent of total billed charges,255.78,68.13,294,percent of total billed charges,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,255.78,87,percent of total billed charges,255.78,68.13,294,percent of total billed charges,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,UNITED HEALTHCARE,UNITED HEALTHCARE,,258.72,88,percent of total billed charges,258.72,68.13,294,percent of total billed charges,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,AETNA,AETNA,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,ALLIANT,ALLIANT,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,AMBETTER,AMBETTER,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,BEECH STREET,BEECH STREET,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,CARESOURCE,CARESOURCE,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,MEDICAID,MEDICAID,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,MEDICARE,MEDICARE,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,NOVA NET,NOVA NET,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,PEACHSTATE,PEACHSTATE,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,SELFPAY,SELFPAY,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,TRICARE,TRICARE,,294,,fee schedule,294,68.13,294,fee schedule,
IMMOBILIZER KNEE 16 SM W/,L1830,CPT,both,,,294,294,UHC MEDICARE,UHC MEDICARE,,294,,fee schedule,294,68.13,294,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,71.54,,fee schedule,71.54,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,72.9,,fee schedule,72.9,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,68.13,,fee schedule,68.13,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,72.9,percent of total billed charges,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,72.9,percent of total billed charges,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,72.9,percent of total billed charges,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
TRAC BRACE KNEE 19IN MED,L1830,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,72.9,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,AETNA,AETNA,,391.5,87,percent of total billed charges,391.5,391.5,544.79,percent of total billed charges,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,391.5,87,percent of total billed charges,391.5,391.5,544.79,percent of total billed charges,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,UNITED HEALTHCARE,UNITED HEALTHCARE,,396,88,percent of total billed charges,396,391.5,544.79,percent of total billed charges,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,AETNA,AETNA,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,ALLIANT,ALLIANT,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,AMBETTER,AMBETTER,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,BEECH STREET,BEECH STREET,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,CARESOURCE,CARESOURCE,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,MEDICAID,MEDICAID,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,MEDICARE,MEDICARE,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,NOVA NET,NOVA NET,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,PEACHSTATE,PEACHSTATE,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,SELFPAY,SELFPAY,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,TRICARE,TRICARE,,450,,fee schedule,450,391.5,544.79,fee schedule,
20IN BLEDSOE BRACE #AK100,L1832,CPT,both,,,450,450,UHC MEDICARE,UHC MEDICARE,,450,,fee schedule,450,391.5,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,AETNA,AETNA,,327.12,87,percent of total billed charges,327.12,327.12,544.79,percent of total billed charges,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,327.12,87,percent of total billed charges,327.12,327.12,544.79,percent of total billed charges,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,UNITED HEALTHCARE,UNITED HEALTHCARE,,330.88,88,percent of total billed charges,330.88,327.12,544.79,percent of total billed charges,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,AETNA,AETNA,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,ALLIANT,ALLIANT,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,AMBETTER,AMBETTER,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,BEECH STREET,BEECH STREET,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,CARESOURCE,CARESOURCE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,MEDICAID,MEDICAID,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,MEDICARE,MEDICARE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,NOVA NET,NOVA NET,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,PEACHSTATE,PEACHSTATE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,SELFPAY,SELFPAY,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,TRICARE,TRICARE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BLEDSOE BRACE 22IN #AK010,L1832,CPT,both,,,376,376,UHC MEDICARE,UHC MEDICARE,,376,,fee schedule,376,327.12,544.79,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,AETNA,AETNA,,899.58,87,percent of total billed charges,899.58,509.15,1034,percent of total billed charges,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,899.58,87,percent of total billed charges,899.58,509.15,1034,percent of total billed charges,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,UNITED HEALTHCARE,UNITED HEALTHCARE,,909.92,88,percent of total billed charges,909.92,509.15,1034,percent of total billed charges,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,AETNA,AETNA,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,ALLIANT,ALLIANT,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,AMBETTER,AMBETTER,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,BEECH STREET,BEECH STREET,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,MEDICAID,MEDICAID,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,MEDICARE,MEDICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,NOVA NET,NOVA NET,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,SELFPAY,SELFPAY,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,TRICARE,TRICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 24IN W/ APP,L1832,CPT,both,,,1034,1034,UHC MEDICARE,UHC MEDICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,AETNA,AETNA,,899.58,87,percent of total billed charges,899.58,509.15,1034,percent of total billed charges,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,899.58,87,percent of total billed charges,899.58,509.15,1034,percent of total billed charges,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,UNITED HEALTHCARE,UNITED HEALTHCARE,,909.92,88,percent of total billed charges,909.92,509.15,1034,percent of total billed charges,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,AETNA,AETNA,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,ALLIANT,ALLIANT,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,AMBETTER,AMBETTER,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,BEECH STREET,BEECH STREET,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,MEDICAID,MEDICAID,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,MEDICARE,MEDICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,NOVA NET,NOVA NET,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,SELFPAY,SELFPAY,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,TRICARE,TRICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDOSE 26IN W/ APP,L1832,CPT,both,,,1034,1034,UHC MEDICARE,UHC MEDICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,AETNA,AETNA,,380.19,87,percent of total billed charges,380.19,380.19,544.79,percent of total billed charges,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380.19,87,percent of total billed charges,380.19,380.19,544.79,percent of total billed charges,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,UNITED HEALTHCARE,UNITED HEALTHCARE,,384.56,88,percent of total billed charges,384.56,380.19,544.79,percent of total billed charges,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,AETNA,AETNA,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,ALLIANT,ALLIANT,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,AMBETTER,AMBETTER,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,BEECH STREET,BEECH STREET,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,MEDICAID,MEDICAID,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,MEDICARE,MEDICARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,NOVA NET,NOVA NET,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,SELFPAY,SELFPAY,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,TRICARE,TRICARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 24IN AK1002,L1832,CPT,both,,,437,437,UHC MEDICARE,UHC MEDICARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,AETNA,AETNA,,380.19,87,percent of total billed charges,380.19,380.19,544.79,percent of total billed charges,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,380.19,87,percent of total billed charges,380.19,380.19,544.79,percent of total billed charges,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,UNITED HEALTHCARE,UNITED HEALTHCARE,,384.56,88,percent of total billed charges,384.56,380.19,544.79,percent of total billed charges,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,AETNA,AETNA,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,ALLIANT,ALLIANT,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,AMBETTER,AMBETTER,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,BEECH STREET,BEECH STREET,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,CARESOURCE,CARESOURCE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,MEDICAID,MEDICAID,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,MEDICARE,MEDICARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,NOVA NET,NOVA NET,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,PEACHSTATE,PEACHSTATE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,SELFPAY,SELFPAY,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,TRICARE,TRICARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 26IN AK1002,L1832,CPT,both,,,437,437,UHC MEDICARE,UHC MEDICARE,,437,,fee schedule,437,380.19,544.79,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,AMERIGROUP,AMERIGROUP,,534.61,,fee schedule,534.61,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,544.79,,fee schedule,544.79,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,509.15,,fee schedule,509.15,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,AETNA,AETNA,,899.58,87,percent of total billed charges,899.58,509.15,1034,percent of total billed charges,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,899.58,87,percent of total billed charges,899.58,509.15,1034,percent of total billed charges,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,UNITED HEALTHCARE,UNITED HEALTHCARE,,909.92,88,percent of total billed charges,909.92,509.15,1034,percent of total billed charges,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,AETNA,AETNA,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,ALLIANT,ALLIANT,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,AMBETTER,AMBETTER,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,BEECH STREET,BEECH STREET,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,CARESOURCE,CARESOURCE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,MEDICAID,MEDICAID,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,MEDICARE,MEDICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,NOVA NET,NOVA NET,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,PEACHSTATE,PEACHSTATE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,SELFPAY,SELFPAY,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,TRICARE,TRICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BRACE BLEDSOE 28IN W/ APP,L1832,CPT,both,,,1034,1034,UHC MEDICARE,UHC MEDICARE,,1034,,fee schedule,1034,509.15,1034,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,AETNA,AETNA,,825.63,87,percent of total billed charges,825.63,318.65,949,percent of total billed charges,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,825.63,87,percent of total billed charges,825.63,318.65,949,percent of total billed charges,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,UNITED HEALTHCARE,UNITED HEALTHCARE,,835.12,88,percent of total billed charges,835.12,318.65,949,percent of total billed charges,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,AETNA,AETNA,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,ALLIANT,ALLIANT,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,AMBETTER,AMBETTER,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,BEECH STREET,BEECH STREET,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,CARESOURCE,CARESOURCE,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,MEDICAID,MEDICAID,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,MEDICARE,MEDICARE,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,NOVA NET,NOVA NET,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,PEACHSTATE,PEACHSTATE,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,SELFPAY,SELFPAY,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,TRICARE,TRICARE,,949,,fee schedule,949,318.65,949,fee schedule,
BLEDSOE FREE ANKLE FRACT,L2112,CPT,both,,,949,949,UHC MEDICARE,UHC MEDICARE,,949,,fee schedule,949,318.65,949,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,AETNA,AETNA,,180.09,87,percent of total billed charges,180.09,180.09,340.96,percent of total billed charges,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.09,87,percent of total billed charges,180.09,180.09,340.96,percent of total billed charges,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,UNITED HEALTHCARE,UNITED HEALTHCARE,,182.16,88,percent of total billed charges,182.16,180.09,340.96,percent of total billed charges,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,AETNA,AETNA,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,ALLIANT,ALLIANT,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,AMBETTER,AMBETTER,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,BEECH STREET,BEECH STREET,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,MEDICAID,MEDICAID,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,MEDICARE,MEDICARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,NOVA NET,NOVA NET,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,SELFPAY,SELFPAY,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,TRICARE,TRICARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG,L2112,CPT,both,,,207,207,UHC MEDICARE,UHC MEDICARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,AETNA,AETNA,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,UNITED HEALTHCARE,UNITED HEALTHCARE,,559.68,88,percent of total billed charges,559.68,318.65,636,percent of total billed charges,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,AETNA,AETNA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,ALLIANT,ALLIANT,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,AMBETTER,AMBETTER,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,BEECH STREET,BEECH STREET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,MEDICAID,MEDICAID,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,MEDICARE,MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,NOVA NET,NOVA NET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,SELFPAY,SELFPAY,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,TRICARE,TRICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXLG W,L2112,CPT,both,,,636,636,UHC MEDICARE,UHC MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,AETNA,AETNA,,180.09,87,percent of total billed charges,180.09,180.09,340.96,percent of total billed charges,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,180.09,87,percent of total billed charges,180.09,180.09,340.96,percent of total billed charges,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,UNITED HEALTHCARE,UNITED HEALTHCARE,,182.16,88,percent of total billed charges,182.16,180.09,340.96,percent of total billed charges,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,AETNA,AETNA,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,ALLIANT,ALLIANT,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,AMBETTER,AMBETTER,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,BEECH STREET,BEECH STREET,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,CARESOURCE,CARESOURCE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,MEDICAID,MEDICAID,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,MEDICARE,MEDICARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,NOVA NET,NOVA NET,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,PEACHSTATE,PEACHSTATE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,SELFPAY,SELFPAY,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,TRICARE,TRICARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM,L2112,CPT,both,,,207,207,UHC MEDICARE,UHC MEDICARE,,207,,fee schedule,207,180.09,340.96,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,AETNA,AETNA,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,UNITED HEALTHCARE,UNITED HEALTHCARE,,559.68,88,percent of total billed charges,559.68,318.65,636,percent of total billed charges,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,AETNA,AETNA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,ALLIANT,ALLIANT,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,AMBETTER,AMBETTER,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,BEECH STREET,BEECH STREET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,MEDICAID,MEDICAID,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,MEDICARE,MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,NOVA NET,NOVA NET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,SELFPAY,SELFPAY,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,TRICARE,TRICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE EXSM W,L2112,CPT,both,,,636,636,UHC MEDICARE,UHC MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,ALLIANT,ALLIANT,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,AMBETTER,AMBETTER,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,MEDICARE,MEDICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,TRICARE,TRICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L,L2112,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,AETNA,AETNA,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,UNITED HEALTHCARE,UNITED HEALTHCARE,,559.68,88,percent of total billed charges,559.68,318.65,636,percent of total billed charges,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,AETNA,AETNA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,ALLIANT,ALLIANT,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,AMBETTER,AMBETTER,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,BEECH STREET,BEECH STREET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,MEDICAID,MEDICAID,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,MEDICARE,MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,NOVA NET,NOVA NET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,SELFPAY,SELFPAY,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,TRICARE,TRICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE L W/ A,L2112,CPT,both,,,636,636,UHC MEDICARE,UHC MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,ALLIANT,ALLIANT,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,AMBETTER,AMBETTER,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,MEDICARE,MEDICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,TRICARE,TRICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M,L2112,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,AETNA,AETNA,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,UNITED HEALTHCARE,UNITED HEALTHCARE,,559.68,88,percent of total billed charges,559.68,318.65,636,percent of total billed charges,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,AETNA,AETNA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,ALLIANT,ALLIANT,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,AMBETTER,AMBETTER,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,BEECH STREET,BEECH STREET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,MEDICAID,MEDICAID,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,MEDICARE,MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,NOVA NET,NOVA NET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,SELFPAY,SELFPAY,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,TRICARE,TRICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE M W/ A,L2112,CPT,both,,,636,636,UHC MEDICARE,UHC MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,AETNA,AETNA,,184.44,87,percent of total billed charges,184.44,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,184.44,87,percent of total billed charges,184.44,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,UNITED HEALTHCARE,UNITED HEALTHCARE,,186.56,88,percent of total billed charges,186.56,184.44,340.96,percent of total billed charges,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,AETNA,AETNA,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,ALLIANT,ALLIANT,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,AMBETTER,AMBETTER,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,BEECH STREET,BEECH STREET,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,CARESOURCE,CARESOURCE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,MEDICAID,MEDICAID,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,MEDICARE,MEDICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,NOVA NET,NOVA NET,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,PEACHSTATE,PEACHSTATE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,SELFPAY,SELFPAY,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,TRICARE,TRICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM,L2112,CPT,both,,,212,212,UHC MEDICARE,UHC MEDICARE,,212,,fee schedule,212,184.44,340.96,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,AETNA,AETNA,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,553.32,87,percent of total billed charges,553.32,318.65,636,percent of total billed charges,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,UNITED HEALTHCARE,UNITED HEALTHCARE,,559.68,88,percent of total billed charges,559.68,318.65,636,percent of total billed charges,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,AETNA,AETNA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,ALLIANT,ALLIANT,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,AMBETTER,AMBETTER,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,BEECH STREET,BEECH STREET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,CARESOURCE,CARESOURCE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,MEDICAID,MEDICAID,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,MEDICARE,MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,NOVA NET,NOVA NET,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,PEACHSTATE,PEACHSTATE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,SELFPAY,SELFPAY,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,TRICARE,TRICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SM W/,L2112,CPT,both,,,636,636,UHC MEDICARE,UHC MEDICARE,,636,,fee schedule,636,318.65,636,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,AMERIGROUP,AMERIGROUP,,334.58,,fee schedule,334.58,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,CARESOURCE,CARESOURCE,,340.96,,fee schedule,340.96,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,PEACHSTATE,PEACHSTATE,,318.65,,fee schedule,318.65,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,AETNA,AETNA,,655.98,87,percent of total billed charges,655.98,318.65,754,percent of total billed charges,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,655.98,87,percent of total billed charges,655.98,318.65,754,percent of total billed charges,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,UNITED HEALTHCARE,UNITED HEALTHCARE,,663.52,88,percent of total billed charges,663.52,318.65,754,percent of total billed charges,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,AETNA,AETNA,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,ALLIANT,ALLIANT,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,AMBETTER,AMBETTER,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,BEECH STREET,BEECH STREET,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,CARESOURCE,CARESOURCE,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,MEDICAID,MEDICAID,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,MEDICARE,MEDICARE,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,NOVA NET,NOVA NET,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,PEACHSTATE,PEACHSTATE,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,SELFPAY,SELFPAY,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,TRICARE,TRICARE,,754,,fee schedule,754,318.65,754,fee schedule,
WALKER LOW PROFILE SOFT,L2112,CPT,both,,,754,754,UHC MEDICARE,UHC MEDICARE,,754,,fee schedule,754,318.65,754,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,AMERIGROUP,AMERIGROUP,,38.63,,fee schedule,38.63,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,39.37,,fee schedule,39.37,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,36.79,,fee schedule,36.79,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,39.37,percent of total billed charges,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,39.37,percent of total billed charges,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,39.37,percent of total billed charges,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,39.37,fee schedule,
CLAVICLE STRAP XL.#300405,L3650,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,39.37,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,38.63,,fee schedule,38.63,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,39.37,,fee schedule,39.37,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,36.79,,fee schedule,36.79,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,36.79,64,percent of total billed charges,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,36.79,64,percent of total billed charges,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,36.79,64,percent of total billed charges,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,36.79,64,fee schedule,
MEEK CLAVICAL STRAP,L3650,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,36.79,64,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,AMERIGROUP,AMERIGROUP,,66.34,,fee schedule,66.34,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,67.6,,fee schedule,67.6,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,63.18,,fee schedule,63.18,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,AETNA,AETNA,,139.2,87,percent of total billed charges,139.2,63.18,160,percent of total billed charges,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.2,87,percent of total billed charges,139.2,63.18,160,percent of total billed charges,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,UNITED HEALTHCARE,UNITED HEALTHCARE,,140.8,88,percent of total billed charges,140.8,63.18,160,percent of total billed charges,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,AETNA,AETNA,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,ALLIANT,ALLIANT,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,AMBETTER,AMBETTER,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,BEECH STREET,BEECH STREET,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,CARESOURCE,CARESOURCE,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,MEDICAID,MEDICAID,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,MEDICARE,MEDICARE,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,NOVA NET,NOVA NET,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,PEACHSTATE,PEACHSTATE,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,SELFPAY,SELFPAY,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,TRICARE,TRICARE,,160,,fee schedule,160,63.18,160,fee schedule,
SHOULDER IMMO XL 54IN W/,L3660,CPT,both,,,160,160,UHC MEDICARE,UHC MEDICARE,,160,,fee schedule,160,63.18,160,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,88.06,263,percent of total billed charges,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,88.06,263,percent of total billed charges,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,88.06,263,percent of total billed charges,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP ADULT W/ A,L3670,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,88.06,263,percent of total billed charges,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,88.06,263,percent of total billed charges,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,88.06,263,percent of total billed charges,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP CHILD W/ A,L3670,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,AETNA,AETNA,,228.81,87,percent of total billed charges,228.81,88.06,263,percent of total billed charges,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,228.81,87,percent of total billed charges,228.81,88.06,263,percent of total billed charges,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,UNITED HEALTHCARE,UNITED HEALTHCARE,,231.44,88,percent of total billed charges,231.44,88.06,263,percent of total billed charges,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,AETNA,AETNA,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,ALLIANT,ALLIANT,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,AMBETTER,AMBETTER,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,BEECH STREET,BEECH STREET,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,CARESOURCE,CARESOURCE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,MEDICAID,MEDICAID,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,MEDICARE,MEDICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,NOVA NET,NOVA NET,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,PEACHSTATE,PEACHSTATE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,SELFPAY,SELFPAY,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,TRICARE,TRICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP INFANT W/,L3670,CPT,both,,,263,263,UHC MEDICARE,UHC MEDICARE,,263,,fee schedule,263,88.06,263,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,AETNA,AETNA,,234.9,87,percent of total billed charges,234.9,88.06,270,percent of total billed charges,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,234.9,87,percent of total billed charges,234.9,88.06,270,percent of total billed charges,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,UNITED HEALTHCARE,UNITED HEALTHCARE,,237.6,88,percent of total billed charges,237.6,88.06,270,percent of total billed charges,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,AETNA,AETNA,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,ALLIANT,ALLIANT,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,AMBETTER,AMBETTER,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,BEECH STREET,BEECH STREET,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,CARESOURCE,CARESOURCE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,MEDICAID,MEDICAID,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,MEDICARE,MEDICARE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,NOVA NET,NOVA NET,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,PEACHSTATE,PEACHSTATE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,SELFPAY,SELFPAY,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,TRICARE,TRICARE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP X/L W/ APP,L3670,CPT,both,,,270,270,UHC MEDICARE,UHC MEDICARE,,270,,fee schedule,270,88.06,270,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,AETNA,AETNA,,225.33,87,percent of total billed charges,225.33,88.06,259,percent of total billed charges,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,225.33,87,percent of total billed charges,225.33,88.06,259,percent of total billed charges,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,UNITED HEALTHCARE,UNITED HEALTHCARE,,227.92,88,percent of total billed charges,227.92,88.06,259,percent of total billed charges,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,AETNA,AETNA,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,ALLIANT,ALLIANT,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,AMBETTER,AMBETTER,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,BEECH STREET,BEECH STREET,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,CARESOURCE,CARESOURCE,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,MEDICAID,MEDICAID,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,MEDICARE,MEDICARE,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,NOVA NET,NOVA NET,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,PEACHSTATE,PEACHSTATE,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,SELFPAY,SELFPAY,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,TRICARE,TRICARE,,259,,fee schedule,259,88.06,259,fee schedule,
CLAVICLE STRAP YOUTH W/ A,L3670,CPT,both,,,259,259,UHC MEDICARE,UHC MEDICARE,,259,,fee schedule,259,88.06,259,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL ADULT 3004,L3670,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL CHILD 3004,L3670,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL INFANT 300,L3670,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,AMERIGROUP,AMERIGROUP,,92.46,,fee schedule,92.46,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,94.22,,fee schedule,94.22,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,88.06,,fee schedule,88.06,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,AETNA,AETNA,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,25.23,87,percent of total billed charges,25.23,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,UNITED HEALTHCARE,UNITED HEALTHCARE,,25.52,88,percent of total billed charges,25.52,25.23,94.22,percent of total billed charges,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,AETNA,AETNA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,ALLIANT,ALLIANT,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,AMBETTER,AMBETTER,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,BEECH STREET,BEECH STREET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,CARESOURCE,CARESOURCE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,MEDICAID,MEDICAID,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,MEDICARE,MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,NOVA NET,NOVA NET,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,PEACHSTATE,PEACHSTATE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,SELFPAY,SELFPAY,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,TRICARE,TRICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
STRAP CLAVICAL YOUTH 3004,L3670,CPT,both,,,29,29,UHC MEDICARE,UHC MEDICARE,,29,,fee schedule,29,25.23,94.22,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,581.52,,fee schedule,581.52,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,592.6,,fee schedule,592.6,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,553.83,,fee schedule,553.83,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,592.6,percent of total billed charges,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,592.6,percent of total billed charges,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,592.6,percent of total billed charges,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EXTERNAL ROTATION DEVICE,L3671,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,581.52,,fee schedule,581.52,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,592.6,,fee schedule,592.6,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,553.83,,fee schedule,553.83,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,60.9,592.6,percent of total billed charges,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,60.9,592.6,percent of total billed charges,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,60.9,592.6,percent of total billed charges,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,60.9,592.6,fee schedule,
EZY-WRAP SHOLDER IMMOBILI,L3671,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,60.9,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,AMERIGROUP,AMERIGROUP,,581.52,,fee schedule,581.52,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,592.6,,fee schedule,592.6,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,553.83,,fee schedule,553.83,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,AETNA,AETNA,,40.02,87,percent of total billed charges,40.02,40.02,592.6,percent of total billed charges,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,40.02,87,percent of total billed charges,40.02,40.02,592.6,percent of total billed charges,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,UNITED HEALTHCARE,UNITED HEALTHCARE,,40.48,88,percent of total billed charges,40.48,40.02,592.6,percent of total billed charges,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,AETNA,AETNA,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,ALLIANT,ALLIANT,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,AMBETTER,AMBETTER,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,BEECH STREET,BEECH STREET,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,CARESOURCE,CARESOURCE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,MEDICAID,MEDICAID,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,MEDICARE,MEDICARE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,NOVA NET,NOVA NET,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,PEACHSTATE,PEACHSTATE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,SELFPAY,SELFPAY,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,TRICARE,TRICARE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SHOULDER IMMO. XL 54IN,L3671,CPT,both,,,46,46,UHC MEDICARE,UHC MEDICARE,,46,,fee schedule,46,40.02,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,AMERIGROUP,AMERIGROUP,,581.52,,fee schedule,581.52,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,592.6,,fee schedule,592.6,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,553.83,,fee schedule,553.83,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,AETNA,AETNA,,207.06,87,percent of total billed charges,207.06,207.06,592.6,percent of total billed charges,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,207.06,87,percent of total billed charges,207.06,207.06,592.6,percent of total billed charges,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,UNITED HEALTHCARE,UNITED HEALTHCARE,,209.44,88,percent of total billed charges,209.44,207.06,592.6,percent of total billed charges,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,AETNA,AETNA,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,ALLIANT,ALLIANT,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,AMBETTER,AMBETTER,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,BEECH STREET,BEECH STREET,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,CARESOURCE,CARESOURCE,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,MEDICAID,MEDICAID,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,MEDICARE,MEDICARE,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,NOVA NET,NOVA NET,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,PEACHSTATE,PEACHSTATE,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,SELFPAY,SELFPAY,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,TRICARE,TRICARE,,238,,fee schedule,238,207.06,592.6,fee schedule,
SLING FOR SHOULDER IMMOBI,L3671,CPT,both,,,238,238,UHC MEDICARE,UHC MEDICARE,,238,,fee schedule,238,207.06,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,AMERIGROUP,AMERIGROUP,,581.52,,fee schedule,581.52,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,592.6,,fee schedule,592.6,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,553.83,,fee schedule,553.83,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,AETNA,AETNA,,112.23,87,percent of total billed charges,112.23,112.23,592.6,percent of total billed charges,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,112.23,87,percent of total billed charges,112.23,112.23,592.6,percent of total billed charges,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,UNITED HEALTHCARE,UNITED HEALTHCARE,,113.52,88,percent of total billed charges,113.52,112.23,592.6,percent of total billed charges,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,AETNA,AETNA,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,ALLIANT,ALLIANT,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,AMBETTER,AMBETTER,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,BEECH STREET,BEECH STREET,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,CARESOURCE,CARESOURCE,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,MEDICAID,MEDICAID,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,MEDICARE,MEDICARE,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,NOVA NET,NOVA NET,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,PEACHSTATE,PEACHSTATE,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,SELFPAY,SELFPAY,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,TRICARE,TRICARE,,129,,fee schedule,129,112.23,592.6,fee schedule,
UNIVERSAL SHOULDER IMMOBI,L3671,CPT,both,,,129,129,UHC MEDICARE,UHC MEDICARE,,129,,fee schedule,129,112.23,592.6,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,AMERIGROUP,AMERIGROUP,,161.37,,fee schedule,161.37,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,164.45,,fee schedule,164.45,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,153.69,,fee schedule,153.69,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,AETNA,AETNA,,78.3,87,percent of total billed charges,78.3,78.3,164.45,percent of total billed charges,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,78.3,87,percent of total billed charges,78.3,78.3,164.45,percent of total billed charges,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,UNITED HEALTHCARE,UNITED HEALTHCARE,,79.2,88,percent of total billed charges,79.2,78.3,164.45,percent of total billed charges,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,AETNA,AETNA,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,ALLIANT,ALLIANT,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,AMBETTER,AMBETTER,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,BEECH STREET,BEECH STREET,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,CARESOURCE,CARESOURCE,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,MEDICAID,MEDICAID,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,MEDICARE,MEDICARE,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,NOVA NET,NOVA NET,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,PEACHSTATE,PEACHSTATE,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,SELFPAY,SELFPAY,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,TRICARE,TRICARE,,90,,fee schedule,90,78.3,164.45,fee schedule,
FO PIP/DIP W/O JOINT/SPRING,L3807,CPT,both,,,90,90,UHC MEDICARE,UHC MEDICARE,,90,,fee schedule,90,78.3,164.45,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,AMERIGROUP,AMERIGROUP,,161.37,,fee schedule,161.37,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,CARESOURCE,CARESOURCE,,164.45,,fee schedule,164.45,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,PEACHSTATE,PEACHSTATE,,153.69,,fee schedule,153.69,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,AETNA,AETNA,,558.54,87,percent of total billed charges,558.54,153.69,642,percent of total billed charges,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,558.54,87,percent of total billed charges,558.54,153.69,642,percent of total billed charges,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,UNITED HEALTHCARE,UNITED HEALTHCARE,,564.96,88,percent of total billed charges,564.96,153.69,642,percent of total billed charges,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,AETNA,AETNA,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,ALLIANT,ALLIANT,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,AMBETTER,AMBETTER,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,BEECH STREET,BEECH STREET,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,CARESOURCE,CARESOURCE,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,MEDICAID,MEDICAID,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,MEDICARE,MEDICARE,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,NOVA NET,NOVA NET,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,PEACHSTATE,PEACHSTATE,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,SELFPAY,SELFPAY,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,TRICARE,TRICARE,,642,,fee schedule,642,153.69,642,fee schedule,
"WHFO, NO JOINT, PREFAB",L3807,CPT,both,,,642,642,UHC MEDICARE,UHC MEDICARE,,642,,fee schedule,642,153.69,642,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,AMERIGROUP,AMERIGROUP,,161.37,,fee schedule,161.37,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,CARESOURCE,CARESOURCE,,164.45,,fee schedule,164.45,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,PEACHSTATE,PEACHSTATE,,153.69,,fee schedule,153.69,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,AETNA,AETNA,,643.8,87,percent of total billed charges,643.8,153.69,740,percent of total billed charges,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,643.8,87,percent of total billed charges,643.8,153.69,740,percent of total billed charges,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,UNITED HEALTHCARE,UNITED HEALTHCARE,,651.2,88,percent of total billed charges,651.2,153.69,740,percent of total billed charges,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,AETNA,AETNA,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,ALLIANT,ALLIANT,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,AMBETTER,AMBETTER,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,BEECH STREET,BEECH STREET,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,CARESOURCE,CARESOURCE,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,MEDICAID,MEDICAID,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,MEDICARE,MEDICARE,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,NOVA NET,NOVA NET,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,PEACHSTATE,PEACHSTATE,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,SELFPAY,SELFPAY,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,TRICARE,TRICARE,,740,,fee schedule,740,153.69,740,fee schedule,
WRIST/HAND ORTHOSES,L3807,CPT,both,,,740,740,UHC MEDICARE,UHC MEDICARE,,740,,fee schedule,740,153.69,740,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,AMERIGROUP,AMERIGROUP,,221.39,,fee schedule,221.39,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,CARESOURCE,CARESOURCE,,225.61,,fee schedule,225.61,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,PEACHSTATE,PEACHSTATE,,210.85,,fee schedule,210.85,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,AETNA,AETNA,,669.9,87,percent of total billed charges,669.9,210.85,770,percent of total billed charges,
WHF SPLINT,L3808,CPT,both,,,770,770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,669.9,87,percent of total billed charges,669.9,210.85,770,percent of total billed charges,
WHF SPLINT,L3808,CPT,both,,,770,770,UNITED HEALTHCARE,UNITED HEALTHCARE,,677.6,88,percent of total billed charges,677.6,210.85,770,percent of total billed charges,
WHF SPLINT,L3808,CPT,both,,,770,770,AETNA,AETNA,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,ALLIANT,ALLIANT,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,AMBETTER,AMBETTER,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,BEECH STREET,BEECH STREET,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,CARESOURCE,CARESOURCE,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,MEDICAID,MEDICAID,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,MEDICARE,MEDICARE,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,NOVA NET,NOVA NET,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,PEACHSTATE,PEACHSTATE,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,SELFPAY,SELFPAY,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,TRICARE,TRICARE,,770,,fee schedule,770,210.85,770,fee schedule,
WHF SPLINT,L3808,CPT,both,,,770,770,UHC MEDICARE,UHC MEDICARE,,770,,fee schedule,770,210.85,770,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,36.82,331,percent of total billed charges,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,36.82,331,percent of total billed charges,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,36.82,331,percent of total billed charges,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,ALLIANT,ALLIANT,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,AMBETTER,AMBETTER,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,MEDICARE,MEDICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,TRICARE,TRICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT LG-XL W/ A,L3908,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,AETNA,AETNA,,60.03,87,percent of total billed charges,60.03,36.82,69,percent of total billed charges,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.03,87,percent of total billed charges,60.03,36.82,69,percent of total billed charges,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,UNITED HEALTHCARE,UNITED HEALTHCARE,,60.72,88,percent of total billed charges,60.72,36.82,69,percent of total billed charges,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,AETNA,AETNA,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,ALLIANT,ALLIANT,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,AMBETTER,AMBETTER,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,BEECH STREET,BEECH STREET,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,CARESOURCE,CARESOURCE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,MEDICAID,MEDICAID,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,MEDICARE,MEDICARE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,NOVA NET,NOVA NET,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,PEACHSTATE,PEACHSTATE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,SELFPAY,SELFPAY,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,TRICARE,TRICARE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED,L3908,CPT,both,,,69,69,UHC MEDICARE,UHC MEDICARE,,69,,fee schedule,69,36.82,69,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,36.82,331,percent of total billed charges,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,36.82,331,percent of total billed charges,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,36.82,331,percent of total billed charges,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,ALLIANT,ALLIANT,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,AMBETTER,AMBETTER,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,MEDICARE,MEDICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,TRICARE,TRICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT PED W/ APP,L3908,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,AETNA,AETNA,,287.97,87,percent of total billed charges,287.97,36.82,331,percent of total billed charges,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287.97,87,percent of total billed charges,287.97,36.82,331,percent of total billed charges,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,UNITED HEALTHCARE,UNITED HEALTHCARE,,291.28,88,percent of total billed charges,291.28,36.82,331,percent of total billed charges,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,AETNA,AETNA,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,ALLIANT,ALLIANT,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,AMBETTER,AMBETTER,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,BEECH STREET,BEECH STREET,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,CARESOURCE,CARESOURCE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,MEDICAID,MEDICAID,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,MEDICARE,MEDICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,NOVA NET,NOVA NET,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,PEACHSTATE,PEACHSTATE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,SELFPAY,SELFPAY,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,TRICARE,TRICARE,,331,,fee schedule,331,36.82,331,fee schedule,
COCK UP SPLINT SM-MED W/,L3908,CPT,both,,,331,331,UHC MEDICARE,UHC MEDICARE,,331,,fee schedule,331,36.82,331,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
PED WRIST SPLINT LEFT,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,36.82,72,percent of total billed charges,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,36.82,72,percent of total billed charges,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,36.82,72,percent of total billed charges,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT COCKUP LG-XLG 0098,L3908,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,AETNA,AETNA,,62.64,87,percent of total billed charges,62.64,36.82,72,percent of total billed charges,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,62.64,87,percent of total billed charges,62.64,36.82,72,percent of total billed charges,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,UNITED HEALTHCARE,UNITED HEALTHCARE,,63.36,88,percent of total billed charges,63.36,36.82,72,percent of total billed charges,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,AETNA,AETNA,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,ALLIANT,ALLIANT,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,AMBETTER,AMBETTER,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,BEECH STREET,BEECH STREET,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,CARESOURCE,CARESOURCE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,MEDICAID,MEDICAID,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,MEDICARE,MEDICARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,NOVA NET,NOVA NET,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,PEACHSTATE,PEACHSTATE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,SELFPAY,SELFPAY,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,TRICARE,TRICARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT SM-MED COCKUP 0098,L3908,CPT,both,,,72,72,UHC MEDICARE,UHC MEDICARE,,72,,fee schedule,72,36.82,72,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT LG 5002,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT MED 500,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT SM 5002,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST LEFT XLG 500,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT LG 500204,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT MED 50020,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT PED 50020,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT SM 500202,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,AETNA,AETNA,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.67,87,percent of total billed charges,35.67,35.67,41,percent of total billed charges,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,UNITED HEALTHCARE,UNITED HEALTHCARE,,36.08,88,percent of total billed charges,36.08,35.67,41,percent of total billed charges,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,AETNA,AETNA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,ALLIANT,ALLIANT,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,AMBETTER,AMBETTER,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,BEECH STREET,BEECH STREET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,CARESOURCE,CARESOURCE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,MEDICAID,MEDICAID,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,MEDICARE,MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,NOVA NET,NOVA NET,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,PEACHSTATE,PEACHSTATE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,SELFPAY,SELFPAY,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,TRICARE,TRICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG 50020,L3908,CPT,both,,,41,41,UHC MEDICARE,UHC MEDICARE,,41,,fee schedule,41,35.67,41,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
SPLINT WRIST RT XLG W/ AP,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,36.82,94,percent of total billed charges,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,36.82,94,percent of total billed charges,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,36.82,94,percent of total billed charges,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,ALLIANT,ALLIANT,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,AMBETTER,AMBETTER,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,MEDICARE,MEDICARE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,TRICARE,TRICARE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO COCKUP SPLINT,L3908,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,94,,fee schedule,94,36.82,94,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,AETNA,AETNA,,73.95,87,percent of total billed charges,73.95,36.82,85,percent of total billed charges,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73.95,87,percent of total billed charges,73.95,36.82,85,percent of total billed charges,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,UNITED HEALTHCARE,UNITED HEALTHCARE,,74.8,88,percent of total billed charges,74.8,36.82,85,percent of total billed charges,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,AETNA,AETNA,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,ALLIANT,ALLIANT,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,AMBETTER,AMBETTER,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,BEECH STREET,BEECH STREET,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,CARESOURCE,CARESOURCE,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,MEDICAID,MEDICAID,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,MEDICARE,MEDICARE,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,NOVA NET,NOVA NET,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,PEACHSTATE,PEACHSTATE,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,SELFPAY,SELFPAY,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,TRICARE,TRICARE,,85,,fee schedule,85,36.82,85,fee schedule,
VELCRO WRIST SPLINT,L3908,CPT,both,,,85,85,UHC MEDICARE,UHC MEDICARE,,85,,fee schedule,85,36.82,85,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LG W/ A,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT LXG W/,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT MED W/,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT PED W/,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT LEFT SM W/ A,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT LG W/ APP,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT MED W/ AP,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT PED W/ AP,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,AETNA,AETNA,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,260.13,87,percent of total billed charges,260.13,36.82,299,percent of total billed charges,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,UNITED HEALTHCARE,UNITED HEALTHCARE,,263.12,88,percent of total billed charges,263.12,36.82,299,percent of total billed charges,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,AETNA,AETNA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,ALLIANT,ALLIANT,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,AMBETTER,AMBETTER,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,BEECH STREET,BEECH STREET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,CARESOURCE,CARESOURCE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,MEDICAID,MEDICAID,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,MEDICARE,MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,NOVA NET,NOVA NET,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,PEACHSTATE,PEACHSTATE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,SELFPAY,SELFPAY,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,TRICARE,TRICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST SPLINT RT SM W/ APP,L3908,CPT,both,,,299,299,UHC MEDICARE,UHC MEDICARE,,299,,fee schedule,299,36.82,299,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,AMERIGROUP,AMERIGROUP,,38.66,,fee schedule,38.66,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,39.4,,fee schedule,39.4,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,36.82,,fee schedule,36.82,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,AETNA,AETNA,,121.8,87,percent of total billed charges,121.8,36.82,140,percent of total billed charges,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.8,87,percent of total billed charges,121.8,36.82,140,percent of total billed charges,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.2,88,percent of total billed charges,123.2,36.82,140,percent of total billed charges,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,AETNA,AETNA,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,ALLIANT,ALLIANT,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,AMBETTER,AMBETTER,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,BEECH STREET,BEECH STREET,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,CARESOURCE,CARESOURCE,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,MEDICAID,MEDICAID,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,MEDICARE,MEDICARE,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,NOVA NET,NOVA NET,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,PEACHSTATE,PEACHSTATE,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,SELFPAY,SELFPAY,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,TRICARE,TRICARE,,140,,fee schedule,140,36.82,140,fee schedule,
WRIST/HAND PREFAB,L3908,CPT,both,,,140,140,UHC MEDICARE,UHC MEDICARE,,140,,fee schedule,140,36.82,140,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,AMERIGROUP,AMERIGROUP,,174.79,,fee schedule,174.79,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,178.12,,fee schedule,178.12,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,166.47,,fee schedule,166.47,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,166.47,629,percent of total billed charges,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,166.47,629,percent of total billed charges,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,166.47,629,percent of total billed charges,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER ORTHOSIS,L3913,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,AMERIGROUP,AMERIGROUP,,174.79,,fee schedule,174.79,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,178.12,,fee schedule,178.12,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,166.47,,fee schedule,166.47,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,AETNA,AETNA,,547.23,87,percent of total billed charges,547.23,166.47,629,percent of total billed charges,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,547.23,87,percent of total billed charges,547.23,166.47,629,percent of total billed charges,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,UNITED HEALTHCARE,UNITED HEALTHCARE,,553.52,88,percent of total billed charges,553.52,166.47,629,percent of total billed charges,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,AETNA,AETNA,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,ALLIANT,ALLIANT,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,AMBETTER,AMBETTER,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,BEECH STREET,BEECH STREET,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,CARESOURCE,CARESOURCE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,MEDICAID,MEDICAID,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,MEDICARE,MEDICARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,NOVA NET,NOVA NET,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,PEACHSTATE,PEACHSTATE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,SELFPAY,SELFPAY,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,TRICARE,TRICARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND ORTHOSIS,L3919,CPT,both,,,629,629,UHC MEDICARE,UHC MEDICARE,,629,,fee schedule,629,166.47,629,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,AMERIGROUP,AMERIGROUP,,207.29,,fee schedule,207.29,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,CARESOURCE,CARESOURCE,,211.24,,fee schedule,211.24,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,PEACHSTATE,PEACHSTATE,,197.42,,fee schedule,197.42,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,AETNA,AETNA,,648.15,87,percent of total billed charges,648.15,197.42,745,percent of total billed charges,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,648.15,87,percent of total billed charges,648.15,197.42,745,percent of total billed charges,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,UNITED HEALTHCARE,UNITED HEALTHCARE,,655.6,88,percent of total billed charges,655.6,197.42,745,percent of total billed charges,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,AETNA,AETNA,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,ALLIANT,ALLIANT,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,AMBETTER,AMBETTER,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,BEECH STREET,BEECH STREET,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,CARESOURCE,CARESOURCE,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,MEDICAID,MEDICAID,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,MEDICARE,MEDICARE,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,NOVA NET,NOVA NET,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,PEACHSTATE,PEACHSTATE,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,SELFPAY,SELFPAY,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,TRICARE,TRICARE,,745,,fee schedule,745,197.42,745,fee schedule,
HAND/FINGER JOINTS,L3921,CPT,both,,,745,745,UHC MEDICARE,UHC MEDICARE,,745,,fee schedule,745,197.42,745,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,AMERIGROUP,AMERIGROUP,,35.02,,fee schedule,35.02,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,35.68,,fee schedule,35.68,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,33.35,,fee schedule,33.35,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,AETNA,AETNA,,110.49,87,percent of total billed charges,110.49,33.35,127,percent of total billed charges,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,110.49,87,percent of total billed charges,110.49,33.35,127,percent of total billed charges,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,UNITED HEALTHCARE,UNITED HEALTHCARE,,111.76,88,percent of total billed charges,111.76,33.35,127,percent of total billed charges,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,AETNA,AETNA,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,ALLIANT,ALLIANT,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,AMBETTER,AMBETTER,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,BEECH STREET,BEECH STREET,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,CARESOURCE,CARESOURCE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,MEDICAID,MEDICAID,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,MEDICARE,MEDICARE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,NOVA NET,NOVA NET,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,PEACHSTATE,PEACHSTATE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,SELFPAY,SELFPAY,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,TRICARE,TRICARE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS PREFAB,L3925,CPT,both,,,127,127,UHC MEDICARE,UHC MEDICARE,,127,,fee schedule,127,33.35,127,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,AMERIGROUP,AMERIGROUP,,137.71,,fee schedule,137.71,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,CARESOURCE,CARESOURCE,,140.33,,fee schedule,140.33,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,PEACHSTATE,PEACHSTATE,,131.15,,fee schedule,131.15,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,AETNA,AETNA,,431.52,87,percent of total billed charges,431.52,131.15,496,percent of total billed charges,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,431.52,87,percent of total billed charges,431.52,131.15,496,percent of total billed charges,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,UNITED HEALTHCARE,UNITED HEALTHCARE,,436.48,88,percent of total billed charges,436.48,131.15,496,percent of total billed charges,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,AETNA,AETNA,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,ALLIANT,ALLIANT,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,AMBETTER,AMBETTER,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,BEECH STREET,BEECH STREET,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,CARESOURCE,CARESOURCE,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,MEDICAID,MEDICAID,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,MEDICARE,MEDICARE,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,NOVA NET,NOVA NET,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,PEACHSTATE,PEACHSTATE,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,SELFPAY,SELFPAY,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,TRICARE,TRICARE,,496,,fee schedule,496,131.15,496,fee schedule,
FINGER ORTHOSIS,L3933,CPT,both,,,496,496,UHC MEDICARE,UHC MEDICARE,,496,,fee schedule,496,131.15,496,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,69.35,,fee schedule,69.35,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,70.67,,fee schedule,70.67,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,66.05,,fee schedule,66.05,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,66.05,76,percent of total billed charges,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,66.05,76,percent of total billed charges,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,66.05,76,percent of total billed charges,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,ALLIANT,ALLIANT,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,AMBETTER,AMBETTER,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,MEDICARE,MEDICARE,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,TRICARE,TRICARE,,76,,fee schedule,76,66.05,76,fee schedule,
AIR CAST ANKLE BRACE 1101,L4350,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,76,,fee schedule,76,66.05,76,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,69.35,,fee schedule,69.35,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,70.67,,fee schedule,70.67,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,66.05,,fee schedule,66.05,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,66.05,87,percent of total billed charges,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,66.05,87,percent of total billed charges,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,66.05,87,percent of total billed charges,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,ALLIANT,ALLIANT,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,AMBETTER,AMBETTER,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,MEDICARE,MEDICARE,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,TRICARE,TRICARE,,87,,fee schedule,87,66.05,87,fee schedule,
ANKLE BRACE TRAINING RIGH,L4350,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,AMERIGROUP,AMERIGROUP,,69.35,,fee schedule,69.35,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,70.67,,fee schedule,70.67,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,66.05,,fee schedule,66.05,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,AETNA,AETNA,,75.69,87,percent of total billed charges,75.69,66.05,87,percent of total billed charges,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,75.69,87,percent of total billed charges,75.69,66.05,87,percent of total billed charges,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,UNITED HEALTHCARE,UNITED HEALTHCARE,,76.56,88,percent of total billed charges,76.56,66.05,87,percent of total billed charges,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,AETNA,AETNA,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,ALLIANT,ALLIANT,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,AMBETTER,AMBETTER,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,BEECH STREET,BEECH STREET,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,CARESOURCE,CARESOURCE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,MEDICAID,MEDICAID,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,MEDICARE,MEDICARE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,NOVA NET,NOVA NET,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,PEACHSTATE,PEACHSTATE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,SELFPAY,SELFPAY,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,TRICARE,TRICARE,,87,,fee schedule,87,66.05,87,fee schedule,
BRACE ANKLE TRAINING LEFT,L4350,CPT,both,,,87,87,UHC MEDICARE,UHC MEDICARE,,87,,fee schedule,87,66.05,87,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,AMERIGROUP,AMERIGROUP,,194.02,,fee schedule,194.02,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,CARESOURCE,CARESOURCE,,197.71,,fee schedule,197.71,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,PEACHSTATE,PEACHSTATE,,184.78,,fee schedule,184.78,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,AETNA,AETNA,,876.96,87,percent of total billed charges,876.96,184.78,1008,percent of total billed charges,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,876.96,87,percent of total billed charges,876.96,184.78,1008,percent of total billed charges,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,UNITED HEALTHCARE,UNITED HEALTHCARE,,887.04,88,percent of total billed charges,887.04,184.78,1008,percent of total billed charges,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,AETNA,AETNA,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,ALLIANT,ALLIANT,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,AMBETTER,AMBETTER,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,BEECH STREET,BEECH STREET,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,CARESOURCE,CARESOURCE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,MEDICAID,MEDICAID,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,MEDICARE,MEDICARE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,NOVA NET,NOVA NET,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,PEACHSTATE,PEACHSTATE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,SELFPAY,SELFPAY,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,TRICARE,TRICARE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
BLEDSOE BRACE,L4360,CPT,both,,,1008,1008,UHC MEDICARE,UHC MEDICARE,,1008,,fee schedule,1008,184.78,1008,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,AMERIGROUP,AMERIGROUP,,112.44,,fee schedule,112.44,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,114.59,,fee schedule,114.59,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,107.09,,fee schedule,107.09,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,AETNA,AETNA,,177.48,87,percent of total billed charges,177.48,107.09,204,percent of total billed charges,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,177.48,87,percent of total billed charges,177.48,107.09,204,percent of total billed charges,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,UNITED HEALTHCARE,UNITED HEALTHCARE,,179.52,88,percent of total billed charges,179.52,107.09,204,percent of total billed charges,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,AETNA,AETNA,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,ALLIANT,ALLIANT,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,AMBETTER,AMBETTER,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,BEECH STREET,BEECH STREET,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,CARESOURCE,CARESOURCE,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,MEDICAID,MEDICAID,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,MEDICARE,MEDICARE,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,NOVA NET,NOVA NET,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,PEACHSTATE,PEACHSTATE,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,SELFPAY,SELFPAY,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,TRICARE,TRICARE,,204,,fee schedule,204,107.09,204,fee schedule,
WALKING SPLINT W/FIT & AD,L4386,CPT,both,,,204,204,UHC MEDICARE,UHC MEDICARE,,204,,fee schedule,204,107.09,204,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,AMERIGROUP,AMERIGROUP,,2008.38,,fee schedule,2008.38,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,CARESOURCE,CARESOURCE,,2046.63,,fee schedule,2046.63,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,PEACHSTATE,PEACHSTATE,,1912.74,,fee schedule,1912.74,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,AETNA,AETNA,,2578.68,87,percent of total billed charges,2578.68,1912.74,2964,percent of total billed charges,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2578.68,87,percent of total billed charges,2578.68,1912.74,2964,percent of total billed charges,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,UNITED HEALTHCARE,UNITED HEALTHCARE,,2608.32,88,percent of total billed charges,2608.32,1912.74,2964,percent of total billed charges,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,AETNA,AETNA,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,ALLIANT,ALLIANT,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,AMBETTER,AMBETTER,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,BEECH STREET,BEECH STREET,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,CARESOURCE,CARESOURCE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,MEDICAID,MEDICAID,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,MEDICARE,MEDICARE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,NOVA NET,NOVA NET,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,PEACHSTATE,PEACHSTATE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,SELFPAY,SELFPAY,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,TRICARE,TRICARE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
ZIMMER ELBOW PIN/BUSHING,L6250,CPT,both,,,2964,2964,UHC MEDICARE,UHC MEDICARE,,2964,,fee schedule,2964,1912.74,2964,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,AMERIGROUP,AMERIGROUP,,292.8,,fee schedule,292.8,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,298.38,,fee schedule,298.38,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,278.86,,fee schedule,278.86,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,AETNA,AETNA,,55.68,87,percent of total billed charges,55.68,55.68,298.38,percent of total billed charges,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,55.68,87,percent of total billed charges,55.68,55.68,298.38,percent of total billed charges,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,UNITED HEALTHCARE,UNITED HEALTHCARE,,56.32,88,percent of total billed charges,56.32,55.68,298.38,percent of total billed charges,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,AETNA,AETNA,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,ALLIANT,ALLIANT,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,AMBETTER,AMBETTER,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,BEECH STREET,BEECH STREET,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,CARESOURCE,CARESOURCE,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,MEDICAID,MEDICAID,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,MEDICARE,MEDICARE,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,NOVA NET,NOVA NET,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,PEACHSTATE,PEACHSTATE,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,SELFPAY,SELFPAY,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,TRICARE,TRICARE,,64,,fee schedule,64,55.68,298.38,fee schedule,
IMMOBILIZER SHLDR UNIV CU,L6650,CPT,both,,,64,64,UHC MEDICARE,UHC MEDICARE,,64,,fee schedule,64,55.68,298.38,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,AMERIGROUP,AMERIGROUP,,89.11,,fee schedule,89.11,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,90.81,,fee schedule,90.81,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,84.87,,fee schedule,84.87,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,AETNA,AETNA,,92.22,87,percent of total billed charges,92.22,84.87,106,percent of total billed charges,
BRA SURGICAL,L8001,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92.22,87,percent of total billed charges,92.22,84.87,106,percent of total billed charges,
BRA SURGICAL,L8001,CPT,both,,,106,106,UNITED HEALTHCARE,UNITED HEALTHCARE,,93.28,88,percent of total billed charges,93.28,84.87,106,percent of total billed charges,
BRA SURGICAL,L8001,CPT,both,,,106,106,AETNA,AETNA,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,ALLIANT,ALLIANT,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,AMBETTER,AMBETTER,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,BEECH STREET,BEECH STREET,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,CARESOURCE,CARESOURCE,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,MEDICAID,MEDICAID,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,MEDICARE,MEDICARE,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,NOVA NET,NOVA NET,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,PEACHSTATE,PEACHSTATE,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,SELFPAY,SELFPAY,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,TRICARE,TRICARE,,106,,fee schedule,106,84.87,106,fee schedule,
BRA SURGICAL,L8001,CPT,both,,,106,106,UHC MEDICARE,UHC MEDICARE,,106,,fee schedule,106,84.87,106,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,AETNA,AETNA,,249.69,87,percent of total billed charges,249.69,249.69,287,percent of total billed charges,
SPEAKING VALVE,L8501,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,249.69,87,percent of total billed charges,249.69,249.69,287,percent of total billed charges,
SPEAKING VALVE,L8501,CPT,both,,,287,287,UNITED HEALTHCARE,UNITED HEALTHCARE,,252.56,88,percent of total billed charges,252.56,249.69,287,percent of total billed charges,
SPEAKING VALVE,L8501,CPT,both,,,287,287,AETNA,AETNA,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,ALLIANT,ALLIANT,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,AMBETTER,AMBETTER,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,BEECH STREET,BEECH STREET,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,CARESOURCE,CARESOURCE,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,MEDICAID,MEDICAID,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,MEDICARE,MEDICARE,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,NOVA NET,NOVA NET,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,PEACHSTATE,PEACHSTATE,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,SELFPAY,SELFPAY,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,TRICARE,TRICARE,,287,,fee schedule,287,249.69,287,fee schedule,
SPEAKING VALVE,L8501,CPT,both,,,287,287,UHC MEDICARE,UHC MEDICARE,,287,,fee schedule,287,249.69,287,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,AETNA,AETNA,,2654.37,87,percent of total billed charges,2654.37,2654.37,3051,percent of total billed charges,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2654.37,87,percent of total billed charges,2654.37,2654.37,3051,percent of total billed charges,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,UNITED HEALTHCARE,UNITED HEALTHCARE,,2684.88,88,percent of total billed charges,2684.88,2654.37,3051,percent of total billed charges,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,AETNA,AETNA,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,ALLIANT,ALLIANT,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,AMBETTER,AMBETTER,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,BEECH STREET,BEECH STREET,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,CARESOURCE,CARESOURCE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,MEDICAID,MEDICAID,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,MEDICARE,MEDICARE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,NOVA NET,NOVA NET,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,PEACHSTATE,PEACHSTATE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,SELFPAY,SELFPAY,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,TRICARE,TRICARE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
BULKAMID URETHRAL BULKING SYST,L8606,CPT,both,,,3051,3051,UHC MEDICARE,UHC MEDICARE,,3051,,fee schedule,3051,2654.37,3051,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,AETNA,AETNA,,455.88,87,percent of total billed charges,455.88,455.88,524,percent of total billed charges,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,455.88,87,percent of total billed charges,455.88,455.88,524,percent of total billed charges,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,UNITED HEALTHCARE,UNITED HEALTHCARE,,461.12,88,percent of total billed charges,461.12,455.88,524,percent of total billed charges,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,AETNA,AETNA,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,ALLIANT,ALLIANT,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,AMBETTER,AMBETTER,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,BEECH STREET,BEECH STREET,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,CARESOURCE,CARESOURCE,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,MEDICAID,MEDICAID,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,MEDICARE,MEDICARE,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,NOVA NET,NOVA NET,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,PEACHSTATE,PEACHSTATE,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,SELFPAY,SELFPAY,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,TRICARE,TRICARE,,524,,fee schedule,524,455.88,524,fee schedule,
DURASPHERE 1 ML,L8606,CPT,both,,,524,524,UHC MEDICARE,UHC MEDICARE,,524,,fee schedule,524,455.88,524,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,AETNA,AETNA,,1452.9,87,percent of total billed charges,1452.9,1452.9,1670,percent of total billed charges,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1452.9,87,percent of total billed charges,1452.9,1452.9,1670,percent of total billed charges,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,UNITED HEALTHCARE,UNITED HEALTHCARE,,1469.6,88,percent of total billed charges,1469.6,1452.9,1670,percent of total billed charges,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,AETNA,AETNA,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,ALLIANT,ALLIANT,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,AMBETTER,AMBETTER,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,BEECH STREET,BEECH STREET,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,CARESOURCE,CARESOURCE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,MEDICAID,MEDICAID,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,MEDICARE,MEDICARE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,NOVA NET,NOVA NET,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,PEACHSTATE,PEACHSTATE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,SELFPAY,SELFPAY,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,TRICARE,TRICARE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
MPQ IMPLANT 2.5 ML,L8606,CPT,both,,,1670,1670,UHC MEDICARE,UHC MEDICARE,,1670,,fee schedule,1670,1452.9,1670,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,AETNA,AETNA,,2307.24,87,percent of total billed charges,2307.24,2307.24,2652,percent of total billed charges,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2307.24,87,percent of total billed charges,2307.24,2307.24,2652,percent of total billed charges,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,UNITED HEALTHCARE,UNITED HEALTHCARE,,2333.76,88,percent of total billed charges,2333.76,2307.24,2652,percent of total billed charges,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,AETNA,AETNA,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,ALLIANT,ALLIANT,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,AMBETTER,AMBETTER,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,BEECH STREET,BEECH STREET,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,CARESOURCE,CARESOURCE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,MEDICAID,MEDICAID,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,MEDICARE,MEDICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,NOVA NET,NOVA NET,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,PEACHSTATE,PEACHSTATE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,SELFPAY,SELFPAY,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,TRICARE,TRICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
AQUEOUS SHUNT IMPLANT,L8612,CPT,both,,,2652,2652,UHC MEDICARE,UHC MEDICARE,,2652,,fee schedule,2652,2307.24,2652,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,AETNA,AETNA,,2396.85,87,percent of total billed charges,2396.85,2396.85,2755,percent of total billed charges,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2396.85,87,percent of total billed charges,2396.85,2396.85,2755,percent of total billed charges,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,UNITED HEALTHCARE,UNITED HEALTHCARE,,2424.4,88,percent of total billed charges,2424.4,2396.85,2755,percent of total billed charges,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,AETNA,AETNA,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,ALLIANT,ALLIANT,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,AMBETTER,AMBETTER,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,BEECH STREET,BEECH STREET,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,CARESOURCE,CARESOURCE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,MEDICAID,MEDICAID,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,MEDICARE,MEDICARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,NOVA NET,NOVA NET,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,PEACHSTATE,PEACHSTATE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,SELFPAY,SELFPAY,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,TRICARE,TRICARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
MCP ARTHROPLASTY IMPLANT,L8631,CPT,both,,,2755,2755,UHC MEDICARE,UHC MEDICARE,,2755,,fee schedule,2755,2396.85,2755,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,AETNA,AETNA,,9772.71,87,percent of total billed charges,9772.71,9772.71,11233,percent of total billed charges,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9772.71,87,percent of total billed charges,9772.71,9772.71,11233,percent of total billed charges,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,UNITED HEALTHCARE,UNITED HEALTHCARE,,9885.04,88,percent of total billed charges,9885.04,9772.71,11233,percent of total billed charges,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,AETNA,AETNA,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,ALLIANT,ALLIANT,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,AMBETTER,AMBETTER,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,BEECH STREET,BEECH STREET,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,CARESOURCE,CARESOURCE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,MEDICAID,MEDICAID,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,MEDICARE,MEDICARE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,NOVA NET,NOVA NET,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,PEACHSTATE,PEACHSTATE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,SELFPAY,SELFPAY,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,TRICARE,TRICARE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
CARTIVA IMPLANT,L8642,CPT,both,,,11233,11233,UHC MEDICARE,UHC MEDICARE,,11233,,fee schedule,11233,9772.71,11233,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,AETNA,AETNA,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1792.2,87,percent of total billed charges,1792.2,1792.2,2060,percent of total billed charges,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,UNITED HEALTHCARE,UNITED HEALTHCARE,,1812.8,88,percent of total billed charges,1812.8,1792.2,2060,percent of total billed charges,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,AETNA,AETNA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,ALLIANT,ALLIANT,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,AMBETTER,AMBETTER,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,BEECH STREET,BEECH STREET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,CARESOURCE,CARESOURCE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,MEDICAID,MEDICAID,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,MEDICARE,MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,NOVA NET,NOVA NET,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,PEACHSTATE,PEACHSTATE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,SELFPAY,SELFPAY,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,TRICARE,TRICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DCS PC REMOTE CONTROL,L8681,CPT,both,,,2060,2060,UHC MEDICARE,UHC MEDICARE,,2060,,fee schedule,2060,1792.2,2060,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,AETNA,AETNA,,541.14,87,percent of total billed charges,541.14,541.14,622,percent of total billed charges,
DURAGEN 1X1,L8699,CPT,both,,,622,622,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,541.14,87,percent of total billed charges,541.14,541.14,622,percent of total billed charges,
DURAGEN 1X1,L8699,CPT,both,,,622,622,UNITED HEALTHCARE,UNITED HEALTHCARE,,547.36,88,percent of total billed charges,547.36,541.14,622,percent of total billed charges,
DURAGEN 1X1,L8699,CPT,both,,,622,622,AETNA,AETNA,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,ALLIANT,ALLIANT,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,AMBETTER,AMBETTER,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,BEECH STREET,BEECH STREET,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,CARESOURCE,CARESOURCE,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,MEDICAID,MEDICAID,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,MEDICARE,MEDICARE,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,NOVA NET,NOVA NET,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,PEACHSTATE,PEACHSTATE,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,SELFPAY,SELFPAY,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,TRICARE,TRICARE,,622,,fee schedule,622,541.14,622,fee schedule,
DURAGEN 1X1,L8699,CPT,both,,,622,622,UHC MEDICARE,UHC MEDICARE,,622,,fee schedule,622,541.14,622,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,AETNA,AETNA,,3191.16,87,percent of total billed charges,3191.16,3191.16,3668,percent of total billed charges,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3191.16,87,percent of total billed charges,3191.16,3191.16,3668,percent of total billed charges,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,UNITED HEALTHCARE,UNITED HEALTHCARE,,3227.84,88,percent of total billed charges,3227.84,3191.16,3668,percent of total billed charges,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,AETNA,AETNA,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,ALLIANT,ALLIANT,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,AMBETTER,AMBETTER,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,BEECH STREET,BEECH STREET,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,CARESOURCE,CARESOURCE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,MEDICAID,MEDICAID,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,MEDICARE,MEDICARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,NOVA NET,NOVA NET,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,PEACHSTATE,PEACHSTATE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,SELFPAY,SELFPAY,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,TRICARE,TRICARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
ESSURE STERILIZATION SYST,L8699,CPT,both,,,3668,3668,UHC MEDICARE,UHC MEDICARE,,3668,,fee schedule,3668,3191.16,3668,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,AETNA,AETNA,,1643.43,87,percent of total billed charges,1643.43,1643.43,1889,percent of total billed charges,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1643.43,87,percent of total billed charges,1643.43,1643.43,1889,percent of total billed charges,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,UNITED HEALTHCARE,UNITED HEALTHCARE,,1662.32,88,percent of total billed charges,1662.32,1643.43,1889,percent of total billed charges,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,AETNA,AETNA,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,ALLIANT,ALLIANT,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,AMBETTER,AMBETTER,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,BEECH STREET,BEECH STREET,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,CARESOURCE,CARESOURCE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,MEDICAID,MEDICAID,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,MEDICARE,MEDICARE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,NOVA NET,NOVA NET,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,PEACHSTATE,PEACHSTATE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,SELFPAY,SELFPAY,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,TRICARE,TRICARE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
LAP BAND REPAIR KIT,L8699,CPT,both,,,1889,1889,UHC MEDICARE,UHC MEDICARE,,1889,,fee schedule,1889,1643.43,1889,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,AETNA,AETNA,,8103.18,87,percent of total billed charges,8103.18,8103.18,9314,percent of total billed charges,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8103.18,87,percent of total billed charges,8103.18,8103.18,9314,percent of total billed charges,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,UNITED HEALTHCARE,UNITED HEALTHCARE,,8196.32,88,percent of total billed charges,8196.32,8103.18,9314,percent of total billed charges,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,AETNA,AETNA,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,ALLIANT,ALLIANT,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,AMBETTER,AMBETTER,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,BEECH STREET,BEECH STREET,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,CARESOURCE,CARESOURCE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,MEDICAID,MEDICAID,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,MEDICARE,MEDICARE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,NOVA NET,NOVA NET,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,PEACHSTATE,PEACHSTATE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,SELFPAY,SELFPAY,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,TRICARE,TRICARE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
MEDTRONIC SPINAL GRAFT,L8699,CPT,both,,,9314,9314,UHC MEDICARE,UHC MEDICARE,,9314,,fee schedule,9314,8103.18,9314,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,AETNA,AETNA,,2671.77,87,percent of total billed charges,2671.77,2671.77,3071,percent of total billed charges,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2671.77,87,percent of total billed charges,2671.77,2671.77,3071,percent of total billed charges,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,UNITED HEALTHCARE,UNITED HEALTHCARE,,2702.48,88,percent of total billed charges,2702.48,2671.77,3071,percent of total billed charges,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,AETNA,AETNA,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,ALLIANT,ALLIANT,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,AMBETTER,AMBETTER,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,BEECH STREET,BEECH STREET,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,CARESOURCE,CARESOURCE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,MEDICAID,MEDICAID,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,MEDICARE,MEDICARE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,NOVA NET,NOVA NET,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,PEACHSTATE,PEACHSTATE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,SELFPAY,SELFPAY,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,TRICARE,TRICARE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
SLINGDESARA SL CAL-DSO1S,L8699,CPT,both,,,3071,3071,UHC MEDICARE,UHC MEDICARE,,3071,,fee schedule,3071,2671.77,3071,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,AETNA,AETNA,,4583.16,87,percent of total billed charges,4583.16,4583.16,5268,percent of total billed charges,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4583.16,87,percent of total billed charges,4583.16,4583.16,5268,percent of total billed charges,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,UNITED HEALTHCARE,UNITED HEALTHCARE,,4635.84,88,percent of total billed charges,4635.84,4583.16,5268,percent of total billed charges,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,AETNA,AETNA,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,ALLIANT,ALLIANT,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,AMBETTER,AMBETTER,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,BEECH STREET,BEECH STREET,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,CARESOURCE,CARESOURCE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,MEDICAID,MEDICAID,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,MEDICARE,MEDICARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,NOVA NET,NOVA NET,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,PEACHSTATE,PEACHSTATE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,SELFPAY,SELFPAY,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,TRICARE,TRICARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 2.9X4.5 LG,L8699,CPT,both,,,5268,5268,UHC MEDICARE,UHC MEDICARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,AETNA,AETNA,,4583.16,87,percent of total billed charges,4583.16,4583.16,5268,percent of total billed charges,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4583.16,87,percent of total billed charges,4583.16,4583.16,5268,percent of total billed charges,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,UNITED HEALTHCARE,UNITED HEALTHCARE,,4635.84,88,percent of total billed charges,4635.84,4583.16,5268,percent of total billed charges,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,AETNA,AETNA,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,ALLIANT,ALLIANT,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,AMBETTER,AMBETTER,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,BEECH STREET,BEECH STREET,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,CARESOURCE,CARESOURCE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,MEDICAID,MEDICAID,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,MEDICARE,MEDICARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,NOVA NET,NOVA NET,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,PEACHSTATE,PEACHSTATE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,SELFPAY,SELFPAY,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,TRICARE,TRICARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR IMPLANT 450-1327,L8699,CPT,both,,,5268,5268,UHC MEDICARE,UHC MEDICARE,,5268,,fee schedule,5268,4583.16,5268,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,AETNA,AETNA,,2101.92,87,percent of total billed charges,2101.92,2101.92,2416,percent of total billed charges,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2101.92,87,percent of total billed charges,2101.92,2101.92,2416,percent of total billed charges,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,UNITED HEALTHCARE,UNITED HEALTHCARE,,2126.08,88,percent of total billed charges,2126.08,2101.92,2416,percent of total billed charges,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,AETNA,AETNA,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,ALLIANT,ALLIANT,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,AMBETTER,AMBETTER,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,BEECH STREET,BEECH STREET,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,CARESOURCE,CARESOURCE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,MEDICAID,MEDICAID,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,MEDICARE,MEDICARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,NOVA NET,NOVA NET,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,PEACHSTATE,PEACHSTATE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,SELFPAY,SELFPAY,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,TRICARE,TRICARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
TESTICULAR PROSTHESIS,L8699,CPT,both,,,2416,2416,UHC MEDICARE,UHC MEDICARE,,2416,,fee schedule,2416,2101.92,2416,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,AETNA,AETNA,,2327.25,87,percent of total billed charges,2327.25,2327.25,2675,percent of total billed charges,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2327.25,87,percent of total billed charges,2327.25,2327.25,2675,percent of total billed charges,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,UNITED HEALTHCARE,UNITED HEALTHCARE,,2354,88,percent of total billed charges,2354,2327.25,2675,percent of total billed charges,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,AETNA,AETNA,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,ALLIANT,ALLIANT,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,AMBETTER,AMBETTER,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,BEECH STREET,BEECH STREET,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,CARESOURCE,CARESOURCE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,MEDICAID,MEDICAID,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,MEDICARE,MEDICARE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,NOVA NET,NOVA NET,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,PEACHSTATE,PEACHSTATE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,SELFPAY,SELFPAY,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,TRICARE,TRICARE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
UROLIFT IMPLANT,L8699,CPT,both,,,2675,2675,UHC MEDICARE,UHC MEDICARE,,2675,,fee schedule,2675,2327.25,2675,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,ALLIANT,ALLIANT,,578.33,,fee schedule,578.33,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,AMBETTER,AMBETTER,,455.65,,fee schedule,455.65,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,MEDICARE,MEDICARE,,350.5,,fee schedule,350.5,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,TRICARE,TRICARE,,350.5,,fee schedule,350.5,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,UHC MEDICARE,UHC MEDICARE,,350.5,,fee schedule,350.5,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,AETNA,AETNA,,780.39,87,percent of total billed charges,780.39,350.5,897,percent of total billed charges,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,780.39,87,percent of total billed charges,780.39,350.5,897,percent of total billed charges,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,UNITED HEALTHCARE,UNITED HEALTHCARE,,789.36,88,percent of total billed charges,789.36,350.5,897,percent of total billed charges,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,AETNA,AETNA,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,BEECH STREET,BEECH STREET,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,CARESOURCE,CARESOURCE,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,MEDICAID,MEDICAID,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,NOVA NET,NOVA NET,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,PEACHSTATE,PEACHSTATE,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,SELFPAY,SELFPAY,,897,,fee schedule,897,350.5,897,fee schedule,
BEBTELOVIMAB INJECTION,M0222,CPT,both,,,897,897,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,897,,fee schedule,897,350.5,897,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,AETNA,AETNA,,699.48,87,percent of total billed charges,699.48,699.48,804,percent of total billed charges,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,699.48,87,percent of total billed charges,699.48,699.48,804,percent of total billed charges,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,UNITED HEALTHCARE,UNITED HEALTHCARE,,707.52,88,percent of total billed charges,707.52,699.48,804,percent of total billed charges,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,AETNA,AETNA,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,ALLIANT,ALLIANT,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,AMBETTER,AMBETTER,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,BEECH STREET,BEECH STREET,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,CARESOURCE,CARESOURCE,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,MEDICAID,MEDICAID,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,MEDICARE,MEDICARE,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,NOVA NET,NOVA NET,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,PEACHSTATE,PEACHSTATE,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,SELFPAY,SELFPAY,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,TRICARE,TRICARE,,804,,fee schedule,804,699.48,804,fee schedule,
BAMLANIVIMAB-XXXX INFUSION,M0239,CPT,both,,,804,804,UHC MEDICARE,UHC MEDICARE,,804,,fee schedule,804,699.48,804,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,ALLIANT,ALLIANT,,743.33,,fee schedule,743.33,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,AMBETTER,AMBETTER,,585.65,,fee schedule,585.65,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,MEDICARE,MEDICARE,,450.5,,fee schedule,450.5,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,TRICARE,TRICARE,,450.5,,fee schedule,450.5,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,UHC MEDICARE,UHC MEDICARE,,450.5,,fee schedule,450.5,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,AETNA,AETNA,,833.46,87,percent of total billed charges,833.46,450.5,958,percent of total billed charges,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,833.46,87,percent of total billed charges,833.46,450.5,958,percent of total billed charges,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,UNITED HEALTHCARE,UNITED HEALTHCARE,,843.04,88,percent of total billed charges,843.04,450.5,958,percent of total billed charges,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,AETNA,AETNA,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,BEECH STREET,BEECH STREET,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,MEDICAID,MEDICAID,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,NOVA NET,NOVA NET,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,SELFPAY,SELFPAY,,958,,fee schedule,958,450.5,958,fee schedule,
CASIRIVI AND IMDEVI INJ,M0243,CPT,both,,,958,958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,958,,fee schedule,958,450.5,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,ALLIANT,ALLIANT,,743.33,,fee schedule,743.33,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,AMBETTER,AMBETTER,,585.65,,fee schedule,585.65,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,AMERIGROUP,AMERIGROUP,,378,,fee schedule,378,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,385.2,,fee schedule,385.2,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,MEDICARE,MEDICARE,,450.5,,fee schedule,450.5,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,360,,fee schedule,360,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,TRICARE,TRICARE,,450.5,,fee schedule,450.5,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,UHC MEDICARE,UHC MEDICARE,,450.5,,fee schedule,450.5,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,AETNA,AETNA,,833.46,87,percent of total billed charges,833.46,360,958,percent of total billed charges,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,833.46,87,percent of total billed charges,833.46,360,958,percent of total billed charges,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,UNITED HEALTHCARE,UNITED HEALTHCARE,,843.04,88,percent of total billed charges,843.04,360,958,percent of total billed charges,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,AETNA,AETNA,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,BEECH STREET,BEECH STREET,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,CARESOURCE,CARESOURCE,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,MEDICAID,MEDICAID,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,NOVA NET,NOVA NET,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,PEACHSTATE,PEACHSTATE,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,SELFPAY,SELFPAY,,958,,fee schedule,958,360,958,fee schedule,
SOTROVIMAB INFUSION,M0247,CPT,both,,,958,958,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,958,,fee schedule,958,360,958,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,ALLIANT,ALLIANT,,122.74,,fee schedule,122.74,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,AMBETTER,AMBETTER,,96.71,,fee schedule,96.71,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,MEDICARE,MEDICARE,,74.39,,fee schedule,74.39,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,TRICARE,TRICARE,,74.39,,fee schedule,74.39,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,UHC MEDICARE,UHC MEDICARE,,74.39,,fee schedule,74.39,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,AETNA,AETNA,,815.19,87,percent of total billed charges,815.19,74.39,937,percent of total billed charges,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,815.19,87,percent of total billed charges,815.19,74.39,937,percent of total billed charges,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,UNITED HEALTHCARE,UNITED HEALTHCARE,,824.56,88,percent of total billed charges,824.56,74.39,937,percent of total billed charges,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,AETNA,AETNA,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,BEECH STREET,BEECH STREET,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,CARESOURCE,CARESOURCE,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,MEDICAID,MEDICAID,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,NOVA NET,NOVA NET,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,PEACHSTATE,PEACHSTATE,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,SELFPAY,SELFPAY,,937,,fee schedule,937,74.39,937,fee schedule,
CRYOPRECIPITATE (5 UNITS),P9012,CPT,both,,,937,937,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,937,,fee schedule,937,74.39,937,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,ALLIANT,ALLIANT,,312.2,,fee schedule,312.2,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,AMBETTER,AMBETTER,,245.97,,fee schedule,245.97,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,MEDICARE,MEDICARE,,189.21,,fee schedule,189.21,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,TRICARE,TRICARE,,189.21,,fee schedule,189.21,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,UHC MEDICARE,UHC MEDICARE,,189.21,,fee schedule,189.21,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,AETNA,AETNA,,696,87,percent of total billed charges,696,189.21,800,percent of total billed charges,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,696,87,percent of total billed charges,696,189.21,800,percent of total billed charges,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,UNITED HEALTHCARE,UNITED HEALTHCARE,,704,88,percent of total billed charges,704,189.21,800,percent of total billed charges,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,AETNA,AETNA,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,BEECH STREET,BEECH STREET,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,CARESOURCE,CARESOURCE,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,MEDICAID,MEDICAID,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,NOVA NET,NOVA NET,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,PEACHSTATE,PEACHSTATE,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,SELFPAY,SELFPAY,,800,,fee schedule,800,189.21,800,fee schedule,
LEUKODEPLETED PRBC,P9016,CPT,both,,,800,800,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,800,,fee schedule,800,189.21,800,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,ALLIANT,ALLIANT,,141.03,,fee schedule,141.03,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,AMBETTER,AMBETTER,,111.11,,fee schedule,111.11,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,MEDICARE,MEDICARE,,85.47,,fee schedule,85.47,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,TRICARE,TRICARE,,85.47,,fee schedule,85.47,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,UHC MEDICARE,UHC MEDICARE,,85.47,,fee schedule,85.47,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,AETNA,AETNA,,227.94,87,percent of total billed charges,227.94,85.47,262,percent of total billed charges,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.94,87,percent of total billed charges,227.94,85.47,262,percent of total billed charges,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,UNITED HEALTHCARE,UNITED HEALTHCARE,,230.56,88,percent of total billed charges,230.56,85.47,262,percent of total billed charges,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,AETNA,AETNA,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,BEECH STREET,BEECH STREET,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,CARESOURCE,CARESOURCE,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,MEDICAID,MEDICAID,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,NOVA NET,NOVA NET,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,PEACHSTATE,PEACHSTATE,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,SELFPAY,SELFPAY,,262,,fee schedule,262,85.47,262,fee schedule,
FRESH FROZEN PLASMA,P9017,CPT,both,,,262,262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,262,,fee schedule,262,85.47,262,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,ALLIANT,ALLIANT,,127.43,,fee schedule,127.43,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,AMBETTER,AMBETTER,,100.4,,fee schedule,100.4,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,MEDICARE,MEDICARE,,77.23,,fee schedule,77.23,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,TRICARE,TRICARE,,77.23,,fee schedule,77.23,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,UHC MEDICARE,UHC MEDICARE,,77.23,,fee schedule,77.23,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,AETNA,AETNA,,214.02,87,percent of total billed charges,214.02,77.23,246,percent of total billed charges,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,214.02,87,percent of total billed charges,214.02,77.23,246,percent of total billed charges,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,UNITED HEALTHCARE,UNITED HEALTHCARE,,216.48,88,percent of total billed charges,216.48,77.23,246,percent of total billed charges,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,AETNA,AETNA,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,BEECH STREET,BEECH STREET,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,CARESOURCE,CARESOURCE,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,MEDICAID,MEDICAID,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,NOVA NET,NOVA NET,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,PEACHSTATE,PEACHSTATE,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,SELFPAY,SELFPAY,,246,,fee schedule,246,77.23,246,fee schedule,
PLATELET CONC.   0110,P9019,CPT,both,,,246,246,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,246,,fee schedule,246,77.23,246,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,ALLIANT,ALLIANT,,223.61,,fee schedule,223.61,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,AMBETTER,AMBETTER,,176.18,,fee schedule,176.18,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,MEDICARE,MEDICARE,,135.52,,fee schedule,135.52,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,TRICARE,TRICARE,,135.52,,fee schedule,135.52,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,UHC MEDICARE,UHC MEDICARE,,135.52,,fee schedule,135.52,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,AETNA,AETNA,,657.72,87,percent of total billed charges,657.72,135.52,756,percent of total billed charges,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,657.72,87,percent of total billed charges,657.72,135.52,756,percent of total billed charges,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,UNITED HEALTHCARE,UNITED HEALTHCARE,,665.28,88,percent of total billed charges,665.28,135.52,756,percent of total billed charges,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,AETNA,AETNA,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,BEECH STREET,BEECH STREET,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,CARESOURCE,CARESOURCE,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,MEDICAID,MEDICAID,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,NOVA NET,NOVA NET,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,PEACHSTATE,PEACHSTATE,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,SELFPAY,SELFPAY,,756,,fee schedule,756,135.52,756,fee schedule,
DIRECTED RED BLOOD CELLS,P9021,CPT,both,,,756,756,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,756,,fee schedule,756,135.52,756,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,ALLIANT,ALLIANT,,223.61,,fee schedule,223.61,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,AMBETTER,AMBETTER,,176.18,,fee schedule,176.18,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,MEDICARE,MEDICARE,,135.52,,fee schedule,135.52,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,TRICARE,TRICARE,,135.52,,fee schedule,135.52,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,UHC MEDICARE,UHC MEDICARE,,135.52,,fee schedule,135.52,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,AETNA,AETNA,,513.3,87,percent of total billed charges,513.3,135.52,590,percent of total billed charges,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,513.3,87,percent of total billed charges,513.3,135.52,590,percent of total billed charges,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,UNITED HEALTHCARE,UNITED HEALTHCARE,,519.2,88,percent of total billed charges,519.2,135.52,590,percent of total billed charges,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,AETNA,AETNA,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,BEECH STREET,BEECH STREET,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,CARESOURCE,CARESOURCE,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,MEDICAID,MEDICAID,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,NOVA NET,NOVA NET,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,PEACHSTATE,PEACHSTATE,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,SELFPAY,SELFPAY,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS - UNIT,P9021,CPT,both,,,590,590,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,590,,fee schedule,590,135.52,590,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,ALLIANT,ALLIANT,,223.61,,fee schedule,223.61,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,AMBETTER,AMBETTER,,176.18,,fee schedule,176.18,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,MEDICARE,MEDICARE,,135.52,,fee schedule,135.52,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,TRICARE,TRICARE,,135.52,,fee schedule,135.52,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,UHC MEDICARE,UHC MEDICARE,,135.52,,fee schedule,135.52,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,AETNA,AETNA,,227.07,87,percent of total billed charges,227.07,135.52,261,percent of total billed charges,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,227.07,87,percent of total billed charges,227.07,135.52,261,percent of total billed charges,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,UNITED HEALTHCARE,UNITED HEALTHCARE,,229.68,88,percent of total billed charges,229.68,135.52,261,percent of total billed charges,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,AETNA,AETNA,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,BEECH STREET,BEECH STREET,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,CARESOURCE,CARESOURCE,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,MEDICAID,MEDICAID,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,NOVA NET,NOVA NET,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,PEACHSTATE,PEACHSTATE,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,SELFPAY,SELFPAY,,261,,fee schedule,261,135.52,261,fee schedule,
PACKED CELLS PEDIATRIC (,P9021,CPT,both,,,261,261,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,261,,fee schedule,261,135.52,261,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,ALLIANT,ALLIANT,,801.34,,fee schedule,801.34,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,AMBETTER,AMBETTER,,631.36,,fee schedule,631.36,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,MEDICARE,MEDICARE,,485.66,,fee schedule,485.66,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,TRICARE,TRICARE,,485.66,,fee schedule,485.66,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,UHC MEDICARE,UHC MEDICARE,,485.66,,fee schedule,485.66,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,AETNA,AETNA,,1711.29,87,percent of total billed charges,1711.29,485.66,1967,percent of total billed charges,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1711.29,87,percent of total billed charges,1711.29,485.66,1967,percent of total billed charges,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,UNITED HEALTHCARE,UNITED HEALTHCARE,,1730.96,88,percent of total billed charges,1730.96,485.66,1967,percent of total billed charges,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,AETNA,AETNA,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,BEECH STREET,BEECH STREET,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,CARESOURCE,CARESOURCE,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,MEDICAID,MEDICAID,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,NOVA NET,NOVA NET,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,PEACHSTATE,PEACHSTATE,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,SELFPAY,SELFPAY,,1967,,fee schedule,1967,485.66,1967,fee schedule,
PLATELETPHERESIS,P9035,CPT,both,,,1967,1967,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1967,,fee schedule,1967,485.66,1967,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,ALLIANT,ALLIANT,,1017.52,,fee schedule,1017.52,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,AMBETTER,AMBETTER,,801.68,,fee schedule,801.68,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,MEDICARE,MEDICARE,,616.68,,fee schedule,616.68,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,TRICARE,TRICARE,,616.68,,fee schedule,616.68,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,UHC MEDICARE,UHC MEDICARE,,616.68,,fee schedule,616.68,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,AETNA,AETNA,,1773.93,87,percent of total billed charges,1773.93,616.68,2039,percent of total billed charges,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1773.93,87,percent of total billed charges,1773.93,616.68,2039,percent of total billed charges,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,UNITED HEALTHCARE,UNITED HEALTHCARE,,1794.32,88,percent of total billed charges,1794.32,616.68,2039,percent of total billed charges,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,AETNA,AETNA,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,BEECH STREET,BEECH STREET,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,CARESOURCE,CARESOURCE,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,MEDICAID,MEDICAID,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,NOVA NET,NOVA NET,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,PEACHSTATE,PEACHSTATE,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,SELFPAY,SELFPAY,,2039,,fee schedule,2039,616.68,2039,fee schedule,
IRRADIATED PLT. PHERISIS,P9036,CPT,both,,,2039,2039,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2039,,fee schedule,2039,616.68,2039,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,ALLIANT,ALLIANT,,1053.01,,fee schedule,1053.01,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,AMBETTER,AMBETTER,,829.65,,fee schedule,829.65,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,MEDICARE,MEDICARE,,638.19,,fee schedule,638.19,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,TRICARE,TRICARE,,638.19,,fee schedule,638.19,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,UHC MEDICARE,UHC MEDICARE,,638.19,,fee schedule,638.19,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,AETNA,AETNA,,1774.8,87,percent of total billed charges,1774.8,638.19,2040,percent of total billed charges,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1774.8,87,percent of total billed charges,1774.8,638.19,2040,percent of total billed charges,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,UNITED HEALTHCARE,UNITED HEALTHCARE,,1795.2,88,percent of total billed charges,1795.2,638.19,2040,percent of total billed charges,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,AETNA,AETNA,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,BEECH STREET,BEECH STREET,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,CARESOURCE,CARESOURCE,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,MEDICAID,MEDICAID,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,NOVA NET,NOVA NET,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,PEACHSTATE,PEACHSTATE,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,SELFPAY,SELFPAY,,2040,,fee schedule,2040,638.19,2040,fee schedule,
LEUKDEP PLATELETPHERESIS,P9037,CPT,both,,,2040,2040,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2040,,fee schedule,2040,638.19,2040,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,ALLIANT,ALLIANT,,323.73,,fee schedule,323.73,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,AMBETTER,AMBETTER,,255.06,,fee schedule,255.06,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,MEDICARE,MEDICARE,,196.2,,fee schedule,196.2,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,TRICARE,TRICARE,,196.2,,fee schedule,196.2,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,UHC MEDICARE,UHC MEDICARE,,196.2,,fee schedule,196.2,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,AETNA,AETNA,,813.45,87,percent of total billed charges,813.45,196.2,935,percent of total billed charges,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,813.45,87,percent of total billed charges,813.45,196.2,935,percent of total billed charges,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,UNITED HEALTHCARE,UNITED HEALTHCARE,,822.8,88,percent of total billed charges,822.8,196.2,935,percent of total billed charges,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,AETNA,AETNA,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,BEECH STREET,BEECH STREET,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,CARESOURCE,CARESOURCE,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,MEDICAID,MEDICAID,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,NOVA NET,NOVA NET,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,PEACHSTATE,PEACHSTATE,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,SELFPAY,SELFPAY,,935,,fee schedule,935,196.2,935,fee schedule,
IRRADIATED PRBC,P9038,CPT,both,,,935,935,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,935,,fee schedule,935,196.2,935,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,ALLIANT,ALLIANT,,427.55,,fee schedule,427.55,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,AMBETTER,AMBETTER,,336.86,,fee schedule,336.86,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,MEDICARE,MEDICARE,,259.12,,fee schedule,259.12,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,TRICARE,TRICARE,,259.12,,fee schedule,259.12,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,UHC MEDICARE,UHC MEDICARE,,259.12,,fee schedule,259.12,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,AETNA,AETNA,,910.02,87,percent of total billed charges,910.02,259.12,1046,percent of total billed charges,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,910.02,87,percent of total billed charges,910.02,259.12,1046,percent of total billed charges,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,UNITED HEALTHCARE,UNITED HEALTHCARE,,920.48,88,percent of total billed charges,920.48,259.12,1046,percent of total billed charges,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,AETNA,AETNA,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,BEECH STREET,BEECH STREET,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,CARESOURCE,CARESOURCE,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,MEDICAID,MEDICAID,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,NOVA NET,NOVA NET,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,PEACHSTATE,PEACHSTATE,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,SELFPAY,SELFPAY,,1046,,fee schedule,1046,259.12,1046,fee schedule,
LEUKDEP PRBC IRRAD,P9040,CPT,both,,,1046,1046,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1046,,fee schedule,1046,259.12,1046,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,ALLIANT,ALLIANT,,87.07,,fee schedule,87.07,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,AMBETTER,AMBETTER,,68.6,,fee schedule,68.6,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,MEDICARE,MEDICARE,,52.77,,fee schedule,52.77,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,TRICARE,TRICARE,,52.77,,fee schedule,52.77,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,UHC MEDICARE,UHC MEDICARE,,52.77,,fee schedule,52.77,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,AETNA,AETNA,,241.86,87,percent of total billed charges,241.86,52.77,278,percent of total billed charges,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,241.86,87,percent of total billed charges,241.86,52.77,278,percent of total billed charges,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,UNITED HEALTHCARE,UNITED HEALTHCARE,,244.64,88,percent of total billed charges,244.64,52.77,278,percent of total billed charges,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,AETNA,AETNA,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,BEECH STREET,BEECH STREET,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,CARESOURCE,CARESOURCE,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,MEDICAID,MEDICAID,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,NOVA NET,NOVA NET,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,PEACHSTATE,PEACHSTATE,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,SELFPAY,SELFPAY,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 5%; 250ML,P9045,CPT,both,,,278,278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,278,,fee schedule,278,52.77,278,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,ALLIANT,ALLIANT,,34.83,,fee schedule,34.83,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,AMBETTER,AMBETTER,,27.44,,fee schedule,27.44,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,AMERIGROUP,AMERIGROUP,,22.29,,fee schedule,22.29,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,CARESOURCE,CARESOURCE,,22.72,,fee schedule,22.72,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,MEDICARE,MEDICARE,,21.11,,fee schedule,21.11,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,PEACHSTATE,PEACHSTATE,,21.23,,fee schedule,21.23,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,TRICARE,TRICARE,,21.11,,fee schedule,21.11,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,UHC MEDICARE,UHC MEDICARE,,21.11,,fee schedule,21.11,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,AETNA,AETNA,,367.14,87,percent of total billed charges,367.14,21.11,422,percent of total billed charges,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,367.14,87,percent of total billed charges,367.14,21.11,422,percent of total billed charges,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,UNITED HEALTHCARE,UNITED HEALTHCARE,,371.36,88,percent of total billed charges,371.36,21.11,422,percent of total billed charges,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,AETNA,AETNA,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,BEECH STREET,BEECH STREET,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,CARESOURCE,CARESOURCE,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,MEDICAID,MEDICAID,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,NOVA NET,NOVA NET,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,PEACHSTATE,PEACHSTATE,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,SELFPAY,SELFPAY,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN 25% 10CC,P9046,CPT,both,,,422,422,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,422,,fee schedule,422,21.11,422,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,ALLIANT,ALLIANT,,87.07,,fee schedule,87.07,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,AMBETTER,AMBETTER,,68.6,,fee schedule,68.6,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,AMERIGROUP,AMERIGROUP,,55.73,,fee schedule,55.73,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,56.79,,fee schedule,56.79,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,MEDICARE,MEDICARE,,52.77,,fee schedule,52.77,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,53.08,,fee schedule,53.08,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,TRICARE,TRICARE,,52.77,,fee schedule,52.77,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,UHC MEDICARE,UHC MEDICARE,,52.77,,fee schedule,52.77,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,AETNA,AETNA,,414.12,87,percent of total billed charges,414.12,52.77,476,percent of total billed charges,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,414.12,87,percent of total billed charges,414.12,52.77,476,percent of total billed charges,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,UNITED HEALTHCARE,UNITED HEALTHCARE,,418.88,88,percent of total billed charges,418.88,52.77,476,percent of total billed charges,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,AETNA,AETNA,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,BEECH STREET,BEECH STREET,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,CARESOURCE,CARESOURCE,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,MEDICAID,MEDICAID,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,NOVA NET,NOVA NET,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,PEACHSTATE,PEACHSTATE,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,SELFPAY,SELFPAY,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 100ML,P9047,CPT,both,,,476,476,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,476,,fee schedule,476,52.77,476,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,ALLIANT,ALLIANT,,87.07,,fee schedule,87.07,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,AMBETTER,AMBETTER,,68.6,,fee schedule,68.6,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,AMERIGROUP,AMERIGROUP,,55.73,,fee schedule,55.73,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,CARESOURCE,CARESOURCE,,56.79,,fee schedule,56.79,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,MEDICARE,MEDICARE,,52.77,,fee schedule,52.77,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,PEACHSTATE,PEACHSTATE,,53.08,,fee schedule,53.08,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,TRICARE,TRICARE,,52.77,,fee schedule,52.77,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,UHC MEDICARE,UHC MEDICARE,,52.77,,fee schedule,52.77,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,AETNA,AETNA,,196.62,87,percent of total billed charges,196.62,52.77,226,percent of total billed charges,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,196.62,87,percent of total billed charges,196.62,52.77,226,percent of total billed charges,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,UNITED HEALTHCARE,UNITED HEALTHCARE,,198.88,88,percent of total billed charges,198.88,52.77,226,percent of total billed charges,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,AETNA,AETNA,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,BEECH STREET,BEECH STREET,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,CARESOURCE,CARESOURCE,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,MEDICAID,MEDICAID,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,NOVA NET,NOVA NET,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,PEACHSTATE,PEACHSTATE,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,SELFPAY,SELFPAY,,226,,fee schedule,226,52.77,226,fee schedule,
ALBUMIN NORMAL SERUM 25% 50ML,P9047,CPT,both,,,226,226,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,226,,fee schedule,226,52.77,226,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,ALLIANT,ALLIANT,,125.73,,fee schedule,125.73,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,AMBETTER,AMBETTER,,99.06,,fee schedule,99.06,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,MEDICARE,MEDICARE,,76.2,,fee schedule,76.2,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,TRICARE,TRICARE,,76.2,,fee schedule,76.2,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,UHC MEDICARE,UHC MEDICARE,,76.2,,fee schedule,76.2,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,AETNA,AETNA,,2007.96,87,percent of total billed charges,2007.96,76.2,2308,percent of total billed charges,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2007.96,87,percent of total billed charges,2007.96,76.2,2308,percent of total billed charges,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,UNITED HEALTHCARE,UNITED HEALTHCARE,,2031.04,88,percent of total billed charges,2031.04,76.2,2308,percent of total billed charges,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,AETNA,AETNA,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,BEECH STREET,BEECH STREET,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,CARESOURCE,CARESOURCE,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,MEDICAID,MEDICAID,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,NOVA NET,NOVA NET,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,PEACHSTATE,PEACHSTATE,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,SELFPAY,SELFPAY,,2308,,fee schedule,2308,76.2,2308,fee schedule,
COVID CONVALESCENT PLASMA,P9059,CPT,both,,,2308,2308,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2308,,fee schedule,2308,76.2,2308,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,AETNA,AETNA,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24.36,87,percent of total billed charges,24.36,24.36,28,percent of total billed charges,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,UNITED HEALTHCARE,UNITED HEALTHCARE,,24.64,88,percent of total billed charges,24.64,24.36,28,percent of total billed charges,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,AETNA,AETNA,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,ALLIANT,ALLIANT,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,AMBETTER,AMBETTER,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,BEECH STREET,BEECH STREET,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,CARESOURCE,CARESOURCE,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,MEDICAID,MEDICAID,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,MEDICARE,MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,NOVA NET,NOVA NET,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,PEACHSTATE,PEACHSTATE,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,SELFPAY,SELFPAY,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,TRICARE,TRICARE,,28,,fee schedule,28,24.36,28,fee schedule,
TRAVEL ALLOWANCE/ROUND TR,P9604,CPT,both,,,28,28,UHC MEDICARE,UHC MEDICARE,,28,,fee schedule,28,24.36,28,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,ALLIANT,ALLIANT,,28.56,,fee schedule,28.56,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,AMBETTER,AMBETTER,,22.5,,fee schedule,22.5,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,AMERIGROUP,AMERIGROUP,,6.26,,fee schedule,6.26,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,6.38,,fee schedule,6.38,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,MEDICARE,MEDICARE,,17.31,,fee schedule,17.31,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,5.96,,fee schedule,5.96,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,TRICARE,TRICARE,,17.31,,fee schedule,17.31,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,UHC MEDICARE,UHC MEDICARE,,17.31,,fee schedule,17.31,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,AETNA,AETNA,,81.78,87,percent of total billed charges,81.78,5.96,94,percent of total billed charges,
WET PREP,Q0111,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81.78,87,percent of total billed charges,81.78,5.96,94,percent of total billed charges,
WET PREP,Q0111,CPT,both,,,94,94,UNITED HEALTHCARE,UNITED HEALTHCARE,,82.72,88,percent of total billed charges,82.72,5.96,94,percent of total billed charges,
WET PREP,Q0111,CPT,both,,,94,94,AETNA,AETNA,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,BEECH STREET,BEECH STREET,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,CARESOURCE,CARESOURCE,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,MEDICAID,MEDICAID,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,NOVA NET,NOVA NET,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,PEACHSTATE,PEACHSTATE,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,SELFPAY,SELFPAY,,94,,fee schedule,94,5.96,94,fee schedule,
WET PREP,Q0111,CPT,both,,,94,94,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,94,,fee schedule,94,5.96,94,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,ALLIANT,ALLIANT,,9.62,,fee schedule,9.62,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,AMBETTER,AMBETTER,,7.58,,fee schedule,7.58,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,6.26,,fee schedule,6.26,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,6.38,,fee schedule,6.38,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,MEDICARE,MEDICARE,,5.83,,fee schedule,5.83,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,5.96,,fee schedule,5.96,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,TRICARE,TRICARE,,5.83,,fee schedule,5.83,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,5.83,,fee schedule,5.83,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,5.83,76,percent of total billed charges,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,5.83,76,percent of total billed charges,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,5.83,76,percent of total billed charges,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,5.83,76,fee schedule,
KOH FUNGUS PREP,Q0112,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,5.83,76,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,ALLIANT,ALLIANT,,7.05,,fee schedule,7.05,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,AMBETTER,AMBETTER,,5.55,,fee schedule,5.55,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,AMERIGROUP,AMERIGROUP,,7.94,,fee schedule,7.94,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,8.09,,fee schedule,8.09,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,MEDICARE,MEDICARE,,4.27,,fee schedule,4.27,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,7.56,,fee schedule,7.56,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,TRICARE,TRICARE,,4.27,,fee schedule,4.27,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,UHC MEDICARE,UHC MEDICARE,,4.27,,fee schedule,4.27,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,AETNA,AETNA,,70.47,87,percent of total billed charges,70.47,4.27,81,percent of total billed charges,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70.47,87,percent of total billed charges,70.47,4.27,81,percent of total billed charges,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,UNITED HEALTHCARE,UNITED HEALTHCARE,,71.28,88,percent of total billed charges,71.28,4.27,81,percent of total billed charges,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,AETNA,AETNA,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,BEECH STREET,BEECH STREET,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,CARESOURCE,CARESOURCE,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,MEDICAID,MEDICAID,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,NOVA NET,NOVA NET,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,PEACHSTATE,PEACHSTATE,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,SELFPAY,SELFPAY,,81,,fee schedule,81,4.27,81,fee schedule,
PINWORM EXAMINATION,Q0113,CPT,both,,,81,81,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,81,,fee schedule,81,4.27,81,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,ALLIANT,ALLIANT,,16.07,,fee schedule,16.07,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,AMBETTER,AMBETTER,,12.66,,fee schedule,12.66,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,AMERIGROUP,AMERIGROUP,,10.49,,fee schedule,10.49,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,10.69,,fee schedule,10.69,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,MEDICARE,MEDICARE,,9.74,,fee schedule,9.74,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,9.99,,fee schedule,9.99,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,TRICARE,TRICARE,,9.74,,fee schedule,9.74,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,UHC MEDICARE,UHC MEDICARE,,9.74,,fee schedule,9.74,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,AETNA,AETNA,,58.29,87,percent of total billed charges,58.29,9.74,67,percent of total billed charges,
FERN TEST,Q0114,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,58.29,87,percent of total billed charges,58.29,9.74,67,percent of total billed charges,
FERN TEST,Q0114,CPT,both,,,67,67,UNITED HEALTHCARE,UNITED HEALTHCARE,,58.96,88,percent of total billed charges,58.96,9.74,67,percent of total billed charges,
FERN TEST,Q0114,CPT,both,,,67,67,AETNA,AETNA,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,BEECH STREET,BEECH STREET,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,CARESOURCE,CARESOURCE,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,MEDICAID,MEDICAID,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,NOVA NET,NOVA NET,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,PEACHSTATE,PEACHSTATE,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,SELFPAY,SELFPAY,,67,,fee schedule,67,9.74,67,fee schedule,
FERN TEST,Q0114,CPT,both,,,67,67,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,67,,fee schedule,67,9.74,67,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,ALLIANT,ALLIANT,,0.92,,fee schedule,0.92,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,AMBETTER,AMBETTER,,0.73,,fee schedule,0.73,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,AMERIGROUP,AMERIGROUP,,0.35,,fee schedule,0.35,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,CARESOURCE,CARESOURCE,,0.35,,fee schedule,0.35,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,MEDICARE,MEDICARE,,0.56,,fee schedule,0.56,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,PEACHSTATE,PEACHSTATE,,0.33,,fee schedule,0.33,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,TRICARE,TRICARE,,0.56,,fee schedule,0.56,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,UHC MEDICARE,UHC MEDICARE,,0.56,,fee schedule,0.56,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,AETNA,AETNA,,3165.93,87,percent of total billed charges,3165.93,0.33,3639,percent of total billed charges,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3165.93,87,percent of total billed charges,3165.93,0.33,3639,percent of total billed charges,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,UNITED HEALTHCARE,UNITED HEALTHCARE,,3202.32,88,percent of total billed charges,3202.32,0.33,3639,percent of total billed charges,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,AETNA,AETNA,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,BEECH STREET,BEECH STREET,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,CARESOURCE,CARESOURCE,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,MEDICAID,MEDICAID,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,NOVA NET,NOVA NET,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,PEACHSTATE,PEACHSTATE,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,SELFPAY,SELFPAY,,3639,,fee schedule,3639,0.33,3639,fee schedule,
FERAHEME 510MG/17ML (IV),Q0138,CPT,both,,,3639,3639,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3639,,fee schedule,3639,0.33,3639,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,AETNA,AETNA,,119.19,87,percent of total billed charges,119.19,119.19,137,percent of total billed charges,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,119.19,87,percent of total billed charges,119.19,119.19,137,percent of total billed charges,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,UNITED HEALTHCARE,UNITED HEALTHCARE,,120.56,88,percent of total billed charges,120.56,119.19,137,percent of total billed charges,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,AETNA,AETNA,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,ALLIANT,ALLIANT,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,AMBETTER,AMBETTER,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,BEECH STREET,BEECH STREET,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,CARESOURCE,CARESOURCE,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,MEDICAID,MEDICAID,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,MEDICARE,MEDICARE,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,NOVA NET,NOVA NET,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,PEACHSTATE,PEACHSTATE,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,SELFPAY,SELFPAY,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,TRICARE,TRICARE,,137,,fee schedule,137,119.19,137,fee schedule,
ZOFRAN 4MG TAB,Q0162,CPT,both,,,137,137,UHC MEDICARE,UHC MEDICARE,,137,,fee schedule,137,119.19,137,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Ondansetron,Q0162,CPT,both,4,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,AETNA,AETNA,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8.7,87,percent of total billed charges,8.7,8.7,10,percent of total billed charges,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,UNITED HEALTHCARE,UNITED HEALTHCARE,,8.8,88,percent of total billed charges,8.8,8.7,10,percent of total billed charges,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,AETNA,AETNA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,ALLIANT,ALLIANT,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,AMBETTER,AMBETTER,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,BEECH STREET,BEECH STREET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,CARESOURCE,CARESOURCE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,MEDICAID,MEDICAID,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,MEDICARE,MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,NOVA NET,NOVA NET,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,PEACHSTATE,PEACHSTATE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,SELFPAY,SELFPAY,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,TRICARE,TRICARE,,10,,fee schedule,10,8.7,10,fee schedule,
HYDROXYZINE PAMOATE CAPS,Q0177,CPT,both,,,10,10,UHC MEDICARE,UHC MEDICARE,,10,,fee schedule,10,8.7,10,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
hydrOXYzine Pamoate 25 mg Cap,Q0177,CPT,both,25,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,AETNA,AETNA,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,147.03,87,percent of total billed charges,147.03,147.03,169,percent of total billed charges,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,UNITED HEALTHCARE,UNITED HEALTHCARE,,148.72,88,percent of total billed charges,148.72,147.03,169,percent of total billed charges,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,AETNA,AETNA,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,ALLIANT,ALLIANT,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,AMBETTER,AMBETTER,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,BEECH STREET,BEECH STREET,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,CARESOURCE,CARESOURCE,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,MEDICAID,MEDICAID,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,MEDICARE,MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,NOVA NET,NOVA NET,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,PEACHSTATE,PEACHSTATE,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,SELFPAY,SELFPAY,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,TRICARE,TRICARE,,169,,fee schedule,169,147.03,169,fee schedule,
RENACIDIN SOLN 10% 500ML,Q2004,CPT,both,,,169,169,UHC MEDICARE,UHC MEDICARE,,169,,fee schedule,169,147.03,169,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,3.06,percent of total billed charges,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,3.06,percent of total billed charges,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,ALLIANT,ALLIANT,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,AMBETTER,AMBETTER,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,MEDICARE,MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,TRICARE,TRICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
Citric Acid G-Lactone/Mag Carb,Q2004,CPT,both,500,ML,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,3.06,,fee schedule,3.06,2.66,3.06,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,AETNA,AETNA,,93.96,87,percent of total billed charges,93.96,93.96,108,percent of total billed charges,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,93.96,87,percent of total billed charges,93.96,93.96,108,percent of total billed charges,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,UNITED HEALTHCARE,UNITED HEALTHCARE,,95.04,88,percent of total billed charges,95.04,93.96,108,percent of total billed charges,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,AETNA,AETNA,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,ALLIANT,ALLIANT,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,AMBETTER,AMBETTER,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,BEECH STREET,BEECH STREET,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,CARESOURCE,CARESOURCE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,MEDICAID,MEDICAID,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,MEDICARE,MEDICARE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,NOVA NET,NOVA NET,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,PEACHSTATE,PEACHSTATE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,SELFPAY,SELFPAY,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,TRICARE,TRICARE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 100MG/2ML VIAL,Q2009,CPT,both,,,108,108,UHC MEDICARE,UHC MEDICARE,,108,,fee schedule,108,93.96,108,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,AETNA,AETNA,,169.65,87,percent of total billed charges,169.65,169.65,195,percent of total billed charges,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,169.65,87,percent of total billed charges,169.65,169.65,195,percent of total billed charges,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,UNITED HEALTHCARE,UNITED HEALTHCARE,,171.6,88,percent of total billed charges,171.6,169.65,195,percent of total billed charges,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,AETNA,AETNA,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,ALLIANT,ALLIANT,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,AMBETTER,AMBETTER,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,BEECH STREET,BEECH STREET,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,CARESOURCE,CARESOURCE,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,MEDICAID,MEDICAID,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,MEDICARE,MEDICARE,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,NOVA NET,NOVA NET,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,PEACHSTATE,PEACHSTATE,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,SELFPAY,SELFPAY,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,TRICARE,TRICARE,,195,,fee schedule,195,169.65,195,fee schedule,
CEREBYX 500MG/10ML VIAL,Q2009,CPT,both,,,195,195,UHC MEDICARE,UHC MEDICARE,,195,,fee schedule,195,169.65,195,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,AMERIGROUP,AMERIGROUP,,18.57,,fee schedule,18.57,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,18.93,,fee schedule,18.93,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,17.69,,fee schedule,17.69,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,AETNA,AETNA,,42.63,87,percent of total billed charges,42.63,17.69,49,percent of total billed charges,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,42.63,87,percent of total billed charges,42.63,17.69,49,percent of total billed charges,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,UNITED HEALTHCARE,UNITED HEALTHCARE,,43.12,88,percent of total billed charges,43.12,17.69,49,percent of total billed charges,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,AETNA,AETNA,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,ALLIANT,ALLIANT,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,AMBETTER,AMBETTER,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,BEECH STREET,BEECH STREET,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,CARESOURCE,CARESOURCE,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,MEDICAID,MEDICAID,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,MEDICARE,MEDICARE,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,NOVA NET,NOVA NET,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,PEACHSTATE,PEACHSTATE,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,SELFPAY,SELFPAY,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,TRICARE,TRICARE,,49,,fee schedule,49,17.69,49,fee schedule,
INFLUENZA VACCINE,Q2037,CPT,both,,,49,49,UHC MEDICARE,UHC MEDICARE,,49,,fee schedule,49,17.69,49,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,ALLIANT,ALLIANT,,89069.41,,fee schedule,89069.41,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,AMBETTER,AMBETTER,,70175.9,,fee schedule,70175.9,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,AMERIGROUP,AMERIGROUP,,58288.42,,fee schedule,58288.42,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,CARESOURCE,CARESOURCE,,59398.68,,fee schedule,59398.68,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,MEDICARE,MEDICARE,,53981.46,,fee schedule,53981.46,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,PEACHSTATE,PEACHSTATE,,55512.78,,fee schedule,55512.78,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,TRICARE,TRICARE,,53981.46,,fee schedule,53981.46,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,UHC MEDICARE,UHC MEDICARE,,53981.46,,fee schedule,53981.46,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,AETNA,AETNA,,80786.46,87,percent of total billed charges,80786.46,53981.46,92858,percent of total billed charges,
PROVENGE,Q2043,CPT,both,,,92858,92858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,80786.46,87,percent of total billed charges,80786.46,53981.46,92858,percent of total billed charges,
PROVENGE,Q2043,CPT,both,,,92858,92858,UNITED HEALTHCARE,UNITED HEALTHCARE,,81715.04,88,percent of total billed charges,81715.04,53981.46,92858,percent of total billed charges,
PROVENGE,Q2043,CPT,both,,,92858,92858,AETNA,AETNA,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,BEECH STREET,BEECH STREET,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,CARESOURCE,CARESOURCE,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,MEDICAID,MEDICAID,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,NOVA NET,NOVA NET,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,PEACHSTATE,PEACHSTATE,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,SELFPAY,SELFPAY,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
PROVENGE,Q2043,CPT,both,,,92858,92858,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,92858,,fee schedule,92858,53981.46,92858,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,ALLIANT,ALLIANT,,168.7,,fee schedule,168.7,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,AMBETTER,AMBETTER,,132.91,,fee schedule,132.91,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,AMERIGROUP,AMERIGROUP,,143.04,,fee schedule,143.04,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,CARESOURCE,CARESOURCE,,145.76,,fee schedule,145.76,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,MEDICARE,MEDICARE,,102.24,,fee schedule,102.24,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,PEACHSTATE,PEACHSTATE,,136.23,,fee schedule,136.23,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,TRICARE,TRICARE,,102.24,,fee schedule,102.24,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,UHC MEDICARE,UHC MEDICARE,,102.24,,fee schedule,102.24,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,AETNA,AETNA,,2878.83,87,percent of total billed charges,2878.83,102.24,3309,percent of total billed charges,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2878.83,87,percent of total billed charges,2878.83,102.24,3309,percent of total billed charges,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,UNITED HEALTHCARE,UNITED HEALTHCARE,,2911.92,88,percent of total billed charges,2911.92,102.24,3309,percent of total billed charges,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,AETNA,AETNA,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,BEECH STREET,BEECH STREET,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,CARESOURCE,CARESOURCE,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,MEDICAID,MEDICAID,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,NOVA NET,NOVA NET,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,PEACHSTATE,PEACHSTATE,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,SELFPAY,SELFPAY,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 20MG/10ML INJ,Q2050,CPT,both,,,3309,3309,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3309,,fee schedule,3309,102.24,3309,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,ALLIANT,ALLIANT,,168.7,,fee schedule,168.7,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,AMBETTER,AMBETTER,,132.91,,fee schedule,132.91,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,AMERIGROUP,AMERIGROUP,,143.04,,fee schedule,143.04,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,CARESOURCE,CARESOURCE,,145.76,,fee schedule,145.76,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,MEDICARE,MEDICARE,,102.24,,fee schedule,102.24,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,PEACHSTATE,PEACHSTATE,,136.23,,fee schedule,136.23,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,TRICARE,TRICARE,,102.24,,fee schedule,102.24,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,UHC MEDICARE,UHC MEDICARE,,102.24,,fee schedule,102.24,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,AETNA,AETNA,,1439.85,87,percent of total billed charges,1439.85,102.24,1655,percent of total billed charges,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1439.85,87,percent of total billed charges,1439.85,102.24,1655,percent of total billed charges,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,UNITED HEALTHCARE,UNITED HEALTHCARE,,1456.4,88,percent of total billed charges,1456.4,102.24,1655,percent of total billed charges,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,AETNA,AETNA,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,BEECH STREET,BEECH STREET,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,CARESOURCE,CARESOURCE,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,MEDICAID,MEDICAID,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,NOVA NET,NOVA NET,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,PEACHSTATE,PEACHSTATE,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,SELFPAY,SELFPAY,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXIL 50MG/25ML VIAL,Q2050,CPT,both,,,1655,1655,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1655,,fee schedule,1655,102.24,1655,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,ALLIANT,ALLIANT,,168.7,,fee schedule,168.7,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,AMBETTER,AMBETTER,,132.91,,fee schedule,132.91,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,143.04,,fee schedule,143.04,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,145.76,,fee schedule,145.76,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,MEDICARE,MEDICARE,,102.24,,fee schedule,102.24,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,136.23,,fee schedule,136.23,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,TRICARE,TRICARE,,102.24,,fee schedule,102.24,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,102.24,,fee schedule,102.24,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,102.24,168.7,percent of total billed charges,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,102.24,168.7,percent of total billed charges,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,102.24,168.7,percent of total billed charges,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
DOXOrubicin Pegylated Liposoml 50 MG/ 25 ML VIAL,Q2050,CPT,both,50,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,102.24,168.7,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,AMERIGROUP,AMERIGROUP,,21.55,,fee schedule,21.55,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,21.96,,fee schedule,21.96,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,20.52,,fee schedule,20.52,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,AETNA,AETNA,,59.16,87,percent of total billed charges,59.16,20.52,68,percent of total billed charges,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,59.16,87,percent of total billed charges,59.16,20.52,68,percent of total billed charges,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,UNITED HEALTHCARE,UNITED HEALTHCARE,,59.84,88,percent of total billed charges,59.84,20.52,68,percent of total billed charges,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,AETNA,AETNA,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,ALLIANT,ALLIANT,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,AMBETTER,AMBETTER,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,BEECH STREET,BEECH STREET,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,CARESOURCE,CARESOURCE,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,MEDICAID,MEDICAID,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,MEDICARE,MEDICARE,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,NOVA NET,NOVA NET,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,PEACHSTATE,PEACHSTATE,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,SELFPAY,SELFPAY,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,TRICARE,TRICARE,,68,,fee schedule,68,20.52,68,fee schedule,
TELEMEDICINE ORIGINATING FEE,Q3014,CPT,both,,,68,68,UHC MEDICARE,UHC MEDICARE,,68,,fee schedule,68,20.52,68,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,AMERIGROUP,AMERIGROUP,,32.41,,fee schedule,32.41,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,CARESOURCE,CARESOURCE,,33.03,,fee schedule,33.03,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,PEACHSTATE,PEACHSTATE,,30.87,,fee schedule,30.87,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,AETNA,AETNA,,4706.7,87,percent of total billed charges,4706.7,30.87,5410,percent of total billed charges,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4706.7,87,percent of total billed charges,4706.7,30.87,5410,percent of total billed charges,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,UNITED HEALTHCARE,UNITED HEALTHCARE,,4760.8,88,percent of total billed charges,4760.8,30.87,5410,percent of total billed charges,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,AETNA,AETNA,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,ALLIANT,ALLIANT,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,AMBETTER,AMBETTER,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,BEECH STREET,BEECH STREET,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,CARESOURCE,CARESOURCE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,MEDICAID,MEDICAID,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,MEDICARE,MEDICARE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,NOVA NET,NOVA NET,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,PEACHSTATE,PEACHSTATE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,SELFPAY,SELFPAY,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,TRICARE,TRICARE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 1 SQ CM,Q4101,CPT,both,,,5410,5410,UHC MEDICARE,UHC MEDICARE,,5410,,fee schedule,5410,30.87,5410,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,AMERIGROUP,AMERIGROUP,,32.41,,fee schedule,32.41,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,CARESOURCE,CARESOURCE,,33.03,,fee schedule,33.03,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,PEACHSTATE,PEACHSTATE,,30.87,,fee schedule,30.87,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,AETNA,AETNA,,3080.67,87,percent of total billed charges,3080.67,30.87,3541,percent of total billed charges,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3080.67,87,percent of total billed charges,3080.67,30.87,3541,percent of total billed charges,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,UNITED HEALTHCARE,UNITED HEALTHCARE,,3116.08,88,percent of total billed charges,3116.08,30.87,3541,percent of total billed charges,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,AETNA,AETNA,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,ALLIANT,ALLIANT,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,AMBETTER,AMBETTER,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,BEECH STREET,BEECH STREET,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,CARESOURCE,CARESOURCE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,MEDICAID,MEDICAID,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,MEDICARE,MEDICARE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,NOVA NET,NOVA NET,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,PEACHSTATE,PEACHSTATE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,SELFPAY,SELFPAY,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,TRICARE,TRICARE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
APLIGRAF PER 44 SQ CM,Q4101,CPT,both,,,3541,3541,UHC MEDICARE,UHC MEDICARE,,3541,,fee schedule,3541,30.87,3541,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,AETNA,AETNA,,274.92,87,percent of total billed charges,274.92,10.99,316,percent of total billed charges,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,274.92,87,percent of total billed charges,274.92,10.99,316,percent of total billed charges,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,UNITED HEALTHCARE,UNITED HEALTHCARE,,278.08,88,percent of total billed charges,278.08,10.99,316,percent of total billed charges,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,AETNA,AETNA,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,ALLIANT,ALLIANT,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,AMBETTER,AMBETTER,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,BEECH STREET,BEECH STREET,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,CARESOURCE,CARESOURCE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,MEDICAID,MEDICAID,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,MEDICARE,MEDICARE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,NOVA NET,NOVA NET,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,PEACHSTATE,PEACHSTATE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,SELFPAY,SELFPAY,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,TRICARE,TRICARE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X3.5,Q4102,CPT,both,,,316,316,UHC MEDICARE,UHC MEDICARE,,316,,fee schedule,316,10.99,316,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,AETNA,AETNA,,436.74,87,percent of total billed charges,436.74,10.99,502,percent of total billed charges,
OASIS 3X7,Q4102,CPT,both,,,502,502,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,436.74,87,percent of total billed charges,436.74,10.99,502,percent of total billed charges,
OASIS 3X7,Q4102,CPT,both,,,502,502,UNITED HEALTHCARE,UNITED HEALTHCARE,,441.76,88,percent of total billed charges,441.76,10.99,502,percent of total billed charges,
OASIS 3X7,Q4102,CPT,both,,,502,502,AETNA,AETNA,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,ALLIANT,ALLIANT,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,AMBETTER,AMBETTER,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,BEECH STREET,BEECH STREET,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,CARESOURCE,CARESOURCE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,MEDICAID,MEDICAID,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,MEDICARE,MEDICARE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,NOVA NET,NOVA NET,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,PEACHSTATE,PEACHSTATE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,SELFPAY,SELFPAY,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,TRICARE,TRICARE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 3X7,Q4102,CPT,both,,,502,502,UHC MEDICARE,UHC MEDICARE,,502,,fee schedule,502,10.99,502,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,AETNA,AETNA,,320.16,87,percent of total billed charges,320.16,10.99,368,percent of total billed charges,
OASIS 7X10,Q4102,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,320.16,87,percent of total billed charges,320.16,10.99,368,percent of total billed charges,
OASIS 7X10,Q4102,CPT,both,,,368,368,UNITED HEALTHCARE,UNITED HEALTHCARE,,323.84,88,percent of total billed charges,323.84,10.99,368,percent of total billed charges,
OASIS 7X10,Q4102,CPT,both,,,368,368,AETNA,AETNA,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,ALLIANT,ALLIANT,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,AMBETTER,AMBETTER,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,BEECH STREET,BEECH STREET,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,CARESOURCE,CARESOURCE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,MEDICAID,MEDICAID,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,MEDICARE,MEDICARE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,NOVA NET,NOVA NET,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,PEACHSTATE,PEACHSTATE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,SELFPAY,SELFPAY,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,TRICARE,TRICARE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,368,368,UHC MEDICARE,UHC MEDICARE,,368,,fee schedule,368,10.99,368,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,AMERIGROUP,AMERIGROUP,,11.54,,fee schedule,11.54,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,11.76,,fee schedule,11.76,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,10.99,,fee schedule,10.99,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,AETNA,AETNA,,309.72,87,percent of total billed charges,309.72,10.99,356,percent of total billed charges,
OASIS 7X10,Q4102,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,309.72,87,percent of total billed charges,309.72,10.99,356,percent of total billed charges,
OASIS 7X10,Q4102,CPT,both,,,356,356,UNITED HEALTHCARE,UNITED HEALTHCARE,,313.28,88,percent of total billed charges,313.28,10.99,356,percent of total billed charges,
OASIS 7X10,Q4102,CPT,both,,,356,356,AETNA,AETNA,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,ALLIANT,ALLIANT,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,AMBETTER,AMBETTER,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,BEECH STREET,BEECH STREET,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,CARESOURCE,CARESOURCE,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,MEDICAID,MEDICAID,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,MEDICARE,MEDICARE,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,NOVA NET,NOVA NET,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,PEACHSTATE,PEACHSTATE,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,SELFPAY,SELFPAY,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,TRICARE,TRICARE,,356,,fee schedule,356,10.99,356,fee schedule,
OASIS 7X10,Q4102,CPT,both,,,356,356,UHC MEDICARE,UHC MEDICARE,,356,,fee schedule,356,10.99,356,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,AMERIGROUP,AMERIGROUP,,34.72,,fee schedule,34.72,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,CARESOURCE,CARESOURCE,,35.38,,fee schedule,35.38,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,PEACHSTATE,PEACHSTATE,,33.07,,fee schedule,33.07,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,AETNA,AETNA,,4570.11,87,percent of total billed charges,4570.11,33.07,5253,percent of total billed charges,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4570.11,87,percent of total billed charges,4570.11,33.07,5253,percent of total billed charges,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,UNITED HEALTHCARE,UNITED HEALTHCARE,,4622.64,88,percent of total billed charges,4622.64,33.07,5253,percent of total billed charges,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,AETNA,AETNA,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,ALLIANT,ALLIANT,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,AMBETTER,AMBETTER,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,BEECH STREET,BEECH STREET,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,CARESOURCE,CARESOURCE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,MEDICAID,MEDICAID,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,MEDICARE,MEDICARE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,NOVA NET,NOVA NET,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,PEACHSTATE,PEACHSTATE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,SELFPAY,SELFPAY,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,TRICARE,TRICARE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
DERMAGRAF PER 37.5CM SQ,Q4106,CPT,both,,,5253,5253,UHC MEDICARE,UHC MEDICARE,,5253,,fee schedule,5253,33.07,5253,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,AMERIGROUP,AMERIGROUP,,39.47,,fee schedule,39.47,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,CARESOURCE,CARESOURCE,,40.22,,fee schedule,40.22,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,PEACHSTATE,PEACHSTATE,,37.59,,fee schedule,37.59,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,AETNA,AETNA,,171.39,87,percent of total billed charges,171.39,37.59,197,percent of total billed charges,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,171.39,87,percent of total billed charges,171.39,37.59,197,percent of total billed charges,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,UNITED HEALTHCARE,UNITED HEALTHCARE,,173.36,88,percent of total billed charges,173.36,37.59,197,percent of total billed charges,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,AETNA,AETNA,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,ALLIANT,ALLIANT,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,AMBETTER,AMBETTER,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,BEECH STREET,BEECH STREET,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,CARESOURCE,CARESOURCE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,MEDICAID,MEDICAID,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,MEDICARE,MEDICARE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,NOVA NET,NOVA NET,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,PEACHSTATE,PEACHSTATE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,SELFPAY,SELFPAY,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,TRICARE,TRICARE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX ~ PER 1 SQ CM,Q4110,CPT,both,,,197,197,UHC MEDICARE,UHC MEDICARE,,197,,fee schedule,197,37.59,197,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,AMERIGROUP,AMERIGROUP,,39.47,,fee schedule,39.47,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,CARESOURCE,CARESOURCE,,40.22,,fee schedule,40.22,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,PEACHSTATE,PEACHSTATE,,37.59,,fee schedule,37.59,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,AETNA,AETNA,,4562.28,87,percent of total billed charges,4562.28,37.59,5244,percent of total billed charges,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4562.28,87,percent of total billed charges,4562.28,37.59,5244,percent of total billed charges,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,UNITED HEALTHCARE,UNITED HEALTHCARE,,4614.72,88,percent of total billed charges,4614.72,37.59,5244,percent of total billed charges,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,AETNA,AETNA,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,ALLIANT,ALLIANT,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,AMBETTER,AMBETTER,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,BEECH STREET,BEECH STREET,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,CARESOURCE,CARESOURCE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,MEDICAID,MEDICAID,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,MEDICARE,MEDICARE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,NOVA NET,NOVA NET,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,PEACHSTATE,PEACHSTATE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,SELFPAY,SELFPAY,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,TRICARE,TRICARE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 6X6,Q4110,CPT,both,,,5244,5244,UHC MEDICARE,UHC MEDICARE,,5244,,fee schedule,5244,37.59,5244,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,AMERIGROUP,AMERIGROUP,,39.47,,fee schedule,39.47,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,CARESOURCE,CARESOURCE,,40.22,,fee schedule,40.22,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,PEACHSTATE,PEACHSTATE,,37.59,,fee schedule,37.59,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,AETNA,AETNA,,7592.49,87,percent of total billed charges,7592.49,37.59,8727,percent of total billed charges,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7592.49,87,percent of total billed charges,7592.49,37.59,8727,percent of total billed charges,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,UNITED HEALTHCARE,UNITED HEALTHCARE,,7679.76,88,percent of total billed charges,7679.76,37.59,8727,percent of total billed charges,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,AETNA,AETNA,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,ALLIANT,ALLIANT,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,AMBETTER,AMBETTER,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,BEECH STREET,BEECH STREET,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,CARESOURCE,CARESOURCE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,MEDICAID,MEDICAID,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,MEDICARE,MEDICARE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,NOVA NET,NOVA NET,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,PEACHSTATE,PEACHSTATE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,SELFPAY,SELFPAY,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,TRICARE,TRICARE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH 8X8,Q4110,CPT,both,,,8727,8727,UHC MEDICARE,UHC MEDICARE,,8727,,fee schedule,8727,37.59,8727,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,AMERIGROUP,AMERIGROUP,,39.47,,fee schedule,39.47,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,CARESOURCE,CARESOURCE,,40.22,,fee schedule,40.22,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,PEACHSTATE,PEACHSTATE,,37.59,,fee schedule,37.59,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,AETNA,AETNA,,5216.52,87,percent of total billed charges,5216.52,37.59,5996,percent of total billed charges,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5216.52,87,percent of total billed charges,5216.52,37.59,5996,percent of total billed charges,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,UNITED HEALTHCARE,UNITED HEALTHCARE,,5276.48,88,percent of total billed charges,5276.48,37.59,5996,percent of total billed charges,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,AETNA,AETNA,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,ALLIANT,ALLIANT,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,AMBETTER,AMBETTER,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,BEECH STREET,BEECH STREET,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,CARESOURCE,CARESOURCE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,MEDICAID,MEDICAID,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,MEDICARE,MEDICARE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,NOVA NET,NOVA NET,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,PEACHSTATE,PEACHSTATE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,SELFPAY,SELFPAY,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,TRICARE,TRICARE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
PRIMATRIX MESH AG 6X6,Q4110,CPT,both,,,5996,5996,UHC MEDICARE,UHC MEDICARE,,5996,,fee schedule,5996,37.59,5996,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,AETNA,AETNA,,19240.92,87,percent of total billed charges,19240.92,19240.92,22116,percent of total billed charges,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,19240.92,87,percent of total billed charges,19240.92,19240.92,22116,percent of total billed charges,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,UNITED HEALTHCARE,UNITED HEALTHCARE,,19462.08,88,percent of total billed charges,19462.08,19240.92,22116,percent of total billed charges,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,AETNA,AETNA,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,ALLIANT,ALLIANT,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,AMBETTER,AMBETTER,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,BEECH STREET,BEECH STREET,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,CARESOURCE,CARESOURCE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,MEDICAID,MEDICAID,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,MEDICARE,MEDICARE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,NOVA NET,NOVA NET,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,PEACHSTATE,PEACHSTATE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,SELFPAY,SELFPAY,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,TRICARE,TRICARE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
ALLODERM LARGE,Q4116,CPT,both,,,22116,22116,UHC MEDICARE,UHC MEDICARE,,22116,,fee schedule,22116,19240.92,22116,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,AETNA,AETNA,,8306.76,87,percent of total billed charges,8306.76,8306.76,9548,percent of total billed charges,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8306.76,87,percent of total billed charges,8306.76,8306.76,9548,percent of total billed charges,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,UNITED HEALTHCARE,UNITED HEALTHCARE,,8402.24,88,percent of total billed charges,8402.24,8306.76,9548,percent of total billed charges,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,AETNA,AETNA,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,ALLIANT,ALLIANT,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,AMBETTER,AMBETTER,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,BEECH STREET,BEECH STREET,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,CARESOURCE,CARESOURCE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,MEDICAID,MEDICAID,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,MEDICARE,MEDICARE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,NOVA NET,NOVA NET,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,PEACHSTATE,PEACHSTATE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,SELFPAY,SELFPAY,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,TRICARE,TRICARE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
BREAST TISSUE ALLODERM,Q4116,CPT,both,,,9548,9548,UHC MEDICARE,UHC MEDICARE,,9548,,fee schedule,9548,8306.76,9548,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,AETNA,AETNA,,14767.38,87,percent of total billed charges,14767.38,14767.38,16974,percent of total billed charges,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14767.38,87,percent of total billed charges,14767.38,14767.38,16974,percent of total billed charges,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,UNITED HEALTHCARE,UNITED HEALTHCARE,,14937.12,88,percent of total billed charges,14937.12,14767.38,16974,percent of total billed charges,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,AETNA,AETNA,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,ALLIANT,ALLIANT,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,AMBETTER,AMBETTER,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,BEECH STREET,BEECH STREET,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,CARESOURCE,CARESOURCE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,MEDICAID,MEDICAID,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,MEDICARE,MEDICARE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,NOVA NET,NOVA NET,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,PEACHSTATE,PEACHSTATE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,SELFPAY,SELFPAY,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,TRICARE,TRICARE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
TISSUE ALLODERM MED,Q4116,CPT,both,,,16974,16974,UHC MEDICARE,UHC MEDICARE,,16974,,fee schedule,16974,14767.38,16974,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,AMERIGROUP,AMERIGROUP,,43.95,,fee schedule,43.95,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,AMERIGROUP,AMERIGROUP,,40.39,,fee schedule,40.39,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,CARESOURCE,CARESOURCE,,44.79,,fee schedule,44.79,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,CARESOURCE,CARESOURCE,,41.16,,fee schedule,41.16,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,PEACHSTATE,PEACHSTATE,,41.86,,fee schedule,41.86,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,PEACHSTATE,PEACHSTATE,,38.47,,fee schedule,38.47,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,AETNA,AETNA,,2795.31,87,percent of total billed charges,2795.31,38.47,3213,percent of total billed charges,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2795.31,87,percent of total billed charges,2795.31,38.47,3213,percent of total billed charges,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,UNITED HEALTHCARE,UNITED HEALTHCARE,,2827.44,88,percent of total billed charges,2827.44,38.47,3213,percent of total billed charges,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,AETNA,AETNA,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,ALLIANT,ALLIANT,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,AMBETTER,AMBETTER,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,BEECH STREET,BEECH STREET,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,CARESOURCE,CARESOURCE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,MEDICAID,MEDICAID,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,MEDICARE,MEDICARE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,NOVA NET,NOVA NET,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,PEACHSTATE,PEACHSTATE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,SELFPAY,SELFPAY,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,TRICARE,TRICARE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 39CM,Q4121,CPT,both,,,3213,3213,UHC MEDICARE,UHC MEDICARE,,3213,,fee schedule,3213,38.47,3213,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,AMERIGROUP,AMERIGROUP,,43.95,,fee schedule,43.95,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,AMERIGROUP,AMERIGROUP,,40.39,,fee schedule,40.39,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,CARESOURCE,CARESOURCE,,44.79,,fee schedule,44.79,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,CARESOURCE,CARESOURCE,,41.16,,fee schedule,41.16,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,PEACHSTATE,PEACHSTATE,,41.86,,fee schedule,41.86,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,PEACHSTATE,PEACHSTATE,,38.47,,fee schedule,38.47,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,AETNA,AETNA,,1918.35,87,percent of total billed charges,1918.35,38.47,2205,percent of total billed charges,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1918.35,87,percent of total billed charges,1918.35,38.47,2205,percent of total billed charges,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,UNITED HEALTHCARE,UNITED HEALTHCARE,,1940.4,88,percent of total billed charges,1940.4,38.47,2205,percent of total billed charges,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,AETNA,AETNA,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,ALLIANT,ALLIANT,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,AMBETTER,AMBETTER,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,BEECH STREET,BEECH STREET,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,CARESOURCE,CARESOURCE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,MEDICAID,MEDICAID,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,MEDICARE,MEDICARE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,NOVA NET,NOVA NET,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,PEACHSTATE,PEACHSTATE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,SELFPAY,SELFPAY,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,TRICARE,TRICARE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
SKIN GRAFT THERASKIN 6 CM,Q4121,CPT,both,,,2205,2205,UHC MEDICARE,UHC MEDICARE,,2205,,fee schedule,2205,38.47,2205,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,AMERIGROUP,AMERIGROUP,,43.95,,fee schedule,43.95,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,AMERIGROUP,AMERIGROUP,,40.39,,fee schedule,40.39,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,44.79,,fee schedule,44.79,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,41.16,,fee schedule,41.16,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,41.86,,fee schedule,41.86,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,38.47,,fee schedule,38.47,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,AETNA,AETNA,,56.55,87,percent of total billed charges,56.55,38.47,65,percent of total billed charges,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,56.55,87,percent of total billed charges,56.55,38.47,65,percent of total billed charges,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,UNITED HEALTHCARE,UNITED HEALTHCARE,,57.2,88,percent of total billed charges,57.2,38.47,65,percent of total billed charges,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,AETNA,AETNA,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,ALLIANT,ALLIANT,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,AMBETTER,AMBETTER,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,BEECH STREET,BEECH STREET,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,CARESOURCE,CARESOURCE,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,MEDICAID,MEDICAID,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,MEDICARE,MEDICARE,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,NOVA NET,NOVA NET,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,PEACHSTATE,PEACHSTATE,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,SELFPAY,SELFPAY,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,TRICARE,TRICARE,,65,,fee schedule,65,38.47,65,fee schedule,
THERASKIN PER SQ CM,Q4121,CPT,both,,,65,65,UHC MEDICARE,UHC MEDICARE,,65,,fee schedule,65,38.47,65,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,AMERIGROUP,AMERIGROUP,,12.6,,fee schedule,12.6,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,AMERIGROUP,AMERIGROUP,,12.6,,fee schedule,12.6,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,CARESOURCE,CARESOURCE,,12.84,,fee schedule,12.84,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,CARESOURCE,CARESOURCE,,12.84,,fee schedule,12.84,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,PEACHSTATE,PEACHSTATE,,12,,fee schedule,12,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,AETNA,AETNA,,1980.12,87,percent of total billed charges,1980.12,12,2276,percent of total billed charges,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1980.12,87,percent of total billed charges,1980.12,12,2276,percent of total billed charges,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,UNITED HEALTHCARE,UNITED HEALTHCARE,,2002.88,88,percent of total billed charges,2002.88,12,2276,percent of total billed charges,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,AETNA,AETNA,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,ALLIANT,ALLIANT,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,AMBETTER,AMBETTER,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,BEECH STREET,BEECH STREET,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,CARESOURCE,CARESOURCE,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,MEDICAID,MEDICAID,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,MEDICARE,MEDICARE,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,NOVA NET,NOVA NET,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,PEACHSTATE,PEACHSTATE,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,SELFPAY,SELFPAY,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,TRICARE,TRICARE,,2276,,fee schedule,2276,12,2276,fee schedule,
OASIS TRI LAYER DRESSING,Q4124,CPT,both,,,2276,2276,UHC MEDICARE,UHC MEDICARE,,2276,,fee schedule,2276,12,2276,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,AETNA,AETNA,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2769.21,87,percent of total billed charges,2769.21,2769.21,3183,percent of total billed charges,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,UNITED HEALTHCARE,UNITED HEALTHCARE,,2801.04,88,percent of total billed charges,2801.04,2769.21,3183,percent of total billed charges,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,AETNA,AETNA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,ALLIANT,ALLIANT,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,AMBETTER,AMBETTER,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,BEECH STREET,BEECH STREET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,CARESOURCE,CARESOURCE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,MEDICAID,MEDICAID,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,MEDICARE,MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,NOVA NET,NOVA NET,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,PEACHSTATE,PEACHSTATE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,SELFPAY,SELFPAY,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,TRICARE,TRICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
GRAFT CELL DERMIS,Q4125,CPT,both,,,3183,3183,UHC MEDICARE,UHC MEDICARE,,3183,,fee schedule,3183,2769.21,3183,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,AETNA,AETNA,,10070.25,87,percent of total billed charges,10070.25,10070.25,11575,percent of total billed charges,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10070.25,87,percent of total billed charges,10070.25,10070.25,11575,percent of total billed charges,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,UNITED HEALTHCARE,UNITED HEALTHCARE,,10186,88,percent of total billed charges,10186,10070.25,11575,percent of total billed charges,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,AETNA,AETNA,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,ALLIANT,ALLIANT,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,AMBETTER,AMBETTER,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,BEECH STREET,BEECH STREET,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,CARESOURCE,CARESOURCE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,MEDICAID,MEDICAID,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,MEDICARE,MEDICARE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,NOVA NET,NOVA NET,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,PEACHSTATE,PEACHSTATE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,SELFPAY,SELFPAY,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,TRICARE,TRICARE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
BIOMET DERMA SPAN GRAFT,Q4126,CPT,both,,,11575,11575,UHC MEDICARE,UHC MEDICARE,,11575,,fee schedule,11575,10070.25,11575,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,AETNA,AETNA,,4753.68,87,percent of total billed charges,4753.68,4753.68,5464,percent of total billed charges,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4753.68,87,percent of total billed charges,4753.68,4753.68,5464,percent of total billed charges,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,UNITED HEALTHCARE,UNITED HEALTHCARE,,4808.32,88,percent of total billed charges,4808.32,4753.68,5464,percent of total billed charges,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,AETNA,AETNA,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,ALLIANT,ALLIANT,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,AMBETTER,AMBETTER,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,BEECH STREET,BEECH STREET,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,CARESOURCE,CARESOURCE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,MEDICAID,MEDICAID,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,MEDICARE,MEDICARE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,NOVA NET,NOVA NET,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,PEACHSTATE,PEACHSTATE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,SELFPAY,SELFPAY,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,TRICARE,TRICARE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN 4.7CM 1.3MM THICK,Q4126,CPT,both,,,5464,5464,UHC MEDICARE,UHC MEDICARE,,5464,,fee schedule,5464,4753.68,5464,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,AETNA,AETNA,,253.17,87,percent of total billed charges,253.17,253.17,291,percent of total billed charges,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,253.17,87,percent of total billed charges,253.17,253.17,291,percent of total billed charges,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,UNITED HEALTHCARE,UNITED HEALTHCARE,,256.08,88,percent of total billed charges,256.08,253.17,291,percent of total billed charges,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,AETNA,AETNA,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,ALLIANT,ALLIANT,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,AMBETTER,AMBETTER,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,BEECH STREET,BEECH STREET,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,CARESOURCE,CARESOURCE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,MEDICAID,MEDICAID,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,MEDICARE,MEDICARE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,NOVA NET,NOVA NET,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,PEACHSTATE,PEACHSTATE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,SELFPAY,SELFPAY,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,TRICARE,TRICARE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN PER SQ/CM,Q4126,CPT,both,,,291,291,UHC MEDICARE,UHC MEDICARE,,291,,fee schedule,291,253.17,291,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,AETNA,AETNA,,6939.99,87,percent of total billed charges,6939.99,6939.99,7977,percent of total billed charges,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6939.99,87,percent of total billed charges,6939.99,6939.99,7977,percent of total billed charges,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,UNITED HEALTHCARE,UNITED HEALTHCARE,,7019.76,88,percent of total billed charges,7019.76,6939.99,7977,percent of total billed charges,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,AETNA,AETNA,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,ALLIANT,ALLIANT,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,AMBETTER,AMBETTER,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,BEECH STREET,BEECH STREET,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,CARESOURCE,CARESOURCE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,MEDICAID,MEDICAID,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,MEDICARE,MEDICARE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,NOVA NET,NOVA NET,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,PEACHSTATE,PEACHSTATE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,SELFPAY,SELFPAY,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,TRICARE,TRICARE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
DERMASPAN SKIN GRAFT,Q4126,CPT,both,,,7977,7977,UHC MEDICARE,UHC MEDICARE,,7977,,fee schedule,7977,6939.99,7977,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,AETNA,AETNA,,3506.97,87,percent of total billed charges,3506.97,3506.97,4031,percent of total billed charges,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3506.97,87,percent of total billed charges,3506.97,3506.97,4031,percent of total billed charges,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,UNITED HEALTHCARE,UNITED HEALTHCARE,,3547.28,88,percent of total billed charges,3547.28,3506.97,4031,percent of total billed charges,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,AETNA,AETNA,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,ALLIANT,ALLIANT,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,AMBETTER,AMBETTER,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,BEECH STREET,BEECH STREET,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,CARESOURCE,CARESOURCE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,MEDICAID,MEDICAID,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,MEDICARE,MEDICARE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,NOVA NET,NOVA NET,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,PEACHSTATE,PEACHSTATE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,SELFPAY,SELFPAY,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,TRICARE,TRICARE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
GRAFT SKIN DERMASPAN,Q4126,CPT,both,,,4031,4031,UHC MEDICARE,UHC MEDICARE,,4031,,fee schedule,4031,3506.97,4031,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,AETNA,AETNA,,21506.4,87,percent of total billed charges,21506.4,21506.4,24720,percent of total billed charges,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,21506.4,87,percent of total billed charges,21506.4,21506.4,24720,percent of total billed charges,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,UNITED HEALTHCARE,UNITED HEALTHCARE,,21753.6,88,percent of total billed charges,21753.6,21506.4,24720,percent of total billed charges,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,AETNA,AETNA,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,ALLIANT,ALLIANT,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,AMBETTER,AMBETTER,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,BEECH STREET,BEECH STREET,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,CARESOURCE,CARESOURCE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,MEDICAID,MEDICAID,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,MEDICARE,MEDICARE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,NOVA NET,NOVA NET,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,PEACHSTATE,PEACHSTATE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,SELFPAY,SELFPAY,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,TRICARE,TRICARE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,24720,24720,UHC MEDICARE,UHC MEDICARE,,24720,,fee schedule,24720,21506.4,24720,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,AETNA,AETNA,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,UNITED HEALTHCARE,UNITED HEALTHCARE,,8157.6,88,percent of total billed charges,8157.6,8064.9,9270,percent of total billed charges,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,AETNA,AETNA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,ALLIANT,ALLIANT,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,AMBETTER,AMBETTER,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,BEECH STREET,BEECH STREET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,MEDICAID,MEDICAID,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,MEDICARE,MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,NOVA NET,NOVA NET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,SELFPAY,SELFPAY,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,TRICARE,TRICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4126,CPT,both,,,9270,9270,UHC MEDICARE,UHC MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,AETNA,AETNA,,10592.25,87,percent of total billed charges,10592.25,10592.25,12175,percent of total billed charges,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10592.25,87,percent of total billed charges,10592.25,10592.25,12175,percent of total billed charges,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,UNITED HEALTHCARE,UNITED HEALTHCARE,,10714,88,percent of total billed charges,10714,10592.25,12175,percent of total billed charges,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,AETNA,AETNA,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,ALLIANT,ALLIANT,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,AMBETTER,AMBETTER,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,BEECH STREET,BEECH STREET,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,CARESOURCE,CARESOURCE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,MEDICAID,MEDICAID,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,MEDICARE,MEDICARE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,NOVA NET,NOVA NET,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,PEACHSTATE,PEACHSTATE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,SELFPAY,SELFPAY,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,TRICARE,TRICARE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
AMNIOFILL 2000,Q4139,CPT,both,,,12175,12175,UHC MEDICARE,UHC MEDICARE,,12175,,fee schedule,12175,10592.25,12175,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,AETNA,AETNA,,4932.03,87,percent of total billed charges,4932.03,4932.03,5669,percent of total billed charges,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4932.03,87,percent of total billed charges,4932.03,4932.03,5669,percent of total billed charges,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,UNITED HEALTHCARE,UNITED HEALTHCARE,,4988.72,88,percent of total billed charges,4988.72,4932.03,5669,percent of total billed charges,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,AETNA,AETNA,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,ALLIANT,ALLIANT,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,AMBETTER,AMBETTER,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,BEECH STREET,BEECH STREET,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,CARESOURCE,CARESOURCE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,MEDICAID,MEDICAID,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,MEDICARE,MEDICARE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,NOVA NET,NOVA NET,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,PEACHSTATE,PEACHSTATE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,SELFPAY,SELFPAY,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,TRICARE,TRICARE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
4X6CM DERMAPURE ALLOGRAFT,Q4152,CPT,both,,,5669,5669,UHC MEDICARE,UHC MEDICARE,,5669,,fee schedule,5669,4932.03,5669,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,AETNA,AETNA,,4591.86,87,percent of total billed charges,4591.86,4591.86,5278,percent of total billed charges,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4591.86,87,percent of total billed charges,4591.86,4591.86,5278,percent of total billed charges,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,UNITED HEALTHCARE,UNITED HEALTHCARE,,4644.64,88,percent of total billed charges,4644.64,4591.86,5278,percent of total billed charges,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,AETNA,AETNA,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,ALLIANT,ALLIANT,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,AMBETTER,AMBETTER,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,BEECH STREET,BEECH STREET,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,CARESOURCE,CARESOURCE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,MEDICAID,MEDICAID,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,MEDICARE,MEDICARE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,NOVA NET,NOVA NET,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,PEACHSTATE,PEACHSTATE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,SELFPAY,SELFPAY,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,TRICARE,TRICARE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
NUSHIELD 4X6 CM NO-1460,Q4160,CPT,both,,,5278,5278,UHC MEDICARE,UHC MEDICARE,,5278,,fee schedule,5278,4591.86,5278,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,AETNA,AETNA,,3854.97,87,percent of total billed charges,3854.97,162.01,4431,percent of total billed charges,
EPIFIX,Q4186,CPT,both,,,4431,4431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3854.97,87,percent of total billed charges,3854.97,162.01,4431,percent of total billed charges,
EPIFIX,Q4186,CPT,both,,,4431,4431,UNITED HEALTHCARE,UNITED HEALTHCARE,,3899.28,88,percent of total billed charges,3899.28,162.01,4431,percent of total billed charges,
EPIFIX,Q4186,CPT,both,,,4431,4431,AETNA,AETNA,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,ALLIANT,ALLIANT,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,AMBETTER,AMBETTER,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,BEECH STREET,BEECH STREET,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,CARESOURCE,CARESOURCE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,MEDICAID,MEDICAID,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,MEDICARE,MEDICARE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,NOVA NET,NOVA NET,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,PEACHSTATE,PEACHSTATE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,SELFPAY,SELFPAY,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,TRICARE,TRICARE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX,Q4186,CPT,both,,,4431,4431,UHC MEDICARE,UHC MEDICARE,,4431,,fee schedule,4431,162.01,4431,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,AETNA,AETNA,,2741.37,87,percent of total billed charges,2741.37,162.01,3151,percent of total billed charges,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2741.37,87,percent of total billed charges,2741.37,162.01,3151,percent of total billed charges,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,UNITED HEALTHCARE,UNITED HEALTHCARE,,2772.88,88,percent of total billed charges,2772.88,162.01,3151,percent of total billed charges,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,AETNA,AETNA,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,ALLIANT,ALLIANT,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,AMBETTER,AMBETTER,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,BEECH STREET,BEECH STREET,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,CARESOURCE,CARESOURCE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,MEDICAID,MEDICAID,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,MEDICARE,MEDICARE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,NOVA NET,NOVA NET,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,PEACHSTATE,PEACHSTATE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,SELFPAY,SELFPAY,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,TRICARE,TRICARE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX 2X2,Q4186,CPT,both,,,3151,3151,UHC MEDICARE,UHC MEDICARE,,3151,,fee schedule,3151,162.01,3151,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,AETNA,AETNA,,1718.25,87,percent of total billed charges,1718.25,162.01,1975,percent of total billed charges,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1718.25,87,percent of total billed charges,1718.25,162.01,1975,percent of total billed charges,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,UNITED HEALTHCARE,UNITED HEALTHCARE,,1738,88,percent of total billed charges,1738,162.01,1975,percent of total billed charges,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,AETNA,AETNA,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,ALLIANT,ALLIANT,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,AMBETTER,AMBETTER,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,BEECH STREET,BEECH STREET,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,CARESOURCE,CARESOURCE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,MEDICAID,MEDICAID,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,MEDICARE,MEDICARE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,NOVA NET,NOVA NET,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,PEACHSTATE,PEACHSTATE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,SELFPAY,SELFPAY,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,TRICARE,TRICARE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 18MM DISK,Q4186,CPT,both,,,1975,1975,UHC MEDICARE,UHC MEDICARE,,1975,,fee schedule,1975,162.01,1975,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,AETNA,AETNA,,2456.01,87,percent of total billed charges,2456.01,162.01,2823,percent of total billed charges,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2456.01,87,percent of total billed charges,2456.01,162.01,2823,percent of total billed charges,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,UNITED HEALTHCARE,UNITED HEALTHCARE,,2484.24,88,percent of total billed charges,2484.24,162.01,2823,percent of total billed charges,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,AETNA,AETNA,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,ALLIANT,ALLIANT,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,AMBETTER,AMBETTER,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,BEECH STREET,BEECH STREET,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,CARESOURCE,CARESOURCE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,MEDICAID,MEDICAID,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,MEDICARE,MEDICARE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,NOVA NET,NOVA NET,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,PEACHSTATE,PEACHSTATE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,SELFPAY,SELFPAY,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,TRICARE,TRICARE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 2CM SHEET,Q4186,CPT,both,,,2823,2823,UHC MEDICARE,UHC MEDICARE,,2823,,fee schedule,2823,162.01,2823,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,AETNA,AETNA,,2757.9,87,percent of total billed charges,2757.9,162.01,3170,percent of total billed charges,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2757.9,87,percent of total billed charges,2757.9,162.01,3170,percent of total billed charges,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,UNITED HEALTHCARE,UNITED HEALTHCARE,,2789.6,88,percent of total billed charges,2789.6,162.01,3170,percent of total billed charges,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,AETNA,AETNA,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,ALLIANT,ALLIANT,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,AMBETTER,AMBETTER,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,BEECH STREET,BEECH STREET,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,CARESOURCE,CARESOURCE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,MEDICAID,MEDICAID,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,MEDICARE,MEDICARE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,NOVA NET,NOVA NET,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,PEACHSTATE,PEACHSTATE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,SELFPAY,SELFPAY,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,TRICARE,TRICARE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 3CM SHEET,Q4186,CPT,both,,,3170,3170,UHC MEDICARE,UHC MEDICARE,,3170,,fee schedule,3170,162.01,3170,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,AETNA,AETNA,,3115.47,87,percent of total billed charges,3115.47,162.01,3581,percent of total billed charges,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3115.47,87,percent of total billed charges,3115.47,162.01,3581,percent of total billed charges,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,UNITED HEALTHCARE,UNITED HEALTHCARE,,3151.28,88,percent of total billed charges,3151.28,162.01,3581,percent of total billed charges,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,AETNA,AETNA,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,ALLIANT,ALLIANT,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,AMBETTER,AMBETTER,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,BEECH STREET,BEECH STREET,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,CARESOURCE,CARESOURCE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,MEDICAID,MEDICAID,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,MEDICARE,MEDICARE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,NOVA NET,NOVA NET,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,PEACHSTATE,PEACHSTATE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,SELFPAY,SELFPAY,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,TRICARE,TRICARE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 2CM X 4CM SHEET,Q4186,CPT,both,,,3581,3581,UHC MEDICARE,UHC MEDICARE,,3581,,fee schedule,3581,162.01,3581,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,AMERIGROUP,AMERIGROUP,,170.11,,fee schedule,170.11,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,CARESOURCE,CARESOURCE,,173.35,,fee schedule,173.35,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,PEACHSTATE,PEACHSTATE,,162.01,,fee schedule,162.01,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,AETNA,AETNA,,3219.87,87,percent of total billed charges,3219.87,162.01,3701,percent of total billed charges,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3219.87,87,percent of total billed charges,3219.87,162.01,3701,percent of total billed charges,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,UNITED HEALTHCARE,UNITED HEALTHCARE,,3256.88,88,percent of total billed charges,3256.88,162.01,3701,percent of total billed charges,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,AETNA,AETNA,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,ALLIANT,ALLIANT,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,AMBETTER,AMBETTER,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,BEECH STREET,BEECH STREET,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,CARESOURCE,CARESOURCE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,MEDICAID,MEDICAID,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,MEDICARE,MEDICARE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,NOVA NET,NOVA NET,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,PEACHSTATE,PEACHSTATE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,SELFPAY,SELFPAY,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,TRICARE,TRICARE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
EPIFIX SS 4X4.5CM MESH SHEET,Q4186,CPT,both,,,3701,3701,UHC MEDICARE,UHC MEDICARE,,3701,,fee schedule,3701,162.01,3701,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,281.01,323,percent of total billed charges,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,281.01,323,percent of total billed charges,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,281.01,323,percent of total billed charges,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,ALLIANT,ALLIANT,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,AMBETTER,AMBETTER,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,MEDICARE,MEDICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,TRICARE,TRICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY PER SQ CM,Q4195,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,281.01,323,percent of total billed charges,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,281.01,323,percent of total billed charges,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,281.01,323,percent of total billed charges,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,ALLIANT,ALLIANT,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,AMBETTER,AMBETTER,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,MEDICARE,MEDICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,TRICARE,TRICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY AM PER SQ CM,Q4196,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,323,,fee schedule,323,281.01,323,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,AETNA,AETNA,,12993.45,87,percent of total billed charges,12993.45,12993.45,14935,percent of total billed charges,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,12993.45,87,percent of total billed charges,12993.45,12993.45,14935,percent of total billed charges,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,UNITED HEALTHCARE,UNITED HEALTHCARE,,13142.8,88,percent of total billed charges,13142.8,12993.45,14935,percent of total billed charges,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,AETNA,AETNA,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,ALLIANT,ALLIANT,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,AMBETTER,AMBETTER,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,BEECH STREET,BEECH STREET,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,CARESOURCE,CARESOURCE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,MEDICAID,MEDICAID,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,MEDICARE,MEDICARE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,NOVA NET,NOVA NET,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,PEACHSTATE,PEACHSTATE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,SELFPAY,SELFPAY,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,TRICARE,TRICARE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,14935,14935,UHC MEDICARE,UHC MEDICARE,,14935,,fee schedule,14935,12993.45,14935,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,AETNA,AETNA,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8064.9,87,percent of total billed charges,8064.9,8064.9,9270,percent of total billed charges,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,UNITED HEALTHCARE,UNITED HEALTHCARE,,8157.6,88,percent of total billed charges,8157.6,8064.9,9270,percent of total billed charges,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,AETNA,AETNA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,ALLIANT,ALLIANT,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,AMBETTER,AMBETTER,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,BEECH STREET,BEECH STREET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,CARESOURCE,CARESOURCE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,MEDICAID,MEDICAID,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,MEDICARE,MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,NOVA NET,NOVA NET,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,PEACHSTATE,PEACHSTATE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,SELFPAY,SELFPAY,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,TRICARE,TRICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
SKIN GRAFT,Q4196,CPT,both,,,9270,9270,UHC MEDICARE,UHC MEDICARE,,9270,,fee schedule,9270,8064.9,9270,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,AETNA,AETNA,,281.01,87,percent of total billed charges,281.01,281.01,323,percent of total billed charges,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,281.01,87,percent of total billed charges,281.01,281.01,323,percent of total billed charges,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,UNITED HEALTHCARE,UNITED HEALTHCARE,,284.24,88,percent of total billed charges,284.24,281.01,323,percent of total billed charges,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,AETNA,AETNA,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,ALLIANT,ALLIANT,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,AMBETTER,AMBETTER,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,BEECH STREET,BEECH STREET,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,CARESOURCE,CARESOURCE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,MEDICAID,MEDICAID,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,MEDICARE,MEDICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,NOVA NET,NOVA NET,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,PEACHSTATE,PEACHSTATE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,SELFPAY,SELFPAY,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,TRICARE,TRICARE,,323,,fee schedule,323,281.01,323,fee schedule,
PURAPLY XT PER SQ CM,Q4197,CPT,both,,,323,323,UHC MEDICARE,UHC MEDICARE,,323,,fee schedule,323,281.01,323,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,AETNA,AETNA,,5240.01,87,percent of total billed charges,5240.01,5240.01,6023,percent of total billed charges,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5240.01,87,percent of total billed charges,5240.01,5240.01,6023,percent of total billed charges,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,UNITED HEALTHCARE,UNITED HEALTHCARE,,5300.24,88,percent of total billed charges,5300.24,5240.01,6023,percent of total billed charges,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,AETNA,AETNA,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,ALLIANT,ALLIANT,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,AMBETTER,AMBETTER,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,BEECH STREET,BEECH STREET,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,CARESOURCE,CARESOURCE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,MEDICAID,MEDICAID,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,MEDICARE,MEDICARE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,NOVA NET,NOVA NET,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,PEACHSTATE,PEACHSTATE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,SELFPAY,SELFPAY,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,TRICARE,TRICARE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIO REPAIR WRAP 3CMX3CM,Q4235,CPT,both,,,6023,6023,UHC MEDICARE,UHC MEDICARE,,6023,,fee schedule,6023,5240.01,6023,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,AETNA,AETNA,,5044.26,87,percent of total billed charges,5044.26,5044.26,5798,percent of total billed charges,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5044.26,87,percent of total billed charges,5044.26,5044.26,5798,percent of total billed charges,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,UNITED HEALTHCARE,UNITED HEALTHCARE,,5102.24,88,percent of total billed charges,5102.24,5044.26,5798,percent of total billed charges,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,AETNA,AETNA,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,ALLIANT,ALLIANT,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,AMBETTER,AMBETTER,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,BEECH STREET,BEECH STREET,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,CARESOURCE,CARESOURCE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,MEDICAID,MEDICAID,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,MEDICARE,MEDICARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,NOVA NET,NOVA NET,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,PEACHSTATE,PEACHSTATE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,SELFPAY,SELFPAY,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,TRICARE,TRICARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2.0X4.0,Q4235,CPT,both,,,5798,5798,UHC MEDICARE,UHC MEDICARE,,5798,,fee schedule,5798,5044.26,5798,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,AETNA,AETNA,,2825.76,87,percent of total billed charges,2825.76,2825.76,3248,percent of total billed charges,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2825.76,87,percent of total billed charges,2825.76,2825.76,3248,percent of total billed charges,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,UNITED HEALTHCARE,UNITED HEALTHCARE,,2858.24,88,percent of total billed charges,2858.24,2825.76,3248,percent of total billed charges,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,AETNA,AETNA,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,ALLIANT,ALLIANT,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,AMBETTER,AMBETTER,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,BEECH STREET,BEECH STREET,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,CARESOURCE,CARESOURCE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,MEDICAID,MEDICAID,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,MEDICARE,MEDICARE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,NOVA NET,NOVA NET,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,PEACHSTATE,PEACHSTATE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,SELFPAY,SELFPAY,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,TRICARE,TRICARE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 2X2,Q4235,CPT,both,,,3248,3248,UHC MEDICARE,UHC MEDICARE,,3248,,fee schedule,3248,2825.76,3248,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,AETNA,AETNA,,8927.94,87,percent of total billed charges,8927.94,8927.94,10262,percent of total billed charges,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,8927.94,87,percent of total billed charges,8927.94,8927.94,10262,percent of total billed charges,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,UNITED HEALTHCARE,UNITED HEALTHCARE,,9030.56,88,percent of total billed charges,9030.56,8927.94,10262,percent of total billed charges,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,AETNA,AETNA,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,ALLIANT,ALLIANT,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,AMBETTER,AMBETTER,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,BEECH STREET,BEECH STREET,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,CARESOURCE,CARESOURCE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,MEDICAID,MEDICAID,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,MEDICARE,MEDICARE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,NOVA NET,NOVA NET,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,PEACHSTATE,PEACHSTATE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,SELFPAY,SELFPAY,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,TRICARE,TRICARE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
AMNIOREPAIR WRAP 4X6,Q4235,CPT,both,,,10262,10262,UHC MEDICARE,UHC MEDICARE,,10262,,fee schedule,10262,8927.94,10262,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,AMERIGROUP,AMERIGROUP,,0.26,,fee schedule,0.26,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,CARESOURCE,CARESOURCE,,0.27,,fee schedule,0.27,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,PEACHSTATE,PEACHSTATE,,0.25,,fee schedule,0.25,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,AETNA,AETNA,,1185.81,87,percent of total billed charges,1185.81,0.25,1363,percent of total billed charges,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1185.81,87,percent of total billed charges,1185.81,0.25,1363,percent of total billed charges,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,UNITED HEALTHCARE,UNITED HEALTHCARE,,1199.44,88,percent of total billed charges,1199.44,0.25,1363,percent of total billed charges,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,AETNA,AETNA,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,ALLIANT,ALLIANT,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,AMBETTER,AMBETTER,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,BEECH STREET,BEECH STREET,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,CARESOURCE,CARESOURCE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,MEDICAID,MEDICAID,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,MEDICARE,MEDICARE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,NOVA NET,NOVA NET,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,PEACHSTATE,PEACHSTATE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,SELFPAY,SELFPAY,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,TRICARE,TRICARE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 300MCG/0.5ML INJ,Q5101,CPT,both,,,1363,1363,UHC MEDICARE,UHC MEDICARE,,1363,,fee schedule,1363,0.25,1363,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,AMERIGROUP,AMERIGROUP,,0.26,,fee schedule,0.26,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,CARESOURCE,CARESOURCE,,0.27,,fee schedule,0.27,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,PEACHSTATE,PEACHSTATE,,0.25,,fee schedule,0.25,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,AETNA,AETNA,,1885.29,87,percent of total billed charges,1885.29,0.25,2167,percent of total billed charges,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1885.29,87,percent of total billed charges,1885.29,0.25,2167,percent of total billed charges,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,UNITED HEALTHCARE,UNITED HEALTHCARE,,1906.96,88,percent of total billed charges,1906.96,0.25,2167,percent of total billed charges,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,AETNA,AETNA,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,ALLIANT,ALLIANT,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,AMBETTER,AMBETTER,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,BEECH STREET,BEECH STREET,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,CARESOURCE,CARESOURCE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,MEDICAID,MEDICAID,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,MEDICARE,MEDICARE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,NOVA NET,NOVA NET,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,PEACHSTATE,PEACHSTATE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,SELFPAY,SELFPAY,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,TRICARE,TRICARE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
ZARXIO 480MCG/.08ML INJ,Q5101,CPT,both,,,2167,2167,UHC MEDICARE,UHC MEDICARE,,2167,,fee schedule,2167,0.25,2167,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.26,,fee schedule,0.26,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.27,,fee schedule,0.27,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.25,,fee schedule,0.25,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.25,35.29,percent of total billed charges,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.25,35.29,percent of total billed charges,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.25,35.29,percent of total billed charges,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 300 mcg/0.5 ml Syringe,Q5101,CPT,both,300,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,AMERIGROUP,AMERIGROUP,,0.26,,fee schedule,0.26,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,CARESOURCE,CARESOURCE,,0.27,,fee schedule,0.27,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,0.25,,fee schedule,0.25,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,0.25,35.29,percent of total billed charges,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,0.25,35.29,percent of total billed charges,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,0.25,35.29,percent of total billed charges,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
Filgrastim-Sndz 480 mcg/0.8 ml Syringe,Q5101,CPT,both,480,F2,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,0.25,35.29,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,ALLIANT,ALLIANT,,40.92,,fee schedule,40.92,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,AMBETTER,AMBETTER,,32.24,,fee schedule,32.24,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,MEDICARE,MEDICARE,,24.8,,fee schedule,24.8,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,TRICARE,TRICARE,,24.8,,fee schedule,24.8,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,UHC MEDICARE,UHC MEDICARE,,24.8,,fee schedule,24.8,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,AETNA,AETNA,,63.51,87,percent of total billed charges,63.51,24.8,73,percent of total billed charges,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,63.51,87,percent of total billed charges,63.51,24.8,73,percent of total billed charges,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,UNITED HEALTHCARE,UNITED HEALTHCARE,,64.24,88,percent of total billed charges,64.24,24.8,73,percent of total billed charges,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,AETNA,AETNA,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,BEECH STREET,BEECH STREET,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,CARESOURCE,CARESOURCE,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,MEDICAID,MEDICAID,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,NOVA NET,NOVA NET,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,PEACHSTATE,PEACHSTATE,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,SELFPAY,SELFPAY,,73,,fee schedule,73,24.8,73,fee schedule,
INFLECTRA 100MG VIAL,Q5103,CPT,both,,,73,73,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,73,,fee schedule,73,24.8,73,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,ALLIANT,ALLIANT,,40.92,,fee schedule,40.92,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,AMBETTER,AMBETTER,,32.24,,fee schedule,32.24,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,MEDICARE,MEDICARE,,24.8,,fee schedule,24.8,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,TRICARE,TRICARE,,24.8,,fee schedule,24.8,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,24.8,,fee schedule,24.8,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,24.8,139.78,percent of total billed charges,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,24.8,139.78,percent of total billed charges,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,24.8,139.78,percent of total billed charges,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
inFLIXimab-dyyb,Q5103,CPT,both,100,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,24.8,139.78,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,ALLIANT,ALLIANT,,75.03,,fee schedule,75.03,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,AMBETTER,AMBETTER,,59.11,,fee schedule,59.11,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,AMERIGROUP,AMERIGROUP,,31.41,,fee schedule,31.41,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,CARESOURCE,CARESOURCE,,32,,fee schedule,32,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,MEDICARE,MEDICARE,,45.47,,fee schedule,45.47,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,PEACHSTATE,PEACHSTATE,,29.91,,fee schedule,29.91,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,TRICARE,TRICARE,,45.47,,fee schedule,45.47,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,UHC MEDICARE,UHC MEDICARE,,45.47,,fee schedule,45.47,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,AETNA,AETNA,,603.78,87,percent of total billed charges,603.78,29.91,694,percent of total billed charges,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,603.78,87,percent of total billed charges,603.78,29.91,694,percent of total billed charges,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,UNITED HEALTHCARE,UNITED HEALTHCARE,,610.72,88,percent of total billed charges,610.72,29.91,694,percent of total billed charges,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,AETNA,AETNA,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,BEECH STREET,BEECH STREET,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,CARESOURCE,CARESOURCE,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,MEDICAID,MEDICAID,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,NOVA NET,NOVA NET,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,PEACHSTATE,PEACHSTATE,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,SELFPAY,SELFPAY,,694,,fee schedule,694,29.91,694,fee schedule,
RENFLEXIS 100MG INJ,Q5104,CPT,both,,,694,694,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,694,,fee schedule,694,29.91,694,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,ALLIANT,ALLIANT,,75.03,,fee schedule,75.03,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,AMBETTER,AMBETTER,,59.11,,fee schedule,59.11,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,AMERIGROUP,AMERIGROUP,,31.41,,fee schedule,31.41,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,32,,fee schedule,32,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,MEDICARE,MEDICARE,,45.47,,fee schedule,45.47,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,29.91,,fee schedule,29.91,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,TRICARE,TRICARE,,45.47,,fee schedule,45.47,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,UHC MEDICARE,UHC MEDICARE,,45.47,,fee schedule,45.47,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,130.3,87,percent of total billed charges,130.3,29.91,149.77,percent of total billed charges,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,130.3,87,percent of total billed charges,130.3,29.91,149.77,percent of total billed charges,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,UNITED HEALTHCARE,UNITED HEALTHCARE,,131.8,88,percent of total billed charges,131.8,29.91,149.77,percent of total billed charges,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,AETNA,AETNA,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,BEECH STREET,BEECH STREET,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,CARESOURCE,CARESOURCE,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,MEDICAID,MEDICAID,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,NOVA NET,NOVA NET,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,PEACHSTATE,PEACHSTATE,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,SELFPAY,SELFPAY,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
inFLIXimab-abda,Q5104,CPT,both,100,ME,149.77,149.77,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,149.77,,fee schedule,149.77,29.91,149.77,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,ALLIANT,ALLIANT,,52.31,,fee schedule,52.31,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,AMBETTER,AMBETTER,,41.21,,fee schedule,41.21,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,AMERIGROUP,AMERIGROUP,,27.93,,fee schedule,27.93,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,28.47,,fee schedule,28.47,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,MEDICARE,MEDICARE,,31.7,,fee schedule,31.7,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,26.6,,fee schedule,26.6,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,TRICARE,TRICARE,,31.7,,fee schedule,31.7,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,UHC MEDICARE,UHC MEDICARE,,31.7,,fee schedule,31.7,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,AETNA,AETNA,,604.65,87,percent of total billed charges,604.65,26.6,695,percent of total billed charges,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,604.65,87,percent of total billed charges,604.65,26.6,695,percent of total billed charges,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,UNITED HEALTHCARE,UNITED HEALTHCARE,,611.6,88,percent of total billed charges,611.6,26.6,695,percent of total billed charges,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,AETNA,AETNA,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,BEECH STREET,BEECH STREET,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,CARESOURCE,CARESOURCE,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,MEDICAID,MEDICAID,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,NOVA NET,NOVA NET,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,PEACHSTATE,PEACHSTATE,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,SELFPAY,SELFPAY,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 100MG/4ML VIAL,Q5107,CPT,both,,,695,695,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,695,,fee schedule,695,26.6,695,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,ALLIANT,ALLIANT,,52.31,,fee schedule,52.31,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,AMBETTER,AMBETTER,,41.21,,fee schedule,41.21,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,AMERIGROUP,AMERIGROUP,,27.93,,fee schedule,27.93,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,CARESOURCE,CARESOURCE,,28.47,,fee schedule,28.47,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,MEDICARE,MEDICARE,,31.7,,fee schedule,31.7,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,PEACHSTATE,PEACHSTATE,,26.6,,fee schedule,26.6,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,TRICARE,TRICARE,,31.7,,fee schedule,31.7,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,UHC MEDICARE,UHC MEDICARE,,31.7,,fee schedule,31.7,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,AETNA,AETNA,,2419.47,87,percent of total billed charges,2419.47,26.6,2781,percent of total billed charges,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2419.47,87,percent of total billed charges,2419.47,26.6,2781,percent of total billed charges,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,UNITED HEALTHCARE,UNITED HEALTHCARE,,2447.28,88,percent of total billed charges,2447.28,26.6,2781,percent of total billed charges,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,AETNA,AETNA,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,BEECH STREET,BEECH STREET,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,CARESOURCE,CARESOURCE,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,MEDICAID,MEDICAID,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,NOVA NET,NOVA NET,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,PEACHSTATE,PEACHSTATE,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,SELFPAY,SELFPAY,,2781,,fee schedule,2781,26.6,2781,fee schedule,
MVASI 400MG/16ML VIAL,Q5107,CPT,both,,,2781,2781,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2781,,fee schedule,2781,26.6,2781,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,ALLIANT,ALLIANT,,227.14,,fee schedule,227.14,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,AMBETTER,AMBETTER,,178.96,,fee schedule,178.96,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,174.35,,fee schedule,174.35,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,177.67,,fee schedule,177.67,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,MEDICARE,MEDICARE,,137.66,,fee schedule,137.66,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,166.05,,fee schedule,166.05,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,TRICARE,TRICARE,,137.66,,fee schedule,137.66,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,137.66,,fee schedule,137.66,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,227.14,percent of total billed charges,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,227.14,percent of total billed charges,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,227.14,percent of total billed charges,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
NULL,Q5111,CPT,both,6,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,227.14,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,ALLIANT,ALLIANT,,60.06,,fee schedule,60.06,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,AMBETTER,AMBETTER,,47.32,,fee schedule,47.32,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,AMERIGROUP,AMERIGROUP,,65.76,,fee schedule,65.76,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,CARESOURCE,CARESOURCE,,67.02,,fee schedule,67.02,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,MEDICARE,MEDICARE,,36.4,,fee schedule,36.4,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,PEACHSTATE,PEACHSTATE,,62.63,,fee schedule,62.63,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,TRICARE,TRICARE,,36.4,,fee schedule,36.4,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,UHC MEDICARE,UHC MEDICARE,,36.4,,fee schedule,36.4,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,AETNA,AETNA,,1612.11,87,percent of total billed charges,1612.11,36.4,1853,percent of total billed charges,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1612.11,87,percent of total billed charges,1612.11,36.4,1853,percent of total billed charges,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,UNITED HEALTHCARE,UNITED HEALTHCARE,,1630.64,88,percent of total billed charges,1630.64,36.4,1853,percent of total billed charges,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,AETNA,AETNA,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,BEECH STREET,BEECH STREET,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,CARESOURCE,CARESOURCE,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,MEDICAID,MEDICAID,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,NOVA NET,NOVA NET,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,PEACHSTATE,PEACHSTATE,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,SELFPAY,SELFPAY,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 150MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,1853,1853,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1853,,fee schedule,1853,36.4,1853,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,ALLIANT,ALLIANT,,60.06,,fee schedule,60.06,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,AMBETTER,AMBETTER,,47.32,,fee schedule,47.32,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,AMERIGROUP,AMERIGROUP,,65.76,,fee schedule,65.76,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,CARESOURCE,CARESOURCE,,67.02,,fee schedule,67.02,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,MEDICARE,MEDICARE,,36.4,,fee schedule,36.4,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,PEACHSTATE,PEACHSTATE,,62.63,,fee schedule,62.63,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,TRICARE,TRICARE,,36.4,,fee schedule,36.4,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,UHC MEDICARE,UHC MEDICARE,,36.4,,fee schedule,36.4,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,AETNA,AETNA,,5997.78,87,percent of total billed charges,5997.78,36.4,6894,percent of total billed charges,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5997.78,87,percent of total billed charges,5997.78,36.4,6894,percent of total billed charges,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,UNITED HEALTHCARE,UNITED HEALTHCARE,,6066.72,88,percent of total billed charges,6066.72,36.4,6894,percent of total billed charges,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,AETNA,AETNA,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,BEECH STREET,BEECH STREET,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,CARESOURCE,CARESOURCE,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,MEDICAID,MEDICAID,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,NOVA NET,NOVA NET,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,PEACHSTATE,PEACHSTATE,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,SELFPAY,SELFPAY,,6894,,fee schedule,6894,36.4,6894,fee schedule,
HERZUMA 420MG(TRASTUZUMAB-PKRB,Q5113,CPT,both,,,6894,6894,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6894,,fee schedule,6894,36.4,6894,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,ALLIANT,ALLIANT,,60.06,,fee schedule,60.06,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,AMBETTER,AMBETTER,,47.32,,fee schedule,47.32,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,65.76,,fee schedule,65.76,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,CARESOURCE,CARESOURCE,,67.02,,fee schedule,67.02,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,MEDICARE,MEDICARE,,36.4,,fee schedule,36.4,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,62.63,,fee schedule,62.63,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,TRICARE,TRICARE,,36.4,,fee schedule,36.4,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,36.4,,fee schedule,36.4,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,36.4,139.78,percent of total billed charges,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,36.4,139.78,percent of total billed charges,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,36.4,139.78,percent of total billed charges,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,150,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,ALLIANT,ALLIANT,,60.06,,fee schedule,60.06,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,AMBETTER,AMBETTER,,47.32,,fee schedule,47.32,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,65.76,,fee schedule,65.76,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,CARESOURCE,CARESOURCE,,67.02,,fee schedule,67.02,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,MEDICARE,MEDICARE,,36.4,,fee schedule,36.4,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,62.63,,fee schedule,62.63,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,TRICARE,TRICARE,,36.4,,fee schedule,36.4,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,36.4,,fee schedule,36.4,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,36.4,139.78,percent of total billed charges,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,36.4,139.78,percent of total billed charges,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,36.4,139.78,percent of total billed charges,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
Trastuzumab-pkrb,Q5113,CPT,both,420,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,36.4,139.78,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,ALLIANT,ALLIANT,,80.57,,fee schedule,80.57,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,AMBETTER,AMBETTER,,63.48,,fee schedule,63.48,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,AMERIGROUP,AMERIGROUP,,35.39,,fee schedule,35.39,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,CARESOURCE,CARESOURCE,,36.06,,fee schedule,36.06,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,MEDICARE,MEDICARE,,48.83,,fee schedule,48.83,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,PEACHSTATE,PEACHSTATE,,33.7,,fee schedule,33.7,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,TRICARE,TRICARE,,48.83,,fee schedule,48.83,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,UHC MEDICARE,UHC MEDICARE,,48.83,,fee schedule,48.83,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,AETNA,AETNA,,2757.9,87,percent of total billed charges,2757.9,33.7,3170,percent of total billed charges,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2757.9,87,percent of total billed charges,2757.9,33.7,3170,percent of total billed charges,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,UNITED HEALTHCARE,UNITED HEALTHCARE,,2789.6,88,percent of total billed charges,2789.6,33.7,3170,percent of total billed charges,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,AETNA,AETNA,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,BEECH STREET,BEECH STREET,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,CARESOURCE,CARESOURCE,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,MEDICAID,MEDICAID,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,NOVA NET,NOVA NET,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,PEACHSTATE,PEACHSTATE,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,SELFPAY,SELFPAY,,3170,,fee schedule,3170,33.7,3170,fee schedule,
TRUXIMA 500MG/50ML VIAL,Q5115,CPT,both,,,3170,3170,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3170,,fee schedule,3170,33.7,3170,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,80.57,,fee schedule,80.57,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,63.48,,fee schedule,63.48,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,35.39,,fee schedule,35.39,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,36.06,,fee schedule,36.06,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,48.83,,fee schedule,48.83,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,33.7,,fee schedule,33.7,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,48.83,,fee schedule,48.83,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,48.83,,fee schedule,48.83,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,80.57,percent of total billed charges,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,80.57,percent of total billed charges,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,80.57,percent of total billed charges,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 10 MG/ML Vial,Q5115,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,ALLIANT,ALLIANT,,80.57,,fee schedule,80.57,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,AMBETTER,AMBETTER,,63.48,,fee schedule,63.48,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,35.39,,fee schedule,35.39,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,36.06,,fee schedule,36.06,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,MEDICARE,MEDICARE,,48.83,,fee schedule,48.83,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,33.7,,fee schedule,33.7,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,TRICARE,TRICARE,,48.83,,fee schedule,48.83,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,48.83,,fee schedule,48.83,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,80.57,percent of total billed charges,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,80.57,percent of total billed charges,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,80.57,percent of total billed charges,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
riTUXimab-abbs 500 mg/50 ml Vial,Q5115,CPT,both,500,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,80.57,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,ALLIANT,ALLIANT,,54.78,,fee schedule,54.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,AMBETTER,AMBETTER,,43.16,,fee schedule,43.16,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,13.28,,fee schedule,13.28,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,CARESOURCE,CARESOURCE,,13.53,,fee schedule,13.53,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,MEDICARE,MEDICARE,,33.2,,fee schedule,33.2,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,12.64,,fee schedule,12.64,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,TRICARE,TRICARE,,33.2,,fee schedule,33.2,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,33.2,,fee schedule,33.2,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,12.64,139.78,percent of total billed charges,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,12.64,139.78,percent of total billed charges,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,12.64,139.78,percent of total billed charges,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,420,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,ALLIANT,ALLIANT,,54.78,,fee schedule,54.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,AMBETTER,AMBETTER,,43.16,,fee schedule,43.16,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,13.28,,fee schedule,13.28,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,CARESOURCE,CARESOURCE,,13.53,,fee schedule,13.53,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,MEDICARE,MEDICARE,,33.2,,fee schedule,33.2,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,12.64,,fee schedule,12.64,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,TRICARE,TRICARE,,33.2,,fee schedule,33.2,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,33.2,,fee schedule,33.2,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,12.64,139.78,percent of total billed charges,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,12.64,139.78,percent of total billed charges,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,12.64,139.78,percent of total billed charges,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
Trastuzumab-qyyp,Q5116,CPT,both,150,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,12.64,139.78,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,ALLIANT,ALLIANT,,55.06,,fee schedule,55.06,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,AMBETTER,AMBETTER,,43.38,,fee schedule,43.38,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,AMERIGROUP,AMERIGROUP,,20.31,,fee schedule,20.31,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,CARESOURCE,CARESOURCE,,20.69,,fee schedule,20.69,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,MEDICARE,MEDICARE,,33.37,,fee schedule,33.37,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,PEACHSTATE,PEACHSTATE,,19.34,,fee schedule,19.34,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,TRICARE,TRICARE,,33.37,,fee schedule,33.37,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,UHC MEDICARE,UHC MEDICARE,,33.37,,fee schedule,33.37,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,AETNA,AETNA,,1178.85,87,percent of total billed charges,1178.85,19.34,1355,percent of total billed charges,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1178.85,87,percent of total billed charges,1178.85,19.34,1355,percent of total billed charges,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,UNITED HEALTHCARE,UNITED HEALTHCARE,,1192.4,88,percent of total billed charges,1192.4,19.34,1355,percent of total billed charges,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,AETNA,AETNA,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,BEECH STREET,BEECH STREET,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,CARESOURCE,CARESOURCE,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,MEDICAID,MEDICAID,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,NOVA NET,NOVA NET,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,PEACHSTATE,PEACHSTATE,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,SELFPAY,SELFPAY,,1355,,fee schedule,1355,19.34,1355,fee schedule,
KANJINTI 150MG VIAL,Q5117,CPT,both,,,1355,1355,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1355,,fee schedule,1355,19.34,1355,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,ALLIANT,ALLIANT,,55.06,,fee schedule,55.06,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,AMBETTER,AMBETTER,,43.38,,fee schedule,43.38,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,20.31,,fee schedule,20.31,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,CARESOURCE,CARESOURCE,,20.69,,fee schedule,20.69,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,MEDICARE,MEDICARE,,33.37,,fee schedule,33.37,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,19.34,,fee schedule,19.34,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,TRICARE,TRICARE,,33.37,,fee schedule,33.37,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,33.37,,fee schedule,33.37,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,19.34,139.78,percent of total billed charges,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,19.34,139.78,percent of total billed charges,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,19.34,139.78,percent of total billed charges,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
Trastuzumab-anns,Q5117,CPT,both,150,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,19.34,139.78,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,ALLIANT,ALLIANT,,55.59,,fee schedule,55.59,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,AMBETTER,AMBETTER,,43.8,,fee schedule,43.8,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,AMERIGROUP,AMERIGROUP,,22.02,,fee schedule,22.02,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,CARESOURCE,CARESOURCE,,22.44,,fee schedule,22.44,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,MEDICARE,MEDICARE,,33.69,,fee schedule,33.69,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,PEACHSTATE,PEACHSTATE,,20.97,,fee schedule,20.97,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,TRICARE,TRICARE,,33.69,,fee schedule,33.69,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,UHC MEDICARE,UHC MEDICARE,,33.69,,fee schedule,33.69,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,AETNA,AETNA,,1050.96,87,percent of total billed charges,1050.96,20.97,1208,percent of total billed charges,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1050.96,87,percent of total billed charges,1050.96,20.97,1208,percent of total billed charges,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,UNITED HEALTHCARE,UNITED HEALTHCARE,,1063.04,88,percent of total billed charges,1063.04,20.97,1208,percent of total billed charges,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,AETNA,AETNA,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,BEECH STREET,BEECH STREET,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,CARESOURCE,CARESOURCE,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,MEDICAID,MEDICAID,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,NOVA NET,NOVA NET,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,PEACHSTATE,PEACHSTATE,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,SELFPAY,SELFPAY,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 100MG INJ,Q5118,CPT,both,,,1208,1208,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1208,,fee schedule,1208,20.97,1208,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,ALLIANT,ALLIANT,,55.59,,fee schedule,55.59,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,AMBETTER,AMBETTER,,43.8,,fee schedule,43.8,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,AMERIGROUP,AMERIGROUP,,22.02,,fee schedule,22.02,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,CARESOURCE,CARESOURCE,,22.44,,fee schedule,22.44,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,MEDICARE,MEDICARE,,33.69,,fee schedule,33.69,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,PEACHSTATE,PEACHSTATE,,20.97,,fee schedule,20.97,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,TRICARE,TRICARE,,33.69,,fee schedule,33.69,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,UHC MEDICARE,UHC MEDICARE,,33.69,,fee schedule,33.69,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,AETNA,AETNA,,4199.49,87,percent of total billed charges,4199.49,20.97,4827,percent of total billed charges,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4199.49,87,percent of total billed charges,4199.49,20.97,4827,percent of total billed charges,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,UNITED HEALTHCARE,UNITED HEALTHCARE,,4247.76,88,percent of total billed charges,4247.76,20.97,4827,percent of total billed charges,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,AETNA,AETNA,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,BEECH STREET,BEECH STREET,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,CARESOURCE,CARESOURCE,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,MEDICAID,MEDICAID,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,NOVA NET,NOVA NET,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,PEACHSTATE,PEACHSTATE,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,SELFPAY,SELFPAY,,4827,,fee schedule,4827,20.97,4827,fee schedule,
ZIRABEV 400MG INJ,Q5118,CPT,both,,,4827,4827,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,4827,,fee schedule,4827,20.97,4827,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,ALLIANT,ALLIANT,,55.59,,fee schedule,55.59,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,AMBETTER,AMBETTER,,43.8,,fee schedule,43.8,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,22.02,,fee schedule,22.02,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,22.44,,fee schedule,22.44,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,MEDICARE,MEDICARE,,33.69,,fee schedule,33.69,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,20.97,,fee schedule,20.97,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,TRICARE,TRICARE,,33.69,,fee schedule,33.69,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,33.69,,fee schedule,33.69,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,20.97,139.78,percent of total billed charges,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,20.97,139.78,percent of total billed charges,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,20.97,139.78,percent of total billed charges,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 100 MG/4 ML VIAL,Q5118,CPT,both,100,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,20.97,139.78,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,ALLIANT,ALLIANT,,55.59,,fee schedule,55.59,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,AMBETTER,AMBETTER,,43.8,,fee schedule,43.8,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,AMERIGROUP,AMERIGROUP,,22.02,,fee schedule,22.02,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,22.44,,fee schedule,22.44,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,MEDICARE,MEDICARE,,33.69,,fee schedule,33.69,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,20.97,,fee schedule,20.97,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,TRICARE,TRICARE,,33.69,,fee schedule,33.69,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,UHC MEDICARE,UHC MEDICARE,,33.69,,fee schedule,33.69,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,2.66,87,percent of total billed charges,2.66,2.66,55.59,percent of total billed charges,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2.66,87,percent of total billed charges,2.66,2.66,55.59,percent of total billed charges,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,UNITED HEALTHCARE,UNITED HEALTHCARE,,2.69,88,percent of total billed charges,2.69,2.66,55.59,percent of total billed charges,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,AETNA,AETNA,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,BEECH STREET,BEECH STREET,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,CARESOURCE,CARESOURCE,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,MEDICAID,MEDICAID,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,NOVA NET,NOVA NET,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,PEACHSTATE,PEACHSTATE,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,SELFPAY,SELFPAY,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
Bevacizumab-bvzr (Zirabev) 400 MG/16 ML VIAL,Q5118,CPT,both,400,ME,3.06,3.06,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,3.06,,fee schedule,3.06,2.66,55.59,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,ALLIANT,ALLIANT,,53.92,,fee schedule,53.92,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,AMBETTER,AMBETTER,,42.48,,fee schedule,42.48,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,MEDICARE,MEDICARE,,32.68,,fee schedule,32.68,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,TRICARE,TRICARE,,32.68,,fee schedule,32.68,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,UHC MEDICARE,UHC MEDICARE,,32.68,,fee schedule,32.68,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,AETNA,AETNA,,1132.74,87,percent of total billed charges,1132.74,19.25,1302,percent of total billed charges,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1132.74,87,percent of total billed charges,1132.74,19.25,1302,percent of total billed charges,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,UNITED HEALTHCARE,UNITED HEALTHCARE,,1145.76,88,percent of total billed charges,1145.76,19.25,1302,percent of total billed charges,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,AETNA,AETNA,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,BEECH STREET,BEECH STREET,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,CARESOURCE,CARESOURCE,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,MEDICAID,MEDICAID,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,NOVA NET,NOVA NET,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,PEACHSTATE,PEACHSTATE,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,SELFPAY,SELFPAY,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 100MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,1302,1302,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,1302,,fee schedule,1302,19.25,1302,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,ALLIANT,ALLIANT,,53.92,,fee schedule,53.92,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,AMBETTER,AMBETTER,,42.48,,fee schedule,42.48,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,MEDICARE,MEDICARE,,32.68,,fee schedule,32.68,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,TRICARE,TRICARE,,32.68,,fee schedule,32.68,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,UHC MEDICARE,UHC MEDICARE,,32.68,,fee schedule,32.68,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,AETNA,AETNA,,5658.48,87,percent of total billed charges,5658.48,19.25,6504,percent of total billed charges,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5658.48,87,percent of total billed charges,5658.48,19.25,6504,percent of total billed charges,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,UNITED HEALTHCARE,UNITED HEALTHCARE,,5723.52,88,percent of total billed charges,5723.52,19.25,6504,percent of total billed charges,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,AETNA,AETNA,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,BEECH STREET,BEECH STREET,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,CARESOURCE,CARESOURCE,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,MEDICAID,MEDICAID,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,NOVA NET,NOVA NET,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,PEACHSTATE,PEACHSTATE,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,SELFPAY,SELFPAY,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE 500MG (RITUXIMAB-PVVR,Q5119,CPT,both,,,6504,6504,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,6504,,fee schedule,6504,19.25,6504,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,ALLIANT,ALLIANT,,53.92,,fee schedule,53.92,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,AMBETTER,AMBETTER,,42.48,,fee schedule,42.48,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,MEDICARE,MEDICARE,,32.68,,fee schedule,32.68,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,TRICARE,TRICARE,,32.68,,fee schedule,32.68,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,UHC MEDICARE,UHC MEDICARE,,32.68,,fee schedule,32.68,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,AETNA,AETNA,,9813.6,87,percent of total billed charges,9813.6,19.25,11280,percent of total billed charges,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,9813.6,87,percent of total billed charges,9813.6,19.25,11280,percent of total billed charges,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,UNITED HEALTHCARE,UNITED HEALTHCARE,,9926.4,88,percent of total billed charges,9926.4,19.25,11280,percent of total billed charges,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,AETNA,AETNA,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,BEECH STREET,BEECH STREET,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,CARESOURCE,CARESOURCE,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,MEDICAID,MEDICAID,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,NOVA NET,NOVA NET,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,PEACHSTATE,PEACHSTATE,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,SELFPAY,SELFPAY,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR) 500MG,Q5119,CPT,both,,,11280,11280,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,11280,,fee schedule,11280,19.25,11280,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,ALLIANT,ALLIANT,,53.92,,fee schedule,53.92,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,AMBETTER,AMBETTER,,42.48,,fee schedule,42.48,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,MEDICARE,MEDICARE,,32.68,,fee schedule,32.68,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,TRICARE,TRICARE,,32.68,,fee schedule,32.68,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,UHC MEDICARE,UHC MEDICARE,,32.68,,fee schedule,32.68,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,AETNA,AETNA,,1963.59,87,percent of total billed charges,1963.59,19.25,2257,percent of total billed charges,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,1963.59,87,percent of total billed charges,1963.59,19.25,2257,percent of total billed charges,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,UNITED HEALTHCARE,UNITED HEALTHCARE,,1986.16,88,percent of total billed charges,1986.16,19.25,2257,percent of total billed charges,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,AETNA,AETNA,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,BEECH STREET,BEECH STREET,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,CARESOURCE,CARESOURCE,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,MEDICAID,MEDICAID,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,NOVA NET,NOVA NET,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,PEACHSTATE,PEACHSTATE,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,SELFPAY,SELFPAY,,2257,,fee schedule,2257,19.25,2257,fee schedule,
RUXIENCE(RITUXIMAB-PVVR)100MG/,Q5119,CPT,both,,,2257,2257,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,2257,,fee schedule,2257,19.25,2257,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,ALLIANT,ALLIANT,,53.92,,fee schedule,53.92,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,AMBETTER,AMBETTER,,42.48,,fee schedule,42.48,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,MEDICARE,MEDICARE,,32.68,,fee schedule,32.68,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,TRICARE,TRICARE,,32.68,,fee schedule,32.68,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,32.68,,fee schedule,32.68,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,19.25,53.92,percent of total billed charges,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,19.25,53.92,percent of total billed charges,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,19.25,53.92,percent of total billed charges,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 100 mg/10 ml Vial,Q5119,CPT,both,100,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,19.25,53.92,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,ALLIANT,ALLIANT,,53.92,,fee schedule,53.92,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,AMBETTER,AMBETTER,,42.48,,fee schedule,42.48,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,AMERIGROUP,AMERIGROUP,,20.21,,fee schedule,20.21,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,CARESOURCE,CARESOURCE,,20.6,,fee schedule,20.6,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,MEDICARE,MEDICARE,,32.68,,fee schedule,32.68,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,19.25,,fee schedule,19.25,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,TRICARE,TRICARE,,32.68,,fee schedule,32.68,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,UHC MEDICARE,UHC MEDICARE,,32.68,,fee schedule,32.68,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,AETNA,AETNA,,121.61,87,percent of total billed charges,121.61,19.25,139.78,percent of total billed charges,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,121.61,87,percent of total billed charges,121.61,19.25,139.78,percent of total billed charges,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,UNITED HEALTHCARE,UNITED HEALTHCARE,,123.01,88,percent of total billed charges,123.01,19.25,139.78,percent of total billed charges,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,AETNA,AETNA,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,BEECH STREET,BEECH STREET,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,CARESOURCE,CARESOURCE,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,MEDICAID,MEDICAID,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,NOVA NET,NOVA NET,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,PEACHSTATE,PEACHSTATE,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,SELFPAY,SELFPAY,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
riTUXimab-pvvr 500 mg/50 ml Vial,Q5119,CPT,both,500,ME,139.78,139.78,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,139.78,,fee schedule,139.78,19.25,139.78,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,AETNA,AETNA,,683.82,87,percent of total billed charges,683.82,683.82,786,percent of total billed charges,
LUMASON,Q9950,CPT,both,,,786,786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,683.82,87,percent of total billed charges,683.82,683.82,786,percent of total billed charges,
LUMASON,Q9950,CPT,both,,,786,786,UNITED HEALTHCARE,UNITED HEALTHCARE,,691.68,88,percent of total billed charges,691.68,683.82,786,percent of total billed charges,
LUMASON,Q9950,CPT,both,,,786,786,AETNA,AETNA,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,ALLIANT,ALLIANT,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,AMBETTER,AMBETTER,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,BEECH STREET,BEECH STREET,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,CARESOURCE,CARESOURCE,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,MEDICAID,MEDICAID,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,MEDICARE,MEDICARE,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,NOVA NET,NOVA NET,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,PEACHSTATE,PEACHSTATE,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,SELFPAY,SELFPAY,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,TRICARE,TRICARE,,786,,fee schedule,786,683.82,786,fee schedule,
LUMASON,Q9950,CPT,both,,,786,786,UHC MEDICARE,UHC MEDICARE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,AETNA,AETNA,,683.82,87,percent of total billed charges,683.82,683.82,786,percent of total billed charges,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,683.82,87,percent of total billed charges,683.82,683.82,786,percent of total billed charges,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,UNITED HEALTHCARE,UNITED HEALTHCARE,,691.68,88,percent of total billed charges,691.68,683.82,786,percent of total billed charges,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,AETNA,AETNA,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,ALLIANT,ALLIANT,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,AMBETTER,AMBETTER,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,BEECH STREET,BEECH STREET,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,CARESOURCE,CARESOURCE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,MEDICAID,MEDICAID,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,MEDICARE,MEDICARE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,NOVA NET,NOVA NET,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,PEACHSTATE,PEACHSTATE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,SELFPAY,SELFPAY,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,TRICARE,TRICARE,,786,,fee schedule,786,683.82,786,fee schedule,
PERFLUTREN LIPID MICROSHP,Q9957,CPT,both,,,786,786,UHC MEDICARE,UHC MEDICARE,,786,,fee schedule,786,683.82,786,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,AMERIGROUP,AMERIGROUP,,0.93,,fee schedule,0.93,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,0.95,,fee schedule,0.95,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,0.89,,fee schedule,0.89,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,AETNA,AETNA,,142.68,87,percent of total billed charges,142.68,0.89,164,percent of total billed charges,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,142.68,87,percent of total billed charges,142.68,0.89,164,percent of total billed charges,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,UNITED HEALTHCARE,UNITED HEALTHCARE,,144.32,88,percent of total billed charges,144.32,0.89,164,percent of total billed charges,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,AETNA,AETNA,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,ALLIANT,ALLIANT,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,AMBETTER,AMBETTER,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,BEECH STREET,BEECH STREET,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,CARESOURCE,CARESOURCE,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,MEDICAID,MEDICAID,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,MEDICARE,MEDICARE,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,NOVA NET,NOVA NET,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,PEACHSTATE,PEACHSTATE,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,SELFPAY,SELFPAY,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,TRICARE,TRICARE,,164,,fee schedule,164,0.89,164,fee schedule,
CONTRAST MEDIA,Q9965,CPT,both,,,164,164,UHC MEDICARE,UHC MEDICARE,,164,,fee schedule,164,0.89,164,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,AMERIGROUP,AMERIGROUP,,0.93,,fee schedule,0.93,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,0.95,,fee schedule,0.95,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,0.89,,fee schedule,0.89,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,AETNA,AETNA,,66.12,87,percent of total billed charges,66.12,0.89,76,percent of total billed charges,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,66.12,87,percent of total billed charges,66.12,0.89,76,percent of total billed charges,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,UNITED HEALTHCARE,UNITED HEALTHCARE,,66.88,88,percent of total billed charges,66.88,0.89,76,percent of total billed charges,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,AETNA,AETNA,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,ALLIANT,ALLIANT,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,AMBETTER,AMBETTER,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,BEECH STREET,BEECH STREET,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,CARESOURCE,CARESOURCE,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,MEDICAID,MEDICAID,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,MEDICARE,MEDICARE,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,NOVA NET,NOVA NET,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,PEACHSTATE,PEACHSTATE,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,SELFPAY,SELFPAY,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,TRICARE,TRICARE,,76,,fee schedule,76,0.89,76,fee schedule,
NON-IONIC 100CC,Q9965,CPT,both,,,76,76,UHC MEDICARE,UHC MEDICARE,,76,,fee schedule,76,0.89,76,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,AMERIGROUP,AMERIGROUP,,0.48,,fee schedule,0.48,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,0.49,,fee schedule,0.49,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,0.46,,fee schedule,0.46,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,AETNA,AETNA,,189.66,87,percent of total billed charges,189.66,0.46,218,percent of total billed charges,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,189.66,87,percent of total billed charges,189.66,0.46,218,percent of total billed charges,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,UNITED HEALTHCARE,UNITED HEALTHCARE,,191.84,88,percent of total billed charges,191.84,0.46,218,percent of total billed charges,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,AETNA,AETNA,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,ALLIANT,ALLIANT,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,AMBETTER,AMBETTER,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,BEECH STREET,BEECH STREET,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,CARESOURCE,CARESOURCE,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,MEDICAID,MEDICAID,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,MEDICARE,MEDICARE,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,NOVA NET,NOVA NET,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,PEACHSTATE,PEACHSTATE,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,SELFPAY,SELFPAY,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,TRICARE,TRICARE,,218,,fee schedule,218,0.46,218,fee schedule,
VISIPAQUE 200-250ML,Q9966,CPT,both,,,218,218,UHC MEDICARE,UHC MEDICARE,,218,,fee schedule,218,0.46,218,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,AMERIGROUP,AMERIGROUP,,0.13,,fee schedule,0.13,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,0.13,,fee schedule,0.13,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,0.12,,fee schedule,0.12,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,AETNA,AETNA,,41.76,87,percent of total billed charges,41.76,0.12,48,percent of total billed charges,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,41.76,87,percent of total billed charges,41.76,0.12,48,percent of total billed charges,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,UNITED HEALTHCARE,UNITED HEALTHCARE,,42.24,88,percent of total billed charges,42.24,0.12,48,percent of total billed charges,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,AETNA,AETNA,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,ALLIANT,ALLIANT,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,AMBETTER,AMBETTER,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,BEECH STREET,BEECH STREET,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,CARESOURCE,CARESOURCE,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,MEDICAID,MEDICAID,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,MEDICARE,MEDICARE,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,NOVA NET,NOVA NET,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,PEACHSTATE,PEACHSTATE,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,SELFPAY,SELFPAY,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,TRICARE,TRICARE,,48,,fee schedule,48,0.12,48,fee schedule,
NON-IONIC 50CC,Q9967,CPT,both,,,48,48,UHC MEDICARE,UHC MEDICARE,,48,,fee schedule,48,0.12,48,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,ALLIANT,ALLIANT,,12.79,,fee schedule,12.79,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,AMBETTER,AMBETTER,,10.08,,fee schedule,10.08,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,MEDICARE,MEDICARE,,7.75,,fee schedule,7.75,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,TRICARE,TRICARE,,7.75,,fee schedule,7.75,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,UHC MEDICARE,UHC MEDICARE,,7.75,,fee schedule,7.75,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,AETNA,AETNA,,4814.58,87,percent of total billed charges,4814.58,7.75,5534,percent of total billed charges,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,4814.58,87,percent of total billed charges,4814.58,7.75,5534,percent of total billed charges,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,UNITED HEALTHCARE,UNITED HEALTHCARE,,4869.92,88,percent of total billed charges,4869.92,7.75,5534,percent of total billed charges,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,AETNA,AETNA,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,BEECH STREET,BEECH STREET,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,CARESOURCE,CARESOURCE,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,MEDICAID,MEDICAID,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,NOVA NET,NOVA NET,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,PEACHSTATE,PEACHSTATE,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,SELFPAY,SELFPAY,,5534,,fee schedule,5534,7.75,5534,fee schedule,
ISOSULFAN BLUE (1%) 50MG/,Q9968,CPT,both,,,5534,5534,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,5534,,fee schedule,5534,7.75,5534,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,ALLIANT,ALLIANT,,12.79,,fee schedule,12.79,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,AMBETTER,AMBETTER,,10.08,,fee schedule,10.08,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,MEDICARE,MEDICARE,,7.75,,fee schedule,7.75,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,TRICARE,TRICARE,,7.75,,fee schedule,7.75,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,UHC MEDICARE,UHC MEDICARE,,7.75,,fee schedule,7.75,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,AETNA,AETNA,,421.08,87,percent of total billed charges,421.08,7.75,484,percent of total billed charges,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,421.08,87,percent of total billed charges,421.08,7.75,484,percent of total billed charges,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,UNITED HEALTHCARE,UNITED HEALTHCARE,,425.92,88,percent of total billed charges,425.92,7.75,484,percent of total billed charges,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,AETNA,AETNA,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,BEECH STREET,BEECH STREET,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,CARESOURCE,CARESOURCE,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,MEDICAID,MEDICAID,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,NOVA NET,NOVA NET,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,PEACHSTATE,PEACHSTATE,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,SELFPAY,SELFPAY,,484,,fee schedule,484,7.75,484,fee schedule,
LYMPHAZURIN 1% 5ML VIAL,Q9968,CPT,both,,,484,484,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,484,,fee schedule,484,7.75,484,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,ALLIANT,ALLIANT,,12.79,,fee schedule,12.79,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,AMBETTER,AMBETTER,,10.08,,fee schedule,10.08,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,MEDICARE,MEDICARE,,7.75,,fee schedule,7.75,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,TRICARE,TRICARE,,7.75,,fee schedule,7.75,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,UHC MEDICARE,UHC MEDICARE,,7.75,,fee schedule,7.75,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,AETNA,AETNA,,33.93,87,percent of total billed charges,33.93,7.75,39,percent of total billed charges,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,33.93,87,percent of total billed charges,33.93,7.75,39,percent of total billed charges,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,UNITED HEALTHCARE,UNITED HEALTHCARE,,34.32,88,percent of total billed charges,34.32,7.75,39,percent of total billed charges,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,AETNA,AETNA,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,BEECH STREET,BEECH STREET,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,CARESOURCE,CARESOURCE,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,MEDICAID,MEDICAID,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,NOVA NET,NOVA NET,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,PEACHSTATE,PEACHSTATE,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,SELFPAY,SELFPAY,,39,,fee schedule,39,7.75,39,fee schedule,
METHYLENE BLUE INJ 1% 1ML,Q9968,CPT,both,,,39,39,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,39,,fee schedule,39,7.75,39,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,ALLIANT,ALLIANT,,12.79,,fee schedule,12.79,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,AMBETTER,AMBETTER,,10.08,,fee schedule,10.08,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,MEDICARE,MEDICARE,,7.75,,fee schedule,7.75,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,TRICARE,TRICARE,,7.75,,fee schedule,7.75,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,UHC MEDICARE,UHC MEDICARE,,7.75,,fee schedule,7.75,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,AETNA,AETNA,,829.11,87,percent of total billed charges,829.11,7.75,953,percent of total billed charges,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,829.11,87,percent of total billed charges,829.11,7.75,953,percent of total billed charges,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,UNITED HEALTHCARE,UNITED HEALTHCARE,,838.64,88,percent of total billed charges,838.64,7.75,953,percent of total billed charges,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,AETNA,AETNA,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,BEECH STREET,BEECH STREET,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,CARESOURCE,CARESOURCE,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,MEDICAID,MEDICAID,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,NOVA NET,NOVA NET,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,PEACHSTATE,PEACHSTATE,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,SELFPAY,SELFPAY,,953,,fee schedule,953,7.75,953,fee schedule,
PROVAYBLUE (0.5%) 50MG/10ML AM,Q9968,CPT,both,,,953,953,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,953,,fee schedule,953,7.75,953,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,AETNA,AETNA,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,52.2,87,percent of total billed charges,52.2,52.2,60,percent of total billed charges,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,UNITED HEALTHCARE,UNITED HEALTHCARE,,52.8,88,percent of total billed charges,52.8,52.2,60,percent of total billed charges,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,AETNA,AETNA,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,ALLIANT,ALLIANT,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,AMBETTER,AMBETTER,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,BEECH STREET,BEECH STREET,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,CARESOURCE,CARESOURCE,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,MEDICAID,MEDICAID,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,MEDICARE,MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,NOVA NET,NOVA NET,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,PEACHSTATE,PEACHSTATE,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,SELFPAY,SELFPAY,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,TRICARE,TRICARE,,60,,fee schedule,60,52.2,60,fee schedule,
CLINDAMYCIN 900MG IV BAG,S0077,CPT,both,,,60,60,UHC MEDICARE,UHC MEDICARE,,60,,fee schedule,60,52.2,60,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,AETNA,AETNA,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,29.58,87,percent of total billed charges,29.58,29.58,34,percent of total billed charges,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,UNITED HEALTHCARE,UNITED HEALTHCARE,,29.92,88,percent of total billed charges,29.92,29.58,34,percent of total billed charges,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,AETNA,AETNA,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,ALLIANT,ALLIANT,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,AMBETTER,AMBETTER,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,BEECH STREET,BEECH STREET,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,CARESOURCE,CARESOURCE,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,MEDICAID,MEDICAID,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,MEDICARE,MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,NOVA NET,NOVA NET,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,PEACHSTATE,PEACHSTATE,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,SELFPAY,SELFPAY,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,TRICARE,TRICARE,,34,,fee schedule,34,29.58,34,fee schedule,
BUMEX 1.0MG 4ML INJ,S0171,CPT,both,,,34,34,UHC MEDICARE,UHC MEDICARE,,34,,fee schedule,34,29.58,34,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,30.7,87,percent of total billed charges,30.7,30.7,35.29,percent of total billed charges,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,UNITED HEALTHCARE,UNITED HEALTHCARE,,31.06,88,percent of total billed charges,31.06,30.7,35.29,percent of total billed charges,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,AETNA,AETNA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,ALLIANT,ALLIANT,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,AMBETTER,AMBETTER,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,BEECH STREET,BEECH STREET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,CARESOURCE,CARESOURCE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,MEDICAID,MEDICAID,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,MEDICARE,MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,NOVA NET,NOVA NET,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,PEACHSTATE,PEACHSTATE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,SELFPAY,SELFPAY,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,TRICARE,TRICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
Bumetanide,S0171,CPT,both,1,ME,35.29,35.29,UHC MEDICARE,UHC MEDICARE,,35.29,,fee schedule,35.29,30.7,35.29,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,AETNA,AETNA,,83.52,87,percent of total billed charges,83.52,83.52,96,percent of total billed charges,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,83.52,87,percent of total billed charges,83.52,83.52,96,percent of total billed charges,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,UNITED HEALTHCARE,UNITED HEALTHCARE,,84.48,88,percent of total billed charges,84.48,83.52,96,percent of total billed charges,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,AETNA,AETNA,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,ALLIANT,ALLIANT,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,AMBETTER,AMBETTER,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,BEECH STREET,BEECH STREET,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,CARESOURCE,CARESOURCE,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,MEDICAID,MEDICAID,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,MEDICARE,MEDICARE,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,NOVA NET,NOVA NET,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,PEACHSTATE,PEACHSTATE,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,SELFPAY,SELFPAY,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,TRICARE,TRICARE,,96,,fee schedule,96,83.52,96,fee schedule,
NEWBORN METABOLIC SCREENI,S3620,CPT,both,,,96,96,UHC MEDICARE,UHC MEDICARE,,96,,fee schedule,96,83.52,96,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,AMERIGROUP,AMERIGROUP,,19.95,,fee schedule,19.95,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,20.33,,fee schedule,20.33,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,19,,fee schedule,19,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,AETNA,AETNA,,60.9,87,percent of total billed charges,60.9,19,70,percent of total billed charges,
LACTATION CLASS,S9443,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,60.9,87,percent of total billed charges,60.9,19,70,percent of total billed charges,
LACTATION CLASS,S9443,CPT,both,,,70,70,UNITED HEALTHCARE,UNITED HEALTHCARE,,61.6,88,percent of total billed charges,61.6,19,70,percent of total billed charges,
LACTATION CLASS,S9443,CPT,both,,,70,70,AETNA,AETNA,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,ALLIANT,ALLIANT,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,AMBETTER,AMBETTER,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,BEECH STREET,BEECH STREET,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,BLUE CROSS BLUE SHIELD,BLUE CROSS BLUE SHIELD,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,CARESOURCE,CARESOURCE,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,CHOICE CARE NETWORK/HUMANA,CHOICE CARE NETWORK/HUMANA,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,CIGNA/GREAT WEST LIFE,CIGNA/GREAT WEST LIFE,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,FIRST HEALTH/Prev. SOUTHCARE,FIRST HEALTH/Prev. SOUTHCARE,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,INTEGRATED HEALTH PLAN-W/C,INTEGRATED HEALTH PLAN-W/C,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,MEDICAID,MEDICAID,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,MEDICARE,MEDICARE,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,NOVA NET,NOVA NET,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,NOVA NET-WORKER'S COMP,NOVA NET-WORKER'S COMP,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,PEACHSTATE,PEACHSTATE,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,SELFPAY,SELFPAY,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,THREE RIVERS-WORKER'S COMP,THREE RIVERS-WORKER'S COMP,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,TRICARE,TRICARE,,70,,fee schedule,70,19,70,fee schedule,
LACTATION CLASS,S9443,CPT,both,,,70,70,UHC MEDICARE,UHC MEDICARE,,70,,fee schedule,70,19,70,fee schedule,